1615 S Birch St - Misc. Permit - Laserfiche WebLink

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MAYOR Miguel A. Pulido I\,IAYOR PRO TEIV Michele l\.4artinez COUNCILIVIEl,llBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas CITY [,4ANAGEB Raul Godinez ll CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL l\.4aria D. Huizar CITY OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Civic Center Plaza P.O. Box 1988 . Sanra Ana, California 92702 www.santa-ana.orglpba NOTICE TO PROPERTY OWNER Dear Property Owner An application lor a building permit has been submitted in your name listing yourself as the builder of the property imorovements soecif ied at' /0 t < 'S.6i'c-t" > i ?anl,"^ A-rv^ <z<- a)1o 1 We are providing you with an Owner-Builder Acknowledqment and lnlormation Verification Form to make you aware of your respons;bilities 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 to us at our official address indicated. An agent ol the owner cannol execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. o ER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DI TIONS: Bead and initial each statement below to signify you understand or verity this intormation. u ln 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" g permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, 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 property. lrily homeowner's insurance may not provide coverage for tho e injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to on my property 2. I understand building permits are not required to be signed by property owners unless they are responsible for e o struction and are not hiring a licensed Contractor to assume this responsibility p . I understand as an "Owner-Builder" I am the responsible parly of record on the permit. I understand that I may myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name d ol my own . I understand Contractors are required by law to be licensed and bonded in Calilornia and lo list their license m rs on permits and contracts understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the lue of my conslruction is at least five hundred dollars ($500), including labor and materials, I may be considered an " under state and federal law. understand il I am considered an "employer" under state and Federal law, I must register with the state and lgovernment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to UN m loyment compensation of each "employee." I also understand my failure to abide by these laws may subject me to sefl s f inancial risk entl I understand under California Contractors' State License Law, an Owner-Builder who builds single-{amily al slructures cannot legally build them with the intent to offer them for sale, unless a//work is performed by SANTA ANA CITY COUNCIL Eqrlla@sada:aorprg Mayor Pro Tem, Ward 2 mimaninez{Asarta-ana oro vsarmenlo@santa.anao.o isolorlo@sanra.ana.oro P David Ben.vder dbenavides@sanb ana oro jvteles@sa4a:eE4lc sinaie16@santa'ana ord