Notice of Completion - CIP #326 - GCI ConstructionEXEMPT RECORDING REQUESTED
PURSUANT TO SECTIO , 2,7 a 8 3
GOVERNMENT CODE
AND WHEN RECORDED MAIL TO:
NOELANI MIDDENWAY
CLERK OF THE DISTRICT
COSTA MESA SANITARY DISTRICT
290 PAULARINO AVENUE
COSTA MESA, CA 92626
Recorded in Official Records, Orange County
Hugh Nguyen, Clerk -Recorder
NO
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIII
2021000764795 12: 12 pm 12122121
214 RW1A N12 4
0.00 0.00 0.00 0.00 8.00 0.00 0.000.000.00 0.00
THIS SPACE FOR RECORDER'S USE
NOTICE OF COMPLETION
NOTICE IS HEREBY GIVEN THAT:
1. The undersigned is owner of sewer facilities as hereinafter described.
2. The full name of the undersigned is: COSTA MESA SANITARY DISTRICT.
3. The full address of the undersigned is: 290 Paularino Avenue, Costa Mesa, CA 92626.
4. The nature of the title of the undersigned is owner of sanitary sewer main line facilities
subject to the following project:
#326 191b Street Force Main Replacement
5. The full names and full addresses of all persons, if any, who hold title with the undersigned
as joint tenants or as tenants in common are:
None
6. The names of the predecessors in interest of the undersigned if the property was transferred
subsequent to the commencement of the work of improvement herein referred to:
None
7. A work of improvement on the property hereinafter described was completed on or around
October 26tb, 2021.
8. The name of the contractor, if any, for such work of improvement was:
GCI Construction Inc.
1031 Calle Recodo, Suite D
San Clemente, CA 92673
9. The property of which said work of improvement was completed is in the County of
Orange, State of California, and is described as follows:
19th Street Pump Station Sewer Force Main Replacement.
10. The street address of said property is:
1035 W. 19th Street, Costa Mesa, CA
DATED this 20th day of December 2021.
COSTA MESA SANITARY DISTRICT
ROBERT J. OOTEN, PRESIDENT
ATTEST:
ARLENE SCHAFER, SECJTARY
STATE OF CALIFORNIA)
COUNTY OF ORANGE )SS
CITY OF COSTA MESA )
The undersigned, being duly sworn says: That he is the President of the Costa Mesa Sanitary
District; that he has read the foregoing instrument and knows the content thereof, and that the
facts stated therein are true, and that he makes this certification by authorization granted by the
Board of Directors of the Costa Mesa Sanitary District.
ROBERT J. OOTEN
PENALTY OF PERJURY VERIFICATION
I, the undersigned state; that I have read the foregoing document, and know
the contents thereof, and that the facts therein stated are true of my own
knowledge.
I declare under penalty of perjury that the foregoing is true and correct.
Executed at �Q Y1 �A ap A
On �W )- 1� , 20 2 1
Signature
California,
sfoc M.� s� 5a,vr � -tzr vK Do's-f-�ct
(Include name of corps ration, partnership, etc., if any)