HomeMy WebLinkAboutBill of Sale & Cost DataPLR‐4200
Project Name:
CED Plan # (LUA):CED Permit # (U):21005115
Project Address:
Parcel #(s):
Street Intersection:
File Status: Project Type:
Project Phase:
Civil Plan Reviewer Consulting Engineer AHBL
Planner Owner GMD Development, LLC
Construction Inspector Contractor Sierra Construction
Developer GMD Development, LLC
Street Lighting Permit #: Building Permit #:
Other Aliases
Erosion/Sediment Control $34,529.35
Water $111,535.00 WTR‐4200 (Water ‐ mains, valves, hydrants)
Sewer $18,830.00 WWP‐4200 (Wastewater/Sanitary Sewer mains)
Stormwater $230,428.00 SWP‐4200 (Surfacewater Improvements)
Traffic & Lighting $10,000.00 TRO‐4200 (Signalization, channelization, lighting)
Roadway $346,370.00 TED‐4200 (Roadway, drainage, offsite improvements)
Subtotal of Improvements $717,163.00
Intake Accepted By Date:
City Contacts Construction Contacts
City PW File #
Staff Use Only
PROJECT SET‐UP/UPDATE FORM
CED Staff Use Only
Project Information
Watershed Affordable Housing Apartments
21‐000239
625 Williams Ave S, Renton, WA 98055
1723059136
Williams Ave South and Grady Way
Project Status
Project Contacts
Huy Huynh
Alex Morganroth
Tom Main
Project Description
Additional Permits:
Project Totals by Discipline City Project Numbers
TYPE OF DOCUMENT:
GRANTOR(S):
GRANTEE:
NAME OF PROJECT:
ADDRESS OF PROJECT:
PROJECT FILE NUMBERS:
LEGAL DESCRIPTION:
PERSONAL PROPERTY DESCRIPTION:
Reference Number(s) of Documents assigned or released:
Additional reference #’s on page _____ of document
By By
Its Its
GMD Development, LLC
The Grantor, as named above, for, and in consideration of mutual benefits, hereby grants, bargains, sells
and delivers to the Grantee, as named above, the following described personal property as described in
Exhibit B of this document.
City of Renton, a Municipal Corporation
ABBREVIATED LEGAL
DESCRIPTION:
PCL "Z" OF RENTON DECLARATION OF LOT COMBINATION #LUA22‐000117‐
LC REC #20220426000721 SD LOT COMBINATION LOC IN SE 1/4 OF THE SE
1/4 OF THE SE 1/4 STR 18‐23‐05 TGW POR LOC IN THE SW 1/4 OF THE SW
1/4 OF THE SW 1/4 STR 17‐23‐05
ASSESSOR TAX PARCEL I.D. NUMBERS: 1723059136
Watershed Affordable Housing Apartments
625 Williams Ave S, Renton, WA 98055
LUA21‐000239, C21005115, PLR‐4200
See Attached Exhibit A of this Document
Return Address:
City Clerk’s Office
City of Renton
1055 South Grady Way
Renton, WA 98057
BILL OF SALE
Please make no mark in the margin space ‐ Reserved for County Auditor's Use Only
Bill of Sale
See Attached Exhibit B of this Document
By this conveyance, Grantor will warrant and defend the sale hereby made unto the Grantee against all
and every person or persons, whomsoever, lawfully claiming or to claim the same. This conveyance shall
bind the heirs, executors, administrators and assigns forever.
IN WITNESS WHEREOF, said Grantor(s) has caused this instrument to be executed this ________ day of
_______________________ 20 _____ .
Page 2 of 6
INDIVIDUAL FORM OF ACKNOWLEDGEMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that ___________________
__________________________________________ signed this instrument and
acknowledged it to be his/her/their free and volumtary act for the uses and purposes
mentioned in this instrument.
Notary Public in and for the State of Washington
Notary (Print): ___________________________________________________
My appointment expires: __________________________________________
Dated: _________________________________________________________
REPRESENTATIVE FORM OF ACKNOWLEDGEMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that ___________________
__________________________________________ signed this instrument, on
oath stated that he/she/they was/were authorized to execute the instrument
and acknowledge it as the ______________________________ and
__________________________ of _______________________ to be free and
voluntary act of such party/parties for the uses and purposes mentioned in the
instrument.
Notary Public in and for the State of Washington
Notary (Print): ___________________________________________________
My appointment expires: __________________________________________
Dated: _________________________________________________________
CORPORATE FORM OF ACKNOWLEDGEMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING )
On this ____ day of ____________ , 20 _____ , before me personally appeared
_______________________________________________ to me known
to be _____________________________________ of the corporation that
executed the within instrument, and acknowledge the said instrument to be the free
and voluntary act and deed of said corporation, for the uses and purposes therin
mentioned, and each on oath stated that he/she was authorized to execute said
instrument and that the seal affixed is the corporate seal of said corporation.
Notary Public in and for the State of Washington
Notary (Print): ___________________________________________________
My appointment expires: __________________________________________
Dated: _________________________________________________________
BILL OF SALE
Project File Number: LUA21‐000239, C21005115, PLR‐4200
Page 3 of 6
PCL "Z" OF RENTON DECLARATION OF LOT COMBINATION #LUA22‐000117‐LC REC #20220426000721 SD LOT
COMBINATION LOC IN SE 1/4 OF THE SE 1/4 OF THE SE 1/4 STR 18‐23‐05 TGW POR LOC IN THE SW 1/4 OF THE SW 1/4
OF THE SW 1/4 STR 17‐23‐05
BILL OF SALE
EXHIBIT A
Legal Description
Project File Number: LUA21‐000239, C21005115, PLR‐4200
Page 4 of 6
WTR ‐4200
WWP ‐ 4200
SWP ‐ 4200
TRO ‐ 4200
TED ‐ 4200
PROJECT NAME:
CONSTRUCTION PERMIT NO.
PROJECT FILE NUMBER:
ROADWAY, STREET LIGHTS AND SIGNALS
DESCRIPTION QTY UNIT TOTAL COST
Curb and Gutter 584 L.F. 8,322.00$
Sidewalk 400 S.Y. 17,400.00$
Asphalt Concrete Pavement 1160 S.Y. 39,880.00$
Traffic Signals ‐ Complete System 1 L.S. 10,000.00$
Street Trees 9 Each 2,385.00$
Right‐of‐Way Landscaping 1430 SF 6,792.50$
Lighting lump sump 1 LS 13,000.00$
Heavy Asphalt Pavement 58 SY 1,160.00$
Subtotal 98,939.50$
Sales Tax 10,190.77$
Grand Total Roadway, Street Lights and Signals 109,130.27$
STORMWATER SYSTEM IMPROVEMENTS
QTY UNIT SIZE TYPE TOTAL COST
144 L.F. 24" CPE Storm Drainage Pipe 9,216.00$
23 L.F. 8" DI Storm Drainage Pipe 2,323.00$
130 L.F. 12" DI Storm Drainage Pipe 15,730.00$
2 EA. 48" TYPE 1 Catch Basin 3,450.00$
3 EA. 48" TYPE 2 Catch Basin 10,500.00$
1 EA. 60" TYPE 2 Catch Basin 4,225.00$
Subtotal 45,444.00$
Sales Tax 4,680.73$
Grand Total Stormwater System Improvements 50,124.73$
Per the request of the City of Renton the following information is furnished concerning final costs for
improvements installed and turned over to the City for the referenced project.
DESCRIPTION
(City Staff Use Only)
EXHIBIT "B"
Contributary Assets
City Project Numbers:
Watershed Affordable Housing Apartments
21005115
21‐000239
Return Address:
City Clerk’s Office
City of Renton
1055 South Grady Way
Renton, WA 98057
Page 5 of 6
PROJECT NAME:
CONSTRUCTION PERMIT NO.
PROJECT FILE NUMBER:
EXHIBIT "B"
Contributary Assets
Watershed Affordable Housing Apartments
21005115
21‐000239
STORMWATER FACILITIES
Subtotal ‐$
Sales Tax ‐$
Grand Total Stormwater Facilities ‐$
WATER SYSTEM IMPROVEMENTS
QTY UNIT SIZE TYPE TOTAL COST
265 L.F. 6" DI Water Main Pipe and Fittings 17,225.00$
552 L.F. 10" DI Water Main Pipe and Fittings 44,160.00$
4 EA. 6" Gate Valve Assembly 5,400.00$
5 EA. 10" Gate Valve Assembly 10,500.00$
2 EA. 12" Gate Valve Assembly 5,000.00$
1 EA. 6" Fire Hydrant Assembly 5,000.00$
1 EA. Permanent Blow‐Off Assembly 1,950.00$
1 EA. 4" Large Water Meter Assembly 10,500.00$
Subtotal 99,735.00$
Sales Tax 10,272.71$
Grand Total Water System Improvements 110,007.71$
SANITARY SEWER SYSTEM IMPROVEMENTS
QTY UNIT SIZE TYPE TOTAL COST
84 L.F. 8" PVC Sewer Main 10,080.00$
Subtotal 10,080.00$
Sales Tax 1,038.24$
Grand Total Sanitary Sewer System Improvements 11,118.24$
ITEM
DESCRIPTION
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