HomeMy WebLinkAboutCC 16 CLAIM #90-49 01-21-91DATE: JANUARY 14, 1991
TO: HONORABLE MAYOR AND CITY COUNCIL
FROM: CITY ATTORNEY
CONSENT CALENDAR NO. 16
1-21-9ff
Inter - Com
SUBJECT: CLAIMANT: RICHARD BETH; D/L: 11/5/90; DATE FILED W/CITY:
12/13/90; CLAIM NO: 90-49; CARL WARREN FILE NO: S64069 PRL
After investigation and review it is recommended that the
above -referenced claim be rejected and the City Clerk directed to
give proper notice of the rejection to the claimant and to the
claimant's attorney.
ME -S' G. ROURKE
ty Attorney
JGR:kbg(claim.frm)
Enclosure: Copy of Claim
w City of Tustin
AGAINST THE CITY OF TUS1
(For Damages to Persons or Personal Property)
law provides generally that a claim must be filed with the City Clerk of
City of Tustin within 6 months after the incident or event occurred. Be
sure your claim is against the City of Tustin, not another public entity.
Where space is insufficient, please use additional paper and identify
information by paragraph number. Completed claims must be mailed or
delivered to the City Clerk, City of Tustin, 300 Centennial Way, Tustin,
California 92680
WHEN COMPLETING THIS FORM, PLEASE TYPE OR USE BLACK INR
TO THE HONORABLE MAYOR AND CITY COUNCIL, City of Tustin, California:
The undersigned respectfully submits the following claim and information
relative to damage to person and/or property:
NAME OF CLAIMA
ADDRESS OF CLA
CITY/ZIP CODE:
TELEPHONE NO:
DATE OF BIRTH:
SOCIAL SECURITY NO:
DRIVERS LICENSE NO:
2. Name, telephone and post office address to which claimant desires notices
to be sent (if other than above):
3. This claim is submitted against:
a. X The City of Tustin only.
b. The following employee(s) of the City of Tustin only:
C. The City of Tustin and the following employee(s) of the City
of Tustin only:
4. Occurrence or event from which the claim arises:
a. DATE:
b. TIME: �7 E� �'� E / _'c;� 7 _ELS A � C. PNCE ( Exact and specific location):
d. HON and under what circumstances did damage or injury occur? Spec I fy
the particular occurrence, event, act or omission you claim caused
the injury or damage (Use additional paper if necessary):
I '
e. WHAT particular _ction by the City, or iL employees, caused the
alleged damage or injury?
-e ",-DQ` Le
5. Give a description of the injury, property damage or loss so far known
at the time of this claim. If there were no injuries, state "no
injuries".
Gf jy�v �� i. �'"1 --axa n-� _ /�D r✓1'c -5,-Pe sc��l-C /.�✓�r,�r-�' n f r riT ,-� �� r� �i s' c�-��
6. Give the name(s) of the City employee(s) causing the damage or injury:
Xyz/-�
7. Name and address of any other person injured : ,-* /'
8. Name and address of the owner or any damaged property:���
%1st .,,Y
9. Damages claimed:
a. Amount claimed as of the date:
b. Estimated amount of future costs: �-
c. Total amount claimed:
d. Attach basis for computation of amounts claimed (include copies of
all bills, invoices, estimates, etc.
�. Names and addresses of all
witnesses, hospitals, doctors,
etc.
WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM!!
(Penal Code Section 72; Insurance Code Section 556.0)
I have read the matters and statements made in the above claim and I know the
same to be true of my own knowledge, except as to those matters stated to be
upon information or belief and as to such matters I believe the same to be
true. I certify under penalty or perjury that the foregoing is TRUE AND
CORRECT.
Executed this day of �,��-`�li'� , 19�/'(Uat Tustin, California.
r`-
-� G
DATE FILED:
I,ATMANTS SIGY4ATURE
Bl : CLFORM
Devised 10/23/90
AdOO 3010ANI
coo
cl: o
so
LU
<
ui
a
-17
T
-3�z
0
--! -
r
z <
Fr
< W
wz w
LJ LLJ
0
IL
(r c)0 o F-
CC z
cr
LL,
0:)
i
—j cc
X
<
—i z
U)<
0
CO
cn
w
cc
0
0
(1)Q
0
n—
0 <
j<
fL
ma
co
<
-i
U)
(1)
0
<
(1) C) C)
0 0
0
CD
(I
> Xv
0
<
cz 0 0,
o
E
00
0
co
Ow CC
(1) to 0
0
3-5 cc
(n
a:
LO
t!\) 0 W
o
0
cn
cr E
,R�0
0
0
c 0 Z
0 o -0 LJ
Q
a-
w
CC
-E
>, -.;_- C) 0
ca LU
Q) -q -2 �i �k 0
0
E
C CL C 0 0 z
<
<
0.
,
LIJ
cr
U)
c: . a:
CD 01 0 0
0) :t
-,c - 0 cnw
a)
a:
<
U) wC-
Wa)
cn z
>
0 a) (D
Z
Cc
C)
E
a)
w
0
-Z
QD
>, U) -
cd C).Y.= C) x
JC) (a c:
z
w
0
U) C\I
Z CY)
in
I- t= 0
a)
<
0
U >
C) Cl V
0 0
J sE T — cc
0
0
-i
0
LL
Ww
❑ 11 El
ZQ
Lu Z
ce) <
cc:
C\I
z <
uj
z
w
uj
0
C) UO)
w w LL z (1)
C) C
L 0
85
> U) U) 0
<
C)
m w
U) LL
0 < C) Q-
0 zC)
w U)
cc z z W 0
CL w a_
z < ri cr-
0 LL,
Li.j w T C-?
w
3:
rLLJ
co�
at or zo< co
w >- —
< 2 0 mr W UJ Ir ::- C)
<
coo
cl: o
so
LU
<
ui
a
-17
:ONSOLIDATION REPORT T? 'IN POLICE DEPARTMENT ❑ N/A
s00 CENTENNIAL WAY ❑ INFO
-1 l RIME REPORT — - - _ _ -- _ ❑ INV.
K,1NCIDENT REPORTI uJ I IIv, �.h �cvov
(714) 544-5424
1 RD
2 BEAT
3 OR NUMBER
] SUPPLEMENTAL REPORT Ncic/cll G0302200 CONSOLP NTPO 120P1 Rev. 4/90
MAKE
I IS
/ D ORI /
1 (A) CODE SECTION/DESCRIPTION (B) INCIDENT TYPE (DESCRIBE)
`5SYIC:TIW55PHKSICA G::CON01TlON '
5 OATE/TIMEREPORTED
/iO3-90
6 OCCURRED FROM
/ o S
7 DAY
Moi/
6 TIME
9�v
I LOCATION CITY STATE ZIP
T'"c__�oR % 14-7 L E �A r of 7v Sr
10 OCCURRED TO
11 DAY
12 TIME
CODE: V - VICTIM W - WITNESS R - REPORTING PARTY P - PARENT SB - SUBJECT PS - POSSIBLE SUSPECT
3COOE
14 NLME (LAST, FIRST, MIDDLE)/FIRM NAME
15 008
6SEX
17RACE 18 HT
19 WT
OHAI
21EYES
GC 13959
43 RESIDENCE PHONE
( ) -//
t5 OCCUPATION
47 DAYS OFF
( 48 WORK HRS
49 OPERATOR'S LIC NO/STATE
v SES
..,..
5:I:PQINT OF ENTRY... __. ,..
..5.Z_.METHOD. OF, ENTRY.........,,.,.
53 VEHICLE,ENTRY...
54 PROPERTY ATTACKED
S SEX CRfMES
5b SUISPECT>ACT.IONS:.
5t:.sUSPECiS:P?Rt lENU$ TO;i
58:ViCT1NS!PROFILE::'>
`5SYIC:TIW55PHKSICA G::CON01TlON '
:3 PROPERTY CODES:
L - LOST
S - STOLEN
72 EVIDENCE 08TAINEO:
61 STOLEN PROPERTY
TYPE:
A - CURRENCY/NOTES E - OFFICE EQUIPMENT H - HOUSEHOLD GOODS
8 - JEWELRY/PRECIOUS METALS F - TV/RADIO/CAMERAS 1 - CONSUMABLE GOODS
C - CLOTHING/FURS G - FIREARMS J - LIVESTOCK
K - MISCELLANEOUS
(INCLUDES BICYCLES.
AUTO PARTS, ETC.
.COE TYPE ITEM
2
QTY MAKE. MOOEL..ARTICLE NAME, SERIAL NUMBER, MISCELLANEOUS DESCRIPTION
APS VALUE
'.3
/v 77,J
Z
PHOTOS [j
4
0 9. SEMEN
❑ 2. OTHER PRINTS
15
4. VEHICLE ❑ 6.
HAIR ❑
8. BL000
:a
A FOLLOW-UP REQUIRED:
75 SUPERVISOR AT SCENE: (RANK,
NAME & 10 NO.)
:7
76
ADVISED RE:
GC 13959
0
:9
(VICTIM OF VIOLENT r ME1
[� YES NO
N PERFORMING CSI 6 10 NO.
72 EVIDENCE 08TAINEO:
[] I. FINGERPRINTS
[]
3. WEAPON/TOOL ❑ 5.
PHOTOS [j
7. STAINS
0 9. SEMEN
❑ 2. OTHER PRINTS
L�
4. VEHICLE ❑ 6.
HAIR ❑
8. BL000
❑ 10.OTHER
A FOLLOW-UP REQUIRED:
75 SUPERVISOR AT SCENE: (RANK,
NAME & 10 NO.)
76
ADVISED RE:
GC 13959
(VICTIM OF VIOLENT r ME1
[� YES NO
E]YES
N
REPORTING OFFICER/10 NO 79 DATE
80 WATCH 81 DIVISION
82 APPR
/10
N
73 DOLLAR LOSS
77 AMOUNT RECOVERED
83 DATE
Tustin Police Department
Continuation Report
* Page 2 *
DR # 90-08131
INCIDENT REPORT
DAMAGE TO VEHICLE TIRES
On 11-05-90 at approximately 1930 hours, R/P Richard Beth contacted
me via telephone at Tustin Police Department. Mr. Beth was inquiring
as to who was responsible for the water covers along Jamboree Blvd
between Irvine Blvd and Santiago Canyon Road in Orange. Mr. Beth
stated he had contacted the Sheriff's Department and the California
Highway Patrol and had got no cooperation from them. Mr.. Beth
further stated that he was N/B on Jamboree when his left rear tire
was flattened when he drove over a water cover hole that did not have
the cover on it. I advised Mr. Beth I was not sure if it was in the
City -of Tustin or the City of Orange but I would take a drive to the
location in an attempt to determine exactly where it occurred.
At approximately 1945 hours on Jamboree Road about 1/2 mile north of
Tustin Ranch Road, I located Mr..Beth who was standing next to the
side of the road with his car. Mr. Beth showed me where the water
cover had been in the roadway and I noticed there was no cover on top
of a hole that was approximately 7 1/2 to 8 inches in diameter. Mr.
Beth then showed me the cover he had picked up after his car had run
over the hole. I noticed the underside of it had five protruding cast
iron pieces that helped hold it into the hole and one of these pieces
was broken off.
Mr. Beth stated he had been N/B in the #2 lane at approximately 1900
hours when the incident occurred. Immediately after he had driven
over where the cover should have been, his left rear tire blew out.
I observed his tire which was a Continental brand 195/70 R14
blackwall. Mr. Beth also advised me at the same time two other cars,
which were right behind his, ran over the hole and had flat tires
from it. Mr. Beth gave me the name of a Jim Bell and a David, unknown
last name, who is a student with a phone number of 528-9210. Mr. Beth
stated he was going to find out who to report the incident to and then
he was going to contact Bell and David and let them know what he was
able to find out. I told Mr. Beth that I would look into the
incident and re -contact him on 11-06-90 with information as to who he
needed to contact. I advised him I would be documenting this incident
for further reference.
I noted the location of the cover was approximately 1/2 mile north of
Tustin Ranch Road in the #2 lane. I further narrowed it down by
finding light pole #4194620E, the cover was located 72 feet south of
the light pole and 15 feet west of the east curb line of Jamboree
Blvd.
Tustin Police Department
Continuation Report
* Page 3 *
DR # 90-08131
I returned to TPD and contacted the Irvine Water District as I had
noted an IRWD around the circumference of the cover hole. I called
476-7500 and talked with a night supervisor, Richard. I advised
Richard of what had taken place and he requested that I document same
with an incident report. Richard said he would pick it up from TPD on
11-06-90 and would look into the incident from that point. I told
Richard I had replaced the cover in the hole and it should not create
any further hazard this evening and he assured me that on 11-06-90 he
would have a crew go to the location and replace the cover and try to
make it more permanent so it could not be removed.