9630 SHARON DR 2019-11-07 - Laserfiche WebLink

}... (i )J;1 ) ,F r' 5i 44 }9 f.' 1 -gi i ni:A_ {,y. S Jr }} i i sp a- d 4 M�"f' ji i t t.'' ii , f £S fi i i 71 i, 4 i t >qi�S ,hn '{.Z lZ u}ui(.,..,L`.$ FJ }>>Sk <t It1 R _d� xn i F? ,�,r fyf,,v > : f '! f I Gl .vioivi ELIECTV„ U L>IPbR !i r F `CljAViTh P ` £ l :.. ..t S ....(.j'vt Y, ..K}. ., fi:'. t ..,:.$.,, 1. '. L ..;,T Code Exemptions: A property owner,renter or lessee may purchase a permit to do an electrical installation on his/her own or qualified leased property under the conditions as described in ROW 19.28.261, A nonprofit corporation with current tax exempt status or a nonprofit religious organization may purchase an electrical permit as described in ROW 19.28.091(7). I am applying for the property owner exemption under the following conditions: You must select the option that applies to your situation: I swear under penalty of perjury that: I am a registered general contractor who is installing a temporary electrical service owned by me on a project where I am the general contractor OR I swear under penalty of perjury that I am: EThe owner of real property;or 0 The renter or lessee of real property.(You must provide a signed letter from the owner of the property granting permission for you as the tenant to perform electrical work on the property);or ri A nonprofit corporation that holds a current tax exempt status as provided under 26 U.S.C.Sec.501(c)(3)ora nonprofit religious 1_1 organization,and the total value of the electrical work does not exceed thirty thousand dollars($30,000.00). AND You must select the option that applies to your situation: CA single family residence THAT IS NOT intended for rent,sale,or lease AND I will be personally doing the electrical work AND I will occupy the residence for at least 24 months after completion of the electrical work: A NEW 2,3,or 4 unit residential property that IS intended for rent sale,or lease AND myself and/or a regularly scheduled and paid employee(s)will be doing the electrical work AND I will occupy one of the units for at least 24 months after completion of the electrical work. ri An EXISTING 1,2,3,or 4 unit residential property that IS intended for rent,sale,or lease AND myself and/or a regularly scheduled and paid employee(s)will be doing the electrical work; E A farm AND!,personally,and/or a regularly scheduled and paid employee(s)will be doing the electrical work; E3An EXISTING place of business AND 1,personally,and/or a regularly scheduled and paid ernployee(s)will be doing the electrical work; A NEW place of business that is NOT intended for rent,sale,or lease AND 1,personally,and/or a regularly scheduled and paid employee(s) 1— will be doing the electrical work;or r Other property that is NOT Intended for rent,sale,or lease AND I,personally,and/or a regularly scheduled and paid ernployee(sc will be IL- doing the electrical work. I am a nonprofit corporation that holds a current tax ecempt status as provided under 26 U.S.C.Sec.501(c)(3)or a nonprofit religious r- organization and the total market value of the electrical work does not exceed thirty thousand dollars($30,000.00),and th electrical work will be performed by appropriately certified electricians or certified and supervised trainees who are volunteering and not being compensated for 1 electrical work per ROW 19.28.091(7). Z l AGREE and wish to purchase an electrical permit under the conditions described above. ALISHA C OGSTON Owner Name(Print) i _ e) 1 Owner Signature'' .ate PERMIT f Page 3-Affidavit