Apply for Building and Fire Code Board of Appeals

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Summary
Title:Building and Fire Code Board of Appeals
ID:2024CNT-04
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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
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Cover Letter:
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CITY OF SANTA BARBARA ADVISORY GROUP MEMBERSHIP APPLICATION
PERSONAL INFORMATION
Yes   No
Yes   No
YOUTH APPLICANT’S ONLY
Yes   No
Yes   No
Yes   No
EMPLOYMENT INFORMATION

Current Employer

Yes   No
EXPERIENCE/BACKGROUND
Yes   No
Yes   No
STATEMENT OF ECONOMIC INTERESTS

I agree to submit Statements of Economic Interests* in a timely manner, if required, for the group to which I am appointed.

* Additional information regarding Statements of Economic Interests and the Form 700 may be obtained by selecting “Conflict of Interests/Form 700/COI Codes” on the home page of the following web site:

www.fppc.ca.gov.

SIGNATURE

I have read and signed the attached resolution adopting the City’s Nondiscrimination Policy and the Excellence in Customer Service Code of Conduct; and, if appointed, will follow them in the conduct of my duties.

Non-Descrimination Policy.

Code of Conduct.

Building and Fire Code Board of Appeals - Specific Questions
* Per Santa Barbara Municipal Code Sections 22.04.020 (H) (113.1.2) & 8.04.020 (E) (114.1.2), there is a mandatory requirement that the composite of the board have at least three members that are physically handicapped in order to hear items that involve Chapter 11 of the California Building Code and Chapters 11A and 11B of the California Fire Code.

Do you consider yourself to be a member of the physically handicapped community?
Yes
No
Public Record Acknowledgement
* By submitting this application, I acknowledge that completed applications are considered public records and are subject for production if requested, per Government Code § 7920.530.

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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