1996-1218_PARSANS CONSTRUCTION COMPANY_Preliminary Notice e — � FORM 105–C
PRELIMINAR\ 20-DAY NOTICE NOTICE TO PROPERTY OWNER
(This form may be used on both public and private projects) If bills are not paid in full for the
labor, services, equipment, or mate-
TO: CONSTRUCTION LENDER (Or Reputed Construction Lender) (if any) rials furnished or to be furnished, a
mechanic's lien leading to the loss, Li
Name through court foreclosure proceed-
ings, of all or part of your property O
Street being so improved may be placed 0
against the property even though you J
City, State, Zip have paid your contractor in full. You m
may wish to protect yourself against
TO: OWNER (Or Reputed Owner) PUBLIC AGENCY this consequence by(1)requiring your 0LU
On Private Work) contractor to furnish a signed release Q
( (On Public Work) by the person or firm giving you this u)
Name CITY OF SAN JUAN CAPISTRANO notice before making payment to your }
contractor or(2) any other method or °-
Street 31642 EL CAMINO REAL AVE . device that is appropriate under the 0
circumstances.
City, State, Zip SAN US', 'AP I SIT ANO, CA . 92675 0
MAILING INSTRUCTIONS r
TO: ORIGINAL CONTRACTOR (Or Reputed Original Contractor) (1) If the person resides in Califor-
a?ARA�. CONSTRU: ,_ �.,: - " 511415 nia, the notice may be served by first o
Name class registered or certified mail, post- 1--
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Street 5154 BELL AIRE AVE . age prepaid, addressed to the person
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at his or her residence,or place of busi- E--
City, State, Zip NORTH HOLLYWOOD, CA. 916ness address, or at the address shown o
by the building permit on file, or at 0
the address shown on a recorded Con- ___I
General description of the labor, service, equipment, or materials furnished, or to be z
struction Trust Deed.
furnished and an estimate of the total price thereof: (2) When service is made by first cT
class registered or certified mail, serv- O
I i i t CA 1 5 ii V 16 ' Di- . t' 46.00 r L'K ice is complete at the time of the de- a
posit of mail. o
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If this notice is given by a subcontracui
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tor who is required under a collective co
bargaining agreement to pay fringe
benefits, the names and addresses of
the fringe benefits trusts follow: 0
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NAME AND ADDRESS OF CLAIMANT GIVING THIS NOTICE cp
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Name BERYL LOCKHAR`P ENTER. m
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Street 06 TUJUNGA AVE . a.
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City, State, Zip SUN V' T T '" . CA . o, ,r? cc
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NAME OF PERSON OR FIRM THAT CONTRACTED TO PURCHASE THE LABOR, 0
SERVICE, EQUIPMENT, OR MATERIALS
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Name '7 & H 1)R ILT J NG & FXCA V ATIO PROOF OF SERVICE AFFIDAVIT 0
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DESCRIPTION OF JOB SITE SUFFICIENT FOR IDENTIFICATION The undersigned served copies of E
this Preliminary 20-Day Notice by first
Ar PR0Pk'.it 1Y LANE .bUAttli: NG f H class registered or certified mail, post- cc
age prepaid,on the persons and at the o
ADJACEVT TO SCHOOL YARD. addresses shown on: z
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t2-1p_ '1 >-
(Date) a-
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STAPLE RETURN RECEIPTS HERE I declare under penalty of perjury Lu
under the laws of the State of California 1—
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that the foregoing is true and correct.
_ Dated: ..
Signatur -0....o.AZ .
FORM 105-C— 1996—A BNI BUILDING NEWS FORM PREPARED BY JAMES ACRET