2125 N Arden St - Misc. Permit - Laserfiche WebLink

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Plannlng & Bullding Agency Bulldlng Safety Dlvlslon 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 17141647-5800 www'santa-ana.org APP.13 GBC 20,t6 iF-:: Dear Property Owner: An applicatio a buildi ng pe rmit has been submitted in NOTICE TO PROPERTY OWNER ur name listin s fasth e byldet of4'<12-tfl--)>-'.perty improvements specified at We are prov ding you wlth an Owner-Builder Acknowledoment and lnformation Veriflcation 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 permil untjl you have read, initialed your understanding of each provision, signed, and returned this form to us at our officlal address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permltting authority. OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and lnltial each statement below to slgnlfy you undorstand or verify thls informatlon. W-1 I understand a frequent practice of unlicensed persons is to have the propâ‚¬rty owner oblain an "Owner-Builder" build- ing permit that enoneously 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 subjed to serious flnancial risk for 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 ,or those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop- erty. A-r. I 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. -ff.1_3 I understand as an "Owner-Builder" lam the responsible party of record on the permit. I understand that I rnay protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed jn his or her name instead of my own. $Lq I understand Contractors are required by law to be licensed and bonded in Californla and to list their license numbers on permits and contracts. 'W S. I understand if I employ or othemise engage any persons, other than California licensed Contmctors, and the total value of my construction is at least flve hu ndred dollars ($500) including labor and materials, I may be mnsidered an "employef' under state and federal law. /1 /-bl_6 I understand if 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 unemploymBnt com- pensation of each'employee." I also undershnd my lailure to abide by these laws may subject me to serious flnancial risk.fit1-Z_-7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build thom with lhe intent to offer them for sale, unless a// work ls performed by licensed subconfac- tors and the number of structures does not exceed four within any calendar years, or all of the work is performed und6r contract with a licensed general building Contractor, .Bl--9. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finan- cial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- ship or materials.