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Address:UniUSu <br />a' <br />BUTLDING -.. TNSPECTIO[i RECORD <br />Site Work Remarks Date Signature t.D. <br />Setbacks <br />Forms/Steel/Holdowns <br />UFER Ground <br />Slab Floor <br />I <br />Stee] <br />Pool Fence <br />Masonry <br />7a <br />Building Remarks Date Signature <br />Under Pinning (floor ioist) <br />Foundation Ventilation ffil*-Roof Sheath 3rG+g <e <br />lnsulation / Enerqy <br />Div waii <br />Exterior Lath <br />Brown Coat <br />TSar <br />Handicap Requirements <br />I <br />FRAMING <br />FINAL (Shell only)I <br />FINAL (Tenant lmorovernent)4.r"-*z )H-J^4",Notes, Remarks, etc.: <br />OWNER-BUILDER DECLARATION <br />I hereby affirm under penalty of periury thal I am exempl from lh€ Contraclors'for lhe follorrring reason <br />(Sec. 7031.5 Business and Professions Code): Any City or County which require a permil lo conslruct, alter, <br />improve, demolish, or repair any slructure, prior lo ils issuanc€, also requires lhe applicant for such p€rmil to lile a <br />signed slalomont thal he or she is licensed pursuanl lo lhe provisions of th6 Contractors' License Law (Chapler 9, <br />commencing wilh Seclion 7000 of Division 3 of the Business and Professions Coda) or lhal he or she is oxempl <br />lherofrom and lhe basis for the alleged exemption. Any violation of Seclion 7031.5 by any applicant for a permil <br />subjects the applicant to a civil penalty of nol more than five hundred dollars (9500). <br />-1, <br />as-qw19! cfr fttg. plq€r$rof riy employees wilh wages as lhoir sole comp€nsalion, will do lha wo*, and lhe <br />slructur€ ia nAl intoqlgd or-ofetertlir sate (Soc. 7(X4, Business and Profassions Code: The Conlrac,lors' License <br />Law does not apply io?n ownei of the property wtro builds or improves lhereon, and who does such urcrk himsolf or <br />h€rseJf or through his or her orn employaes, provided lhal such improvemenls aro not inlended or ofrered for sale, lf, <br />hovnever, the building or improvemanl is sold wilhin one year of completion, lhe Orvner-Builder will have the burden <br />of proving thal he or she did not build or improve for lhe purpose of sale). <br />-1, <br />es otlrner of lh€ property, am exclusively conlracling with licensed contraclors lo conslrucl lhe projecl (Sec. <br />7044, Business and Professions Code: The Conlraclors' License Law does nol apply to an or.rn€r of prop€rty who <br />builds or improves thereon, andwho conlracls for such prorocls with a Contraclor(s) licensed pursuant lo the <br />Conlraclors' Licenso Laqr): . , -.- <br />' :'Il,i <br />_l em exompl under <br />Orner: <br />B. & P.C. for lhis reason. <br />I <br />I <br />I <br />I <br />I <br />I <br />I-t: <br />I <br />I <br />I <br />I <br />I <br />I <br />F. I