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MAYOR <br />MiguelA. Pulido <br />N4AYOR PRO TEM <br />Michele Martinez <br />COUNCILN,4EMBERS <br />P David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas <br />INTERIM CITY MANAGER <br />Cynthia J. Kurtz <br />CITY ATTORNEY <br />Sonia R. Carvalho <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 I988 . Santa Ana, California 92702 <br />www.santa ana.orq'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 />ents s cified at <br />il,z ( Y fr.r,Ta- Aaa- ({Z?Pltyo <br />nDuhdo(as6.ia ana ora <br />Mayor P/o Tem Wsrd 2 <br />m han,nez@sanl. ana.oro <br />Vcenre Sarmieflto <br />vsam 6.lo@santa-6na oro Edsi@silEialr.sg <br />WeareproVidingyoUwithantomakeyouawareof <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 />OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON <br />DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. <br />T.tr-oZ 't. I understand a frequent practice of unlicensed persons is to have the property owner obtain 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. My 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. <br />TL* Z. t understand building permits are not required to be signed by property owners unless they are responsible for the- construction and are not hiring a licensed Contractor to assume this responsibility. <br />Tt-t"rZl. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself <br />from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. <br />T-LLC I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on <br />permits and contracts. <br />TLZS. t understand if I employ or otherwise engage any persons, other than Califomia licensed Contractors, and the total value of- my construclion is at least five hundred dollars ($500), including labor and materials, I may be considered an 'employer" under state <br />and federal law. <br />-Ll-,yA. I undersland if l am considered a n 'em ployer" under state and Federal law, l must register with the state and federal-governmenl. withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment <br />compensation ofeach "employee." I also understand my failure to abide by these laws may subject me to serious flnancial risk. <br />ILZ.t I undersland under California Contractors' State License Law, an Owner-Builder who builds single-family residential <br />structures cannol 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 />general building Contractor. <br />Zi.zA. t understand as an O,,yner-Builder if I sell 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 lrom any latent construction defects in the workmanship or <br />materials. <br />SANTA ANA CITY COUNCIL