10496533 - Permit - Laserfiche WebLink

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MAYOR Miguel A. Pulido MAYOR PRO TEM [,4ichele Martinez COUNCILIVIEMBERS P. David Benavides Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villegas ACTING CITY i'ANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNING & BUILDING ACENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana, California 92702 www.santa-ana.org/ pba NOTICE TO PROPERTY OWNER An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at - .--'1 to Y"'- Loe*z- L1e- 9-,- L* &...------- 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 autho.ity. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. tJ/,lunderstandafrequentpracticeofunlicensedpersonsistohavethepropertyownerobtainan"Owner-Builder" '(lihing 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 homeowneas 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 my property. 9.JZ I understand building permits are not required to be signed by property owners unless they are responsible for t fe,donstruction and are not hiring a licensed Contractor to assume this responsibility. /)-2/3 I understand as an "Owner-Builder" lam the responsible party of record on the permit. I understand that I may frotect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. A- ik/ q. I understand Contractors are required by law to be licensed and bonded in California and to list their license &rf bers on permits and contracts. k/ t t understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the {otdl value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. 0) A. I understand if I am considered an 'employer" under state and Federal law, I must register with the state and ffd6ral government, withhold payroll taxes, provide workers' com pensation disability insurance, and contribute to unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to serlous financial risk. 17ZL7 I understand under California Contraclors' State License Law, an Owner-Builder who builds single-family (esldential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by SANTA ANA CITY COUNCIL mou do@santa-ana oro Mayat Pta 1e6, Wa"d 2 m maninez@sanla-ana oro Vicenle Samienro vsamiento@santa-ana oro isolono@sanla ana.oro P Davd Benavides dbenavides@santa ana.orc vlileoas@santa-ana oro st .alero@sa.la-an a or! Dear Property Owner: