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l <br />MAYOR <br />MiguelA. Pulido <br />MAYOR PRO TEM <br />Michele Martinez <br />COUNCILMEI\4BERS <br />P. David Eenavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas <br />INTERIM CITY MANAGER <br />Cynthia J. Kurtr <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />Maria D. Huizar <br />CITY OF SANTA ANA <br />PLANNING & BUILDING AGENCY <br />20 Civic Center Plaza <br />P.O. Box 1988 . Santa Ana. Calrfornra 92702 <br />www.santa ana.orqiDba <br />NOTICE TO PROPERTY OWNER <br />Dear Property Owner <br />An application for a building permit has been submitted in your name listing yourself as the builder of the property <br />improvements spe"rrt"O., q.g q B e \/ Fo 259 A./Z s*Nrl fi-"t/A c4tz7o7 <br />WeareprovidingyoUwithantomakeyoUawareof <br />your responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder <br />We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned <br />this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property <br />owner, obtain the prior approval of the permitting authority. <br />OWNER'S ACKNOWLEDGMENT AND VERIFICATION O NF RMAT N <br />DIRECTIONS: Read and initial each statement below to signify you understand or veify this information. <br />,l <br />fi" 1 . I understand a frequent practice of unlicensed persons is to have the property owner obtain an "OwnerBuilder' building <br />permit that enoneously im plies that the property owner is providing his or her own labor and material personally. I,asan Owner- <br />Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her <br />employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting <br />as an Owner-Builder and am aware of the limits oI my insurance coverage for injuries to workers on my property. <br />W Z. I understand building permits are not required to be signed by properly owners unless they are responsible for the <br />construction and are not hiring a licensed Contractor to assume this responsibility. <br />l<-/ I t understand as an 'Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself <br />fiom potential financial risk by hiring a licensed Contractor and having the permit flled in his or her name instead of my own. <br />W-C. , understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on <br />permits and contracts. <br />-l/5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total valueof <br />rl| construction is at least five hundred dollars ($500), including labor and materials, I may be considered an'employer" under state <br />and federal law. <br />[U U. ,understand if lam considered an "employer" under state and Federal law, I m ust register with the state and federal <br />government, withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment <br />compensation of each 'employee." lalso understand my failure to abide by these laws may subjectmeto serious financial risk. <br />tfv 7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential <br />structures cannot legally build them with the intent to offer them for sale, unless ail work is performed by licensed subcontractors and <br />the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed <br />general building Contractor. <br />/IU, S. f understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or <br />personal iniuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or <br />materials. <br />SANTA ANA CITY COUNCIL <br />ooul,dorAe.E ana do sr .a€rGOsanla'ana oro <br />[iche e M3nr.eu <br />Itayd *a16r.Wad2 <br />nrar nez@saola aaa do