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HomeMy WebLinkAboutWTR2700932 Swanson Law Office Talbot Rd. S. \A,-932 BEGINNING OF FILE FILE TITLE 9 3M�oF��ME� WAA Soh Lg; w BUI J W- `132 Q a ZONING D[PARTML,i� 5 _ 3E PRE-OCCUPANCY INSPECTION REPORT1-`-- ltt�- DATE WZys? ®DESIGN ENGINEERING DIVISION BUILDING °INAL UTILITY ENGINEERING DIVISION FIRE DEPARTMENT TRAFFIC ENGINEERING DIVISION ❑LANDSCAPE/PARKING 1: BUILDING & ZONING DEPARTMENT .CT: " (Atirn6T! iI I QtU � 1 (� PERMIT NO. 13j �O 45 iz cAo`L Toa(( JOtk TYPE DU51NES5 10.1t% of icy --r The subject project Is nearing completion. Please Investigate your area of responsibility and Indlcata be,ow allhor your acceplanco or corrections necessary by In ordor that a Certificate of Occupancy may ba Issuod. It no comments are received by the above date, the Certificate will be Issued. BUILDING g, Z// .leON1114G DEPAR I MENT DATE'_AwogV (�R , L0,ytyucKOh. Insp�rda/ This project Is approved by ([Its department subject to the following corrections: dp0 I N• t yuShilY QS-htUlE Winn•, r ' '-rd 6• 4 'yea- ufcl.(trvkun .evwe✓ irrla,N Ane( �° °� stro1' �rnnro,rrrnrn4s rvI tA& ' it S. ""f0;�—c4rfict—.i1tL/!rrl'vrv—�SYi.�k--�rv—t�ra�tHrun�+—�+rr�ru;ntrinr�+v/�� }—N+�,dfo-S_��..—et���—«tdunc{—intr,J—Fttuei—.�nnhur°t—�+/---ew�g,ow—crrrfaroQ C../ I DO YOU HAVE ANY OBJECTION TO ISSUANCIi OF TEMPORARY CERTIFICATE OF OCCUPANCY? YES NO Authorized Signature ���� ,/ • • nm o-! pC= n Fingery wat Who ataMO eke momme a lit . G7(n trt ord" Tft waaMIOWTOM T&T%A DMISMt :�...._ 4. Yikd tot Ra wd at Raptstat at w = V OI+I'/( 8 (1F "1'I11; r,!!'1 ....... ;hap Y RENTON all NICIPAL 111.IX:. v,T =0 AMLL AVE. sO(I-rij RENTON. WAsil. 9H0;To 5 P 06,'20 #11 Q 7F/ RECD F 8.00 CASHSL ' 11 M. BILL OF SALE Lua LNOW ALL MEN NY T'AFSE PRESEhIS: That Arthur D. Swanson, P.S. d Renton (7 Cnomty of King ,SLte of Waabb m,the part y/i4E the gear pan. for and in amsidemOm of the s m of one and No/'100--------------------------------- Vq JCUan CO rwfW mutsey of the United Sates of America,to them b land paid by the City of Renton Se part y/ied the mcmd pan, the receipt wbe sof b bertby odbowtedged, do(es)by these pratmu grant. 0 barjata, sell and debm onto the aid party/ieef the emoted part, the follomriog des=b no ad personal property n tad Go bm at 4512 Talbot road South In the City of Renton, ,Catnty of King sad State of Wad arum, to.wit! w(- Approximately Q l.f. of,- lJ�" Ductile Iron pine, and one of Fire Hydrant Assemblies, and one of Gate Valves, and all appurtenances pertaining to said watermain, expressly warranting said watermain against any expenses, costs or liens hereto incurred thereon by through or (older seller herein. TO RAVE AND TO HOLD the lame to the add pan y/iyt the se®d :-n. Lts/their bin, esecutort. ever.administrator+ and snips for . And acid party/ieof the Ern part, for its/their ban, eamtors, administrators, tvemants and agrw s to and with the aid parts'/iemf the mosod pan, its/their esecuton, administrattss and asdpn, that rid puy/iemf the Mt pan is the . araer (s)of the acid property, goods and tbsttels and has/n*W rigbi and fua authority to wU the name. and du it (their) w01 warrant and defend the sale bersby made onto the mW party/ied the sstmod part, its/ their eaeevtors, ado mstraton sod angne, against all and every per aan at pessone. wbomammm, IawfuDy damming or to datm the name, IN WITT'ESS RIUKEOF,The mW party,'iEW the Ern ban/ to s/their hand sad aual" February 12 doy of 8 - iu (nut) (NL#L) (UAL) (UAL) STATE Of WASRINCTON, Y. Camty of Kinq Co ti&b N. p- a my append beige sae Arthur D. Swanson tv ,mi },s w� K ''t do iadeidwf dmmised b and Vbo aaaeated the w1tWe and torquing batrument and Lt�3 eare+Rcd moat he dpsd the name Y his hat and sohmtary act and deed for the aom.wA w-eum farm aarthud. fiIM4 tear my bad and offide real We 1� iy ru f9, 1988. Notary and Joe S+are of IVuMnmf/ea, Ief Renton. COST DATA AND INVENTORY • SUBJECT: CITY PROJECT NUMBERS: W-5- _ NAME OF PROJECT TO: CITY OF RENTON FROM: UTILITIES DIVISION ,— ---- 200 MILL AVE. SO. RENTON WA 98055 —� DATE: Per your request, the following info-mmation is furnished concerning costs for improve- ments installed for the above referenced project. WATER SYSTEM: Length Size Type L.F. OF 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 Size Type SUBTOTAL E EACH OF 5" rnRF:y FIRE HYDRANT ASSEMBLIES $ -194T nn (COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY). TOTAL COST FOR WATER SYSTEM $ 3943.00 SANITARY SEWER SYSTEM: length Size Type 188.5 L.F. OF 8 " PVC SEWER MAIN L.F. OF SEWER MAIN L.F. OF SEWER MAIN 1 EACH OF 48" DIAMETER MANHOLES TOTAL COST FOR SANITARY SEWER SYSTEM $ 5490.00 STORM DRAINAGE SYSTEM.- Length Size Type 121 L.F. OF 12 STORM LINE L.F. OF STORM LINE L.F. OF STORM LINE L.F. OF STORM LINE TOTAL COST FOR STORM DRAINAGE SYSTEM $ 1775.00 STREET IMPROVEMENTS: (Including Curb, Gutter, Sidewalk) 176 L.F. Curb GAitter & Sidewalk + (1) 20' & (1) 24' Driveway 3950.00 1260:bquaze Feet o Asphalt Street Rep air 2130,00 174 L.F. o Elec:t^icsl PVC + Juction Boxes Type B TOTAL COST FOR STREET IMPROVEMENTS $ 71060.00 (SIGNATORY MUST BE AUTHORIZED AGENT OR OWNER OF SUBJECT DEVELOPMENT) CITY OF RENTON PUBLIC WORKS DEPARTMENT Earl Clymer, Mayor Richard C. Houghton, Director June 2, 1988 H. L. Poutous, President Toro Construction, Inc. 7522 S. 208th St. Kent, WA 98032 SUBJECT: Arthur Swanson, Deferral On-Of7Site Improvements, 4512 Talbot Rd Dear Mr. Poutous: A recent review of the last 30-day deferral extension revealed that all the necessary work has not been completed. Therefore it is imperative that you request an additional extension by formal letter. Thank you ;or your attention to this matter. Very truly yours, Richard C. Houghton Public Works Director PMP 200 Mill Avenue South - Renton, Washington 98055 - (206)233-2569 W aU1�JING 8 ZONING DEPARTt. trtT 937- $ - 4$} PRE—OCCUPANCY INSPECTION REPORT file (°y? DATE: 5J31 / $$ _ O: DESIGN ENGINEERING DIVISION BUILDING FINAL UTILITY ENGINEERING DIVISION D FIRE DEPARTMENT TRAFFIC ENGINEERING DIVISION ❑LANDSCAPE/PARKING ROM: BUILDING & ZONING DEPARTMENT UDJECT: 4(AMOT1 IS �t GlAct- PERMIT NO. 451Z ci.16 ' ?on(I Soar TYPE BUSINESS �aI 0T?ice- the subject project Is nearing completion. Please Invesllgale your area of responsibility and Indicate below either your acceptance or corrections necessary by In order that a Cerlillcale of Occupancy may be Issued. If no comments are received by the above dale, the Certificate will be Issued. O: 13UILDING & ZONING DEPARTMENT DATE _ J /3 1/ $� ROM: A'6&UV 41-4ur - 6)ntfuchuh �ns(re(lt✓ 7hls project is approved by this department subject to the following corrections: 2ArriiY qs h' ill tans ( (rrR�rt( 66) -e yeo. . WQ:*'rmin & Wt✓ lYnaaN ant( �- SFTee1' arnpTodernrn�'s on IalbeY 1`�anrl S Ugntl COSY-&ra .lu1r(1VVr T rl -',r U]nVt/rnninv and $cWr✓ AnAW �3> N dre$eotl i� Hite n(Ounci uec .1Aanhuft .(b✓T"er ,uN cenhaQ DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY? 11 YES NO,M GG 17ah . b � . � 513 l d� fJ Authorized Signature 0116O )S-C rDR )WAN50i,1 LAW OffirC pr` .4512 TAL-&GT Van So. �yW--Oz of 5-4i�' �- 5jabrr;l�' -Iv Te n4m Wlhl� (r%4;n<c,;n A)T)'. A , (� 1 - W-Al * n- /�415-bu,l�" �ans ccr•t;,'�<d L� �n inrcrt �!c� m¢w IAnl�rmn.n� . .• • , �51S11K (�5aorta, S Sw+e✓ qrA ��m t —YGn„� � rtYi «rrr �- r't"., 3ll�ti UO SOP, '. * b. �1�� S4P� a„d coSY- dalo inJcatu,� Syutti' .�,r IAW walrrmai,v �r ! �'--hd�� �n,r►"vAi�e—�--��xi�l—g�a�s--an—lalbcl�--�2d .c� s/«/at - : '--a�--drb*i�--arom-d--hydzVaa(r ✓ok . 3/t l�/j4 V o� Add,,-414L-"4wtit.r.'c-y� "�'�FbM,r„ck._.-ft ant d _,K6�rr-,1{!ir„ n;,ennc�c -4y 5 twlh�; v y �,t. �/ ♦ yy� P'y'�' �1 S udU1c✓S�� �. _ at<Vf SPI / 77 u rl a o �: > .Y K• T+�r +re�.ar r<u,r<d QK )UO ( La�1 '227�- �� :�) �N r, ,rt�e^ UAW AV t� piovc lC,rrhar,i n+c m,a d-•-•- �I a/ k ;logo t 5 I5o/o x 0o Z/ i �1c . ltrn, nc\' dan.c �, � ;�ta►at i t .� CITY OF RENTON PUBLIC WORK* DEPARTMENT I Earl Clymer, Mayor Richard C. Houghton, Director Febbnuany 11, 1988 e AA.thuA Swan6on Torso Conb.tAuction 1822 S. 208th St. Kent, WA 98032 S(IBJECT: Reque6t 6oA On/066-Site ImpAovement Dc6eAAat 4512 Talbot Rd., Renton, WA (TempoAvAy DeWAat) DeaA MA. 3uandon: The BoaAd o6 Pub.tic Wonk6 memben6 Aev.iewed .the 6ubl.ct Aequu t at the FebnuaAy Toth meeting and appnoved a de6emat %equeat 6oA tand6cap.ng, i.AA.igation, as-bu" and grouting o4 tight 6.tandaAd 6oA a 60-day pen.i.od, beginning FebAuaAy loth, expiA,ing Aptit 10, 1988. The phopeA bond Iux6 been potted with Mu. PoAte-t o6 .thi6 o66ice. Ptea6e adv.i.6e the 6tatuA o6 thi6 de6enAat on o)L aAound the 16t week o4 ApAit. 16 you have queation6, do not hesitate to ca.tt. VeAy tAu.ty youAA, R.iehaad C. Houghton) Pubtic WoAkb DeAectoA PUP cc+ Z;tdg. Dept. 200 Mid Avenue South - Renton, Washington 98055 - (206) 235-2569 �:s a °y PUBLIC WORKS DEPARTMENT 1�I•g3,Z on ■ R DESIGN/UTILITY ENGINEERING t 235-2631 Qr,". t MUNICIPAL BUILDING 200 MILL AVE.SO. RENTON.WASH,98055 anR BACKFLOW DEVICE TEST REPORT ACC4YI1( KO. .mtl wC[ IO n50M "��� ICUN[Af.r 1•I"1N1 iuw d ea/wsrt µft Ct ADOW&S yL?/t, K_ "I;. S C C.S-e i-[•i�.Jc7Ct1L ,• C-,.� e lOt•IrONd nE"KF xN tfi�t i) frX GL Y•U u•..d•tMrn �u/roN b.n bpulrb CTS�7 J/ e t"N tMrt55t"at tAr(d tTSt rn[EEiar[M10C^ SS fMiEI CeF."YAIVE lR5 lB5 CHECK VALVE NO. 1 CHECK VALVE NO.2 DIFFEnEl:TiAL PRESSURE RELIEF VALVE INOIAL 1, Leaked ...................... ❑ 1. tealted ...,.................• ❑ I. Opened at lbs. TEST !educed ptessure 2. Closed ligl[1 .................. 2. Cored light .................. 2. Did not open ................. ❑ Cleaned........................ U Weaned ........................ ❑ Cleaned........................ ❑ Replaced: neMaced Fit-placed: rNIC........................ U nyC........................ n Oisc.urpet ...............,. fl. Spring...................... Cl Spring.....I...,............ ❑ Disc,low of................,. ❑ RGuide ...................... ❑ Culde ...................... ❑ Spring...................... ❑ rill relmn[•t ................. f7 rm rCf:.�nry .... .......... ❑ D.eprur:gm.Im Ve R IImpe just ................... Ih f,l nge pu . . ❑s . ....... ......... uppef ................... ❑� n ((-�-�a ........ ❑ Lower 1 r 1 £ Dlaphwgm.................. f] nraPb-a m.. ..... U ........, ❑ Otapr,rapm,small Other.describe.............. ❑ Other.detrnhe.............. ❑ upper ... ............... El towel ❑ Spacer.lower •.............. ❑ Other.describe.............. ❑ FINAL Closed light.................... ❑ Closed light.... ❑ rtd al Ibs. TEST V pressure Remarks 711E ABOVE nEPORT IS CERIIFIED to BE 1R E n[ invtrom r p f� 988ClTiv ❑5rinn. r / , n!Cunt n Ar Enj6 l§f {RoQIICl parENGI j End@§fYYR9t,�IM?ITY ENGINEERING """ "b'"' vr 200 Mill Avenue South Renton, Washinglon 98055 ^ ---- "^" UILDING & ZONING DEPARTME (OIL `(tui Iwo ON,% '. PRE-OCCUPANCY INSPECTION REPORT SECCND INSPECTION DATE FEBRUARY 3 . 1988_ ` DESIGN ENGINEERING DIVISION i_ BUILDING FINAL 7I yOTILITY ENGINEERING DIVISION _ F7RE DEPARTMENT TRAFFIC ENGINEERING DIVISION _ LANDSCAPE/PARKING FROM: BUILDING & ZONING DEPARTMENT ZONING SUBJECT:_ARTHUR SWANSON PERMIT NO. B-13370 v � _4512 TALBOT ROAD S TYPE BUSINESS r The subject project is nearing completion. Please investigate your area responsibility and indicate below either your acceptance or corrections necessary by _FEBRUARY 10. 198E in order that a Certificate of Occupancy may be issued. If no comments are received by the above date i Certificate will be issued. TO: BUILDING & ZONING DEPARTMENT DATE FROM: A!&kkL 6Amo - 1h4hmt,. _-- This project is approved by this department subject to the following corrections: / 7� A trncrtEo �a�:c;,uSf 10AL '96U) At7"'�q = 150 DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY. I_ IYES IT( p FORM p5-002 �lYl L Autho ized Sign ture IRA Kft6.(- roK SWAwSOA 5 IAW 0ffir£ At 451Z 'TAt8c7 •Ra So. L w-952 R S-4P- �- 7uSrni� 4n �itrrton �titt��o Ehg n.�� nst �Dr f'r. A+' 4busta".1 n_ Its-bu,lf p�QnS c<rfi�+�d V1ry onUc�inrrrr .�s. T2w WAcrmeAn, �►ni�a.ta S11uu+c✓ a*d ��m (Ja�+y�YVenv 60 * b- �'t1� e1 SaQI and fo�Y• data .1nJ�n'Yu.y S}v.�ti' .-�oi' MeW wnlrrmra��v aeA SWJt✓ /11w1r1 U d .ov i/Ls/at • aw 00 * F Ads � �� ryyn!fr;r,Q. rrm1�nrH n,u ,, 1 nttw JOAC, Mnnncle Qh Scw{A slA v. * S- I4Uk✓ nn►Yt✓ J{u it>> gYA�C 4 Rnabc ptrane�FtinPnl Wiif� G��s Wakt/ clt @ 2 35- 2 I C U T t r atv6 l' s f&wo;, Avar C w1b k si'o.n, rmR.•H.te . i- Intia�i �QQ avourd cvfr-�i� s1,t.�+u.� � ✓$eu..ei�'-Fn nrbns,�� tw,..tl 20� a iwAat� c�pjn �u -9 'r amtc. /; oK �Ita/t8 bK� eN � N J bwsWA v IOU$ 26-171 .fc✓ Colechs.+-, I a+c h1�p�• J I * 3 e• �kZ lmhL, 40 Anwo : )Soro x 16U0 c 1500' Z/e/8� i "-BUILDING & ZONING DEPARTM' T PRE-OCCUPANCY INSPECTION REPORT £ECOND INSPrCTION DATE FEBRUARY 3 . 1�86 TO: I i I DESIGN ENGINEERING DIVISION I_� BUILDING FINAL I UTILITY ENGINEERING DIVISION FIRE DEPARTMENT TF.AFFIC ENGINEERING DIVISION I_I LANDSCAPE/PARKING I_I FROM: BUILDING & ZONING DEPARTMENT ZONING SUBJECT: ARTHUR, altANSON PERMIT NO. B-13370 _ 4512 TAU OT ROADS` TYPE BUSINESS_ i The subject project is nearing completion. Please investigate your area responsibility and indicate below either your acceptance or corrections necessary by _FEBRUARY 10, 1988 in order that a Certificate of Occupancy may be issued. If no comments are received by the above date, Certificate will be issued. TO: WILDING & ZONING DEPARTMENT DATE/ FROM:_ C.` /s:/---- This project is approved by tI•is department subject to the following corrections: UTILITY ENGINEERING _ ---PFIE,0C UPANGV INSPFGT 0aN REPQHZ --- 1 REQUIRE:— --'� oL S7 EWER _ BILL OF SAL E /}f I tut t / --- EASEMENT I I QQST DATA S V 1/ INVENTORY -- — — C. ) AS•BWLT PLANS- - —..._ (q)DSLUYVUMlo INSPECTION �0&IECTI SU—BY AN$F TEMPORARY CERTIFICATE OF-� gg OCCUPANCY. YES I_IND FORM p5-002 Authorized Signatur w- 932 '3UILDING & ZONING DEPARTMT S- 45' PRE—OCCUPANCY INSPECTION REPORT ¢�Ic Itrye SECOND INSPECTION DATE FEBRUARY 3 . 1988— T0: I ESIGN ENGINEERING DIVISION 1_1 BUILDING FINAL �—� _ 1 yI UTILITY ENGINEERING DIVISION I_1 FIRE DEPARTMENT 1_1 TRAFFIC ENGINEERING DIVIS ON I_I LANDSCAPE/PARKING 1_1 ZONING FROM: BUILDING & ZONING DEPARTMENT SL'BJECT:_ARTHU_�ON - PERMIT NO. B-13370 Y 451_ 2 TALBOT ROAD S TYPE BUSINESS The subject project is nearing completion. Please investigate your area responsibility and indicate below either our acceptance or Certification£ necessary by _FEBRUARY 10. 1988 in order that a Occupancy may be issued. If no comments .are received by the above date, +, Certificate will be issued. TO: BUUILDING/& ZONING DEPARTMENT DATE FROM: (1'Pi w, 6fl1Aak T2uCc�tTl IYIiQicTpL- _ This project is approved by this department subject to the following corrections: ylE� A'rr� 7Un;Ci1U5� _ o Cana M W(�d DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY RARY CERTIFICATE OF OCCUPANCY. I —I YES FORM p5-002 Autho ized Sign ture �GNcHtisr �oK SwA►+Soa 5 IAVJ OffhrE AT 4517 -TH48cT 'RA .So 0W6 931 0- ,\S•b4.,1 P�OTIS r�T��*d bvf P/ft+1/1Flt1rl .fev T?.w lAnrnwn.n > fAnYta,t� jwVt✓ arA 111, m 1 if Jam„ Ste" 6- �6111 ' %JA OIA rosy- data inJ�rrTz� Skte4 �6r rncw Wr wewv 40A duel W rWON 2_ M hzdsatV Val,& J{b �1n1;n radr O» IA�I,rL 'Rd . 3- I�amo� at. at6tis around h�dra*ie 100� 4- Add 4tLt hrortrleQ t�mrorY n.ourd ro.ra geuf, rTronlrc'A i— �W<4 USattr RMYC✓ mt}i MAL IN, A�rana�manl W4�h C4ih8 1 v (? 0 W�afrn d,e Q 23pt5- 76o6 IO u� �. FC�ff / pSh�fo�f StN 1C 1tIM�/ /Ykp�✓ (evt}t L-e. .S�DIM M'�s. i+e�a.. . Y6ura Gyer1� ����r1u.c- ¢ �'ec�.+.elt�o �frin���4 �s�all 2W. j s ,r1uu cHtzin Au v�Y �afa i � 8- (ExitMtd ex�«•t� d eurhb. nbAr /n�y11, d,�+twa,� �ko -eds�c .L �y;dtwallt. 9_ 44„iSn �Q terl�h G, 'Y'� I�Ovf �gncc0.Vtl- Flo". Q V 1 J 1 P DU2 �a�l 235 ZC31 dt.io,ji hA` w1�r aU a�ve tcrt.ctiat G[/wc to 1 Invoice Testing Laboratories, Inc. 940Smthtlarm,ySt_Scattic.Washington98108 (206)767-5060 ChLnrlistty Mk-toba3a.and Technical Services Invoice #91589 City of Renton utility Engineer 200 Mill Avenue South November 30, 1987 Renton, WA 98055 } c For the analysis Of RATER 1987 --------------------- $54.00 during the monthe of November, ------------ --- *8148076 - 8148083 GJ % t' 7S 4"�So/� �o 79 - GJDl - �so dHAR'IL : 11ta. LA\US fir 14 jb CITY OF RUN-1 JN CERTIFICATION I, THE UNMPIIDNED DO NEPEDY C"""AL UNOEr FENAITV CF V:JUURY. THAT THE GA'. 'ALS XAVF LAlDR FURRVEAY rV. TAN Dr''VRI:ZD RX - UAX,p THA[ ACA'N,T HE "Ty DOFDIIcAT01. UPAL ,TC.'1 D�TIOAFP Oer 7 198� Aug+CL�tIZED TO AUTNTIC/.TE CEAT it Fv vuo cLA1LL� V��/�/ Net 30 Days . TM s Iq0-IJ1 d"'Int,urplVnes Im IMse zemcna.mclVrliM1 tle�m!la MGIgenCe.sv¢I paedil\m wrl a wxvamY.sMtl nd ascab mn emoerA d IMs a.,mce.$empee mey pp diStl,JeE OIIP�an81)SK VeIBe!dMew�N rW VeeleU NOTICE OF NEW FIRE HYDRANT IN-SERVICE �,k64 1S' y R NAME OF DEVELOPMENT )WAN 4'-1 �K%V Nfl(l - � T ADDRESS 451"- 7 Imrii1 go SG • ---- INSTALLATION CONTRACTOR t 'S!l R A (A, \IQ,,C:,yA i . + 4 1 WATER PROJECT NO. R NUMBER OF HYDRANTS HYDRANT LOCATIONS (FOR FIRE DEPT. USE ONLY) HYDRANT NO. 2. 4. 5. 6. INSPECTOR MATERIALS ISSUED S.o.Ne. CITY OF RENTON Sp1� WATERWORKS UTILITY w.O. N.. yf TO STOREKEEPER: ON'.«M.blb.i.y ewh a UNIT OUANI UNIT ACCOUNT MATERIAL COST AMOUNT DEIIVEeED NUMlEE DILL 6EI1 -fem go (Owiv. 240.. See. 3'- �,�„ ua a o s6 Pam. lnrE Sm+ptf -Oft,OJLCV lMlc 1c �S 'T�•STi Al F Ut(S I Ab..r un lie.flbd l • Abwe i.eNrkl erdwee by Abew mebrwl npi.ad In Need r+^di� sge.e_ OSHS:11173 IRIS'. STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND NEALTH mmES I WATER BACTERIOLOGICAL ANALYaiS SAMPLE COLLECTION. READ INSTRUCTIONS ON BACK OF GOLDENROD COPY l If instructions are not followed,sample will be rejected. DATE COLLECTED TIME COLLECTED COUNTY NAME !TYPE TH DAY vFAR I tO t�' WAM ❑ PM A�N4 OF SYSTEM 1'PUBLIC SYSTEM,COMPLETE: CIE CUSS OSLIC; ouAL I.D. NO. S O L I z 3 4 w.e.a,N+u.oama - NAME OF SYSTEM CIW�� 121�r►sa - SPECIFIC LOCATION WHERE SAMPLE COLLECTED Val, MGR NAME NO IFlEN10NE NO IM.\,hM YP0 RMO1.Inp flNcn.IWn+Ynl ry A Ud•93L SuemFAt oati E�� �-, S PLE COLLECTED BY:INW* SOURCE TYPE OMBINATION ❑ SURFACE ❑ WELL ❑ SPRING PURCHASED or OTHER SEND REPORT TO:(Print Name.Aaaraaa'Ina b`Coael Q[ _ -^ 1C "16 UTL^Il+y`---rr-- * C4Y I h11LL Aor ,.z, Rn WASHINGTON TYPE OF SAMPLE Icnau o.,m oim.mn•owmm `1. DRINKING WATER ❑ Chlormaled lResldual:_Total_F'", ❑ crack Vestment--01 ❑ Filtered S � [IUntreated or Othar I z, LJ R4W SOURCE WATER t 3.F NEW CONSTRUCTION 01;. Elf, 4. OTHER(SPecitY) COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE MIEVIOUS I AS NO PREVIOUS SAMPLE COLLECTION DATE PA MARKS: LABORATORY RESULTS(FOR LAB 11SE ONLY) M_PN CC UFORM STO PLATE COUNT SAMPLE NOT TESTED BECAI ISE-. �Sr�.. —�mI MEIN DIL JTION TEST UNSUITABLE `�I'IDle Too Old /m ml 1. ❑ Confluent Growth ❑ Not in Proper Corllairier MF COLIFORM 2 TNTC Ins.Hicient Intormation �p0 ml Provided—Please Read Instructions on Form FECAL COL FOR 3. EKcess peons ❑ MPN MF 4 �. W ml FOR D ING WATER SAMPLES ONLY,THESE RESULTS ARE. SATISFACTORY ❑ UNSATISFACTORY SEE REVERE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS �A9 NO. DATE.TIME RECEIVED— RECEIVED BY f c C O TE REPORTED LABO ATORY' 4 REMARKS { WATER SUPPLIER COPY +r ' r ' BUILDING & ZONING DEPAR'._-?NT !ti^ yW n�N° PRE-OCCUPANCY INSPECTION REPORT UJ - `�3Z- r"rj DATE NOVEMBER 6, 1987 TO: I VI DESIGN ENGINEERING DIVISION I_i BUILDING FINAL 4 I_I UTILITY ENGINEERING DIVISION I_I FIRE DEPARTMENT TRAFFIC ENGINEERING DIVISION I_I LANDSCAPE/PARKING ZONING FROM: BUILDING & ZONING DEPARTMENT SUBJECT: ARTHUR SWANSON PERMIT NO. B13370 4512 TALBOT D. S. TYPE BUSINESS LAW OFFICE i The subject project is nearing completion. Please investinate your area responsibility and indicate below either your acceptance or corrections necessary by _NOVEMBER 13 , 1987 in order that a Certificate of Occupancy may be issued. If no comments are received by the above date, Certificate will be issued. TO: BUILDING & ZONING DEPARTMENT DATE FROM: Asuul 6Ay6a �DNSCtLItCS�Cti 1��Ptcar� { This project is approved by this department subject to the following corrections: 0 _1 A-L6 i F-D Nd - C"r OLVCFD (14srM1. of uiPuvt prat A*VQ-VFJ R4hAs OIL 8 ►sin su nk SCKEDULf� (�a C- ,A-L 4 s("aw DO YOU HAVE ANY OBJECTION TO ISSUANCE OF T 0^'4Y CERTIFICATE OF OCCUPANCY. K 18'Pr YES C NO P pT1av I {NO FORM p5-002 hV0 vT 1 Author zed S g ature 01C. \%( 1111T BUILDING & ZONING DEPAR_ LNT PRE-OCCUPANCY INSPECTION REPORT DATE NOVEMBER 6. 1987 TO: I ✓I DESIGN ENGINEERING DIVISION I BUILDING FINAL _I UTILITY ENGINEERING DIVISION I_� FIRE DEPARTMENT _I TRAFFIC ENGINEERING DIVISION I_I LANDSCAPE/PARKING I_I ZONING FROM: BUILDING & ZONING DEPARTMENT : SUBJECT:_ARTHUI2 SWANSON _PERMIT NO. B133?0 4512 TALBOT RD. S. TYPE BUSINESS_L•AW OFFICE The subject project is nearing completion. Please investigate your area responsibility and indicate below either inuorderens thatra Certificate e or of necessary by _NOVEMBER 13 . 1987 Occupancy may be issued. If no comments are received by the above date, Certificate will be issued. g TO: BUILDING /& ZONING DEPARTMENT DATE FROM: A906U „L (ft FIUC14"J This project is approved by this department subject to the following corrections: 9 IN S,n wru� gn VelL A-Fga"'0 �� /Tu '� /12' E g�utLT S of Is�w x N N Af- CNEOkI faa �1r11� �1J ^� ------------- ` DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY. �/ YES C t o O tiE �� r'TWQ I_I NO •'�uE 'RJ uv4qumKiG) nill FORM p5-002 Authorized Signature BUILDING & ZONING DEPAR1..ZNT fiQt Co�Y- PRE-OCCUPANCY INSPECTION REPORT DATE NOVEMBER 6. 1987 TO: I VI DESIGN ENGINEERING DIVISION I_ BUILDING FINAL I_I UTILITY ENGINEERING DIVISION _I FIRE DEPARTMENT I_I TRAFFIC ENGINEERING DIVISION _I LANDSCAPE/PARKING I_I ZONING FROM: BUILDING & ZONING DEPARTMENT SUBJECT: ARTHUR SWANSON _ PERMIT NO. B13370 _4512 TALBOT RD S TYPE BUSINESS LAW OFFICE a The subject project is nearing completion. Please investigate your area responsibility and indicate below either your acceptance or corrections necessary by _NOVEMBER 13 1987 in order that a Certificate of Occupancy may be issued. If no comments are received by the above date, Certificate will be .issued. i TO: BUILDING & ZONING DEPARTMENT DATE__ FROM: h9Gw 6nrm,n- This project is approved by this department subject to the following corrections: 2K""- V -tA-L&� Ner C"0LCF o tks1Tu �Oc wpu1L 0�1 TA�.6cT QO QfR /MP2a'e� QLAuT- 3) qut'" RE$uCTS oG 1S-IN K 09A-r ra�c CaNOtfrf0 - ►s�r.,� to � cr,.eoc.� _ Faa �;�r-� i,� SY+E�r;m.� . 4 DC YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY. I1 YES C PS o f i/t� (RIt T1�i 1_I No lu c Tv UN9LQi KiC9 FORM p5-002 hVOT — Authorized Sic) ature BUILDING & ZONING DEPART HT PRE-OCCUPANCY INSPECTION REPORT DATE NOVEMBER 6. 1987 TO: I_I DESIGN ENGINEERING DIVISION I,I BUILDING FINAL I3L1 UTILITY ENGINEERING DIVISION I,I FIRE DEPARTMENT I_I TRAFFIC ENGINEERING DIVISION I_I LANDSCAPE/PARKING FROM: BUILDING A ZONING DEPARTMENT I_I ZONING SUBJECT:_ART= SWANSON PERMIT NO. B 3370 _4512 TALBOT RD. S. _TYPE BUSINESS W OFFICE " :e subject project is nearing completion. Please investigate your area responsibility and indicate below either your acceptance or corrections necessary by NOVEMBER 13 1987 in order that a Certificate of Occupancy may be issued. If no comments arc. received by the above date, Certificate will be issued. TO: BUILDINGL& ZONING DEPARTMENT DATE_ FROM / 1-/T i �l l� nlFl= l�iAlC This project is approved by this department subject to the following corrections: UTILITY ENGINEERING / REnIJIAE- SEWFR EASEMENT PF tL/cJ COST DATA ls✓ INVENICKY I!.-PLft4 l`�.l SUBJECT TO FIELD INSPECTION BY- DO YOU HAVE ANY OBJECTION TO ISSUANCE`OF TEMPORARY CERTIFICATE OF OCCUPANCY. I T.'I YES y G�,yr'� I�I NO . FORM p5-002 C Authorized S grzture G `J Pi JNSTRUCTION CONFERENCE `N PROJECT: .SJ4,VUo ) DATE: 8- 2 / - 87 ADDRESSAOCATION: rROJECT PERMIT A _(� S 9 S WORK ORDER A THOSE IN ATTENDANCE NAME COMPANY PHONE CAN I9 erhfT�r,► i wi — . 23 S 263 f YS` o5i 9� i (ok WATER AND SEWER PROJECTS PRESENTLY UNDER CONSTRUCTION V IN 9' THE CITY OF RENTON j WATER PROJECT N -93ZSEWER PROJECT 0_ S- ¢S DATE 14&Ca 2 /987 WATER PROJECT TITLE �fic� Sl Z 77�L-Rc) PROJECT LOCATION DEVELOPER �rylzo 4i�S"f'(I,t.JCrt O !'' '*k c - ADDRESS Z40 43'Z4.D � PHONE EMERGENCY PHONE ZOO D CONTRACTOR_ TDrLo f ONS7C j�(�M ��� ASY ADDRESS PHONE EMERGENCY 2-� / --51ef) PHONE y��-��a/�,� '_1 FOREMAN C�'n�► `1l /' � D�1� PHONE EMERGENCY PHONE 7 City of Penton Inspector UtAi 6*Fpdti Other Inspector _ AUTHORIZATION OF SPECIAL BILLING DATE: .4 ,;2 /�/S8 � PROJECT NAME: 4 .sue. 44 �J 0,- c�� PROJECT NUMBER: 1. /_ S 3 2 7 WORK ORDER NO. : 4Z O /b 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: U1 P`1� Pdpirt S?�r1��s � G�tXsIcn ►Ak�YC�c- BILLING TO BE SENT TO: Name: Y J Address N �1y� City: , fV4 State:(,A.C. Atten: Phone No. t W ner Deve open Contractor or Authorized Agent S - 4s7 City or Renton Cngineering Oepartmcnt 235-2631- PRCCONSTRUCTION CONrCRENCE DATE: Aug. 21 , 1987 TIME: 11:00 A.M. PLACE: 4th Floor Conference Room DEVELOPER / CONTRACTOR OR ;000ONTRACTOR / NAMff Or PROJECT Name: Toro Constr. Phone: 251-0850 - Larry Kupferer Project: Art Swanson Water San. Sew. Storm and Paving ctc Proj. p: NAME Or APPOINTED INSPECTOR Elmer Shaver Please check departments to be notiried ant specify person to attc,.,. x Desinn/Utility Eng. x Fire Dept. x Police Dept. _ x Strzet Dept. _ x Traffic Dept. x Sewer Maintenance x Water Shop Park Dept. Building Dept. Other outside Ocpts. `— Department of Tra; ;portation x Pacific N.W. Bell Company x Puget Sound Power L Light Company x Croup W Cable TV Company x W:.shington Natural Gas Company Other PUBLIC WORKS DEPARTMENT BUILDING DIVISION CITY OF RENTON, WASHINGTON PERMIT APPLICATION ONLY - UNTIL VALIDATED LNUMBER Owner Location of Work Address INSPECTIONS FEES CONSTRUCTION Side sewer Storm Sewer PERMIT Right-of-Nay Construction Sp. Utility Conn. Fee - Water (Public Right-of-Way) Water Latecomer Fees Water InsF./Approval Fees Sp. Utility Conn. Fees - Sewer Sewer Latecomer Fees Sewer Insp./Approval Fees Date Issued Inspection Fees Special Depcsit - CASH BOND Expiration Date TOTAL FEE Description of Work and Number of Feet Contractor Business License Address Bond ~ 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 BE DONE BY A LICENSED, BONDED CONTRAC:'OR. 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 DIREC"IOR SPFCIFY TIME FCR INSPECTION. CALL 235-2620 for street signs CALL BEFORE YOU DIG BY and lighting. 48-HOUR LOCATORS I-800-424-5555 CITY OF RENTON e Request for Treasurer's Check �1 Date of request c7 - /9- S'� Requesting Department Date required ea REASON FOR CHECK : V1 Deposit Refund - Please provide the following information:a Name +�u1vV Finance Receipt^#_cp- Receipt Date Amount $ 03 O., • 5�d Other - De tribe circumstances requiring issuance of chet-k: -2(-Py ��/W4C.4 lam/+-t�IV•^^"/YY�P-vt _i[ 17 CHECK PREPARATION INSTRUCTIONS : Amount: $ L. Payable to peffw A/ f� Charge to Account # 60GI�� e / Return check to department Mail check to Other Authorized signature - OrigiAlting wept. APPROVED: Check # Date Finance Department CITY OF RENTON MUNICIPAL BUILDING - 200 MILL AVENUE SOUTH - RENTON,WASHINGTGN 98055 j August 19, 1997 $ , i' Dr. Andrew Deak 4509 - Twoot Road Su. Renton, WA 99055 Re: Water Latecomer Agreement Reimbursement AF No. 920150511, W-560 Dear Dr. Deak: Enclosed please find a check in the amount of $3,402.40. This amount is the reimbursemeat due you under the terms of your latecomer agreement. Th-. latecomer fee was received from Arthur Swanson for his development of his law office at 4512 - Talbot Road South for the benefit he received from the waterline you installed under Project No. W-560 for your clinic. Very truly yours, Arlene Haight utility Engineering P w\a\I\dcak.amh:jlm i CC: LCAG W-560 W-932 CITY of RENTON 7 618 CITY TREASURER'S CHECK 200 MILL AVENUE SOUTH 19,1W1250 RENTON, WA 08055 August 19 19 87 hh —S **3,402.40** Ponder ofe ***ANDREW DEAY., M._D. `L*,* _--( /—�t� ,,{ / n { 1t� 1 ',`S�02ADI�$"tS1 iic.�� -- — —_Dollars ONB p1(Y,v,/Mi R,+bn.Wnnmplen YO'v4 Foy------ n'0076181I' t: 12500L8871:977...000207u' NEVI BW SIIERY " PERMIT FEE AND MATES PROJECT NAME: 44 WIy'L�� p�L,&V�J�1OF �/FkC {J •� I LOCATION s "/�r/`Z 1 LPL-�+T Y�V Z.l F—El�J 1 CJI� 1. SANITARY SEWER (EACII CUNNECTIONI Residential J20.00 Commercial $50.00 Industrial $100.00 $ 2. STORM SEWER (Each Connectim•i Residential $20.00 Commercial $50.00 Industrial $100.00 $ J. RIGIIT-OF-WAY CONSTRUCTION (Length) Includes sidewalks, curbs, excavations and improvements 0 - 15, $10.00 36, - 100. $25.00 Over 100. $50.00 a. INSPECTION/APPROVAL FEES (21 of costs) For replacements L improvements in r/w, easements on-site and off-site Includes: Cost 21 Fee Sanitary Sower $7_co.co $ _ Water $ 1!FOO-CO `� S Storm Sewer $_ZOO_O $^ Street, Walks s Curbs $ �0•00 $__ 21 of the first $100,000 lql of that amount over $100,000, but less than $200,000 It of any amount over $200,000 The applicant will be required to submit separate cost estimates for each item of Improvement, subject to approval by the Public Works Department. 5. $1.000 Performance Bond Required Yes No 6. Contractor required to have current City business Yea license) Other Y. Latecomer Agreement - Water Latecomer Agreement - Sanitary Latecomer Agreement - Storm R. System Develolnnent Charge - Water _ 1 System Development Charge - Sanitary _ 9. Special Assessment Area Charge - Rater 4 Special Assessment Area Charge - Sanitary 10. Approved water Plan t Approved Sanitary Plan ENDING F FIL FILE mac c� 3z Sv✓ansoh LAwOf� �plbof (� dS .