10193423 - Permit (2) - Laserfiche WebLink

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I\,(AYOR Miguel A. Pulido MAYOR PRO TEM Michele Marlinez COUNCILMEMBERS P. David Benavides Vicenle Sarmiento Jose Solorio SalTinajero Juan Villegas Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property tm provements ecif led at L/t ,N Nit Z D3 We are providing you with an Owner-Builder Acknowledoment and lnformatlon Verification 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 permlt 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 ACKNOWLEDGMENT AND VEBIFICATION OF INFORMATON DIRECTIONS: Bead and initial each statement below to signify you understand or verity this information. O- 't. ,understand a frequent practice ol unlicensed persons is to have lhe property owner obtain an "Owner-Buildei' building 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 subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my prope(y. 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 of my insurance coverage for injuries to worr(ers on my property. O Z. f 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. V g. t understand as an "Owner-Builder" I am the responsible party of record on the permil. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 6- o. I understand Contraclors are required by law to be licensed and bonded in Calilornia and to llst their license numbers on permils and contracls. O S. f understand il I employ or otherwise engage any persons, other than California licensed Contractors, and the total value ol my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employei' under state and federal law. fif O. t understand il I am considered an "employer" under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation of each "employee." I also understand my lailure to abide by these laws may subject me to seflo s financial risk 7. I understand under Calilornia Contractors' State 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 SANTA ANA CITY COUNCIL ACTING CITY MANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLEBK OF THE COUNCIL iraria D Huizar nDurido@san!a-ana orc Mayor P.o Iâ‚¬m, Ward 2 hmartner@san|a ana.o.o Vrcsnre Samenlo vs{menlo@sanla-ana-orc 60lono@sanra-an, qo P Davrd Benavdc! dbenavides@.anta ana o,o ivillsasraenta'ana oro slrnaso@santa.ana.o.o CITY OF SANTA ANA PLANNING & BUILDING ACENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana, Californra 92702 ww\r'v.5anta ana,org, pba NOTICE TO PROPERTY OWNER