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Address:Unit/Suite:t <br />D:'r j 'ELECTRICAI, -.. .E{SPECTION RECORD <br />t <br />ma etc. <br />OWNERAUILDER ,TION <br />)I hereby aflirm under penalty of perjury that I am exempt from the Contrac-tors' License Law for lhe following reson <br />(Sec. 7031.5 Busingss and Professions Code): Any City or County wtrich requires a permit lo construci, aller, <br />improve, demolish, or repair any slruc'turo, prior to ils issuance, also requires lhe applicant for such permit lo lile a <br />Eign€d slatement that he or she is licensed pursuanl to lh€ ptovisidrs o{ the Conlraclors' License Law (Chapter 9, <br />commencing wilh Section 7fiX) of Divieion 3 of the Business and Professions Code) or thal he or she is cxempl <br />therefrom and lhe basis for lhe allegsd oxomplion. Any violation of Seciion 7031.5 by any applicant for a permit <br />subi6c-ls lhe applicanl lo a civil p€nany of nol more than liw hundred dollars ($5[X)). <br />l, as orvner of fhe properly, or my employea with rwges as their aole compensatkx, will do tho urort, and th€ <br />struclub!{@i, littend€d or ofiered for eale (Sec. 7Oll. Budnees and Profeosirns Code: The Contr$rs' Lbenss <br />Lay doo6 nol apply to an owner of the property wtro buius or improros lhereon. erld yvho ds arh rvort hlmsalf or <br />hertell or lhrurgh hb or hor oryn omptoyeee, povfdea thal arch improvemenlt are nol intandod or ofiered for aale. lf. <br />hovrlever, lh6 building or improrcment b sold wilhin one year of comdolion, lhc Orvnor-Builder will haw the burden <br />of proving thal he or she did not build or improve for lhe puryce of sale). <br />l, as orvner of tlte proporly, em erchrsiv€ly contraciing wlth licensed co.rlradors lo corrstnrct lhe Pft&tct (S*. <br />7(X4, Buclnos ard Professions fue: The ConlracloG' Lk nso Lew do6 not .pply to an orvnor of Foper{y t yho <br />buiHs or lmForrethereon, end who contrac-ls fa ucfi pr<{ats wilh a Contracior(s) li€n 6d Fr$rant lo tho <br />Contradors' Li6ns. liw.). <br />' '3TOrl' ' <br />_l am uempl under <br />€zntzz. <br />I.D. I I Buitding Rernarks Date Signature I.D.Site-Work Remarks Date Signature <br />Underqround I lrnr", Stab / Ftoor <br />Bondinq / Groundira / UFERllPole Bases <br />Liqht Standards ,L .. I rr."nste.,q,.r*,, <br />-_-.r-t forouroqSnes.Epols, Founlahs <br />tqr iJ r:,I lsuu+anelsSigns (nrcnurnent) <br />r ry lTtvvr <br />ru . HcEpr-TTefTlI lair Conditioners <br />Ci JT <br />I I 43. AiiA PTI4AdI I Rool Top Equimtent <br />Factory Wired Unit <br />Life Safety / Low Voltage Walls (Conduit onlylII <br />Fire Alarm (rough)Walls (Rough) <br />Ceilinqs (Hard and Soffit Roughlll <br />Ceilings[?#ar RoughfIIlI I*oro* <br />/tr t il-I l^oecuruEgr!.{l &ilez/274b/n9 <br />Dale'Orvnef: <br />B. & P.C. for lhis reason. <br />F I <br />lsrnoke Alarm / Oamoersffi <br />lj