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[,4AYOR <br />Miguel A. Pulido <br />MAYOR PRO TEM <br />Michele Ilartinez <br />COUNCILMEMBERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas <br />Dear Property Owner <br />INTERIM CITY MANAGER <br />Cynthia J. Kurtz <br />CITY ATTORNEY <br />Sonia R. CaNalho <br />CLERK OF THE COUNCIL <br />l\.4aria D. Huizar <br />PI.ANNING & BUILDINC AGENCY <br />20 Civic Center Plaza <br />P.O. Box I988 . Santa Ana, California 92702 <br />www.santa ana.orq/oba <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 />imDrovements soecified at" b-ii"- i",""-cu-iL oq 3l .a,1lu A Dt (L 7"10? <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 ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON <br />DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. <br />5_!.-1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" building <br />permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an Owner- <br />Builder, 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 homeowner's insurance may not provide coverage for those injuries. lamwillfully acting <br />as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. <br />r', rn 2. lunderstand 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 />ifl44_3. I understand as an "Owner-Builde/' I am the responsible party of record on the permit. I understand that I may protect myself <br />from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. <br />L+. t understand Contractors are required by law to be licensed and bonded in Califomia and to list their license numbers on <br />permits and contracts. <br />JaI-_s. I understand if I employ or otheMise engage any persons, other than California licensed Contractors, and the total value of <br />my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state <br />and federal law. <br />.;--2w 6. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal <br />government, withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment <br />compensation ofeach "employee." lalso understand my failure to abide by these laws may subject me to serious financial risk <br />71_-c-_7 . I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential <br />structures cannot legally build them with the intent to offer them for sale, unless ail work is performed by licensed subcontractors and <br />the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed <br />general building Contractor. <br />-=1L g. l understand asan Owner-Builder if Isell the property for which this permit is issued, l may be held liable for any financial or <br />personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or <br />materials. <br />mp! do@sanl.-ana o.o <br />Mayot Pra len wad2 <br />m man nez@sanla-ana.oro <br />Vice.te Samienro <br />vsarm enlo@sanla-a.a oro is9]sda@9@lai!?!!s <br />P. Oav d Benavides <br />dbenavrdeslasanla ana.oro <br />CITY OF SANTA ANA <br />SANTA ANA CITY COUNCIL <br />Juan Villegas SalTinajero <br />Ward 5 Ward 6 <br />fyLegEs@9ae.alaqg slinaiero@san1a-a.aoro