HomeMy WebLinkAboutAffidavit for Copy of Plan CITY OF
LADE LSIROKE
`u DREAM EXTREME-
Affidavit for Copy of Plans
I am requesting copies of plans for a structure located at ,
and currently on file at the City of Lake Elsinore Building& Safety Division.
Requestor's name:
Requestor's address:
Requestor's phone number:
Requestor's email:
I acknowledge and agree to the following conditions per Health and Safety Code Section 19850 and
19851,regarding the use of the copies:
1. The copy of the plans shall only be used for the maintenance, operations, and use of the
building.
2. Drawings are instruments of professional service and are incomplete without the
interpretation of the certified, license, or registered professional of record,
3. That subdivision(a) of Section 5536.25 of the California Building and Professional Code
states that a licensed architect who signs plans, specifications,reports, or documents shall not
be responsible for damage caused by subsequent changes to, or use of, those plans,
specifications,reports, or documents where the subsequent changes or uses, including
changes or uses made by state or local government agencies, are not authorized or approved
by the licensed architect who originally signed the plans, specifications,reports, or
documents,provided that the architectural service rendered by the architect who signed the
plans, specifications,reports, or documents was not also a proximate cause of the damage.
S i gnature: Date:
❑ I am the property owner(must sign below).
I declare under the penalty of perjury under the laws of the state of California that the forgoing is true
and correct.
Signature: Date:
❑ 1 am not the property owner. Property owner signed consent is attached.
951-674-3124
130 S.Main Street
Lake Elsinore,CA 92530