2016-08 Preliminary Notice - Jacobsson Engineering Const., Inc.OWNER or
or Reputed Owner
(private work)
City. of La Quinta
(name)
78-495 Calle Tampico
(address)
CALIFORNIA PRELIMINARY NOTICE
(For use on Private and Public Works)
See Civil Code Sections 8200, et seq., 9300, et seq.
PUBLIC ENTITY
(public work)
La Quinta_ CA 92253
(city) (state) (zip code)
DIRECT CONTRACTOR or
Reputed Direct Contractor, if any
(private and public work)
Urban Habitat
(name)
PO Box 1177
(address)
La Quinta. CA 92247
(city) (state) (zip code)
CONSTRUCTION LENDER or
Reputed Construction Lender, if any
(private work)
None Reported
(name)
(address)
(city) (state) (zip code)
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 fun 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 to provide signed release by the
person or firm that has given you this notice before making 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 ofyour 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.
C&B Revised 7-1-2012
YOU ARE HEREBY NOTIFIED THAT...
Jacobsson Engineering Const., Inc.
P.O. Box 14430
Palm Desert, CA 92255
760-345-8700
(Name and address of person or firm furnishing labor, services, equipment or material)
Subcontractor
(relationship of claimant to the parties)
has furnished or will furnish labor, services equipment or materials of the
following description:
<span style="font-family:Arial;font-size:10pt">Site Utilities</span>
Site Utilities
(general description of the labor, services, equipment or material furnished or to be
furnished)
for the building, structure or other work of improvement located at:
SE Corner of 52nd and SilverRock Way
La Quinta CA
(address or description of job site sufficient for identification, including street address,
if any)
The name of the person or firm who contracted for the purpose of such
labor, services, equipment or material is:
Urban Habitat
PO Box 1177
La Quinta, CA, 92247
An estimate of the total price of the labor, services, equipment or materials
furnished or the be furnished is:
S i $9.7tiQA
Trust funds to which supplemental fringe benfits are payable to:
Diiw l:
Signature
PROOF OF NOTICE DECLARATION
I, Fran Brown , declare that i served copies of the preliminary Notice on each of the parties at the
addresses and on the dates shown below:
Construction Lender: (name) None Reported (title)
(address)
(date)
Owner or Public Entity: (name) City of La Quinta
(address) 78495 Calle Tampico La
(date) 1 1 — 2 6 —
Original Contractor: (name) Urban Habitat
(address) PO Box 1177, La Quinta, CA 92247
(date) —_I 1— 2 6 —1 9
In the following manner (check appropriate box):
[ ] By personal delivery
[d By Registered or Certified Mail (postage prepaid)
[ ] Express mail
[ ] Overnight delivery by
[ ] By leaving the Preliminary Notice with:
, an express service carrier
[ ] (business) a person at least 18 years of age apparently in charge at the office or usual place of business of
the person to be served. I informed him/her of the general nature of the papers.
[ ] (home) a competent member of the household (at least 18 years of age) at the dwelling house or usual
place of abode of the party. I informed him/her of the general nature of the papers.
[ ] (physical address) a person at least 18 years of age apparently in charge at the usual mailing address of the
person to be served, other than a United States Postal Service post office box. I informed him/her of the
general nature of the papers.
[ ] I thereafter mailed (by first-class, postage prepaid) copies of the documents to the person to be served at
the place where the copies were left (Code Civ. Proc. 415.20) I mailed the documents on (date):
from (city) _ or [ ] a declaration of
mailing is attached.
I declare under penalty of perjury, that the foregoing is true and correct. Executed on 1 1 — 2 6 —1 9
at_Palm pasPrt California
(Signature of person making service)
C&B Revised 7-1-2012