10194384 - Permit (2) - Laserfiche WebLink

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t\4AYOR Miguel A. Pulido MAYOR PRO TEM Nlichele Martinez COUNCILMEMEERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas INTERIM CITY I\,IANAGER Cynthia J. Kurtz CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PI.ANNINC & BUILDINC AGENCY 20 Civic Center Plaza P.O. Box I988. Santa Ana. Californra 92702 www.santa - an a.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 of the property improvements specified at -j-Ha tffil/r 909 EX,ri c7 :?tt1/7A AilA Q4 q2 703 We are providing you with an Owner-Builder Acknowledoment and lnformatjon Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. o(, 1.I understand a frequent practice of unlicensed persons isto have the property owner obtain an "Owner-Builder" building permit that enoneously implies that the property owner is providing his or her own labor and material personally. l, as an Owner- Builder, may be held liable and subject to serious financial risk for 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 for 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. C( Z. I understand building permits are not required to be signed by property owners unless they are responsible for the construclion and are nol hiring a licensed Contractor to assume this responsibility. Ct Z. I understand as an 'Owner-Builder" I am the responsible party ol record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit flled in his or her name instead of my own. d q. I understand Contractors are required by law to be licensed and bonded in Califomia and to list their license numbers on permits and contracts. a{ 5. I understand if I employ or otherwise engage any persons, other than Califomia licensed Contractors, and the total value of mi conslruction rs at leasl flve hundred dollars ($5OO), including labor and materials, I may be considered an "employer' und er state and federal law. Z-6. I understand if I am considered an "employer" under state and Federal law. I must register with the state and federal government, withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment compensation ofeach "employee." lalso understand my failure lo abide by these laws may subject me to serious financial risk. tf t . t u nderstand under California Contraclors' State License Law, an Owner-Builder who builds single-family residentjal structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontraclors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. ,d g. t understand as an Owner-Builder if I sell the property forwhich this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s)that result fiom any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL Mayor Pio Tem Ward 2 m,man ne:,As.n13-a.a oro M easasa.ta-ana oro snnaero]6sanl.-ana o.ovsamre.loosanra a.a orc Jsold'cosanla ana do dbenav,d*assnla a.a o.o