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I\4AYOR <br />t\4iguelA. Pulido <br />NIAYOR PBO TEM <br />Michele Martinez <br />COUNCILMEMBERS <br />P. David Benavides <br />Vicenle Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan VilleOas CITY OF SANTA ANA <br />PLANNINC & BUILDING ACENCY <br />20 Civic Center Plaza <br />P.O. Box 1988 . Santa Ana, California 92702 <br />www.santa-ana.orgl pba <br />NOTICE TO PROPERTY OWNER <br />Dear Property Owner: <br />An application lor a building permit has been submitted in your name listing yourself as the builder of the property <br />improvements specified at I la {)27o ? <br />We are providing you with an Owner-Builder Acknowledoment and lnlormation Verilication Form to make you aware ol <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: Bead and initial each statement below to signity you understand or verily this information. <br />'@1. I understand a frequenl practice of unlicensed persons is to have lhe property owner obtain an "Owner-Builder" <br />building permit thal erroneously implies that the property owner is providing his or her own labor and material personally. l, <br />as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed <br />person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for <br />those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to <br />workers on my property. <br />5Z-z I understand building permits are not required to be signed by property owners unless they are responsible for <br />the construction and are not hiring a licensed Contractor to assume this responsibility. <br />dr- S. I understand as an "OwnerBuilder" I am the responsible party ol record on the permit. I understand that I may <br />protect mysell from polential financial risk by hiring a licensed Contractor and having the permit liled in his or her name <br />instead ol my own. <br />9* I undersland Contractors are required by law to be licensed and bonded in California and to list their license <br />numbers on permits and contracts, <br />=-L5. <br />I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the <br />6tal value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />"employer" under state and federal law. <br />-{.--^$. I understand iI I am considered an "employer" under state and Federal law, I must register with the state and <br />federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to <br />unemployment compensation of each "employee." I also understand my failure to ablde by these laws may subject me to <br />serious financial risk. <br />fu\l understand under Calilornia Contractors' State License Law, an Owner-Builder who builds singleJamily <br />residential structures cannot legally build them with the intent to ofler them for sale, unless a// work is performed by <br />SANTA ANA CITY COUNCIL <br />CITY MANAGER <br />Raul Godinez ll <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLEBK OF THE COUNCIL <br />l\raria D. Huizar <br />moulido@sanIa.ana oro <br />lrayor Pro Tem, Wa/d 2 <br />mlma.line2@santa ana.oro <br />Vrcenre Sarmlento <br />vsarmienlo@sanla-ana.oro l$k!i!@!aE!a:a!@ <br />P Davd Benavides <br />dbenav des@santa-a.a oro ivilleoas@santa-ana oro stinaierc@sanla'ana.oro