The URL can be used to link to this page

Home My WebLink AboutWTR2701834 MATHEWSON AVE. N. �- ✓� "r7 i;` -s + BEGINNING OF FILE FILE TITLE W lip 1 719 W - loa9 I.7R-1 WATER PROJECT W-1025 Mathewson Auto Center 271 Rainier Ave. No. /OZ✓ Permit Number P- 7433 Date lnsu & JAB 22 I�/i,p90 Date Expires' Aft Z IHIQ City lmpector Kt AK Pre-Con Meeting Date: 1/21/go Special Billing Y OK ✓ N _N/A Pressu::Tat Dav 412/90 S•-isfectory Y ✓ N 1/IShp Purity Tat Darr. L1IL/40 Satisfacmry Y N Bill of W60 Sak/Verified N Recorded. Easement/Verfed Y ��YYY /N_ Recorded Cost Data Innntory/Verified ��Ypg�_ N_ Recorded e Back(lo.art report;Landsnpr. -&y N_ N/A Fire Protection:\IYI N_ N/A Fiwl A:_peace BY Inspector Y_ N_ By Utility Engineer Y_ N_ /w.naro r ; LOST DATA AND INVENTORY SIIBJE(T: CITY PROJECT NUMBERS: W- S NAME OF PROJECT ST- TO: CITY OF RENTON FROM: UTILITIES DIVISION 200 MILL AVENUE SOU II RENTON,WA 98055 DATE Per vour request, the following information is furnished concerning costs for improvements installed for the above referenced project. WATER SYSTEM: Length Size Type ! ' L.F.OF WATERMAIN L.F. OF WATERMAIN _ L.F. OF WATERMAIN L.F. OF _ WATERMAIN ; EACII OF GATE VALVES i EACH OF GATE VALVES EACH OF GATE VALVES SUBTOTAL $ 21 6 vo QC EACII OF /A iiV " FIRE HYDRANT ASSEMBLIES $ 1, Ff4.OC (COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY), TOTAL COST FOI. WATER SYSTEM $ 4,4(( f i 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 $ K/A STORM DRAINAGE SYSTEM: Length Size Type 72 L.F. OF C,t STORM LINE L.F. OF STORM LINe L.F. OF " _ STORM LINE EA. OF STORM INLET 7 EA.OF l STORM CATCHBASIN EA. OF " _ STORM CATCHBASIN TOTAL COST FOR STORM DRAINAGE SYSTEM $ 1 F,7!.(` r t' STRWDWROVEMENTS: (Including Curb, Gutter,Sidewalk,Asphalt Pavement and Street Lighting) 4 L.f t't Cuke, t SaTIER , lcs '1' t ..Ot 6.AEK , 1C i -u pt AiJ"AN FA�(Hthl I ,,?;,, 14%( APJO APn+tlt,.A..;i� TOTAL COST FOR STREET IMPROVEMENTS $ I'/ Lo (SIGNATURE) (SIGNATORY MUST BE AUTHORIZED AGENT OR OWNER OF SUBJECT DEVELOPMENT) —+a: Arl<no frmn. R64wl �nlAewiox Auto Cent/ / 211- `47a�;•� � da , _vs CgutA jo" DIc4K Knd c�iu•ui�nS btu■,wFr r /t el�ln� 1 tC�p \ 6 1 I 1� �1MS �01ih� f `I U. QbCJt Skis\�i�' (Trt ytpr Co WCAtAk. ( W- ton) IAAjClflpn1' 1Ki SFcrot 5td'I �`•' 'r 1d-t-� U Skr I�It i�ad¢ cluckt� 11St Q�a C�uyQ4ons ohvcM *e' c"A I kAA Ce4�A �w IQlarc AeA a cc,) � ZI.s atccr&A 1 u_ CWUJS � • i`�'�1e1w 60n t� � •�cenv Kran� t Ott � Icodrr+ R�a UTILITIES 11 E A S E M E N T THIS INSTRUMENT, made this 4thday of. JAMWART by and between_ �.051 D MATMEW:rnN and 19`�0 ; and and and Z hereinafter called "Grantor(s)", and the CITY OF RENTON, a Municipal Corporation of King 'County, Washington, hereinafter called "Grantee". O CC O WITNESSETH; w That said Grantor(s) , for and in consideration of the sum of $ s CC _ paid by Grantee, and other valuable consideration, do by Q these presents, grant, bargain, •ell , convey, and warrant unto the said Grantee, its LL successors and assigns, an easement for public utilities (including water and sewer) with r- necessary appurtenances over, through, across and upon the following described property G In King County, Washington, mu re particularly described as follows; w-1029 Commencing at the Northeast corner of the following described parcel of land: THAT PORTION of the North 130.00 feet of Block 53, N.H. Latimer's Lake Washington Plat, according to the Plat thereof recorded in Volume 6 of Plats, page 70, in King County, Washington, as measured along the East line of said block, lying Easterly of 91st Place South; TOGETHER with the South half of that portion of vacated South 130th Street adjoining said Block 5_ on the North, lying between the Easterly line of Slat Place South and the East line of said Block 53 produced North; except that portion, if any, of said vacated street lying within Primary State Highway No. 5; BEING a portion of the N.E. quarter of the N.W. quarter of Section 18, Township 23 N. , Range 5 E. , W.M. ; THENCE Southerly from said Northeast corner along the east lire of said parcel 57.00 feet to the TRUE POINT OF BEGINNING of said easement; THENCE West 15.00 feet; THENCE South 22.00 feet; THENCE East 15.00 feet to a point on said East line; THENCE North 22.00 feet to the TRUE POINT OF BEGINNING. UE#I-I 'eA /0-"// '. 531/.2 n. L/9 ;,�! Said heretofore mentioned grantee, its successors or assigns, shall have the right, without prior notice or proceeding at law, at such times as may he necessary to enter upon said above described property for tl.e purpose of construct- ing, maintaining, repairing, altering or reconstructing said utilities, or making any connections therewlth, without incurring any legal obligations or liability therefore, provided, thit such construction, maintaining, repairing, altering or reconstruction of said utilities shall he accomplished in such a manner that the private improvements existing in the rights)-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 afore.described premises, including the right to retain the right to use the surface of said right-of-way 1f 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 night-of-way during the existence of such utilities. This easement, shall be a covenant running with the land and shall he binding 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 right to execute this agreement. c n A nd and and and !TATE OF WASHINGTON ) )) COUNTY OF KIN; SS 1, the undersigned, a notary public in and for the State of Washington, hereby certify that on this day of s�/aMu/� -, 19 9J personally appeared before me �,ss �. Mo�haws. "7 and i and and and to me known to be individual s` des-ribed in an w,o�f executed the foregoing instrument, and acknowledged thrt signed and sealed the same as free and voluntary act and deed for the uses and purposes therein mentioned. '1 jG 3i. J111AJ�,...� ;x 0fp� j o ry u c n an or fate o W shi gton, residing at s_4ti� ys..... 1)Z ;^� , UTILITIES NI E A SE M E N T THIS INSTRUMEIJT, made this)O Mday of IDECE-146 , 19Q0 ; by and between BRCKT J. KRANZ and ROSS D MATt1EWSCt4 and and _ and C.7 hereinafter called "Grantor(s)", and the CITY OF RENTON, a Municipal Corporation of King QCounty, Washington, hereinafter called "Grantee". Q: p WITNESSETH: v W That said Gran[or(s) , for and in consideration of the sum of M $ � paid by Grantee, and other valuable conslde ration, do by these presents, grant, bargain, sell , convey, and warrant unto the said Grantee, its successors and assigns, an easement for public utilities (including water and sewer) with r- necessary ,ppurtenances over, through, across and upon the following described property 73 In King County, Washington, more particularly described as follows: STB18-1-4 The South 15 feet of the following described property THAT PORTION of the North 130.00 feet of Block 53, N.H. Latimer's Lake Washington Plat, according to the Plat thereof recorded in Volume 6 of Plats, pag3 70, in King County, Washington, as measured along the East line of aid block, lying Easterly of 91st Place South; TOGETHER with the South half of that portion of vacated South 130th Street adjoining said Block 53 on the North, lying between the Easterly line of 91st Place South and the East line of said Block 53 produced North; except that portion, if any, of said vacated street lying within Primary State Highway No. 5; BEING a portion of the N.E. quarter of the 4.W. q+iarter of Section 18, Township 23 N. , Range 5 E. , W.M. ; UEAI-I 67 SAS. 3b, qq, 1g/ Said heretofore mentioned grantee, Its successors or assigns, shall have the right, without prior notice or proceeding at law, at such times as may he necessary to enter upon said above described property for the purpose of construct- ing, maintaining, repairing, altering or reconstructing said utilities, or making any connections therewith, without incurring any legal obligations or liability therefore, provided. that such construction, maintaining, repairing, altering ur 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-way if such use does not interfere with installation and maintenance o• 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 he a covenant running with the land and shall be binding on the Grantor, his successors, heirs and assigns. Grantors covenant that .hey are the lawful owners of the above properties and that they have a good and lawful right o execute this agreement. lye � and and and and STATE OF WASHINGTON � SS COUNTY OF KiNG I, the undersigned, a notary public In and for the State of Washington, hereby certify that on this day of Vie-, 19 L) personally appeared before me andand "A NtirSor) and and ; to me known to be individual(s) described in an w w executed a orego ng nstrument, and acknowledged thatee or t e e - uses signed and sealed the same as � free and voluntary act and end purposes therein mentioned. a�••y ORES C h� .;;N �o` o ry u r c n and for the fate o( — Washington, residing at wI vi iMR S1ACt 11511Y1O toe MCOlOta'a o" %annr National Tlfle Insurance Compaq WAaMINOTON TITLa OIVI-ION Filed fo• Record at Request of TO C7 2 O ° BILL OF SALE LW Cy KNOW ALL MEN BY THESE PRESENTS: That M ATh EW SON KRA)J2 i of QEN>oN County of KING ,State of Washington,the parties of the first part, for and in consideration of the sum of ONE AeLLAe. ANp Nt1 LIDO. Dollar awful money of the United Stales of America,to 'Ahem in hand paid by "w .kTl OP RCN\Cq the part" o; the second part, the receipt whereof is hereby acknowledged, do by these presents grant, bargain, sell wid deliver unto the said part I of the second part, the following described personal property now located at 271• 14I4I(1, kur NC- lW=rt- WAS4, ftQ"'i in the City of flm2ri , County of Vtu6 and Slate of Washington, to-wit: WA iCAlat )d_ 1029 AQP170•wA(E:f 10 LE Cf Yrl Otblltf �QCe �Al(1'JIA INJ - ?,"6v11f. VALVE, I- 6 LATE VAL JET I- FIAt k1(DRAS1 ASSEnALY AND Au, AOIAMNAaitS tfti AttJn NG It SAtf) tL'AfMMAW FXPRESSl4 whMAUYING . MT) WAIEROAM ACAINSt ANY f)efrWSESI na LiCN5 NERGII) It4CVCLe0 -fMEREM R'fJ ThRhR(d 6R MNort/ SWx vueitk"I rJ TO HAVE AND TO HOLD the same to the said part of the second p_rt, t(s heirs, executors. administrators and assigns forever. And said panic) of the first part, for tMo/ heirs, executors, administrators, covenant and agree to and with the said part Y of the second part, executors, administrators and assigns, that said partite of the first part rare. Fho . owner? of the said property, goods and chattels and hav+ good right and full authority to sell the mine. and that i'heT will warrant and defend the sale hereby trade unto the said part y of the second part, exe,utors, administrators and assigns, against all and every person or persons, wbomsoever, lawfully claiming or to Claim the same, IN WITNES HEREOF,The said partle, of the first part ha,oc, hereunto set 46t✓ hand and seal thil aaaat to`N day of Detem 1990 s ' ItiJltp — tp (seat.) aeeeeOf WA (seAL) ST.ATF. OF W ON, l a. County of K I u C, J ' I p On this day personally appeared before toe ijff k \ '. V� L)L S s.6 SS ` ) #10 11+♦:t,l;st✓ to me known to be the Individual°- described in and who executed the within and foregoing Instrument. and acknowledged that -1 14-e—, signed the same a I,— free and voluntary act and deed, for the uses and purposes therein mentioned. GIVEN under my hand and official seal this 10 Ek day of T�ceJ�l dG/L1'/ 1`1170 r I NWary PwaJJe in and for$At State of Waikingron, residing at We AJTC); ) ruts srsee alsento toe steomil s USE. 1 Ploenr N1110e11 TWA Insurance COMPANY I waenusorots TIrLe o•vle�otr Filed for Record at Request of . TO lY O V W lz .a.. L aaa o BILL OF SALE 1 ' KNOW ALL MEN BY THESE PRESENTS: That MAIHEWc,ON / kaANTt O ' of ket.Tc:t County of klrl,4 ,State of Washington,the part to of the first part. for and in consideratl,,n of the sum of(Ae 00UA(t "n rto hut) Dollars lawful money of the United Stales of America,to -4hrm in hand paid by tint (.III of Qthfud the part,( of the second part• the receipt whereof is hereby acknowledged, do by these presents grant, bargain, sell and deliver unto the mild party of the second part, the foilowiug described personal property now located at 271- QAINIEn, ME tld- REN'Me' - WASa- 9?057 in the City of PJ54%)( , County of klAlx and State of Washington, to-wit: S,MCA SEwitt hrilecT No. I¢-i-4 APPP,zInAlfli �26 L.f• rsf 12n (.11P STpRN PIPE Ann e/ - TIPS I Ultil 13AS1a5, RHO m. hPPueff NAtlas (t lfiiAddlw YO SAID STPQA 6LIWCL Si STEM FKIFILSS LY bdOQ0sI%Ali SAID stern sewei, SIS•(EP ACAiri SY A4I EXPENgK (n•.tt Ott_ DENS -T)A%1b i1iltU920) 'NKI.ON QY t "acutti t INC uNnEa. ISVAM sseeeailJ_ TO HAVE AND TO HOLD the same to the said part 1 of the second part, (IS heirs, executors, administrators and assigns forever. And said part it. of the first part, for 4nar heirs, executors, administrators, covenant and agree to and with the said part I of the second part, executors, adminislralora and assigns, that said parties of the first part o.Yr tint . owners of the said property, goods and chattels and hao� good right and lull authority to sell the same, and that •{heT will warrant and defend the sale hereby made unto the said part Y of the second part, executers, administrators and assigns, against all and every person M persons, whomsoever, lawfully claiming or to claim the same, IN WITNgiS WHEREOF,The said par i of the first part bauc, hereunto act 4iv,v hand and sealajbfrlpEg Q 10 t" day of De199U Qtaato•V'•. alf (SLu.) .lam ,(axAL) •y'"��a ,4 (aaL) IVALMY�`' —(Sul.) STATE dYaw GTON, as. Courtly If r✓ (• . On this day personally appeared before me t'm't ti ) Q el A,z R(,SS D of tl it't t�-J'it t-, to me known to be the Individual •> described ;n and who executed the twithin and foregoing instrument, anal acknowledged that t'1 a , signed the same as ti free and voluntary act and deed, for the uses and purposes therein mentioned. GIVEN under my hand and official seal this I o d day of r)L c e /s RCR, Kj ri J _ Nats.y PPobttc in and Jor the State of Was.Hntlon, raiding of 1 N� 8 N� �n�/o-s�t�/S 533 3a• -/9 /�/ V IHIS SPACE IRE NIa 101 etCORM I USI. Planter Nrilontl TWO Instruct Campay WASHINGTON TITLa DIVISION Filed for Record at Request of TO 2 C] W. BILL OF SALE eO"" L aa" KNOW ALL MEN BY THESE PRESENTS: That M ATPIEW;ON / KRAIi 2: CD Lt- County of kI14 L of 'PEN-e J 1— ,State of Washington, the part Ies of the first part. fnr and in consideration of the sum of fa IY..O ONuRg, /CND rt0 /I Li. lawful money of the United Stales of America,to -11tem Dollars in hand paid by Civi 0G 12,l-rb,f the part of the second part, the receipt whereof is hereby acknowledged, do by these presents grant bargain, all alld deliver unto the said part I of the second part, the following described personal property now located at 271- 9,AINIC-A. MfE NO— Qrp-pU, J1A. ti4d iS l0 the City of QL-lITOsl , County of Kl NR and State of Washington, to.wit: StREfi lf6is'( f'RLSE(C NC. Mk6 Si1M 0K0 SVUfT- UGNt r /1PI'uR lfNRt,ts PEDt MN,uc tII sM SxteT lio4c-; EXPU%ifLT tUPCi.Art11N(T `iITID STQ06T L16vf 1HP0.c set MN tl g6AlniT Maly EXPI'NLES f COSTS OIL LIENS NC?L6iw�N INCURg.en TNEB.EON 31, 1MRCN(Il 02 UIEM SWlt, HMC10 TO HAV" AND TV HOLD the came to the said part, of of the second tart, 1h heirs, executors, administrl tors and assigns forever. And said partics of the first part, for Yfi Il eaeculors, administrators, :ovtnant and agree to and with the said art heirs, executors, administrators &W as_igns, that aid part p Y of the wand part. Property, floods and chattels and 6a,; Ic7 of the first part nT< Me . own• of the said v good right and full auth,-;ty to sell the mine, and that JR< will warrant and defend the sale hereby made unto the mid part T of lire second part, T executors, administrators and assigns, against all and every person or peraous, whomsoever, lawfully claiming of to claim the same, and IN WITI.akaallge WHEREOF,The said part i�o of the first part ha u� he-.etnl0 Set '�(1ely COPES C.BF9tt� 16 day of 0� teAshev Iqqd hand i '� r'47AgV M•� � (aGl) la- ~ (UAL) (SEAL) WA STATE GTON, (auL) County of ( I A'6 �as. On this day personally appeared before the t'.i f-.N1rA?A t,z t rZ ct,_ �, Wt q;"11 e_to me known to be the lodividual ; described in and who Executed the within and foregoing Instrument. and acknowledged that IA w .1 Signed the mine as •,. free and voluntary at and deed, for thr uses and purposes therein mentioned. GIVEN under my hand and official seal this Ibnrl, day of t7e o trcTa J 9 Notary Puahe 1a ad Jor the Stare a/11"Orhimciaa — residing at 6CPtr 0 A/ ltF kA l is w"�aE9 PUBLIC WORKS DEPARTMENT F DESIGN/UTILITY ENGINEERING o 235-2631 MUNICIPAL BUILDING 20O MILL AVE.SO. RENTON,WASH.98055 BACKFLOW DEVICE TEST REPORT - A,count 00. JU,3 eZ o«r•cr rtnso« n,«+•ct n«»w ra[taus {1In ,e , .9e L A, ii,, tLI .7l �� umsu..misa[a / /1r /V tnc•rgaa o[vc[} L r«Rfwa[at rw[a t[s, ^� n1[asu.[aa.:c•oss hest c«[c.wlu[ las CHECK VALVE NO.1 CHECK VALVE NO.2 DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL t, Leaked ...................... ❑ 1 Leaked y.................... ❑ I. Opened at Ibs. reduced pressure TEST K7 ] 2. Closedlight.................. 2 Closed light.................. 1. Did not open ..._............ _ Cleaned..................... .. ❑ Ctesned........................ ❑ Cleaned........................ Replaced Replaced. Replaced. Disc........................ ❑ Disc........................ ❑ Disc.uppw ...—........... J bpnng...................... ❑ Spung...................... (7 Disc.lower.................. ❑ RGuide ..... ❑ Guide ......... ........... J Spn"g...... ............... ❑ EPm-etainer ................. ❑ Pm'elamrr ................. ❑ Diaphragm.large v ❑ AHmge Pm ................... ❑ Hmge pm .................. ❑ upper ................... I Seal..............._....... ❑ seat. ❑ lower ................... ❑ R ..................... SDiaphtagm .._............. ❑ Diaph+sgm__.............. ❑ Diaphragm.small Olher.desr,-be............. ❑ Omer.desc,rM.............. ❑ Upper, ................... ❑ Lower ................... ❑ Space.lower ....... ....... ❑ Omer.0e3c0be.............. ❑ rFINALClosed ❑ Closed kghl.... Opened al to$ light.................... ............... ❑ reduced pressure Remarks THE ABOVE PEP RT IS CERTIFIEO TO SE TRUE MI.ftron'10 (tart ar mi pH / Public Works Department _ DESIGNIUTILITY ENGINEERING 200 Mill Avenue South — Renton, Washington 98055 CAW..•+.««n n.n _� ,rs r Z PUBLIC WORKS. DEPARTMENT F DESIGN/UTILITY ENGINEERING 0 235.2631 �rrp rteltfF MUNICIPAL BUILDING 200 MILL AVE.SO. RENTON,WASH.98055 EIACKFLOW DEVICE TEST REPORT - Account No. YJ'= nnl.cr rtnwr. cwlscl wlonr o v3r C -1 of imEi,aSiEs sc ru 1 rL. ulmen a 27 � cw lGCsrgH tX oEw;c pEv� rarnu4Euw 1reaEr Ln I iw.e rta rile- 5�-c v /5 lnrE M:ESUeE al t WE pr'ESf11,11,11lijillE p1d:c...—.1 Mf Ce vEIV! 7 EBS CHECK VALVE NO.I CHECK VALVE NO.E DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL 1, Leaked ...................... ❑ 1 leaked ..................... ❑ I Opened at Iba. reduced pressure TEST ...... 2. Did not ripen ......... ❑ g. Closed tight ............ ..... 2 Closed light ............ ........ Cleaned........................ ❑ Cleaned........................ ❑ Cleaned........................ ❑ Replaced. Replaced Replaced. Disc........................ ❑ Disc........................ ❑ Oisc.uppel ................. ❑ Spring...................... ❑ Spring...................... ❑ Disc.lower.................. ❑ RGuide ...................... ❑ Gwde ......... ........... r❑r� Spring...................... ❑ E Pm retainer ................. ❑ Pm relamrr l.J Diaphragm.large P ❑ AMnge pm................... ❑ Hinge pm ........... ...... ❑ Upper ................... E Seal.... ❑ Seal..... ❑ Lower ❑ SDiaphragm.................. ❑ Diaphragm.................. ❑ Diaphragm.small Other.describe.............. ❑ Omer.de Sdrilfe.............. ❑ Upper ................... ❑ Lesear .................. ❑ Spaco,lower ............... ❑ Other,describe.............. ❑ FINAL 1pened sl Iba TEST Closed tight.................... ❑ Closed aght.......... 1smoced pleasure Remarka. THE ABOVE RIPPORT IS CERTIFIED TO TRUE 11ElURNnt-0-110 IISI ear [ mot - foa. Public Works Department DESIGNrUTILITY ENGINEERING """itS1e' 200 Mill A1enue South ... _.._ Renton, Washington 98055 cuaa. tnnurl nsrt of A El .► Z PUBLIC WORKS DEPARTMENT 'E F DESIGN/UTILITY ENGINEERING 0 235-2631 �e MUNICIPAL BUILDING 700 MILL AVE.50. RENTON,WASH,98055 BACKFLOW DEVICE TEST REPORT Account ee.0y'32 out.cl ^nsOrr carl.cT nqr u.�e«.revs i ricl 1�1v��spa t ki/ . r, — wRuck•oaw[u Loc.TM Of ptRu C laK MtwURt Al IeIF«tF3t •RASSURE 0110•:CROSS rust crlFca v.lYf (O n Les tee CHECK VALVE NO.1 CHECK VALVE NO.i DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL 1. Leaked ...................... ❑ 1. Leaked *4 ................... ❑ 1. Opened at toe. TEST reduced pressure 3 Gr•e0 hghl ....... .......... a Closed kgM.................. q Did not span _............... ❑ Clean-d............... ... ❑ Cleaned........................ ❑ Cleaned................-........ ❑ Replaced. Replaced Replaced. Dsc,................6...... ❑ Disc........................ ❑ Disc.upper ................. ❑ Spnnq...................... ❑ Sonny...................... Cl Disc.lower ❑................. RGurde ........I......... ... ❑ Gwde ........ ........... ❑ Spr�nq...... ❑................ ^ E Pm relaolw ................. ❑ Pm ralautor................. ❑ [.vphragm.large P AHinge put................... ❑ Hinge pin................... ❑ Upper ................... Cl ICoal........................ ❑ Seat........................ ❑ Low ................... ❑ It SDuphragm.................. ❑ GaphnOm.................. ❑ Daphragm,small Ott,., lescnt............... ❑ Omer.desc,".............. ❑ Upper ....... ❑............ lower ................... ❑ Spacer.loon ............... ❑ Olhar,descrlbe.............. ❑ FINAL Opened at [be,TEST Closed fight ........._........ ❑ Closed light.......I............ ❑ duced pressure Remarks THE ABOVE REPORT IS CERTIFIED TO BE JAUE IlelyM rr[•p11t 10 ItsHU j Public Works Department aFj r �/ DESIGNiUTILITY ENGINEERING Ilist e. 200 Mill Avenue South Renton, Washington 98055 auinr..Tvw un n.0 OF RF. 1 4T cs PUBLIC WORKS DEPARTMENT eA F DESIGN/UTILITY ENGINEERING 9 235.2631 ' MUNICIPAL 51-ILDING 200MILLAVE.50. RENTON.WASH.99055 'to atrlt� BACKFLOW DEVICE TEST REPORT Accouet Ib. oY35' M.u[a rMrasls /' n1�ttl [ 6 1 . a[e`w:a Atloeru lOCatgNaa , i ',�,� Id kk o� DCA' A mic e' SSc Sv tee MFS9Uae Al 1WF Ce lW // ',/1 aESSWLL UrMa:Cr1085 Iml GM[Cal 4ve [pc ' CBS 1 V Los CHECK VALVE NO.1 CHECK VALVE NO.I DIFI ERENTIAL PRESSURE RELIEF VALVE INITIAL 1. Leaked ...................... ❑ 1 Leaked ..................... ❑ 1. Opened al Ibs. educed Walnuts g TEST posed tight,... 9.............. 7 Closed�. M...... ........... 7 7 nd open ................. ❑ Cleaned........................ ❑ Cleaned........................ ❑ Cl,aned........................ Replaced. I Replaced Rt,laced D.so........................ ❑ Onc ...................I ❑ Dnc.upper ................. ❑ Spring... ..._............. ❑ Sprang...................... ❑ Disc.lower.................. ❑ RGuide ...................... ❑ Guide ........ ........... ❑ swing..... ...... ........ ❑ PPm tatainer ................ G Pm relanlel ................. ❑ Duphragm,large AHinge pin................... ❑ hinge pin................... ❑ Upper ................... ❑ I Seat .. . ................ ... ❑ Seat._ . ❑ Lower El R .................. ................... SOlapMagm .. .......... ... ❑ Duphlagm.................. ❑ tharmagm.anal" Olher.tlescnba.............. ❑ Other.tleacnbe.............. ❑ Upper ................... ❑ lower ................... ❑ Sdaco,Ioaer ............... ❑ DaherAuscnbe.............. ❑ FINAL C Opened al Ibs TESTClosed fight................... Clot ted ❑ reduced praasure Remarks THE MOVE RE OAT IS CC RT I ED O lE TRUE niluaMmlim,rp TIS v [oar Public Works Department DESIGN/UTILITY ENGINEERING r last e. 200 Mill Avenue South Renton, Washington 98055 �u AYlcne S,16yd. "N.CCATIn WA U141 �aEtia ,en PuFo CQnkr / III- '1 n vt:a Mc 'Jr sae R�4n� � oe n J� ��JJ 1' r n vie"it S' na �h �V.�L6 S k �a_f rCC t�ltiltY S_S 14� c4 1. , c n(J ct.mcn \1` d C M1nf1 M1nn 4�s Aele- $u6\e(1' �Jrtycc} Ymml� usc�F✓li�. � W- ICZq� O CZcxnMV U$4 Shan }coat G Shtm 6u IA �� sEa, V�, 51YOk 'tt �wde. ck=�k..� At U� d,,rupvtn: oa .II+ $+erwl+ a.•d *e cry bbt) oti �;u �U StQ+� a.a �.� on I.<- SA i ju &A A It'A I&K AeA a cm � �. acvri♦.,1 dawmodti •1e ewucS 4v, Kc,% ts6pn $ hukvmo,6Jt + �Tlfe, 2'71- rREue;c,. /tie tt� '�-ehh,., utn 98oSS 114J, ✓' UTILITIES NI E A S E M E N T THIS INSTRUMENT, made this 4 hday of �JAMt1AQT 19g0 by and between Izog D milm I N and _ and and and hereinafter called "Grantor(s)", and the CITY OF RENTON, a Municipal Corporation of King County, Washington, hereinafter called "Grantee". WITNESSETH: That said Gi itor(s) , for and In consideration of the sum of $ paid by Grantee, and ether valuable consideration, do by these presents, grant, 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: W-I029 commencing at the Northeast corner of the following described parcel of land: THAT PORTION of the North 130.00 feet of Block 53, N.H. Latimer's Lake Washington Plat, according to the Plat thereof recorded in Volume 6 of Plats, page 70, in King _ County, Washington, as measured along the East line of said block, lying Easterly of Slat Place South; TOGETHER with the South half of that portion of vacated South 130th Street adjoining said Block 52 on the North, lying between the Easterly line of 91st Place South and the East line of said Block 53 produced North; except that portion, if any, of said vacated street lying within Primary State Y:yhway No. 5; BEING a portion of the N.E. quarter of the N.W. quarter of Section 18, Township 23 N. , Range 5 E. , W.M. ; THENCE Southerly from said Northeast corner along the east line of said parcel 57.00 feet to the TRUE POINT OF BEGINNING of said easement; THENCE West 15.00 feet; THENCE South 22.00 feet; THENCE East 15.00 feet to a point on said East line; THENCE North 22.00 feet to the TRUE POINT OF BEGINNING. UE#I-I Said heretofore mentioned granter, its successors or assigns, shall have the right, without prior notice or proceeding at law, at such times as may he necessary to enter upon said above described property for the purpose of construct- ing, maintaining, repairing, altering or reconstructing said utilities, or making any connections therewith, without Incurring any legal obligations or liability therefore, provided, that such construction, maintaining, repairing, altering or reconstruction of said utilities -hall he 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 pre+rlse,, including the right to retain the right to use the surface of said right-of-way if such use does not interfere with installation and maintenance of the utilities. However, the grantor shall not erect buildings or structures over, under or across the right-of-way during the existence of such utilities. This easement, shall be a covenant running with the land and shall be binding 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 right to exerute this agreement. `r' _hAT/{Crt,c2A/ and � nd and and STATE Of WASHINGTON ) )) COUNTY OF KiNG SS I, the undersigned, a notary public in and for the State of Washington, hereby certify that on this day of awu&A 19 9J personally appeared before me �,.ss �. Ma�/¢ws•^ and ; and and and to me known to be individual (s) described in an. w w execute t e forequing Instrument, and acknowledged that signed and sealed the same as free and voluntary act and ee or t e uses and purposes therein mentioned. NN, 'Z 0fZ j 911tf- on, c n an or rfate o W residing at -^ UTILITIES AI E A S E M E N T THIS INSTRUMENT, made WOO N•day of_ t7ECEHHHL 1910 ; by and between O RE M'T J. K 9XWZ and 905" lam. MAT31EW1.6N and and and hereinafter called "Grantor(s)", and the CITY OF RENTON, a Municipal Corporation of King 'County, Washington, hereinafter called "Grantee". WITNESSETH: That said Grantor(s) , for and In consideration of the sum of $ oaid by Grantee, and other valuable considerdtion, do by these presents, grant, 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, L.,rough, across and upon the following described property In King County, Washington, more particularly described as follows: STi18-1-4 The South 15 feet of the following described ;.roperty THAT PORTION of the North 130.00 feet of Block 53, N.H. Latimer's Lake Washington Plat, according to the Plat thereof recorded in Volume 6 of Plats, page 70, in King County, Washington, as measured along the East line -if said block, lying Easterly of 91st Place South; TOGETHER with the South half of that portion of vacated South 130th Street adjoining said Block 53 on the North, lying between the Easterly line of 91st Place South and the East line of said Block 53 produced North; except that portion, if any, of said vacated street lying within Primary State Highway No. 5; , BEING a portion of the N.E. quarter of the N.W. quarter of Section 18, Township 23 N. , Range 5 E. , W.M. ; UEMI-1 Said heretofore mentioned grantee, its successors or assigns, shall have the right, without prior notice or proceeding at law, at such limes as may be necessary to enter upon said above described property for the purpose of construct- ing, maintaining, repairing, altering or reconstructing said utilities, or making any cnnnertions therewith, without Incurring any legal obligations or liability therefore, provided, that such construction, maintaining, repairing, altrring or reconstruction of said utilities shall be accomplished in such a manner that the private improvements existing in the rights)-of-way shall not he 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 utilities. Rowever, 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 and assigns. Grantors covenant that they are the lawful owners of the above properties and that they have a good and lawful right o execute this agreement. l and and and and STATE OF WASHINGTON COUNTY OF KiNG SS I, the undersigned, a notary public in and for the State of Washington, hereby certify that on this 4a_day of )r c r. �vR� _ 19-iU personally appeared before me and e and `Puss "D HR rvlr„So : and ; and to me known to be Individual(s) described In and who executed e foregoing instri nt, and acknowledged that, signed and sealed the save as i_ free and voluntary act and deed for the uses and purposes therein mentioned. ,jpPRES C '; NO WY Public In and for the tote o(— Washington, residing at rnn SGCt MIMC) FOR LLCOretal U31. Islooser National TWa Insurance Compaq WA*HINa TON TITle DIVISION Filed for Record at Request of TO BILL OF SALE KNOW ALL Ma':1 IIV THESE PRESENTS: That M A111045ow KRAua Of {ZtsJTON County of kINfA ,Stale of Washington, the puUei of the first part, for and in consideration of the sum of t)mg PcUAE. A149 Ro 1160--._ lawful money of the United States of America, to -them Dollars in hand paid by "w CITY Of VjEs.1Tp1) the party of the second part, the receipt whereof is hereby acknowledged, do by them presents grant, bargain, sell and deliver unto the said party of the second part, the following described personal properly now located at 271- RA%RIEib WE No- REM-cil- WASd. tltieY, In the City of OZATtIrl , County of Ictsio and State of Washington, to-wit: WAifll P4a:M W_102Q AppeallplAT y It, L f. of 8° Dua,,t IRS" WAIERMAle; I h 6AIt VALV r I- 6'. LATE VALVE! 1- FIRE MORANT ASSEM LY AND AIL AFIFIAMNA.1 US PC-v.T AI t1iNc. Ta t,All) WATe4NAIA ExpaKSty Ussgg AA1iN4 taMIJ WA1ERh Ats1 AChIrs S1 ANY flsefeNSES cc.;x nrl LieNs W96TV Irt CURI-C6 'rhERE011 gYl tT1Rd R(H M2 fl NVtl'L SCLLf4 1M97Yi lri TO HAVE AND TO HOLD the same to the aid party of the second ;.ort, its heirs, executors, administrators and asigns forever. And aid parli<T of the first part, for lha,r executors, administrators, covenant and agree to and with the said part of the second part, heirs, executors, administrators and assigns, that aid part,e, of the first part car[ III, owner., of the said properly,goods and chapels and haV> good right and lull authority to sell the Same, avd that they will warrant and defend the sale hereby made unto the aid part.y of the second part, executors, adminislratots and assigns, against all and every person or persons, whomsoever, lawfully claiming or to claim the same, IN WITNES 1EREOF,The said parka of the first part haun hereunto set 4I,"Y and seal thi DWA090/2 i^ day of Decem ! Igrfd hand � . ca.At> 4° _cant) STATE OF W , 1 I aa. County of K I IJ C, J On this day personally appeared belare toe f14'1 � {' L AIJ Z� T 1�p�S 1� Ilu I I1Fl.t;,I✓ to me known to be the individual described in and who eaeculed the within and foregoing instrument. and acknowledged that I Ili_ aimed the Same ax !., free and voluntary act and deed, for the uses and purposes therein miponed. GIVEN under my hand and official seal this i i' r day of 1k,c'ennridtkqq' /9�J —IJIII-�1v.7!�i i.%/�n Notary Public it Sad yar fAs)Sfefs of Waskinglo", residing of We ,UTO.v V M%sma NxMo to MCOolra UK. Manner NallOml TWA Insur Acs COMPANY W Aa NIMOrow TIT t olvlalo. Filed for Record at Request of . TO _ r t rsr L sari BILL OF SALE KNOW ALL MEN BY THESE PRESENTS: That M ASNEWSON / 4LANT£ of QewtsJ County of 4rk,l ,Stale of Washington, the part it, of the Arst put. for and in consideration of the sum ol(SAE DOIcMt WI) No /160_—.- Dollars lawful money of the United States of America,to *liem in hand paid by Jhc CiIY Of REMN the part Y of the second part, the receipt whereof is hereby acknowledged, do by them presents grant, bargain, sell aid deliver unto the mid party of the second part, the following described personal property now located at 271- RNMCIL AYE Nd- WHW14 - WAS%f- IF055 in the City of Qfytlbil , County of k\ALI and Slate of Washington, to-wit: -;-M2h S-WEfl, feolecT No. 112-1-4 Amoximmftt '721; L.f• dl' 12 Calf STORM fife Ann 7 - TYft L (A10 BASINS, AA0 hit. AO0u2[ENArlLM Ohl Iti,litA4 TO Skin STDRn hewet, Si S1CM Ex ffh SS0 Wb0jAh1)N6 SAID S1afN SBWCIL SIVtElin, ACAiA tT ANY CXfeNSK (n11t etL �1fN. -M61tm (NtU11:2 0 "E E0N QY I ""tut" s n2 udr1HL )Slum weel1J- TO HAVE AND TO HOLD the same to the mid part Y of the second r_rt, its heirs, executors. administrators and assigns forever. And mid parts, of the first part, for -fhtle heirs, executors, administrators, covenant and agree to and with the mid part 4 of the second pars, executors, administrators and assigns, that mid parfl<s nl the first part ette Lht Owner of the said property, goals and chattels and ha-Je, good right and full authority to sell the mine, and staid -Ili T will warrant and defend the sale hereby crude unto the mid part Y of flit second put, executors, administrators and assigns, against all and every person or persons, whomsoever, lawfully claiming or to Oslo. the saint, IN WITN J4 WHEREOF,The said partNl of the first part have, hereunto set }Iw,v hand and seap+Mo-aES C' Ib s" day of De��t''eewfwiis a 1440 (out) 3 R �Alll' (sue) (IRAs.) 0. WABIp (sus) ST.A,TE GTON, a. County of I. /. On this day personally appeared before roe li,e r A' e )A z Itf SS D aI A/Iis.t.r�Oti to me known to be the Individual described in and who executed thewithin and foregoing instrument. and acknowledged thsl i 1V e •t signed the mine as t free and voluntary act and deed, for the uses and purposes therein mentioned. GIVEN under my hand and official seal this 1 0 alL p day of n Le a A /BEAR FI 4 J Notary Public in saw(a eJ Wsskingtas, rssidtwg at jl'er A+9 d H/ �1 V THIS SIACI IISIMD r01 T[colorsI ust. Plbneer Mriignal Tope Insurance CgtnpnT WASHINGTON TITLa DIVISION Filed for Record at Request of TO IeSll 4 >a11 BILL OF SALE ) KNOW ALL MEN BY THESE PRESENTS: That M(\T11CWSo0 / KRAt, of PEN Ta,.1 County of k'N ,Stale of Washington, the part,cs of the first part. for and in cone .radon of the sum of CNt MUAg A-I'M AO JILC, Dollars lawful money of the United Stales of America, to -th[m in hand paid by Thee C111 nG Qe a-r0J the P&YtY of the second part, the receipt whereof is hereby acknowledged, do by them presents grant. bargain, sell and deliver unto the mid part I of lht second part, the following described personal property now located at 271- 9LAIA&vl, hue 96— QEA- oN WA. (M)SS In the City of QF1n0,4 , County of kt NC, and Slate of Wasldnglon, to-wit: gTOCC 116NT l'905 f No. 096 St AN OAQO STQkeT U6NT -f ANuQ'bN1WtiS Pk 11 MNWs TU Shn SVr*T 661rt-, Eft%f'tf (UARtAenjS(, Slito ;aMief L(6wt INpnO14em0dVL AMIIST "V EXPCNSGS I [nStt OC LIENS RE1l61-tSN INCut?Len -01 "Vx AT, -(t1RoN(h nrL UNOM! Seti61L NCIr;ICJ TO HAVE AND TO HOLD the same to the mid part 11 of the second prt, th heirs, executors, administrators So,' assigns forever. And mid part,cs of the first part, for tit,,. heirs, executors, administrators, covenant and agree to and with the mid part.� of the second part, executers, administrators and assigns, that mid partic) of the first par( rare M c owner S of the said property, goads and chattels and ha:C, good right and full authority to sell the Same, and that 4*, will warrant and defend the Sale hereby made unto the mid pvl•f of the second part, executors, administrators and assigns, against all and every person or persons, whomsoever, lawfully claiming or to claim the sane, IN W 17't.J fQ WHEREO% F,The said part't•o of the first part ha uc_ bereunto set '}ite lv hand and seal.�PES Cse eei Idl,, day of 1�s'rr0,y✓ 1'19U u eaIf * jC— — li _1- 1 j9icL a.� �hal A istwo (as") _(SIAL) STATE GTON, }u. County of k 1 .� 6 On this day personally appeared btfore site t;i( a i k ti.1 t. r ti R s:.e- -S,. wt t\ 1 11 LI✓'ln to me known to be the Individual s described in and who executed the within and foregoing Instrument. Slid acknowledged that )1\c •I signed the Same as 11 Ira and voluntary act and deed, for Ihr uses and purposes therein mentioned. GIVEN under my hand and official seal this )I,T I day of 4t C-e-'M ISC-tG 1 s 9 n Notary Public in and Jw the Stale aJ RIalkinatan, rending as i BOND No. at iai - PAkMnM: $ 185.00 MAINTENANCE BOND KNOW ALL MEN BY THESE PRESENTS; That we Pp s Msih,Hxan %L , a corporation as Pr nc pal, and organized and existing under the Laws of the tate of wu+ * n Surety are held and firmly bound unto -TK Cny of fewmK I as Obligee, in the total sum Of '(N ff '"O4s"O wo hoaOOtn Oruens nvo Nopsoc ($ 3'zro.00 ) Dollars, for the Fayment of which, well and truly to be made, the executors, administrators, successors and assigns, jointly and severally, firmly by these presents: u{'(,)ie5 imPro vemrnts (unkre Shrn slhe!• pD,,t) ."A nj{-a Veo ,m prevrmtn is {ev for Mp4hrwson') Av1umoi%4t t •Tile aY 271- 1Zaimty Ave No- -QeANw. Wo 9ieSG Pt� 6VJ .4 •Qtni.n P,.54e WoAs Pr,w.i1' F-7433 NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the Principal shall maintain and remedy said work free from detects in materials and workmanship for a period of ON> ( 0 year(s) following completion, then this obligation shall be vo d; otherwise it shall remain in full force and' effect. T Opl7 orne SIGNED, SEALED AND DATED this 6t� day of 19 91 Foss Matt e 6 BmIt Kranz DBA: MVtivw 's Autamtive and Tare i BY CTntracwxs adding 6 inSUral0.t. y BY 3WPOrtugaljrn-.. ,i Hom CBIC 1213 OeySt limited 1213 Valley Street P.O.Box 9271 CONTRACTORS BONDING Power of Attorney Seattle,WA 98109-0271 AND INSURA"ICE COMPANY (206)622-7053 RAM ALL YEN BY THESE PRESENTS ma CONTRACTORS eONDIEW AND INSURANCE COMPANY.a cofl ATzVh aR olcsaee And pp,1~NebAstlMSW a Ml NybO aapaxpef denn5•Mn.Kifq C."WasnKplm.,,N, AAA AW,maee.cmSAIwA aMMOOnRE ASETH AC PORTIJCAL•tlylcgs WMAIIEMff t"4W 10 irin4'*0 tMYE cow Nauaady na•W W^b^eo,n.a:vThe.data a:e saW.ro IAhAA.AoAoo wv aM Wnx it iBA quammeM p«bPetlef NpgfeltlMYftle MMalgdpMYAawtl$l00.BEG1III be WN W PEe•swe,aoe yamrad s Awd•+.me SSA 9uA'Mnee n:famaRe andw wrTem xMls:mA nd e.oeM SIBD.OBIXIAMaArlsliaMaNarFIMMInAnMA.wtlOMtl b,n,raAr,YRrYrYYdFewn.Fa.J«tone..ueneonmorvaamNa✓aa^"n°^""re""'AmiaAJumc:Y.camas.awagepeagy.NMr+aalkYs+FaPAFnit+AlWYrMMY�uafFV eepsW sAnaStBD.tleD.lalpe OoftleW loos mbancweunebm.adRonn:n CYYA1BIa ACnRm.GALnmrxraawWe &00tltl*MNrIM� AlrutltlwMMiMOMekN ISIyglerSaeYMleau•drymewW sxndszs.nJB_P•aneee.Isorfa+«.maI ELIUBETH AC POPTUWL:s games Oo•B,a,Na,MtlKgb•MrEtl�1tl�MAM1YYJrYI�tMFYM oaanaayWas p,IYbAesYAMlstlefMYW daedta•wWs•wnn.nc«+.enauartfasaomryW my ConRanv as an MinnMOYYYM�MtNOM11�CaA1YtlYIFMrIMF� NbmavnuYnuXsad�eanFwnaa^bMNv,Mena MaYa«m mAuwPaa:A Aadd nA Ca�oa,axed,PamsleaMbSacMYY�1MNMIMIIAAw�"N' nfadwynneepeMw.SbaapcaAbw:IsmcANrNOY+nlmnaos,d'n«ncmobomAamaMOY mABmrc 0'c:,xlas0IwCUMMC�MIdIp16AM OOYIWIY oP:adwy is.I991. RES(kVEO ewMPnYbn,cadba•ebaopcauMwm,ry'^'9odlM CarpnY EL17ABETH AC PORrIiGnl wm co.«am wmmry bny,m MY1cIM WgYq•111>NA gfaY•W pYbmAnnaMnr*mamnnrmeAnaar9nwPMYaumd stoo.OBo 01 Asiorwbr Pn.nn•n,necoAN ,hoA,mF en.Forp,YrtlIMkMMA/WYFMYM Wldel M W souse ft'JD.DOa,i31 YI om«Donn:)leae se mAsfeO In m•Swan Aasonauo"d Arte«a n:b Rare Abmul d FYMry.Fogey N>lYK'�eede MOYYOMfa YW:dIwIYCWMTIMJudaal.camxilmdidl,pedOwbal.AAenaanaoue.l¢MWaMP«mX.areiee«aWvca•ongm•pAn«words,OD.BBD;N)IM�1AIetrMeY-ftpew YMA b deaanaW mdsw 131 YxAn mun.A ee,RMad n A�'aeM.m•0•rAamYK>adM nY^fam Ip:gAl mA nA,•aCeM L,Ue'JaO.afY IS)Y ywOMb W MMgyMw:YeW III!sss.BBo. RESOLVE O FLRT NER ma ELIUBETN AC PORTUGA:I gMMe Doan AM awAdeY ro•sc•M IM eOPACMIe M^Y AmI is bM in de a•nd,5,•AOLMn br artY OaG a n a,ron,a�.Y b me amOW d aM NMr d uedt a eKraYr sacu^n.:Mowe es m'MIwI sec+ntY oy r:a Co^Va^Y as an:Moman�lo:Few IM OaM. RE50.VE0 NRiNER Hal me auewdy d me seaaen d of a CartoenY ro sorry me aJe W eon am eKNd+«esa d Oe f aegrnp t a,n W wa n aM Um:l•C Pow d Ammry u,Met y ft"ah.b the beowq pfm .the A9n•We of any dthe xsem,roO:M me CaNMY and ngwT n cew.Wty AM ANAhNANA d IN iNep.9 awMAaa MA sore by me Seae,ary dme CaMM•CKaMSJ.FaMW.Gary BaaeY.Jaw K.:-xohhe.BAe AIA Rub.Sfann A.oNe,GrWv Homeon.Mc1:aY5.PI*W,EUO.$aoefnM•t anefmA OMOArtA. RESOLVED NRTHER IfMt,M s9hWo N IANArtng nfenca,mn daI the Pow d Atxm :A nA in inn WV eMO'..Of the"ANN".NOWT R a:e NNNT umge9 uY:ef:A9A1 aM eXettn«w,iM IN W WraM atl NCWY nW AppWN M Ar5'L,mnM Pp«d AtbmW mnW"t AM m•b-90 q NNINAW mM C•al WLme. RESOLVED FURTNEF that a m WI,aaoaM oarb My apM:M,SMC renames MY AN,,N --tact W CONTRACTORS ENDING AND INSURANCE OCYPANY an twe0y s:Pefaaeee- IN APTNESS WHEREOF.CONTRACTORS SONOING AND INSURANCE COMI'ANr W-,AAImeu aMe^YbM-W"PyftPIAAUenlaM:m neor•Ye9arace,eeb&MAW the I BIKUay dJa ' I"I CONTRACTORS BONDING AND INSURANCE COMFANY W IAas �S0prv01NC Ayf n SEAL F+S7 — l isi SMIMIA PfeelWn -- —__ AA '•.1979,:'N - STATE OF WASNIMCTON—COUNTY Ce An Or, ftIso,rMIAp 1991.• :vgpA A SMVEEN A of�saNq.SW ,to sasaMpuTneAa,Mhh Ax that aMon oI 9YMOW IeLehlb(I Iwvv 01AWhMANde WAv el AW"'y A DA60 NWRNESS WHEREOF. naAS Weumo W my rwM aM aAAee I^y aIAPa sea ne am anc tea,firs,aCae .iY T.M�cS NOM PI.Y'n AY W the S,ato of WaMr9W.NNA:na a Seams-- IYIISN\N ,11e III CONTRACTORS BD INSURANCE COMPANY.mA" n abp vE bNNWV S A M.Tote"xxTeciwP.'d fto:"Pow a,AM,,d5�.00CNMCTORS"DIWWINSURAWECOWMY N."AAAS U ONOeD:A IN ,,GVeVI NEeeA lweh A WMy ftft Nd POw of A"awa:n wn LIE~ GIV a Bail )y .ma 6th do a_ M9xdf .to 91 _ Pot. 11S51 PUBLIC WORKS. DEPARTMENT 1y1�+ k DESIGN/UYILITY ENGINEERING • 235-2631 MUM.;IPAL OWLDING 209MLL AVE.[O. RENTON.WASK O[OE[ BACKFLOW DEVICE TEST REPORT .w.Kl felebl coon K. N411 AceerwL a.. 2 - 7 2 Z- wrbM DC I � �A .• 41py'A fe(L LOtelgllb - , �4.1.t!SeKe �+ Ye 1 � Y/IU � . ;i (/Jl 1 .'..\ Lee Ieal ewepepea Ie'eleMbvY Los Les- CHECK VALVE NO.1 CHECK CALVE NO.a pNp[1KNTIAL raEMW[RELIEF VALVE L40"d ... spoon peNba �. .....ir...::....... ❑ 1. Lx�M y.................... Opens❑ 1. .' TEti ...................... 2 Closed Ogle.................. 2. Did ncI open ❑ I > E.Gin"MpM............. _ aerud..........I............. ❑ cleenW........I............... ❑ CleAxd......................... ❑ At ftpYeed. Fliosced Ibpleced D.......................... ❑ D-sc....................... ❑ Disc.upper ................. ❑ 6p.lnp.........1............ ❑ Spinp...................... ❑ Disc 10wer.................. ❑ R 4 Owde ...................... U Gwdr ._... ........... ❑ ap N ❑ .e11wM1eI . ............... ❑ Pm.ele'.w ................. ❑ D.epnlepm.lrp ANb.pe pm................... ❑ Hn,pe pin................... ❑ Uprise ................... ❑ seal........................ ❑ Seel. .. .................. ❑ Lower................... ❑ s Impluapm.................. ❑ DuPNIQ................... ❑ OlsvM* Nndl Dow.dex.We.............. ❑ DIMI.dew*@.............. ❑ uppn................... ❑ tLDwb..................1 ❑ L... r.IlaM�a... ...... ❑ to"NT ❑ CIOaW ❑ Opened er a,e. cbm"M.................... a[N..................., laduc►d paNlRa i .!.. _ Ilelaalae: THE An VIE PEP T IS CERTIfIED TO pE Jllu[ n:LYlerm g111b IlenD Public Works Department DESIGN/UTILITY ENGINEERING 200 Mill Avenue South — Renton, Washington 98055 CITY OF RENTON w Planning/Building/Public Works Depa-iment Earl Clymer, Mayor _ Lyon Guttman,Administrator March 1, 1991 Ms. Peggy Carver Spencer and Douglas P. 0. Box 0786 Bellevue, WA 98009-0796 SUBJECT: MAINTENANCE BONG - MATHEWSON AUTOMOTIVE CENTER 271 RAINIER AVENUE NORTH, RENTON, WA t Dear Ms. Carver. The utilities and street impr--ments for the subject project are completed and Will be accepted by the City of Renton for maintenance and operation subject to the postinb of a one year warranty and maintenance bond in the amount of $3,200. Please contact me at 277-6210 if you have any questions or require additional information. Very truly yours, Abdoui Gafour Water Utii?ty Engineer ralaas:A�:w 200 Mill Avenue South - Renton, Washington 98055 CITY OF RENTON Planning/Building/Public Works Depattmcnt Earl Clymcr, Mayor Lynn Guttaan,Admiuistntor February 26, 1991 Mr. Ross Mathewson/Brent Kranz Mathewson's Automotive and Tire 271 Rainier Avenue North Renton, WA 98055 SUBJECT: MAINTENANCE BOND FOR UTILITIES IMPROVEMENTS MATHEWSON AUTO CENTER Dear Ross and Brent: In order for the City of Renton to release the ;er-nit bo1-: for the subject project, a one- year maintenance bond must be provided by you. The bond amount shall be $3,200 which represents 10% of the cost of the utilities improvements that were conveyed to the City for maintenance and operation. Please contact me at 277-6210 if you have any questions or require additional information. Sincerely, Abd Waw Utility Engineer Specialist a1-174AO:p CC: Humble Im.Comp.ny-Pam 200 Mill Avenue South - Renton, Washington 98055 BOND NO. MAINTENANCE BOND KNOW ALL MEN BY THESE PRESENTS; That we as Principal, and , a corporation organized and existing under the Laws of the State of , Surety are held and firmly bound unto "Pe (nY ct e(MDN as Obligee, in the total sum of 'fief( 14 Mu oo : lwo No«oaEn DauoP; evo wo/ienc ($ 3,3oo.ec ) Dollars, for the payment of which, well and truly to be made, the executors, administrators, successors and assigns, jointly and severally, firmly by these presents: QtbhcS 1mp,0vcrnrrfs (p tcv, Swr•n, sh,& Ij�nf� n,A off-sYt iMrwwmrnts 4— for MQFnfuison�+ Aatpmoi�Vt + "T+rt nr 271- �clmr♦ Ave No_ 'Q,,.{s„ Wo gLOSG rev 01 e; -Fe" en T A"c Ipmb: (on ?'I iv P- 74.3i I-OW, THEREFORE, ME CONDITION OF THIS OBLIGATION IS SUCH, That if the Principal shall maintain and remedy said work free from defects in materials and wirkman3hip for a period of nwe ( 0 year(s) following 1 completion, tnen this ooligation shall be void; otherwise it shall remain in full force and effect. Zooe+s o.ie SIGNED, SEALED AND DATED this day of 19_ BY BY BOND NO. _ MAINTENANCE BOND KNOW ALL MEN BY THESE PRESENTS; That we as Principal, and a corporation organized and existing under the Laws of the State of , Surety are held and firmly bound unto as Obligee, in the total sum of ($ ) Dollars, for the payment of which, well and truly to be made, the executors, administrators, successors and assigns, jointly and severally, firmly by these presents: for NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the Principal shall maintain and remedy said work free from defects in materials and w, -.kmanship for a period of year(s) following completion, then this obligation shall be void; otherwise it shall remain in full force and effect. SIGNED, SEALED AND DATED this day of 19_ BY BY BUILDING DIVISION W io29 FINAL OCCUPANCY INSPECTION REPORT DATE: JANUARY 23 1991 TO: UTILITY SYSTEMS [ X] STORM - RANDALL PARSONS ( X] SEWER - DAVE CHRISTENSEN [ X] WATER - ABDOUL GAFOUR [ X] PLAN REVIEW - GREGG ZIMMERMAN [ X] CONSTRUCTION SVCS [ X] TRANSPORTATION SVCS - CLINT MORGAN [ X] LANDSCAPE/ZONING [ ] BUILDING FINAL - NEIL MAUVE [ ] FIRE PREVENTION FROM: BUILDING DIVISION - SUBJECT: 271 RAINIER AV N PERMIT NO: B-15462 (W0487094) MATHEWSON AUTOMOTIVE TYPE BUSINESS: COMMERCIAL BUILDING 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 JANUARY 30, 1991 in order that a permanent certificate of Occupancy may be issued. If no comrerts are received by the above dete, the permanent certificate will be issued. TO: BUILDING DIVISION DATE_ JAN4PAJ 7-5, 1a9I FROM: 90LLL GAsoaia - 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 SMSMIT 'M( FOu of E 7l DW"(M7M lOM I' (3� Assum MtuRs of Wk SaaM Sawn STW n'tie U( tL+4 t Ihf Rw'MMT3 (A N'r 0C,GK1660 AAaeftw 'c6C gbm fic LA"VSUPE ' i ffai , Va:,. 1uA DGVA. �� HA;xcE.T,u ago �ti aMEYNa wruA,.�f oP tAT%Wn1b iHr4ve« T% CAN-ftO T WY . DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE OF OCCUPANCY? (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES". ) [ YES [ ] NO Authorized Signature U t ISSUE A fiNO� O(LulAw(I t ten Fi(A~E nnT3l, ALL0( A6►v►� s3:finL=c "C Vf(fivFO gY W1`?Ftl 11i1iAY DE9� '� N6a1FUMCv FReM ww"' ut:sc� 1Y wQi�tiN4 ESM ina A CIVIL ENGINEERING.LAND SURVEY,AND PROJECT MANAGEMENT CONSULTING f IRM .Job No. 438-01-890 December 28, 1989 EXHIBIT ++A++ LEGAL DESCRIPTION FOR WATER EASEMENT Commencing at the Northeast corner of the following described parcel of land: THAT PORTION of the North 130.00 feet of Block 53, N.H. Latimer's Lake Washington Plat, according to the Plat thereof recorded in Volume 6 of Plats, page 70, in King County, Washington, as measured along the East line of said block, lying Easterly of 91st Place South; TOGETHER with the South half of that portion of vacated South 130th Street adjoining said Block 53 on the North, lying between the Easterly line of 91st Place South and the East line of said Block 53 produced North; except that portion, if any, of said vacated street lying within Primary State Highway No. 5; BEING a portion of the N.E. quarter of the N.W. quarter of Section 18, Township 23 N. , Range 5 E. , W.M. ; THENCE Southerly from said Northeast corner along the east line of said parcel 57.00 feet to the TRUE •POINT OF BEGINNING of said easement; THENCE West 15.00 feet; THENCE South 22.00 feet; THENCE East 15.00 feet to a point on said East line; THENCE North 22.00 feet to the TRUE POINT OF BEGINNING. syl/leg4 V PE�F,� v � + s+ �► t 941 Powell Avenue S.W.Suite 100 • Renton,Washington,98055 • I2061 228-5628 CALCULATION OF INSPECTION FEES PROJECT PROJECT REFERENCE / PAVING 6 STREET LIGHTING; OuSrT15 8 Z-11s.00 oFFs:7� o 'nLat IT= 35c� 5�vrwrur 144Z.4� //�-(o3�i!aA�279�c10-7/47.D0 (o35Q.cL SANITARY SEWER ! STORM: QeacGk =/H77v.5� �gL,iii.�_ i s"vO.vo ?Q7 410 3oDD. 00 VAIM 9d5/TE9 /000 pFGSergaTv Zoao,ao /206 pe-a /450•eo rgeg 'BOO -rrAL= ZO,S66-0o r?,sGa• S'S.lclB, cb TOTAL CONSTRUCTION COSTS: $ TOTAL INSPECTION FEE FIRST f100,000Llo f SECOND $100,000 - f REMAINING f f TOTAL: f IL)?Z.54, CALCULATIONS: PAVING & STREET LIGHTING: xa9�4�X I 672, SANITARY i STCRM SEWER: Z$/-7/ X WATER: 14f 403,4t)- /o 406, GYM BOND AMOUNT FOR 100% OF WORK IN R/W =.(Q �f 1!o/�p• Y?$Gt� ' ZS, Ss4lD NUMBER OF STORM SEWER CONN. TO SYSTEM NUMBER OF SAN. SEWER CION�N. TO BLOG.(S) PREPARED BY iv I Ay:01 11. kIk=15T - DATE D/INSP-FFF:AH:If 6/12/89 Mr. Dave Christianson i City of Renton 200 Mill Avenue So. Renton, Wa 98055 Dear Mr. Christianson, The following is the cost of finishing the off site improvements as per your request. Also included is a copy of the cost of the utilities as supplied by A-cher Construction, the contractor that we have secured for this project. Blacktop------$2, 793� Sidewalks-----$1, ""942 `� Curb cuts-------$912'/ $5,647 ✓ Sincerely, Ross D. Mathewson (''a!-14 3,3 •.� � �'_ ,N,1TN(Y/SOA/S ati� .\I,N,.t��, y el Al Ipa � M , �, .. N z;tJ ', . ARCHER CONSTRUCTION, INC. 7855 So. 206th St. • Kent, WA 98032 • 251-8153/251-8156 AR-CH-EI-219-DR January 5, 1990 vV Mr. Dave Christianson v City of Renton 200 Mill Avenue So. Renton, Washington 98055 RE: Honest Perfornance/Mathewson Automotive 271 Rainier Ave. So. Renton, W.A 98055 Dear Mr. Christianson: The following is the breakout which you requested for the utilities for the above named project. On Site Storm Catch Basin #2: $ 600.00 Catch Basin #3: 600.00 207LF of 12" CMP @ $13.50/lf 2,794.50 Total: $3,994.50 Off Site Storm Catch Basin #1: $ 600.00 Catch Basin #4: 600.00 Catch Basin #5: 600.00 Catch Basin #6: 600.00 Oil Water Separator: 1,500.00 565LF of 12" CMP @ $20.00/lf 11.,300.00 Total: $15,200.00 Donestic Water Meter: $ 1,200.00 Irrigation Water Meter: $ 1,200.00 Side Sewer: $ 3,000.00 Hook-up Down Spouts: $ 1,976.50 WATER MAIN • FIRE PROTECTION ARCHER CONSTRUCTION, INC. 7855 So. 206th St. • Kent. WA 98032 • 251-8153/251-8156 AR-CH-EI-219-DR January 5, 1990 Page 2 Fire Line to Building (1) 12"x8" Live Tap $ 2,000.00 (1) Fire Hydrant Assembly 1,800.00 (1) 6" Backflow Assembly with Concrete Vault and Pumper Connection 12.500.00 80LF of 6" Ductile Iron C152 Pipe @ $20.00/lf 1,600.00 Total: $ 17,-00.00 if you have any questions regarding this break-out, please call. Sincerely, 1'4//11Z Robert H. Archer President cc: Brent Kranz Honest Performance WATER MAIN • FIRE PROTECTION �" FIIVA J, PPE- acc pit Rf� , sE+9 To ,qa.L er /id_oy '�/.J"- 5'0 CITE' OIL RENTON PUBLIC WORKS DEPARTMENT Earl Clymer, Mayor Lynn Guitmann, Director July 3, 1990 Ross Mathewson P.O. Box 238 Hobart, WA 98025 RE: 271 Rainier Ave. N. Pennil tl 11-15462 Gentlemen: referenced building can be issued a permanent Certificate of Occupancy: The following items most be corrected or completed and approved before the above- 1. Public Works Department (235-2631) A. As-built drawings for storm shall be submitted. B. Cost data and inventory req• M for storm drains. C. Require backflow test repro.- for fire sprinkler. DCVA and irrigation meter. D. Rcquir � bill of sale for water lines. E. Required as-built drawings for water lines. F. Subject to City inspector's final punch list. G. Require as-builts for sewer system. if. Street lighting inspection and installation incomplete. 1. Install permanent address on building. 2. Planning Division (235-2550) A. Complete landscaping. B. Complete awnings. 3. Building Dlvisan (235-2540) A. Complete 2nd floor of building. 4. Fire Department (235-2642) A. Tape wall on Ist floor, north retail space. B. 2nd floor lunch room requires second exit (need to revise). C. Complete sprinkler permit corrections (2nd fluor north bathroom needs sprinklers, etc.). D. Provide fire extinguishers (2A-IOBC in office/retail; 4A-40BC in vehicle repair). E. Sprinkler system to be control station monitored. F. Provide and mark fire lanes. 200 Mill Avenue South - Renton, Washington 98055 - (206)235-2569 Page 2 July 3, 1990 Ross Mathewson If you have any questions conrrning these matters, please contact the concerned department or our office. Sincerely,� � �,C�- L 4 Gt1J K.C. Ilindara Lead Inspector Building Division KCB/JAE BUILDING DIVISION FINAL OCSU_PY_IN5PE.. TI N REPORT DATE: SEPTEMBER 18, 1990 TO: UTILITY S 'TEMS Z { ( , ] qlZO STORM - RANDALL PARSONS 1 [ ) SEWER - DAVE CHRISTENSEN `�!.•. ] WATER - ABDOUL GAFOUR [)C ] CONSTRUCTION SVCS - GARY YOUNG [ ] TRANSPORTATION VCS - CLINT ORGAN [ fJ LANDSCAPE/ZONING 9y'I [ J BUILDING FINAL - KEN BINDARA L ] FIRE PREVENTION FROM:,_BUILDING DIVISION - KEN BINDARA (6173) SUBJECT:_27)_ RAINIER AV N___PERMIT NO:_-15462 (P7433) W 70941 14ATNEWSON AUTOMOTIVE TYPE BUSINESS: COMMERCIAL BUILDING The subject project is nearing completion. Please investigate your area of •: responsibility and indicate below either your acceptance or non-acceptance. It is necessary to return this form by SEPTEMBER 28, 1990 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: BUILDING DIVISION DATE____ FROM: This project is approved by this department subject to the following corrections: (Note: see copy of 90 day requirements attached) Authorized Signature FiI-1AL �n_E- 6C6 Pd�as� , sc,va To ysL CITY OF R.ENTON PUBLIC WORKS DEPARTMENT Earl Clymer, Mayor Lynn Guttmann, Director July 3, 1990 Ross Mathewson P.O. Box 238 Hobart, WA 98025 RE: 271 Rainier Ave. N. Permit At B-15462 Gentlemen: The following items must be corrected or completed and approved before the above- referenced building can be issued a permanent Certificate of Occupancy: 1. Public Works Department (235-2631) A. As-built drawings for storm shall be submitted. i. Cost data and inventory required for storm drains. Require backflow test reports for lire sprinkler, DCVA and irrigation meter. D. Require bill of sale for water lines. - E. Required as-built drawings for water lines. F. Subject to City inspector's final punch list, G. Require as-builts for sewer system. H. Street lipF,ing inspection and installation incomplete 1. Install ,)Lrmanent address on building. 2. Planning Division (235-2550) A. Complete Inndscapi.ig. B. Complete awnings. 3. Building Divison (235-2540) A. Complete 2nd floor of building. 4. Fire Department (235-2642) A. Tape wall on Isl floor, north retail space. B. 2ad floor lunch room requires second exit (n^ed to revise). C. Complete sprinkler permit corrections (2nd floor north bathroom needs sprinklers, etc.). D. Provide fire extinguishers (2A-10BC in office/retail; 4A-40BC in vehicle repair). E. Sprinkler system to be control station monitored. F. Provide and mark fire lanes. 200 Mill Avcnu: South - Rcoton, Washington 98055 - (206) 235-2569 Page 2 July 3, 1990 Ross Mathewson If you have any questions concerning these matters, please contact the concerned department or our office. Sincerely, K.C. Bindara Lead Inspector Building Division KCB/JAE BUILDING DIVISION COMMUNITY DEVELOPMENT DEPARTN { I��II�j� D PRE-OCCUPANCY INSPECTION REP iSs DATE;_,F 1, 1990 CITY OF RENIUN PI IQl 1r�Y0RRS_ CUSTOMER SERVICES T0: 1_ PUBLIC INFORMATION COUNTER _1 BUI'DING FINAL CARRIE, PUBLIC WORKS _1 LANDSCAPE/ZONING I_. FIRE PREVENTION FROM: BUILDING DIVISION SUBJECT: 271 RAINIER AV N PERMIT NO_8-15462 MATHEWSON TYPE BUSINESS CNMMERCIAL BUILDING The subject project is nearing completion. Please investigate your area of responsibility and indicate below either your acceptance or corrections necessary by JUNE 8, 1990 in order that a Certificate of Occupancy may be issued. If no comments are received by the above date, the Certificate will be issued. TO: BUILDING DIVISION 1�z,9 V`� DATE JU/ JE -I1 I1R() ' FROM: Utility Systems - Water This project is approved by this department subject to the following corrections: 112pr rin"A I AND tP216Pf u+J F'lerN 51 SOb to v i Y Nspecfo 1 iMA IS DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORAPY CERTIFICATE OF OCCUPANCY? 1—1 YES ICI NO FORMS#1:PREOCC Authorized Signature CITY OF RENTON �+ UTILITY ENGINEERING NO N© 2594 ♦ / • 200 MILL AVENUE SOUTH � a RENTON, WA 98055 9F PHONE: 235-2631\ ski ORDER FOR WATER SERVICE INSTALLATION Account No. 1 400 v �t Meter Charge $ Work Order No. ��}C 2 Less Stub Service Credit Sundry Sala No. Dorm Payment _ System Development Charge In City Yes)t No Late-Comers (City) On Sewer Yes No❑ (Others) Water Usage: Residential Commercial Industrial TOTAL FEE Other 21 /1 INSTALLATION: Meter Size Size Service Temporary Hydrant Meter Yes 0 No�] Meter Make _ Sewage E.empt Meter Yes No ,�/ Meter No. Fire Protection Service Yes No llfl Date Installed Service Address 27I 12A1kJlEIL 4J- J UJ Corments: Legal Description - c' [. S gna urt¢ CROSS CONNECTION CONTROL: Backflow Protection Device Required YeSJW No If Yes, Type of Device Reduced Pressure Backflow Device 11 Double Check Valve Assembly Air or Pressure Vac Breaker E3 .� Make of Device Modal Serial No. Size _ Date Device Installed Meter No. File No. I i Owner's Name �.�' Pho`ne -7 - 5 716 s 7 Add rae 71 QIU 1eeL AL1 City t= State WJ4 zip �Ie5osc t j Contractor's Name J�Q(At" C QA VC.M✓ 7i-I 1 .I Phone Address T' City <A •-r state L"t4 ZIP 98C3 Z Area Served by Renton Vater/IR�y1( Seattle Water Seattle Water Code No. _ Temporary Service Ag reemen[ Yes No If yyYee[s, Ag eement Recording No. Service to be Located on an Easement Yes C] No 1 If Yes, Easement Recording No. Is There an Existing Stub Service Yes ❑ No T If Yes, Water Project No, W- Existing Late-Corners Agreement Yes No(�1� If Yes, Agreement No. In Favor of `�Y Address City State Zip Charge S f y�q�,� tzz,89$ System Develupment Fee Yes Y'� No� If Yes, System Development Fee Based on Q��{3� Square Faa THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH SMALL FROM Till TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO C:"FORM TO AND ABIDE BY THE CITY OF RENTON's RULES AND S ( REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SySTION 3-203. w It* - Utility Blilinq Fin e P aen on g¢n' �q ¢� " Yrllew - Engineering P nk - Water Shop _ _ " :� Guid - Customer en n1�"Uzang7oxn7 ¢ ' e CITY OF RENTON k. •� UTILITY ENGINEERING No. N s' 2618 ♦ J - ♦ 200 MILL AVENUE SOUTH ,I�+J RENTON, WA 98055 PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account �F No. —� Meter Charge 7 ' $ 5 3 Y 6 Less Stub Service Credit p Mork Order No. Down Pa 9TN ymcnt Sundry Sale No. System Development Charge j In City Yes® No Late-Comers (City) A I4 (Others) On S♦nar Yes No Hater Usage: Residential Commercial � Industrial TOTAL FEE $ ~/�• Other IN1 C-%ltb INSTALLATION: TB StIMn µIEO H( (OurMQTIv Meter Size A» GIi 6 Ftf NA'11) Size Servl ce Temporary Hydrant Meter Yes El No® Meter Make Sewage Exempt Meter Yes 10 No Cl Meter No. Date Installed APRIL 10 19110 _ Fire Protection Service Yes C9 No , Comaen[s: Service Address 2 ate71 RA iPJI ' �F Ne. Legal Description { I _aqua to 1 CROSS CONNECTi C. CONTROL: Backflow Protection Device Required Yes® No❑ es, Type of Device: I Reduced Pressure Backflow Device M v Te Double Check Valve AssemLly Cg Air or Pressure Vac Breaker Make of Device Model Serial No. Size Date Device Installed LL�A Meter No. �f FIIe No. UO- 1021 Dwner'S Name TTE.R^�L Phone L-11• sills i Address 271• ' A'*3kW- #416 N• CItyltFATM state WA zip gdOST Contractor's Name iv- Phone Addres 2jSt' EiIy KtA Stan DWI _ zip _ Q3031 Area Served by Renton Water Seattle Water Seattle Water Code No. Temporary Service Agreement yens O No® If Yes. Agreement Recording No. Service to be Looted on an Easement Yes CV No If Yes, Easement Recording No. Is There an Existing Stub Service Yes No If Yes, Water Project NO. W- % Zq_ { Existing Ute-Comers Agreement Yes No® if Yes, Agl himent NO. 7 In Favor of Address City State Zip Char,. S System Development Fee Yes(A No If Yes, System Development Fee Based on 7-7s 1?4'3 41" Square Feetrhztia• lt-7431 THE UNDERSIGNED SUBSCRIBER REQVESrS 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 f RENTON'$ SCHEDULE OF RATES WHICH SHALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER 15 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/J17203. v' { /1z/Whit90 j gn to eA r c, ge Date Yell ass Utility Billing ai _ �• /CC!! Yellow Engineering ngineering zk Je/y0(��// "IC�� -{' e Pink - Hater Shop Gold - Customer i !I c, en o DRczulg Agent �U l M \1t Ut CI TY OF RENTON �+ UTILITY ENGINEERING No, x aO 2616 . ♦ ♦ 200 MILL AVENUE SOUTH A f RENTON, WA 98055 •�i�..rll� PHONE'. 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account No, Meter Charge It. M $ work Order No. 5386 Less Stub Service Credit _ -- Down Payment Sundry Sale No. _ FA System Development Charge tA,o P 74 3'i In City YestK No❑ Late-Corners (City) On cower Yesils No F1 TOTAL FEE g 400 +1(Others) .{ Water Usage: Residential 1-1mmercial Co � Industrial S F' Other (2 DDKMC- INSTA'.L AiION' iMeter Size Size Service Temporary Hydrant Meter Yes No Meter Make Sewage Exempt Meter Yes No® Meter No. f fFire Protection Service Yes No Date Installed : I Service Address Z711• ^I(EI(Q AVE N. Comments L Legal Description I n Ra"CNE01v rlr}�_M 13e n d 6K 33 lPiiMKi UYE unyt. PLnT , '1GIW W/uMA'*� 7ForsT ngnauae CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes Iff No If Yes, Type of Device: Reduced Pressure Backflow Device ID Double Check Valve Assembly® Air or Pressure Vac Breaknr Make of Device Model Serial W. Size Data Device Installed Meter No. File No W_- I2'L l n m trryy Dwer's Nae I;JI E"I st lrin N's Phone 1- 3341 Address _ OL71- RhW #W Ma. City 'VCwrTM State ,VIA _ Zip 9j055 Contractor's Name IC14% AK-.T 2V%moV Phone , 'dress 7 CS.S• so206 Sf City WeaT state WA zip lid 32 Area Served by Renton Water Seattle Water Seattle Water Code W. Temporary Service Agreement Yes No® If Yes, Agreement Recording No. _ � Service to be Located on an Easement Yes NON If Yes, Easement Recording I:. i Is There an Existing Stub Service Yes ❑ NO If Yes, Water Project No. W- I�Z1 Existing Late-Comers Agreament Yes 1] No ICI If Yes, Agreement No. In Favor of Address City State zip p, O Cha.g�ee S System Development Fee Yes A No If Yes, System Development Fee Baced on NO F4435 Square Feet Z1,84 f Ita , 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 CITv OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH SHALL FROM T'.iE 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, SEL fIO }, s, Wh to - Utility Billing / iq a NiPJ: CA Agent Vqa( TO .ow - Engineering Pink - Water Shop Gold - Customer t u r, u toa.tz qgAgent ue +�IOJ�9� •i PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION CITY OF RENTON, WASHINGTON PERMIT APPLICATION ONLY - UNTIL VALIDATED NUMBER Owner Location of Work Address s. — r— INSPECTIONS FEES ICONSTRUCTION Sanitary Sewer/Storm Water Permits I Right-of-Way Construction PERMIT Right-of-Way Inspection Fees (Public Right-of-way) Water Inspection/Approval Fee — Special Utility Connection Fee, Water _ Water Latecomer Fee Special Assessment District, Water 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 Special Deposit, Cash Bond TOTAL FEE Description of work end Number of Feet Contractor Business 0 _ License Address _ Bond Telephone IT IS UNDERSTOOD THAT THE CITY OF RENTON SHALL BE HELD HARMLESS OF ANY AND ALL LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE: OF SAID WORK. ANY WORK PERFORMED WITHIN THE RIGHT-OF-WPY OR ON St ,MIN MUST BE MINE BY A LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORL KCAVATING. CALL 235-2631 FOR INSPECTION. Call between 6 AM and 9 AH for APPLICANT inspection in afternoon; call before 12 Nr -,.. the day beforL for inspection in .norning. PUBLIC WORKS DIRECTOR SPECIFY TIME FOR INSPECTION. CALL 235-2620 for st-eet signs CALL BEFORE YOU DIG BY and lighting. 48-HOUR LOCATORS 1-800-424-5555 7 ME Ra�' d MF�TIiLW"��l OEI NNER: IVISION Bu!Lr�ING DIVISION ADDRESS: `LTI aAl�.I IER DVS.. ,.l, RING COUNTY TAR ASSESSOR'S ACCOUNT NUMBER: AaO440 _ OZ(, LEGAL DESCRIPTION THAT PORTION OF THE NORTH 130 FEET OF BLOCK 53, N.H. LATIMER'S LAKE WASHINGTON PLAT, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 6 OF PLATS, PAGE 70, IN KING COUNTY, AS MEAS ) ALONG THE EAST LINE OF SAID BLOCK, LYING EASTERLY OF 91ST PL-A:,-- SOUTH; TOGETHER WITH THE SOUTH HALF OF THAT PORTION OF VACATED SOUTH 130TH STREET AD,;OINING SAID BLOCK 53 ON THE NORTH, LYING BETWEEN THE EASTERLY LINE OF 91ST PLACE SOUTH AND THE EAST LINE SAID BLOCK 53 PRODUCED NORTH; EXCEPT THAT PORTION, IF ANY, OF SAID VACATED STREET LYINC WITHIIN PRIMARY STATE HIGHWAY NO 5, e d e OSNS 15 V31Fi811 r STATE OF WASHBMTON DEPARTNIEIeT OF SOCIAL AND HEALTH SERVICES WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION-. READ INSTRUCTIONS ON LACK OF GOLDENROD COPY If instruction.a,, TCA'ellowed,Sample will be relacted DATE COLL EC TEE i ''AE'. LEET^EU COUNTY NAME MONTH DAY / v"I Y o ® AM ❑ PM TYPE OF SYSTEM IF PUBLIC SYSTEM COMPLETE �vuBUG I.D. No. / 8 o V e ass INDIVIAL I 9 a ❑ DU �n xw.cn NAME OF SYSTEM ('') 2 C N D SPFCIIICL TiAONW FRF SAMttE COLLECTS SYSTEM we 'M(R NAME AND 1111401E 40 .lk.0 F4ee too= . A V., (ZCrP) 2 -Ze6 SAMPLE COLLECTED BY.INallwl n) Z li3E TNE�BtE SOURCE TYPE ElSURFACE ❑WELL ❑SPRING O PURCHASED gCOMSINATION b OTHER SEND RE T JO:IPnnl Full Herr.Adm .zo CooN p/��N`i; _ LHY\`3 r,k� wASNINCTON -��l/J TYPE OF SAMPLE 1.❑ DRINKINGWATER ❑ CMOrinabefResuluaF._Total_F•eel clKKk treatment FiltereAI ❑ Untreated m OTNer Z. ❑ RAW SOURCE WATER 3. NEW CONSTRUCTION or REPAIRS I OTHER ISpecdyl COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PPf V:IDS:AB NO PREVIOUS SAMPLE CO.LF.CTION DATE_ REMARKS: LABORATO. I RESULTS MT.B LAB DAL DMLYI MPN COLIFORM I STD PLATE COUNT SAMPLE NOT TESTED BECAUSE. MPN DILUTION TEST UNSUITABLE ❑ Sample TOO Old AN^" 1. ❑ Cnnlluent Graxtn ❑ Nul,n Proper Contairer ME COLIFORM 2 ❑ TN fG ❑ InsulRcient I'VODllatlon ! /6C.;, PrOnded—Pleaee Read Inetrucilone On I. FECAL COLIFOR 3. ❑ Eaeese Deorie ❑ MPN ❑ MF d ❑ ❑. �00 ml FOR ING WATER SAMPLES ONLY,THESE RESULTS ARE. SATISFACTORY ❑ UNSATISFACTORY SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS LAS NO OATE.TiME RECEIVED- RECEIVED BY L �T If CATS REPORTED LABORATORY' REMARMS WATER SUPPLIER COPY e, f . It fy ; CITY OF RENTON WATER DEPARTMENT Pressure Test B Purification Test Form PROJECT NO. — 102 9 NAME OF PROJECT_ M,4 ,na�.iSOr�C A..+cmo�\VE PRESSURE TEST TAKEN BY M wC 0 AT A PRESSURE OF PSI, FOR Trap 41 c.ua.c -YH'M•• TEST ACCEPTED ON y�7�go PURIFICATION TEST TAKEN BY N9 •WFTNt2ritZ- ON y z PURIFICATION TEST RESULTS, SAMPLE Y1 NYDBANf At DVIEWAV OK i 4 lc/t0 0A SAMPLE Y2 SAMPLE x3 REMARKS: Y i CI"Y OF WORK ORDER - DISTRIBUTION DEPARTMENT to 5386 RENTON •` • W PROJECT NO. �` - IOZq DATE_' 72 19%0— PROJECT NAME to kfli S S A�It`W..,��tb(T w --- FUNCTION OR DESCRIPTION OF PROJECT_l w3 Neill SAMPLES AY cm fyf.._ •4- TXtATV0 wou-For— j (lF�s DC4lJ8SiS S�wnl as wwvta tApm1- PSTPp"w V40 BY CITY FORCES CONTRACT ❑ IF CONTRACT NO._I1 f CONTRACTOR'S NAME f hfk cgostnu mw — CONTRACTOR'S ADDRESS 7 855- SO 60 .ZF- see* WA• q$03Z ESTIMATED COST FUtl U1NO SOURCE,_ ACTUAL COST AGREEMENTS ❑ IF SO, NO. SPECIAL BILLING IF SO, 70 1640.1 WWI - 271 Q"iW Mt No- ". e.11m- WA. A3055 COMPLETED APPROVED BY__.__L " •rZ o .n-Exi NOTICE OF NEW FIRE HYDRANT IN-SERVICE NAME OF DEVELOPMENT /f4#HCWSn.-v� Alilorme Iowa- ADDRESS �%1 R�^Irl,&az" /4y6 /V INSTALLATION CONTRACTOR f{If7 CDV�S 7QUG..Tin �� WATER PROJECT NO. W - 1 O o�'i NUMBER OF HYDRANTS A %c HYDRANT LOCATIONS Al DRI�EW AY SEE H�9\ (FOR FIRE DEPT. USE ONLY) n� '�Mr J HYDRANT NO. Iu A!l h, UC S!cE _ 2. 3. -- — 4. 5. 6. INSPECTOR m}3 V.1e-rNEk'4jcc 4/1-4/90 +t NE„� g a8 t271. 12AMfit At* Na. figi Srniu+l6! VAULT 'y.r 5 D.i. \76 R e AWHORIZATION OF SPECIAL B1LLIN.' DATE , .. Z - fie) PROJECT NAME; M A,htw%(m 1 A uw (cwT(R PROJECT NUMBER W- I021I WOPK ORDER NO- 5 3 V6 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 ReAon for the following work: �N \Pt�Pt1�U 2 - NE- bath u t,ItrL *Ru et t Huitiz (LESS D@On51f M \N CIJ lu V,"flt AeW)h,AVPuth"c_,' BILLING TO BE SENT TQ City:��/L��'� I��r"rr %tJ __�.5� Attu: .fps Phone No_ 2 24'' caner/Developer, Contractor or Authorized Agent AUTHORIZATION OF SPECIAL BILLING DATE: _ PROJECT NAME M A i A ca C f E uTER/ PROJECT NUMBER: W ' L ci WORK ORDER NO: It is the intent or this letter to authorize the City of Renton to bill the undersigned for all costs incurred relative to the above-referenced pwject, by the City or Renton for the following work: WATER 6111 AtifLE9 V RltA1Fp W,0, 61 cnr FGC<FS �fSTtNw aiT% N BILI ING TO BE SENT TO: Name:1541U7 Am/ yL yy Address�27 /�lPK /i/..nn U�� IVI' Ciiy. LA)Lek, 6OX. S Attn: �iQe'.C�j' e-1 Phone No_ Owner/Developer, Contractor or Authorized Agent �. A • I I I do N 64rtT �jbmp}yvC pCY.A. y.�: FLyaQoc!.��r;E! resT oP �.�Spsp .;ys a..G.Y. - All 91)Alk1- $((. +�[ �f 1'i•X8" TtE wort. ,nr ..�+•+:LD U i i m BUILDING DIVISION FINAL OCCUPANCY INSPECTION REPORT F--7433 DATE:_SEPTEMBER 18, 1990 TO: UTILITY SYSTEMS [ ] STORM - RANDALL PARSONS IIi{ r 111; [ ] SEWER - DAVE CHRISTENSEN CSZZL111 �� [ ] WATER - ABDOUL GAFOUR SEP IS 1990 [ ] CONSTRUCTION SVCS - GARY YOUNG [ ] TRANSPORTATION SVCS - CLINT MORGAN CITY OF RENTON [ ] LANDSCAPE/ZONING Engineering peps, [ ] BUILDING FINAL - KEN BINDARA [ ] FIRE PREVENTION FROM:_BUILDING DIVISION - YEN BINDARA (6173) SUBJECT: 271 RAINIER AV N PERMIT NO: B-15462 (P7433) (WOR870941 MATHEWSON AUTOMOTIVE_TYPE BUSINESS:_COMMERCIAL BUILDING The subject project is nearing completion. Please investigate your area of responsibility and indicate below either your acceptance or non-acceptance. It is necessary to return this form by SEPTEMBER 25, 1990 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: BUILDING DIVISION DATE SeoT Zi, I((10 _ FROM: NNW, 6hf 44, - Wmm Ln"' ( This project is approved by this department subject to the following corm (nns: (Not": see copy of 90 day requirements attached) A. Ni (Nt kuo-Ac PCCWKt bew NENTM`4 ma ROKW Pfw'1 To AMM-AWk cf W.— Ll (ASTutO tS ke, HAu-XOP"+ t ♦ ct*f?4%of 6, i(,r (I" cs Vcp'r.a M aWu T ORMtyN Cf UhMNA1N 1Nf ltyt nc-rS ) (trn6E0 F,( A 9W. Ew(a. .a. (Ava Sua..Erc+v - �rsi-OEfZT�fyyf� ,--S1tt[-r•. Y 8iM ry SA+E taA.. Ncw uWbE% Tn BE.. 1cx;,C t�r1+tT-�e'L NMa1rMM1:i 9K6(:u: O(yicFS "M(' 90c[TS (CA, SPrIAlfay + (rt,cAN* STyn`Y_ttala w 6j STA(f A�Y ;t,( IQTcti AU, tkUAn F.�TSM iXIK4, ne- UtiGheD fcrt A((yanc,Es ;T cw( Pc at ro A((fn''A*(-'v , FTq.N HMtiTT.yhNcE 6,ua PE- ,O(0 Pe,:n. 'Te Rum. ACCLVWWC�- NE*: Au. (PZI(E Mc.E Oc(•Nf Vc7.An. �p Ay Rtaur3;E0 BT Cl T'( CN ♦RFt((,N QQt' (,(l•P/MST QOX,t AP11j(R 4 VATM JUtY 3,KA� ,�'lcwcvea T%f nPon ((rur hM aer QEsaunro n OATC TO A(k-r Qf6utsr. Authorized Rhinature AU, NW UTiUTiO IMtlptlEO WNL „ 4E Act(PTEO all T"F CAT%( IaMTII. .,k4, eF A116dr O0tyv\p'(FN1Vu ARE SU61t(TT0 ff1L VC41itv t AVVROv^� IY Wave wedAw ^�br• We REattHMO Tt+aT A Faac ocw PAwcY Pft%llrSr i6r4ED Omlc Att )ttw A06 (a�r([TEOI - . 91 0 i f �•-�� 00jo f0/ non 8° Q I oaf ` 6 •.�' J° 003S oaulog Z X •i NW_3RD ST a/00 2 . 3 vpsa3 000a a.' ✓ _ --� /y45 e r !�. O gy1r ✓ al Iq o:N low ...�.%.ST —"AT0262 14 a se ✓� Igo — �._— . I 7 6 5 o:ao 3 t6s��p ` +' r` 1� 0391 t: 0345 It h lift os; le Alto k W L t y = Q 1 ti C] V lot ' • 6 IV N r , 0536 040 Ls 1 d Ir . N 2ND.ST._.�'o0 n BUILDING DIVISION W_ 1029 FINAL OCCUPANCY INSPECTION REPORT DATE: JA UARY 23, 1991 TO: UTILITY SYSTEMS [ X] STORM - RANDALL PARSONS [ X] SEWER - DAVE CHRISTENSEN 1 4 _,Ty OF ( X] WATER - ABDOUL GAFOUR 514 [ X3 PLAN REVIEW — GREGG ZIMMERMAN 1 [ X] CONSTRUCTION SVCS [ XJ TRANSPORTATION SVCS — CLINT MORGAN [ X] LANDSCAPE/ZONING w+,riG DIVI ION [ ] BUILDING FINAL - N :IL MAUNE [ 3 E1FF PREVENTION FROM:_BUILDING DIVISION - SUBJECT: 271 RAINIER AV N PERMIT NO: B-15462 (WO#87094) M_ATHEWSON AUTOMOTIVE TYPE BUSINESS: COMMERCIAL BUILDING The subject project is nearing completion. Please investigate your area of responsibility and indicate belc•: either your acceptance or nor-acceptance. Please return this form by JANUARY 30, 1991 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: BUILDING DIVISION DATE JAM4WI 25, 1g91 FROM: AC youLI 6ktu2 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 JNBNr "ShE ku.UM1Mb P0WMf WTWt10 r n As 64 r hjtA0 Of 04ft S 6 It theb t�3 dues c✓- z 'ifit0 nc�cftoW c6C DHaaa fiti lr�ve t* f%f J?$Csur.LBtt. 'D LYA, W^ Kf. ock 'W%, tµ�� I.1MkW^.,t J0,0 ft, ONE-KN.a, WkItLhMit OF U"V%Tm IM/4v". 1-% UNJHCD Nit /fit DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE O; OCCUPANCY? (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES". ( YES [ ] NO / * VItO, n�ka— Authorized Signature O 1 ISs4E A FtwAt� 6CLu Ihwt( Cee"RCjk%E UKtiL• At& 0( AfSe�t n:fcnlucc 5c i1J t"iR itlN(Z ACC QECtIV Ea 0� WME2 ��ltiiK Oeyr 1 1tOItF CwKcv G2eh wx[R tct K t PUBLIC WORKS DEPARTMENT � p DE- IGN/UTILITY ENGINEERING • 235-2631 MUNICIPAL BUILDING 200 MILL AVE.SO, RENTON,W ASH.98055 �'ta xrrt� BACKFLOW DEV.;L TEST REPORT pnr•CI KnfON CWIr.Cr m0•e 11 ACCWnE Np. .Ix of ntETses uRncE• / /J �/ All" Eoc•Igrla OEVKE OtVSE uwuraw�w �� / f• �S�Z JmteauE •uoss riftp Efx vLVE ENE PRES611K AT 1.R IEfI LBS. 6 1B5 CHECK VALVE NO.i CHECK VALVE NO.2 DIFFERENTIAL PRESSURE RELIEF VALVE t. ❑ 1. Opened at lbs. INITIAL1. Leaked ...................... Leaked ...................... sauced pressure TEST Closed eqM ...... .. .... ❑ u 2. Did not OP ................. ❑ Y . ... .. 'Named........................ Cleaned...................... .. 0Cleaned........................ political:: Replaced Replaced: .. ❑ O�:c.upper ................. O osp ..................... ❑ Sp—g...................... ❑ Disc.WwM.................. ❑ spring...................... ❑ Spline...................... ❑ spring...................... RGuide ...................... ❑ Gado ...................... E Pin retamer ................. ❑ - Diaphragm.4rge ❑ PPin relatnaf ................. ❑ ❑ Upper ................... AHinge pel................... ❑ Hinge pin ................... ❑ ❑ ........................ Lower ................... NSeal........................ ❑ Seat .... ❑ ph,phia0m.small gOiaphragm.................. ❑ D.aphragm.... ❑ Upper ................... ❑ Other describe.......... ❑ Othal,tlescrlM.............. III .... SPSCer.10.01 ............... Other.describe.............. ❑ ❑ Opened et Mrs. FINALTEST ClPud how... .... "t ................... reduced pressure TEST _ i � O THE ABOVE REPORT IS CERTIFIED TO BE TRUE Its RlTueoltE to e eEr s• to ar Public Works Department ,N• rtel.. —' DESIGN/UTILITY ENGINEERING 200 Mill Avenue South F'im •uwrn— — n•n .,q Renton, Washington 98055 MATHEWSON AVE. N. W-1 029 2 n . PUBLIC WORKS. DEPARTMENT 'f k DESIGN/UTILITY ENGINEERING 0 235.2631 t,1F` MUNICIPAL BUILDING 200 MILL AVE.SO. RENTON.WASH.98055 to"' BACKFLOW DEVICE TIES f REPORT Account No. w.ac. rlascw ca lA ' f5oi. TS 2?_ 7 2 Z trsrt«.aergta Yawtt noprep - �_ -*,tf_ - _ 1. OtKEG V aww.w. 4n MGM } LNe PhleaVl[•,I"a 11Fr �U� aswrtUMr<crgssrtYrfAlFQvieE / �t/ ` 4/110 Laf Los CHECK VALVE HO.I CHECK VALVE NO.2 DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL 1. Leaked ...................... ❑ i. Looked ................ . ❑ 1. Opened at--Ica. lEfi reduced pesswe g.Cored lightlight.................. Y ClosednqM.................. 2 Did notopen ................. ❑ j Cleaned........................ ❑ Cleaned........................ ❑ Cleaned........................ ❑ Replaced. Replacer: Replaced'. li DiSc........................ ❑ DiSc........................ ❑ Disc.upDu ................. ❑ SDrog...................... ❑ Stamp...................... ❑ Disc.Iowa................... ❑ IR Guide ...................... ❑ Gwdr ........... ❑ Sphng................... ❑ EPm'stamer ................. ❑ . ............. DaDhnpm,lopeP iHmge pm....... ........... Hinge pm ................ ❑ Upper ................... ❑ ISeat........................ ❑ Seat........................ ❑ Lower .........I......... ❑ 1 f Diaphragm.................. ❑ D,sphragm.................. ❑ Diaphragm.$-M Other,describe.............. ❑ Other.deacuee.............. ❑ Uppe. ................... ❑ Lowe. ................... ❑ Specar.Iowa. ............... ❑ Other.describe.............. ❑ FINAL Opened at lbs TEST Closed tight.................... ❑ Closed light.................... ❑ teduced pressure Rema ka THE ABOVE REPtAT IS CERTIFIEO jO BE TRUE wttsw atrort to list + tr to ay�'—T'T' Public Works Department DESIGN/UTILITY ENGINEERING rr.•t tsar s. 200 Mill Avenue South Renton, Washington 98055 """ """ "' "•'1 ESM, INC. n �2 q b� `� 5� fYI 1�j r� 941 Powell Ave. S.W , Suite 100 L IE L� u ER vF U �QMfSEV0�IQL+ RENTON, WA 98055 ao Phone 2285628 yr TO City Of Ren n__. Mathrwcnnc Au n Engineering Dept. _ Hana Carry --- WE ARE SENDING YOU i% Attached ❑ Under separate rover via the following items: onop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications r7 Copy of leftar F: Change order __�ylars CO►I[e paTE Np. pESCetfT10N igift►1LlaCi--- __ _ THESE ARE TRANSMITTED as checked below. ❑ For approval Approved as submitted ❑ Resubmil_copirs for approval ❑ For y,ur use Approver' as noted ❑ Spbmit_copies for distribution ❑ As requested L Returned for corrections ❑ Retum—corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE-_ 19 -❑ PRINTS RETURNED AFTER LOAN TO US REMARKS— COPY TO _-_-_ SIGNED: Loran T. Petersen, P.E., P.L.S. iRr ti Mt Lr )K.aiwraei 11�nab,uM rrr noe n noba �ary ratify u,0 eMr c �q 33 Bond No. 752R15 PEONIT BOND KNOW ALL NEN BY THESE PRESENTS: That we Ross Dr Mathewson s Brent J . Kranz DBA Ross D. Mathewson of Renton, Na, as Principal, and Contractors Bonding and insurance Company a Washington corporation, as Surety, are held and firmly bound unto The CITY Of RENTON, a municipal corparotion of the State of Washington, in the penal sum uffwenty Five Thousand Eight Hundred s Fifty Four Dollars lowful money of the United States of America, for the payment of whleh, (25 ,854.00) will and truly to be mode, we firmly bind ourselves, and each of our heirs, executors, administrators, and assigns, Jointly and severally by these presents. Sealed with our seals and doted this 1/22/90 THE CONDITION OF TILE FOREGOING OBLIGATION IS SUCH, that, WHEREAS, the above named Principal has applied for a permit, pursuant to the provisions or Ordinance No. 3205, to do certain work on a City of Renton roadway, street, alley, avenue, of ether public place, during a period ending NOW THEREFORE, Sr the above named Principal shell lndemnlry and save harmless the City of Renton, from all claims, actions it damages of every kind and description which may accrue as a result or opening end/or working upon any roadway, street, alley, avenue, or other public place, by him or those in his employ, In Installing or making connections with any public or private sever or water system, or any other pur,ose o, object vhatevet, and that he will replace and restore such roadway, street, avenue, alley or other public place to os good a state or condition as at the time of the commencement of said work, and maintain the some In good order to the decided satlsrection of the City of Renton Engineer, and that he will comply with all the provisions of his or their rrenchise or Permit. and all resolutions or Instruments relating thereto, then this obligation to be void; otherwise to remain In full rotes and. effect. The liability under this bond is for a period of one year from 1/22/90 to 1/22/91 and may be evtended by the surety Issuing a Continuation Certificate. By Contractors Bonding and Ed O. Shoemaker/Attorney-in-fact for Insurance Company may cancel this bond by (30) Contractors Bonding and insurance Company thirty days written By notice to the City of Renton. 1J.03 4/21/07 CBIC Noma Office: St limited P.0 Box 92Street Power of Attorney FA le, 9271 CONTRACTORS BONGING y wank,wa 9e109•0271 AND IKSURANCE COMPANY (206)622-7053 gIDYI ALL MEN BY TNEGE f'NESENtS'nal C(M".HA,' i�S:N_MGANDINSURANCEOOWANr aCaaMaIF^Ml,uyn2w,aber•dy NNIN yM NwgM51MdWWNpMWBa.mp ppwrdapays,ra.Knp LdAly Wainxylon pup4 EV Mpw gBuas Ti4e cN5ENN MN eF W ED C WEMAKEF.d 9pdH,N.Wa4NypnbtUYN IMNW d1a1NyAFYq.MIi'MF WNM r1lraNbMl,bmMNnan klwN.dMm W sreae roe••are adnowNOpearo eN•'a.i515&pWaAeepWmN'rCp W wvmNA oatls Iwac„ilplMorW wmgSB00.ODafn PMOal/a �q}y,MN.A MFMacI sa„Nk.Me SBA 9uaIA1MN eMamA'KN are n'wyAnl d,Nlfl NAMI,<wao ESW,oao.IJ:Ni dnd MMs<Pe,o W f1YPllee dl pN S'daY AMaellon dARNnM eIpMIMY4MId FgNI.iMOMp Yd$WN)gyros iiMAgaq I�Iwn amBM menis MBMJIu.AOgY.CMFNA NsCUblOge WEII.MWMMOIM1.L[.11p N4 PN1M.YN FMNrelnd Wi,aIIQN O,aM TpRd 5700 NM.dI Pr 0eM b RM.dlm wRwn'.tc me a�mam.'Cu �JI kP•N MIP,.FaNfpWK1 N,PYPrI.aN NNwmMSe WagynNn OgEl,l a,na WwFE'AO.WD.W ,�MMr Ep,k M,awa0lq Fr P!MI sdn d SED YS'Arzwnpe nown« mat ED ED O 551pEMAKER R P,^M DPw WYM+N•MgdM1M aMCaNi F"Atl NM prwNPW„1eANb arsy E01N aglwwnwrlNme amew a.my eM,of oeaC.•�timMi,e.,nn rpw'v,Cas -awMA&*'41 vm agreyirypyeN NOGy,snmuwnamI AN IINBore.NNaro IM GEmApro eNNOYn MMMd MN,wgwrlMAsuM oam weu,AInyiM�Fx,P NaMI MnIM Caro',N sealdme C,^y,14Wwn rIMNe PYb SadCA(' AAMptprr WIN ANDNM,NECOMPNr AYMONWeommepPNapu SW ssOEni:drl emaw.wl aMln aummry o!Me IdlCmty rescwkMrNgae PF,NB,ued DwEkn PlpN I'UNTRACII)ISBONOPIGAFANSINiANOECOMPANY an.NNNry Y.'m RESOEYEDMwII4~ EDO 5N0EWdERwmpowrameumenrypsynmGMaFqINCanAary(ISBAquMuwea r pMdmYnwaltlCMlWtlooNs naexw,dnp MpaMisWndSS00.OW.R1pq EadbpMMNla.AtlN Wlpgirs WNqie.eNSBAquYeIrNMWMMr0MWa0AylMdEaMIFI N,xra aCMOB70D OBO rJIMgnp mlmdaaero CleNIYCWmeS.nqy AssauEano'AnNrR,mei WNM,ru,Id FAYky.FogMs u4Sunry BaYlmMOnp MIN MINnOnNlla ^. DNnNIUANON Cwrw Nsc4d"9dEldIb1.MYNMI1WiLNMNaM Pemd.,M FabMnelnwaOlplM M•Nl su1nd5500000.NI bebONf.bpM.nMngASINgNMN Ffe ,gnonlY n dNM I71 rMNNNN.n mamm,d o,PlnM.MN O,nelrn,yde N6a wynNre Eggel NI M nNafSGT 000.W ISI ae aNNrM Edlee nd aswMMy M palW'sYln d x5B W0. RESOLVEDFURTNERMEDOSNOEWNFPuplwMa pow WwOmty N,aCak YN aIIFIE,d,dM lmMblrnma pnaFaMyr,sduW ror eln oCl'C inM AmYM enW . Nm,rroa'ed WIlmod aR s,dmR.IwgEuw41aalawlN Ey MDwpMnMMx1lanlnalrl N�isu.nN WnF. RESOLYEp FWTNER MEN aNaq qM S,d,rly dIM CmpMW N wMy NN aPPlpnn.7 W NNw.�,es of FN bpgary nw r,urmans n a'ry LIaaW Paver d ARmNT s Inrpy NNpeYENNN7e„q Nnaa.MPRIMtlrR'qN,Nk+sPDNbINIMCmWa/,RIIIY,,MbIMdlll'N^Nyn x9NMdn R WmeblYd r, a11spNG M IN,S,dMeIY a FN C,IIVA MCNM L.bmm.Gan BMay.JM�N K LMOM.B,ns FvaM.SNNn A.GMrM.MWaN S hcgpX.RPMM BMAM.W Fr"Da�N�\ RE$OLYED F WTNERMhsyMMN ImvMywNAwkn M m,Fowq al ARMIy ib 9NI mbw W MNditlm,Pr,Pecd.Noun PUE4c,ne goon wMFyrro 9u11N11kAy W NNdrvNW6 L..IM fiPaW,ro NWry 6Nk r(NNy M Nry LI•uNE PJMr M AeUNf WnIM,ro iM M M AY.�r,FIbNIV IMY C!b/I,CYrre4 RESOIYEDFURIMERMdnkEaaM bJpMaanNOay arognnlgm,dMMNNI usPemryMNN bCOtITPAC1pRB BpIONG ANU NSWANLE COMPANY an Mrly FlCaleaa,a WWITNESSWNEREOF.CONTRACTORSBONDNG AND RISURANCE COMPANyW.WlMS@IX4W e.NpNeby lNNubnI,MINwIw,N suINMMnro Nnrre Mi TNbydYIMI/. ' 14Y0 CONTRACTORS BOND A,i AND NWItANCE COMPANY .✓'OpWM\M\ NDI11G j M SEAL M - - _---- -------.._ 8 NNn FnsrN+ r '. STATE OF WASpNGTON—CpMY OF KEN '4 4s,tj NG\O�? \rN•\ QIN'N EIY`yq.rlWy.1910, OK"1',l'FIMESTEVENA GAINES mnNAMW *WP P'uEallldlM CVWCaKn M,4KYNe 1MNmg0wVUry P MAWIMWKknm"dPdW laNllE PPwgApnNyNMb11�rNwlAlrT rtlMdwd4ad nNPPnkn.bm,ue,e WoulP,e,s, mIINn,PMe.gEMwmauNORNIMrsaoma. EuuNW M,AC I+aMFbw d ANn,F. NWRNESS10IE11EOFANMIINrFFOM,R'MMWamxae my dNsa MN rNa,y Wy IETE�NW/�� •pyd '�h f.'N Nto NO.s p�m j�TaG 9F N A rUCaO:R ROk0 "SWPI rwe'v ..�_ aBSNiNG� TNurMPPNF aqA7NtleIMNIRFditaMolDM oCONTRACTORBBb1DNGMDNS COMPANY.Mrgy w1111w.uaa:Wd�wdul,cllM SnAWyaLONfMLTORS BONDING AND INMIRMCECDMMNY.Mlww MNra,M bP%'ro a,M mN W Land wPV dr»ayw Pow d AmYMy aw,e Ey fad Co^Wnl.W OE„11M,d1 AABNr wyeTl'MYN a,M GIVEN wqr Nl ArMr��f �,y[� IM—.i•L+' —___-dWd��.�.�N _—_.199V - PwE50110.USD1DtED ` PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION CITY OF RENTON, WASHINGTON APPLICATION ONLY - UNTIL VALIDATED I PERMIT NUMBER ONrtK Location of Work Allwxe A Addreae -43S [ ,tom 7 }/ mCb /�A*. �3.�♦ e` '�•. f 1./!! / -) �,.2.� A.7♦ 'T% 3' INSPECTIONSt. FEES ✓J CONSTRUCTION Sanitary Sewer/Storm Water Permits Right-or-Way Construction • .' PERMIT Right-of-Way Inspection Fees (Public Right-of-way) Water Inspection/Approval Fee �• "^. ' Special Utility Connection Fee, Water Water Latecomer Fee Special Assessment District, Water - - Date 'Issued Sewer Inspection/Approval Fees � t, Special Utility Connection Fee, Sewer Expiration Da a Sewer Latecomer Fee - - Special Assessment District, Sewer - Refereaa Data /J y b ' ,r, stir+, A' '`, �,f ;., Special EX posit, Private Latecomer - - Special Deposit, Cash Bond TOTAL F`.E �~� Description of work and Number of Feet �: t.�1fi� I �. i.�/ i, �IR.•L �na.. _V71• .,.• / �f ,Ti,. • `,Y.JJt . �,.• ;:. .,..J..• 'y!•I !�'' -tj.rii s... eG Ill - 4,.t ;jir. '-h�+:t. +vl/, i�. '+.•,y Contractor + Business r� ? License Address Bondd -� Telephone IT IS UNDERSTOOD THAT THE CITY OF RENTON SHALL BE HELD HARMLESS OF ANY AND ALL LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE OF SAID WORK. ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BE DONE BY A LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING. CALL 235-2631 FOR INSPECTION. \ _ Call between B AM and 9 AN for APPLICANT {+4.•.: . ' t• •=�•-a.� inspection in afternoon[ call before 12 Noon the day before for inspection in earning. PUBLIC WORKS DIPLXTOR SPECIFY TIME FOR INSPECTION. r / CALL 235-2620 for street signs CALL BEFORE YOU DIG By ii�;r%' •.i/,c' 48-HOUR LOCATORS ' and lighting. 1-800-424-5555