Notice of Completion - CIP 336 Phase 1 - 2022-11-01'34D
EXEMPT RECORDING REQUESTED
PURSUANT TO SECTION&i93; 2 3�5
GOVERNMENT CODE
AND WHEN RECORDED MAIL TO:
NOELANI MIDENWAY
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
IIIIIIII111111111111111111111111111111111111111111111111111111l111111 NO FEE
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202200035166311:30 am 11/01/22
340 414A N12 3
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THIS SPACE FOR RECORDER'S USE ONLY
ft
NOTICE OF COMPLETION 3p
NOTICE IS HEREBY GIVEN THAT: 14
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:
#336 Grade 4 Sewer Repairs — Phase 1
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
June 101h, 2022.
8. The name of the contractor, if any, for such work of improvement was:
Insituform Technologies, LLC
19788 Edison Ave.
Chesterfield, MO 63005
The property of which said work of improvement was completed is in the County of Orange,
State of California, and is described as follows:
• Sewer Main ID Nos. 139249, 139316, 139591 and 138025.
10. The street address/locations in the City of Costa Mesa of said property is:
• 19th Street w/o Monrovia
• In easement @ 670 W. 171h St.
• C.L. Hamilton St. w/o Maple
• Princeton Dr. e/o Carnegie
DATED this 20`h day of October 2022.
COSTA MESA SANITARY DISTRICT
SCOTT CARROLL, GENERAL MANAGER
ATTEST:
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 S" ana , California,
On NOVWbK 1 , 20 22 .