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IVAYOR <br />lvliguelA. Pulido <br />[,AYOR PRO TEN,4 <br />l\.4ichele l\rartinez <br />COUNCILI\,(EIVBERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas <br />CITY MANAGER <br />Raul Godinez ll <br />CITY ATTORNEY <br />Sonia R. Carva ho <br />CLERK OF THE COUNCIL <br />l\,4aria D. Huizar <br />CITY OF SANTA ANA <br />PI-ANNING & BUILDING ACENCY <br />20 Civic Center Plaza <br />P.O. Box I 988 . 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 />improvements speciried ^:ku- p lw ?- s- os- S+ /_ q. e/ / e ), /.-r' L.,SqV <br />We are providing yo u with an O ent nd to make you aware of <br />your responsibilities and possible 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 cannol execute this notice unless you, the property <br />owner, obtain the prior approval of the permitting authority. <br />OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON <br />SANTA ANA CITY COUNCIL <br />mpul do@sant6-ana oro <br />Mayor Pro Tem. Ward 2 <br />mimanroez@sanla.ana.o.o <br />V cenre Sam enlo <br />vsarmrento@sanla-ana.oro isoloriorAsanla ana.oro dbe.av'des@sanra ana.oro lyi!e!a@sada:a!@ slinaiero@sanla-ana.oro <br />DIRECTIONS: Read and initial each statement below to signify you understand or verity this infomation. <br />O) AU. I understand a lrequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" <br />building permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, <br />as an Owner-Builder, may be held liable and subject to serious linancial risk for any injuries sustained by an unlicensed <br />person and his or her employees while working on my property. N,4y homeowner's insurance may not provide coverage lor <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 />workers on my property. <br />J2-az. I understand building permits are not required to be signed by property owners unless they are responsible for <br />the construction and are not hiring a licensed Contractor to assume this responsibility. <br />Il4, I understand as an "Owner-Buildel' I am the responsible party of record on the permit. I understand that I may <br />protect myself from potential financial risk by hlring a licensed Contractor and having the permit liled in his or her name <br />instead of my own. <br />0!-4. , understand Contractors are required by law to be licensed and bonded in California and to list their license <br />numbers on permits and conlracts. <br />J!4 I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the <br />total value ol my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />"employea' under state and federal law. <br />{ J4u. ,understand ij I am considered an "employer" under state and Federal law, I must register wlth the state and <br />federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to <br />unemployment compensation of each "employee." I also understand my Iailure to abide by these laws may subjecl me to <br />serious f inancial risk. <br />{!-q I understand under Calilornia Contractors' State License Law, an Owner-Builder who builds single{amily <br />residential structures cannot legally build them with lhe intent to offer them for sale, unless a//work is performed by