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MAYOR <br />MiguelA. Pulido <br />MAYOR PRO TEIV] <br />Michele Martinez <br />COUNCILMEI\,4BERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas <br />INTERIM CITY I\,4ANAGER <br />Cynthia J. KurE <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />Maria D. Huizar <br />CITY OF SANTA ANA <br />PLANNINC & BUILDING AGENCY <br />20 Civic Center Plaza <br />P.O. Box 1988 . 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 i nlv name listing yourself as the builder of the property <br />improvements specjfi ed at <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 underslanding 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 />ili.r.,understandafrequentpracticeofunlicensedpersonsistohavethepropertyownerobtainan"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. l\ry homeowner's insurance may not provide coverage for those injuries. I am willfully acting <br />as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. <br />fi A r. ,understand 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 />fl L, tunderstand as an "Owner-Builded 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 llled in his or her name instead of my own. <br />/ $0. , understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on <br />permits and contracts. <br />/ 0 a. , 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 flve hundred dollars ($500), including labor and materials, I may be consadered an "employer" under state <br />and federal law. <br />fl-LU. , understand if I am considered an "employer" under state and Federal law, I must register with the state and federal <br />government, withhold payroll taxes, 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 />fl D , , 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 a// 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 />"/l 'r'll Ug. tunderstand asan Owner-Builder if lsell the property forwhich this permitis issued, I may be held liable for any flnancial or <br />personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or <br />materials. <br />SANTA ANA CITY COUNCIL <br />mouIdo@sanla-ana oro <br />Mayor Pio Tem, Wa.d 2 <br />mrmart'nez6sanla-an. oro <br />Vcenre Samrento <br />vsam ento@sanla-ana oro lEgbr!9@s4la=a!a <br />P. David Benavides <br />dbenavds@s6oia ana.oro rvilleoas@santa ana.oro stna ero@sanla ana.oro <br />Dear Property Owner: