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INTERIM CITY MANAGER <br />Cynthia J. KurE <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />Maria D- Huizar <br />CITY OF SANTA ANA <br />PI.ANNING & BUILDINC ACENCY <br />20 Crvic Center Plaza <br />P.O. Box I 988 . Santa Ana, Califo.nta 92702 <br />w\,vw.5anta- ana.Orq r Pba <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 />E,lcN)* <br />We are providing you with an Owner-Builder Acknowledqment and lnformation Verification Form to make you aware of <br />your responsibilities and possible risk you may incur by having this permit issued an 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 />OWNER'S ACKNOWLEDGMENT AN D VERIFICATION OF INFORMATON <br />1 <br />DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. <br />.t <br />[.] '] t. t understand a frequent practice of unlicensed persons is to have the prop eriy owner obta in an "Owner-Builder" building <br />permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an Owner- <br />Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her <br />employees while working on my properly. l\ry homeowner's insurance may not provide coverage for those injuries I am willfully acting <br />as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property..T \1/2. I understand building permits are not required to be signed by property owners unless they are responsible for the <br />construction and are not hiring a licensed Contractor to assume this responsibility. <br />-ll'tt S. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself <br />frffiotential financial risk by hiring a licensed Contracto; anO naving ifre permit filed in his or her name instead of my bwn.-f. <br />NJ .V 4. I understand Contractors are required by lawto be licensed and bonded in Califomia and to list their license numbers on <br />pe r7n i t-s a nd contracts.'f'Nt.'v 5. I understand if I employ or otherwise engage any persons, other than California lic ensed Contractors, and the total valueof <br />my construction is at least five hundred dollars ($500), including labor and materials. I may be considered an "employer" under state <br />and federal law. <br />1'.Dl -tV a. I understand if I am considered an 'employe/ under state and Federal law, I must register with the state and federal <br />-govemment, <br />withhold payrolltaxes. provide workeri' compensation disability insurance, and c;ntribute to unemployment <br />_gompensation ofeach "employee." I also understand my failure to abide by these laws may subject me to serious ,inancial risk.-t.. u-'l/ L t understand under Calfornia Contractors' State License Law, an Owner-Builder who builds single-family residential <br />structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontractors and <br />the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed <br />genqral building Contractor. <br />{..t4y 8. I understand as an Owner-Builder if lsell the property for which this permit is issued, I may be held liable for any flnancial or <br />personal injuries sustained by any subsequent owner(s)that result from any latent construction defects in the workmanship or <br />materials. <br />SANTA ANA CITY COUNCIL <br />froulido@sr.{@ oo <br />Mayo P.o Tem, ward 2 <br />m'mad ne26rsanta -ena oio vsam e.lo@sant! ana cro Eda!!@s?!E:a!!-!!9 <br />P tuMd Benaudes <br />dbonav d8|asa.la 'ana oro !villeoas@s3nla .n. o.o <br />MAYOR <br />MiguelA. Pulido <br />MAYOR PRO TEM <br />Michele Martinez <br />COUNCILMEMBERS <br />P. Oavid Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas <br />NOTICE TO PROPERTY OWNER <br />improvements specified ^, l( lZ,2 703