CLAIMANT NAME ASSESSOR’S PARCEL NUMBER PERMIT NUMBER
ADDRESS OF DWELLING - STREET CITY STATE ZIP
MAILING ADDRESS - STREET CITY STATE ZIP
SIGNATURE OF CLAIMANT OR LEGAL REPRESENTATIVE
SIGNATURE OF CLAIMANT OR LEGAL REPRESENTATIVE
MAILING ADDRESS
RECEIVED
APPROVED
DENIED
REASON FOR DENIAL
FOR ASSESSOR’S USE ONLY
CITY, STATE, ZIP E-MAIL ADDRESS
DATE
DATE
DAYTIME PHONE NUMBER
( )
t
t
1. As the owner of the property described herein, I completed, or will complete, construction on this property on
, and therefore claim the construction exclusion from assessment
provided by section 74.6 of the California Revenue and Taxation Code.
4. The
specic
portions
of
the
project
that
are
eligible
for
this
exclusion
are:
BOE-63-A (FRONT) REV. 4 (05-18)
CLAIM FOR DISABLED
ACCESSIBILITY CONSTRUCTION
EXCLUSION
FROM ASSESSMENT FOR ADA COMPLIANCE
THIS FORM MUST BE FILED WITH THE ASSESSOR
PRIOR TO, OR WITHIN 30 DAYS OF, COMPLETION
OF CONSTRUCTION.
STATEMENTS
2. Iunderstandthisexclusionfromassessmentisapplicableonlytotheconstruction,installation,removalormodicationofany
portion or structural component of an existing building or structure to the extent that it is done for the purpose of making the
existing building or structure more accessible to, or more usable by, a disabled person.
3. I further understand this exclusion does not encompass the exclusion provided by Revenue and Taxation Code
section 74.3 for owner-occupied residences and does not apply to the construction of an entirely new building or structure, or
to the construction of an entirely new addition to an existing building or structure.
THIS EXCLUSION EXPIRES UPON CHANGE OF OWNERSHIP OF THE PROPERTY
CERTIFICATION
I certify (or declare) under penalty of perjury under the laws of the State of California
that the foregoing statements are true and correct.
THE OWNER MUST SUBMIT ALL DOCUMENTS SUPPORTING THIS CLAIM TO
THE ASSESSOR NO LATER THAN SIX MONTHS AFTER THE COMPLETION DATE
STATED IN #1 ABOVE.
THIS CLAIM IS A PUBLIC DOCUMENT AND IS SUBJECT TO PUBLIC INSPECTION.
ERNEST J. DRONENBURG JR., ASSESSOR
1600 PACIFIC HWY., SUITE 103
SAN DIEGO, CA 92101
TELEPHONE: (619) 531-5481
BOE-63-A (BACK) REV. 4 (05-18)
GENERAL INFORMATION
Section 74.6 of the California Revenue and Taxation Code excludes from assessment the construction,
installation,removalormodicationofanyportionorstructuralcomponentofanexisting building or structure to
the extent that is done for the purpose of making the building or structure more accessible to, or more usable by,
adisabledperson.Thisexclusionappliestoanyconstruction,installation,removal,ormodicationcompleted
on or after June 7, 1994.
In order to receive the exclusion, the property owner shall notify the Assessor prior to, or within 30 days of, the
completionoftheprojectthatheorsheintendstoclaimtheexclusionforimprovementsmakingthebuildingor
structure more accessible to, or usable by, a disabled person. All documents necessary to support the exclusion
shallbeledbythepropertyownerwiththeAssessornotlaterthans ix months after the completion o f t he
project.
Forpurposesofsection74.6:
Disabled person means a person who suffers from a physical impairment that substantially limits one or more of
thatperson’smajorlifeactivities.
This exclusion shall apply to existing buildings or structures except for those buildings or structures that qualify
for the exclusion provided for in subdivision (a) of section 74.3.
Theconstruction,improvement,modication,oralterationofanexistingbuildingorstructuremayinclude,but
isnotlimitedto,accessramps,wideningofdoorwaysandhallways,barrierremoval,accessmodicationsto
restroomfacilities,elevators,andanyotheraccessibilitymodicationofabuildingorstructurethatwouldcause
it to meet or exceed the accessibility standards of the 1990 Americans with Disabilities Act (Public Law 101-336)
and the most recent edition to the California Building Standards Code that is in effect on the date of the application
for a building permit.
The exclusion provided for in this section does not apply to the construction of an entirely new building or
structure, or to the construction of an entirely new addition to an existing building or structure.
The property owner, primary contractor, civil engineer, or architect shall submit to the Assessor a statement that
shallidentifythosespecicportionsoftheprojectthatconstituteconstruction,installation,removal,ormodication
improvements to the building or structure to make the building or structure more accessible to, or usable by, a
disabled person.