30138265 - Permit (2) - Laserfiche WebLink

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MAYOR MiguelA. Pulido MAYOR PRO TEM Michele Marlinez COUNCILMEMBERS P. David Benavides Vicenle Sarmienlo Jose Solorio Sal Tinajero Juan Villegas CITY OF SANTA ANA PLANNING & BUILDING ACENCY 20 Civic Center Plaza P.O. Box I988 . Santa Ana. Calrfornia 92702 www.sanra ana.org pba NOTICE TO PROPERTY OWNER Dear Property Owner An application for a building pe rmit has been submitted in your name listing yourself as t he builder of the property improvements specif ied at (za -r, We are providing you with an Owner-B ilder kn m n lnf rmation Verif ication Form to make you aware ol 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 permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACK WLEDG MENT AND VERIFICATION OF INFORMATON otR TIONS: Read and initial each statement below to signily you understand u verify this information ACTING CITY MANAGER Gerardo Mouel CIIY ATTORNEY Sonia R. Carvalho CLERK oF THE CoUNcIL Maria D. Huizar understand a Irequent practice ol unlicensed persons is to have the property owner obtain an "Owner-Builder" rmit that erroneously implies that the property owner is providing his or her own labor and material personally. l,d rng pe as an OwnerBuilder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowners insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my properly. t/v1_ LlE. I understand building permits are not required to be signed by property owners unless they are responsible lor the construction and are not hiring a licensed Contractor to assume this responsibility. f)u''t^ Kl1O. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect mysell f rom potential financial risk by hiring a licensed Contraclor and having the permit liled in his or her name instead ol my own. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts Cy I understand il I employ or otherwise engage any persons, other than Calilornia licensed Contractors, and the total value of my conslruction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. i( I G-funderstand if I am considered an "employef'under state and Federal law, I must register with the state and leUeral 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. $-L-V t undersland under Calilornia Contractors' Stale License Law, an Owner-Builder who builds singleJamily residential structures cannot legally build them with the intent to offer them for sale, unless a//work is performed by SANIA ANA CITY COUNCIL Mayor Pro Teh. W.rd 2 nmanrnez@$nta.ana oro Vrcente Sammlo v*rnentc@ef,ra .na o.o elono@sanlz'an. ord st nabro@$.ra-ana oro C)./I ,.6.