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Project List CONSTRUCTION PROJECT EXPERIENCE FORM Use this form to add to your work experience record. Use a Separate Form For Each Project. If you need additional forms, copy the form or contact the CSLB. Type or Print Legibly in black ink and incomplete forms are not accepted. You will be asked to provide; 1. NAME OF OWNER last, first, Phone number, 2. PROJECT STREET ADDRESS (no post office boxes) city state ZIP code 3. START DATE COMPLETION DATE TOTAL MONTHS 4. TYPE OF PROJECT (for example, residential room addition) 5, TRADES PERFORMED (for example, framing, electrical) 6. PROJECT SIZE (square feet, linear feet or Cubic yards) Building Other 7. YOUR DUTIES AND WORK YOU PERFORMED (for example, prepared plans, obtained permits, installed all sheetrock, installed 4-ton HVAC) 8. YOUR POSITION LEVEL (for example, trainee, apprentice, journeyman, supervisor) 9.EXPLAIN HOW PAST EXPERIENCE, TRAINING, OR EDUCATION PREPARED YOU FOR THE POSITION AT THE LEVEL STATED IN SECTION 8 ABOVE 10. SCOPE OF WORK (for example, placed 600sf of mix & sod; installed 2500 st of concrete roof tile; poured 12 yds of concrete drive: 20 linear feet of cabinetry; 1800sf of carpet/pad) 11. NUMBER OF LABORERS AND TRADES THEY PERFORMED 12. NUMBER OF GENERAL CONTRACTORS OR SUBCONTRACTORS AND TRADES THEY PERFORMED 13. COST OF MATERIALS OR TOTAL COST OF PROJECT Provide as much detail as possible
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