HomeMy WebLinkAboutWTR2700918 W° 918 Texaco Fire Hydrant (new) 1
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Ft i-e Hydrant
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irded Eon Record at Reputd Of L.
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:�iG:v isuiviL�t.u.aL'.•C. .
ItENTON,WA be06o r'; 11;•1q #0716 Q
ItECL+ F b.OQ
CRSHSL. tr:v»,e.00
I1
rem. L Blot
BILL OF SALE
CD &NOW ALL HEN 1Y THESE f RESENTS: T1at 'PPW1C0 RENINT_NG F MARKETING, INC.
Tf-
---- d KTRnMR)
O Coat, of t:TNC .late of WasllLtgloa,t!e pmt1-- of the am pan,
4or Bed to aonsideratloe of IM no sl One and no/100--------------*-
--------------------------------------------------------- ----------------Dolyys
(awful mosey of the Udted Suter of America,to them ` band paid by the City of Renton
Nthe part ) of tht rend pan, for ncelpt be f b ►emby adaow%dged, do <"• by that premu groat.
bargain, Bell and ddister ®to the said pan ) of the semd pan, the following dacibad Pensssal PmPerty Now
looted at 1408 Bronson Way
r the City of Renton ,Cwwty of t:i nj said State of Waaiegtm, to-wit.
Wk918
Apprtxcirrately 10 l.f. of 6" Ductile Iron pipe, and 2 of Fire Hydrant Assanbles,
and 0 of Gate Valves, and all aPlurtenances pertaining to said wateiTtain, expressly
warranting said watexmain against any expenses, costs or liens hereto ircvrred
thereon by, through or ruder seller herein.
TO HAVE AND TO HOLD the some to the sold parry of the socoDd --M its bdn, aenttors.
administrators and assigns farm. And sold pan y of the tuft part, Oct it---
Yrin,
ssrvton, administrators tsrwmant Bad agrtx s to Bad with the said part y N the seeoad pan, i t s
aacutors, admWstrators Bad assigns, riot wild pan y of the ftnt pan the a roer of the said
property, goo6 and chattels and ba s good right and full authority to se11 the same. Bad that it
wN warrant wmd Mend the sak baeby made tmto Blot said parry of the stcamd part, it
esvton, administrators end antgna, against all and every person or Persons, wbamsa"v, lawfully CLimiat or to
Claim the saast,
IN WITNESS RIUREOF,The sold pan} of the her pan has band
ad Mal this 12th day of Oc nb'Q
TEXACO REFINING A14D MARKETING INC. BY:
State of Washington)
)sa
County of King S
IOn this axd. day of ,3Jt--r 1911, before me personally appeared
A QSL66EC to me known to be the �SL*. �iu is,aN l fA+ue`L of the
corporation that executed the within and foregoing instrument, and acknowledged the said instrument
to be the free ,raid voluntary act and deed of said corporation, for the uses and purposes therein
mentioned, and on oath stated that he. was authorized to execute said instrument.
WITNESS my h ffl-ie1 seal on the date first above written.
it 1i
`tdQ O�NOTggYp� * NOT Y PUBLIC i nd to the State of
I * •-- *�! Nashingtonr res Sng at
(Small rrft9GoU8l.t �•;Zt� My commission Expires I
91F 17
OF tYASH��
r
Laucks
Testing Laboratories, Inc. Invoice
`Ui04rIfIIIknIH•ySlTcel.Seallle.lUlcflinQnxl9$IOR 140fi1767-50c)0
Chemistry.MbubolcIv.and Techni al Services
City of Renton Utility Engineer Invoice #91519
260 Mill Avenue South
Renton, WA 98055 September 30, 1987
For the analysis of WATER
during the month of September, 1987 -------------------------------------- $108.00
*8148058 - 5148073
5Y/4z46G0 V- Ce/ lJ - ?/7 CJD79, 601e7 = '11/3,Sa
S/'e/Soe.z 9i 1-i 1',. lJ 9/0 0 Say z avo"Vo
CHARTER 116, LAWS OF 1965 r � _ df 00 fii" e.-
CITY OF RENTON CERTIFICATION �f
!. iT1[ OND[ntIDN[D tq N[R[W CFRTI" UNDER
P[NAITV pR p="Z1. THAT TH[ MATtnIAE[ HANt
R![n PURND)MFD, TH[ [[RwC[[ II[NDEACD OR THEn.1,. -r.tx.i�l�/C/THE CILARORLAY I, AE .RIlt, DUE RAND UNPAHEREID DBIID�TIDNT
AGAINST THE CnT OR RENTON. AND THAT I AY
AUIHORRID "He cant" To
QVI G/I[[
t� F SIGNIM
N'
OCT 6 1987
mill EF.R,Vh DEPT.
r C111 OF il[VION
Net 30 Days
iM x'e IieMhry a IMae bnw0laroa Ia Ineae•eakea.Indunirq fleime br�HRliwnce,Hrkl TIME N br a wwrgnlY aneN
mI nceM Inn emounl d InN mace SempNa meY M axrnee elhr emryaia unNf\d1wvNN reRwuee �
COST DATA AND INVENTORY
SUBJECT: _ CITY PROJECT NUMBERS: W-__�
�— S-
MhMF
TO: CITY OF RENTON FROM:
UTILITIES DIVISION
200 MILL AVE. SO.
RENTON WA 98055
DATE:
Per your request, the following informatior is furnished concerning costs for improve-
ments installed for the above referenced project.
WATER SYSTEM:
Length Size Type
L.F. OF WAIERMAIN
L.F. OF _ WATERMAIN
L.F. OF WATERMAIN
L.F. OF — WATERMAIN
EACH OF GATE VALVES
EACH OF —'" GATE VALVES
EACH OF ,"_ GATE VALVES
Size Type SUBTOTAL $ _ A
_ EACH OF /,,, ?/ FIRE HYDRANT ASSEMBLIES $ 0/1
(COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY).
TOTAL COST FOR WATER SYSTEM $
SANITARY SEWER SYSTEM:
Length Size Type
L.F, OF SEWER MAIN
L.F. OF SEWER MAIN
L.F. OF SEWER MAIN
________ EACH OF DIAMETER MANHOLES
TOTAL COST FOR SANITARY SEWER SYSTEM $
STORM DRAINAGE SYSTEM:
Length Size Type
L.F. OF STORM LINE
L.F. OF _ STORM LINE
L.F. OF STORM LINE
L.F. OF STORM LINE
TOTAL COST FOR STORM DRAINAGE SYSTEM E
STREET 1MPR`:EMENTS: (Including Curb, Cutter, Sidewalk)
TOTAL COST FOR STREET IMPROVEMENTS $
TS-1
(SIGNATORY MUST BE AUTHORIZED AGENT OR
OWNER OF SUBJECT DEVELOPMENT)
i
`7/7
Texaco USA 10602 NE 38M Mace _-
PO Box 2969
Kirkiard WA 98083 ,*,:*,:,�,.•;-, d
0" 14IM
October 12, 1987
MNEE ADEPT.
GiTV OF !Z410N
Ms. Arlene Haight
City of Renton
Utility Department
200 Mill Ave . South
Renton, WA 98055
Re: Renton, WA. , 1408 Br,)nson Way
Bill of Sale
Dear Ms. Haight:
Enclosed is fully executed, duly acknowledged Bill of Sale
covering sale to the City of Renton of fire hydrants at the
subject site.
Yours very truly,
TEXACO REFINING AND MARKETING INC.
M. J. ALMON 1
Fiel Maintenance Supervisor
MJS-RJM
/^., DSHS 1&1Ta 1R1 Pn DSH,13173 1RIEt1
STATE Of WASHINGTON r^ STATE OF WASHINGTON
\ / DEPARTMENT OF SOCIAL AND HEALTH SERVICES`' DEPARTMENT OF SOCIAL AND HEALTH SERVICES
WATER BACTERIOLOGICAL ANALYSIS WATER BACTERIOLOGICAL ANALYSIS
SAMPLE COLLECTION READ tNSTRUC'IONS ON BACK OF GOLDENROD COT' SAMPLL GULLECTION BLIND INSIRUCI IDNS UN BACK 01 GOLDENROD COPY
It InetrUCilons are not followed, sample will be rejected. It Instructions are not followed,sample will be rejected.
DATE COLLECT ED TIME COLLECTED COUNTY NAME DATEICOLLECTED TIN}�COLLEG`ED COUNTY NAME
MONTH DAY YEAR 1t oP MONTH DAY YEAR 1I
9 9 a�M O PM K� 9�
TYPE OF SYSTEM IF PUBLIC SYSTEM COMPLETE TYPE OF SYSTEM f PUSI IC SYSTEM,COMPLETE: ?
PUBLIC O E[IASS UBLIC �] ' % O 1 PJ11 3A54
Y^ LO. No. `� ' �] Iv 1 A p INDIVIDUAL D. No. r 6 �,/2 —
❑ INDIVIDUAL ..,,mq e,Ve,ui
NAME OF SYSTEM NAME OF SYSTEM
Lifa4 of QEM��*� 61rY ist Tfill
SPECIFIC LOCATION WHERE SAMPLE COLLECTE SNSTtMOWNER'MGR kAk1EAMETTLEPHIINENO .S�PECIFIIC LOCATq�BER.SAMPLE DLLECTEO SYSTEM OWNER,MGR NAME AND TELEPHONE NO.
" s t A 4,� Ne V (hrll(o- HroeAtM1 At Athena NAtcRr
F�Inaou NF rt , pj9�a ( ) 235-?631 i3aoNpa1 wA� NE w 918 ( ) zss tcs�
SAMPLE COLLECTED SY'.INAOMI m)
r' SAMPLE COLLECTED BY'.Har
AFiZIDUI._CahteeR- U t i„vaF ✓ {spout, (A/DR,e- qw-
SOURCE TYPE SOURCE TYPE JJ..
I'I OMBINATION ❑ SURF ❑ WELL ❑ SPRING ❑ PURCHASED �/"OMSINATION
❑ SURFACE ❑ WELL ❑ SPRING 0 PURCHASEDr OTHER ASkE / or OTHER
SENg4 SEPORT T�,lwlnt full Ne • a mtl yP Ccvsl SEND FEPOR TVP, t Full Name.Aare l d lip 2Mal L
Lli r P KE•1?�n Uny APCW* G11y' T.� 'IGtn#cn. U("IEl1 Mni pf
_ y�ZCV MILL. ACE Si lr �20�p Miles AvF "So. Q
rrkrn _WASHINGTON gac.,c ram. l Vrr ' 'LASHINGTON
TYPE OF SAMPLL T`uE OF SAMPLE !
� o..n o�r«„�m..�u„m.,. - c.c.o.ro q,e•m..cw.mn,
t t G
El Cnlonnaled( eslua — —
Rdl, TotalFreel T. ❑ DRINKINGWATER ❑ CnlounatW(Realdual:—Total_Frael
t. ❑ DRINKING WATER ❑ Filtered
Check Treatment--ilk ❑ Filtered check treatment--J•
El Untreated or Other ❑ Untreated nr DIM(_.
2. r❑rrrte��YRRAaaaa RAW SOURCE WATER 2. RRAW SOURCE WATER
3. NEW CONSTRUCTION or"E"Il S 3 NEW CONSI RUCTION or RlRRIPR'4. ff OTHER(Specify)_r —_ 4. ❑ OTHER ISPe.ltYl —
COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE
PREVIOUS[AB NO PREVIOUS LAB NO
PREVIOUS SAMPLE COLLECTION DATE PREVIOUS SAMPLE COLLECTION DATE_ _ -
EMARKS: REMARKS'.
1! W 0- SM _ W-918- S^ 2 i W.4
LABORATORY RESULTS(FOR LAB WB FNILY) LABORATORY RESULTS(FOR LAB USE ONLY)
P
MP4L COLIFORM STD PLATE COUNT SAMPLE NOT TESTED J1,
RM STD PLATF COUNT SAMPLE NOT TESTED
BECAUSE:
BECAUSE'.
5 wee.w.,i�,. /mi a.u.e Sample Too Old N TEST UNSUTABLE Sample Too Old
MPN DILUTION TEST UNSUITABLE �T��m, W mI 1. ❑ ConllueN Growth 'J Nolm Proper Contalrwr
1. ❑ Cor.11ueni Growth ❑ Nat In Proper ContainerMF COL FORM M 2 Q TNTC ❑ I.eulilcut.tInfor mallon
2, ❑ TNTC ❑ Insufhclent IMormatlon Pro2ad-Please RAW
/100 niI Provid6d-Please Read .IU ml Inslfuctlona on Form
Instructions on Form3, ❑ Escess Debrta
FECAL COLIFOR , ❑ Evicesa Dooris M MF❑ MPN ❑ MF 4. ❑ 4. ❑___ ❑
00 m�
FOR G KING WATER SAMPLES ONLY THESE RESULTS ARE. FOr,D�IIdKiNG WATER SAMPLES ONLY,THESE RESULTS ARE.
SATISFACTORY ❑ UNSATISFACTORY L� SATISFACTORY ❑ UNSATISFACTORY
SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS SEE REVERS[SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
LAB NO. DATE,TIME RECEIVED- RECEIVED BY LAB NO MTE THE RECEIVED- _ ]RECEIVED BY
DATE REPORTED `t LABORATORY DATE REPORTED^/ LABORAT R'f
REMARKS REMARKS
WATER SUPPLIER COPY WATER SUPPLIER COPY a+
NOTICE OF NEW FIRE HYDRANT IN—SERVICE I
+ 'Irraru
NAME OF DEVELOPMENT E ( G7 V
ADDRESS 140Y fow-,6g U Ny W.
INSTALLATION CONTRACTOR ( ,�i� i1�►yL '"�'^" � ��
WATER PROJECT NO. OJ• 1[3
f"-MDER OF HYDRANTS 2
HYDRANT LOCATIONS ` (FOR FIRE DEPT. USE ONLY)
1. q( (Ai y ta�y Nr^dW, (�� N �, BiIPA% N. HYDRANT NO.
2. WE: �GiAH' c4 Irf4t (�:r �i,dt�n.. l N .
4.
5.
6.
INSPECTOR ��`�RlA1� 9� ✓ �p�13/�} -
113 -q l�
BUILDING & ZONING DEPARTMENT
PRE—OCCUPANCY INSPECTION REPORT
DATE OCTOBER 1. 1987
f; TO: DESIGN ENGINEERING DIVISION _ BUILDING FINAL
1 UTILITY ENGINEERING DIVISION FIRE DEPARTMENT
TRAFFIC ENGINEERING DIVISION _ LANDSCAPE/PARKING
ZONING
FROM: BUILDING & ZONING DEPARTMENT
SUBJECT:_TEXACO PER14IT NO._B-13135
1408 BRONSON WAY N TYPE BUSINESS
The subject project is nearing completion. Please investigate your area
} responsibility and indicate below either your acceptance or corrections
necessary by OCTOBER 8 . 1987 in order that a Certificate of
Occupancy may be issued. If no ccr.ments are received by the above date,
Certificate will be issued.
;Y TO: BUILDING & ZONING DEPARTMENT DATE 44.(rH4.
FROM:,LWbC►.il. �'Cun- ' (Dh;S. 1N;OF�cKV
This project is approved by this department subject to the following
� corrections:
J� }�� , 1_ iun4--��kdrankS—p�.l�FaehRy—Arc—R—�—a►-3{���M—Ulny—w,4�--Q—te
Tora;.—
„dr
of 10111�1 —1 1
' 1260-G }_SU hUV � �u1i4r lIV KPrt�m U,U1iti Cmrintanl.t_ �cTl'.
k e tfc&to
V.
as t.IzVA i a) �er�h�,id aye- b�ulL �� �C,- u:nkt�.rreur a�nY<,QQafto..
sov� 3,00 VC1501 = 450"
4
y DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF
OCCUPANCY.
�_IYES O
FORM p5-002
Aqldfnmire
14.41.f�'
U1-4 q
BUILDING & ZONING DEPARTMENT
PRE-OCCUPANCY INSPECTION REPORT
DATE OCTOBER 1987
TO: { DESIGN ENGINEERING DIVISION I_I BUILDING FINAL
IQ UTILITY ENGINEERING DIVISION FIRE DEPARTMENT
TRAFFIC ENGINEERING DIVISION I_I LANDSCAPE/PARKING
I_I FROM: BUILDING & ZONING DEPARTMENT ZONING
J
SUBJECT: TEXACO P.ERMIT N0. B-13139
1408- BRONSON WAY N TYPE BUSINESS
The subject project is nearing Completion. Please investigate -our area
responsibility and indicate below either your acceptance or CoLrecrions
necessary by OCTOBER 8 . 1987 in order that a Certificate of
Occupancy may be issued. If no comments are received by the above date,
Certificate will bp issued.
$ T0: BUILDING & ZONING DEPARTMENT DATE� Id $4-
FROM: j (1 - Nit. �N1P�ts+ti
This project is approved by this department subject to the following
corrections:
so`L t- �i aina h414Ak 4V Eut6 ke M ccx,�, Ulaw ui H+ 2 cow
T lkK _Vey ca�icm
loo17
f Z" ,n adt LVA irri a+ �• hn +,�t� ��� Sit �vvl�vd Tgtz,�
7$0" f. 3- Subbub .Kna kWak�jAJ _ �{u 17onhrn
b� $i '� Sad: a..l cnsy_duh, 4r�4Mk q�t•
rtm� rSe,�o M1ac e �v ' >0 I51,/c = 3-5 0 '
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF
OCCUPANCY.
• I.—IYES IA p
FORM p5-002
A ature
Bxt 1*R Ill.f1
� p
Q> (Ml) T.k:
F
a
0
b
I w
,.r
Er .�
1 '
I
STAh6 + 23.00
IB°x6" C.!. TAPPING TEE. � 0
I 6" TAPPING GATE VALVE. .( 0 O
FIRE HYDRANT ASSEMBLY,
33 LF NORTH OF ,
" I PER PENTON SPECIFICATIONS.
CITY TO TAP MAIN. j
i
I '
�3 TEXACO SS PROPERTY 3
I 0 > W
o ,
3 cc
ioo mo
co + -op + o
tD Ml ~ M
R/W LINE -01
- W WM
O OLP
LF -
8'W—
I 3 6
(�{-41t
BUILDING & ZONING DEPARTMENT
PRE-OCCUPANCY INSPECTION REPORT
DATE OCTOBER 1, 1987
TO: LrNle-7 DESIGN ENGINEERING DIVISION I BUILDING FINAL
UTILITY ENGINEERING DIVISION _� FIRE DEPARTMENT
_ TRAFFIC ENGINEERING DIVISION I_; LANDSCAPE/PARKING
ZONING
FROM: BUILDING & ZONING DEPARTMENT
SUBJECT: TEXACO PERMIT NO. —B-13136
1408 BRONSON WAY N TYPE BUSINESS
The subject project is nearing completion. Please investigate your area
responsibility and indicate below either your acceptance or corrections
necessary by _OCTOBER 8 . 1487 in order that a Certificate of
g` Occupancy may be issued. If no comments are received by the above date,
Certificate will be issued.
TO: BUILDING/& ZONING DEPARTMENT DATE
FROM: Alb , +Xy (L - (om . ly4 00" a_-
This project is approved by this department subject to the following
corrections:
,rank e-V Fst6 Ric coat
_�uink�pc�"T_�cti� 'calicw+
1 looms 2_ 1la t 1)L 1fk �r✓ irri"tc" daorift _ 4, �T� S bat orb �A CgYa
h a5- b��hw� �✓ ushFGGmcu�+ alc�Y �c•
_1A A 5w4 a�.l (csY,tln� all Qy�4orN nRc�V _
a
'!OT►c. �p frNntwC '% � r,�Qv=�o �SG��
Do YOU HAVE ANY OBJECTION TO ISSUANCE OF' TEMPORARY CERTIFICATE OF
OCCUPANCY.
I_I YES 0
FORM p5-002
EULyhature
City of Renton Engineering Department
235-26-i
PRECONSTRUCTION CONFERENCE
DATE: August 21 , 1987
TIME: 10:00 A.M.
PLACE: 4th Floor Conference Room
DEVELOPf.R / COF'TRACTOR OR SUBCONTRACTOR / NAME Or PROJECT
Name: Don Olsen Constr.
Phone: 838-2727 4407 Freeman Rd East Puyallup, Wa 98371
Project: Texaco - 1408 Bronson Way N. - Fire Hydrant
Proj. N: _
NAME Or APPOINTED INSPECTOR
Abdoul Gafour
Please check departments to be notified and specify person to attend.
X Dcsign/Utility Eng.
x Fire Dept.
x Police Dept.
x Street Dept. Jack Crumley
_x Traffic Dept.
x Sewer Maintenance .-.•y Morrison
x _ Water Shop Ray Sled _
Park Dept.
Building Dept. `
Other
Outside Depts.
Contractor Department of Transportation
to Notify
Outside Dept. x Pacific N.W. Bell Company
x Puget Sound Power b Light Company
x Group W Cable TV Company
x Washington Natural Gas Company
Other
PUBLIC WORKS DEPARTMENT
BUILDING DIVISION
CITY OF RENTON, WASHINGTON
PERMIT '
APPLICATION ONLY - UNTIL VALIDATED NUMBER -65
Owner Tewer
0f Work / ++od Q.ct.�o....> •J Y �/
toroAddress '�� t�•r-' JFr/,!`Qr CrfrevHQ AN,OINSPECTIONS FEES
CONSTSewer
a,$ewer
PER -of-Way Construction 5— —
Sp. Utility Conn. rFee - Water . E3eSFa
Water Latecomer Fees
(Public Right-of-Way) Water Insp./Approval Fees rOC—L- T
Sp. Utility Conn. Fees - Sewer -Ea"►'!S� "^�`'J
G Sewer Latecomer Fees
O` ) C1 ' b 7 Sewer Insp./Approval Fees
Date Issued Inspection Fees
9 - /
D _) Special Deposit - CASH BOND
TOTAL FEE
Expiration Date /09S'• bU
'207c or f5:+0 o.00
Description of work
r c,"
and Number of Feet
hallo+rmr. r ��rti ad++c fk��HG (1 Hru_ l+ P?U<nK�
L J ¢ y
Contractor Business
fill.,
V,_ ,�oJ C��..,:.7�'.r 7 /� .- r License
Bond
Address p,,, F/mac
Tele hone
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 BE DONE BY A
LICENSED, F TIDED CONTRACTOR. LOCATE UTILITIES/B70REEXCAVATI
CALL 235-2631 FOR INSPECTION. ' 1 -
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.
CALL 235-2620 for street signs CALL BEFORE YOU DIG BY
48-HOUR LOCATORS
and lighting. I-800-424-5555
�Y CITY Of RENTON NO, 01754
U UTILITY ENGINEERING
♦ ♦ 200 HILL AVENUE SOUTH
d RENTON, WA 98055
PHONE. 235-2631
ORDER FOR WA-ER SERVICE INSTALLATI' N
Account No. Meter Charge S
4 �/ Less Stub Service Credit
Work Order No. Down Payment 400
Sundry Sale No. _ System Development Charge 10 1�- 5'9 9
In City Yes No Late-Comers (City)
(Others)
On Sewer Yes No® �=
TOTAL FEE $ f O U
Water Usage' Residential Commercial Industrial
Other INSTALLATION:
n
Meter Size / -
Size Service
Temporary Hydrant Meter Yes No Meter Make
Sewage Exempt Meter
Yes ® No Meter No.
Data Installed —
Fire Protection Service Yes G No
Comments
Service Address /QOf) l.1'?e J.re> ',�r A.1
Legal Description eoTs S ?We0 7 /2 lwcam /¢
ro - • z smc4r ,a Azecy 4472-4re-r
,Q[.ClCle 8 PCA 7- �C JzcJ C.tP Jme K,r won <g unx
CROSS CONNECTION CONTROL: Backflow Protection Device Requi,ed Yes No If Yes, Type of Device:
Reduced Pressure Backf low Device
Double Check Valve Assembly Air or Pressure Vac Breaker
_
Model Serial No. Size
Make of Devlcn
File No.
Date Device Installed Meter No.
Phone 27- 07Ce/
Owner's Name CCO Zip 96o 33
Address /OteOZ ..�� gS rt� PL _ City /PK<A_a0 State
Phone
Contractor's Name
City State ZIP
Address
Area Served by Renton Water Seattle Water Seattle Water Code Ro.
Temporary Service Agreement Yes No ® If Yes, Agreement Recording No.
Service to be Located on an Easement Yes No If Yes, Easement Recording No.
Is There an Existing Stub Service Yes 0 No® If Yes, Water Project No. W-
Existing Late-Comers Agreement Yes No if Yes, Agreement No.
Address
In Favor of _
City
State Iip Charge S
System Development Fee Yes S No V If Yes, System Development Fee Based on PA,O P-r+s 99 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 rITY OF
RENTON'S SCHEDULE OF RATES WHICH SHALL FROM TIME TO TIME BE LEr,ALLY IN EFFECT FOR THE PURPO`- FOR WHICH
THE WATER IS TO BE USED NOTED RELATING TOON, AND TO THE PURCHASE ANDM TO SALE OFO ASIDE WATER. BTHIS THE
ISCITY
IN ACCORDANCE OF SWITHe CITY AND
OF
REGULATIONS IN FORCEE,,
RENTON CODE, CHAPTER 2, SEC 1-203A
A /Ih i.i A\lVrt 06 neA n gent
White o En- Utility Billing
yell ow - Engineering
7eering O
Pink - Wa e. 'hoD a,ty o enlon �oa,tung gent ate
Gold - Cus_.,me r
PUBLIC WORKS DEPARTMENT
BUILDING DIVISION
CITY OF RENTON, WASHINGTON
APPLICATION ONLY - UNTIL VALIDATED PENT /�
NUMBER l9GOD
Owner � I ' - Location of W'�ork F` _ -
Address �yC/0602. Aurc M1 (LAl
iC
INSPECTIONS FEES
CONSTRUCTION Side Sewer
Storm Sewer
PERMIT Right-of-Way Construction
Sp. Utility Conn. Fee - Water
(Public Right-of-Way) Water Latecomer Fees
Water Insp./Approval Fees
SP. Utility Conn. Fees - Sewer
2-5
Sewer Latecomer Fees
Sewer Insp./Approval Fees
Date tsaued Inspection Fees
C) Special Deposit - CASH BOND
`.l Expiration Date TOTAL FEE
Description of Work c
and Number of Feet .'/ JC w'< L4 ��
/1Vc.LAu l7' ..fir i r1 ✓
y .
Contractor 04A' /1n Business
C 1�•-W License XnS
Address Bond
5303r � � 11, cS
Tel ephon�j
2CXs /�iZ-6,05�S
IT IS UNDERSTOOD THAT THE CITY OF RENTON SHALL PE 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 BE DONE BY A
LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVAT G.
CALL 235-2631 FOR INSPECTION. `
Call betweer3 B AM and 9 AM for APPLICANT
inspection in afternoon; call
before 12 Noon the day before
for inspection in morning. PUBLIC WOP.ICS DIRECTOR
p�}j(�LJ
SPECIFY TIME FOR INSPECTION.
CALL 235-2620 for street signs CALL BEFORE YOU DIG BY I
and lighting. 48-HOUR LOCATORS —
1-800-424-5S55
i
PUBLIC WORKS DEPARTMENT
BUILDING DIVISION
CITY OF RENTON, WASHINGTON
APPLICATION ONLY - UNTIL VALIDATED JPEWT �
NUMBER
i
Owner Location of Work
Address
INSPECTIONS FEES
CONSTRUCTION Side Sewer
storm Sewer
PERMIT Right-of-Way Construction
SP. Utility Conn. Fee - Water
(Public Right-of-Way) Water Latecomer Fees ��_
Water Insp./Approval Fees# --
Sp. Utility Conn. Fees - Sewer -*---�.�
Sewer Latecomer Fees
Sewer Insp./Approval Fees
Late Issued Inspection Fees
Special Deposit - CASH BOND
Expiration Date TOTAL FEE
Description of Work
and Number of Feet
`,' ' aunt t 1M; h•'• Yc 1� 011ty N 6tt.
Contractor Business
License
Address Bond
Telephone
l � 7
1T 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 BE DONE BY A
LICENSED, BONDED CONTRACTOR. LJCATE UTILITIES BEFORE EXCAVATING..
CALL 235-2631 FOR INSPECTION. y� ✓/�, / ,
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.
CALL. 235-2620 for street signs CALL BEFORE YOU DIG BY 4
and lighting. 48-HOUR LOCATORS
1-800-424-5555 i`
City of Renton Cngincering DepartmenL
235-2631 ,
PRECONSTRUCTION CONFERENCE
DATE: August 21 , 1987
TIME: 10:00 A.M.
PLAC': 4th Floor Conference Room
DEVELOPER / CONTRACTOR OR SUBCONTRACTOR / NAMk OF PROJECT
Name: Don Olsen Constr.
Phone: 838-2727 4407 Freeman Rd East Puyallup, Wa 98371
Project: Texaco - 1408 Bronson Way N. - Fire Hydrant
Proj. N:
NAMC OF APPOINTED INSPECTOR
Abdoul Gafour
Please check departments to be notified and specify Person to attend,
X Design/Utility Cng.
_ x _ Fire Dept.
X Police Dept.
X Street Dept. Jack Crumley
x _ Traffic Dept.
X_ Sewer Maintenance Gary Morricon
X Water Shop Ray Sled
Park D^pt.
Building Dept.
Other
Outside Depts.
Contractor Department of Transportation
to Notify
Outside Dept. X — Pacific N.W. Bell Company
X Puget Sound Power 1. Light Company
X Group W Cable TV Company
X Washington Itatural Gas Company
Other
lu-41t
BUILDING & ZONING DEPARTMENT
PRE-OCCUPANCY INSPECTION REPORT
DATE OCTOBER 1. 1987
TO: DESIGN ENGINEERING DIVISION _I BUILDING FINAL
1'A UTILITY ENGINEERING DIVISION I_1 FIRE DEPARTMENT
1_1 TRAFFIC ENGINEERING DIVISION _I LANDSCAPE/PARKING
_I ZONING
FROM: BUILDING & ZONING DEPARTMENT
SUBJECT: TEXACO PERMIT NO. B-13136
1408 BRONSON WAY_ N _TYPE BUSINESS
The subject project is nearing completion. Please investigate your area
responsibility and indicate below either your acceptance or corrections
necessary by OCTOBER 8 . 1987 in order that a Certificate of
Occupancy may be issued. If no comments are raceived by the above date,
Certificate will be issued.
TO: BUILDI*:G/n& ZONING/DEPARTMENT DATE I6/ 0-)
FROM: J� 1�1tFt��� - t/Dw�\• INiPP{crtl/
This project is approved by this department subject to the following
corrections:
so'`' T1 ainM ui
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Q 50c s i_ $uS naV r,,n Ri+nhn. 1i� frrerc �'g!
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U-
CN Y1 p-Nec w( ^' } �(1 � ISV L � D
DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF
OCCUPANCY.
I_1YES 1 0 —
FORM p5-002
A ature
AUTHORIZATION OF SPECIAL BILLING
DATE: //,,` Z / / Sg �
PROJECT NAME: 7Fr)e r04-74._� 7 /NST74 4 —/c
PROJECT NUMBER: 4/-
WORK ORDER NO. : S'o/S
It is the intent of this letter to authorize the City of Renton to bill
the undersigned for all costs incurred relative to the above-referenced
project, by the City of Renton for the following work:
UsA�,t put;,� �+ni�s t a.��rrcEn �t�rEanM� t,,t
BILLING TO BE SENT TO:
Name:_ � f /6_�rw� Ci'.
Address �23D3
City: 7i Ff— State:(AR.C. Q S/
Atten:
Phone No. :
Owner/Developer, Contractor or
Authorized Agent
PRECONSTRUCTION CONFERENCE
PROJECT: T,lt>c ,4 c c7 A/y 0,e4-3 r /ems A c z iv DATE: Hv 6
ADDRESS/LOCATION: /// 08 63po./SoJ c--)4y n/
PROJECT A IS/- �// PERMIT A WORK ORDER A -(o/S
THOSE IN ATTENDANCE
NAME COMI'ANY PHONE
AmQU'- (':/( y.9, n of PtNTU4 235-2631
yZtlE PR6(;�SF4 MR CQ,.)S7 838-/D2.7
l 04%dk Df,sOeay 00,v oksoly Goer] 1jic P3e--> 72-� Z
WATER AND SEWER PROJECTS
PRESENTLY UNDER CONSTRUCTION
IN
THE :ITY OF RENTON
WATER PROJECT k L/ S/,S SEWER PROJECT / DATE flub ? / /SS7
WATER PROJECT TITLE 71-, x dCo /Fi v,- TS .4 J
PROJECT LOCATION C` b Q�i2o Aso � y �f
DEVELOPER
ADDRESS
PHONE
EMERGENCY .
PHONE
CONTRACTOR
ADDRESS
PHONE
EMERGENCY
PHONE
FOREMAN
PHONE
EMERGENCY
PHONE
City of Renton Inspector__
Other Inspector __ _
nnb Tontrart Page No. D' Pages
DON OLSON CONSTRUCTION, INC.
Septic link • Skis Soviets
Water Mains • Storm Drains
PO. Box 239
SUMNER. WASHINGTON 98390
Sumner 862.6161 Seattle BW2727 Taconite M-9331
eROeOWE 1W1111 ED TO — PHONE W`E
Joe Hall Construction D22-6815 6-16-87 StRCCT /De NAME
5303 Pacific HEa . E. Suite 276
CM, STATE AND ZIP CODE yos LOCATION
Fife WA 98424 -. .Egnton Hydrants
AIICNIT[O DI.TE OF RAM$
!Oe eMON[
we hereby submit specifications end estimates for
e .. —. .. .,-.. -
Install 2 ea. fire hydrants as per
City of Renton.
$5,000 .00
Plus sales tax, Fermits s any special bonds.
Note: No concrete or asphalt replacement.
file PrOV05V hereby to Furnish material and labor—complete in accordance with above specifications,for the sum of;
Five thousand and 00 100---------------------------ftlars($5. 000.00
yment t6 M made es Iollowt )
Baiance due in full on the loth f m
WE WILL NOT ALLOW ANY Authorized
RETROACTIVE BACKCHARGES Sena uro
DONOIChOtlLi
UKDER ANY CIRCUMSTANC S w ihO,ar n Note Thu q Deal may be
�E try us II rot soupted wahin TWENW deys.
Arreptattre of rOP11641—The above prices.Specifications
and conddlone am sari dory and ero heeby accepted. topatMr with
Signature L- w "•
the epsoiol conditions attached hero1D
Gan ul Acceptance, SHgrutum
PLEASE SIGN AND RETURN —White—Yellow, Customer Copy--Pink. OMlsa
ENDING
OF FILE
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