20164398 - Permit (2) - Laserfiche WebLink

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MAYOR MiguelA. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmienlo Jose Solorio Sal Tinajero Juan \4llegas Dear Property Owner INTERIM CITY MANAGER Cynthia J. KurE CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PI.ANNING & BUILDING AGENCY 20 Crvr( Center Plaza P.O. Box 1988 . Santa Ana, Calrfornia 92702 Www.5anta-ana.orq,/pba NOTICE TO PROPERTY OWNER An application for a building bmitted an ur name listing oft property improvements specified al We are providing you with an Owner-Builder Acknowledoment and lnformation 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 DIREC/IONS: Read and initial each statement below to signify you understand or verify this information. ALY , understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" building permit that enoneously implies that the property owner is providing his or her o\ryn labor and material personally. l, as an Owner- Builder, may be held liable and subject to serious flnancial 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 O), ALJ permitsia 4N constru 'ner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand building permits are not required to be signed by property owners unless they are responsible for the ion and are not hiring a licensed Contractor to assume this responsibility. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand thal I may protect myself from potential financral risk by hiring a licensed Contractor and having the permit flled in his or her name instead of my own. ild,understandContractorsarerequiredbylawtobelicensedandbondedinCalifomiaandtolisttheirlicensenumberson nd contracts I understand if I employ or otherwise engage any persons, other than Califomia licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including Iabor and materials, I may be considered an "employe/ und er state and federal law. AIJO f understand if I am consrdered an "employer' under state and Federal law, I must register with the state and federal governmenl, wilhhold payroll taxes, provide workers' compensation disability insurance. and contribute lo unemployment compey'sation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. IJrV/ 'L7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless ail work is performed by licensed subcontractors 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 genera/building Contractor. LI)r/I Y-8. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any flnancial or personal in;uries sustained by any subsequent owne(s)that result from any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL l ayor fto Tem, Ward 2 m.!lidoasanta-a.a m .1-'