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[,4AYOR <br />[4i9uelA. Pulido <br />MAYOR PRO TEI\,,I <br />l\4ichele Martinez <br />COUNCILMEMEERS <br />P. Oavid Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <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 />CITY OF SANTA ANA <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 />improvements specifie a <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 bujlding 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 />(on <br />OWNER'S ACKNOW ED GMENT AND VERIFICATION OF INFORMATON <br />DIRECTIONS: Read and initial each statemenf below to signify you understand or veify this information. <br />tM , , understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" bualding <br />p*mit that erroneously impliesthatthe property owner is providing hisorherown laborand material personally. l,asan Owner- <br />Builder, may be held liable and subject to serious financial 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. lam willfully acting <br />as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. <br />{ , , understand building permits are not required to be signed by property owners unless they are responsible for the <br />6nstruction and are not hiring a licensed Contractor to assume this responsibility. <br />lN L l understand as an 'Owner-Builde/ l am the responsible party of record on the permit. I understand that I may protect myself <br />f(om potential flnancial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. <br />PO,understandContraclorsarerequiredbylawtobelicensedandbondedinCalifomiaandtolisttheirlicensenumberson <br />+rmits and contracts. <br />tl <br />Y" s t understand if I employ or otheMise engage any persons, other than California licensed Contractors, and the total value of <br />ty construction is al leasl flve hundred dollars ($500). including labor and materials, I may be considered an'employer" under state <br />lnd federal law. <br />TU ,undersland if I am considered an 'employer" under state and Federal law, I must register with the state and federal <br />qpvernment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment <br />Compensation of each 'employee. l also understand my failure to abide by these laws may subject me to serious financial risk. <br />'1 , , undersland under California Contractors' State License Law, an Owner-Builder who builds single-family residential <br />st(uctures 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 />Y4 , 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 />prrsonal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or <br />nlaterials. <br />SANTA ANA CITY COUNCIL <br />L <br />Mayor Pro Ted Wad 2 <br />mrmanrnez sanl.-am oro Earmienloasanla anz cro Eds@ll!!a{E g9 <br />P Daud Ben:v'des <br />dLEnav'desOsa.ta lna do M eoas@s.ra'a.a do <br />PI.ANNING & BUILDINC AGENCY <br />20 Civrc Center Plaza <br />P.O. Box I988. Santa Ana. California 92702 <br />www.Santa-ana.orq /oba <br />NOTICE TO PROPERTY OWNER