10193413 - Permit (4) - Laserfiche WebLink

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t\.4AYOR lrriguel A. Pulido I\.4AYOR PRO TEM Michele [rartinez COUNCILIUEMBEBS P. David Benavides Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villegas ACTING CITY [,4ANAGER Gerardo luouel CITY ATTORNEY Sonia R. Carvalho CLEBK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNINC & BUILDING ACENCY 20 Crvic Center Plaza P.O. 8ox 1988 . Santa Ana. Calrfornra 92702 www.sanra-ana.orq pba NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder ol the property nts soecif ied at nS. v/oaXrove We are providing you with an Owner- a^*7 A^^L rm to make you aware olilder A kn m n lnf rm n your responsibilities and possible risk you may incur by having this permil issued in your names as the Owner-Builder. We will not issue a building permit until you have read, initialed your understanding ol each provision, signed, and returned this lorm to us at our official address indicated. An agent ol the owner cannot execute this notice unless you, the properly owner, obtain the prior approval ol the permitting authority. OWNER'S ACKNOWLEDGMENT AND VEBIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. 71 f . f understand a frequent praclice ol unlicensed persons is to have the property owner obtain an "Owner-Buildef building permit that erroneously implies that lhe property owner is providing his or her own labor and material personally. l, as an Owner-Builder, may be held liable and subjecl to serious financial risk ror any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage lor those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. W-r. ,understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. E-2. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. DT +. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permils and contracts. Q1 S. t understand if I employ or otherwise engage any persons, other than Calilornia licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employea' under stale and federal law- -[L-0. t understand il I am considered an "employer" under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious linancial risk. V I I understand under California Contractors' State License Law, an Owner-Builder who builds singlelamily residential structures cannot legally build them with the intent to offer them for sale, unless a//work is performed by SANTA ANA C Y COUNCIL mouhdo@sanra.ana oro Mayor P.o Tem. Ward 2 m marl nez@sanla.ana oro V cenre Samrenro vsamrenlo@sanla a.a.oro isoloro@sanra a.e oro P Davd Bâ‚¬navrdes dbenavdes@sanla.ana-oro Mllec.s@santa ana oro slrnaoro@sanla ana o.o