2506 N Linwood St - Misc. Permit

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licensed subcontractors and the number of slructures does not exceed lour \i/ithin any calendar years, or all of the work is pe rformed under contract with a licensed general building Contrictor. - 8. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any fin cial or personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the workmanshio or materials- l*fg. I understand I may obtain more information regarding my obligalions as an "employea'from the lnternal Revenue Se#ce, the Uniled States Small Business Administration, the California Department of Benefit Payments, and the California Division of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board B) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors 10. I am aware of and consent to an OwnerBuilder building permit applied for in my name, and understand that I am the part leg ally and f inan all responsible lor proposed constructio n tiv iJ)/ at the lollowing address I a 1'1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by a applicable laws and requirements that govern Owner-Builders as well as employers '12. I agree to notif y the issuer of this lorm immediately of any additions, deletions, or changes to any of the ormation I have provided on this lorm Licensed contractors are regulated by laws designed to protect the public. lt you contract with someone who does not have a license, the Contractors' State Licensg Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. lt is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. lf you obtain a permit as OwnerBuilder and wish to hire Contactors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status ol their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsfble for issuing the permit. Nore.' A copv of the propertv owner's driver's license. form nz,tion to the ,s uired to Signature of Property Ow Print name of Owner ,' ner Date c /z //4 AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the iollowing person(s) to act as my agent(s) to apply for, sign, and flle the documents necessary to obtain an Owner-Bu lder Permit for my project. Scope of Construction Projecl (or Description of Work) Project Location or Address Name oi Authorized Agent Address ol Authorized Agent Phone Number of Aulhorized Agent I declare under penalty of perjury that I am the property owner ior the address listed above and I personally filled out the above in,ormation and certify its accuracy. DateProperty Owner's Signature: Print Name ol Ownet: Note: A copy ol the owner's *iver's ticense, torn rct te to the agency is requlred to be presented when the permit is issued to vetify the prcperty owner's signature. ,:,irf \'/:'5' 1,.!riiA..!,ti A:sr.Li rliii ii.:r. i. P ^tjri ir; d:: a: r. ;i,r SANTA ANA CIIY COUNCIL l,lrgue A Puhdo Mrchelellaa]neu Vcentesamenro Jose Solorlo P. Davd Beoavdes Juanvlllegas SalTriajero Mayor l,layor Pro Tem, Ward 2 ward 1 Ward 3 Ward 4 Ward 5 Ward 6