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MAYOR <br />MiguelA. Pulido <br />IVAYOR PRO TEIV <br />l\4ichele N4artinez <br />COUNCILMEIVIBERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas <br />ACTING CIIY MANAGER <br />Gerardo Mouet <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />l\.4aria D. Huizar <br />CITY OF SANTA ANA <br />PLANNINC & BUILDIN6 ACENCY <br />20 Civic Center Plaza <br />P.O. Box 1988 . Santa Ana, California 92702 <br />www. santa-an a.org / pba <br />NOTICE TO PROPERTY OWNER <br />Dear Property Owner <br />An application for a building <br />improvements specified at <br />permit has been subm <br />3oll S ot <br />itted in your name listing you rself as the builder of the property <br />(uu\*t,rA-u*4zz{ <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 />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 />OWNER'S AC KNOWLEDGMENT AND VERIFICATION OF INFORMATON <br />ECTIONS: Read and initial each statement below to signify you undersland or verify this information. <br />1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" <br />g permit that erroneously implies that the property owner is providing his or her own labor and material personally. l,ld in <br />as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed <br />person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for <br />those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to <br />workers on m y property <br />2. I understand building permits are not required to be signed by property owners unless they are responsible for <br />construction and are nol hiring a licensed Contractor to assume this responsibility <br />3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may <br />tect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her namep <br />instead of m own <br />humbers <br />I understand Contractors are required by law to be licensed and bonded in California and to list their license <br />on permits and conlracts. <br />5 I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the <br />total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />"employer" under state and federal law. <br />i)!15/ understand if I am considered an "employer' under state and Federal law, I must register with the state and <br />" federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to <br />unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to <br />serious financial risk. <br />6t"v)r'{ I understand under California Contractors' State License Law, an Owner-Builder who builds single-family <br />residential structures cannot legally build them with the intent to offer them for sale, unless a//work is performed by <br />SANTA ANA CITY COUNCIL <br />moulido@sanla-ana oro <br />Mayor Pro Tern. ward 2 <br />mr0a.rinez@sanla-a.a oro <br />Vicente Sarmiento <br />vsarmientorasanta an6.oro Eolono@sanla-aoa oro dbenav'des@sanla'3na.oro rvilleoas@sanl3-ana oro sl.aiero@sanla ana.o.o