Das
y' ///��n►viii\\‘V A NTITrif/l/!//A& • W/��\ //fn1\\\\\V\
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO
r
Name
Street
Address
City &
State
L
City Clerk
City of Placentia
401 E. Chapman Ave.
Placentia, CA 92870
City Council Approval:
J
June 18, 2024
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Free Recording Per Government Code Section 27383 & 6103.
NOTICE OF COMPLETION
Deputy City Clerk
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. 2.
3. 4.
The undersigned is owner or corporate officer of the owner of the interest or estate stated below in the property hereinafter described:
The full name of the owner is City of Placentia
The full address of the owner is 401 East Chapman Avenue Placentia, CA 92870
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
6. A work of improvement on the property hereinafter described was completed on April 19, 2024. The work done was:
The Old Town Sewer Repairs Proiect, City Proiect No. 3301. This work included the repair of two collapsed sewer lines identified by City Maintenance Staff within the Old Town area in need of immediate repair.
The name of the contractor, if any, for such work of improvement was Big Ben Engineering Inc
7. 4790 Irvine Blvd, Ste. 105-404, Irvine, CA 92620 3/19/2024 (If no contractor for work of improvement as a whole, insert "none") (Date of Contract)
8. The property on which said work of improvement was completed is in the city of Placentia County of Orange
3301.
9. The street address of said property is none
, State of California, and is described as follows: Old Town Sewer Repairs Proiect, City Proiect No.
Dated: June 18, 2024
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, Damien R. Arrula ("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.
Executed on June 18 , 2024 , at Placentia , California. (Date of Signature.) (City where signed.)
the declarant of the foregoing
NOTICE OF COMPLETION — WOLCOTTS FORM 1114 — REV. 6-74
(Personal signature of the individual who is swearing
that the contents of the notice of completion are
true.) -
8 pt. type or larger
ATTACHMENT 2