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/ot%k"n?*^", <br />Cynthia J. Kurtz <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF IHE COUNCIL <br />N4aria O. Huizar <br />CIry OF SANTA ANA <br />PLANNING & BUILDING AGENCY <br />20 Civic Center Plaza <br />P.o. Box 1988. Sanra Ana, California 92702 <br />waM/v. san ta-ana. orq / pba <br />NOTICE TO 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 oa rJ.ujac}Je Jr,A L <br />We are providing you with an m n rm rifi nF rm 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 />D\RICTIONS: Read and initial each statement below to signify you understand or verify this information. <br />xl7n-f. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" building <br />y'gfft tnat erroneously implies that the property owner is providing his or her own labor and material personally. l, as an Owner- <br />Buifder, 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. l\,4y homeowner's insurance may not provide coverage for those injuries. I am willfully acting <br />an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my propertya <br />-2 . I understand building permits are not required to be signed by property owners unless they are responsible for the <br />ction and are not hiring a licensed Contractor to assume this responsibility.n <br />-3. lunderstand as an "Owner-Builder" lam the re sponsible party of record on the permit. I understand that I may protect myself <br />potential flnancial risk by hiring a licensed Contractor and having the permit filed in his or her name instead 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 />its and contracts <br />-5. I understand if lem ploy or otherwise engage any persons, other than California licensed Contractors, and the total value of <br />nstruction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state <br />federal law <br />\6. I understand if I am considered an "em ployer" under state and Federal law, I must reqister with the state and federal <br />nment, withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment <br />m ensation ofeach "employee." lalso understand my failure to abide bythese laws maysubjectmeto serious financial risk <br />\ 7. I understand under California Contractors' State License Law , an Owner-Builder who builds single-family residential <br />res cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontractors and <br />e 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 />-h& ' <br />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 />p(y&pal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or <br />mbtcfials. <br />SANTA ANA CITY COUNCIL <br />mourido@sanla'ana oro <br />MayorPro Ten Ward 2 <br />m ma,i ne2@sanla-ana oro <br />Vrcente Sarh ento <br />!samienlo@sa.ta ana.oro <br />MAYOR <br />Miguel A. Pulido <br />MAYOR PRO TEIlI <br />Michele Martinez <br />COUNCILMEI\,1BERS <br />P David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />Sal Tinajero <br />Juan Villegas <br />Dear Property Owner: <br />isolorio@sanla-ana.oro <br />P Davd B€navides <br />dbenavidesaosanta-ana oro v e.as@sanla-an, oro sl nalero6sanra'a.a oro