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#PEX-5214-099053
Supplemental Questionnaire

Last Name
First Name
 

How many years of verifiable professional experience as an engineer or architect, including at least two (2) years of which are equivalent to a Civil Engineer or Class 5268 Architect with the City and County of San Francisco do you possess?

I have less than 6 years of this experience.
I have between 6 years and 6 years 11 months of this experience.
I have between 7 years and 7 years 11 months of this experience.
I have between 8 years and 8 years 11 months of this experience.
I have between 9 years and 9 years 11 months of this experience.
I have over 10 years of this experience.
 

How many years building construction experience in the areas of construction, design, inspection or fire, architectural and structural plan review do you possess? 

I have less than 2 years of this experience.
I have between 2 years and 2 years and 11 months of this experience.
I have between 3 years and 3 years and 11 months of this experience.
I have between 4 years and 4 years and 11 months of this experience.
I have between 5 years and 5 years and 11 months of this experience.
I have over 5 years of this experience.
 

Do you possess a valid California Driver License?

Yes No
 

Do you possess a valid California License as a Civil Engineer and/or Architect (submit copy with application)?

Yes No