Loading...
HomeMy WebLinkAboutS2023-0019 - Misc (3)CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 OWNER -BUILDER ACKNOWLEDGEMENT AND INFORMATION VERIFICATION (HSC 19825) NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitd in your name listing yourself as the buil r of the property improvements specified at 1 � K- iv -4.1 c f1 0 011.1,nct 13", &_Jk L6r We are providing you with an Owner -Builder Acknowledgment and Informaton Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name 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 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 ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION D r2CTIONS: Read and initial each statement below to signify you understand or verify this information. 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, 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. My homeowner's insurance may not provide coverage for those injuries. 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. �2. 1 understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. c:51? 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. e� 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. � . I understand if 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 "employer" under state and federal law. (�)' _6. 1 understand 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 disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. 1 understand as an Owner-Bcilder'if I s,311 th- property fcr which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. Forms\owner builder verifdoc 08/12/16 ZJO Z 91/Zl/8o oop'p¢an japlmq iaumo\su of ajn;ec6is s,joumo fqjadoid agl Aluan of panssi si llwad ay; uagm poluesaid aq of pannbaj si uoyezue;ou lwol Jo asuaall s ,Janup s jaumo agl to Adoo V :aloN :amleu6lS s jaumo /ljadoJd oJ1746L, ,x saaumo „ pedcud ayl.f}!uan o; pans! sr liwaad ay; uaym poluesaid eq o; pannbaa s/ Aoua6e agl of algeldeooe ua;eoguan iay;o uo 'uw;ezue;ou wuo; 'asuaoij suanup s,.laumo ay; jo Moo y :a;oN 'Aoemooe sp Allljao pue uopewiolul anoge ay; lno pally AIleumed l pue anoge palsg ssaippe ay; jol jaumo fliadad agl we l legl tinfiad to Alleued japun oJelaap I ON 191 :lua6V pazuoglnV to ssaippV :lua6V pazuoglnV to aweN ssaUppV Jo uolleoo-1 laafwd :(MjoM to uopduosad Jo) laafad uoilonulsuoo;o edooS ;oafad Aw jol llwjad iappng-jaumo ue uielgo of fum000u sluawnoop ay; sill pue 'u6ls hol fldde of (s)lue6e Aw se loe of (s)uosiad 6uimopol ay; ozuoglne Agajag l '63plglsuodsaj leumed Aw si puelsiapun l goiym to uoilnoexe agl 'jaumo Aljadad of 00I1ON ay; 6uipnfox3 jlVH38 S,H3NMO A-MdOldd NO 1OV 011N30V d0 NOI1tlziuoHinv -japyng jaumo ay; uog l!wjad ua;onj;suoa a uoj Aldde of jaumo Apedoud ay; jo ;uaBe ue Bui;euBisep uagm Aluo jaumo Apedoad otp Aq pa;aldwoo eq o; pegnbau si waoj uopezuoylny Buimopoj ag1 :a;oN � 2�L,Z .also inj T-y 1 ainleu6iS sjaumo Aliodad :aaumo Alladad to aweu luud ain;eu6;s s jeumo Aaadoid ey; djuan o; ponssr sl;lwjad ay; uegm pa;uesaid aq of pailnbei sl uopezue;ou uuoj jo esuaoll sunup sjeumo Agedoid ay; jo Adoo y :a;aN •;Iuuad ay; 6ulnssl jol'uolSlnia 6uiplfng 'goeag }jodmaN;o A113 ay; of pou.1n4ai pue jeumo Aiiedoid ay; Aq pou6ls pue pejeldwoa aq ;snw wuo; sly; 'ponssl aq ueo ;luuad 6ulplfnq a aioleg •06eIanoa aouemsui uoilesuadwoo ,saaNiom nagl to sn;e;s ag; pue posueoll Aliedoid sae sioloelluoo asog; lou jo Jaylaym 6u1Aluan aol elglsuodsai eq plm nog( 'sioloeiluoo aJlg of ysim pue jeping-jeumo se llwjed a ulelgo noA 11 sa6ewep jol algep plaq aq Aew nog( '/liedad jnoA uo 6uhljom ellgm painful si will jo lenpinlpul ley; to ea/oldwe uo joloeiluoo pasueogun ue ll legl pue;sjepun of nof( jol;ueuodwl osle si;1 'pnoo IIA13 ui aq Aew sioloeiluoo pasueollun ;suie6e Apawaj Aluo inoA •;uieldwoo a to llnsei a se ulelsns Aew nog( ssol Ieioueug /ue gllm noA isisse.ol olgeun aq Aew pjeog esueol-I a;elS ,sioloeiluoo ayl 'asuao1l a aneg lou saop oynn auoewos gllm;oeiluoo noA 31 ollgnd agl loolad of pau6isap smel Aq polelnbei aie sjoloeiluoa pasusai-1 -wJol slgl uo papinad aneg I uollewjolul agllolue of sa6uego jo 'suoi;@lap 'suoillppe Am to Aleleipawwl wol slgl to janssi ay; Alllou of aau6e I •Zl -sjaloldwe se pam se siaping-jaumo w0no6 legl sluawannbei pue smel olgealldde lie Aq aplge plm l 'Allnyoe uoyonulsuoo posodad slyl jol alglsuodsai Allmoueull pue Alle6al Aped agl se 'legl eajoe I -LL 3 :ssaippe 6ulmollol agl le Allnl;ae uol;on�lsuoo pasodwd col alglsuods Fpelaueuy pue All a1 R}�e ayl we l ;egl puelsiapun pue 'aweu Aw ui aol palldde ;lwjed 6ulpinq japing-jeumo us of luesuoo pue to ajeme we 1 '01,— sioloeiluoa pasueoll lnoge uoyewaolul ago col no6-eo-glso-mmm jo (Z91Z) glSo-1,ZE-009-4 Is (g-lSo) pjeog asueol-I alelS sioloeJluoo elwolpeo agl loeluoo Aew l puelsiapun osle l 'sluoplooV leu;snpul to uolslnlo elwollleo agl pue 'sluawled lyauag to luawlieda4 elwollleo ayl 'uollejlslulwpV ssowsng pews salels palm ay; 'aauvaS anuanab lewalul agl wolll ,jaAoldwa„ ue se suope6ggo Aw 6ulpje6aa uoilemolul ajow ulelgo few l puelsaapun 1 -6