101100221 - Misc. Permit - Laserfiche WebLink

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0034/ NiIAYOB MiguelA. Pulido N,4AYOB PRO TEN,l N,4ichele Martinez COUNCILI\,4EMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas 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 Dear Property Owner: An application for a buildin improvements specified at g permit has been submitted in r name listing yourself as the builder of the property 5t0 ^/WeareproVidingyoUwithantomakeyoUawareol 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 ol 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 authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signity you understand or verify this intormation. _1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildea' 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 linancial risk lor any injuries sustained by an unlicensed perso and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those njuries. I am willlully acting as an Owner-Builder and am aware of the limits of my insurance coverage lor injuries to work rs on my property nderstand building permits are not required to be signed by propeny owners unless they are responsible for the struction and are not hiring a licensed Contractor to assume this responsibility. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may mysell from potential financial risk by hiring a licensed Contraclor and having the permit filed in his or her name of my own. . I understand Contractors are required by law to be licensed and bonded in California and to list their license nu rs on permits and contracts 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the I value ot m y construction ls at least five hundred dollars ($500), including labor and materials, I may be considered an pl yer" under state and federal law . Iunderstand if Iam considered an "employer" under state and Federal law, I m ust register with the state and government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to UN ent compensation of each "employee." I also understand my failure to abide by these laws may subject me to CITY MANAGER Raul Godinez ll CITY ATTORNEY Sonia R. Carva ho CLERK OF THE COUNCIL Maria D. Huizar rns pl inancial risk. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family us ntial structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by SANTA ANA CITY COUNCIL moul do@santa'ana.oro Mayor Pro Tem, Ward 2 mimarnnez@sanla-ana.ord vsa.mienlo@sanra-ana.oro so10.o@sarra-ana.oro dbenavrdes@sa.E ana.oro iv lleoas@santa-ana o.o srinaiero@santa ana.oro "/)l1v'r L\t