Brisbane Extension Request Form

For each reporting cycle, a property owner may request an extension for submitting a benchmarking report and the Department shall determine whether an extension under this subsection applies to a building.

Please complete and submit this form by April 15th of the deadline year. A property owner may be granted up to three (3) extensions of sixty (60) days each. One property per form. One form per benchmarking year.

More details are available within section 15.77 of the ordinance.

Contact Information

First Name *

Last Name *

Title *

Company *

Phone Number *

Email Address *

Covered Building Street Address *

Covered Building City *

State *

Covered Building Zip/Postal Code *

Brisbane Unique Building Identifier (UBID) can be found on the Building ID Lookup Tool.
*

Extension Request Details

Length of extension requested *

Reason for requesting a time extension * 🛈

Financial or Legal Distress *

The property is under the control of a court-appointed receiver as a result of financial distress;

The property is owned by a financial institution as a result of borrower default;

The property has been acquired by a financial institution via deed in lieu of foreclosure;

The property is encumbered by a senior mortgage subject to a notice of default;

The property is an asset subject to probate proceedings;

The property is subject to a State of California Board of Equalization (BOE) Welfare Property Tax Exemption and the cost of complying with the reporting requirements will exceed or significantly deplete existing cash flow. The property owner must provide proof of a BOE-issued organizational clearance certificate and, where the property owner is a limited partnership, provide a supplemental clearance certificate.

Substantial Hardship *

The property owner, or tenant if applicable, is unable to timely comply due to substantial hardship. Substantial hardship shall mean circumstances by some verifiable level of adversity or difficulty from which the department determines a property owner, or tenant if applicable, would not be able reasonably to satisfy the obligations of this chapter.

Supporting Documents

Supporting Document 1

Supporting Document 2

Additional Comments: *

If you have any questions or need any further assistance, please contact us at bbep@brisbaneca.org or 415-347-2010. More information is available on our website at www.brisbaneca.org/bbep.

Submission

I affirm I am the owner or the owner’s representative of the building covered by the Brisbane Building Efficiency Program. I affirm that I have not falsified, concealed, or covered up by any trick, scheme, or device a material fact related to the request for extension for the benchmarking program. *

I affirm

Date/Time * +