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Home My WebLink AboutPRR24255 McKiernan - 764 Woodbridge St Updated 05/2023 City of San Luis Obispo Request for Public Records TheCaliforniaPublic Records Act (Government Code .etset.) was enactedto ensure public records are available for inspection by members of the public. Completion ofthis form will assist staff inidentifyingrelatedrecordsto accurately complete your request. Requested recordswill be distributed tothe email addressthat is listed onthis form,unless directed otherwiseby City staff. Requestsfor printed recordswill require payment su Comprehensive FeeSchedule.Payment mustbe rendered prior to production ofprinted materials. McKiernan08/23/2024 Name:_______________________________________________ Date:______________________ James LastFirst _______________________ 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 healthinformation Records containing personal health information require a HIPAA Release Form. Examples 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 withoutthe permission of the architect/engineer copyright owner.The public records requestor is responsiblefor obtaining said authorization by completing allthree release formslisted 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 relevantinformation such as: subject, title, incident number, location/address, person(s) involved, project name, etc. - Any document mentionning the name of the engineer of records responsible for aligning the curb inlet in front of 764 Woodbridge Street in San Luis Obispo, CA 93401; - Any document mentionning the name of the concrete contractor who was in charge of pouring concrete to connect the curb/street in front 764 Woodbridge Street in San Luis Obispo, CA 93401 to a Filterra Unit \[see attached picture\]. Date and Time:Specify theincidentdate or date and time range of the requested records 05/06/2014 -05/06/2024. Questions may be directed to the City -7100. Submit Completed Forms To: cityclerk@slocity.org OR 990 Palm Street San Luis Obispo, CA 93401 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 legal exemptions which prohibit the release of non-disclosable documents, as outlined per the PRA. In some instances, an Agency may require an extensionofup 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 onwhich a Determination is expected to be supplied. City of San Luis Obispo, Community Development, 919 Palm Street, San Luis Obispo, CA, 93401-3218, 805.781.7170, slocity.org Copies of Plans Affidavit I hereby request the authority to duplicate the official copy of the building plans for: _______________________________________________________________ (address) And agree: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or uses of those plans, specifications, reports, or documents, where the subsequent changes or uses, including changes or uses made by state or local governmental agencies, are not authorized or approved in writing by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the written authorization or approval was not unreasonably withheld by the architect and the architectural service rendered by the architect who signed and stamped the plans, specifications, reports, or documents was not also a proximate cause of the damage. 4. To pay all costs incurred with the reproduction of the plans I am requesting. I declare, under penalty of perjury pursuant to the laws of the State of California, that the foregoing is true and correct. August 23 24 Provided by the City of San Luis Obispo, California on the ____ day of _________, 20_____ James McKiernan, Esq. _________________________________________ Print Name _________________________________________ Signature crowe@mckiernanlaw.com _________________________________________ Telephone Number or E-mail City of San Luis Obispo, Community Development, 919 Palm Street, San Luis Obispo, CA, 93401-3218, 805.781.7170, slocity.org Plan Request Architect Authorization I, _______________________________________, the architect of record for the Curb inlet and Filterra unit installation located in front of 764 Woodbridge Street, San Luis Obipo, CA 93401. _______________________________________ (address), authorize the City of San James McKiernan Lawyers Obispo to release copies of plans to the requestor _______________________________. _________________________________________ Print Name _________________________________________ Signature _________________________________________ Date Architect of Record Apply Seal Here City of San Luis Obispo, Community Development, 919 Palm Street, San Luis Obispo, CA, 93401-3218, 805.781.7170, slocity.org Plan Request Owner Authorization I, _____________________________________________________, the property owner of curb inlet in front of 764 Woodbrige Street, San Luis Obispo, CA 93401 ______________________________________________________ (address), authorize the City of San Luis Obispo to release copies of plans for this address. _________________________________________ Print Name _________________________________________ Signature _________________________________________ Date