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MAYOR <br />MiguelA. Pulido <br />MAYOR PRO TEI\,1 <br />l\,4ichele l\,4artinez <br />COUNCILME['BERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinaiero <br />Juan Villegas <br />/ D/ 7e 2r, <br />crrv l,rerunc(n <br />Raul Godinez ll <br />CITY ATTORNEY <br />Sonia R. Carualho <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 />Dear Propet1y Owner <br />An application for a building permit has been submitted in your name listing yourself as the builder of the property <br />improvements specified at <br />CA Z <br />mou do@sarla ana oro <br />Mayor Pro Tem, Ward 2 <br />m mari ne2@santa ana.oro isoloio@sanla-ana oro ivi!9c{@ra!.t+e!B-cs stinaiero@santa.ana.oro <br />0 <br />We are providing you with an Owner-Builder Acknowledoment and Inlormation Verilication 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 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 permit'ting authority. <br />OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON <br />DIBECTIONS: Read and initial each statement below to signity you understand or verify this information. <br />lbl. ,. , understand a frequent practice of unlicensed persons is to have the prope(y owner obtain an "Owner-Buildei' <br />building permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, <br />as an OwnerBuilder, may be held liable and subject to serious financial risk for any in.iuries sustained by an unlicensed <br />person and his or her employees while working on my property. L4y homeowneas insurance may not provide coverage for <br />those injuries. I am willlully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to <br />workers on my property. <br />-iliLr. ,understand building permits are not required to be signed by property owners unless they are responsible {or <br />the construclion and are not hiring a licensed Contractor to assume this responsibility. <br />ilL ,. ,understand as an "Owner-Buildef' I am the responsible party of record on the permit. t understand that I may <br />protect myself from potential financial risk by hiring a licensed Contractor and having the permit Iiled in his or her name <br />instead of my own. <br />ll,L +. lunderstand Contractors are required by lawto be licensed and bonded in California andto listtheir license <br />numbers on permits and contracts. <br />lvlt'l 5. I undersland if I employ or otherwise engage any persons, other than Calilornia licensed Contractors, and the <br />total value ol my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />"employei' under state and federal law. <br />h,l_Q. ,understand if I am considered an "employer" under state and Federal law, I must register with the state and <br />federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to <br />unemployment compensation ol each "employee." I also understand my lailure to abide by these laws may subject me to <br />serious Iinancial risk. <br />fuL,I understand under California Contractors' State License Law, an Owner-Builder who builds singleJamily <br />residential structures cannot legally build them with the intent to ofler them for sale, unless a// work is performed by <br />SANTA ANA CITY COUNCIL <br />vsardenl0@sanla ana oro <br />P. Davrd Benavides <br />dbenav des@sanla ana.oro