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IUlAYOR <br />I\4iguel A. Puldo <br />MAYOR PRO'TEM <br />Mi.hele Maninez <br />(]OIINOIIMFMBERS <br />P. David Eenavides <br />vicenle sarmiento <br />Joce Solorio <br />Sal linajero <br />.luan Villegas CITY OF SANTA ANA <br />PTANNINC & BUILDINC AGENCY <br />20 Civic Center Plaza <br />P.O. 8ox I988 . Santa Ana. Calrfornra 92702 <br />www.sanla-ana.orq,']oba <br />NOTICE TO PROPERTY OWNER <br />Dear Property Owner: <br />An application for a building permit has been submitted in your name listing yourself as the builder of the property <br />improvements specified at' 7-71., b,t. Aonla V i-s*a Arr <br />We are providing you with an Owner-Build€r Acknowledqment 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 />We wrll not issue a building permit until you have read, initialed your understanding of each provisjon, 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 />OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON <br />DIRECTIQNS: Read and initial each statement below to signify you undersland or veify this information. <br />alqL1 . I undersland a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder" building <br />permit that enoneously implies that the prope.ty owner is providing his or her own labor and malerial personally. l, as an Owner- <br />BLrilder, 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. My homeowneis insurance may not provide coverage forthose injuries. lam willfully acting <br />Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. <br />2. I understand building permits are not required to be signed by property owners unless they are responsible for the <br />construction and are not hiring a licensed Contractor to assume this responsibility. <br />2fuL.3. I undetsland as an "Owner-Buildel' I am the responsible party of record on the permit. I understand that I may protect myself <br />from potential llnancial risk by hiring a licensed Contractor and having the permit fled in his or her name instead of my own. <br />dl/ l. I unaerstana ConFactors are required by law to be licensed and bonded in California and to list their license numbers on <br />perFits and contracts. <br />(Yl ,. ,understand if I employ or otherwise engage any persons, other than Califomia licensed Contractors, and the total value of <br />my construclion js at least five hundred dollars ($500), including labor and materia's, I may be considered an "employe." und er state <br />and federal law- <br />-Q6. I unaerstand f I am consrdered an 'employer" under state and Federal law, I must register with the state and ,ederal <br />-govemment, <br />wittrhold payrolltaxes, provide workeri' compensation disability insurance, and cdntribute to qnemployment <br />comptnsatron of each "employee." I also understand my fa;lure to abide by these laws may subject me to serious financial risk. <br />51ft7. t understand under Califomia Contractors' State License Law, an Owne,-Builder who builds single-family residential <br />Struclures cannot legally build them wjth the intent to offer them for sale, unless a// worl is psrformed by licensed subcontractors and <br />the number ot structures does not exceed four within any calendar years, orall of the work is performed under conlract with a licensed <br />general building Contractor. <br />f Lt-e. t undersrano as an Owner-Bullder if I sell the prope.ty for which this permit is issued, I may be held liable for any financial or" personal injuries sustained by any subsequent owne(s)that result from any latent construction defects in the workmanship or <br />materials. <br />SANTA ANA C]TY COUNCIL <br />as tn <br />d.{, <br />[,l3y* Pro Tm, Wa'd 2 <br />@i!!id!3!@5!!la:!.]ird!i!@s!!E:!!!3&r53r!E!&es3:E::!3-!.s !Eiv3!s@'3nl3:a!r.gc <br />INTERIM CITY MANAGER <br />Cynthia J. Kurtr <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />Maia D. Huizar <br />j@nv,li€.as Salrnaiero <br />w.ia 5 wgrd 6 <br />M!e$Sl!Elr!la.aoa,q! slnalrcos.nb-.4e do