319 S Birch St - Misc. Permit - Laserfiche WebLink

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I\,,!AYOR Miguel A. Pulido MAYOR PRO TEM l,/ichele lr4artinez COUNCILI\,{EMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinalero Juan Villegas Dear Property Owner /of/ oor{)-/ CITY MANAGER Raul Godinez ll CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNING & BUILDINC ACENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana, California 92702 www.santa-ana.org /pba NOTICE TO PROPERTY OWNER An application for a building permit has been submitted in your name listing yourself as !!e builder of the property improvementsspeciriedat 2 q < B;orrl ,tr. )*rt* A-l-+ We are providing you with an Owner-Builder Acknowledoment and lnformation Verification Form to make you aware ol your responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder. We will nol issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this lorm to us at our official address indicated. An agent ol the owner cannot execute this notice unless you, the property owner, obtain the prior approval ol the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIBECTIONS: Bead and initial each statement below to signify you understand or verity this information. $1. I understand a lrequent practice of unlicensed persons is to have the property owner obtain an "OwnerBuilder" uilding permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an OwnerBuilder, may be held liable and subject to serious financial risk lor 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 those injuries. I am willlully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on mv DroDerlv. n /1.lr', z. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 0&'r. ,understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential linancial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of mv own.zrAla.lt'l" ' 4. I undersland Contractors are required by law to be licensed and bonded in California and to list their license numbers on permils and contracts. rt ll . PY S. t understand if I employ or olherwise engage any persons, other than California licensed Contractors, and the total value ol my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. F lL'u. tunderstand if I am considered an "employei'under stale and Federal law, I must register with the state and federal governmenl, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financlal risk. .t /) [:!21. t understand under Calilornia Confactors' State License Law, an Owner-Builder who builds singlejamily residential structures cannot legally build them with lhe intent to offer them for sale, unless a//work is performed by SANTA ANA CITY COUNCIL vsarm.flo@jsafra-ana oromoulido@santa-ana.oro Michele Manrne? Mayor Pro Tem, Ward 2 m aari.ez@santa-ana.oro isoloro@sanla.ana.oro P. Davd Benavrdes dbenavrdes@sanr. ana.oro ivilleoas@sania-ana.oro slinaiero@sanla-ana.orc