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How to use or fill out Form 110 'Permit Declarations' - City of Berkeley, California
- Click ‘Get Form’ to open it in the editor.
- Begin by entering the project address and permit number at the top of the form. This information is crucial for identifying your application.
- For licensed contractors, complete the Licensed Contractor’s Declaration and Information section. Fill in your company name, license number, class, and expiration date.
- Property owners must complete the Owner Builder Declaration. Indicate your exemption status by checking the appropriate boxes and provide a signature.
- If applicable, fill out the Worker’s Compensation Declaration. Choose one of the options regarding workers’ compensation coverage and provide necessary details such as carrier name and policy number.
- Review all declarations carefully to ensure accuracy before signing at the bottom of the form. Your signature affirms that all information provided is true under penalty of perjury.
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See more Form 110 "Permit Declarations" - City of Berkeley, California versions
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2019 | 4.8 Satisfied (84 Votes) |
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Can I type my electronic signature on my Form 110 "Permit Declarations" - City of Berkeley, California?
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