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I.4AYOR <br />MaguelA. Pulido <br />I\4AYOR PRO TEM <br />l\.,1ichele Martinez <br />COUNCILMEMBERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTina,ero <br />Juan Villegas <br />INTERIM CITY MANAGER <br />Cynthia J. KurE <br />CITY ATTORNEY <br />Sonia R- Carvalho <br />CLERK OF THE COUNCIL <br />Maria D. Huizar <br />Dear Property Owner <br />Ana rca p <br />CITY OF SANTA ANA <br />PTANNING & BUILDING AGENCY <br />20 Civic Center Plaza <br />P.O. Box I 988 . Sanra Ana. California 92702 <br />www.santa-ana.oro / oba <br />NOTICE TO PROPERTY OWNER <br />s been su you lis you elfe e e pro rty <br />rmprove en tss <br />We are providing you with an Owner-Builder Acknowledoment and lnformation Verification Form 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 cannot 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 />DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. <br />t^ -l <br />.M,. , understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Bualder building-permrt that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an Owner- <br />Builder, may be held liable and subject to serious flnancial risk for any injuries sustained by an unlicensed person and his or her <br />employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. lamwillfully acting <br />as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. <br />W-, ,understand burldrng permits are not required to be signed by property owners unless they are responsible for the'coN-truction and are not hirin; a licensed Contractor to assume this responlibiiity. <br />from <br />I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself <br />ntial financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. <br />4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on <br />pelln|rs and contracts. <br />//-/ <br />tfz_i I understand if I employ or otherwise engage any persons, other than Califomia licensed Contractors, and the total value of <br />'my construclion is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state <br />and federal law. <br />/@{-U I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal <br />government, withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment <br />- comrensalion of each 'employee.' l also understand my failure to abide by these laws may subject me to serious flnancial risk. <br />{U-', I understand under Caltfornia Contraclors' State License Law. an Owner-Builder who builds single-family residential <br />stfoctures cannot legally burld them with the intent to offer them for sale, unless a// work is performed by licensed subcontractors and <br />the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed <br />ne building Contractor <br />8. I understand as an Owner-Builder if I sell the property forwhich this permit is issued, I may be held liable for any flnancial or <br />pe onal injuries sustained by any subsequent owner(s)that result from any latent construction defects in the lyorkmanship or <br />materials <br />SANTA ANA CITY COUNCIL <br />3 <br />Mayor Pro T.m. Wa.d 2 <br />cified a <br />mDurr0o@sa.la-ana ora <br />V.enre Sam enlo <br />vsam enlo6ss.ta 'ara oro 6crono@s.nra-anaoro dbenavrdesrosanra-a.aoro rvirleoas@sanlaanaoro stina€roosarla ana oro