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/o2 ?zdsy <br />[,AYOB <br />MiguelA. Pulido <br />MAYOB PRO TEI\,4 <br />[,4ichele [rartinez <br />COUNCILIUEMBERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />Sa Tinaiero <br />Juan Villegas CITY OF SANTA ANA <br />PLANNING & BUILDING ACENCY <br />20 Civic Center Plaza <br />P.O, Box 1988 . Santa Ana. California 92702 <br />www.santa-ana.org / pba <br />NOTICE TO PROPERTY OWNER <br />Dear Propefty Owner: <br />An application for a building permit has been submitted in your name listing yo urself as the ilder of the property <br />improvements specified at ZO4L 5 (+7\c <r <br />We are providing you with an OwnerBuilder Acknowledoment and lnformation Verification 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 ol each provision, signed, and returned <br />this lorm to us at our official address indicated. An agent o, the owner cannot execute this notice unless you, the property <br />owner, obtain the prior approval ol the permitting authority. <br />OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON <br />DIBECTIONS: Read and initial each statement below to signily you understand or verity this intormation. <br />Tlil--|. I understand a frequent practice of unlicensed persons is to have the property 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. I, <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. lvly homeowner's insurance may not provide coverage lor <br />those injuries. I am willlully acting as an Owner-Builder and am aware ol the limits of my insurance coverage for injuries to <br />workers on my property. <br />TllL , I understand building permits are not required to be signed by property owners unless they are responsible lor <br />the construction and are not hiring a licensed Contractor to assume this responsibility. <br />?11t- ,. I understand as an "Owner-Buildef' I am the responsible party oI record on the permit. I understand that I may' protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name <br />instead of my own. <br />&-o I understand Contractors are required by law to be licensed and bonded in Cali{ornia and to list their license <br />numbers on permits and contracts. <br />1"?0- ,. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the <br />total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />"employer" under state and federal Iaw. <br />TLu I understand if I am considered an "employei' 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 />unemploymenl compensation ol each "employee." I also understand my lailure to abide by these laws may subject me to <br />serious financial risk. <br />W(- ,. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family <br />residential structures cannot legally build them with the intent to ofler them for sale, unless a//work is performed by <br />mpul do@sanla.ana oro <br />Mayor Pro Tem, Wad 2 <br />mimartinez@sanla.ana oro <br />Vlcente Sarmienlo <br />vsarm enlo@sanla.ana.oro lsoloio@sanlaanaoro dbenavides@sanla-ana.ord iv lleoas@s.nla-ana.or.slinaiero@sanla.ana.oro <br />CITY MANAGER <br />Raul Godinez ll <br />cITY ATToRNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />N,4aria D. Huizar. <br />SANTA ANA CIIY COUNCIL