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MAYOR <br />MiguelA. Pulido <br />MAYOR PRO TEM <br />Michele Martinez <br />COUNCILII4EI,lBERS <br />P. David Benavides <br />Vicenle Sarmiento <br />Jose Solorio <br />Sal Tinajero <br />Juan Villegas <br />INTERIi,I CITY MANAGER <br />Cynthia J. KurE <br />CITY ATTORNEY <br />Sonia R. CaNalho <br />CLERK OF THE COUNCIL <br />Maria O. Huizar <br />CITY OF SANTA ANA <br />PI.ANNING & BUILDING AGENCY <br />20 Crvrc Center Plaza <br />P.O. Box I988 . Sanra Ana, California 92702 <br />www.Santa-ana.orqlpba <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 />prov NtS S ecified at <br />LI I 7 <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 />DIREqTIONS: Read and initial each statement below to signify you understand or verify this information. <br />14, ,understand a frequent practice of unlicensed persons is to have the property owner obtaan an 'owner-Builder" building <br />permit 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 financial dsk for any injuries sustained by an unlicensed person and his or her <br />employees while working on my property. ijty homeowner's insurance may not provide coverage for those injuries. I am willfully acting <br />as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my properly. <br />I'i7V ,. runderstand building permits are not required to be signed by property owners unlesstheyare responsible for the <br />construction and are not hiring a licensed Contractor to assume this responsibility. <br />3. lunderstand as an "Owner-Builder" lam the responsible party of record on the permit. lunderstand that lmayprotecl myself <br />from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. <br />I <br />I I v q. t u nderstand Contractors are required by law to be licensed and bonded in Califomia a nd to list their license n umbe rs on <br />oermits and contracts.'I <br />@1-a. <br />' <br />understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of <br />my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state <br />and federal law. <br />llV A. I understand if lam considered an "employer" under state and Federal law, lmust register with the state and federal <br />governmenl, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment <br />compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious frnancial risk. <br />N-r. , understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential <br />structures cannot legally build 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 />general building Contractor. <br />'[ l\/ A. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or <br />personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the wo*manship or <br />materials. <br />SANTA ANA CITY COUNClL <br />Marq Pro Teh Ward 2 <br />\sam e.l.asanla an. or.rid-a!-a@s!4a:@a.el9 <br />P Oavd Benavrdes <br />dbe.avrdes@sanla-ana oro Mlleas@saob ana do <br />-70 7