HomeMy WebLinkAboutBuilding and Safety Records RequestAffidavit 1214221 OF 2
1.Send me records that are NOT protected or stamped. Return this form to
buildingrecords@cityofpalmdesert.org with complete address information, we will respond with all records
available on subject address that are not protected or stamped.
Address:
2.I require a copy of ALL records including all protected or stamped plans. Return the affidavit
portion of this form. To release a copy of protected or stamped plans/documents we require
written authorization from both the property owner and the architect/engineer of record.
Address:
CITY OF PALM DESERT
Building & Safety Department
73-510 Fred Waring Dr., Palm Desert, CA (760) 776-6420
REQUEST FOR BUILDING RECORDS
I certify the following conditions:
1.That the copy of the plans shall only be used for the maintenance, operation and use of the
building.
2.That drawings are instruments of professional service and are incomplete without the interpretation
of the certified, licensed or registered professional of record.
3.That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a
licensed architect who signs the 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 governmental 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.
DUPLICATION OF THE ORIGINAL COPY OF PLANS WILL NOT BE MADE UNTIL WRITTEN
PERMISSION AND/OR SIGNATURE IS RECEIVED FROM THE CERTIFIED, LICENSED OR
REGISTERED PROFESSIONAL OF RECORD OR HIS OR HER SUCCESSOR; OR A PERIOD OF
30 DAYS HAS ELAPSED AND NO RESPONSE HAS BEEN RECEIVED
APPLICANT
Name Date
Address City State Zip Code
Phone Number
Signature
2 OF 2
ARCHITECT
Name Date
Address City State Zip Code
Phone Number
Signature
ENGINEER
Name Date
Address City State Zip Code
Phone Number
Signature
As the certified, licensed, or registered professional who signed the original documents for the project
address below, or his or her successor, we are required by law to notify you that the undersigned has
requested copies of your signed plans. We are required, in return, to request written permission to do so
from the certified, licensed, or registered professional, or his or her successor and original or current property
owner.
Health and Safety Code Section 19851 Inspection and duplication of plans
The copy may not be duplicated in whole or in part except (1) with the written permission, which permission
shall notbe unreasonably withheld as specified in subdivision (f), of the certified, licensed or registered
professional or his or her successor, if any, who signed the original documents and the written permission of
the original or current owner of thebuilding, or , if the building is part of a common interest development,
with the written permission of the board of directors or governing body of the association established to manage
the common interest development , or (2) by orderof a proper court.
HOME OWNER
Name Date
Address City State Zip Code
Phone Number
Signature