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MAYOR Miquel A. Pulido MAYOR PRO TEi/ll Michele Ma.tinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas men INTERIM CITY I,IANAGER Cynthia J. KurE CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL N4aria D. Huizar CITY OF SANTA ANA PI.ANNING & BUILDING AGENCY 20 Civi. Center Plaza P.O. Box 1988 . Santa Ana, California 92702 www.Santa ana.orq.rgba NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property q ts soecified aL- I ,tU 'ay-d st c-fr qef 0 WeareprovidingyoUWithantomakeyoUawareof your responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder. 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 signify you understand or veify this information. fA--At , understand a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder" building permifthat 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 financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my prope(y. 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 insurance coverage for injuries to workers on my property. .44tAr. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. ,'tl, Ag t understand as an "Owner-Buildel' l am the responsible party of record on the permit. lunderstand that lmayprotect myself from botential financial risk by hiring a licensed Contractor and having the permit Illed in his or her name instead of my own. /1 ^tLl. 4l I understand Contractors are required by law to be licensed and bonded in Califomia and to list their license numbers on permits and contracts. AA h/ V I t /+ 5. I understand if I employ or otherwise engage any persons, other than Ca lifornia lic ensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal lalY. 4l-4U , undersland if I am considered an "employer" under state and Federal law, I must register wath the state and federal government, wilhhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious Ilnancial risk. Ai A /l/ l. .+7 . I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless ail work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the \,vork is performed under contract with a licensed general building Contractor. tLlA, 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 personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL mpur doaAsanta-Ena do Mayo. Pro Tem Ward 2 m man'.qosanla ana oro sam enrcA sanra-ana oro 6olcro@sa.â‚¬ ana oro dbenavrdes@ssnl3-a.a oro iv'llecas@sa.l3-ana oro slrnareroiAsanla.a.a orq