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WTR2700983
SNO1 W-983 MEDICAI. OFFICE W BEGINNING OF FILE FILE TITLE W TR., I WM-1 VATER PROJECTS -9p3 Snm Medical Office • 3 Ad!fit ►- =s V.O. «'i �J D.lm.C-- DW E u # A W7 �Yfkir � �P Ae-CwmceiV arc SOeckoYIrm T, N N;A rn Tm V1 .JErfm�rf T—N Pont,TM vm A bdw Oct On�c ri ofTYeNvld Y C+S q"N— rmw s FJRaWYworad Y— N— femi/• cw Om is r)fvo(d Y N— NwAfb." opm/Wdm+R T— pi— FAN/ Y— N__ N)A Fml Awepe h T �+-- + b VeTrr Eap— T— N_ N �.( la`•Lt it • u v l"Is wACt m9Mo rM "COtotr%us( iwoef National TWo loursogo W1111pg1 wMNINOTON TIT"Olvla ION Flied for Record at Request of TO ro•• � xis BILL OF SALE KNOW ALL MEN RV THESE PRESENTS: That (JOR )nN ViNtTyoN of county of 161+ris ,State of Washi glon,the put of the first part. for and in consideration of the sum of Dollars lawful money of the United States of America, to in land paid by the Pitt of the second W. the receipt whereof is hereby acknowledged, do by them prwnts grant. bargain, sell ai,d deliver unto the laid part of the second part, the following ,,tscribed personal property now located at is the City of , County of and State of Washinaton, to-wit: Fling I'� S CA, w a i TO HAVE AND TO HOLD the same to fist sold Part M the aetmtl FsTk hdtal h Kom T adminbtrators and assigns forever. And mid pan of the first part, for heirs, executors, administrators, covenant and agree to and with the mid part of the second part, necutous, administrators and assigns, that mid part of the first part owner of the said property,goods and chattels and ba good riRbt and full authority to sell the mine. slid that will warrant and defend the ink hereby nude onto the said part of the second part, executors. administrators and assigns, against sit and every person or persons, whramorver, lawfully claiming of to claim the muse, IN WITNESS WHEREOF,The mid part of the first part be berwisto eN hand and seal this OBEALi say of airy 1.! �.- f..�cA. ( (estt) N Neff 3 —(aaai) w PUSNOP (tau.) STATE OF WA , u. county at f(i/i'te On this day personally appeared before sne .11, IlrlunbaCk to me known to be the individual described in Lad v luf oteeuted the within and foregoing instrument and ac►nowledged that.i l• litucu,n, r, signed the mine as his free and voluntary act and deed for the uses and purposes therein mentioned. GIVEN under my hand and official Beal this /•j(q„ a.y of '� '. Karr Public Tm and for Mt State of Waskiagtoe, reesdieg of r'DST DATA AND INVENTORY FOR UTILITIES - CITY PROJECTS City Project Numbers: W- Iu� Name of Project As required for year end statistical data for annual reports, the following information is furnished regarding costs and inventory for utility inprovements installed for the above referenced project. WATER SYSTEM: °y _ H 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 0 EACH OF " GATE VALVES /� K SUBTOTAL $ 2r />00 EACH OF " FIRE HYDRANT ASSEMBLIES $ 41 O (COST OF FIRE HYDRANTS MUST DE LISTED SEPARATELY). LA TOTAL COST FOR WATER SYSTEM $ SANJARY SEWER SYSTEM: Length Size Type L.F. OF SEWER MAIN L.F. OF "__ SEWER MAIN L.F. OF SEWER MAIN EACH OF TIA�F MANHOLES TOTAL COST FOR SANITARY SEWER SYSTEM m 0 10 STORM DRAINAGE SYSTEM: q H Length Size Type N yt[ p L.F. OF STORM LINE T L.F. OF STORM LINE to L.F. OF STORM LINE L.F. OF STORM LINE n N TOTAL COST FOR STORM DRAINAGE SYSTEM $ _ a x to Submitted By: � '� rA C Project Engineer Submittal Date: 'Gt lieu of listing all utility improvements installed, itemised pay estimntcs or spread sheets may be attached horeto if 1pplicable costs and inventory are highlighted and totals are shown above on this form. A UTILITIES MI E A S E M E N T THIS INSTRUMENT, me a thisT' day of 19_ by and between ,,,..1 ,y�nd and r and and hereinafter called "Grantor(s)", and the CITY OF RENTON, a Municipal Corporation of King County, Washington, hereinafter called "Grantee". WITNESSETH: T t said Gran[or(s) , for and in consideration of [he sum of � paid by Grantee, and other valuable con ratio siden, do by these'presents, bargain, sell , convey, and warrant unto the said 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: SNOW MEDICAL OFFICE BUILDING Waterline Easement COMMENCING AT THE S.E. CORNER OF LOT 1, KING COUNTY SHORT PLAT NO. 1282043 PER N RECORDING NO. $307260997 RECORDS OF SAID KING COUNTY, WASHINGTON; THENCE I A NORTHEASTERLY DIRECTION ALONG THE NORTHERLY MARGIN OF CARR ROAD AND THE ARC OF A CURVE. CONCAVE TO THE NORTHWEST, IHR CENTER OF WHICH REARS NORTH 08.03'll" WEST 542.95 FEET DISTANT; THENCE ALONG THE ARC OF SAID CURVE AND MARGIN, PASSING THROUGH A CENTRAL ANGLE OF 00-32'00" A DISTANCE OF 5.05 FEET; THENCE NORTH 00.57'17" EAST ALONG A LINE PARALLEL WITH AND 5.00 FEET EAST OF THE WEST LINE OF SAID LOT 1 A DISTANCE OF 93.69 FEET; THENCE SOUTH 89.02'43" EAST 10.00 FEET TO THE POINT OF BEGINNING FOR THE HEREIN DESCRIBED EASEMENT AREA; THENCE CONTINUING SOL•TH 89'02'43" EAST ALONG THE CENTERLINE OF A STRIP OF LAND 11.00 FEET IN WIDTH A DISTANCE OF 20.2 FEET MORE OR LESS TO THE FACE OF THE PROPOSED OFFICE BUILDING. �L G. AllCd. Q c, i � IiY UEN1-I 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 constructing, maintaining, repairing, altering or reconstructing said utility, or making any connections therewith, without incurring any legal obligations or liability therefore, provided, that such construction, main- taining, repairing, altering or reconstruction of such utility shall be accomplished in such a manner that the private improvements existing in the right rights)-of-way shall not be disturbed or damaged, or in the event they are 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 the 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 utility line. However, the grantor shall not erect buildings or structures over, under or across the right-of-way during the existence of such utility. This easement, shall be a covenant running with the land and shall be bind- ing on the Grantor, his successors, heirs and assigns. Grantors covenant that they are the lawful owners of the above properties and that they have a good and lawful ri t to execute this �yreement. ' { and and and CORPOrNTE FORM: STATE Of SS COIAi'fY OF On this day of A n r be ire me, the undersigned, a Notary Public nand to e or the o _ duly comuissioned and swurn personally appeared ar(d —" to me known to be the 'AAIcFau* and fn'C< respectively, of �'i._ I I . �- ,3 _, the corporation o that t executed the fore- going nssirument, an ac now a ge tFe sai3 instrument to be the free and voluntary act and deed of said c rporation, for the uses and purposes therein mentioned, and on oath stated that 7 authorized to execute the said instrument and that the seal affixed is The c rporate seal of said corporation. WITNESS my hand and official seal hereto affixed the day and year in this certificate above written. `Notary c n and n Mate I"F-- residing at W-9e3 0 M CITY OF RENTON PUBLIC WORKS DEPARTMENT Earl Clymer, Mayor Traffic Engineering Division September 1, 1989 Mr. Gordie Whitsome S. G. Taylor Construction, i;.c. 1314 South Weller Seattle, WA 98144 Dear Sir: As per the phone conversation of September 1, 1989, between yourself and Lee Haro of my staff, the City is going to have a contractor fix the broken and/or plugged conduit on the north side of Carr Road east of Talbot Road. This is the area where your subcontractor, Lloyd Sand and Gravel, (phone 839-7660) recently installed a water line to the Snow Medical Office Buildi Owner/Developer - Thompson Brumback, West 705 7 *1, Spokane, WA 99204 (phone: 509/624-3311). We will make an attempt to contact you so that you can inspect the damaged conduit once it is exposed. If we determine that it was negligence on your subcontractor's part, then the City will bill you for the cost of repairing the conduit. Wry•truly yours, yJo R. Ralston Operations Engineer CC: PAut tmEart w0act Galour Kle Gorman gglav "" CITY Or RENT TON En&011,0114 i 200 Mill Avenue South . Renton, Washington 98055 • (206)235.2620 Fae Ktmu. 12061 235.2613 f1 , PUBLIC WORKS DEPARTMENT rA IN `' DESIGN/UTILITY ENGINEERING 0 235-2631 ,ce MUNICIPAL BUILDING 200 MILL AVE.SO. RENTON•WASH.98055 'ro apls BACKFLOW DEVICE TEST RFPORT Account Np. Lwruu rnrsar � cwuu ,nnwn W4(M Mf Mralf —1�� ifnNLl eep1,[at ae77 17?lo �nl6rt &° r am. IOC.ltpnpM l0Yt� 1/G Ae'-�It 9/ X� 1��J # �6`� 40 — w..www L/ a.-.1 rro L.II"LssuM.11W6 W 1IS1 lost cWc,,YµVi O tes ?— CHECK VALVE NO.1 CHECK VALVE NO.2 DIFFERENTIAL PRESSURC RELIEF VALVE INITIAL /. Leaked ..... ................ ❑ 1. leaked ...................... ❑ 1. Opened a list LEST reduced piessule 2. Closed light .................. 2. Closed light —.... ..... 2 Did not open ................. ❑ Cleaned ....................... ❑ Cleaned........................ ❑Y. 0 Cleaned—y..................... ❑ Replaced Replaced Replaced. Disc..... .................. ❑ DISC .. ❑ Disc upper n Spring...................... ❑ Spr.ng ❑ Disc.lower.................. ❑ RGuide ...................... ❑ Gmda ...................... ❑ Spring.,.................... ❑ E rhn,elmner n Pmreta.ner ..... ❑ Diaphragm.large A Ibnge pm .................. ❑ thrlge pill................... ❑ Upper ................... ❑ 1 . ❑ Lora ................... R Sear ....................... ❑ Seel....................... SDiaphragm.................. ❑ D.apt"PQ................... ❑ Diaphragm.small Odle,.describe.............. ❑ Olhet.describe.............. ❑ UP", ❑ Lower ................... ❑ Spacer.Iowa ............... ❑ Other.defaibe.............. ❑ FINAL Closed light............ eftiL sluce pressure -- flensults THE ABOVE REPORT 1E CERTIFIED TO BE TRUE Iulur,wegLl ro lull - 1 a.�.T iLG•c.� asrunall Public Work% Department DESIGNIUTILITY ENGINEERING 200 Mill Avenue South Renton, Washington 99055 c7iiili,il:aiririim Mu Ill h� I PUBLIC WORKS DEPARTMENT t F DESIGN/UTILITY ENGINEERING • 235-2631 .In R•,lud' •w MUNICIPAL BUILDING 200 MILL AVE.SO. RENTON.WASH.98055 BACKFLOW DEVICE TEST REPORT c C, V... Account No. conun natoe �- onu ----- ...t or FlIImIsts j 1 OC�11g,M p p VKl pvct /�l{ W...Mnwn YMn 4.• M�afNs p JCJ_L� C n �O l EJ G prry lal S{llal•r lWf p lEP eal5{rMI pRW Ka Sb IN{I C"tCR VAr@ 7 Gq Ills Z Les CHECK VALVE NO.1 CHECK VALVE NO.a DIFFERENTIAL PRESSURE RELIEF VALVE INITAL 1 Looked ...................... ❑ 1 Looked ... . ❑ 1 Opened at 1st. leduced pressure TEST a Closed nghl.................. 2 Closed front .................. 2 Did not open ................. ❑ ❑ Cleaned........................ ❑ Cleaned........................ ❑ Cleaned...r.................... Replaced Replaced Replaced Dmc......_.. 0 O.tt ❑ D c.upper ❑ SPunq...................... ❑ Spring, ❑ Spc^10.01.................. ❑ R Gwde .... ❑ Gwdr g...... ❑ E �] Pm lepmn ................. ❑ Diaphragm.large P H,.geIlnel ................. ❑ A Ninpe Dm................... LI Wnge Inn................... ❑ UDVaI ................... 1 Seat... ............ ❑ Seal........................ ❑ LOwP .._............... ❑ R . S Diaphragm ❑ Duphrogln.................. ❑ Duphlagm.smee Other,date,"... ...... ❑ Olhel,doa.he.............. ❑ UPP . . . ❑ Lo«e. Space'.lower ............... ❑ Other.descha ❑ FINAL Opened at_ lee TESTCosed light.................... ❑ Clotee 1.0 .................... ❑ leduced prasture THE AlOVE!Fr Is CER11F1FD TO BE TRUE arum.alrpnl rd rD ,Public Works DepartmentDESIGN/UTILITY ENGINEERING200 Mill Avenue South i --- Mtl Y� Renton, Washington 99055 �?'�_ I\I AF. A IJ. :1 } PUBLIC WORKS DEPARTMENT DESIGN/UTILITY ENGINEERING 0 235-2631 MUNICIPAL BUILDING 200 MILL AVE.SO. nEN10N,WASH.88055 BACKFLOW DEVICE TEST rIEPORT Attounl No. xlxi.o rvasow wYt w.MMM1IS <;� mft Cl AOOMee \12 VoZi s — of/11/c��e./I/'({A Yan�w.u.w Yrx _ uon�{ r1 "Wee C� Iw,rn,twM.11.1 w ltsr �rC� }j -��vw ssuM Door•cnosslwsi enec.vuve �s O�o L Les CHECK VALVE NO.1 CHECK VALVE NO,E DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL 1. Leaked ...................... ❑ 1. leaked ...................... ❑ /. Opened at_.._lb, TEST wduced plasswe 7 Co- adbgnl.................. 19 2. Closed lipnl.................. 2 OId nut open ........ ....... ❑ Cleaned........................ ❑ Cleaned........................ ❑ Cleaned..T..................... ❑ Replaced. Roplaced Replaced: DISC. ❑ n-lc........................ ❑ Disc.upper ❑ sting...................... ❑ Spring...................... ❑ Diet.low,................... ❑ R Gwde ........I....I........ ❑ Gum, E Pm late.ner ................. ❑ Ple.elmne. ..... ......• ❑ Dlaph,agm,large A lenge ptrl................... El thepe p,n ................... ❑ Uppon ................... ❑ l Seat........ ❑ R ❑ seu ..... ............. ❑ Lower ................... S Mapina,............... ... ❑ n.a.h.agm ❑ OUph,ogm,shalM Olnu,deecdbe.............. ❑ New.dr.c... ❑ UPPer ❑ Lower .................... ❑ Spacer.Iowa, ............... ❑ 01ne vsc,ibe.............. ❑ FINAL Cl OMnad at Au TESClosedlight.................... ❑ Closed npM.................... ❑ reduced D•e.au's THE As Vat autpolartim CERTIFIED TO SE TRUE fttl I MM11110 f Public Works Department nr1 . DESIGN/UTILITY ENGINEERING 200 Mill Avenue South Renton, WAShinglon 98053 -Tm--- __-_ C�S9i 18�-2y-� t, r �►� CITY OF RENTON DESIGN/UTILITY ENGINEERING / Owl '" vta •' hur South -Renton. Washington 9905 200 Mill Avenue 5 III � `ti� � , J ` • ' CITY OFMTON PUBLIC WORKS DEPT, 1 i,.i. 1- 'a WO Mi I Avenue South BRJJtMuS Pa 1. Y ►pt Renton WA 98p5g " . TO M01lBARQ _- raRjw To 901111111110 Brumback and Thompson 1, W. 505 Riverside Suite 500 Spokane, Na, 99201 ILLtLL,t�Lill,ttt„IILL�1 pF RLt PUBLIC WORKS DEPARTMENT 4*6 -Z z DESIGN/UTILITY ENGINEFRING a 235-2631 it $ MUNICIPAL BUILDING 200 MILL AVE.SO. RENTON.WASH.98055 %, e `191'ec SEPIEMOi�' Date. Novemb--r 13, 1989 1 TO, Brumback and Thompson _ Enclosed please find a copy of the King County recorded document for your file. i I r, Very truly yours, 1 I t)^J `.� I t Ise HWht Utility Engineering ARM Attachment U/A/WRECDOCKC 1 i i 9 SPACIAL ASSESSMEN'i UISIRICi Talbot hill - Hospital Arco Ordinance No. 3790 PARTIAL SATISFACTION OF LATECOMER'S LIEN WHEREAS, a latecomer's agreement was heretofore executed by and between CITY OF RENTON, a Washington municipal corporation, and WHEREAS, sa+d latecomer's agreement was recorded on the 26th day of March , 1988, bearing Auditor's File Number 8403260.04 , and WHEREAS, said latecomer's agreement creates a lien on specifically defined properties; and WHEREAS, a certain parcel of that property has fully satisfied its portion of the latecomer's agreement; and WHEREAS, it is necessary that said parcel be released from the r) lien created by the latecomer's agreement; 14 NOW, THEREFORE., RF IT KNOWN: ' O N1. That the latecomer's agreement bearing Auditor's File qe Number 8403260504, has been partially satisfied and the following N0263 1R Q describe-d property should be and is hereby fully releaseR cla{im M under said latecomer's agreement: 5.00 CRSHSI. ****5.00 LEGAL DESCRIPTION: 55 Lot 1, King County Short Plat #1282043, King County AF Recording No. 8307260997, for Snow Medical Office Bldg, 17910 Talbot Rd. S. bevelopera Brumback 6 Thc.npaon paid $5,271,25 Public Works Permit 07123 (4-14-89) W-983 OUT this release shall not impair the lien of the said latecomer agreement recorded under King County Auditor's File Number 8403260504 as to lands therein described not hereby released. SIGNED this day of 4pr11 1989 . BY: L n Cuttmann P Sc Works Director to STATE OF WASHINGTON ) ` ) SS COUNTY OF KING ) On this day personally appeared before me, 4 y,J,d 'fT o me known to be the lift", Cudt.� %t'r and acknowledged to me t aE Av was aut.Ti ze to execute rTMn on its behalf, That , /< furtr�cknowledges ',a, executed the same as i, . free and aoTuntary act and deed, for the uses and purposes therein men tT off. GIVEN under my hand and official seal this .:'0f9 day of flllU FOR RECORD AT REQUEST 0� 'CM�• YYI f1 , OFFICE Of IMF GIIY CLTAK otaN ry Pub c n an or t-6e-- RENTON MUNICIPAL ULUG. State of Washington. 00 MILL AVE. S0. / UNION,WA 98055 My appointment expires: f " ii.r-A.06 5120107 PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION CITY OF RENTON, WASHINGTON APPLICATION ONLY - UNTIL VALIDATED NUMBER Owner Location of Work _ Address at 1 � INSPECTIONS FEES CONSTRUCTION Sanitary Sewer/Storm Water Permits ---- Right-of-Way Construction PERMIT Right-of-Way Inspection Fees (Public Right-of-Way) Water Inspection/Approval Foe Special Utility Connection Fee, Water Water Latecomer Fee Special Assessment District, Water T Date issued Sewer Inspection/Approval Fees Special Utility Connection Fee, Sewer Expiration Date Sewer Latecomer Fee ' Special Assessment District, Sewer Reference Data Special Deposit, Private Latecomer _f ------ - Special Deposit, Cash Bond ---- ---- — TOTAL FEE a — Description of Work and Number of Feet 1 Contractor Business License Address B. nd u I Telephone IT I5 UNDERSTOOD THAT THE CITY OF RENTON SHALL BE HELD HARMLESS OF ANY AND A.LL LIABILITY, DAMAGE OR INJURY ARISING FROM THE P6r ORMANCE 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 235-2631 FOR INSPECTION. Call between 8 AM and g AM for APPLICANT inspection in afternoons call before 12 Noon the day before for inspection in morning. PUBLIC WORKS DIRECTOR SPECIFY TIME FOR INSPECTION. CALL 235-2620 for street sign_ LALL BEFORE YOU UIG By 48-HOUP LOCATO and lighting. RS -800-424-5555 �y J �6� o R o P 2 s � � e7 �$2 CITY OF RENTON WATER DEPARTMENT Pressure Test 6 Purification Test Form PROJECT NO. NAME OF PROJECT y5 ,'Vj0V- /"7B/J PRESSURE TEST TAKEN Bl,, /- e4 �ON AT A PRESSURE OFZSO PSI, FOR ZT MIN. TEST ACCEPTED ON l 5 I8 p PURIFICATION TEST TAKEN BY.': P: Ph krn ON ..��- PURIFICATION TEST RESULTS, SAMPLE Mi SAMPLE 02 SAMPLE N3 REMARKS: CITY OF RENTON WATER DEPARTMENT Pressure Test 6 Purification Test Form PROJECT NO. ,'Zs 7!; NAME OF PROJECT PRESSURE TEST TAKEN BY,,' ON AT A PRESSURE OF 7 � PSI. POA ? je�-- NIN. TEST ACCEPTED ON . ts.115 /l l `� / PURIFICATION TEST TAKEN By 1IlllAnn di 1:;�/ PURIFICATION TEST RESULTS, SAMPLE 01 SAMPLE 02 SAMPLE 03 REMARKS: CITY OF RENTON L UTILITY ENGINEERING LI 22hU ♦ ♦ 200 MILL AVENUE SOUTH NO, RENTON. HA 98OS5 PRONE 275-2671 ORDER FOR WATER SERVICE INSTALLATION Account No. --� 1 Meter Charge York Order No. Less Stub Service Credit Sundry Sale No. Down PeymantM1� - System Development Charge 1 FIlIEO 123 In City yea❑ No Late-tamers (City) •J On Sewer Yea No (Others) Water Usage: Residential ❑ Commeralal Oelndustrlal ❑ TOTAL FEE S� Other a INSTALLATION: Mote, Site 3/� R[L •�NSS t� sA! 6 � N111N Sit, Service Temporary Hydrant Meter Yes ❑ No Y - y Meter Make Sewage Exempt Mote, Yes LJ No❑ Meter No { Fire Protection Service Yes 9 No❑ Date Installed Service Address � �(1114 " A Conewnts: —y0NT 9#^D0.r,5 IPA31A "o-) Legal Description 141 1- MI NM ��:. 11a It3 ttl43 , CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes 9 No❑ IF Yes, Type of Device; ? Reduced Pressure Backflow De Vice❑ Oouble Check Valve Assembly Air or Pressure Vac Brooker ❑ Make of Device Model Serial No. SI» Date Device Installed �— met" No. File No No" t1■I Owner's NaFaTpla �_ JfVg 6 j &(jL — Phena !j- (T4- 331I_ ddress W ^IQS SA City 3Da`AR,e State WA _ ZIP Contractor's Name NO k fV -"-_— _ Phone Address. City FEDMAE. {.L1M(State _WA tip Wods r Area Served by Renton Wadi 5C Seattle Water Ej Seattle Water Code No. .4 Temporary Service Agreement Yes❑ No 50 If Yea, Agreement Recording No. m Service to be Located on an Easement Yes V No❑ If Yes, Easement Recording No. is There an Existing Stub Service yes ❑ NOV If Yes, Water Project No. W- Existing Late-Comars Ag,emoen, Vas ❑ No[* If Yes, Agroweant No. In Fevor u/ - Address _ City State tip Charge S System Pnn Doveloent Fee Yesp No❑ If Yes, System Davalopment Fee Based on ¢*7� Ch,111 3 Square Fast 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 1 RENTON'$ SCHEDULE OF RATES WHICH SMALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR 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 REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 5-207. .L tf :b]te - Utility billing C , utt 14WBA Yellow - Engineering Pink - Water Shop ___ YRry 5' ) Fj/ 21 Gold - Customs, —� . "TO p RM :'ICA4ItMq qPit __ �i O CITY OF RENTON �I O ry 2 59 V UTILITY ENGINEERING No, A_\ " r ♦ ♦ 200 MILL AVENUE SOUTH RENTON, WA 98055 PHONE: 235.2631 ORDER FOR WATER SERVICE INSTALLATION 'I Account Me. --� He ter Charge $_ Work Order No. ems}3 Len Stub Service Credit 7 i Down Payment }Tat H 100, _ Sundry $ale No. __ System Developmant Charge PAID :s In City Yes No Late-Corns rs (Cityl PR/A (others) N/A On Sewer Yes No Water Usage Residential Come,rclal /nduslrial TOTAL FEE S �W i Other INSTALLATION; Meter Size 11B1CN ILu larw �EO� Site Service I Temporary Hydrant Hater Yes No lV Water Make Sewage Easmpt New Vas [W No Meter Ne. Fire Protection Service Yes O No Date Installed e'�� 1 rL�J—t��/ Comments: Service Address rAm1•n - t(k&y Y-lA S6• Legal Description LV �' V4. SPRY ?Intl 129144N 4A"Re CROSS CONNECTION CONTROL: Bockflow Protection Device Required Yes ir No If Yes, Type of Device liev A Reduced Pressure Beckfl0w Device❑ Double Check Valve Assembly❑ Air or Pressure Vac Breaker Make of Device Model Serial No Site Dab '.vice Installed Meter No j file No. ! Ovmvr's Name MI5 __ 1CF1tsa _ Phone564' • A- SS11 Address VA JOS City JQNt State wAk 21P Aglo# rnrtractor's Name i�Q�� P Phone h Address ?1 1- S, 341 i� PO4 _ City sots �� Zip , 1ZOA2 Area Served by Renton Water Seattle Water 0 Seattle Water Code No. Temporary Service Agreement Yes C3 No CC If Yes. Agreement Retarding No. aService to be Located on an Easement Yes No O If Yes, Eat arlsnt Recording No, Is There an Existing Stub Service Yes CD No l61 If yes, 'Ater Project No. W- Exlsting Lete-Comers Agreement Yes No 2d If Yes, Agreement No. In Favor of Address ..__ City _ State 2I0 _ ChargegS - System Developeent Fee Yes% No If Yes, System Devalo"m Fee Based on �D F 7 11 Square FARt THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY HATER AT THE PREMISS NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREPORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH SMALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE RON WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE Of WATER, THIS IS IN ACCORDANCE WITH CITY Of RENTON CODE, CHAPTER 2, SECTION 3-205. l 15 Ili White - Utility Billing s, IA lAe n are Age" Ditty Yellow - ter Shop �� (4 �f/Yq Pink - - ter Shoo SS77f�f� /uL Cold - Customr I V o,. Cn uitz e enq eM. e CITY OF RENTON TT 25a V• °� UTILITY ENGINEERING NO, 1\:S zFJ ♦ • 200 KILL AVENUE SOUTH i+ REKTON. WA 9E05S PHONE: 7)5-2611 ORDER FOR WATER SERVICE INSTALLATION Melee Cho". S_ _ Work Order No. Last grub $ervice Credit Do. Payment + -r+ N Zoo ts. sundry Ws No. System Dsvololstent Charge PAtb P.iI2 3 In City Yes O Mo ge Late-Comer, (City) d _ On Sews, YnC] No or (641 ON $00'. (jmK SttaM (Others) /` Its water Usage: Residential Cgm,,r,ial (�inJu>Ii lal LJ TOTAL FEE 4 100 Other �N INSTALLATION: Meter S,+s EA OER�V. Sias Service Temp vary Hyd,ant Meter vex ED No Ce Meter Mske 5awaq. Exempt Kate, Yee El No Rol Meter No. Fire Protection Service tat C] No Date Installed So"I co Address 17 91 I • t, d Co�n"1 Logo, D.sc,Iptlnn I• . ( Mfr Pwlt _. N A 04 lit .tgna. a -- CROSS CONNECTION CONTROL Backflow Protoctlon D.vlce Rsgulr.d Yes Bn If Yes, Type of oevic.: 10 A Reduced Pressure lockflow Device Jou61s Check Valve Assembly Air or Pressure Vac Breaker ❑ m.k. of Dwlca Model Serial No. Slea Data O.vi c. IInns►talle�d� � lMotor No. File No. Owner's Note, I'I=III WII ! �ru 111 V.1E` Phone So9. 124.1111 Address sv+--�t—M utv !< M 11f State _ lip A Contractor's Name �I,�O Yp M� ♦��10� Phone Adores, 2112- 5. +,A11 DEL CI IV _ I state W1_ ItIP a4ee?< Arab served by Renton Water Seattle Water Seattle water Code Temporery Service Agro"nt Yea O i No�� If Yes, Agreement Recording No.�Service to be Located on on Eessm W ent Yes No O If Vss, Easement Record+no No, Is Thera an Existing Stub Service Yes ❑ WIN It Yes, water Pmj.ct No. w- En htlnq Lato-Comert Agreement Yes ❑ No 31 It Yes, Agreement No. In Faro, of Add,*N City _ state EIP _ Charge S System Development Fee Yet'$ NoC3 IF Vol, System Development Fee Basad on PAtu �. ?12) Square Feet THE VNDFKSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE HATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH SMALL FROM TIME TO TIME BE LERALLY IN EFFECT FOR 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 REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS It IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 7, SECTION 7/-201. I /ram .1 Zrin Mite - Utility filling -Cm � S a t �F(UYVI0i"77l,�t rNtr t Mallow • Engineering Pink water Shop R/(i 5 Gold - Customer �� w d Yr`.. etut"q Aq�-,Ir Yrl N 1 ._� h�;a i,:L wore/uaoE vuo VOL. Pis. tj0... 40 0 N IY•ol'/Q•ty UT/L/!I'fQSEMENT J1vs7' ONLY 7.,yore lQS.01p' _ 'T — .N cavvess• eofess;are/mice .�Q1 +t �b b — dV0 dn!/rr FSMr/A'Ore/1�I� lam. 1 I F� rydrya.d 'roaaJ[s7!•eGCJ �e � ��, �----r-�,—T-� — .1►9 �,� .�.�.A, -mill /fit h� E t�i.Kuc'"artn°u:�, p J17 Lt' /AGAeSJ, feTfSi / 1 INre/. !r/Sr/NO riJCMt vrY c+ea t y',y ,r NOr bl I6• ^�ad�tIIf6t, 1f t/rY/ry r ++ J.O /rMOJQ e?MOJI.f ,y,/3 p1 b ��• n+rlcwe/J \�l ►rortfoco� a �ro/srol/J rmo• o,.• •�0 C a� �t ti h� ,!��!�96 !,/ �, eynere rn.a unoo ai,wrnee rro pc,*Ao,4r e('l , Q a eu IftFA l+rerr 71, wrens I�SrMe./r ��swr.,i ainrrrwcvr'dw �Q Q,ISO , Q OD'c�{J 1 �l i.mil R wnwro ua�iurf+ ~�v=-IV* , t�' p,Jll�td'liv Jreav .ter L-AS #A' MI ur ' xnritc Sww &V' Rdr�� / \ {{ R \ et /Jlueo yevieeva ea.r/ ."NC9Ol'JD'I4 \ )Y1FN/N0: XatiS CVV7YAWS uOtr5MA1l/Q2/!y t +bt \�Z 7beuicD,toaebvF,,c•e/urliv,orcvuFTwise' ,R 741 Z/t/E JfJrNel Vel "t •k^"� At '"we ~as etwmVe.G w/m/.v -Ve W. TlJN, RSE, NO �'�, A*Amr14"6 JF?v<c rb A/E Nromefry / \�;t�U/dfO.4/!✓,fit .Warr ft/r. \VA Vf11. 7Z PGS. 2q.9- 4c, 9'OtD/adGf dllo Ul/[/IYf4SEMfNT ^ �. _ •Vd'Ar��•p• lX,sl' ONLY rNorF /!— . _ man &NSA � �� b //Aw v�aun•o wr. �A+wr/ a �� '11�' o° cnv� le ,ice 71,IV I . .A .r,b. aAy JC77LU J 7f Con .t1�pb�V / I � 1 !y1' \\ � / ,', f; AKnrNa�tA+.�v� •y�' yy0 ' •Mt1' /tK.fft� fIAYJ1 , ` �' /A7rr ArrIMM4 "Jel�'A/rJ C,gy�O ev y '! .VM b/�' ^I _I�GLW06f, I011L/ry O / �� .x/ RMO.fQ It/tMOl.? RYNO W AWC. A47 •\ \{• CSNl/A,tvr/ NO 7►p1110tM orypoj D6i p,\`p\4• E ^ J •t j. / /XO Afire r.,V$ Asf l •�•�Yy.� I1•NKL+LOT I, /T, IV yo,,. •�V 0 a� �� h I E,!��t 16 ./ P AYCYJJ !/JFAKA?' e.�J..�..w°. r �r ev !A4Y A. � s r nrfr anx n•M►svr e./ a/NJ A.alr(CwyfY lYi,y ��t�•ER�; •br roLT/s' t•es.Je' rox ovey r� .,Ao r Of k O Iv Y/AKICC y er /vuro j N49•OI'J�'/V AWVlAlO: KMM CW*7y NIS NO&$,,tW_V&t/JY i ,b/ ,lRN/jN[/UE JFd FNfANE• Jrf/t /Ar AW*WRr~OJ CI.'W"1A&-V IVA7/14/ .lfC W,, rlJN, X-M /KAI �$. O/ mvO'p'A4 Je w w JD Ise Aflp re y . \1�crsulefo Al AeAr AWr qWr r r l y G r w-913 a5„'viti,,,III STATE OF WASNRNITON DGFARTMEt/\OF SOCML AND NALTN MNVIcn WATER BACTERIOLOGICAL ANALYSIS SAMPLL COLLiCNON NEAO INSINUCIIONS ON BACP W DOIDINADO COPY e It InSNUC110nP am nOt IoIbWEO.Nmp1E will OE LNCtod, OATS COLLECTOO LM!CcLLBCTBO. GOUNTV N.V� B� TM pAr rMP A?AM D PM TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE _ l7 Fusuc 1A No. ❑ INDIVIDUAL e I 11 -, AA d i NAME OR SYSYKMn 1 4R61T tlWWIY!. tMA/Ar M -14 1 A . SAMPLE 004.1.10TRID w:PNIIIIN r tL.. . SOURCE TYPE , ❑SURFACS O WELL U RPMNO C1 PURCHASED OOMMNATION a OTHER IPNMIW�/NIIIF. A W tI 4WM P7LI�K' `.A..��. WAENPNYwt,'f'1F�"•:.,c-.. ' Tr M EAMME M1'Ne,M rw�IM nM.m 1. OPINNINOWATIA ❑ CMaIgIMIIIN}IdWI_-Tobi.,,,-„FmAI c MCA VAAI,M,V�� 1rI-��� FIIMW I� LJ Um'"t"u,OIM, 4, y NAW WURCE WATVR 3, [TU�i NEW CONSTRUCTION Of REPAIRS 4. OTHER QYoodYl COMPLETE IF TNIE SAMPLE IS A SAMPLE NNiv, AA No PNVIOUS RAMPLE COLLECTION DATE MARA& y / LA666YORY WRIULTS woo LAS USE ONLY) MPN COLIFORM 510 Ilk ATE COUNT SAMPLE NOT TESTED SECAUSE MM DILUTION — TEST UNSUITABLE ❑ OWNPA Too Old Am- 1, ❑ DVDIIyAm10mwIX ❑ Nm In Pn+pA.CAn1NM, TAF COUFORM 4. ❑ rN1C ❑ IMokled, I1nb,InAlldO A, ,�: Prorld.d._PIwA.RAAd �+� IMINc.1Ana un Flxm FECAL COLIF `� ❑ EMdAFA DAtInA C] MPN MF , ❑ ❑ tq m: FOR DIVMtM10 WATM SAMPLES ONLY,TNSSE RESULTS AN. I LYSATISPACIONY E3 UNUATISFACT014Y ' $►E NVER►E SIDE OF OMEN COPY FOR EXPLANATION OF NSW TS LAKFIO "to Thai am V IV y , � I DATE S 1 LANO14TIM A R , WATIBI 0011011.411 OC►Y w. w v+ AUTHORIZATION OF SPECIAL BILLING 41 �2� Py PROJECT NAME: PROJECT NUMBER: W" q�3 tT9 to- <A16a -V 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 :o the above-referenced project, by the City of Renton for the following work: BILLING TO BE SENT TO: Name: i 'm,fl' ,.L, R Address:k'N ') )c) S \ bl( City: '� `l6-j�L.flt.N .411\. 't n J q Attn: C� C� C.�J,[,rcti1 G C Phone No.: S01 s e RPM ontractur or Authorized Agent am ?RECONSTRUCTION CONFERENCE PROJECT: w N �. ��' ., DATE: ADDRESS/LOCATION: PROJECT 11 - PERMIT N WORK ORDER n _ THOSE IN ATTENDANCE NAME COMPANY PHONE �c is 4/1 L �oXz// 19 74,4- '�� /f;�.��� Q'-Y•c-sf3c• � ��- ZOO A15pow, GAlwl- � : ,. r C,tY 3s 2631 WATER WAIN PROJECTS PRESENTLY UNDER CONSTRUCTION IN THE CITY OF RENTON WATER PROJECT I DATE_ 4 WATE" PROJECT TITLE r PROJECT LOCATION DEVELOPER ///ry Bac/t���.�/(�M�SpAI ADDRESS 7a5 wrs+ W.' _,�Qokn,vF Ldp• 20 PHONE ��' - f02- - 33 EMERGENC° PHONE _�G 9 - 92 CONTRACTOR S , & ADDRESS PHONE EMERGENCY p PHONE 2t>6 - 2BS'9V 5'O FOREMAN 6Qt (, ),W/'ISpy .r_.._ PHONE �L h6 -T ZZ-S-o z/9' ^ EMERGENCY PHONE 2/0(e 6q?-V&98 2nS+ — 835�LG ro jkX UJy�A,�'� December 8, 1988 ��Q� p4 BKT001 Ron Olsen I City of Renton Public Works Department Design/Ptility Engineering Subject: Snow Medical Office Building Dear Ron: / The following cost estimate information is provided: h WATER City of Renton (\_$15,000 �'. Sewer Soos Creek Sewer District NtA Storm King County N/A Street King county Very truly yours, DAVID,UVANS AND ASSOCIjrTES, INC. Richard E. Lowe, P.E. Associate REL:dI cc: John Ovitt, MEI i l 2 5 r _I -, ,a a . Cn G �e) 707 nn¢+ p 3f#_ rct 4 2 I}NVID IVMIS ANDkikXlA11ININC:. - ~ tuanteN.,U�Ia1Y1NtX,mANNFNX,LAVUk1:AlN:ANCIII'll'I[IS +/J� f?47 A U lkgK:I\IV eNElilN,W'M1NIIINITIN AND GWIPRNIA WII IWill AWNIY St.,Am I'll ;,!',UN11L UAIINl:11N 9"Xii Ili INM+I Att it�l FAR(AX,I 69 NN+i ._. a '. err_ 6u��A • wrcel _ rey�o� __— Vt), 40 a L. Al. llW. Jai Jy� — i 4-7-N9 OF Re ti� 0 CITY OF RENTON ENGINEERING DEPARTMENT 235-2631 op, e PRECONSTRUCTION CON NC RItco StP1GN'0e, DATE: THURS. APRIL 13, 1989 TIME: 10:00 A.M. PLACE: 1ST FLOOR CONFERENCE ROOM DEVELOPER / CONTRACTOR OR SUBCONTRACTOR / NAME OF PROJECT: # COMPANY NAME: LLOYp SAND a cRAvel t PHONE: 839-7660 d NAME OF PROJECT: SNO-MEDICAL OFFICE BLDC CON TAM SteveTa for 324-4511 INSTALLATION: main Water `�' • "'983 LOCATION: Water Talbot Road South NAME OF APPOINTED INSPECTOR: Abdoul Gafour PLEASE CHECK DEPARTMENTS TO BE NOTIFIED AND SPECIFY PERSON TO ATTEND: PUBLIC WORKS DEPARTMENT: x Uesign/Utility Engineering Ron Olsen Traffic Engineering x rield Maintenance Supt. Ray Sled, Water Storm Water Utility _ - x FIRE DEPARTMENT x POLICE DEPARTMENT PARK DEPARTMENT BUILDING DEPARTMENT OTHER OUTSIDE DEPARTMENTS: x CONTRACTOR TO NOTIFY Department of Transportation 872-6470 U.S. West Communications 235-3012 Puget Sound Power 8 light Co. 255-2464 x2912 Seattle City Light 684-3076 TCI Cable of Wash. 433-3434 x3084 Washington Natural Gas Co. 622-6767 x249 Metro - Bus Routes 684-1738 King County Inspection 244-0770 Other: _ U/A/PRECON:REV. 1-5-89 7.89 c *� Or kE� CITY OF RENTON A ENGINEERING DEPARTMENT U 40 235-2631 PRECONSTRUCTION CONFERENCE DATE: 14444, C[ /�� /9?? pay" eMo� TIME: /C `o SEv1 PLACE: ;ate DEVELOPER / CONTRACTOR OR SUBCONTRACTOR / NAME OF PROJECT: COMPANY NAME: ,'a.µ,/. PHONE: UIT 9 47_ N i"-d NAME OF PROJECT: u- t tt a l/ INSTALLATION: ts, ••,c LOCATION: ; in - a-? NAME OF APPOINTED INSPECTOR: __ <-clf Cn. w�n.• PLEASE CHECK DEPARTMENTS TO BE NOTIFIED AND aPECIFY PERSON TO ATTEND: PUBLIC WORKS DEPARTMENT: / Design/Utility Engineering TM J44µ i Traffic Engineering �Qj, 4 Field Maintenance Supt. kpA' f,4,0- , Storm Water Utility _ y FIRE DEPARTMENT POLICE DEPARTMENT PARK DEPARTMENT BUILDING DEPARTMENT OTHER OUTSIDE DEPARTMENTS: CONTRACTOR TO NOTIFY Department of Transportation 872.6470 �0 r U.S. West Communication,, 235-3012 Puget Sound Power & Light Co. 255-2464 x4222 Seattle City Light 625-3076 TCI Cable of Wash. 433-6359 Washington Natural Gas Co. 622-6767 x249 Metro - Bus Routes 684-1738 King County Inspection 244-0770 Other: 4-7-89 CITY OF RENTON ENGINEERING DEPARTMENT 235-2631 or PRECONSTRUCTION CONFERENCE tkitro SIPI`.00c DATE: THURS. APRIL 13, 1989 TIME: lO:OO A.M. PLACE: 1ST FLOOR CONFERENCE ROOM DEVELOPER / CONTRACTOR OR SUBCONTRACTOR / NAME OF PROJECT: COMPANY NAME- LLOYD SAND s GRAVEL PHONE: _839-766000NTACT: Steve Taylor 394-4511 NAME OF PROJECT: SNO-MEDICAL OFFICE BLDG PROJECT 0: W-983 INSTALLATION: Watermain LOCATION: 17910 Talbot Road South NAME OF APPOINTED INSPECTOR: Abdoul Gaiour PLEASE CHECK DEPARTMENTS TO BE NOTIFIED AND SPECIFY PERSON TO ATTEND: PUBLIC WORKS DEPARTMENT: x Design/Utility Engineering Ron Olsen ^� Traffic Engineering x Field Maintenance Supt. Ray Sled, Ater Storm Water Utility x FIRE DEPARTMENT x POLICE DEPARTMENT _ PARK DEPARTMENT BUILDING DEPARTMENT OTHER OUTSIDE DEPARTMENTS: x CONTRACTOR TO NOTIFY Department of Transportation 872-6470 U.S. West Comm mications 235-3012 Puget Sound Power S Light Co. 255-2464 x2912 Seattle City Light 684-3076 TCI Cable of Wash. 433-3434 x3084 Washington Natural Gas Co. 622-6767 x249 Metro - Bus Routes 684-1738 King County InspeCtion 244-0770 Other: ._ `__ U/A/PRECON:REV. 1-5-89 (P"m■ca A. POP OATR� oc_ TELEPNCNEO PIACINE� — nETURNED /X T—TJ YOUR CALL ur[•c — sn e.♦nNatir pL CASE CAII « MESSAGE WILLCALI AGAR { I TCA O VW WANTS To SEC YOU CITY OF RENTON 200 MILL AVENUE SOUTH RENTON, WA 98055 206-235-2501 FAX# 235-2513 DATE �- �O- e9 PAGES (EXCLUDING THIS COVER SHEET) ATTENTION: Eorey ' T yec2 FROM: AgI.EIJz hk/r$".Tr Dond No. PERMIT RONO KNOW ALL MEN BY THESE PRESENTS; That we i of as Principal, and a Washington corporation, as Surety, are held and firmly bound unto the CITY Or RENTON, a municipal corporation of the State Of Washington, In the penal sum of lawful money of the United States of Amerlcn, for the payment or which, will and truly to to mode, we firmly bind ourselves, and each of our heirs, executors, administrators, and assigns, Jointly old severally by these presents. R Sealed with our re0I5 and dateu this THE CONDITION Of THE ronrcoINC 90LICATION IS SUCH, that, WHEREAS, the above named Principal has applied for a permit, pursuant to the provisions of Ordinance No. 32050 to do certain work on a City Of Renton roadway, street, Alley, avenue, or other public place, during a period ending NOW THEREFORE, if the nbo,-e named Principal shall indemnify and save harmless the City of Renton, from Oil claims, actions or damages or every kind and description which any accrue as a result Of Opening and/or working upon any roadway, street, alley, avenue., u, char public plot by j him or those In his employ, in Installing or making connections with any public or private sewer or water system, or any other purpose or object ' whatever, and that he will replace and restore such roadway, street, avenue, alley or other public place to as good a stnte or condition as at the time of the commencement of said work, and maintain the some Sn good order to tht decided satisfaction of the City Of Renton Engineer, and that T he will comply with all the provisions of his or their franchise or permit, and all resolutions or L�struments tainting thereto, then this obligation to be void; otherwise to remain In full force and erfect. The liability under this bond is for a period of one year from to and may be ertsnded by the surety Issuing a Continuation Certificate, 0y fly 1 J,f!7 4/73/07 t dik -A " y /I- p •A ' 62s•uu+ 65• i5- ' 12• sl- 'L'rd • d�- 195.97 + 0.* j 195.97x 10.a 3• �'L'f• Ahf+ 36p329• x f p•049'a 1 .'lA3•'192A+ 0•■ 3m527. 460+ 1 043•190+ �` Sr'd'11 •25�+ J COVENANT TO ANNEX TO THE CITY OF RENTON Q O l ( w+>..�s•-,..;, �. i�x...-..tlw`c 4; a�.P hcrcinaf ter p referred to as "owners," hereby covenant and agree to sign the necessary LL petitions for annexation to the city limits of the City of Renton, O Washington, for the property herein described and on the terms more fully set forth below. 1. Legal Description The legal description of the property to which this covenant shall apply is as follows: Property Description: Lot 1 of King County Short Plat No. 1282043, Rezoned by Buildinq & Land Development File No. 276-76-R OVERALL LEGAL DESCRIPTION That portion of the south 1/2 of the south 112 of the northeast 1/4 of the northeast 1/4 of Section 31, Township 23 North, Range 5, EMM., lying east of the Talbot Road (96th Avenue South) and north of the Carr Road (South 180th Street) EXCEPT that portion �f the nnrth 112 of the south 1/2 of the south 1/2 of the northeast 114 of the northeast 1/4 of said Section described as follows: Beginning at the intersection of the south line of subdivision and east line of Talbot Road; thence northerly along east line of said Talbot Road 69 feet; thence east 128 feet; thence southerly parallel with east line of said Talbot Road 69 feet to south line of said subdivision; thence west along said south line 128 feel to the point-of-beginning. King County, Washington. Less County roads. hereinafter referred to as "the premises." 2. Basis for Covenant This covenant to annex is given as a condition to being permitted to hook up to sewer and water service from the City of Renton to serve the premises. 3. Parties Ccund This agreement and the covenant to annex shall be binding on the owner and all persons subsequently acquiring any right, title or interest in or tc said property referred to as the premises, and shall be a covenant running with the land. 4. Time for Performance The owners, their heirs, successors or assigns, agree and covenant to sign a petition to annex the above described premises unto the City of Renton at such time as the assessed valuation of the subject premises is sufficient to qualify under the 75% method pursuant to RCW 35A.14.i. , .;her with such other adjoining or contig_.us area as the City or other petitioners may determine. The owners further agree, when so notified by the City, to promptly circulate and execute such Petition and to comply with all the requirements of law regarding such annexation. If the owners, their successors or assigns fail to do so, the City reserves the right to terminate such utility services. 5. Filing These covenants shall be filed with the King County Auditor. W6/- 8?, IN WITNESS WHEREOF the owners of the premises have signed these covenants this /S �� day of ,. .., Pero .. �_ �J'rho .E STATE OF WASHINGTON ) COUNTY OF KING SS On this day personally appeared before me to me known to be the individual(s) described in and who executed the within and foregoing instrument, and acknowledged that they signed the same as their free and voluntary act and deed, for the uses and purposes therein mentioned. )jtGI�VVEEJN" under my hand and official seal this Z-S- day of I Notary Publ �'nandf th Sta f Washington, residing at 1J.C.08.mf 09/09/01 FF s,� 783 December 8, 1988 BKT0O1 Ron Olsen City of Renton Public Works Department _ Design/Utility Engineering Cl Subject: Snow Medical office Building �J��Ul1U Dear Non: The following cost estimate information is provideu: WATER City of Renton $15,000 Sewe: Soos Creek Sewer District N/A Storm King County N/A Street King Cowmty N/A Very truly yours, DyAVID,VANS AND ASSOCIWES, INC. RicharU E. Lowe, P.E. Associate REL:dl cc: John Ovitt, MEI DAME"ANIAS9(KLVIR f C: LNGNEFRS.111way(IRti,Rx"Fa IANIRA.Aft%NJIRF1:5 I O TKZS N oft"UM.WASMIWNM AND CAUF4*SL5 301 1161N A WT SE,SUM 110 tlEW11E W:J M,""M 98004 64" (2mN li0.i5'1 PA(206)i55-.W 95. 12- 12. 31- 254 . 4i- ? 195. 97** U •■ 195. 9'I�� 10 - 3t52'7. 46*+ 0 • u i f 38, 329• x 0.040= 1 ,743.792*+ 3i527. 46U+ 1 '?43.'190+ A 5, 271 .25*+ 0 • * • Mom• •.\�• McdtfA1 Envnonmenls Inc ;prated Archllmluie Planarg Inlena Design 1221 Secorm Awnw Suns 330 July 29, 1988 EmIN),wa-01woon %101 Telephone 206 343 3044 Mr. Paul Eichhorn 215 Longbeach 8oule�ard King County Building Department Su'1e906 3600 136th Place S.E. , Suite A Long Beach.Callan Bellevue, Washington 98006 90602 leIP.^vw 213 491 0997 Project: Snow Medical office Bald OC88-0770 Subject: Fire Flow Protection Requirements Dear Paul: This letter serves tc� confirm our telephone conversation of July 28th in which the issue of Fire Hydrant/Fire Flow protection was discussed. From previous documentation, this project requires fire sprinkler coverage as well as three hydrant protection due to the building construction type, volume, setbacks, etc. . The three hydrants as provided; one directly north and adjacent to project site, one directly across Carr Road (south) from project site and one new hydrant to ' he west have been approved by the Fire Marshall for Fire Protection coverage. As the project requires 3,500 gpm Fire Flow (3,364.33 rounded upward) three hydrants are required to provide the fire flow at a rate (King County Standard) of 1,250 gpm each. They may be on one or separate systems. However, each pipe system must be able to supply , Ach hydrant to the 1,250 pgm rating. Therefore, the eight (8) inch ?ine servicing two hydrants on site must be capable of 2,500 qpm water capacity. Again, I appreciate your assistance in this regard. I trust that this will comple=e the questions associated with this issue, establish water a,7ailability standards and certify available fire protection to our project. 'Mr. Paul Eichhorn King County Building Department July 29, 1988 Page 2 Thank you. Respectfully yours, YMEDINV RObMENTS INCORPORATED Ovitt Architect :p cc: Ron Olson, Renton water Engineer Randy Aspland, RH2 Engineering Dick Lowe, David Evans & Associates Terry Thompson, Brumback & Thompson i i I i NON& CALL DATE-J=y^-�-,TM[ FOR M _ Y�iElEfMao '�4� IRBAEE ML yME9fiACdEa ILL CALL AOAI% l �iY'�1 vU�nM<UCI! i�, `.� � �i pL15 ZZ� �,fi, r3�'� I � �pr� Cam''` _�--�'__ ��- i'! I' B ' i. .W own *..a.. AIadmi Fnvnonment5 Inaxporaltxl Arc MMVe Planmg IMenor Desgn July 29, 1988 1221 Semw Avenue $idle 330 Srv%,Wa&NrQton 38101 Mr. Ron Olson Tekphorle 205 343 W" Water & Sewer Engineering City of Renton 215 Lonpbeabh Bouevard 200 Mill Avenue South Suna9DO Renton, Washington 98055 Cast>rria 9 Project: Snow Medical Office Takplona 2134910997 Ring County Review 1C88-0770 Subject: Requirements for Water Availability Certitication Dear Mr. Olson: Two weeks ago we were notified by Arlene Haight that three submittals were required as a condition for issuance of Water Availability Certification. They are as noted: * Covenant to Annex to the City of Renton Water Supply Calculations of system Capacity to serve * Design of Water System Enclosed you will find the Covenant and Water System Design Documentation for your review. We have been in contact with Randy Aspland of RH2 Engineering regarding calculations of system capacity to service this project site from an existing eight (8) inch private main. From our discussions of water bressure and flow rate restrictions to the Talbot Road supply, Randy has uncovered a Field Flow Test to the one existing (dead end) hydrant located due north of our site (see enclosed plan) . This report, dated last year, identifies the hydrant as NF212 with an unrestricted flow of 3,500 plus gpm. Given the 8 feet/sec. City flow restriction, the eight inch line is capable of 2,500 gpm. Mr. Ron Olson ( 1� City of Renton July 29, 1988 Page 2 I spoke with Paul Eichhorn of the King County Building Department for a determination of Fire Marshal acceptance of two hydrant systems and general water availability. Paul has approves the split hydrant system and established water flows per hydrant of 1,250 qpm (see enclosure) . ' The criteria established for fire protection, therefore, is: Eight (8) inch Campus (F212) line servicing two hydrants & locoped: 2,500 gpm Twelve (12) inch Carr Road line servicing one (1) hydrant: 1,250 gpm �4 I feel t' at existing records may very well ascertain conformance ` •, with Firo Marshall requirements for Fire Flow and water Availability without the need fog- engineering calculations. If } this is your consensus, please so indicate. Let me know if I may be of assistance. Res ctful yours, E IRONMENT5 INCORPORATED ohn D. Ovitt Project Architect JDO:p2 cc: Randy Aspland, RH2 Engineering Dick Lowe, David Evans & Associates Terry Thompson, Brumback & Thompson This certificate provides the Department of Health and Please return to: Building a Land Development BUILDING & LAND DEVELOPMENT with information necessary to 450 Adm mnv,onn Bwmm evaluate development proposals. 4 Se�ulq VV.,hinpton 98104 206 3447900 KING COUNTY CERTIFICATE OF WATER AVAILABILITY nut write in is x numtor name ® Building Permit E] Preliminary Plat or PUD ❑ Short Subdivision ❑ Rezone or other _ APPLI:ANT'S NAME Brumback & Thompson PROPOSED USE Medical Office Building LOCATION Lot 1 of King County Short Plat No. 1282043 See Enclosed Site Plan & Legal Description (Attach map L legal description if necessary) N N N M N N N N N N N N M N M N WATER PURVEYOR INFORMATION 1. a. Water will be provided by service connection only to an existing 13 water main feet from the site. aim OR b. ® Water service will require an improvement to the water system oft ❑ (1) feet of water main to reach the site, and/or @9 (2) the construction of a distribution system on the site, and/or ❑ (3) other (describe) and in Carr Road 2. a. t" ) The water system is in conformance with a County approved water comprehensive plan. OR t , b. The water system improvement will require a water comprehensive plan amendment. J. a. The proposed project is within the corporate limits of the district, or has been granted Boundary Review Board approval for extension of service outside the district or city, or is within the County approved service area of a private water purveyor. OR b. Q Annexation or BRS approval will be necessary to provide service. 4. a, Water is/or will be available eat the rate of flow and duration indicated below at. ® no less than 20 psi measured at the nearest fire hydrant un LOB feet from the th aectacked map) , *from ,r easure ones building/ roparty (a as marked rawater mam extension required, r�eslgn LOW approved by City ot5 Renton. Rate of Flow Duration ❑ less than 500 gpm (approx. qpm) ❑ less than 1 hour ❑ 500 to 999 qpm ❑ 1 hour to 2 hours ® 1000 gpm or more FOR ® 2 hours or more [] flow test of �gpm ❑ other ❑ calculation of gpm (Commercial B,," ag Permits require flew OR test or calcula, n)to be prov1J dd b J veloper Re uired: ) 164 .yl7 EPM L. ❑Water system is not capable of providing fire flow. Nuv \ Ava lahle: 3.�$b CPM C S,4ve ( Tb Bovet04y CFwtH� RO4Q0 I1X dNbKb WMfL1C—IR�fPf8.1. ,UMMF.NTS/CONDTr IONS 1) equlre Covenant to Annex. 2) Fire Flow Calculation which will determine length and site of water main extension required to provide fire protection and J) together with approved w.ii.or plans certified by City <'T' cntiC ton. I hereby certi'y that the above water purveyor information is true. This certification shall be valid for one year from date of signature. IVY OF (d6N;'0k Ronald L. Olsen 0ncy ame R t Name Utility Engineer Title — gnalure F ?1! R/Rn D U tSlknCS �Sso� �}SS' 3(0 a� u�LuEJJ E King County Real Property Oh ision Depatmem of "muii, Adnvnistnnun 500A King County Admno"ation BuJdmg SM lounh A,enue ' Seattle,W,A,,ngton MIN (206)296--7470 December 27, 1988 Mr. Steve Taylor S.G. Taylor Construction Inc. 1314 South Weller Street Seattle, Washington 98144 RE: hiRht-of-Way Construction Permit for City of Renton - Carr Road Dear Mr. Taylor: It has been determined that the portion of Carr Road that you are requesting a Right-of-Way Construction Permit for 1s within the City of Renton. We are returning your letter of application, plans and your Check No. 1773 in the amount of $15.00. Sincerely, Ch outsis Real Property Manager CJL:MJB:DB cc: Arlene Haight - Cit5 „f Renton Enclosure: Letter of Application Two Plans of Water Sy-tem Check Number 1773 r tt »r *4 a a: King County Real Property Division E.e .tmenl of taeeulh<Admimat ration - ;'•��(' ' SWA K.%�((7.utny Admmiatrobmt Ouildtng SW)rourth \venue ). Seattle,Waehingtun 99IN } (206)296-7470 CITY 0f RLNTON G�E,irt+Pem1: DnPk. December 27, 1988 Mr. Steve Taylor S.G. Taylor Construction Inc. 1314 South Weller Street Seattle, Washington 98144 i RE: Right-of-Way Construction Perry : for City of Renton - Carr Road Dear Mr. 'Taylor: It has been determined that the portion of Carr Road that you are requesting a Right-of-Way Construction Fermit for is within the City of Renton. We are returning your letter of application, plans and your Check No. 1773 in the amount of $15.00. Srrnii/ncce/e``reeIl__y, Chris J. Loutsis Real Property Manager CJL:MLJB:DB cc: Arlene Haight - City of Rentcn Enclosure: Letter of Application Two Plans of Water System Check Number 1773 W W O a CITY OF RENTON, WASHINGTON W 0 ORDINANCE NO. 4142 �o AN ORDINANCE OF THE CITY OF RENTON, WASHINGTON ANNEXING CERTAIN TERRITORY TO THE CITY OF RENTON (Covenant Church Annexation A-005-86) . WHEREAS under the provisions of RCW 35A.14.120, as amended, a petition in writing requesting that certain territory contiguous to the City of Renton, as desc 'bad below, be annexed to the City of Renton, was presented and filed with the City Clerk on or about July 27, 1987, and WHEREAS prior to the filing and circulation of sa-d petition for annexation to the City of Renton, the petitioning owners notified the City Council of their intention to commence such proceedings as provided by law, and as more particularly specified in RCW 35.13.125 and upon public herring thereon, it having been determined and the petitiw.ing owners having agreed to assume the pre-existing bonded indebteGness of the City of Renton as it pertains to the territory petitioned to be annexed; and to accept that portion of the City'■ Comprehensive Plan as it pertains to the territory including the applicable toning code relating thereto, and WHEREAS the Policy Development Gapartment has examined and varifiae the signatures on the petition for annexations and determined the assessed valuation of ali the properties, the same being in excess of seventy-five percent (75%) of the area to be annexed, in v lue, as provided by law and the petition also setting forth the legal Oescript,on of the property according to ORDINANCE NO. 4142 m m gc✓ernment legal subdivision or plat and the Policy Devwlopment a w DeF•artment of the City of Renton ha, considered and w J recommended the annexingof said �D property to the City of Renton; and WHEREAS the City Council fixed October 26, -,87 at 8:00 P.M. as the time and place for public hearing in the City Council Chambers, City Hall, Renton, Washington, upon the petition and notice thereof having been given as provided by law, and WHEREAS pursuant to said notice a public haaring has been held at the time and place specified i.i the notice and the council having considered all matters in connection -Ith the petition and further determined that all legal requirements and procedurse of the !a, applicable to the petition method for annexation as specified in RCW 35.13.130 et seq have been complied with, and WHEREAS a "Notice of Intention" having been filed with the King County Boundary Review Board as required bl law, and the Boundary Review Board having waived its jur!adlction as per its letter dated February 23, 1988. NOW THEREFORE, THE CITY COUNCIL OF THE :TTY OF RENTON, WASHINGTON, DO ORDAIN AS FOLIAWS: $F& 10_11 The findings, recitals and detexWinations are hereby found to be true and correct in all respects; all requirements of the law in regard to the annexation by petition method, including the provisions of RCW 35.13.125, 130, 140, 150 and ChaF `er 189, Session Laws of 1967, have been complied with. It is further determined that the petition fur annexation to the -2- ORDINANCL NO. .4142 m City 10 Renton of the property and territory described below is c A hereby approved and granted; the following described property w 0 being contigueiin to the City Limits of the City of Renton, is hereby annexed to the City of Renton and such annexation to be effective on and alter the approval, passage, and publication of this Ordinance; and on and after said date the property shall constitute a part of the City of Renton and shall be subject to all its laws and ordinances then and thereafter in force and effect; the pro2erty being described ar follows: See Exhibit "A" attached hereto and made a part hereof as if fully set forth herein. and the owners-petitioners of the p_operty shall assume the pre- existing bonded indebttiness of the City of Penton as prescribed in RCW 35.13.126 as it pertains to the property, and the property to be subject to the City's Comprehensive Plan and Zoning Code. SECTION II: This Ordinance shall be effective upon s passage, approval, and thirty days after its publication. A certified copy of this Ordinance shall be filed with the Icing County Council. State of Washington, and as otherwise provided by law. SECTION I11; The annexed property, contiguous to Precinct No. 11-105 of the City of Renton shall be and constitute a -'art of the Precinct No. 11-105 of said city. -3- m 0 a W O W ORDINANCE NO. 41142 PASSED BY THE CITY COUNCIL 21at day of March, 1988. Q Marilyn �Totsrssn, Deputy City Clark APPROVED BY THE MAYOR this 21st day of March, 1988.h US 1 Earl or Appro%id as to lcrm: �_A�uVaMW1 i�+/v� Lawrence J. WarrW City Attorney Data of Publication: March 25, 1988 ORD:19/7/10/88 O'00NA0,T &4up + • ANNgXAMC, I Orainance No. 4142 Exhibit "A" m w 0 THAT PORTION of the Northwest 1!4 of Section 32, Township 23 North, o Range 5 East, W.M. and of the Northeast 1/4 of Section 31, Township 23 North, Range 5 East, W.M. DESCRIBED AS FOLLOWS: BEGINNING at the Southwest corner of the Northwe 1/4 of the Northwest 1/4 of said Section 32; Thence Easterly along the South line of the Northwest 1/4 of the Northwest 1/4 of said Section 32 and the existing City Limits of Renton as established by Ordinance No. 3268, to the Northwest corner of the East 1/2 of the Southwest 1/4 of the Northwest 1/4 of said Section 32; Thence Southerly along the West line of the East 1/2 of the Southwest 1/4 of the Northwest 1/4 of said Section 32 and the existing City Limits of Renton to an intersection with a line 200 feet South of and parallel with the North line of the Southwest 1/4 of the Northwest 1/t of said Section 32; Thence Easterly along said line which lies 200 feet South of and parallel with the North :ine of the Southwest 1/4 of the Northwest 1/4 of said Section 32 and the existing City Limits of Renton as established by Ordinance No. 3268 to the East line. of the West 1/2 of the Northwest 1/4 of said Section 32; Thence Northerly along the East line of the West 1/2 of the Northwest 1/4 of said Section 32 to the Northerly Right-of-Way margin of Tarr Road; Thence Southwesterly and Westerly along said Northerly Right-of-Way margin of Carr Road having a varied width of 100 feet to 80 feet extended across 103rd Place S.E., within the West 1/2 of the Northwest 1/4 of said section 32, and continuing through the East 112 of the Northeast 1/4 of said Section 31, and extended across 98th Avenue South to a point of tangency shown as Station 18+92.51 on Sheet 5 of 6 Carr Road (East Vallny Hwy. to SR- 515 Survey No. 31-23-E 5); Thence continuing Westerly along said Northerly Right-of-t.ay Margin to a point of curvature, said curve being concave to the Northeast with a radius of 44.50 feet; Thence Northerly along said curvt an arc length distance of 24.54 feet to a point on the Easterly Right-of-Way Margin of Talbot Rd. S. (Springbrook Rd); Page 1 of 2 L�CyAL '�ESL'R-1P'flDi { ORDINANCE NO. 4142 Exhibit ' m m 0 Thence Northwesterly radially to said Easterly Right-of-Nay Margin a w distance of 65.00 feet to a point of curvature on the former Westerly Right- W of-Way Margin of said Talbot Rd. S., said curve being concave to the Southeast having a radius of 830.00 feet; Thence Southwesterly along said former Westerly Right-of-Way Margin to an intersection with the West line of the East 1/2 of the ' ,rtheast 1/4 of said Section 31; Thence South along said West line to the Northerly City Limits per City of Renton Ordinance No. 2394; Thence Easterly and Southerly along said Northerly City Limits Line to an intersection with the Southerly Right-of-Way Margin of Carr Paad; Thence Northeasterly and Easterly along said Southerly Right-of-Way Margin, said Southerly Right-of-Way Margin also being the ;:xisting City Limits of Renton as established by Ordinance No.'s 2394 and 3268, within +he East 1/2 of the Northeast 1/4 of said Sectior, 31 , to an intersection with 6he East line of the Northeast 1/4 of said Section 31, which East line is also the West line of the Northwest 1/4 of the Northwest 1/4 of said Section 32 and the existing City Limits of Renton; Thence South alor+ the West line of the Northwest 1/4 of the Northwest 1/4 of said St.ction 32 and the existing City Limits of Renton n,s established by Ordinance No. 3268, to the Southwest turner thereof and the poin of beginning. Page 2 of 2 1F.3.02.AJH:mf 11/20/87 n .* l Al r Cc.-Will b -n�;;�4_s `9 s- r_ �� nu:l/♦F�• / "r Moll e . �.1■Ili fill ,-� ' Y All 11�i`��icy ��•� r T W KING COUNT.. BUILDING AND LAND DEVELOP, AT DIVISION F�iRE FLOW CORRECTION SHEET .lag R0. REVIEWED 51% l • :`IRE DISTRICT: vioWATER PURVEYOR PRDJLCT/Tftl[t S l U Ge 41- ,IOs UJG/iDMs_ fjj-SO AP►LICOAT ilA i ►owl APPLIDwT JIMMY _. I NEW sioucTOR[ 1 IREIm[L LITENA 'NPRMENENI I�RDDITION �I SNELL ONLY �ntNER /1^;'�I lei lll.��� CIRCLED I ItNS KELM APPLY 10 YINR IP�UNS ( , Tot•l mnGer of hydrant-. reyired is fr9 ►rior to Instell•tion of Vdergroud water supply 111111 (No. New_ No. Existing ) Ilme piping for the •prink per system, plans *hail be Sub- mitted to the Comnerc,al/Nultifmnily ProdLrt Section, fire IF? Where fire hydrants and/or water mains are required, Protection Enginaerirg Unit for revive and approval. s it 111111 three (3) copies of a water main extension plan shalt a minissee of three (3) sets of plan./Y' be eW Pr tied to theCreeir �N smelyPredycr q{tim, Ll)e n Tire ►rotect l��o''n' Fnpiraerl Unit.. c-^.O•P z1 Additional Cemrcnts and/or Conditional r3 111rapGlr/ L r rants *halt be installed and in oparatim prior to eadvatlbla construction beginning Za. fA it required fire department access rats Shalt be l��AgfJ /' el S Instelled and serviceable for fire departs-nt us. prier to cand noble construction beginning m site, it ill JNart and sign fire department access roads site as, ,T NC p.mriwD . -!RE LANE-. Sae approved sit• 1+1m for � locations r"q,ring marking and •iiyi:ng. /fr the and„ion t of construction allowed for this building is m_. based an calculated fIro flow requirtxants. IF? Two (2) hour rated area semrst lm"II(a) shall be N6 im:ui i,,i a, i.,.tims noted a,pi•ia. Such wilt.) required per �'-_ ftw. f1A A fire protec+ion sprintler .,item Is required fort — ens CALCULATIONS ,.. III[_AREA CQNSI DM: Type of Construction: Uhl Efigineenng Dept. Ground Floor Area: sq. ft. X No. Of Stories: __�e,� Total Floor Area • /'f/w sq.rt, ea+e fire Flew (tshta): /"A O'� tC2on rc �07 Sri gram Type of occupancy:_/"3 'eZ- •AJ_ .aw/—x _���Q!_e�A�Zvv Ram • Sub-1 let • �y3 -.L/ — gM (A) Autommllt Sorinalerst tl r�'� eAa ncr S nt s rri T— — Sub-totat • �..ii�' _.,...� gam tkiv;uk[F !!li ,) Nfaili _ _A y f,. U WELT , it. ,Yx • Subtotal S D x Wee ✓ E A (Alm am . total .�iL am Fire Flow Nequired 4 S Fire Five Available •J •a IF u(rtOW."Is [, bIDavA . This certificate provides .he Department of Health and Plp,. 0 return to: B •ild.ng s Lard Development BUILDING 8, LAND DEVELOPMENT with information necessary to evaluate development proposals. Seat Adm mnuB;mn 98104q Seattle,Wnhmglon 9a 100 20A 344 7900 KINU' COUNTY CERTIFICATE OF WATER AVAILABILITY no wz.'e rn as ox — number _ name ® Building Permit ❑ Preliminary plat or PUD ❑ Short Subdivision ❑ Rezone or other AP:Lnr ANT`b NAME Brumbeck b Thnm?nun _ I PROPOSED USE Medical Office Building LO"AT ION Lot 1 of King County Short Plat No. 1282043 See Enclosed Site Plan F Leg..l Description (Attach map a legal description if necessary) 8 s N M M M # M M N M M 4 M M M WATER PURVEYOR INFORMATION ,• a. Water will be provided by service connection only to an existing 0aisn water main feet from the site. OR b. ® Water service will require an improvement to the water system of; ❑ (1) feet of water main to reach the site; and/or ® (2) the construction of a distribution system on the _ztel and/or 0 (3) other (describe) and in Garr Road 2. a. ('x� The water system is in conforma,ce wi,i. a County approved water comprehensive plan. OR �r--- .� b. 7 The water system improvement will require a water comprehensive plan amendment. 3. a. El granted propo ed project Is within the corporate limits of the district, or has been yranted Boundary Review Board approval for extension of service outside the district or city, or is within the County approved service area of a private wars purveyor. OR b. O Annexation or BI', approval will be necessary to provide service. 4. a. later is/or will be tat. tLe rats of flow and duration indicated below at � © no less than 20 psi t the nearest fire hydrant unknown feet trom the building/ roperty I ul th atltached a ) ; iefrom '' Cy zones water main extwt ^1^eol , �e gn to epprovea 6y City of Renton. Rate Duration Q less than 500 gpm (s.oprox.,_ a^m) ❑ less than 1 hour ❑ Soo to 999 gpm ❑ 1 hour to 2 hours ® 1000 gpm or more FOR ® 2 hours or more ❑ flow test of gFm ❑ ot..ar ❑ calculation of ypill, icommercial Building Permits require flow test or calculation)" be P5ovAdit ,L) dravtllopet OR hr� u:, _ . b. i""I Water system is not capable of providing fire flow. tlav L.� Avn lahle! 3 -0 CPM W Aaww W F14ailorH.t. CSwBlcq^ fa 8ov�waf QQ,E�D eaQo A"OVA 1—� COMMENTS/CONDITIONS 1 ) kequire Covenant to Annex 2) Fire Flow Calculation which will determine length and size of water main extension -equired to provide fire protection, and 3) to ether with nppr ved water plans certifted by City o an I herebyy certify that the above water purveyor information is true. This certification shall be valid for one year from date of signature. (?ItY OF ti'—OP( ,,.'.1 , Ronald L. Olsen gency ame tame Utility Engincer_ 1_7 __ — t�-- Signstll re ate F 278 Kh0 co,;nly pldG.h told%41.