HomeMy WebLinkAboutPRR24133 Haupt - Building Permit BLDG-2680-2023lr�0
GCity of • • •
Request for Public Records
Updated 0512023
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
mprehensive Fee Schedule. Payment must be rendered prior to production of printed materials.
Name: Haupt
Last
Michael
First
Date: May 10, 2024
Address: 1315 Santa Rosa St. San Luis Obispo CA 93401
Street & Unit #
Email: michael@ghmlaw.com
Release Forms
City State Zip
Phone: (805) 544-2450
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 HIPAA 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
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.
All documents related to Building Permit No. BLDG-2680-2023 (the "Permit"), including but not
limited to any application, submittals and inspection records related to the Permit.
Date and Time: Specify the incident date or date and time range of the requested records
2023
Questions may be directed to the City Clerk's Office at (805) 781-7100.
Submit Completed Forms To:
cityclerK(a)slocity.orq
OR
City Clerk's Office
990 Palm Street
San Luis Obispo, CA 93401
YOUR REQUEST WILL BE PROCESSED IN COMPLIANCE WITH THE PUBLIC RECORDS ACT (PRA). aliforn. .
Government Code Section 79� . 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 legal
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.