HomeMy WebLinkAboutPRR24038 Manley - 4110 Horizon LnUpdated 05/2023
City of San Luis Obispo
Request for Public Records
The California Public Records Act (Government Code 7921. et set.) was enacted to ensure public
records are available for inspection by members of the public. Completion of this form will assist staff
in identifying related records to accurately complete your request.
Requested records will be distributed to the email address that is listed on this form, unless directed
otherwise by City staff. Requests for printed records will require payment subject to the City’s
Comprehensive Fee Schedule. Payment must be rendered prior to production of printed materials.
Name: _______________________________________________ Date: ______________________
Last First
Address: ________________________________________________________________________
Street & Unit # City State Zip
Email: _____________________________________________ Phone: _______________________
Release Forms
Requests for certain public records legally require release forms to be submitted for records to be
distributed to the requestor. To help expedite your request, please read below and ensure additional
information is submitted along with this public records request form.
•Personal health information
Records containing personal health information require a HIP AA Release Form. Examples
include fire incident reports, worker’s compensation claims, etc.
o HIPAA Release Form
•Printed residential and/or commercial building plans
The Public Records Act does not allow the release of printed copies of this material without the
permission of the architect/engineer copyright owner. The public records requestor is
responsible for obtaining said authorization by completing all three release forms listed
below. You may call the Community Development Department at (805) 781 - 7170 to find out
the name of the copyright owner. In-person viewing of plans do not require release forms.
o Copies of Plans Affidavit
o Plan Request Architect/Engineer Authorization
o Plan Request Owner Authorization
Continued
YOUR REQUEST WILL BE PROCESSED IN COMPLIANCE WITH THE PUBLIC RECORDS ACT (PRA). California
Government Code Section 7921. An Agency shall notify the requestor within 10 days from receipt of request with a
Determination which states if the Agency is in possession, in whole or in part, of the requested documents, and possible lega l
exemptions which prohibit the release of non-disclosable documents, as outlined per the PRA. In some instances, an Agency
may require an extension of up to 14 days to provide a Determination, as authorized by the PRA. A notice will be provided to the
requestor setting forth the reasons for the extension and the date on which a Determination is expected to be supplied.
Record Information: List the records you are requesting. Specify relevant information such as:
subject, title, incident number, location/address, person(s) involved, project name, etc.
Date and Time: Specify the incident date or date and time range of the requested records
Questions may be directed to the City Clerk’s Office at (805) 781-7100.
Submit Completed Forms To:
cityclerk@slocity.org
OR
City Clerk’s Office
990 Palm Street
San Luis Obispo, CA 93401
Christian, Kevin
Subject:Online Fire Records Request
1. Contact Information
First Name Jessica
Last Name Manley
Agency Haro Environmental
Address Not answered
Address 2 Not answered
City, State, ZIP Code San Luis Obispo, CA 93401
Email Address
Please provide detailed, specific information (date, time, event, location, incident number).
2.
Record Description
I would like to request records for 4110 Horizon Lane in San Luis Obispo, identified as APN 053-258-020. Specifically, any
hazardous materials, underground storage tanks, or storage tanks.
Thank you!
If you prefer to contact us in person or US mail and/or have HIPAA documentation to submit in support of your
request, please download and use the following form(s).
Fire Incident Request Form
HIPAA Release Form
Deliver or mail to: City of San Luis Obispo Fire Department, 2160 Santa Barbara Avenue, San Luis Obispo, CA
93401
YOUR REQUEST WILL BE PROCESSED IN COMPLIANCE WITH THE PUBLIC RECORDS ACT. California
Government Code Section 6253 (c). Each agency, upon a request for a copy of records, shall, within 10 days from
receipt of the request, determine whether the request, in whole or in part, seeks copies of disclosable public records in
the possession of the agency and shall promptly notify the person making the request of the determination and the
reasons therefore. In unusual circumstances, the time limit prescribed in this section may be extended by written
notice by the head of the agency or his or her designee to the person making the request, setting forth the reasons for
the extension and the date on which a determination is expected to be dispatched. No notice shall specify a date that
would result in an extension for more than 14 days. Pursuant California Government Code Section 6254 (c)
Personnel, medical, or similar files, the disclosure of which would constitute an unwarranted invasion of personal
privacy \[are exempt from disclosure\].
With the exception of certain records, report photocopies are 40¢ per page. If you need assistance with this request or
wish to review the records on site, please call the City Fire Department in advance at 781-7380 to schedule an
appointment.
To access public documents, contact the City Clerk's Office, City Records Program.
Thank you.
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