1710 W Eleventh St - Misc. Permit

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Plannlng & Building Agency Bulldlng Safety Division 20 Civic Contar Plaza P.o. Box '1988 (M-19) Santr Ana, CA 92702 Fl/r) 647-5800 urww.santa-ana.org APP-{3 CBC 2016 NOTICE TO PROPERTY OWNER Dear Property Owner: An applicatio specified at n for a building permit has been submitted i 1710 W 1 1TH STREET SANTA AN CA n your 92703 name listing yourself as the buildet of the property improvements We are providing you wilh an Owner-Builder Acknowledoment and lnformation Verilication Form to make you aware ot 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 permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our ofiicial addrcss indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWl{ER'S ACKI{OWLEG EI{T AI{D VERIFICATION OF II{FORTATON DTRECTTONS: Reed and inillal eech st,/lement below to slgnw you understand or vatw lh/E lnformd$on, DD t. t undersland a frequent praclice of unlicensed peBons is to have the property owner obtain an "Owner-Buildef bulld- ing plrmit that enoncoudy 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 sub,iec't to serious financial risk for any injuries sustained by an unlicensed person and his or her cmployees while working on my property. My homeomefs insurancc may not provide coverage tor those injuries. I am willfully acting as an Ownerâ‚¬uilder and am aware of the limits of my insurance coverage for in uries to workers on my ProF erty. !9-2. f understand building permits arc not required to be signed by property owners unless thcy are responsible for the construction and are not hiring a licensed Contrastor to assume this responsibility. 99-g. f understand as an "Owner-Buildea I am tho responsible party of record on the permit. I understand that I may protect my3elf ftom potential financial risk by hiring a licensed Conhaclor and having the permit filed in his or her name instead of my own. OD +. f understand ContEctors are required by law to be licensed and bonded in Califomia and to list their license numbers on permits and contracls. DD S. t undeBtand if I employ or otheruvise engage any persons, other than Califomia licensed Contractors, and the total value of my construction is at least tive hundred dollaB ($500), including labor and materials, I may be considered an 'employef under state and federal law. !9-0. f understand if I am considered an 'employer' under state and Federal law, I must register with the state and federal govemment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com- pensation of each 'employee.' I also understand my failure to abide by these laws may subiec't me to serious financial risk. LZ. f understand under Califomia Contraclors' State License Law an Owner-Builder who builds Bingle-family residential structures cannot legally build them with thc intent to offer them for sale, unless a/ work is performed by licensed subcontrac- tors and the number of struc{ures does not exceed four within any calendar yeaG, or all of the work is performed under contrac{ with a licenged general building Contractor. DD g. t underctand as an Owner-Builder if I sell the propcrty for which this permit is issued, I may be held liable for any finan- cial or pcrsonal injuries sustained by any subsequent owner(s) that resull from any latent const uction detecls in the workma n- ship or materials.