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[IAYOR <br />Nrliguel A. Pulido <br />MAYOR PRO TEIV1 <br />N4ichele Martinez <br />COUNCILMEMBERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas <br />INTERIM CITY MANAGER <br />Cynthia J. Kurtz <br />CITY ATTORNEY <br />Sonia R. CaNalho <br />CLERK OF THE COUNCIL <br />Maria D. Huizar <br />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.ora / oba <br />NOT]CE 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 <br />"oo, <br />5L<(si-\d. !l toj..$."=.. q2--1o\ <br />We are providing you with an Owner-Builder Acknowledqment 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'S ACKNOWLEDGMENT AND VER IFICATION OF INFORMATON <br />DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.nr\€9. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildel building <br />permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an Owner- <br />Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her <br />employees while working on my property. N,ly homeowner's insurance may not provide coverage for those injuries. I am willfully acting <br />as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. <br />-y>2. I understand building permits are not required to be signed by property owners unless they are responsible for the <br />construction and are not hiring a licensed Contractor to assume this responsibility <br />eE_3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself <br />from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own <br />ry>4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on <br />permits and contracts. <br />J- C-5. I understand rf I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of <br />my construction is at least five hundred dollars ($500), jncluding labor and materials, I may be considered an "employe/' under state <br />and federal law. <br />VdA. I undersland if I am considered an "employer" under state and Federal law, I must register with the state and federal <br />government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment <br />compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. <br />c\-^ <br />&-l. I understand under Californla Contractors' State License Law, an Owner-Builder who builds singlejamily residential <br />structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontractors and <br />the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed <br />general buildinq Contractor. <br />SA. , understand as an Owner-Bullder if I sell the property for which this permit is issued, I may be held liable for any financial or <br />Fers-onal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the workmanship or <br />materials. <br />SANTA ANA CITY COUNCIL <br />m.ulido@sanla-ana ora <br />Mayor Pro Tem Ward 2 <br />m marlrnez@sanla-ana oro <br />Vicenle Sarmienlo <br />vsamienrorAsanta-a.a.oro solono@sanla-ana.oro <br />P. David Benav des <br />dbenavides@sant5-ana.oro Nrlleoaslasanla ana oro stinarero6santa-.na oro