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Panorama - Prelim NoticeM FORM I05-C PRELIMINARY 20-DAY NOTICE (This form may be used on both public and private projects) TO: CONSTRUCTION LENDER (Or Reputed Construction Lender) (if any) Name /yY_C?A Street (/ City, State, Zip TO: 9 OWNER (Or Reputed Owner) ❑ PUBLIC AGENCY (On Private Work) n/(On Public Work) Name I c7� 0,411 W- e Street Z q q(,4 t_ 1 /� p City, State, Zip e✓j ( ��, (-,t} ! 2 TO: ORIGINAL CONTRACTOR (Or Reputed Original Contractor) Name r 40,-& -nk C, 'FLe Street cj07 -i-mv VC. Ve U City, State, Zip /1 l C�ro LL fa_- r zr>1 G 64! /-7 30 J General description of the labor, service, equipment, or materials furnished, or to be furnished an an estimate of the total price thereof: NAME AND ADDRESS OF CLAIMANT GIVING THIS NOTICE Name Phi,-4i✓1ez_ ,-He TvIC Street qZ,) W , Fag Ivt r (�` 011,41 . City, State, Zip &VS4 CA / (7 0 2-- NAME OF PERSON OR FIRM THAT CONTRACTED TO PURCHASE THE LABOR, SER/Y E, EQUIPMENT, OR MATERIALS Name / ter' keT � I L46 � nPz DESCRIPTION OF JOB SITE SUFFICIENT FOR IDENTIFICATION INct-�3�r1 �s G.p �f i STAPLE RETURN RECEIPTS HERE NOTICE TO PROPERTY OWNER If bills are not paid in full for the labor, services, equipment, or materials furnished or to be furnished, a mechanic's lien leading to the loss, through court foreclosure pro- ceedings, of all or part of your property being so improved may be placed against the property even though you have paid your contractor in full. You may wish to pro- tect yourself against this consequence by (1) requiring your contractor to furnish a signed release by the person or firm giving you this notice before making payment to your contractor, (2) requiring your contrac- tor to furnish a receipt to establish that you paid the contractor in full and record- ing no later than 30 days from receipt of this preliminary notice an affidavit that you paid the contractor in full, or' (3) any other method or device that is appropriate unifier the circumstances. PLEASE NOTE: The italicized language was included in the notice by a drafting error in Senate Bill 914 and may be disregarded. MAILING INSTRUCTIONS (1) If the person resides in Califor- nia, the notice may be served by first class registered or certified mail, post- age prepaid, addressed to the person at his or her residence, or place of busi- ness address, or at the address shown by the building permit on file, or at the address shown on a recorded Con- struction Trust Deed. (2) When service is made by first class registered or certified mail, serv- ice is complete at the time of the de- posit of mail. If this notice is given by a subcontrac- tor who is required under a collective bargaining agreement to pay fringe benefits, the names and addresses of the fringe benefits trusts follow: PROOF OF SERVICE AFFIDAVIT The undersigned served copies of this Preliminary 20-Day Notice by first class registered or certified mail, post- age prepaid, on the persons and at the addresses shown on: I declare under penalty of perjury under the laws of the State of California that the foregoing is/ s rue nd correct. ""feted: i J Signatur w EL O w m Ix w 0 z w J a O U C x M. FORM 105-C - © 1999 - A BNI BUILDING NEWS FORM PREPARED BY JAMES ACREI