20163643 - Permit (2) - Laserfiche WebLink

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MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Marlinez COUNCILIT.lEMBERS P. David Benavides Vicente Sarmiento Jose Solorio Sa Tinalero Juan Viliegas ACTING CITY I\,,IANAGEB Gerardo Mouel CITY ATTORNEY Sonia R. Carvalho ' CLERK OF THE COUNCIL Maria D. Huizar I a sunaiero@enta-a.a.oro CITY OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Civtc Center PIaza P.O. Box 1988 . Santa Ana, Calrfornra 92702 \{ww.santa-ana.or9 pba NOTICE TO PROPERTY OWNEB Dear Property Owner An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specif ied at A// We are providing you with an Owner-Bullder Acknowledoment and lnformation 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 OwnerBuilder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form lo us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval ol the permitting authority. OWNEB'S AC KNOWLEDGMENT AND VERIFICATION OF INFORMATON SANTA ANA CITY COUNCIL m!l'do@snta-ana oro Mayo. Pro Iem. Ward 2 mrdr3nrne2@santa-ana oro V'cenG Same.lo vsa.@onlo@sanla ana.oro lsolo.o@enla.ana ord dbenav,des@sa.raan.ord v,lle.as@sanla.araoro DIRECTIONS: Bead and initial each statement below to signify you understand or verity this lntormation. g( 1 I understand a trequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" b[ilding permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an OwnerBuilder, may be held liable and subJect to serious financial risk lor any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willlully acting as an Owner-Builder and am aware ol the limils ol my insurance coverage for injuries to workers on my property. \)' Z. t undersland building permits are not required to be signed by property owners untess they are responsible for lhe conslruction and are not hiring a licensed Contractor to assume this responsibility. -P-3 I understand as an "Owner-Buildef I am the responsible party of record on the permit. I understand that I may protect myself lrom potential financial risk by hiring a licensed Contractor and having the permit liled in his or her name instead of my own. 5)' +. I understand Contractors are required by law to be licensed and bonded in Callfornia and to list lheir license numbers on permits and contracts. \, 5. I understand if I employ or otherwise engage any persons, other than Calilornia licensed Contractors, and the total value ol my construction is at leasl five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and lederal law. <rz^) / 6. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal gouernment, withhold payroll laxes, provide workers' compensation disability insurance] and contribute ro unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious f inancial risk. ) ) 7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family re-sidentiat structures cannot legally build them with the intent to offer them lor sale, unless a// work is peiormed tiy