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MAYOR <br />Miguel A. Pulido <br />MAYOR PBO TEM <br />Michele l\.4artine2 <br />COUNCILMET\.'IBERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinalero <br />Juan Viliegas <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 />PLANNINC & BUILDINC ACENCY <br />20 Crvrc Center Plaza <br />P.O. Box 1988 . Santa Ana. Calrfornia 92702 <br />wwrr.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 />ments s pecified at t)t,3 qC L <br />We are providing you with an OwnerBuilder Acknowledoment and lnlormalion 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 lorm lo us at our oflicial 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 VERIFICATION OF INFOBMATON <br />DIRECTIONS: Read and initial each statement below to signify you understand or verity this information. <br />€-(r. , understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" <br />building permit thal 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 linancial risk for any injuries sustained by an unlicensed <br />person and his or her employees while working on my property. My homeowneis insurance may nol provide coverage for <br />those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage lor injuries to <br />workers on my property. <br />8-y-" I understand building permits are not required to be signed by property owners unless they are responsibte for <br />the construction and are nol hiring a licensed Contractor to assume this responsibility. <br />B Hg. I understand as an "Owner-Buildei' I am the responsible party of record on the permit. I understand that I may <br />protect 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. <br />9-1"\ o. ,understand Contractors are required by law to be licensed and bonded in California and to list their license <br />numbers on permits and contracts. <br />6 t4 U. ,understand il I employ or otherwise engage any persons, other than California licensed Contraclors, and the <br />total value ol my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />"employei' under state and federal law. <br />6-{'( U. f understand if I am considered an "employer" under state and Federal law, I musl register with the state and <br />federal 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 />serious f inancial risk. <br />B--Wr. I understand under California Contractors' State License Law, an Owner-Builder who builds single-f amily <br />residential structures cannot legally build them with the intent to offer them for sale, uniess a// work is performed by <br />SANTA ANA CITY COUNCIL <br />m,l,do@snla.a., 0.6 Eol!!@ltqi:alirlc <br />P Davd Bonavdes <br />db€navdesiAsnla.ana.o,o slrnabro@sanla-ana oro <br />M'ahele [ran,nez <br />Mayor Pro Tem, Ward 2 <br />Bronrne2@snra a.a or.