10195164 - Permit (2) - Laserfiche WebLink

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MAYOR MiguelA. Pulido MAYOR PRO TEM Michele Martinez COUNCTLT,4EMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas INTERIM CITY MANAGER Cynthia J. Ku.E CITY ATTORNEY Sonia R- CaNalho CLERK OF THE COUNCIL Maria D. Huizar PI.ANNINC & BUILDING AGENCY 20 Civic Center Plaza P.O. 80x I988 . Sanra Ana. Calrfornra 92702 www.Santa-ana.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 imorovements soecified at ^\') 1\E9vs Re:rJ -/- 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 offacial 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. frr !g=X. I understand a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder" building perriit 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 homeowneas 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 A I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility..\ \)t J Y3- I understand as an 'Owner-Builder" I am the responsible parly of record on the permit. l understand that l 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. rr. \F +. tunderstand Contractors are required bylawto be licensed and bonded in Califomia and to list their license numberson permits and contracts. Sl tp. tunderstand if I employ or otherwise engage any persons, other than California licensed Contractors, andthetotal valueof my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law -]A-)-\A I undersland rf I am considered an 'employer' under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation ofeach "employee." I also understand my failure to abide by these laws may subject me to serious flnancial risk. \ I .4J undersland under California Contractors' State License Law, an Owner-Builder who builds single-family residential stitctures cannol legally build them with the intent to otfer them for sale, unless a// work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor./<-^\- \JH pelYonal materials Mayor Pro Tem. Ward ? I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any flnancial or injuries sustained by any subsequent owner(s)that result from any latent construction defects in the workmanship or SANTA ANA CIIY COUNCIL m!!hdoosanra-ana o.o v cente Sam'enro 6amrenloasanra-.n. oro E9h@@r@la:@4a!9 dbenav'desAsanra-a.aoro v'lle.as@$nta-anaoro sr'.aerc,Osa.raa.aoro CITY OF SANTA ANA