09030186CITY OF CUPEKIIJVU
BUILDING DIVISION PERMIT
BUILDING ADDR
20875
OWNER'S NAME:
ARCHITECT/ENGINEER:
0 a LICENSED CONTRACTOR'S DECLARATION
ul E 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing
U with Section 7000) of Division 3 of the Business and Professions Code, and my license is
7 y in full force and effect.
Z License Class Lie. N
Date Contractor
gg ARCHITECT'S DECLARATION
a < 1 understand my plans shall he used as public records
a cl
U. y Licensed Professional
y OWNER -BUILDER DECLARATION
a I hereby affirm that I am exempt from the Contractor's License Law for the
:mc following reason. (Section 703 1.5, Business and Professions Code: Any city or county
which requires a permit to construct, alter, improve, demolish, or repair any suuclum
! Z prior to its issuance, also requires the applicant for such permit to file a signed statement
T G that he is licensed pursuant to the provisions of the Contractors License Caw (Chapter 9
i H $ (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he is exempt therefrom and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and dee structure is not intended or offered for sale (Sec. 7044, Business
and Professions Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and who does such work himself or through his
own employees, provided that such improvements are not intended or offered for sale. If,
however, the building or improvement is sold within one year of completion, dee owner -
builder will have the burden of proving that he did not build or improve for purpose of
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7144, Business and Professions Code:) The Contractor's Li-
cense Law does not apply to an owner of property who builds or improves thereon, and
who contracts for such projects with a contractor(s) licensed pursuant to the Contractors
License Law.
I am zem tun er Sec j B & P C for th's reason
OwnerDate (%