20166078 - Permit - Laserfiche WebLink

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T,lAYOR N4iguel A. Pulido MAYOR PRO TEM l,.4ichele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Vlllegas Dear Property Owner An ap ACTING CITY I'ANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho cLERK oF THE corJNcrL Maria D. Huizar CITY OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Civic Center Plaza P.O. Box I 988 . Santa Ana, Califomia 92702 www. santa-an a.org / p ba NOTICE TO PROPERTY OWNER ild ing ith been s b isting urself as the builder of the propertynrn rm ents ed at 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 prjor approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DI ECTIONS: Read and initial each statement below to signify you understand or yerify this information. 1. I 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 injuries to workers on m y property 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiri ng a licensed Contractor to assume this responsibility 3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name inste of my own I understand Contractors are required by law to be licensed and bonded in California and to list their license on permits and contracts. 6. I understand if lam considered an "employer" under state and Federal law, I must register with the state and I government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to 4 U 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the tal value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "em loyer" under state and federal law era unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to ous financial risk _7. 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 SANTA ANA CITY COUNCIL mpulido@sanla-ana oro Mayor Pro Tem, Ward 2 ri madinez@sanla-ana.oro vsam enro@sanla-ana oro Lso ono@sanra-ana oro P. Oavd Benaudes dbenaudes@santa-ana oro lvilleoas@santa-ana.oro slinaiero@santa-ana.oro