HomeMy WebLinkAboutAffidavit for Copy & Owner Consent Forms951-674-3124
130 S. Main Street
Attn: City Clerk
Lake Elsinore, CA 92530
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.
Signature: 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:
I am not the property owner. Property owner signed consent is attached.
OWNER CONSENT FOR COPY OF PLANS
Please provide copies of plans for the structure at
Address)
to .
Requestor’s name)
Owner of Structure (s)
I, the undersigned, attest that I am the owner of the structure at the above address, and I hereby
consent to the City of Lake Elsinore to provide copies of the plans to the person noted above.
Governing Body for common Interest Development
I, the undersigned, attest that: (1) I am a representative of the board of directors or governing
body of the association established to manage the common interest development of which the
structure at the above address is part; (2) I have the authority to sign this Owner Consent for
Copies on behalf of such board of directors or governing body; and (3) the board of directors
or governing body consents to the City of Lake Elsinore providing copies of the plans to the
person noted above.
Owner’s Name:
Owner’s Address:
Owner’s Number:
Owner’s E-mail:
Owner’s Signature:Date:
Title:(representative of association)
Please return this form along with the signed Affidavit.
951-674-3124
130 S. Main Street
Attn: City Clerk
Lake Elsinore, CA 92530