HomeMy WebLinkAboutWWP2703571TRANSMITTAL
DATE: A
TO: Waste Water Utility
FROM:
SUBJECT: Submittal of Sanitary Sewer TV Tape
Project Number. %
Project Name: / `i �f/t �✓•� �.
I have reviewed the TV apes) for the above project and the lines)
appear to be in acceptable condition at this time.
I have reviewed the TV Tape(s) for the above project and the fine(s)
are not in acceptable condition at this time for the following reasons:
c/formsAttWry/wwf MSFORM.DOC,/M /bh
SANITARY SEWER SYSTEM LOW PRESSURE AIR TEST
PROJECT: i y i0lJb ;77j�,,
DATE:
INSPECTORS vim, �f,✓,�� f�ra%J
LOCATION
LENGTH
PIPE
MATERIAL
PIPE SIZE
PRESSURE
TEST TIME
RESULT
TO
FROM
datacenter/forms/pbpw/utilitysystems/ww/sspressure. doc
02/2002 bh
Pacific Concrete Services
26220 79th Av S
Kent, WA 98032
Phone:253-856-2572 Fax:253-859-5087
Project Name: Asset ID: City:
NE 2ND ST SEWER NE 2ND EXIST. TO NE 2ND RENTON
CLEANOUT
Date Pipe Width: Pipe Height: Pipe Type:
4/22/2011 8 8 PVC
Direction: Surveyed Footage: Weather
Upstream 130.3 Dry
NE 2ND CLEANOUT�� At 130.3 ft ./
= STOP - Inspection Stopped
#729.0R9+'
LAT - Lateral connection /S' At 130.3 it 121.
Clean Out- Clean Out —
PACIFIC
P C S
CONCRETE SERVICES
At 94.2ft9i L
LAT - Lateral connection
V
Address:
5614 NE 2ND ST
Surface Condition:
Asphalt
Tape/Media #
►_ At0.0It,/.
START US - Start Inspection Upstream
NE 2ND EXIST.
10.011
200ft
30.0 ft
40.0 ft
500ft
60.0 ft
70.0 ft
so ft
90 0It
1000ft
1100ft
120.0 ft
1300ft
TV Inspection with Pipe -Run Graph Page 1 of 1
PROJECT REQUEST FORM
PLANNINGBUILDING/PUBLIC WORKS
DATE: U kf:r/ ZU / b CONTACT: EXT.
FILE STATUS 0 NEW OR ❑ EXISTING: FILE CODE (PRI-XX-7ooX):
LOCATION 0 My Work Space: 10 File Bay Shelf #: ❑ Other:
?ROJECT NAME/ FILE TITLE:
(70 characters max)
UTILITY PERMIT # 00007— LUA#
ADDRESS / STREET NAME(S):
DEV: ; CNTR:
OTHER ALIASES:
w0# 3
� 2 S
OWN: fit' ; CNSLT/ENG:
s�
--ircle Size of Waterline:
8" 10"
12"
Circle One:
New / Replace / Extension
:�ircle Size of Sewerline:
1110"
122'
Circle One:.
New / Replace c ension ,
--ircle Size of Stormline:
12" 1.8"
24"
Circle One
New / Replace / Extension
CHECK EACH DISCIPLINE INVOLVED IN PROJECT Ltr Dm g # of sheets
❑ -TED ❑ ❑
❑ TRO
0"' WWP
❑ WTR
❑ SWP
❑ PLR
(offsite improvements)
(Signalization, Channelization, Lighting)
(sanitary sewer main, include basin name)
(Mains, Valves, Hydrants)
(CIP onlyxinclude basin name)
(For Developer Files Only)
(include TESC)
�LJ
❑ D
(inc. composite & HorizontalCtrl)
❑ ❑
❑ (letter only)
PLEASE CIRCLE THE DISCIPLINES WHICH NEED TO SIGN MYLARS
WATER WASTEWATER SURFACE WATER TRANSPORTATION FIRE
FOR FILE KUNTAINANCE USE ONLY
Return Address:
City Clerk's Office
City of Renton
1055 South Grady Way
Renton, WA 98055
VIIIIIIRIIIY'IR'A1111��1116IIPllll'�Ylllln
20110719000071
CITY OF RENTON BS 63.00
PAGE-001 OF 002
07/19/2011 10:08
KING COUNTY. WA
BILL OF SALE
I Proj Name: Lje�- Property Tax Parcel Number: 14g450-
,,
Project File #: I 1 (�� `-f Street Intersection: �) Z _ ��
Address: A N� 7 ►1 C'r'
`f �1
Reference Numbers) of Documents assigned or released: Additional reference numbers are on page
Grantor(s): Gr Qe�:
' 1,
15I 9� City of a Municipal Corporation
2.
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:
WATER SYSTEM: Length Size Type
L.F. of " Water hfain "
L.F. of Water Main
L.F. of Water Main
each of Gate Valves
each of Gate Valves
each of Fire Hydrant Assemblies
SANITARY SEWER SYSTEM: Len th Size Tv e
L.F. of - Sewer Main
L.F. of —�—
L.F. of Sewer Main
each of Diameter Manholes
each of Diameter Manholes
each of Lift Stations
STORM DRAINAGE SYSTEM: Length Size Type
L.F. of Storm Main
L.F. of Storm Main
L.F. of Storm Main .
each of Storm Inlet/Outlet
each of Storm Catch Basin
each of Manhole
STREET HAPROVMENTS: (Including Curb, Gutter, Sidewalk, Asphalt Pavement)
Curb, Gutter, Sidewalk L.F.
Asphalt Pavement: SY or L. F. of Width
STREET LIGHTING:
_
# of Poles
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.
0:\Fonns\PBPW\BILLSALE2.DOC\bh Page 1
IN 141SS Ob', said Prantor has caused this instrument to be executed t1usk.,day of !Yh , 201.(.
c A iN:�—VD- C--
LVDI17DU.4L FOPW OFAC%YORIEDGAfE,YT
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 voluntary act for the uses and purposes
mentioned in the instrument
Notary Public in and for the State of Washington
Notary (Print)
My appointment expires:
Dated:
REPRESE.N74TIVE FORM OFACKYOWLEDGVFVT
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
acknowledged it as the and
of to be the 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.4CE-YOWLEDGM1IENT
Notary Seal must be within box
STATE OF WASHINGTON ) SS
COUNTYnOF KING )
On is t �iay of ,�' 20�, before me personally appeared
0SO'®�oaC •��
� fk VV r
E,rp•.9.1�00,
_
L�� -t � ~�'L�i to me known to
Nam' the that
�4"o0 . �
be of corporation
0
S= c1G� A Y : (A=
executed the wit n instrument, and acknowledge the said instrument to be the free
and voluntary act and deed of said corporation, for the uses and purposes therein
p to . .---�►� ; Z a
mentione , and each on oath stated that re h�as authorized to execute said
N 9 pV���G o,�a� AZO1
instrume an � that tke fse�al jis-the corporate seal of said corporation.
44 A L/L�Z=
...... �� ��►
(
V*,;" OF NS,,;0
No ub c i d for the tate of as ington
Nary (Print) Lsr-
NY� appointment expires: �(
Dated: -A; ') to . 'i f i (
0:\Forms\PBPW\BILLSALE2.D0C\bh Page 2
. COST DATA AND INVENTORY .j :55 %
CITY WTR-
(a / 1ZO� PAR PROJECT WWP —
tjjfC (� NUMBERS: SWP
NAME OF PROJECT: TR -
CA I mo� ( TED-
TO: City of Renton FROM: JI rRvw [�pMe& nG.
Plan Review Section F. 0 ,
Planning/Building/Public Works 8
1055 South Grady Way 6`h floor
Renton, WA 98055 DATE: 1
Per the request of the City of Renton, the following information is furnished concerning costs for improvements proposed
to be installed for the above referenced project.
WATER SYSTEM CONSTRUCTION COSTS:
Length Size Type
1110-0 L.F. of ff!— " t' WATERMAIN
L.F. of WATERMAIN
L.F. of WATERMAIN
L.F. of WATERMAIN
EACH of GATE VALVES
EACH of GATE VALVES
EACH of GATE VALVES
EACH of FIRE HYDRANT ASSEMBLIES $
(Cost of Fire Hydrants must be listed separately) $
Engineering Design Costs $
City Permit Fees $
Washington State Sales Tax TOTAL COST FOR WATER SYSTEM $
SANITARY SEWER SYSTEM: STORM DRAINAGE SYSTEM:
ngth
L.F. of
S* T /
_�_ G SEWER MAIN
Length
L.F. of
Size Type
STORM LINE
L.F. of
�_ SEWER MAIN
L.F. of
STORM LINE
L.F. of
SEWER MAIN
L.F. of
STORM LINE
EA of
DIAMETER MANHOLES
EA of
STORM INLET
Engineering Design Costs $ 0&0
EA of
STORM CATCHBASIN
City Permit Fees $ Z- 000'
EA of
STORM CATCHBASIN
Washington State Sales Tax $
Engineering Design Costs $
(Sewer Stub - line between sewer main and
private property line)
$ ',OD
City Permit Fees $
TOTAL COST FOR SANITARY SEWER SYSTEM
Washington State Sales Tax $
TOTAL COST FOR STORM DRAINAGE SYSTEM R
�LI� zoo
STREET IMPROVEMENTS: (Including Curb, Gutter, Sidewalk, Asphalt Pavement and Street Lighting)
5�19-0 4.4 . 4?rf P�-f '5Io-u4ti1 A q
SIGNALIZATION: (Including Eng. Design Costs, City Permit Fees, WA St Sales Tax)
STREET LIGHTING: (Including Eng. Design Costs, City Permit Fees, WA St Sales Tax)
r--
Z
Print signatory name (day phoney (SIGNATU E)
(Signatory must be authorized agent
forms/COSTDATA.DOCibh or owner of subject development)