21-0209_ROSE PAVING, LLC_Preliminary Notice BWO# 9286881 - CA
Nationwide Notice
PO Box 542165
LW, FL 33454 11111111 1111111111111
9214 8901 0789 9925 9642 99
Patch List 2020-2021
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
NATIONWIDE
4" N O T I C E
The Construction Notice printed on the reverse side of this document is only a notice and NOT A Ur -M
and is not recorded against your property-. This notice is not a reflection of the credit worthiness or
financial standing of any contractor nor is it an indication of their ability or desire to pay their bills. It is merely
a letter informing the owner of the property and/or general contractor that Rose Paving, LLC has supplied or
will supply services, equipment and/or materials. Failure to ensure that their vendor is paid may result in a
lien being placed on your property and your paying twice for the materials and/or services provided to you by
the vendor listed on the opposite side of this notice. If you have paid or are about to pay your contractor, ask
them for a release of lien to ensure their vendor is paid. If you have any questions about this notice, please
call Nationwide Notice at (561) 228-1114.
Notices Filed on Project: The undersigned requests a copy of the Notice of Completion, Notice of
Cessation, Notice of Commencement and the Construction Lender (if not listed on the reverse side)
relating to the improvements of the property described on the reverse side of this document. If none is
currently available, this is an ongoing request should one become available in the future. Please send a copy
via fax to 561-439-6614, by email to ento@nationwidenotice.com or by certified mail to Nationwide Notice,
Inc. PO Box 542165, Lake Worth, FL 33454.
Bonded P-rojects, Updated Owner and General/Prime Contractor Information: The undersigned
requests a copy of the payment bond or trust relating to the improvements of the property described on the
reverse side of this document. If none is currently available, this is an ongoing request should one become
available in the future. The undersigned also requests any updated Owner and General/Prime Contractor
information including the name and address if different from the information printed on the notice. Please
send a copy via fax to 561-439-6614, by email to ento@nationwidenotice.com or by certified mail to
Nationwide Notice, Inc. PO Box 542165, Lake Worth, FL 33454.
Notice: If the work being done on the property described on the reverse side of this document is for
improvements to the property which were ordered by a lessee/tenant, please forward a verified copy of the
lease provision or a copy of the recorded Notice of Non -Responsibility to the undersigned by fax to
561-439-6614, by email to ento@nationwideiiotice.com or by certified mail to Nationwide Notice, Inc. PO Box
542165, Lake Worth, FL 33454. If you fail to provide this information within 30 days, or serve a false or
fraudeulent copy, your interest as lessor may be subject to a construction lien in favor of the undersigned. If
you require information regarding contractor payment status, please contact Rose Paving, LLC at the number
located at the bottom of the notice.
Nationwide Notice, Inc.
02/09/2021
CALIFORNIA PRELIMINARY NOTICE
Private and Public Work
In Accordance with Civil Code Sections 8000 through 9566
PROPERTY OWNER or Reputed Property Owner or Public Agency:
City Of San Juan Capistrano 32400 Paseo Adelanto SAN JUAN CAPISTRANO, CA 92675
Construction Lender:
Under an Order Given By: Patch List 2020-2021 32400 Paseo Adelanto San Juan Capistrano CA 92675
General/Prime Contractor: ,
NOTICE TO PROPERTY OWNER
EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, if the person or firm that has given you this notice is not paid in full for
labor, service, equipment or material provided or to be provided to your construction project, a lien may be placed on your property.
Foreclosure of the lien may lead to loss of all or part of your property. You may wish to protect yourself against this by 1) requiring your
contractor furnish a signed release by the person or firm giving you this notice before you provide payment to your contractor, or 2) any other
method that is appropriate under the circumstances. This notice is required by law to be served by the undersigned as a statement of your
legal rights. This notice is not intended to reflect upon the financial condition of the contractor or the person employed by you on the
construction project. If you record a notice of cessation or completion of your construction project, you must within 10 days after recording,
send a copy of the notice of completion to your contractor and the person or firm that has given you this notice, The notice must be sent by
registered or certified mail. Failure to send the notice will extend the deadline to record a claim of lien. You are not required to send the
notice if you are a residential homeowner of a dwelling containing four or fewer units.
NOTICE IS HEREBY GIVEN that Rose Paving, LLC , is a subcontractor and/or supplier to Patch List 2020-2021 and has furnished and
will furnish labor, services, equipment or materials of the following general description Asphalt to the jobsite located at 32400 Padeo
Adelanto, for use in the construction or improvement of Patch List 2020-2021 / 32400 Padeo Adelanto / San Juan Capistrano ,
California / As recorded in the public records of ORANGE County, California / Property Control # 668-101-23 Lot 60 Tr 103; , Public .
The estimated value of said labor, services, equipment and/or materials if known is $134,016.00.
Trust Funds to which Supplemental Fringe Benefits are Payable or Laborers Due Compensation for the Project (if applicable) identified below.
REQUEST IS HEREBY MADE in accordance with CA §8208 for Name and Address of Property Owner, Construction Lender (if any)
and Surety Company (if applicable) if not listed below. The undersigned claimant hereby declares that he has supplied or will supply
labor and/or materials as described above, that the payment has not yet been made therefor, and that he hereby requests that the
contracting body furnish a certified copy of the Payment Bond, if any, to the claimant, at the address listed below.
1, Jorge Iriban, declare under penalty of perjury, that the foregoing is true and correct and declare that I served copies of the above
Preliminary Notice by First Class or Certified Mail, postage prepaid, on 02/09/2021. If the article has a tracking number indicated below, it
was served by Certified Return Receipt Mail. If there is no tracking number indicated below, it was served by First Class Mail.
Agent For: Rose Paving, LLC W/0:9286881
10200 Matern Place, Santa Fe Springs , CA, 90670 Job #: 20-007930
714-530-6134 Date: 02/09/2021
By: Jorge Iriban Lisa.Poynter@rosepaving.com
Contact: Lisa Poynter
Recipient Tvoe Tracking #4 Name Address
Owner 9214890107899926206299 City Of San Juan Capist 32400 Paseo Adelanto, SAN JUAN CAPIST, CA 92675
Misc 9214890107899925964299 Patch List 2020-2021 32400 Paseo Adelanto, San Juan Capist, CA 92675