2217 S Salta St - Misc. Permit - Laserfiche WebLink

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MAYOR Miguel A. Pulido I\,,IAYOR PRO TEM Michele N,4adinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinalero Juan Villegas CIry N'ANAGER Raul Godinez ll CIry ATTORNEY Sonia R. Carialho CLERK OF TIiE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza P,O, Box 1988 . Santa Ana, California 92702 www.sanra-ana,or9 pba NOTICE TO PROPERTY OWNER Dear Property Owner na fo tn permit h een s bmitted in ur am rng u rself th er ol the property rmp S cif ied We are providing you with an Owner-Builder 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 form to us at our oflicial address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of lhe permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON E S: Read and initial each statement below to signify you understand or verify this intormation. 1. I understand a frequent practice ol unlicensed persons is to have the propeny owner obtain an "Owner-Builder" 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 in.iuries sustained by an unlicensed person and his or her employees while working on my property. lr/y homeownels insurance may not provide coverage lor ilder and am aware of the limits of my insurance coverage for injuries to ired to be signed by property owners unless they are responsible for actor to assume this responsibility. he responsible party of record on the permit. I understand that I may rotect myself from potential Iinancial risk by hiring a licensed Contractor and having the permit Iiled in his or her name S tead o ll ^ f my own. I understand Contractors are required by law to be licensed and bonded in California and to list their license ers on permits and contracts 5. I understand if lem ploy or otherwise engage any persons, other than California licensed Contractors, and the tal value of my construction is at least live hundred dollars ($500), including labor and materials, I may be considered an r" under state and lederal law I understand if I am considered an "employea' under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to qnemployment compensation ol each "employee." I also understand my failure to abide by these laws may subject me to /gerioug f inancial risk. ,{Q !', I understand under California Contractors' State License Law, an owner-Builder who builds singleJamily residential struclures cannot legally build them with the intent to ofler them for sale, unless a// work is performed by SANTA ANA CITY COUNCIL atio m fio! I do@santa-ana.oro Mayor Pro Tem, Ward 2 mrman nez@sanla-ana.oro Vrcente Sarmienb vsa.mienlo@sanla.ana.oro isolorio@santa.ana.oro dbenavdes@sanla ana oro iv lleoas@sante ana oro slnaiero@sanE ana oro on my property.