HomeMy WebLinkAboutWTR2700912 W 912 Les Schwab Tire Store 1
BEGINNING
OFFILEFILE TITLE
des Schwab
Tire more
CLL ( I It
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nee �� n9
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(3RAA1N(= & EXCAVATING INC -
- GENERAL CONTRACTING • �,y y
- OR AD 12-197GO
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�1E5 SCHWAB
yJ`�� • ROAD &ADING 1 COMPACTING • FOUNDATION& I
Les Schwab Main Office • PANNING LOTS & GRIV;W4" • SITE GfVCOPMENT
• WAT6R. SEWER A STORM SYSTEM& • PIT RUN
• CRUSHIO ROCK OELIVEREO
LLOYD MACFARL ANL iS031447-9162 20489 8DRN ROAD RICK (ORGAN
CJestruclon Manage, FO Bo. 66' AREINGTON. WA 98223 (206) 435-6143
Res 382-7923 Pnnev11e. OR 97754V'.a•
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4.
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i
UTILITIES /i
EASEMENT
THIS INSTRUMENT, made thls_j�day of i5r—J :_ 19 ?
by and between �> -�//L jtti i/AX +nd
[ff' 1>< _t' %:{fg�/!l/(jjj7!)A� 1/I 't4,and
and
M and
hereinafter called "Grantor(s)", and the CITY OF RENTON, a Municipal Corporation of King
MC.Wunty, Washington, hereinafter called "Grantee".
Vol WITNESSEIH:
wl That sold Grantor(s) , for and In consideration of the sum of $�_(
paid by Grantee, and other valuable consideration, do by
these presents, grant , bargain, sel : , convey, and warrant unto the sofa Grantee. Its
successors and assigns, an easement for public utilities (Including water and sewer) with
necessary appurtenances over, through, across and upon the following described property
In King County, Washington, more particularly described as follows:
The Southerly 15 feet of the Westerly 100 feet of the following:
Lot 2 and the West 1GO feet of Lot 3 of Short Plat N SH-PL-84-83, recorded
under King County, Recording N 8407239001, being a portion of the Northwest
quarter of the Northwest quarter of Section 15, Township 23, North, Range 5
East W.M. , in King County, Washington.
(Also known as a portion of Tract 1 of Martins Acre Fracts, according to the
unrecorded plat thereof. )
Situate in the City of Renton, County of King, State of Washington.
07%1 t.,02 00432 Kl
' RECD F 6.00
CASHSL * :s:.r.6.00
ii
EXCISE TAX NOT REQUIRED '
� .p Co.q s Owislon
g l Oopuly
:VW o= A
c> < m
0
7C T 7 ram, fr•
X' 7M i
F E3 Hill f NMA Al REQUEST OF -
l'. W 1n
7ME Of THE Ply UEAA -t i
1iP?l AQVICIpAI r1UA.
14111 ACE. S0.
UBa1119, WA 99055
ucn-�
Said heretofore mentioned grantee, its successors or assigns, shall have
the right, without prior notice or proceeding at law, at such times as may be
necessary to enter upon said above described property for the purpose of Construct-
ing, maintaining, repairing, altering or reconstructing said utilities, or making
any connections therewith, without incurring any legal obligations or liability
therefore, provided, that such construction, maintaining, repairing, altering or
reconstruction of said utilities shall be accomplished in such a manner that the
private improvements existing in the right(s)-of-way shall not be disturbed or
damaged, they will be replaced in as good a condition as they were immediately
before the property was entered upon by the Grantee.
The Grantor shall fully use and enjoy th4 aforedescribed premises, including
the right to retain the right to use the surface of said right-of-way if such use
does not interfere with installation and maintenance of the utilities. However,
the grantor shall not erect buildings or structures over, under or across the
right-of-way during the existence of such utilities.
This easement, shall be a covenant running with the and and shall be binding
�j on the Grantor, his successors, heirs and assigns. Grantors covenant that they
41 are the lawful owners of the above properties and that they have a good and lawful
right to execute this agreement.
O and
v4
N en4
and
0%__�
71
CORPORATE FORt4:
STATE OF
SS
COUNTY OF
On this 'A day Of )9 i') before me, the undersigned,
a Notary Publ cnand or the State of W AF , duly commissioned and sworn
personally appeared �covn �, �csA� c arm an —
to me known to be the t,..j-. .9 c a and !r s�S v n tNw respectively,
of the corporatioiaT t executed the fore-
going instrument, and acknowledged the said instrument to be the free and voluntary
act and deed of said corporation, for the uses and purposes therein mentioned, and
on oath stated that he authorized to execute the said instrument and that
the seal affixed is t e cTi orpo'rate seal of said corporation.
WITNESS my hand and official seal hereto affixed the day and year in this
certificate above written.
are ui n an or a tate of�
,,4 residing at
7
LIE/2-2 b
OF I?
41
PUBLIC WORKS DEPARTMENT "f "}
Z
DESIGN/IJTILITY ENGINEERING • 235-2631 0
MUNICIPAL BUILDING 2DO MILL AVE.SO. RENTON,WASH.99055 9. �
P
99TF0 SEPZEMB�
TO: LES SCHWAS TIRES DATE: JOB NO.:
P.O. Boa 667 Recorded Bill-of-{Mle W-912
Prinevllle, OR 97754 --
ATTN: —
GENTLEMEN:
THE FOLLOWINU ITEMS:
WE ARE SENDING YOU W ATTACHED o UNDER SEPARATE COVER VIA
o SHOP DRAWINGS a PHINTS o REPRODUCIBLE PIANS o SPECIFICATIONS
O COPY OF LETTER a
CQ'I S T R PT _
THESE ARE TRANSMITTED AS CHECKED BELOW:
o FOR APPROVAL o APPROVED AS SUITTED a RESUBMIT _ COPIES FOR APPROVAL
�I
.p FOR YOUR USE a APPROVED AS NOTED o SLRI4IT COPIES FOR DISTRIBUTION
'❑ AS REQUESTED a RETURNED FOR CORRECTIONS o PPRRINNTTSS RETURMED AFTER LED OANPRINTS
LOAN TO US
a FOR REVIEW AND COMMENT o
COPIES TO:
_ SIGNED Arlene M. Haight —
TITLE Tltility Fngineering
IF ENCLOSURES ARE NOT AS NOTED, KINDLY NDTIFY US AT ONCE
now Ntft 1Xftl w TO t• rt tr.t r,ta rrweo ux wmota�taK. amj � m
r.awn.r a+.ma rvu e�T i cs. m
lied rr,. Piloold at RaQu vt d z- c
*1852
- r -
_. -gyp m
_ F•EA±viv 6iutrawt' �
1
i(rrxTox.wA utwss
RECD F 5.00
CASHSL a:r ng,0O
BML OF SALE saw
KNOW ALL THEN BY •lME PREESEENTt: Tbat LES SCHWAB TIRE CENTERS OF WASHINGTON, INC.
d
Cmmty of K i n9 ,11tar of waalfedton,ttte p�Y M do am put.
for and in eontiderstion of the am of One s NO/100--
•`01W eaooey of tbt Ualted States of Ametim, tothem b band Doom
paid Ci ty of Renton
the part Y of the anrond pan, the s-dpt wbe-sof it hereby wkzxrwkdW, do by that past dent.
bargain, mU au d ddisv ®to the aaid pert y of the owed pan, the 1onuvind desvfhed persona} property an,
w4 10fAW at 354 Union Ave. NE
00 b the City 0- Renton ,Catrty of King and State of Wadgagtoo, to wit:
N
WM - 912
Approximately 70 l.f. of lrs" Ductile Iron pipe, and 1 each (8") Fire Hydrant
Assemblies, and 1 each (Hall) of Gate Valves, and all appurtenances pertaining
to said watermain, expressly warranting said watermain against any expenses, costs
or liens heretofore incurred thereon by, through or under seller herein.
TO HAVE AND TO HOLD the tame to the rid pony of at anmd Z'-rt, it. Imes, aeeoton.
tdministrawrt and ataipt forem. And raid part y of de find put. aor i r-r- twin,
canton, odmiaistratora, cormant and agrat to and with the said pan y of the t cmd pan, its
dmaruters, adminittraton and asridas, that rid pan y of the first put i,-. . 114111a of Obe rid
Property, roods and chattel and ►a, food ridbt and NO authority to sea the time. and tbat it
VM taamot and defend the nk benby made unto the rid put y 91 the aamnd par:, i t s
aw0m, adminitvaton and amifw, aplort an a" envy person or p era+s. vbommem, IawfuOy eJalmiod or to
eWm tie tare,
IN WITNESS AIMItEOy,The rid part y of tbt bat part bare bwamte act i is lead
and and 1w 10th day of July 1987
Tom Freedman
Sr. Executive Vice President (MAL) '
(dal)
i'I NGU;J fact)
STATE OF WASHING7'0N,
Y.
fs»q of CR(1pK J
02 this do ptamod) Wpwsd befog aw
w au .`.trove as be an bdbfdrat daavlbod b sad vbo aavm:d the WhWa and faragpOAA borameot and
xi-tVw%P! Uat hn *Mad tit state as his fne and colrm
am sad purmate for amnaiirwad. ary ate and deed for the
G:17N radar sty baud sad chew art t16 loth day J idly - 1 7
1 Notry Mtit in sad for tie State of
PRI NliV1LL1:
COST DAIA AND iNYLN10RY
SUBJECT: :,ES SCHWAB TIRE CENTER CITY PROJECT NUMBERS: W-
RENTON, WASHINGTON
NAMF'OF PROJECT
TO: CITY OF RENTON FROM: LES SCHWAB 'FIRE CENTERS OF WA. , INC.
UTILITIES DIVISION
200 MILL AVE. SO, P. 0. sox 667
RENTON WA 98055
PRINEVILLE, OREGON 97754
DATE: 7/10/87
Per your request, the following information is furnished concerning costs for improve-
ments installed for the above referenced project.
WATER SYSTEM:
Length Size Type
70 L.F. OF 15 " Sch 40 WATERMAIN
L.F. OF " PVC WATERMAIN
L.F. OF WATERMAIN
L.F. OF WATERMAIN
1 ' EACH OF Ra11 GATE VALVES
EACH OF _ GATE VALVES
EACH OF GATE VALVES
Size _ Type SUBTOTAL $ 1,250.00
1 EACH OF FIRE HYDRANT A$$EMB UES f 61soo.00
(COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY).
TOTAL COST FOR WATER SYSTEM $ 7,750.00
SANITARY SEWER SYSTEM:
Length Size Type
zoc L.F. OF __§� PVC SEWER MAIN
L.F. OF SEWER MAIN
L.F. OF SEWED MAIN
EACH Of 54 DIAMETER MANHOLES
TOTAL COST FOR SANITARY SEWER SYSTEM $ 4.469.00
STORM DRAINAGE SYSTEM:
Length Size Type
410 L.F. OF 12 STORM LINE
L.F. OF STORM LINE
L.F. OF STORM LINE
4 L.F. OF STORM LINE
TOTAL COST FOR STORM DRAINACE SYSTEM $ 18.737.Oo
STREET IN{'ROYEMENTS: ( Including Curb, Gutter, Sidewalk)
Removal 6 replacement of concretes grading for curb cuts etc
TOTAL COST FOR STREET IMPROVEMEN S 3.io0.00
**Plus additional costs for Enqineerinq
paid to the Dept. of Public Works MCiefar ne
(SIGNATORY MUST BE AUTHORIZED AGENT OR
OWNER OF SUBJECT DEVELOPMENT)
r
R
CITY OF RENTON
BUILDING & ZONING DEPARTMENT
Barbara Y. Shinpoch, Mayor Ronald G, Nelson, Director
June 25, 1987
Les Schwab Tire Center Retirement Trust
P.O. Box 667
Prineville, Or. 97754-0667
RE: JOB ADDRESS - 354 UNION AVENUE N.E., BUILDING PERMIT B-13015
Gentlemen:
The following items must be corrected or completed and
approved before this building can be occupied.
1. utilities Engineering Division (235-2631)
a. Require bill of sale, cost data and inventory and
as-built plans for water lines.
b. Re�,aire easement for water lines.
C. Require make and model numbers on cross connection
control device and on 1" by-pass meter on 8" fire
service.
2 . Design Engineering Division (235-2631)
a. Asphalt paving on sewer trench to be corrected,
3. Traffic Engineering Division (235-2620)
a. Require 10, utility easement behind sidewalk.
4. Building & Zoning'Department (235-2540)
a. Install underground irrigation system.
If you have any questions concerning these matters, please
contact the concerned department or our office.
Sincerely, q
y �2;_5S_ 2611
Kenneth C. Bindara V ,
Lead Building Inspectorer
KCB:plp:p3 .023 w(
1�tv
2G0 Mill Avenue South - Renton, Washinnton 9SG55 - (206) 235-2540
BUILDING & ZONING DEPARTMENT
SECOND PRE-OCC PRE-OCCUPANCY INSPECTION REPORT
DATE___September 11 1987
T0: I_I DESIGN ENGINEERING DIVISION I_I BUILDING FINAL
I SI UTILITY ENGINEERING DIVISION I,I FIRE DEPARTMENT
I�I TRAFFIC ENGINEERING DIVISION I_I LANDSCAPE/PARKING
FP,OM: BUILDING & Z014ING DEPARTMENT I 'I ZONING
SUBJECT:`Les Schwab` PERMIT NO._B-13015
_354 Union Ave. NE. TYPE BUSINESS
The subject project is nearing completion. Please investigate your area
responsibility and indicate below either your acceptance or corrections
nece.,sary by September 1a . 1987 in order that a Certificate of
Occupancy may be issued. If no com
Certificate w_.11 be issued. monts are received by the above date,
TO: BUILDlIN�G� & ZONING DEPARTMENT DATE
FROM: Taproved
This pi Dies b this de artmen
corrections: P t subject to the following
PRE-OCCUPANCY INSPECTION REPORT
REQUIRE: W. /,7 WATER S SEWER
cK BILL OF SALE
A` OTHER
DO YOU FiAVE ANY OBJECTION TOrISSUA2ICE OF TEMPORARY CERTTF CATE OF
j, O@1@¢IELD INSPECTION BY 171.
/ YES I_ INOd¢tt .tcL�
FORM p5-002 / � �
- Authorized S gnatur
i BUILDING A ZONING DEPARTMENT
PRE-OCCUPANCY INSPECTION REPORT
i
1 DATE JUNE 10, 1987
t
d TO: ESIGN ENGINEERING DIVISION
BUILDING FINAL
MUT0.1TY ENGINEERING DIVISION FIRE DEPARTMENT
❑TRAFFIC ENGINEERING DIVISION nLANDSCAPE/PARKING
1 El
FROM: BUILDING g ZONING DEPARTMENT
SUBJECT: LES SCHWAB PERMIT NO. B-13015
I
354 UNION AVENUE N.E.
TYPE BUSINESS TITS STOP
The subject project is nearing completion. Please investigate your area of responsibMly and indicate
below either your acceptance or corrections necessary by _JUNE 17, 1987 in order that e
Certificate of Occupancy may be issued. U no comments are ret:elved by the above date, the
Certificate will be issued.
TO: BULDING 6 ZONING DEPARTMENT DATE _ 1///l /8 J
ROM:
This project is approved by th:s di�artment subject to the following corrections:
..-ru I= FldriNiFFRING
PRE-OCCUPANCY INSPECTION REPORT
REQUIRE: W- L WATEH S- B6
ti ILL OF SALE
�g t f 1WEM(NT ' -
pp
(DN ST ORY& �5 QUi eE
'IiMLT EDvir26
+I ♦STFIER C�E.L 'S ON
.r oN &"F/.eE SLS.e0c'e
�$film"Ira 1N6PF67161I nkc-
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY?
QYES NO
Authorized Signature
IIfVi,'1 V 17r)
i
PUBLIC WORKS DEPARTMENT
BUILDING DIVISION
CITY OF RENTON, '.JASHINGTON
PERMAPPLICATION ONLY - UNTIL VALIDATED NUMBER
Owner Location of Work
Address -
---- ,,, � t'• r', 'r• '''.' cam.
INSPECTIONS FEES
ONSTRUCTION Side Sewer
Storm Sewer
PERMIT Right-of-Wa) Construction
Sp. Utility Conn. Fee - Water
water Latecomer Fees
(Public Right-of-Way) water Insp./Approval Fees
Sp. Utility Conn. Fees - Sewer
Sewer Latecomer Fees
Sewer Insp./Approval Fees _
Date Issued Inspection Fees
Special Deposit - CASH BOND
Expiration Date TOTAL FEE
Description of Work
and Nimtber of Feet —
Busi. .sa
Contractor
License
Address Bond
Telephone
IT IS UNDERSTOOD THAT THE CIT1 OF RENTON SHALL BE HELD HARMLESS OF ANY AND ALL
LIABILITY. DAMAGE OR INIURY ARISING FROM THE PERFORMANCE OF SAID WORK.
ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BE DONE BY A
LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING.
CALL 23L-2631 FOR INSPECTION.
Call between. 8 AM and 9 AM for APPLICANT
inspection in afternoon; call
Lafore 12 Noon the day before
for inspection in morning. PUBLIC WORKS DIRECTOR
SPECIFY TIME FOR INSPECTION.
CALL BEFORE YOU DIG gy ."4 t
CALL 235-2620 for street signs 48-HOUR LOCATORS
and lighting. 1-800-424-5555
Lft SCHWA
LES SCHWAB TIRE CENTERS
Main Oltice
P.O.Boa 667
Prineville,Oregon 97754
(503)447-4136 CONSTRUCTION DEPARTMENT
(503) 447-9162
TO: CITY OF RENTON DATE: 7/10/87
UTILITIES DIVISION
200 MILL AVENUE SOUTH PROJECT: RENTON, WASHINGTON
RENTON. WASHINGTON 98055
ATTENTION : JOB d :
_._ X TRANSMITTED HEREWITH Originals
TRANSMITTED 6eparately —Originals
Drawings
_—___i'or your review 6 Reports
approval _ Prints
Fur your signature Specifications
—For your information Change Orders
~For resubmission Copy of Letter
_For contract drawing
set
As requested
For Bid
Due _ 19
REMARKS :
ENCLOSED ARE SOME FORMS REQUESTED SY YOUR OFFICE . PLEAS£
LET US KNOW IF MORE INFORMATION IS NECESSARY .
THANK YOU
FROM:
DONA THURSTON, SECRETARY
CONSTRUCTION DEPARTMENT
THE NORTHWESTS LARGEST INDEPENDENT TIRE DEALER
N4TH OVER 150 LOCATIONS IN OREGON,WASHINGTON.IDAHO AND MONTANA
LES SCHWAB
LES SCHWAB TIRE CENTERS
Main Office
P.O. Box 667
Prineville, Oregon 9775
(503) 447 4136
Telex 5106001887
Telefax (503) 447-9157 September 22 , ITS?
City of Renton
Building & Zoning Department
200 Mill Avenue South
Renton , WA Q8055
Attn: Mr . Kenneth C . Bindara }
Lead Building Inspector SEP2 4i987
Re: Les Schwab Tire Center ,
354 Union Ave . N .E .
Renton, WA
Dear Ken ,
In regards to the items remaining in order to complete the
protect , please note the following :
1 . Enclosed please find a copy of our Statutory Warrant Deed
(note the highlighted item on Page 2) and a copy of the
A.L .T .A . Survey .
2. I have been informed by the sub-contractor , that the asphalt
paving over the sewer trench has been corrected .
3. On the Automatic Fire Protection Sprinkler System, the part
numbers are as follows :
Cross Connection Control Device - FEBCO 806
1 " By-Pass Meter - Nep' une Trident 31428144
4 . The Plumbing Joint , plumbing contractor , has performed the
required test on the backflow preventor on the landscape
L <� irrigation system on July 13 , 1987 . They have forw4rded a
4.1 copy to your office .
I hope this helps resolve the matter toward obtaining our
permanert Certificate of Occupancy . If we can be of any further
assistance , please call 1-503-447-9162 .
Yours truly ,
Grey McDonald
Construction Department
THE NORTHWEST'S LARGEST INDEPENDENT TIRE DEALER
WITH OVER 170 LOCATIONS IN OREGON,WASHINGTON, IDAHO AND MONT IkNA
DATF•
ATTENTION:
h�
- FIELIFINSPECTIOR
ATTACHED ARE AS-BUILT PRINTS FOR
PROJECT:_ � Z��
PLEASE FIELD CHECK AND RETURN THIS SLIP WITH YOUR
COMMENTS TO:
INSPECTOR'S COMMENTS:
LES SCHWAB TIRE CENTERS
Main Office
P O. Box 667
Prineville. Oregon 97754
(503) 447 4136
Telex 5106001887
Telefax - (503; 147-9157
Seotember 22 . 1967
C: tv of Renton
Building & Zoning Department
210 ^1: 11 Avenue South
Fenton , WA 9e'OS5
: tn : Mr . Kenneth C . Bindara
Lead Building Inspector
Fe : Les Schwab Tire Center
-54 Union Ave . N .E .
Renton, WA
Cear Ken,
In regards to the items remaining in order to complete the
project , please note the followina :
1 . Enclosed please find a copy of our Statutory Warrant Deed
(note the highlighted item on face 2) and a copy of the
A.L .T .A. Survey .
2 . I have been informed by the sub-contractor , that the asphalt
paving over the sewer trench has been corrected .
3 . On the Automatic Fire Protection Sprinkler System , the part
numbers are as follows :
Cross Connection Control Device - FEBCO 606
1 " By-Pass Meter - Neptune Trident 3142SI44
4 . The Plumbing Joint , plumbing contractor , has performed the
required test on the backflow preventor on the landscape
irrigation system on July 13 , 1967 . They have forwarded a
COPY to your office.
I hope this helps resolve the matter toward obtaining our
permanent Certificate of Occupancy . If we can be of any further
assistance , please call 1-503-447-9162 .
Yours truly ,
Greg McDonald
Construction Department
THE i,'ORTHWEST'S LARGEST INDEPENDENT TIRE DEALER
WITH OVER 170 LOCATIONS IN OREGON,V.ASHINGTON. IDA40 AND MONTAN>
m _ _
DATE:
ATTENTION:
F I LLDf I SPECTUR
C/
ATTACHED ARE�pAS-BUILT PRINTS FOR
PROJECT: o�-e Q-
PLEASE FIELD CHECK AND RETURN THIS SLIP WITH YOUR
COMMENTS TO: al� 12" !
v
X
INSPECTOR'S COMMENTS: � eE)'�G -
CATHODIC PROTECTION
FLUSH MOUNTED TEST STATIONS
.LAe
N"Ism afA Cp. 0C SLAM ��aAAa
' '•
"� L� pvAG KOCK
rwsr/ R.OI.MiD r/rMwnMC y,pCK rV fT Arlo r
1♦t afATp4 7lI1 aTATQV
`_fR Awe f V* V4,L AW- 7W•1�tL A710.v
rVw7rr wr/TL 7w MfM.Ar/ON-�-
Tw AeNLAT�W,
I
AwIrW/f[ wlaC wee h11N 7ff A/eL,M�e
Cp•,nlCfgwi,TTI
#V"A,A7=
AN1
d10Tr[/�t r��
�R
TYPE T, Simple Test Station TYPE 1. kwWeted Joint
'BWcmTE ALAN
�� dwAm
I �1lAIMVAC k R
kyaw "OL97C0
fear a"r.CYv-�'�
CGCC
. . wit fRe ~f w.w[ w,rw
Ak aL Tw M4awnO+r
p r r,eF ,AA
a/a,7a y.Aw 7w ArR.w
r^lr~1t n60 10
ffm CO4W. r
.ewes" OWAAn- o.�af1 wrnrr
TYPE F. Foreign Pipe Crossing
WATER STANDARD DETAIL
CITY OF PENTON
NOT TO SCALE DEPARTMENT OF PUBLIC WORKS """ 1493
�YM
M
6r re
b
�K 1
yy
5� 0 . S
ti In� ►14 Z�\a4 Al 5
Fffro �abL DdY C.G.. . 6 • f1e � 06 ,tt�
Ste, a 6- 244) � 1 p
1
AUTHORIZATION OF SPECIAL BILLING
DATE: ,,,�8 7
PROJECT NAME: /A 7,Q Z64
PROJECT NUMBER: " iiA t�
WORK ORDER NO. :
It is the intent of this letter to authorize the City of Renton to bill
the undersigned for all costs incurred relative to the above-referenced
project, by the City of Renton for the following work:
Al Tk
BILLING TO BE SENT TO:
Name:_/XS C-rW cy N Pe-Y Me>
Address pb 14
City:Ppi�'LtL.%ti!2 State:69 Z.C. 151zzsy
Atten:��To 4!!r1e- f & -4 /_a,ve
Phone No. H Y7, 914 .1
`fin i eveloperYYContractor or
Authorized Agent
OF R o
PUBLIC WORKS DEPARTMENT
DESIGN/UTILITY ENGINEERING 0 235-2631
MUNICIPAL BUILDING 2OO MILL AVE. SO. RENTON,WASH.98055
b 4TEO SEPZEOOOP
BARBARA Y. SHINPOCH
MAYOR
MEMORANDUM
DATE: March 31, 1987
TO: Richard C. Houghton, Public Works Director
Police Department, Traffic Division
Lee Wheeler, Fire Department
Jack Crumley, Street Department
Ray Sled, Water Department
Jorn Stein, Street Department
Gary Morrison, Sewer Department
John Ralston, Treffic Engineering
Gary Norris, Traffic Engineering
Bob Bergstrom, Utility/Design Engineering
Ron Nelson, Building Department
FROM: Donald G. Monaghan, Design Engineering
SUBJECT: PROJECT UNDER CONSTRUCTION
Las Schwab
PROJECT: Les Schwab
DEVELOPER: Les Schwab Tires of Washington, Inc.
Post Office Box 667
Prineville, OR 97054
(503) 447-7723
CONTRACTOR: Les Schwab
(same address)
(same phone number)
FOREMAN: Les Unverzagt
271-0662 Emergency 1 (503) 447-4196
CITY OF RENTON
INSPECTOR: Martin Lundy
235-2631
1J.03:DGM:mf
CITY OF RENTON
A UTILITY ENGINEFRING No, 01682
1
♦ • 200 MILL AVENUE SOUTH
.t� RENTON, WA 90055
PHONE: 2)5-26)I
ORDER FOR WATER SERVICE INSTALLATION
I
Account No.
Meter Charge $ I
York Order No. LhCI(` Less Stub Service Credit
Down Payment AQ �
Sundry Sale No. System Development Charge
In City Yes d No Late-Comers (City)
On Sewer Yes No
(Others)
Water Usage: Residential ❑ Commerclal Industrial 0
TOTAL FEE $
Other
r/ i• 1 INSTALLATION; NA-✓Z'O-'e '`✓`.e"'��".+C.�
Meter Slze 0.14,kN-'k-� Jet.
ry L. %Jet L Size Serv;ce _
Temporary Hydrant Meter Yes No a Meter Make t
Sewage Exempt Meter Yes C3 No 2" Meter No.
Fire Protection Service Yes No Date Installed Y
/ //� I �l Comments:
Service Add ress - (, Csct lst `- c'r'-f '/� f
Legal Description
ignatwte Ey
CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes No U If Yes, Type of Device: {'
Reduced Pressure Backflow Device Double Check Valve Assembly Air or Pressure Vac Breaker If
Make of Device Model Serial No. Size
Date Device Installed Meter No. File No.
y
Owner's Name ' -r ,e Sr.^O ,/-- ��(2-e- kJ-C�-c.tr%- Phone
Address TL,.• Cit hy.4'.-aw State rl2 L. zip ? —1 f
Contractor's Name Phone
Address City State zip
Area Served by Renton Water Seattle Water Seattle Water Code No. _
k
Temporary Service Agreement Yes 0 No If Yes, Agreement Recording No.
`s
Service to be Located on an Easement Yes []J/�No If Yes, Easement Recording Mo.
r / iy
Is There an Existing Stub Service Yes ❑ No JD If Yes, Water Project Mo. h
Existing Late-Come l c�rs Agreement Yes �o If Yes, Agreement No LtQ
In Favor of Address
City State _ Zip / Charge S
System Development Fee Yes [Er"No If Yes, System Development Fee Based on 1 Ls..-f.�. Square Feet
THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND
PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF
RENTON'S SCHEDULE OF RATES WHICH SHALL FROM TIME TO TIME BE LEGALLY IN EFFECT .OR THE PURPOSE FOR WHICH
THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND 1
REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER, THIS IS IN ACCORDANCE WITH CITY OF
RENTON CODE, CHAPTER 2, SECTION 3-203.
Mite - Utility Billing 9^�LL n W on 3,J/�J ep
Yellow - Engineering
Pink - Water Shop
Gold - Customer C4,ty 0J Kenjon AurhoU sang AgenT Vote
CITY of WORK ORDER UTILITIES
- DISTRIBUTION DEPARTMENT L) ^^^ y,
RENTON l�b L I
I f GJ �j �4962
96 1
PROJECT NO. iv- / /'t'' p DATE=,.F_19� 4
PROJECT NAME -.�-�.� �•�i-oIQIAdt3 V �l `Y' c e.( ( l, 1. a q, . )L -
fUNC710N 9R DESCRIPTION OF PROJECT
L. .Z Yn . •oleo_ ctie cg"' t 6,e
'1 t
BY CITY FORCES L1 CONTRACT ❑ IF CONTRACT NO.
CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS
ESTIMATED COST _ oneSOURCS —ACTUAL COST—
AGREEMENTS [� IF SO, NO. SPECIAL BILLING IF$0,
TO � J I"-A- 13!ts4 eA"Z �rjiwi'e"—t —
COMPLETED
A"WVED BY
Un W"T~
I
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PUBLIC WORKS DEPARTMENT
BUILDING DIVISION
CITY OF RENTON, WASHINGTON
APPLICATION ONLY - UNTIL VALIDATED rNUMBBEW/r. ,
Owner / Location of Mo//rk''
°�
Addrp / • 4o 7
INSPECTIONS FEES
CONSTRUCTION Side Sewer 1'C'•�r
Storm Sewer
Right-of-Way Construction
PERMIT Sp. Utility Conn. Fee - Water
( Water Latecomer Fees
Public Right-of-Way)
Water Inep./Approval Fees
Sp. Utility Conn. Fees - Sewer
q - •�/ - p 7 Sewer Latecomer Fees, —c
JJ d U Sewer Insp./Approval Fees •- t•
Date Issued Inspection Fees Y
r) &ecial Deposit - •GA&H--BOND !4.ogy', 'd�1
Expiration Date TOTAL FEE 7V bEy,F1 .AfO�%tZ #yr r, 10.
Description of Work J
and Number of Feet - �1-��L.� �'L't. l-t .l.�v4� 1'`l it� "i-.l'is-,. .Q�.C.I. f-•t_�
f
?, ontractor f� 1" qq Busineasf��O7
f 1[ . ! c!2 C- �" 1�Yi^.�tt^>� C�; ��cft tLC .tA i �g'Eo .�Ci Zt Licene Q J J
Address / Ond i1 " 4 t
�0�8� if Z. 1+f1. t-i
Telephone
IT IS UNDERSTOOD THAT THE CITY OF RENTON SHALL BE HELD HARMLESS OF ANY AND ALL
LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE OF SAID WORK.
ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BF DONE BY A
LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING.
CALL 235-2631 FOR INSPECTION.
Call between 8 AM and 9 AM for. APPLICANT
inspection in afternoon; call
before 12 Noon the day before
for inspection in morning. PUBLIC WORKS DIRECTOR
SPECIFY TIME FOR INSPECTION. 1/ /
CALL 235-2620 for street signs CALL BEFORE YOU DIG BY �h�(i.t�• )1( �jpsf•c.$K
48-HOUR LOCATORS
and lighting. 1-800-424-5555
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"- ENDING
OF FILE
FILE TITLEowq
(_es Schwab
Tires SEora
Engineer ( ng
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