21-0920_ROSE PAVING, LLC_Preliminary Notice A09/20/2021
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..CALIFORNIA PRELIMINARY NOTICE
.Private andPubiicWork 't'� - - - •>•
... U. .,.. '•In Accordance with CMI;Code Sections_ 8000 through 9566 ;a,r i
PROPERTY, OWNER or Reputed Property Owner or Public Agertcy:
City of San Juan Capistrano 32400 Paseo Adelanto San Juan Capistrano; CA 92675
Construction Lender: "
Under an Order Given By: City Of San Juan Capistrano 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 notide is not intended to reflect upon the.financial condition of the contractor or the persomemployed 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 City Of San Juan Capistrano and has
furnished and will furnish labor, services, equipment or materials of the following general description Asphalt, Seal Coat 8: Lot Marking to
the jobsite located at Calle Winona (city Work), for use in the construction or improvement of Avenida Concento Repairs / Calle Winona
(city Work) I San Juan Capistrano , California I As recorded in the public records of Orange County, California! Property Control #
668-101-23 TR 103 LOT 60 FOR OF LOT; Census Tract / Block: 423.12 / 2, Public.
The estimated value of said labor, services, equipment and/or materials if known is $7,468.05.
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.
I, 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 09/20/2021. 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/O: 9828041
G 10200 Matern Place, Santa Fe Springs, CA, 90670 Job #: 21-006730
714-530-6134 Date: 09/20/2021
By: Jorge Iriban Lisa.Poynter@rosepaving.com
Contact: Lisa Poynter — — — —
Recioient Tyne Tracking ## Name Address
Misc 9214890107899953396796 City Of San Juan Capist 32400 Paseo Adelanto, San Juan Capist, CA 92675
Owner 9214890107899954891597 City of San Juan Capist 32400 Paseo Adelanto, San Juan Capist, CA 92675
11
LPO W, FoLW334545eA 1111111111111111111111111111111111
9214 8901 0789 9954 8915 97
City of San Juan Capistrano
32400 Paseo Adelanto
San Juan Capistrano, CA 92675
go NATIONWIDE
The Construction Notice printed on the reverse side of this document is only a notice and NOT A LIEN
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 Projects, 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 a notice. Vlease
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 entoOnationwidenoticeicom'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.