Laserfiche WebLink
T/AYOR <br />N4iguel A. Pulido <br />I\,4AYOR PRO TEM <br />lUichele L4artinez <br />COUNCILMEIVIBERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinalero <br />Juan Villeqas <br />CITY MANAGER <br />Raul Godinez ll <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />Maria D. Huizar <br />CIry OF SANTA ANA <br />PLANNING & BUILDINC ACENCY <br />20 Civic Center Plaza <br />P.O. Box I988 . Santa Ana, California 92702 <br />www.santa-ana.orq /pba <br />NOTICE TO PROPERTY OWNER <br />An application for a building permit has been submitted in your name listing yourself as the builder of the property <br />rmpr ents s EC a <br />We are providing you with an er-Builder Acknowledoment and lnformation Verification Form <br />SANTA ANA CITY COUNCIL <br />mou do@sa.la-ana oro <br />Mayo. P.o Tem, Ward 2 <br />himarlrnez@sanla ana.oro vsarmrenlo@sanla-a.aoro isolo.io@sanlaanaoro <br />P Oavid Benavdes <br />dbenavides@sanla-ana oro ! ecas@sania-a.a oro sUnaieroiAsa.ta ana.ora <br />Dear Property Owner: <br />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 ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON <br />DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. <br />_&o-, , understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" <br />building 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 prope(y. My homeowner's insurance maynot 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 />00-\, ' <br />understand building permits are not required to be signed by property owners unless they are responsible for <br />tlle construction and are not hiring a licensed Contractor to assume this responsibility. <br />{0,-a <br />' <br />understand as an "Owner-Buildel I am the responsible party of record on the permit. I understand that I may <br />protect myself from potential financial risk by hiring a licensed Conkactor and having the permit filed in his or her name <br />instead of my own. <br />S(O , understand Contractors are required by law to be licensed and bonded in California and to list their license <br />numbers on permits and contracts. <br />ff0u.,understandiflemployorotherwiseengageanypersons,otherthanCalifornialicensedContractors,andthe <br />total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />"employel' under state and federal law. <br />{LU <br />' <br />understand if I am considered an "employer" under state and Federal law, I must register with the state and <br />fdderal government, withhold payroll taxes, provide workers' com pensation disability insurance, and contribute to <br />unemployment compensation of each "employee." l also understand my failure to abide by these laws may subject me to <br />serious financial risk. <br />AA <br />--14{Z f understand under California Contractors' State License Law, an Owner-Builder who builds single-family <br />residehtial structures cannot legally build them with the intent to offer them for sale, unless a//work is performed by