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MAYOR <br />MiguelA. Pulido <br />MAYOR PRO TEM <br />Michele lvlartinez <br />COUNCIL|\,llEMBERS <br />P. David Benavides <br />Viceflte Sarmiento <br />Jose Solorio <br />Sal Tinajero <br />Juan Vlllegas <br />CIIY MANAGER <br />Raul Godinez ll <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />t\,4aria D. Huizar <br />CITY OF SANTA ANA <br />PLANNINC & BUILDINC ACENCY <br />20 Civic Center Plaza <br />P.O. Box 1988 . Santa Ana, California 92702 <br />www.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 />tm ents s fied a ?toOUa, <br />We are providing you with an to make you aware of <br />your responsibilities and possibl e 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 VE RIFICATION OF INFORMATON <br />DIREC S: Read and initial each statement below to signify you understand or verify this information. <br />I understand a frequent p ractice of unlicensed persons is to have the property owner obtain an "Owner-Builder" <br />it that erroneously im plies that the property owner is providing his or her own labor and material personally. l, <br />asanO wner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by a n unlicensed <br />person and his or her emptoyees while working on my property. My homeowner's insurance may not provi de coverage for <br />those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to <br />rkers on m y property <br />2. I understand building permits are not required to be signed by property owners unless they are responsi ble for <br />nstruction and are not hirin g a licensed Contractor to assume this responsibility <br />ect m <br />l understand as an "Owner-Builder" l am the responsible party of record on the permit. I understand that I may <br />yself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name <br />instead of m y own <br />4 I understand Contractors are required by law to be licensed and bonded in California and to list their license <br />on permits and contracts. <br />I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the <br />e of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />b <br />lvalu <br />r" under state and federal law <br />6. Iunderstand ifIam considered an "employer" under state and Federal law, I must register wit h the state and <br />era lgo vernment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to <br />unempl oyment comp <br />financial risk. <br />ensation of each "employee." I also understand my failure to abide by these laws may subject me to <br />S <br />7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family <br />ential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by <br />SANTA ANA CITY COUNCIL <br />mpulido@sanla-ana oro <br />Mayor Pro Tem, Ward 2 <br />mimarlrnez@santa-zna.oro <br />Vicenle Sarmienro <br />vssrmlento@santa-ana.oro iso oriolosanla-ana.oro <br />P Davd B€navides <br />dbenavrdes@sanla-ana oro iv leoas@santa-ana oro stinaiero@sanla€na.oro