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01_Notice of Completion Form_Playground Phase 1

San Marino City Council
January 14, 2026

Document
01_Notice of Completion Form_Playground Phase 1
Meeting
January 14, 2026
Body
San Marino City Council
Original file
229 KB
Text extracted from the city's file for reading and search. Open the original on cityofsanmarino.primegov.com. That file is the official record.

S7130-0001\2310843v1.doc

RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO:

CITY CLERK

CITY OF SAN MARINO
2200 Huntington Drive
San Marino, CA 91108
Free recording requested per Gov’t Code 27383 Space above this line for Recorder’s use

NOTICE OF COMPLETION
Notice pursuant to Civil Code Section 9204, must be filed within 15 days after completion.

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 SAN MARINO

3. The full address of the owner is: 2200 HUNTINGTON DRIVE, SAN MARINO, CA 91108

4. The nature of the interest or estate of the owner is: In fee title

5. The full names and full addresses of all persons, if any, who hold this with the undersigned as joint tenants or as tenants in common are:

NAMES ADDRESSES

6. The full names and full addresses of the predecessors in interest of the undersigned. IF the property was transferred subsequent to the commencement of the work or improvements herein referred to:

NAMES ADDRESSES

7. A work of improvement on the property hereinafter described was completed on April 4, 2025. The work was; Lacy Park Playground Replacement Project Phase I; install new swingset and playground equipment structure for ages 5-12 at Lacy Park, remove existing structures. Project No. 50-7039

8. The name of the contractor, if any, for such work of improvement was Pacific Play, Inc. October 25, 2024
(IF NO CONTRACTOR FOR WORK OF IMPROVEMENT AS A WHOLE, INSERT 'NONE") (DATE OF CONTRACT)

9. The property on which the work of improvement was completed is in San Marino, County of Los Angeles, State of California, and is described as follows: Lacy Park; City-owned park located at 1485 Virginia Rd.

San Marino, CA 91108.

10. The street address of the property is: 1485 Virginia Rd. San Marino, CA 91108 (IF NO STREET ADDRESS HAS BEEN OFFICIALLY ASSIGNED, INSERT "NONE”) Dated: 01/14/2026
_________________________________________________, Public Works Director
(SIGNATURE OF OWNER OR CORPORATE OFFICER OF OWNER NAMED IN PARAGRAPH 2 OR HIS AGENT)

VERIFICATION
I, the undersigned, say: I am the Director of Parks and Public Works/City Engineer of San Marino, the declarant of the foregoing 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: January 14, 2026 , at San Marino, CA
(CITY) (STATE)
(PERSONAL SIGNATURE OF THE INDIVIDUAL WHO IS SWEARING THAT THE CONTENTS OF THE NOTICE OF COMPLETION ARE TRUE.)

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