Fillable Initial Affidavit Of Compliance Form 10 11 19 (City of Oakland)

Fill Online, Printable, Fillable, Blank Initial Affidavit Of Compliance Form 10 11 19 (City of Oakland) Form

Use Fill to complete blank online CITY OF OAKLAND (CA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Initial Affidavit Of Compliance Form 10 11 19 (City of Oakland)

On average this form takes 4 minutes to complete

The Initial Affidavit Of Compliance Form 10 11 19 (City of Oakland) form is 1 page long and contains:

  • 1 signature
  • 2 check-boxes
  • 12 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Oakland

BROWSE CITY OF OAKLAND (CA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
City of Oakland
Planning and Building Department
250 Frank H. Ogawa Plaza, 2
nd
Floor
Oakland, CA 94612
Mandatory Soft Story Retrofit Program
510-238-3344
Initial affidavit of Compliance 10/11/2019
Initial Affidavit of Compliance
_________________________________________________ _______________________________________________
Subject Property Address Parcel Number
In accordance with OMC Section 15.27.050.C and under penalty of perjury, I certify I have received a Seismic
Evaluation and Schematic Retrofit Report for the subject building located at the above address prepared by
the licensed professional listed below.
_________________________________________________ ______________________________________________
Name of Licensed Engineer CA License Number
_________________________________________________ _____________________________________________________
Name Property Owner Authorized Agent Signature of Owner / Agent Date
_______________________________________________________________________________
Mailing Address
_______________________________________________________________________________
City State Zip
_________________________________________________
Telephone
_______________________________________________________________________________
Email Address
Please submit this form as a pdf attachment by email to MandatorySoftStoryRetrofit@oaklandca.gov, with “Initial
Affidavit of Compliance submittal” in the subject line, or as a hardcopy by U.S. mail or in person to:
City of Oakland
Mandatory Soft Story Retrofit Program
250 Frank H. Ogawa Plaza Suite 2340 Oakland, CA 94612
Please DO NOT include the Seismic Evaluation and Schematic Retrofit Report
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Initial Affidavit Of Compliance Form 10 11 19 (City of Oakland)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 24 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document