2825 Dayna St - Misc. Permit - Laserfiche WebLink

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MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEIUBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza P.o. Box 1988 . Santa Ana, Californaa 92702 www.santa-ana.org / pba NOTICE TO PROPERTY OWNER Dear Property Owner: An appllcation for a building permlt has been submitted in your name listing yourself as the builder of the property improvemenlsspecifiedut ,LlL.> la,{ana 5t. 5anh ftn^ - We are providing you wilh an Owner-Builder Acknowledqment and Inlormation Verilication Form to make you aware of your responsibllities 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 of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signity you understand or verify this information, Cll- ,1 . f understand a frequent practice of unlicensed persons is to have the property owner obtain an "OwnerBuilder" building 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 linancial risk lor 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 for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my lnsurance coverage for injuries to workers on my property. \rli- z. f understand building permits are nol required to be signed by property owners unless they are responsible lor the conslruction and are not hiring a licensed Contractor to assume this responsibility. \,^L 3. I understand as an "Owner-Buildei' I am the responsible party of record on the permit. I understand that I may protect myself from potential linancial risk by hiring a licensed Coniracior and having the permit filed in his or her name instead of my own. \)[* +. f understand Contractors are required by law to be licensed and bonded in California and to list their license ntL'plers on permits and contracts. U[- u ' understand if I employ or otherwise engage any persons, other than Calilornia licensed Contractors, and the total value of my conslruction is at least five hundred dollars ($500), including labor and materials, I may be considered an "emyloyel' under state and federal law. tt ,l-+. t understand if I am considered an "employer" under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation of each "employee." I also understand my failure to ablde by these laws may subject me to serious financial risk. L-'$.- r. f understand under California Conlractors' State License Law, an Owner-Builder who builds singlejamily residentiat structures cannot legally build them with the intent to ofler them lor sale, unless a//work is performed by SANTA ANA CITY COUNCIL CITY I,IANAGER Raul Godinez ll CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar mouldo@s.nta-.na oro lvayor Pro Tem, Ward 2 m manLnez@sanla.ana.oro Vicenre Sarmierlo vsamEnlo@sanla-ana.oro isoloio@snta-ana or. P. Oavid Benavides dbenavdes@enta-ana.oro i!iX9!rs@!ada:a!t.!!!sl naiero@santa-ana.oro