HomeMy WebLinkAboutPRR 2025-722 Affidavit for Copy & Owner ConsentCITY OF �
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Affidavit for Copy of Plans
I am requesting copies of plans for a structure located at
and cuxrently on file at the +CYiy of Lake Elsinore Building & Safety Division.
Requestor? s name:
Requestor"s addressQ +
Requestor's phone number:
Rcquestor's cniaiL
t
acknowledge and agree to the following conditions per Health and Safety Code Section 19850 and
1995 1 , regarding the use of the copies:
� . The copy of the plans shall only be used for the maintenance, operations, and use of the
building.
?,
Drawings are inamments of professional service and are incomplete without the
interpretation of the certified, ficense., 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 Changs or uses, including
chanes 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 pause of the damage.
[airy the property owner (mu'3r-TiTn elvw).
Date:
o��
i acclare under tie penalty of perjury u��€�er the lags of the state cif CaifUMia that the forging iN true
and correct.
r�
Signaturr2e� Date:.
� am not the prope-rtyProperty owner. owner signed consent is attached.
951-674-3124
130 S.'Mal'n Street
Attn: City Clerk
Lake Elsinore, CA 92530
CITY OE
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OWNER CONSENT FOR COPY OF PLANS
Please provide copes of plans for the structure at
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to
(Requestorl s name)
Owner of Structure (s)
(Address)
11, 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 cornmon interest development of which the
structure at the above address is pari2} 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 goveming 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 -W
..
Owner r s E-mail
Owne
Title:
C.
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Please return this form along with the signed Affidavik.
951-674-3124
130 S. Main Street
Attn: City Clerk
Lake Elsinore, CA 92530
Date: (Zlql���
ative of association)