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MAYOR <br />MiguelA. Pulido <br />MAYOR PRO TEM <br />Michele Martinez <br />COUNCILMEiiIBERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas <br />INTERIM CITY MANAGER <br />Cynthia J. KurE <br />CIIY ATTORNEY <br />Sonia R. Ca^.3lho <br />CLERK OF THE COUNCIL <br />Maria D. Huizar <br />CITY OF SANTA ANA <br />NOTICE TO PROPERTY OWNER <br />Dear Property Owner: <br />An application for a building permit has been submittedin your na e li stin <br />J <br />gyo urself as the builder of theiD property <br />improvements specified at t <br />We are providing you with an Owner-Builder Acknowledoment and lnformation Verification Form to make you aware of <br />your responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder. <br />OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON <br />DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. <br />$Af . f understand a frequent practice of unlicensed persons is to have the property owner obtain an .Owner-Builder" building <br />permit that enoneously implies that the property owner is providing his or her own labor and material personally. l, as an 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. l\,4y homeowner's insurance may not provide coverage for those injuries. lam willfully acting <br />as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. <br />UU\ , <br />' <br />understand building permits are not required to be signed by properly owners unless they are responsible for the <br />cbnstruction and are not hiring a licensed Contractor to assume this responsibility. <br />h\.u\ g. f understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself <br />from potential financial risk by hirjng a licensed Contractor and having the permit filed in his or her name instead of my own.-t\l\J\4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on <br />dermits and contracts. <br />N-f,l-S. f understand i, I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of <br />lfiy construclion rs al least five hundred dollars ($500), including labor and materials, I may be considered an'employer" under state <br />and federal law. <br />lf\,!b. , understand if I am considered an "employer" under state and Federal law, I must register with the state and federal <br />dovernment, wrthhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment <br />compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious flnancial risk. <br />D\ftll undersland under California Contractors' state License Law, an Owner-Builder who builds single-family residential <br />Structures cannol legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontractors and <br />the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed <br />general building Contractor. <br />UNI8 , understand as an Owner-Buitder if I sell the propefty for which this permit is issued, I may be held liable for any Ilnancial or <br />[ersonal injuries sustained by any subsequent owner(s) that result ftom any latent construction defects in the workmanship or <br />materials. <br />SANTA ANA CITY COUNCIL <br />Mryor Pro Tem Wa.d 2 <br />mrman'n€z@sanla ana o.o <br />V'cenre Sam enlo <br />!$am'slo.asanta ana do 60lno@sanr3 ana.tro <br />P OaMd Benatdes <br />dbenaMds@sa.ta-ana orc N'lleoas@sanla ana oro slinarerolasaota anaoro <br />PTANNING & BUILDING ACENCY <br />20 Crvic Center Plaza <br />P.O. 8ox I988 . Santa Ana. California 92702 <br />www.santa ana.oroioba <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 />noui do@$nla-a.a oro