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MAYOR <br />Miguel A. Pulido <br />I\,4AYOR PRO TEM <br />[,4ichele lvlartinez <br />COUNCILMEMBERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas CITY OF SANTA ANA <br />PLANNING & BUILDING ACENCY <br />20 Civic Center Plaza <br />P.O. 8ox 1988 . Santa Ana, California 92702 <br />www.5anta- ana.org / pba <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 sp ecified at t 2 <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 ln 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 ACKNOWLEDGMENT AND VERIFICATION OF INF ORMATON <br />DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. <br />l./ ft 1 . I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" <br />guilding permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, <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 my property. <br />0 k , , understand building permits are not required to be signed by property owners unless they are responsible for <br />d1e-cbnstruction and are not hiring a licensed Contractor to assume this responsibility. <br />Q/L ,. , understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may <br />,Trotect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name <br />instead of my own. <br />4. I understand Contractors are required by law to be licensed and bonded in California and to list their license <br />um bers on permits and contracts <br />Ql-5. I understand if I em ploy or otherwise engage any persons, otherthan California licensed Contractors, and the <br />,7ola*Ivalue 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 />94-A. I understand if I am considered an "employer" under state and Federal law, I must register with the state and <br />YedEral government, withhold payroll taxes, provide workers' com pensation 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 />7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family <br />ES ential 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@ssnla-a.a.oro <br />Mayor Pro Ten, Wa.d 2 <br />m mart nezAsanla-ana ora <br />Vicenle Sarmienlo <br />vsarmieolo@sanla-6na.oro soloro@sanra a.a.oro <br />P Oavid Benavides <br />dbenavides@santa-ana.ora villeoas@santa'ana oro strna ero@sanla-ana oro <br />ACTING CITY I\,4ANAGER <br />Gerardo N4ouet <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />Maria D. Huizar