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MAYOR <br />tuliguel A Pulid,o <br />MAYOR PRO TEM <br />Sal Tinajero <br />COUNCILMEMBERS <br />Angellca Amezcua <br />P. David Benavldes <br />Michele Martlnez <br />Roman Rsyna <br />Vincenl F. Sarmlento <br />CITY MANAGER <br />David Cayazos <br />CITY ATTORNEY <br />Sonia R. Carvall,o <br />CLERK OF THE COUNCIL <br />Maria 0. Huizar <br />CIry OF SANTA ANA <br />PLANNING & BUILDING AGENCY <br />20 Civic Center Plaza <br />P.O. Box I988 . Santa Ana, California 92702 <br />www.santa-ana.orglpba <br />NOTICE TO PROPERW OWNER <br />Oear Property Owner: <br />An application for a bullding permit has been submitted in your name listing yourself as the builder of the property <br />improvements specified at <br />ot <br />We are providing you with an er-to make you aware of <br />your responsiblllties 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 permittlng authorlty. <br />OWNER'S ACKNOWI=EGME NT AN VERIFICATION OF INFORMATON <br />S: Read and initial each statement below to slgnlfy you undersland or verify this informaaion. <br />bu <br />I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildgr' <br />permit that enoneously 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 property. My homeowne/s insurance may not provide coverage for <br />those i nluries, I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverag'e for lnjuries to <br />s on my property. <br />2. I understand building permits are not required to be signed by property owners unless thoy are responsiblo for <br />truction and are not hiring a licensed Contractor to assume this responsibility <br />3. I und€rstand as an "Owner--Builde/ I am the responsible party of record on the permit. I understand that I may <br />p ct myself from potential Iinancial risk by hiring a liconsed Contractor and having ths permit filed in his or her name <br />tn of my own <br />4. I understand Contractors are re quired by law to be licensed and bonded in California and to list their license <br />nu ers on permits and contracts <br />5. I understand if I employ or otherwise engage any persons, other than California licensed Cohtractors, and the <br />total value of m y construction is at least five hundred dollars ($5O0), including labor and materials, I may be considered an <br />oyei' under state and federal law <br />6. lunderstand if lam considered an "em ployer' under state and Federal law, I must reglster wlth the state and <br />fed ral government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to <br />unemployment compen <br />sdlious financial risk-il.[ ,/ 7. I understand u <br />Fsid ent ia I stru ctu re s ca <br />licensed subcontractors <br />sation of each'employee." I also understand my failure to abide by these laws may subject me to <br />nder Californla Contractors' State License Law, an Owner-Builder who builds singte-family <br />nnot legally build them with the intent to offer them for sale, unless a// work is pedormed by <br />and the number of structures does not exceed four within any calendar years;- or all of the work is <br />performed under'conlract wilh a licensed general buildlng Contractor