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WTR2701802 (2)
9-F�NY PARK ELEM. SCHOOL WATERMAIN 1��,��� �� BEGINNING OF FILE FILE TITLE VTR--2 � W- 109D �J�fi«w Miller M8110181 THIS In SLf nci "Sipaly rX°Seact user�so'or"con,",uat Filed fnr Rttord at Regueet of w Y , TO 7 a Y 8 BILL OF SALE KNOW ALL MEN BY THESE PRESENTS: That RENTON SCHOOL DISTRICT NO. 403 V 8 County of KING of for and in conaidenties of the mm of -One dollar- 'State of Washington,the part of the fiat par.. an d No/lOO lawfu:money of the United States of Amerlc+,t o 1f(� THEM in 6ani paid by the Ci Dollar, y. the part It then word pa , the receipt whersof la hereby Scko.whdged, do ker ^n o grant f l bargain,sell m.L deliver uma the said pan Y of the second part,the lullowia8 dnu by these p[y ibed personal property now ""'led a 1601 Lake Youngs Way S.E., Renton, WA 98055 in the City of Renton ,County of King and State o!Washington, to-wit: YV-f090 Stt ExhiP"i A ATIAtu Eo I'D HAVE AND TO HOLD the sanse to the aid administrators and aaigns forever. And party of the part, for �_it,, its said party of the with heirs, eattutors. nentton,+dminutrasora,rovenant and art, forhei. , O+tutors,adminutralon and Sai na, +eete to and with the acid pan y of the second part, its r 8 that aid p+-t y of the first Dart is Che owner of it Said P openy,goods and chatlels and has good right and lull authority to sell the Same, and thai itthewill warrant and defend the a"hereby made unto the aid par necutora,adminutirtor,and++s:gne,agairut atl and eve H of the second part, its dill the same, ever,perwn or persons,whomsoever,lawfully claiming or to IN WITNESS WHEREOF,TSe said party of the Gm Said awl lhia J/.0 y 7 h unto s its hand da or -- (aeu) STATE OF WASH INOTON, )lt --'— _(lay County of On this day Pe'aonally Sppeared before me 6c•ry "77 e Y to me known to be the individual I I described is and whu aerated the within and forgoing insttument S�l acknowledged that n. si oM °nos and purposes therein mentioned, 8 the ale a h,a Irtt and volunta ry act and deed, for the LIVEN under my land and off¢I+:sal Wis 1¢t �d+Yof 7:iIK.p.Coa /4Y/ 2aol�lf�au/ar�/ 1�P3 3v 3e��� r:/sE, /C SJtF+etp,u9i Nesauw ua "g IN Ga Slate aJ lFuF!°poi, WHEN REODRDED REll1RN 7D: Office of the City Oerk Renton Muniapal&during ,, 200 MW Avenue Soul& —' ReMOq WA MS5 UTILITIES �i", .4 EMENT rxAriro rc J Ndr(F I"-A",+Y/, 'p''Ns.fd,' THIS INSTRUMENT, trade this 30th day of MAY 1921; by and between RENTON SCHOOL DIST. 403 and and _ _ and and hereinafter called "Gramor(s)," and the CITY OF RENTON, a Municipal Corporation of King County, Washington, hereinafter tailed 'Grantee." WITNESSETH: That said Grantor(s), for and inconsideration of the sum of S 1 .00 (one dollar) _ _ _paid by Grantee, and other valuable consideration, receipt of which is hereby acknowledged, do by these presents, grant, bargain, sell, convey, and warrant unto the said Grantee, its successors anu assigns, an easement for public utilities (including water ano sewer) with necessary appurtenances over. through. across anu upon the following described property in King County, Washington, more particularly described as follows. (see attached) - TIFFANY PARK (2 attachments) dated 5-26-91 f` C: CV CV 0 o � ,c.j 0 0 y o i a UMI/2 I t;FSMTHNIPr.hR3 3� Grrioga 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 utilities,or making any connections therewith,without incurring any legal obligations or liability therefore, provided,that such construction,maintaining, repairing,altering or reconstruction of said utilities shall be accomplished in such a manner that the private improvements existing in the right(s)-of-way shall not be disturbed or damaged,they will be replaced in as good a condition as they were immediately before the property was entered upon by the Grantee. The Grantor shall fully use and enjoy the aforedescribed premises, including the right to retain the right to use the surface of said right-of-wary if such use does not interfere with installation and maintenance of the utilities. However,the grantor shall not erect buildings or structures over, under or across the right- of-way during the existence of such utilities. This easement,shall be a covenant running with the land and shall be binding on the Grantor, his successors, heirs nd assig s. QMntors covenant that they are the lawful owners of the above properties and that the c gnd' ful right to execute this agreement. A and and and and STATE OF WASHINGTON ) t ) SS 0 COUNTY OF KING ) N N I, the underss' cd,a notary public in and for the State of Washington,hereby r^rtify that on this M day of 19 9 personally appeared before me tT pp and .L=- f-�4<Csq,� , and and and to me known to be individuai(s)described in and who executed the ioregoing instrument, and acknowledged that _4- signed and sealed the same as a- free and voluntary act and deed for the uses and purposes therein mentioned. Notary Pub . and for the Statfl of Washington, residing at Page 2 of 2 UEkI-1 -P�93 .31 Ibieury,q�rypmtNEb,MaAVM CIO Horton Dennis &Assock les, Inc. Im Consulting Engineers & Surveyors EXHIBIT "C" MAY 26, 1991 ATTACHMENT "A" FOR TIFFANY ELEMENTARY SCHOOL That portion of the Southwest Quarter of Section 21, Township 23 North, Range 5 East, W.M., King County; being more particularly described as follows: Beginning at the point of intersection of the North margin of Lake Youngs Way, with the most Southerly point of curvature upon the Southeasterly boundary of Lot 22, Block 4 of Tiffany Park recorded in Volume 72 of Plats, Pages 7, 8, and 9 Records of King County, Washington: THENCE North 520 06' 17 East along the Northwesterly margin of Lake Youngs Way 23.75 feet; THENCE North 480 33' 40" East 28.44 feet to THE TRUE POINT OF BEGINNING; THENCE North 470 20' 29" West 159.48 feet; THENCE South 42' 39' 31" West 56.00 feet; THENCE North 47'20' 29" West 22.00 feet; THENCE North 42' 39' 31" East 71.00 feet; r1- THENCE South 47' 20' 29" East 170.00 feet; 0 THENCE North 42' 39' 31" East 14.00 feet; t17 THENCE South 47' 20' 29" East 10.00 feet; THENCE South 42' 39' 31" West 14.00 Feet; N. THENCE South 47' 20' 29" East 3.03 feet; more or less to the Northwesterly margin of Lake Youngs Way; THENCE South 480 33' 40" West 15.08 feet to THE "TRUE POINT OF BEGINNING. Containing 4016 square feet. qj 87501Legal -191�93 3/ 320 Second Avenue South, Kirkland, Washington 98033-6687 • Phone 822-2525 • FAX: (206)822-87.58 w•/D?d Horton Dennis &Associates, Inc. � Ia NI Consulting Engineers & Surveyors I olo - I r— yL VE ATIZ LI I It GAh6o-nBNT Ex 17T_ Ip, r e=J— I 'p all I i C3 l a � I Ids to ~ I I CO I II3 I� C7 \l CD I III IN N N4B'3b' U" I IId LI5Z'oGl „ E I I�Z S I P.a F3 -_ ir,oL�D3 N4Z'3 45.1 __�-__ L'A 5 SI• 3 S ¢8• / �"— ��> LAKE Y�uN�iy ivAY q.. „ J u• / ExHIBIT ,g, 14 -YN93 3/ MAY V% 19,11 Wrt'. 320 Second Avenue South, Kirkland, Mshington 58033-6687 • Phone 822-2525 • F11(: (206)822-8758 COST DATA AND INVENTORY SUBJECT: IffANV 9i+Qv- CITY PROJECT NUMBERS: W- logo CxEMEUTAfY School S- NAME OF PROJECT ST. 10: CITY OF RENTON FROM: UTILITIES DIVISION 200 MILL AVENUE SOUTH RENTON, WA 98055 DATE: Per your request, the following information is furnished concerning cost%for improvements installed for the above referenced project. WATER SYSTEM: Length Size Type 220 L.F. OF 10 'DI WATERMAIN I - 3�lnM90WID N£iEL DONttsrir, L.F. OF WATERMAIN L.F. OF WATERMAIN L.F. OF WATERMAIN 1 EACH OF 10 GATE VALVES I EACH OF 4 GATE VALVES EACH OF GATE VALVES SUBTOTAL $ 261 000. 00 1 EACH OF _ t$ /! 1durA FIRE HYDRANT ASSEMBLIES $ %000•00 (COST OF FIRE HYDRANTS MUST BE LISTED SEPARATEI.0. TOTAL COST FOR WATER SYSTEM $ 284006.00 SANITARY SEWER SYSTEM: Length Size Type _ L.F. OF " SEWER MAIN L.F. OF SEWER MAIN L.F. OF SEWER MAIN EACH OF DIAMETER MANHOLES TOTAL COST FOR SANITARY SEWER SYSTEM S N/A STORM DRAINAGE SYSTEM: Length Size Type L.F. OF STORM LINE L.F. OF STORM LINE _ L.F. OF STORM LINE EA. OF STORM INLET _ EA. OF " STORM CATCHBASIN EA. OF STORM CATCHBASIN TOTAL COST FOR STORM DRAINAGE SYSTEM $ WA STREET IMPROVEMENTS: (Including Curb, Gutter, Sidewalk,Asphalt Pavement and Street Lighting) TOTAL COST FOR STREET IMPROVEMENTS $ 26,000.00 (SIGNATURE) (SIGNATORY MUST BE AUTHORIZED AGENT OR OWNER OF SUBJECT DEVELOPMENT) TIFFANY PARK ELEMENTARY DEVELOPED PARCEL THAT PORTION OF THE SOUTHWEST QUARTER OF SECTION 21, TOWNSHIP 23 NORTH, RANGE 5 EAST, W.M. , IN KING COUNTY, WASHINGTON DESCRIBED AS FOLLOWS : COMMENCING AI TnE MOST NORTHERLY CORNER OF LOT 14, BLOCK 4 OF TIFFANY PARK ACCORDING TO THE PLAT RECORDED IN VOLUME 72 OF PLATS, PAGES 7,8, AND 9, IN KING COUNTY, WASHINGTON; THENCE SOUTH 47041 '00" EAST ALONG THE NORTHEASTERLY LINE OF SAID BLOCK, 81 . 18 FEET TO THE TRUE POINT OF BEGINNING; THENCE NORTH 42019 '00" EAST, 417.00 FEEI; THENCE SOUTH 47041 '00" EAST, 85 .00 FEET; THENCE NORM 42019 '00" EAST, 114.00 FEET; TF"NCE SOUTH 47041 *00" EAST, 158 .00 FEET; THENCE SOUTH 42019 '00" WEST, 78.00 FEET; THENCE SOUTH 47041 '00" EAST, 78 .00 FEET; THENCE SOUTH 42019 '00" WEST, 22 .00 FEET; THENCE SOUTH .7-41 *00" EAST, 97.00 FEET; THENCE SOU1H 06*09*06" EAST, 46 .75 FEET; THENCE SOUTH 42019 '00" WEST, 100.00 FEET; THENCE SOUTH 47041 '00" EAST, 53 .64 FEET TO THE NORTHWESTER- LY MARGIN OF LAKE YOUNGS WAY S.E. ; THENCE SOUTH 52006 ' 17" WEST ALONG SAID MARGIN, 98 .69 FEET; THENCE SOUTH 48034'31" WEST ALONG SAID MARGIN, 81 .22 FEET; THENCE SOUTH 52006 ' 17" WEST ALONG SAID MARGIN, 23 . 75 FEET TO A POINT ON A CURVE TO THE LEFT HAVING A RADIUS POINT WHICH BEARS NORTH 37*53 .43" WEST, 20.00 FEET; SAID POINT ALSO BEING ON THE NORTHEASTERLY LINE OF BLOCK 4 OF SAID PLAT; THENCE ALONG SAI➢ CURVE AND SAID LINE THROUGH A CENTRAL ANGLE OF 99047' 17" AN ARC DISTANCE OF 34.83 FEET; THENCE NORTH 4704i '00" WEST ALONG SAI➢ PLAT LINE, 103.82 FEET; THENCE SOUTH 48008 '23" WEST ALONG SAID PLAT LINE, 122 .64 FEET; THE.YCE NORTH 47041 '00" WEST ALONG SAID PLAT LINE, 341.00 FEET IO THE TRUE POINT OF BEGINNING. CONTAINING 205267.1 SQUARE FEET OR 4. 71 ACRES AS •r t N Z Z r � f�� IA�eSJ 409 SO. 3RD AVENUE RENT, WA 98032-5898 PHONE 206/854-2043 / CONSTRUCTION FIELD SERVICES W. 1690 FINAL OCCUPANCY INSPECTION REPORT F.7771 DATE: DECEMBER 30, 1991 Nt j+:��r 717 . TO: UTILITY SYSTEMS [ ] STORM - RANDALL PARSONS [ ] WATER - ABDOUL GAFOUR - ' FROM:_CONSTRUCTION FIELD SERVICES- RANDY MARTIN x617.1J.'P: SUBJECT: TIFFANY PARK SCHOOL PERMIT NO. : B16693 !WO4872021 1601 LAKE YOUNGS WY SE TYPE BUSINESS: ELEMENTARY SCHOOL The subject project is nearing completion. Please investigate your area of responsibility and indicate below either your acceptance or non-acceptance. Please return this form by TUESDAY, JANUARY 7. 1992 in order that a permanent Certificate of Occupancy may be issued. If no comments are received by the above date, the permanent certificate will be issued. TO: CONSTRUCTION FIELD SERVICES DATE 5AN. 6. I99z _ FROM: WMUL kjy tw(4. . This project is approved by this department subject to the following correNON-LIFE(SAAFETY ITEMSopy of 90 day requiLIFEnSAFETYaITCM�Nuwt) Pbriwe of A akt-VO1f WhUAr,i K 1AMw16ylaJl6 San Feri. OIe.A 4k)A1ML ue ANOOd% of uAu%U►nxL 6ew0 IOY. :a' COS( of U1MH,uve 1 hkwif w1A lowo IM eU%x 3 '18t 000. X 10% z 4 2,$00 =° DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE OF OCCUPANCY? (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES". ) [ )0] YES [ ] NO Authorized Signature N3:f mt=C AUTHORIZATION OF SPECIAL BILLING v DAI PROJECT NAME: / �1'.'�, _ ' ` , �t� .n PROJECT NUMBER WORK ORDER NO- T+ 'C 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: ilGi,MO TO SENT Addraaa City t�tcl>T�y'S.1 �RD � Attn: Phone No: Owner/Deveioper, Contractor or Authorized Agent EXHIBIT'A' TIFFANY PARK ELEMENTARY SCHOOL WATER MAIN IMPROVEMENTS W# 10% Approximately 220 lineal feet of 10 inch ductile irorl water line I each of 10 inch gate vahv E I each of 4 inch gate valve i 2 each of 5 1/2 inch MVO,Iowa Fire Hydrant Assembly 1 each of 3 inch compound domestic water meter t and all appurtenances pertailting to said water main,expressly warranting said water main against Any }' expetues,costs or liens hereto incurred thereon by,through or under seller therein. t 2 3 F } CITY OF RENTON .+► Planning/Building/Nblic Works Department Earl Clymer, Mayor Lynn Curtmann,Administrator November is, 1991 Rick Stracke Facilities Renton School District #403 435 Main Avenue South Renton, WA 98055 SUBJ: Tiffany Park Elementary School 1601 Lake Youngs Wy SE Building Permit No. B16693 k Dear Mr. Stracke: As you know, the temporary occupancy certificate for the above referenced project will expire on November 30, 1991. The following items must be corrected or completed and approved before a permanent Certificate of Occupancy can be issued. PUBLIC WORKS DEPARTMENT Water Utility Systems (235-2631) 1. Submit as-built mylars of water line certified by a professional engineer or land surveyor. 2. Submit cost data inventory and bill of sale for new water line. 3. Post a one-year maintenance bond. Storm Water Utility Systems (235-2631) 1. Uncover all storm manholes (buried) and asbuilt. 2. Lock down all structures marked "Solid Locking Lid". If you have questions or need additional information please contact me at 277-6171. Sincerely, �4�; Randy Martin Building Inspector Development Services Division RM:mjp rm/2B16693 200 Mill Avenue South • Renton, Washington 98055 CITY OF RENTON Planning/Building/Public Works Department Earl Clymer, Mayor _ L)mn Gutmann,Administrator 4.J November 19, 1991 Rick Stracke Facilities Renton School District #403 435 Main Avenue South Renton, WA 98055 SUBJ: Talbot Hill Elementary School 2300 Talbot Rd S Building Permit No. B16760 Dear Mr. Stracke: As you know, the temporary occupancy certificate for the above referenced project will expire on November 30, 1991. The following items must be corrected or completed and approved before a permanent certificate of Occupancy can be issued. 'PUBLIC WORKS DEPARTMENT Water Utility Systems (235-2631) 1. Submit as-built mylars of water plans certified by a professional engineer or land surveyor. 2. Submit cost data inventory and bill of sale for new water lines. 3. Submit executed easement for waterline. .. Past a one-year maintenance bond (10% of costs of utilities) conveyed to the City. Wastewater Utili'..f Systems (235-2631) a 1. Aubait T.V. inspection tape. C)e ' Sy OA+C C 2. Submit side sewer card �` ". yam, p4G 3. ReviEe and submit as-builts. Storm Drain Systems (235-2631) 1. Lock down all structures marked "Solid Locking Lid". 200 ;dill Avenue South - Renton, Washiaron 98055 Talbot Fill Elementary School November 19, 1991 Page 2 Construction Services (235-2529) 1. Compaction test for water line construction not resolved. 2. Subject to valve crew walk-thru. If you have questions or need additional information please contact me at 277-6171. Sincerely, S Randy Martin Building inspector Development Services Division RM:mjp rm/B16760 owl 3`t I if �i 4't CONSTRUCTION FIELD SERVICES W-[olio eINn l('f I I F_ PANCY INSPECTION REPORT DATE: SEPTEMBER 9, 1991 TU: fJS'T TITY SYSTEMS ( ] STORM - RANDALL PARSONS [ ] SEWER - DAVE CHRISTENSEN [ ✓f ] WATER`= ABDOUL GAFOUR ( ] PLAN REVIEW - GREGG ZIMMERMAN [ ] CONSTRUCTION SVCh4 - PHELPS/KOKKO ( ] TRANSPORTATION SVCS - CLINT MORGAN CITY OF REN1, ( ] LANDSCAPE/ZONING - BOB ARTHUR Engineering D, [ ] BUILDING FINAL - RANDY MARTIN [ ] FIRE PREyLNTION FROM: _CONSTRUCTION FIELD SERVICES- RANDY MARTIN x6171 SUBJECT: 1601 LAKE j(OUNGS WY SE PERMIT NO. : B-16693 (WO#87202) TIFFANY CLASS ROOM TYPE BUSINESS: SCHOOL L The subject oroject is nearing completion. Please investigate • ur area of responsibility and indicate below either your acceptance or no. -acceptance. Please return this form by SbkY+.''t�SEPTEMBERi7, 1991 in order that a permanent Certificate of Occupancy may be issued. If noIcomments are {{}} received by the above date, the permanent certificate will be issued. TO: IC''ONSTRUCTION FIELD SERVICES DATE ,Stf I-Ti FROM:U1wUV �fi4n This project is approved by this department subject to the following corrections: (Note: see copy of 90 day requirements attached) NON-LIFE SAFETY ITEMS LIFE SAFETY ITEMS • ud>!E SCT .MSTCN� 11CM0 OAitV — SEO( DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE OF OCCUPANCY? (IF YOU 11AVE LISTED ANY LIFE SAFETY ITEMS, MARK "Y£S". ( �[¶ YES [ ] NO Authorized Signature k};finLocc CITY OF RENTON MEMORANDUM DATE: September 17, 1991 TO: Randy Martin-Building Dept. FROM: Abe'oul Gafour-Water Utility SUBJECT: Final Occupancy Inspection Report Tiffany Class Room- 1601 Lake Young Wy SE - Building Permit No.B-16693 Public Works Permit No.P-7771 The following items are required prior to the issuvtc,of a itt"' Occupancy Certificate. Submit: "As-built' mylar of water line,certified by a Professional Engineer or Land Surveyor I .. Cost-data inventory soaet,bill of sale for new water line One-year maintenance bond for water line. The Water Utility Dept.OBJECTS to the issuance of a Final Certificate of Occupattr until all of the above listed items are completed and accepted by the department in writing. W-1090 CONSTRUCTION FIELD SERVICES W- lego P- -nit FINAL OCCUPANCY INSPECTION REPORT .SATE: NOVEMBER 5. 1991 TO: UTILITY SYSTEMS [ ] STORM - RANDALL PARSONS [ j SEWER - DAVE CHRISTENSEN -""- [ J WATER - ABDOUL GAFOUR [ J PLAN REVIEW - GREGG ZIMMERMAN [ ] CONSTRUCTION SVCS - KOKKO/PHELPS [ J ^RANSPOP.TATION SVCS - CLINT MORGAN ( J LANDSCAPE/ZONING - BOB ARTHUR [ ] BUILDING FINAL - RANDY MARTIN - [ ] FIRE PREVENTION FROM:_CONSTRUCTION FIELD SERVICES- RANDY MARTIN x6171 SUBJECT: 1601 LAKE YOUNGS WY SE - PERMIT NO. : B16760 fWON87202) TIFFANY PARK ELEMENTARY TYPE BUSINESS: SCHOOL CLASS ROOMS The subject project is nearing completion. Please investigate your area of responsibility and indicate below either your acceptance or non-acceptance. Please return this form by TUESDAY, NOVEMBER 12, 1991 in order that a permanent Certificate of Occupancy may be issued. if no comments are -eceived by the above date, the permanent certificate will be issued. TO: CONSTR ��IU ��CTION FIELD SERVICES DATE t li 9L— _ 1 FROM:k*0JL �.av'i'( This project is approved by this department subject to the foil')wing corrections: (Note: see copy of 90 day requirements attached) NON-LIFE SAFETY ITEMS LIFE SAFETY ITEMS ( k'Ne) �1� SuA�ff Pt" M+��'i- n'(tAtw trt 4q %ipy i (E Tih_bD 61 A VUf Ewen- W Lfto _vvf p✓ GJ LA - D" Imulnom L)w tf ao .4f fnf "j Way& (ime- (AIC fmun a wAUE tow0 DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE OF ^COUP (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES". ) NO A' A _ Authorized Signature K3:e��i a CONSTRUCTION FIELD SERVICES PRE—OCCUPANCY INSPECTION REPORT NTE: AUGUST 5, 1991 PO: UTILITY SYSTEMS [ ] STORM - RANDALL PARSONS - [ ] SEWER - DAVE CHRISTENSEN ') �"� [ ] WATER - ABDOUL GAFOUR ( 1 PLAN REVIEW - GREGG 7IMMERMAN 1h ( . [ I CONSTRUCTION SVCS - PHELPS/KOKKO [ ] TRANSPORTATION SVCS - CLINT MORGAN - ( J LANDSCAPE/ZONING - BOB ARTHUR CiTY OF RENTON [ ] BUILDING FINAL - RANDY MARTIN Enei:��Frin Dept [ ] FIRE PREVENTION FROM: CONSTRUCTION FIELD SERVICES - RANDY MARTIN X6171 SUBJECT: 1601 LAKE YOUNGS WY SE PERMIT NO: B-16693 (WO# 872021 TIFFANY CLASS ROOM TYPE BUSINESS: SCHOOL ie subject project is nearing completion. Please investigate ycur area of Ssponsibility and indicate below either your acceptance or corrections. lease return by MONDAY, AUGUST 12. 1991 in order thut a Certificate of :cupancy may be issued. If no comments are received by the above date, the 3rtificate will be issued. 3: CONSTRUCTION FIELD SERVICES - 3RD FLOOR DATE 20M: llmul As project :s approved by this department subject to the following Drrections: NON-LIFE SAFETY ITEMS LIFE SAFETY ITEMS 1• "me As tuwi Du,.1H6s nmu mftut.ms)-) AY(, rlas WIAPIcto Om I_Ulka1, nci° APPU'cR»N It (AlneutaFfrai. PORWM iAAus. ?)KJKtW -T& woo Fan. ncok :OST ESTIMATE OF INCOMPLETE ITEMS:• > YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF :CUPANCY? (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES". ) [ X] YES [ ] NO Authorized Signature NO. 000000 New BACKFLOW PREVENTION ASSEMBLY TEST REPORT ❑ Replacement Firm Name: LIC2 tall i &dk ncvice Address: _ �6OI �a�t�de.yeerc Ww S City Zip N Device Size: L_H•W Device Make: IfIE18k101 I I Model: I210I5171 I I I I I Water System: DC ✓4 Serial Number: IYIiIQI'I9I I I I I I I Device Location: NZx+ .s«I{ Sdu yw ki REDUCED PRESSURE ASSEMBLY PRESSURE VACUUM INITIAL TEST DOUBLE CHECK VALVE Check xt BREAKER pas,�eU IGT Check /1 Check Y2 Air Inlet Check Fai,ed INITIAL Heliel Opened At Opened At Press Drop Dale.®®® TEST light. (, fight / m•❑pvd m•❑psia m•❑p.a I caked ❑ leaked ❑ Relief Val" Did Not ❑ Leaked ❑ Press Drop Passed ❑ Open Q�•®os�a Failed ❑ REPAIRS AND/OR PARTS TEST #1 Presc Drop After Repair AFTER Tight ❑ Tight ❑ m•vps° Opened At Press Drop Date mmEE REPAIR Rebel Open Detector Meter Reading: IN COMPLETING AND SUBMITTING THIS TEST REPORT. THE TESTER CERTIFIES THAT THE DEVICE HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WITH All. APPLICABLE RULES AND REGULATIONS OF THE WASTEM O K R A ATE. AAHAAA--11��HAAA--11 H i K 0)2 Tester's igoature Gauge M Cerr a Report Received By: (Representative or Firm) White - Water System Pink - Customer Yellow - Tester (A -8) _._. _—.. �,t U CITY Of RENTON UTILITY ENGINEERING No,N? _ 2832 ♦ ♦ 200 MILL AVENUE SOUTH RENTON, WA 9805S ll PHONE: 27S-2631 ORDER FOR WATER SERVICE INSTALLATION Account No. ,t r —� Meter Charge S 37 Of Work Order No. C 1 Less Stub Service Credit Dow„ Payment Sundry Sale No. System Development Charge 9 In City YeSIK No Late-Comers (City) On Sewer Yes© No (Others)PA.EC�zv-j ZQD, 00 i OTAL FEE 4-1 '.d.' 4J S loo . Q U Water Usage. Residential Commercial K] Industrial 'WLf Itv Other p INSTALLATION: Meter Size ;J �()Npn t1 L1EQ Size Service Temporary Hydrant Meter Yes No® Meter Make Sewage Exempt Meter Yes LJ No Meter No. Date Installed Fire Protection Service Yes No� 1 '.e rvice Address 7M61 V1 'x Comments: "I"I(V n%,'.1yA ! Ins,,Ad al ($EIk atA Legal Description 1nlbist "AL E IfmFalcl,' XtiLot CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes No® If Yes, Type of Device: Reduced Pressure Backflow Device Double Check Valve Assembly❑ Air or Pressure Vac Breaker Make of Device Model Serial No. Size Date Device K Installed Meter No. File No. Owner's Name..: unh! �CMIIL DI MIT'( _ Phone Address ?,Zo 0o. A M 2 city VQslt.'n_ State IIJM zip Contractor's Name Ins f1401 &0�-T Phone _ Address B M 62 NA dE city KIIh1AMA state Ull. Zip Area Served by Renton Water% Seattle Water ED Seattle Water Code No. Temporary Service Agreement Yes❑ No M If Yes, Agreement Recording No. Service to be Located on an Easement Yes LJ No If Yes, Easement Recording No. Is There an Existinq Stub Service Yes 0 No If Yes, Water Project No. W- Existing Late-Comers Agreement Yes ❑ No If Yes, Agreement No. In Favor of _ Address City State Zip Charge S System Development Fee Yes No® If Yes, System Development Fee Based on _ _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 RENTON'S SCHEDULE OF RATE' W SHALL FROM TIME TO TIME BE LEGALLY IN E`FECT FOR THE PURPJSE FOR WHICH THE WATER 15 TO BE U 0, HERE AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FO RELATING TO T PURCHASE AND E OF WATER. THIS 15 IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, 5ECT1� rye. �tggaWe O z�u oAo z�u oA Agent �e Yell Whiteow - Utility Billing �i��l�N Yellow - Engineering Pink - Water Shop sV Wald - CuStMlr LEIJ C CNIOn LLLLfg C enl0q LLT pM�gen� aff CITY OF RENTON *T U UTILITY ENGINEERING � 2907 NO la ♦ • 200 HILL AVENUE SOUTH - ,A RENTON. WA 98055 PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Meter Charge "`O. Uo0—LN $ 370,00 Work Drder No. $��_-7 LSJ�If�' _ Less Stub Service Credit y Sa it N, Down Payment ---"-- SYstem Development Charge In City Yeso No Late-Comers (City) On Sewer Yes X No 0 (Others) Water Usage: Residential Commercial ® Ind„striai G TOTAL FEE 3 70, 00 Other �,�,s� Meter Size z (yI�{�ic,/ A02(,4m F✓ lLfe � INSTALLATION'. r� T Site se.yia Temporary Hydrant Meter Yes El No VY Heter Hake 'wage Exempt Waiter Yes 1w "n Meter No. Protection Service Yes�El No YTN Date Installed Connie nts: Service address TA 9o% SC Nao (_. — Legal Description - 1300 TA ZkZ: ", r. gn e BOSS CONNECTIOP CONTROL Backfl ow Protection Device Required Yrs Id No If Yes, Type of Device: Reduced Pressure Backflow Device O Double Check. 'alve Assembly Air or Pressure Vac Breaker Make of Device Model Serial No. Size _ Date Device Installed Meter No. File No. _ Owner's Nam Phone Address V /l/ x lf. TT• City State✓` ,4 2ip (7 Contractor's Name phone Address City State zip Area Served by Rentun Water Seattle Water 0 Seattle WRter Code No. Temporary Service Agreement Yes❑ No D< If Yes, Agreement Recording No. Service to be .cated on an Easement Yes No 0 If Yes, Easement Recording W. Is There Wn Existing Stu! Service Yes a No C3 If Yes, Water Project No. W- /Q 9 Existing Late-Comers Agreement Yes 0 No CW If Yes, Agreement No. In Favor of Address City State Zip Charge S System Development Fee Yes;K No If Yes, System Development Fee Based on 2&4 07Q Square Feet THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY Of RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAT THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY CF P.ENTON•S SCHEDULE OF RATES WHICH SMALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER 15 TO BE USED NOTED HEREON, AND TO COl FpORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHASE INO SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF 'NTON CODE, CHAPTER 2, SECTION 3 White - Utility Billing e 06 OknfAOR AgZ77t w'e Yellow - Engineering Pink - Water Shop 8 Gold Customer <tg Pntdn AUX01OUZInd &9frt - I :s. w � t/GG K/c✓�S/5ge� f� GC !r/dr/� Sf, ��7' ✓U� /J� Oi�Y 70or /��di«•/ Gcri��vrvir7� Q� /G//V �9c: PUBLIC WORKS DEPARTMENT U ENGINEERING DIVISION CITY OF RENTON, WASHINGTON APPLIC."TION ONLY - UNTIL VALIDATED PERMIT NUMBER P '777I Owner � Iqp ion of_WoTJc� 2 -23 Address /s-zo i(00i GJl� 98o e INSPECTIONS 01 FEES Saq; /� .�r/ CONSTRUCTION Sanitary Sewer tormvi Water Permits Right-of-Way Construction p c%oeQ PERMIT Right-of-Way Inspection Fees 5.rorn(Public Right-of-Way) Water Inspection/Ap ion/ADDroval Fee Z.- Special Utility Connection Fee, WaterZ5;b(e3, fe4- Zo�fAii1..�. Water Latecomer Fee �b Special Assessment District, Water L(o Date Is ued Sewer Insnection/Approval Fees Z22L Special Utility Connection Fee, Sewer tZ,931 0 roiratiali bate Sewer Latecomer Fee Special Assessment District, Sewer Reference Data _ Special Deposit, Private Latecomer _ Special Deposit, Cash Bond TOTAL FEE Z69Z. Description of Work and Number of Feet. Contractor Business - -� License 22�5 AddressBond/O p TZenh°n IT IS UNDERSTOOD THAT THE CITY OF RENTON SHALL BF. HELD HARMLESS OF ANY AND ALL LIABILITY, DAMAGE OR IN3URY ARISING FROM THE PERFORMANCE OF SAID WORK. ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON ER MAIN MUST BE DONE BY A LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES B RE 6KC M :ALL 235-2631 FOR INSPECTION. :all betWeen 8 AM and 9 AM for APPLICANT inspection in afternoon, call afore 12 Moen the day beforeGc�7/ram / ,y,� .or inspection in morning. PUBLIC WORKS DIRECTOR SPECIFY TIME FOR INSPECTION. 'ALL 235-2620 for street signs CALL BEFORE YOU DIG BY .nd lighting. 48-HOJR LOCATORS 1-800-424-5555 PROPERTY MANAGEMENT FEE REVIEW ❑ DEVELOPMENT APPLICATION REVIEW SHELL ❑ PLAN REVIEW ROUTING SLIP ❑ ENVIRONMENTAL CHECKLIST RENEW SHEET � u•p' "�"'� oTHER• ��,� � APPLICANT: JOB ADDRESS: �- NATURE OF WORK: DATE RECEIVED BY RECEIVED FROM COMMENTS DUE Woe_ . PROPERTY MGMT. GREEN e ❑' FEE. APPLIED ❑ NEED MORE INFORMATION ❑ LEGAL DESCRIPTION NOT APPROVED FOR ❑ FRONT FOOTAGE ❑ SQUARE FOOTAGE APPLICATION OF FEES ❑ VICINITY MAP ❑ OTHER It is the Intent of this development fee analysis to put the developer/owner on notice,that the fees quoted below will apply to the subject site upon development of the property. All quoted fees are due and payable at the time the construction permit is Issued to Install the on-she and off-site Improvements(I.e.underground utilities,street improvements,etc.) PRIVATE DEVELOPER HEAD PROJECT COST LATECOMER LATECOMER AGREEMENT NO. PER. FTG. FEE_ WATER SEWER OTHER —� SPECIAL ASSESSMENT DISTRICT FTO. SAD FEE WATER SEWER OTHER SPECIAL UTILITY CONNECTION CHAR^E•WATER UNITS SUCC FEE Single fa ml resident eweliin. snit$940/lot a Apartment,Condo,ea ulti lex unit$S4S/ea.Matt x Commercial/Industrial$•r26/aq.TL of property x (net less than 5940.00) d SPECIAL UTILITY CONNECTION CHARGE-SEWER UNITS SUCC FEE Single family resideMlal dwelling Mnit 5470/let x _ A arbwent.Condo•each multi le:nnk$270/ea.unit x Commercial/Industral$.063/sq.R e}property x dj/a' p�� O� (not It"than$470.00) 0S r9 7 TOTAL: $ The above quoted fees do NOT Include Inspection fees,side sewer permits,r/w permit fees or the cost of water meters. A O dos a1,7 . �(u-qua tL c&� _ wl . ze, _ Signature of Director or Authorized Representative DATE 9ALCULATION OF INSPECTION FEES P�RROJEV J YROJECT REFERENCE I PAVING 6 -,TREET LIGHTING: $Isoo 0184 I6�3 o0 SANITARY SEWER L STORM: t :jjoo.OD 4740 (1.06IQ - S12g.1Y$ f 0 1090. 00 550.00 4740 O0 t 23009.10'i WATER: 4. azao.o� i �52h B� (1 DSZ) 9,Z26 oo ' i u.•wEw.. 9-r 2fo542•� CI•o82 _ • TOTAL CONSTRUCTION COSTS: $ ✓ .'4 lap. 14. IOTAL INSPECTION FEE FIRST $100,000..: 'y, $ ;A SECOND $100,000 $ REMAINING $ $ TOTAL: $ CALCULATIONS: PAVING t STREET LIGHTING: e 4) y MITARY I STORM MMIL �a toy 5�— .�b� (g�0(P,9_4-) = 25(0.4`l � Cv 29444i �37D(a.434) 14iZ ,ol `�ZL� (3701 ,Vj4) I g9O.°4 '14 1!4,1+ BOND AN Iff V OD% OF VORK IN R/W S �n ��• �� NUMBER OF STORM SEWER CONN. TO SYSTEM / NUMBER OF SAW. SEWER CONN. T BLBB•(S) PREPARED BY: �� /E 1�- - DATEr --- a </ D/1NSP-FEE:AH:If 6/12/89 PRECONSTRUCTION MEETING MINUTES TIFFANY SCHOOL 6/11/91 ATTENDEES NAME ADDRESS PHONE Sam Dire Puget Power 235-2947 PO Box 329 Renton, WA 98057-0329 Guy Sparks Eastlake Utilities 8ES-7836 PO Box 2722 Redmond, WA 98073 Gregg Finn C. Finn Construction Co. 821-7664 13601 62nd NE Kirkland, WA 98034 John Bennett Meng Associates 448-9640 2108 Western Avenue Seattle, WA 98121 Robert Brown Renton School District 235-2326 1220 N. 4th St. Renton, WA 98055 Anne Seethoff Anne Symonds 6 Associates 441-1855 1601 2n3 Avenue, Suite ;00 Seattle, WA 98101 Arneta Henninger City of Renton, Pxoj . Coord. 277-6198 John Stein City of Renton, Str. Maint. 235-2615 Randy Phelps City of Renton, Const. Insp. 235-2529 Corey Thomas City of Renton, Fire Prev. 235-2642 Rick Yokko City of Renton, Const. Insp. 235-2529 Gregg Zimmerman City of Renton, Plan Review 235-2631 D:TF OF CONFERENCE: Juno 11, 1991 NAME OF PROJECT: Tiffany School LOCATION: 1601 Lake Youngs Way SE DISTRIBUTION: To Attendees PROJECT: On site storm, sanitary and water Pre-Con Minutes Tiffany- School Page 2 PRIVATE UTILITIES FIRE PREVENTION 1. Maintain access to site at all tim=s. Must be able to support emergency equipment in all types of weather. 2. All new hydrants shall be Cory type-hydrants to be painted international yellow. Iowa and Renselear are manufactures of Cory type. 3. New hydrants are to be covered with burlap bags until operational. 4. All blocking must be inspected by a City inspector prior to backfill. 5. Leads that exceed 50 ft. in length shall be 8 inches. 6. Call 911 if the watermain needs to be shut off. 7. No fuel will be stored on-site per the contractor. WATER 1. Eastlake is the utility contractor. 2. Pipe materials, valves, fittings shall be as indicated in the standard notes. 3 . The contractor will install all of the watermain except the connection. All connections to existing mains to be accomplished by the City of Renton. All necessary excavation, shoring and materials to be supplied by the contractor and be on-site prior to City notifications. 4. All blocking must be inspected before backfilling. Thrust blocks must be formed. Concrete must be delivered to the job (no on-site mixes) . In the street and in all crossings t•e City requires 5/8" minus rock backfill. Compaction test may be required. 5. Procedure for cleaning: Pipe cleaning shall be by poly pigging through vertical crosses. All services shall be pressure tested to a minimum of 200 psi or 150psi over operating pressure (static) . Chlorinate for 24 hours, using liquid chlorine and chlorine pump assembly. Flushing shall be drained into the sanitary. Water purity tests are taken to the laboratory on Wednesday. Contractor shall arrange courier for any other day. 6. Final acceptance shall be after final walk through inspection, adjustment of all structures and approval of as-builts, cost data inventor: , and bill of sale. Pre-Con Minutes Tiffany School Page 3 7. The contractor, as well as the engineer, shall keep as-built drawings. All changes shall be shown on as-builts. For any field changes, if minor, give City a shop drawing (by FAX - 235-2541) ; if major, need a day or two to review and approve. Field inspector can not crive approval in field for construction changes. a. No deposit for chlorine pump required now. Call the city and a crew will bring the chlorine pump and chlorine to the site. 9. Vertical cress must be installed where shown on plans. In order to minimize impacts to Lake Youngs Way during water connection, it will be allowed to scrub out 25 to 30 feet of water line with chlorine „ solution and install this line west of pavement line. Blowoffs and temporary blocking would be installed here, a second vertical cross installed west of blocking, and waterline would be pressure tested both east and west of blocking. SANITARY SEWER 1. All pipes and materials shall be per approved plan. 2. Pipe bedding for PVC pipe shall be pea gravel 6 inches above and below the pipe. 3. Select backfill shall be compacted to at least 95% of maximum density. 4. Offset the side sewer connection into the manhole, per the plan drawing. It must not be directly into the ladder. Ladder steps will have to b� relocated in existing manhole if side sewer connection penetrates at ladder. STORM 1. Good erosion control measures are to be exercised at all times. 2. All pipes and materials shall be per approved plan. 3 . Contractor must notify engineer of any vertical conflict prior to proceeding with construction. Submit a shop drawing for review. 4. Bedding material shall be per WSDOT Standard Specification 9-03.12 (3) . 5. Backfill shall be compacted to at least 95% of maximum density. 6. City warts a nice smooth grout inside the CB. 7. City may request that the line be lamped. John Stein makes this decision based on the inspector's determination as :o whether or not there is a problem. G. Use watertight or heatshrunk couplings on all ADS N12 pipes. Pre-Con Minutes .Tiffany School Page 4 9. Temporary erosion control plans were previously approved for this project. Approved plans should be attached to each set of plans. Keep a set in the field. Inspectors will expect these plans to be used. 10. Keep dirt out of line as much as possible. Lines and catch basins must be cleaned out at the end of the job. TRANSPORTATION 1. Uniform manual shall be followed for street closures, routing for traffic. A blank copy of the City's traffic control plan was provided to the contractor. The traffic control plan should be completed and submitted to Phil Chase for approval prior to work in City right of way. 2. Paving - the minimum compaction shall be 95% of maximum relative density on subgrade and rock surfaces. i 3 . All backfill to be 5/8" minus crush rock compacted to surface. GENERA 1. CALL FOR AN INSPECTION BEFORE YOU START WORK. 2. Start date - the day after the permit issued. Issues regarding development fees and easement legals must be resolved prior to permit issuance. 3. Project hours for construction on-site are 7AM to 8PM weekdays, Saturday by approval only, and no Sundays. Construction hours for work in City right of way are SAM to 3:30PM weekdays, Saturday by approval only, and no Sundays. 24 hours notice to work in right of way. Make the 911 call within the city limits or you will get the County rather than the City dispatcher. 4. Overtime work requires special authorization. Pay schedules is $50 per hour for overtime for City inspector. 5. submittals to the City needed for change orders. 6. Keep the streets clean and haul legal loads. 7. In response to contractor inquiry, certain improvements may be deferred past building occupancy via approval of the Renton Board of Public Works. A 150% deferral bond will be required if application is approved. 8. Prior to back filling any utilities an inspection is required for water, sewer, storm. Coordinate with inspectors. 9. Make final adjustment of manhole, inlet, and valve box rim elevations. Pre-Con Minutes Tiffany School Page 5 10. Keep a set of approved plans, including TESC plans, on site at all times. CRV OF RENTON .MRfi91 08:22 FAX 206 728 6053 _ MENG ASSOCIATES RECEIVED ;0U1 _- --- MAY 17 1991 — DEVELOPMENT SERVICES DIVISKM FAX TRANSMITTAL PROJECTA! PROJECT NAME: DATE: a.►�_— TIME: :T TO FIRM: LJi/Ja J:GVT. C�fI�I �G 1/� ra) FAX N: — — ATTN: C� ;yy)�• r �`«r✓� /J�/11t:PA 4�eNr,f n�jev NUMBER OF PAGES. INCLUDING' `TRANSMITTAL: _ COMMENTS: jS✓1 c _�i'�'i 41✓{S ��- Oh 2Fyoo L'G1 /✓V�G �,�h�t�.I V I g k'I"� FROM: MENG ASSOCIATES �� .{-�•0� 2108 Western Avenue Seattle,WA 98121 PHONE IT(206)448.9640 FAX k(206) 728.6053 N ArN I � EASTLAKE Utilities mc. Nn. ltOr 272: • rrro•ivml s Phone: ;2-061 Pb8•"P]4 e Nf W.9794 a •*star mains •san¢arvsewers •Storm sewers Aprt 1 22. 1991 1 Septic svitems •Surface Drams •custom D100imo � f G. C. Finn Construction 16301 62nd N6 Kirkland. MA 90034 RE: Talbot and Tiffany E:ezentary Schools i I Gentlemen: Rere to tRe Coat per snit breakdown that •rnu requested. l Talbot Elerentary- tlnit ({em AoOrp" ^•y DeeC"'otlon ._ Price AaouttL Storm Saner S 1 eseh Connection to existing 54" S 960.00 S 9410.00 2 each Connection to existing w/46 2.560.00 2.590.00 manhole 3 2 each Type 1: 68" manhole 2,050.00 .00 41000.0 4 52 L.F. 48" retention syste:l 5 L.S. Downspout drains L.S. 6.005.00 8 20 L.F. A" CMP 18-geuge 15.80 336.00 7 d each 8" cleanouts 2a0.00 1.040.00 8 I each Type II 72" control manhole 5.220.00 5.220.00 sanitary Saner i 1 each Instal:ation of 8" side sewer, Inc. import material S temp. asphalt patching $18.000.00 S18.000.00 2 each Penal connection 550.00 550.00 Bypass Line i i each Connection to exlating manhole INot responsible to any undermining of or loss of foundation Or structural fill S6.000.00 S 6.000.00 2 1 each Connection to axletSng storal line WAS" aanhole 4.200.00 4.200.00 3 1 each connection to existing catchbosin 220.00 220.00 d 335 L.P. :2" CMP 10-98119a 30.85 10.334.75 3 2 each Type II 48 ' manhole 2.050.00 4,100.00 / water svitrm- off site 1 each Connection to existing 12" main crucoing of Talbot 11111 Rd. wireatoratlun S L.S. S 6.130 00 7 4U L.P 10' Ul CLF2 61.92 2.47G.60 3 L.S. Wet tap 2.520.00 2.520.00 4 L.S. Mist.. rittings 1.356.00 1 .350.00 Water System- on site 160 L.F 30" 01 CLS2 S 62.02 S 9,907.20 2 L.S. misc. fittings 1.676.00 1,576.00 102 L.P. 4" :11 CLS2 26.00 2.652,00 4 1 each Connection to existing G" 41300.00 4.100.00 S 1 each Fire hydrant assembly 2.075,00 2,075.00 6 1 each 3" meter wivault 7.050.00 7.650.00 7 L.S. Abandonment of 6" D; A hydrant 1.160.00 1 .150.00 N tfany Elementary- Sanitary Sewer 1 I each Connection to existing manhole w/outalde drop $3,100 U0 S 31100.00 2 100 L.P. 6" PVC side sewer L.S. : .090.00 3 1 each Final connection 650.00 550.00 Storm Sewer 1 each Connection to existing 96" manhole S L.S. S 980.00 2 20 L.F. 12" CMP 16-gauge 16.80 338.00 3 67 L.P. 48" retention system 66.3C 5,708.10 L.S. Downspout drains 6.720.00 0,720.00 5 5 each 8" cleanouts 275.00 1,375.00 6 1 each Type 1: 72" :ontrol manhole 4.730.03 4.730.00 7 1 each Type 11 48" manhole 1.800.00 4 .800.00 8 4 each Yard drains 325.00 1.300.00 Water System- off site 1 each Connection to existing 12" 50.050.00 S 2,100.00 2 40 L.P. 10" DI CL52 61.92 2,476.80 3 L.S. MISC. fittings 1.350.00 1.350.00 4 L.S. wet top 2.820.00 2.520.00 Water System- on site 1 177 L.F. 10" CL52 Inc. Pit Run. backfil.. a temp. patching 51.92 20.939.64 3 305 L.F 4" DI CL52 Inc. Pit Run 8 temp. patching 41.50 12.657.50 4 1 each Fire hydrant assamt.y 2.075.00 2,075.00 5 L.S. Misc, fittings 850.00 830.00 NOTICE OF NEW FIRE HYDRANT IN-SERVICE I NAME OF DEVELOPMENT _ -7 ADDRESS !LOi i q, /OtJF✓31NA� 'F INSTALLATION CONTRACTOR /AA ('yj`KHUE WATER PROJECT NO. W NUMBER OF HYDRANTS _ TWO HYDRANT LOCATIONS —' (FOR FIRE DEPT. USE ONLY) I. 9S i - .1_ HYDRANT No. 2. 1", 15P' CI�PI::.wJD 3. AJ41C[� nG Lp tr Jc)u . 5 4. \NA4 Yam+ E ��P{COJ✓U 5. 6. INSPECTORA i ray r�y �c a zed rAV- NOTICE OF NE FIRE HYDRANT IN-SERVICE } -- i Nl6E QFt DEVELOP E 47 TIP]-21 il�t E1,Er7 SCHOOL ADDRESS I'j iiU! L'4x:E / INSTALLATIQ,rl CONTRACTOR LA VtILL -MER„PROJECT NO. NUMBER OF HYDRANTS u, HYDRANT TION (FOR FIRE DEPT. USE ONLY) 1. _.tyT FbT Ur= Art °y' `~ 63 HYDRANI N0. .i 2. NAY ztr RriC/1N� i 3. fLi I �K VQGu 3 4. 1/vAd SG 1, KrRI!GovD 5. 6. INSPECTOR NOTICE OF NEW FIRE HYDRANT IN-SERVICE NAME OF DEVELOPMENTiirr�l�;/`� ADDRESS /&(;/ A :z VoLmv,Skm / _ tE INSTALLATION CONTRACTOR I/ALL&v IZoUK .ice WATER PROJECT NO. IN /L)JU NUMBER OF HYDRANTS -7-L.�.� HYDRANT LOCATIONS (FOR FIRE DEPT. USE ONLY) HYDRANT NO. 2. i 3. dl�, OF YQUid 4`! 4. NvNti ;c r K e[ Ln u 5. _ 6. INSPECTOR STATE OF WASHINGTON DEPARTMENT OF HEALTH WATER BACTERIOLOGICAL ANALYSIS SAMPLL`JJl I.I.CTICN READ INSTRUCTIONS ON BACK OF GOLDENROD LOP, It tnstTUDUlons We not followed.sample will be mooted. DATE COLLECTED TIME COLLECTED COUNTY NAME MONTH DAY YEAR . .7 9/ CLAM ❑❑vM KlAj 6, TYPE OF SYSTEM w PUBLIC SYSTEM,COMPLETE: 1JM PUBLIC 1Mof CIASS ❑ i INDIVIOUAL I.D. No. 7 `� '_- ,1 z d 4 r rnwry NAME OF SYSTEM / Yl JJ` fir/I//✓el SR:CKN:LDDATIA WHERE SAMPLE CDLLECTE SYS!EM OANtk;MI:R NAME AND TELFAEWE ND - n"rw 1771a/r`Srn�:K ` L SAMPLE COLLECTED W:WMmj 17 •-4Uy dL,F.r. y�N�` jt PHEt_rS SOURCE TYPE ❑SURFACE ❑WELL 0 SPRING 0 PURCHASED E] COMBINATION HER SEND REPORT TO:IPnm Full N.m.,Aeen..arw np coe.I __ WAGhiNGSON TYPE Of SAMPLE T. ❑mDRINKINGWATER ❑ CMOrINIt4lR"Iduat TOCII.Freel cna0k Irealment ❑ Filtvad ❑ Untree1e0 W Omer 2. 0 T�ss RAW SOURCE HATER 3. 0 NEW CONSTRUOTION or REPAIRS 4. ❑ OTHER ISp ,fp COMPLETE IF THIS BAMPr_E IS A CHECK SAMPLE ' PRtVIOUS IAB NO PREVIOUS SAMPLE COLLECTION DATE /A;2 Xtl 0 '- REMARKS: L I LABORATORY RESULTS(FOR LAB USE oNLYI MPN COLIFORM STD PLATE COUNT SAMPLE NOT TESTED BECAUSE: _/5rm.. MPN DILUTION TEST UNSUITABLE ❑ SamPle TOO Old /'00 mI 1. ❑ COMI.nt GroMln I ❑ Not in Proper Container I VtF COLIFORM 2. ❑ TNTO ❑ Inaulflcrent Intormao0n �pp m PrOYlded—RIMS,Read FECAL COLIFOR 3. ❑ Ekcese Deens Inatructiona on Fwrn Q MPN�Nlf 4. ❑ ❑ �00 mi FOR DRINKING WATER AMPLES ONLY,THESE RESULTS ARE G SATISFACTORY ❑ UNSATISFACTORY SEE REVERSE SIDF OF GREEN COPY FOR EXPLANATION OF RES',i TS IAB NO DATE.TIME RECEVEO- RECEIVED BY CATF REPORTED .1 L UB TORY 1. REMARKS DOHT 41Q!(REV IEePI AIATER SUPPLIER COPY