742 CLAUDINA ST (2)Permit Types
BLD ELE MEC PLM
X
Pii. tNumber:BCS h7illi2bt-
Issued:03/14/2023
www.anaheim.neUbuilding
(714)765-4626
Quarter Section: 82
Site Address: 742 N CLAUDINA ST, ANAHEIM, CA 92805
Legal Description: N TR 158 BLK B LOT 5
APN:03508404
WORKER'S COMPENSATION DECLARATION:
CITY OF ANAHEIM
BUILDING DIVISION _
200 S. ANAHEIM BLVD.
(714)765-5153
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED
FOR IN SECTION 3706 OR THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for worker's compensation, issued by the Director of Industrial Relations as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
./ I have and will maintain worker's compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which
this permit is issued. My worker's Compensation insurance carrier and policy are:
Carrier. STATE COMPENSATION INSURANCE FUND Policy No.: 9255737 Expiration Date: 10/1/2023
Name of Agent: Phone No.:
I certify at in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the
workerto"enation laws of California, and agree that, if I should become subject to the worker's compensation provisions of Section 3700 of the
shall forthwith comply with those provisions.
Signature
Date
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY:
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued
(Sec.3097.Civ.C):
Lender's Name:
Lender's Address:
LICENSED CONTRACTOR'S DECLARATION:
I hereby affirm under the penalty of Perjury that 1 am licensed under provisions of chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code, and my license is in full force and effect.
Jia� 3-(q-I-�
Contractor Si(inatbreDate
NUMBER EXPIRATION DATE LICENSE TYPE (S)
1054848 06/30/2023 C39