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MAYOR MiguelA. Pulido MAYOR PRO TE[/l Michel6 Marlinez COUNCILMEMBERS P David Benavidâ‚¬s Vrcente Sarmiento Jose Soloro SalTinajero Juan Villegas ACTING CITY MANACER Gerardo Mouel CITY ATTORNEY Sonia R. Carvalho CLERK OF IHE COUNCIL Maria 0 Huizar CIW OF SANTA ANA PLANNING & BUILDINC ACENCY 20 Civlc Center plaza P.O. Box 1986 . Sanra Ana, California 92702 www.5anta-ana.orglpba NOTICE TO PROPERry OWNER Dear Property Owner: An application for a building permrt has.b.e,en submitted in your name listing yourself as the builder of the propertyimprovements specified at 822 S. TOWNSENT STREET, SANTA ANA CA 92701. We are providing you with an owne[-Builder Acknow]ed.oment and lnformation Verification Form to make you aware ofyoUrreSponsibilitiesandpossibleriskyoUmayincurbyhaving@stheowner.Bujlder' We will not issue a building permit until you have. read, initialed your understanding of each provision, signed, and returnedthis form to us at our official address indicated. An agent of the owner cannot exeiute this notice untisi you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGME NT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an ,,Owner-Builder,, build rng perm it that erroneously implies th at the property owner is providing his or her own labor and material personally. Ias an Owner-Builder, may be held liable a nd subiect to serious financial risk for any injuries sustained b y an unlicensedperson and his or her employees whil e working on my property. My homeowner's rnsurance may not provide coverage forthose injuries. I am willfulty acting as an Owner-Builder and am aware of the lim its of my insurance coverage for injuries toworkers on my property 3| ? ,, understand building permits are not required to be signed by property owners unless they are responsabte forthe constructron and are not hiring a licensed contractor to assume this responsibility l-3 I un-derstand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I mayprotect myself from potential tinancial risk by hiring a licensed Conkacior and having the permit filed in his or her nameinstead of my own. -1)-a t understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. T u. , understand if I employ or otheMise engage any persons, other than California licensed Contractors, and thetotal value of my construction is at least five hundred dollars ($5Oo), including labor and materials, I may be considered an"employe/'under state and federal law.r-'- \ 6. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal.government, withhold payroll taxes, provide workers' compensation disability insurancel and contribute tounemployment compensation of each "employee' I also understand my failure to;bide by these laws may subject me toserious financial risk. ,, Yr'. ,. rlo"l.,and under California Contractors' State License Law, an Owner-Builder who builds singlejamily residential skuctures cannot legally build them with the intent to offer them for sale, unless a// work is periormea by licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work isperformed under contract with a licensed general buildlng Contractor. SANTA ANA CITY COUNCIL doulrdolor.nla .^. oro l,Lyor P.o T. . \i/.r6 2 E6a.lrrezlor.nla-a^r oro vs..mi6nlodrrdla...a.ao Ealsto@$4E4aqs dbe^.vdâ‚¬3a3ant.-.na oo lr!!!.!Ego!!au:3!i.!ql n'na'â‚¬roaDsanto.ana do