2624 N Towner St - Misc. Permit - Laserfiche WebLink

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/o /?kttt [,1AYO;1 [4iquel A Pulioo IJAYOR PRO TEIV Michele fulartiiez COUNCILMEMBERS P Davrd Benavides Vrcenle Sarmrenlo Jose Solorro SalTrnajero Juan Villegas CITY MANAGER RaulGodinez ll CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Civrc Center Plaza P.O. 8ox 1988 . Santa Ana, Calrfornra 92702 w\/w.5anta ana.or9,'p5a NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the pfoperty improvements specified at 2624 N. Towner St. SanlaAna-CA-92706__- We are providing you with an OwnerBuilder Acknowledomenl and lnformation Vqrification Form to make you aware of your responsibrliiies and possiOtelGf,you rnay,ncur Oy naving this permit issued in your names as the Owner-Builder. \r/e will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned thrs form to us at our officiil address ind'icated. An agent of the owner cannot execute this notice unless you, the property owt]er, obtain the prior approval of the permitting authority OWNER'S ACKNOWLEDGME NT AND VERIF ICATION OF INFORMATON ! 1 . I understand a ireguent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder" UirrrOing permrt that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an 6wner-Builder, may be tretO iiaOte 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 ihose injuries. I am willfu]ly ;cting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. / 2. I u,-rderstand building permits are not required to be signed by property owners unless they are responsible for fi,e construction and are not hiring a licensed Contractor to assume this responsibility' J 3. I understand as an 'Owner-Buildef' I am lhe responsible party of record on the permit.-l understand that lmay p-itect nrysclf from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name i|stead of my own. y' 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. ,/ 5 I understand if I employ or otherwise engage any persons, other than California licensed Conkactors, and the t,rilt *lu" o{ my construction is at least five nunoieJ ooltjrs ($500), including labor and materials, I may be considered an "employer" Ltnder state and federal law. / 6. I understand if I am considered an "employer" under state and Federal Iaw, I must register with lhe state and 6i"r.igorernr"nt, withhold payroll taxes, provide workers' compensation disability rnsurance, and contribute lo ,,-"="1ftJymentcompensationofeach"empioyee.'lalsounderstandmyfailuretoabidebytheselawsmaysubjectmelo serious financial risk ...:1_7 I undersrand under california contractors' state License Law, an owner-Builder who bullds single-family iJi Oontial structures cannot legally build them with the lntent to offer them for sale, untess a// work is performed by DIRECTIONS: Read and initial each statement below to signity you understand or verify this information. SANTA ANA CITY COUNCIL r.t.i olosnnra aM do \. e.es@*Jrr.e1a c:odr..rs'dr:s'asanG nri -ra t,n. |E,r Mn,1','ti lvhr!: P:i) Te. W3rd ? r\ c.2,L,L.7 'ii..r:r.a.1 crn !!aiE!9e.r4!E:38 3!2