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MAYOR <br />MiguelA. Pulido <br />I\4AYOR PRO TEM <br />Michele Martinez <br />COUNCILMEMBERS <br />P. David Benavides <br />Vlcente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan \4llegas <br />INTERIM CITY MANAGER <br />Cynthia J. Kurh <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />l\.4aria D. Huizar <br />CITY OF SANTA ANA <br />PTANNING & BUILDING ACENCY <br />20 Civic Center Plaza <br />P.O. Box I 988 . Santa Ana, Califo.nia 92702 <br />www.5anta ana.orq oba <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 />improvements specified at <br />;z € *y'r.<44 LA. ?2707<.o <br />We are providing you with an 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 />-.4,r't lL' -l / | 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" building <br />permit that erroneously implies thatthe property owneris providing hisorherown laborand material personally. l,asanOwner- <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. l\.4y 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 property. <br />na- <br />I I I 2. I understand building permits are not required to be signed by property owners unless they are responsible for the <br />cbhstruction and are not hiring a licensed Contractor to assume this responsibility. <br />3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself <br />from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name inslead 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 />pe its and contracts <br />ft-t. ,understand if I employ or otheruise engage any persons, other than califomia licensed contractors, and the total value of <br />my conslruction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state <br />and federal law. <br />ffiLU. , understand if I am considered an 'employer- under state and Federal law, I must register with the state and federal <br />government, withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment <br />compensation ofeach "employee." lalso understand my failure to abide bythese laws may subject meto serious financial risk. <br />4ll L t understand under California contractors' State License Law. an Owner-Builder who builds single-family residential <br />siructures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontractors and <br />the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed <br />general building Contractor. <br />\tU. , understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or <br />personal injuries sustained by any subsequent olyner(s)that result from any latent construction defects in the workmanship or <br />materials. <br />SANTA ANA CITY COUNCIL <br />q!!!@$.!j+e!3-9!g <br />Mayor fto Tem Ward 2 <br />m man nezrasanla-a.a oro <br />V'csnr€ Srrmrenlo <br />vsam enlo@s.nrE-ana.oro Golono@sanlts{ru.oro <br />P Oav d Be.av des <br />dbenavdesOsanla-ana oro lvl!9!s.@!ada:@ !c slrnai610@sanla-ana oro