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CONTRACTOR REGISTRATION NOTICE & EXEMPTION DECLARATION City of Jerome City Hall 152 East Ave A, Jerome, Idaho 83338 Effective September 1, 2007 pursuant to Idaho Code 54-5209, the city of Jerome, Idaho cannot accept building permit applications unless the applicant provides proof of current contractor registration as required by Idaho State Law. If you are exempt from contractor registration you are required to do the following: Complete the following affidavit by indicating that you are exempt from the registration as provided by Idaho Code 54-5205. In order to complete the affidavit, you must identify the basis for your exempt status including a reference to the Idaho Code subsection which allows the exemption. I certify, under penalty of perjury, that I am exempt from the contract registration requirements of Idaho Code 54-5209. I am exempt because: which is established as an exemption by Idaho Code 54-5205, sub-section I understand that in acting in the capacity of a contract within the meaning of Idaho Code Chapter 54 Title 52 without current registration with the Division of Occupational and Professional Licenses or without being exempt as defined by Idaho Code 54-5205, is a misdemeanor punishable by a fine not to exceed one thousand dollars ($1,000) or by imprisonment in the county jail for a term not to exceed six months, or both. NAME (Please Print): SIGNATURE: DATE: (Please see page 2 for the list) ---PAGE BREAK--- Contractor Registration Exemptions I am not acting with the intent to evade the Contractor Registration requirement and I am exempt from having to register as a contractor according to the following section(s) of Idaho Code: See Idaho Code section 54-5205 for a full description of the below items. 54-5205(2)(a) - (Employee of Licensed or Exempt Person; or Not being paid as work is part of education or charity.) 54-5205(2)(b) - (Government Exemption) 54-5205(2)(c) - (Public Utility - Own Business) 54-5205(2)(d) - (Mining/Drilling Issue) 54-5205(2)(e) - (Delivery/supplier Only) 54-5205(2)(f) - (Less than $2000, cannot be part of a larger project.) 54-5205(2)(g) - (Farm Exemption) 54-5205(2)(h) - (Agricultural Exemption, see IC 39-4116) 54-5205(2)(i) - (Water Districts) 54-5205(2)(j) - (Rural District/Fire Prevention) 54-5205(2)(k) - (Owner of Property, I do not intend on selling the property during construction or 12 months after completion.) 54-5205(2)(l) - (Owner of Property, I acknowledge that I do not intend on selling the property and if I do it is because I have lived in the property for 12 months prior to the sale.) 54-5205(2)(m) - (Owner or Lessee with Consent of Owner - Perform the Work) 54-5205(2)(n) - (Minor Repairs by or with the help of a Licensed Real Estate Agent) 54-5205(2)(o) - (Foresting or Harvesting Exemption) 54-5205(2)(p) - (Renter or Lessee – with permission of owner) 54-5205(2)(q) - (Chemical Company Exemption) 54-5205(2)(r) - (Modular Home Construction to be installed outside of Idaho, see also IC 39-4301)