10194632 - Permit (2) - Laserfiche WebLink

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MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villegas INTERIM CITY MANAGER Cynthia J. Kurt2 CITY ATTORNEY Sonia R. Ca.valho CLERK OF THE COUNCIL Maria O. Huizar CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civi( Center Plaza P.O. Box I 988 . Santa Ana. California 92702 www.santa-ana.orq Dba 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 Wa<h'^0 +0V1 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 D/RECI/O/VS: Read and initial each statement below to signify you underctand or verify this information. t"y ,', i | 1 . I understand a trequent practice of unlicensed persons is to have the prop erty owner obtain an "Owner-Buildea building permit that erroneously 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. [4y 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. ,)." J)-L Z. , understand building permits are not required to be signed by property owners unless they are responsible for the 'constructionandarenothiringalicensedContractortoassumethisresponsibility. '))1d_!L3. 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. ,4, '/ / / 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on ' permits and contracts. ,/!t 1s. t understand if I employ or otherwise engage any persons, otherthan Califomia 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 "employer" under state and federal law. )1 ,4 / I A. I u ndersland 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." I also understand my failure to abide by these laws may subject me to serious financial risk. )t -/t : l. I understand under California Contractors' State License Law, an Owner-Builder who builds singleJamily residential structures cannot legally build them with the intent to offer them for sale, unless a// 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 geTral building Contractor. , /11 h. I understand asan Owner-Builder if lsell the property for which this permitis issued, I may be held liable for any financial or -personal injuries sustained by any subsequent owner(s)that result from any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL mourrdolosanIa-ana oro Mayd Pro Te6 Ward 2 n madrnez6sanra ana.oro vsam e.To6sanla ana o.o Ed!!!@!l!E:@i.9t9 P Dav,d Benaedes dbsaudes@sanra-ana oro Mlleoas@sanl6-sn3 0ro slrnaero@sa.l6 ana oro