Fillable Form Ds-3042 Owner - Builder Verification (Page 2 of 2) in pdf

Page 2 of 2

City of San Diego • Development Services Department

Owner - Builder Verification

•

PROJECT NO.: ____________________________

APPROVAL NO.: ____________________________

____7. I 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 calen-

dar year, or all of the work is performed under contract with a licensed general building Contractor.

____8. I 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 personal injuries sustained by any subsequent owner(s) that result from any latent

construction defects in the workmanship or materials.

____9. I understand I may obtain more information regarding my obligations as an “employer” from the Internal

Revenue Service, the United States Small Business Administration, the California Department of Benefit

Payments, and the California Division of Industrial Accidents. I also understand I may contact the Califor-

nia Contractors’ State License Board (CSLB) at 1-800-321-CSLB (2752) or for more infor-

mation about licensed contractors.

____10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand

that I am the party legally and financially responsible for proposed construction activity at the following

address: _________________________________________________________________________________________

____11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will

abide by all applicable laws and requirements that govern Owner-Builders as well as employers.

____12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the

information I have provided on this form.

Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who

does not have a license, the Contractors’ State License Board may be unable to assist you with any finan-

cial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may

be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee

of that individual or firm is injured while working on your property, you may be held liable for damages.

If you obtain a permit as Owner-Builder and wish to hire Contractors, you will be responsible for verify-

ing whether or not those Contractors are properly licensed and the status of their workers’ compensation

insurance coverage.

Before a building permit can be issued, this form must be completed and signed by the

property owner, and returned to the Development Services Department at the time of per-

mit issuance. Note: If the property owner will not be present at permit issuance to provide

proof of identity, the property owner’s signature must be notarized.

Property Owner Name (print): __________________________________________

Date: _____________________

Property Owner’s Signature: ___________________________________________

Date: _____________________

Form Ds-3042 Owner - Builder Verification Page 2