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Address UniUSuite <br />BUILDING..-INSPECTION RECORD <br />Site Work Remarks Signature t.D. <br />Setbacks <br />Foms,/ Steel / Holdowns <br />Slab Flool <br />Steel <br />Pool Fence <br />Masonry <br />N etc,: <br />ru OTVNER.BUILDER DECLARATION <br />I hersby affirm uoder p€nalty of prjury thal I am 6x6mpl from th6 Conlraclors LicoBa Law for lho follol /ing r€ason <br />(Sec. 703'1.5 Businoss and P.ofessions Cod6)iAny cily or county whlch roquirG. p€rmit lo coislruc{, all.r, <br />improv6, d6molish, or repair any druclu.s, prior lo il6 ir,surnc., elso requircs lh6 epplica. for 6uch pormit lo til. e <br />sionsd statgmsnl lhat ho or 3h6 is licons€d puBuant lo lh6 provisions of th6 Conlraclors' Llcenso Law (Chapler 9, <br />commsncing with Seciion ruO of Division 3 of th6 &rsin63s and Prof63sion8 Code) or lhat ho or Bh€ is .xempl <br />lhorefrom end th6 basL for th€ all€96d 6x.mpllon, Ary vlolatlon of S*llon 7031.5 by any epplicanl for e pomit <br />subjocls lha applicent to a civil p€nafiy o{ nol moro lhan filr hundisd dollars (35OO). <br />_1. a6 ov'nor of lh€ prop€rty, or my omploy€€s wilh u/ages es thak sol6 comp€nsalioh, will do lho wo*. end th5 <br />slructuro is nol inlood€d o. ofor€d for salo (Soc. 7(N.1, Bu6in66s and Profossions Cod€: Tho Conkaclors' Lbonss <br />Law doos nol apply to an o$mor ol lhe prop€.ly who builds or lmprovG lh6r6on, .nd wllo dooa auch woIf himsolf or <br />horsolf or through his or hor olivll omploryess, provid€d lhal &rch improwmenls ar3 nol inl€nd€d or ofi6r€d for 6a16. lf, <br />hov'rsvor. th€ building or improvomonl b sold within one y6ar ot complolion, the Oanor-Buildor will hevo lho burdcn <br />of proving that h6 or 3h6 did nol build or lmprovB for th6 porposs of sal6). <br />_1, .a ownor of lh6 prop€rty, am orcluaively conlracling wilh licomod conlaaclors to coalslaucl lh6 projocl (Sac. <br />7(X4, &l3ifioss .nd Profsssions Codo: Th. Conllac,lol! Llc.nsc L.w do€s no{ appv lo an ovyr|sr o, prop€iy wlD <br />builda or lmprovoa th€r€on. and who conlEcls lor 3uch proiocts rvilh . Conlraclor(s) licon6€d pursuaol lo llls <br />ContBclors' Lic6m€ Lew.). <br />_l em ox6mpl und€r S€ctlon: . B. a P.C. for thla .€ason. <br />Building Remarks Date Signature <br />Unde, Pinninq (lloor ioistl <br />Foundation Ventilation ,/ t',, <br />Rool Sheath 0_ ./v n -D <br />lnsulation / Ene,gy <br />Dry Wall <br />Exterior Lath <br />Brown Coat <br />Handicap Requirements <br />FRAMING <br />FINAL (Shell only) <br />FINAL {Tenant lmD,ovement}/-f-rf -b <br />Date <br />UFER Ground <br />t.D. <br />' tr/- &-r <br />T€ar