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I\,4AYOR <br />MiguelA. Pulido <br />MAYOR PRO TEM <br />Michele Martinez <br />COUNCILMEMBERS <br />P. David Benavides <br />Vicente Sa.miento <br />Jose Solorio <br />Sal Tinajero <br />Juan Villegas <br />CITY I\4ANAGER <br />Raul Godinez ll <br />CITY ATTORNEY <br />Sonia R. CaNalho <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.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 -, ,-'-- --..' //q Q. //)r,no''4 lr) <br />-T <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 />DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. <br />AT,l l\ <br />+!kt I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" <br />building 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 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 />workers on my property. <br />n( <br />-l$'t- z. I understand buildinq permits are not required to be signed by property owners unless they are responsible for <br />the construction and are not hiring a licensed Contractor to assume this responsibility. <br />rlt <br />#S I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may <br />piotect 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.rl <br />MO I understand Contractors are required by law to be licensed and bonded in California and to list their license <br />onumbers on permits and contracts. <br />M I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the <br />\6{al value ol my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />M;;;;;ffi ,ffi 3:,;"*5r'H::r*i:iii::i::xri,ui#:::?::rrli'x,rr,,'J?:"'* <br />unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to <br />serious financial risk. <br />7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family <br />ential 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 />moUido@santa-ana oro <br />Mayor Pro Tem, Ward 2 <br />mimaninez@sa.la-ana oro vsarmiento@sanla-ana ora iso o.o@sanla-a.a oro <br />P David Benavldes <br />dbenavldes@sa.la-ana o.a iv eoas@sa.ta-ana ora sl.ai€ro@sa.ra-ana oro <br />OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON