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7 <br />Site Work Remarks Date Signature t.D. <br />Selback6 <br />Fo.ms/SteellHoldowns <br />UFER Ground <br />Slab Floor <br />Stecl <br />Pool Fenc€ <br />Masonry <br />Notes, Remarks, etc,: <br />OWNER.BUILDER DECLARATION <br />I heroby afirm und€r p€nalty of poriury lhal I em oxompt lrom lho Contrec,tors' Licans. Law for lho foll(,l/eing reason <br />(S€c- 7031.5 Businoss and Profsssions Cod6): Any City or County which roquitss a r'€rmit lo cooslruc,l, allar, <br />improve, demolkh, or r6peir any slruclure, prior lo ila lssu.nc!, also rsquhes lh6 applicanl for 6uch p€rmil lo fils a <br />sign6d slal€monl that hs or sh3 is lic6os.d pu.sueflt lo lh6 p.o{bions of lh6 Conllactols Lic6ns6 Law (Chapler 9, <br />commencing wilh S€clion 7(m of Division 3 of th6 Buslnoss snd Prof€3sions Code) or thal h€ o. sho is ersmpl <br />lhorefrom and lh6 basis for lho all€god ox6mptlon. Ary violation of Seclilo 7031.5 by.ny applicant for a p€rmil <br />subjocts lh€ applioant to a civil ponally of nol lnor6 lhen fn€ hundr€d dollara Os(x)). <br />_1, as ovvn€r of lhe proporty, or rrry 6mploy6€s with v'lag6s as thoir 60l€ comp€nsalaoh, will do th€ $rork. and lho <br />sl.uclurs is flot inlsndod or ofiered for sals (Sec. 7044, Bu6lnoss and Prof6sions fu€: Ths Conlrac,tora Lic€ns€ <br />Law doos nol apply lo an ownor of lh6 proporly who builds o. improv€s lh€roon. and who dca such u/ork himsolf or <br />h€rEolf or lhrough his or her qvm smploy€€., provid€d lhal 3uch lmprovomonls sre nol inlsnd.d or oi6r6d for 6sls. lr, <br />hor/vovor, tho building or improvoment is sold wilhir ono ysar ol complslion, lho Own.FBuildor will havo lh6 burd.n <br />of proving that h6 or sho did not build or improvo for tho purpo6o o{ Balo). <br />_1, as olvner of lhe prop€rty, am erclusivoly coolracling wlh lic€ns€d contraclors lo con3lrucl tho proi€cl (S€c <br />7(xrl, Businoas alld proraGaions Codor Th6 Conlrectors Lic6m6 Lrw doss nol appty lo an olyior of proporly who <br />bulldE or impiovEs lh6r6on, end wllo conFacls for such prol6ct6 with a Conlraclo(s) lican66d pursuanl lo lh6 <br />Contreclors'.Llc.n5o Larr.). <br />_l am cxompl und6a <br />Building Remarks Date Signature t.D. <br />Under Pinninq (floor ioisl) <br />Foundation Venlilation <br />Roof Sheath <br />lnsulation / Energy <br />Ory Wall <br />Erterior Lath <br />Brcwn Coat <br />T-Bal <br />Handicap Require,nents <br />FRAMING <br />-'/FINAL (Shell only)oFINAL fienant lmorovement)6.-LW s[,,r,d, ( <br />Dals <br />Address: Uniusuite:_ <br />BUILDlNG ... INSPECTION RECORD <br />B. A P.C. for lhis rason.