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T,lAYOR <br />Miguel A. Pulido <br />I\,4AYOR PRO TEM <br />lvlichele Martinez <br />COUNCILI\,lEMBERS <br />P. David Benavides <br />Vicente Sarmiento <br />Jose Solorio <br />SalTinajero <br />Juan Villegas CITY OF SANTA ANA <br />PLANNINC & BUILDING AGENCY <br />20 Civic Center Plaza <br />P.O. Box 1988 . Santa Ana, Calafornia 92702 <br />www.santa-ana.org/pba <br />NOTICE TO PROPERTY OWNER <br />Dear Property Owner: <br />An application for a building permit has been submitted in your name listing yourself as the builder of the property <br />CITY IMANAGER <br />Raul Godinez ll <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK OF THE COUNCIL <br />Maria D. Huizar <br />rovements s Sa C+ lztov <br />We are providing you with an Owner-Builder Acknowledqment and lnformation Verification Form 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 />DIRECTIONS: Read and initial each statement below lo signify you understand or verify this information. <br />/'AINlj_v 1 I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" <br />building permit that 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 />on my property <br />2. I understand buildin g permits are not required to be signed by property owners unless they are responsible for <br />th nstruction and are not hiring a licensed Contractor to assume this responsibility <br />I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may <br />ect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name <br />adofm y own <br />lmP oecified at' nJ. ({,Ye-rsi& }r,v< <br />I understand Contractors are required by law to be licensed and bonded in California and to list their license <br />rs on permits and contracts <br />S <br />en tia I <br />understand under California Contractors' State License Law, an Owner-Builder who builds single-family <br />structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by <br />SANTA ANA CITY COUNCIL <br />moulido@santa-ana.oro <br />Mayor Pro Tem Ward 2 <br />m marl ne2@sanla'a.a ora vsarm ento@sanla ana oro <br />P Oav d Benavdes <br />dbenavidesrOsanra-ana.oro iv eoas@santa-ana oro srinaero@santa ana.oro <br />A-^-- <br />([[l\ I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the <br />tp\l value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an,dnlqloyei under state and federal law. <br />4[Vi, understand if I am considered an "employer" under state and Federat taw, I must register with the state and <br />feft)ral government, withhold payroll taxes, provide workers' com pensation disability insurance, and contribute to <br />unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to <br />serious financial risk. <br />isolo o@santa-ana,oro