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MAYOR <br />MiguelA. Pulido <br />MAYOR PRO TEM <br />Michele N4artinez <br />COUNCILI\,IEMBERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas <br />ACTING CITY MANAGER <br />Gerardo Mouet <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />lvlaria D. Huizar <br />3otstre* <br />CITY OF SANTA ANA <br />PLANNINC & BUILDINC AGENCY <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 Property 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 too t^),(^)An+le(C qZ <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 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 permitting authority. <br />OWNER'KNOWLEDGMENT AND VERIFICATION OF INFORMATON <br />DIIECTIONS: Read and initial each statement below to signify you understand or verify this infomation.v//k 1 I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" <br />blilqing permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, <br />ps dn 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. My homeowner's insurance may not provide coverage for <br />those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to <br />rs on rny property <br />I understand building permits are not required to be signed by property owners unless they are responsible for <br />nstruction and are not hiring a licensed Contraclor to assume this responsibility. <br />3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may <br />ct myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name <br />d of my own <br />....%,-" ,understand Contractors are required by law to be licensed and bonded in California and to list their license <br />@ i-oerc on permits and contracts.(\t <br />X- 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the(fd' value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />/employer' under state and federal law. <br />-fu. , understand if I am considered an "employer" under state and Federal law, I must register with the state and <br />6ferll government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to <br />qhefrployment compensation of each "employee.' I also understand my failure to abide by these laws may subject me to <br />serious financial risk.1-NI/A'-1. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family(*$enlial structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by <br />SANTA ANA CITY COUNCIL <br />h!ulido@$nta-ana.o.o <br />Michele Man ne2 <br />Mayor Pro Tsm Ward 2 <br />mimarlr.ez@sanla-Ena.oro vsarhe.lo@sanla-a.a oro so ono@santa ana oro <br />P o3v,d Ae..vdes <br />dbenavdes@santa.ana oro ivilleoas@sants-ana oro stina ero@sanla anE.oro <br /><""-aArla"