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Name City Clerk
Street
Address
City &
State
City of Placentia
401 E. Chapman Ave.
Placentia, CA 92870
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City Council Approval:
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Free Recording Per Government Code Section 27383 and 6103.
Deputy City Clerk
NOTICE OF COMPLETION
Notice pursuant to Civil Code Section 3093, must be filed within 10 days after completion. (See reverse side for Complete requirements.)
Notice is hereby given that:
1 The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter described:
2. The full name of the owner is City of Placentia
3. The full address of the owner is 401 East Chapman Avenue Placentia, CA 92870
4. The nature of the interest or estate of the owner is: In fee.
N/A
(If other than fee, strike "In fee" and insert, for example, 'purchaser under contract of purchase," or "lessee")
5. The full names and full addresses of all persons, if any, who hold title with the undersigned as joint tenants or as tenants in common are: NAMES ADDRESSES
N/A
A work of improvement on the property hereinafter described was completed on May 12, 2022. The work done was:
The proiect consisted of furnishing all labor, materials, tools, equipment, appurtenances, and incidentals for Old Placentia City Hall ADA Improvements proiect.
The name of the contractor, if any, for such work of improvement was A2Z Construct Inc.
6. 5881 Snowarass Trail, Jurupa Valley, CA 92509 06/15/2021 (If no contractor for work of improvement as a whole, insert "none") (Date of Contract)
7. The property on which said work of improvement was completed is in the city of Placentia County of Orange , State of California, and is described as follows: Notice of Completion Old City Hall ADA Improvement Project No. 5101.
8. The street address of said property is "none"
Dated: 01-23-2023
Verification for Individual Owner
(If no street address has been officially assigned. insert "none")
CITY OF PLACENTIA
Signature of owner or corporate officer of owner
named in paragraph 2 or his agent
VERIFICATION
I, the undersigned, say: I am the City Administrator
("President of", "Manager of", "Owner of", etc.)
Notice of completion; I have read said notice of completion and know the contents thereof; the same is true of my own knowledge.
I declare under penalty of perjury that the foregoing is true and correct. the declarant of the foregoing
Executed on
(Date of Signature.)
NOTICE OF COMPLETION — WOLCOTTS FORM 1114 — REV. 6-74
, 2023 , at Placentia
(City where signed.)
, California.
(Personal signature of the individual who is swearing
that the contents of the notice of completion are
true.) -
8 pt. type or larger
ATTACHMENT 1