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Address UniUSuite: <br />BUILDING ... INSPECTI ON RECORD <br />Site Work Remarks Date Signature t.D. <br />Setbacks <br />Forms/Steel/Holdowns <br />UFER Ground <br />Slab Floor <br />Steel <br />Pool Fence <br />Masonry <br />Notes, Remarks, etc.: <br />OWNER-BUILDER DECLARATION <br />I heroby affirm under p€nally ol p€rjury thal lam exompl |rom lhe Conlraclors Law for lhe follo\ ring rsason <br />(Sec. 7031.5 Busin66s and Protassions Cods): Any City or County which r€quiGs e pormil lo conslrucl, all6r, <br />improva. d€molish, or r€pair any slructur€, prior lo ils issuanco. also roquirs€ lh€ spplicafll for Buch pormit tofll6 a <br />signsd slalemsnl thal h6 or she is lic6ns6d puBuanl lo lh6 provisions of lh6 Contractors' Licons€ Law (Chapler 9, <br />commgncing wilh Seclion 7000 of Oivision 3 ol lho Eusin€ss and ProlsssioB Code) or lhat he or sh€ is sxempl <br />thororlom and lh6 basi6 for lh8 allgg€d exomplion. Any violalion of S6c,llon 7G,1.5 by any applicanl for a pormil <br />subjscls lho applicrnt lo a civil p6nal9 o{ nol mor6 than li\,€ hundrod dollars (isfl)). <br />_1, as ovrnor or lh€ property. or rrly omployses wilh u€06s .s lhok sole comp6nsalion. will do lho rvort, and the <br />slruc'lurs is ltol iol6nd6d or ofsr.d for selo (S6c. 7(X4, Busin€s6 and Pml63sion6 Cod6: Th€ Conlractora Lic€ns€ <br />La doos nol apply lo an own6r of lho pmporly who builds or improv€G lhor6on, and who doos such $torl himsoll or <br />hsrs€I or through hb or hd own omploy6€. providod thal such lmprovomonb aro nol lntended or ofr€rod for 6816. f, <br />hoylrovor, th6 building or impror€m€nl is sold within on6 Far ol complstion, th€ O/vn6r-&rildor will her€ lh€ burdoo <br />ol proving that ho or sho did not build or amprov6 fo. the purpoco of sslo). <br />_1. es ov\,ior of lhe proP€rly, am oxclusiwv conlracling wilh llcsnssd conlraclors to conslruot th6 proi6cl (S€c. <br />7M!. Busino6s and Prof66sions Cod6: Th€ Contractors Lic€ffi€ Law doaa nol epply lo an ownor of prop€rly who <br />buiid6 or improvo5 th€r6on, and wlto cor{racls for such proj€cls with a ConlEc{o(s) lic6ns€d pursuent to tho <br />Contraclori' Liconso Law.). <br />-l <br />am ox6mpl undsr S*'lion: <br />Building Remarks Date Signature t.D. <br />Under Pinninq (floor ioistl <br />Foundatlon Ventilation <br />Roof Sheath <br />lnsulation / Energy <br />Exterior Lath <br />T+lar <br />FRAMING <br />AFINAL (shell only) <br />FINAL (Tenant lmDrovementl U4q-11 LUJ.*1a <br />Dal€: <br />Erown Coat <br />Ory Wall <br />Handicap Requilemerfs <br />B. & P.C. for this raason.