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I\,IAYOR <br />Miguel A. Pulido <br />MAYOR PRO TEM <br />Michele Martinez <br />COUNCIL[,,!EMBERS <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 />Maria D. Huizar <br />CITY OF SANTA ANA <br />PLANNING & BUILDING AGENCY <br />20 Civic Center Plaza <br />P.O. Box 1988 . Santa Ana, California 92702 <br />www.santa-ana.orglpba <br />NOTIGE TO PROPERTY OWNER <br />improvements specified at \.502 <br />We are providing you with an 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 />CTIONS: Read and initial each statement below to signify you understand or verify this information. <br />ld inUI <br />1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" <br />g permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, <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 prope(y. 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 />ers on my property <br />2. I understand buildin g permits are not required to be signed by property owners unless they are responsible for <br />nstruction and are not hiring a licensed Contractor 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 />tect 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 />4. I understand Contractors are required by law to be licensed and bonded in California and to list their license <br />ers on permits and contracts <br />5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the <br />I value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />r" under state and federal law <br />6. I understand if Iam considered an "em ployel' under state and Federal law, I must register with the state and <br />eral government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to <br />unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to <br />us financial risk <br />de <br />7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family <br />ntial 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 />mpulido@sania-a.a.oro <br />Mayor Pro Tem ward 2 <br />mrmarlr.e2@sa.ra-a.a oro <br />V ce.le Sam'enlo <br />vsarme.lo@sa.1a-a.a oro <br />P Oavrd Benavdes <br />dbe.avidesAsanta-ana.ora Nl eoas@sanla-ana oro sl.aiero,Asanla.ana oro <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 />OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON <br />iso oio@sa.la-aia oro