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fulqolot [,AYOR i,4iguel A. Pulido MAYOR PRO TEIV N4ichele lvlartinez COUNCILl\,llEMBERS P. David Benavides Vicente Sarmiento Jose Solorao SalTinajero Juan Villegas CITY OF SANTA ANA PLANNING & BUILDINC ACENCY 20 Civic Center Plaza P.O. Box I988 . Sanra Ana, California 92702 www.santa-ana.org / pba NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder o.f the property imfiovements soecif ied atJ i",iZ t-tr( Ar trLs e . tz/h sre-ee r sa^.,ra .a ^ ca 927" I We are providing you wlth an OwnerBuilder Acknowledqment and lnformation Verlfication Form to make you aware of 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 lorm 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 ACKNOWLEOGMENT AND VERIFICATION OF INFORMATON DIBECTIONS: Read and initial each statement below to signity you understand or verity this intormation. /l-ft 1. I understand a lrequent practice of unlicensed persons ls to have the property owner obtain an "Owner-Buildei'' building permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an OwnerBuilder, 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 property. l\ily homeownels insurance may not provide coverage for those in.iuries. 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. 7 7 ) Z. I understand building permits are not required to be signed by property owners unless they are responsible lor' the construction and are not hiring a licensed Contractor to assume this responsibility. ///i)_3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may prolect myself lrom potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. ,u_zt_4. I understand Confactors are required by law to be licensed and bonded in California and to list their license/ riurhbers on permits and contracts. 5. I understand il I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employel' under state and federal law. ,/, Z)_6. I undersland 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 disabllity insurance, and contribute to unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. ,.1 -/_J_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 oller them for sale, unless a//work is performed by CITY MANAGER Raul Godinez ll CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL I/aria D. Huizar moul do@sanla.ana.oro Mayor Pro Tem, Ward 2 rolEanEg@saBa:alg vicenre Sa.mlento vsarmierto@sanla-a.a.oro isolgri9@sada:ala dbenavides@sanra ana oro iv lleoas@santa-ana.oro siriaero@santa a.a oro SANTA ANA CITY COUNCIL