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MAYOR Miguel A. Pulido MAYOR PRO TEM Vincent F. Sarmiento COUNCILMEMBERS Angelica Amezcua P. David Eenavides Michele Martinez Roman Reyna Sal Tinajero CIry OF SANTA ANA PLANNING & BUILDING ACENCY 20 Crvic Center Plaza P.O. Box 1968 o Santa Ana, California 92702 ww!1,.sanIa-ana.org 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 pro perty S atrl We are providing you with an Owner-Builder Acknowledqment 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. GMENT AND INFORM DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. -&-understand a frequent practice of unlicensed persons is to have the property owner obtain an "owner-Builder' 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. My 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 injuiies to workers on my property. 4@ I understand building permits are not reguired to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. @lunderstandasan"owner.Builder',lamtheresponsiblepartyofrecordonthepermit.lunderstandthatlmay protect myself from potentialfinancial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. ?o I understand Contractors are required by law to be licensed and bonded in California and to list therr ticense numbers on permits and contracts. * I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materrals, I may be considered an"employer" under state and federal law. -% I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers'compensalion disability insurance, and contribute to unemployment compensation of each "employee ' I also understand my failure to abide by these laws may subject me to serious financial risk. 4r. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family 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 general building Contractor. CITY MANAGER David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Mrguel A Pulroo Mayor MPulrdo@s6nta-ana.oro Vrn6t F Sam€nto Mavor Pro Tem Ward 1 VSamrento@sanla-ana.oro P Dnd B€.Euds Ward 4 Rman Reyna Wa.d 5 RRemaaOsanta-ana orc Ward 6 STrnaero@saota-ana oro SANTA ANA CITY COUNCIL Mchele t\,(aitrne; Ange[€ ArnezoJa Ward 2 Ward 3 Sai TrnsFrc MMartrnez(Asanta-ana.o.o AAmezcuarosanla-ana oro OBenavrdes@sanla-ana.orc