20163633 - Permit (2) - Laserfiche WebLink

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MAYOB Miguel A. Pulido MAYOR PRO TEM Michele N,lartinez COUNCIL[rEt\,'IBERS P. David Benavides Vicente Sarmiento Jose Solorio Sa Tinajero Juan Villegas CITY OF SANTA ANA PLANNIN6 & BUILDINC ACENCY 20 Crvrc Center Plaza P.O. Box 1988 . Santa Ana, Californra 92702 www.santa ana.org.lpba NOTICE TO PROPERTY OWNER Dear Property Owner An application for a building permit has been subm edi ur name li rse tf the r of the property improvements specif ied at d We are providing you with an Owner-Builder Acknowledoment and lnformation Verilication Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder. We will not issue a building permil until you have read, initialed your understanding of each provision, signed, and returned this lorm to us at our oflicial address indicated. An agent ol the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. ow R'S ACKNOWLEDGMENT AND VERIFI ATION OF INFORMATON DIR TIONS: Bead and initial each statement below to signity you understand or verify this information. ACTING CITY MANAGEB Gerardo l\,,louet CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL [.4aria D. Huizar b U ldin 1. I understand a lrequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" g permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and subjecl to serious linancial risk for 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 lor those injuries. I am willfully acting as an Owner-Builder and am aware of the limits ol my insurance coverage for injuries to worlers on my property. V Z t understand building permits are not required to be signed by property owners unless they are responsible ror the c nstruction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner-Builder" I am the responsible party ol record on the permit. I undersland lhat I may ect mysell from potential financial risk by hiring a licensed Contractor and having the permit liled in his or her name insteld t/_^ of my own I understand Contractors are required by law to be licensed and bonded in California and to list their licensenuifes on permils and contracts. V 5 I understand it I employ or otherwise engage any persons, other than California licensed Contractors, and the ldlal value of my conslruction is at least five hundred dollars (9500), including labor and materials, I may be considered an''emdoyer" under state and lederal law. V-0. f understand if I am considered an "employer" under state and Federal law, I musl register with lhe state and federal government, 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 financial risk. V-1. t understand under California Contractors' State License Law, an Owner-Builder who builds singteJamity reisidential structures cannol legally build them with the intent to olfer them for sale, unless a// work is performed by SANTA ANA CITY COUNCIL mooldo@sanla ana oro Mayor Pro Tem. Ward 2 mimartLnez@sanla-ana oro vsa,m'enro@santa'ana o,o P Oavd Benav'dos dbenavrdes(asarla ana.oro ! lcoas@sa.ra aia or.sl narero(asa.la.ana oro (