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HomeMy WebLinkAboutWTR2701858(1) YAtiO'TIME WATER MAIN IMPROVEMENTS W-976 BEGINNING OF FILE FILE TITLE W7"P� l J406**6 W - 9 �� kTA-1 WATER PROJECTS tr976 - Taco 'flme Water Main Ins rOvementB a M_ Q°1G Permit NuisG vnb. r W.O. n.0 mvea F.-PI Z Iff=7r-_1Y City Inspecor ptN4ils4, Pre-Con Meeting Dow l IL A4 Special Biusing Y N N/A .a> Pressure Tat Date Satisfactory Y�N P• Purity Tat Dan: Satitfacmry Y ✓ N As-Guilt Deb OK WIWI Dn,n �* AG, orQ Ball of Sale/Verified Y N_ Recorded. Easement/Verified Y-T_ NN A Recorded• N/A Con Dan Inwistrry/Verified Y N_ Recorded• WA Bxkflo- tat report/Landscw¢ Y N_ N/A f Fire Prmmtion Y_ N_ N/A Final Acoepbntt By Inspector Y K N By Utility Lnbi„eer Y X N New limpt. 901,10 *K - It,11141 OX 'two 1� �iNr typ1C1►i+G foi °QK . Ke s+at �LL .s SiFte Ego., Pew COST DATA AND INVENTORY 9CC#A0' Lvc. SUBJECT: TACO TIME CIT)' PROJECT NUMBE^S: W- 976 3}00 Maple Valley Hwy S N/A _ NAME OF PROJECT ST- I7-4_Io TO: CITY OFRENTON FROM: Accord Inc. LmLITIES DIVISION 200 MILL AVENUE SOUTH _ 33np Val ley Hwv _ RENTON,WA 9s055 Renton, WA 98058 DATE: /- Per your request,the following information is furnished concerning costs for Improvements installed for the above referenced project. WATER SYSTEM• Length Size Type 288 L.F. OF 12 CL 52 WATERMAIN L.F. OF WATERMMN L.F. OF WATERMAIN L.F. OF WATERMAIN 2 EACH OF 12 M 6 H GATE VALVES. EACH OF GATE VALVES EACH OF GATE VALVES SUBTOTAL $ 24,608.00 2 _ EACH OF 564VO " IOWA FIRE HYDRANT ASSEMBLIES $ 4,324.00 (COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY). TOTAL COST FOR WATER SYSTEM $ 28.932.00 SANITARY SEWER SYSTEM: Length Size Type L.F.OF SEWER MAIN L.F. OF _ ` SEWER MAIN L.F. OF SEWER MAIN EACH OF " DIAMETER MANHOLES TOTAL COST FOR SANITARY SEWER SYSTEM $ N�9 STORM DRAINAGE SYSTEM: Length Size Type 66 L.F. OF _ CRP STORM LINE L.F. OF STORM LINE L.F. OF " _ STORM LINE EA. OF _ STORM INLET I _ EA. OF - I STORM CATCHB.ASIN l EA.OF 48 I I STORM CATCHBASIN TOTAL COST FOR STORM DRAINAGE SYSTEM $ 3,243.00 STREET IMPROVEMENTS: (Including Curb, Gutter,Sidewalk,Asphalt Pavement and Street Lighting) 178 L.F. of curb. Rutter, sidewalk. 605.Y. of asphalt paying. I street light 'Olt STREET IMPROVEMENTS $ 11,503.00 Total cost of improvements $43,678.00 i 7 Maintenance Bond Amount 10% of $43,6'78.00 _ $4,368.00 r (SIGNATURE) \ (SIGNATORY MUST BE AUTHORIZED AGENT OR OWNER OF SUBJECT DEVELOPMENT) P-7324 ASS:ONMF.NT OF FUNDS TO THE CITY OF RENTON Plat or Project: Location/Address of Plat or Project: 3300 Maple Valley Hwy, Renton, Wa 98058 APPLICANT: ACCORD INC BANK U. S. Bank of Washington Address: 3300 y Hwy Branch: Renton Branch Renton, W� 58 Address: 858 South Second Street Phone: 2 L 7_ 9 7o Ren�to�n, Washin$ton�96055 Attention: F k t T kin, _[r. Phone. 206-344-2 226 Title: Prp�idpnr Attention: Wilma Dallosto Title: The shove references bank hereby certifies that S Four Thousand, Three Hundred and Sixty Eight Dollars ( f4.369 and 00/lon dollars)is on deposit in the account number and 00/100 0210 673114 ,under the name of City of Renton,to secure the applicant's performance of the r-.)lowing work required in connection with the above referenced plat or project. The required work is generally aescribed as follows: Off site improvementtand utilities improvements (Water, storm, street lighting) for Taco Time Office building at 3300 Maple Valley Hwy, Renton, WA per City of Renton Public Works Permit /FP-7324 issued on Oct. 11,198% The bank hereby certify and agrees that these funds will not be released without written instructions from an authorized agent of the City of Renton(the City). We further agree that these funds will be paid to the City within 10 days of receiving wriven notice that the City has determined that the required work has not been properly performed. The bank shall have no duty or right to evaluate the correctness or appropriateness of any such notice or determination by the City and shall not intcrplead or in any manner delay payment of said funds to the City. The applicant hereby agrees to this assignment of funds and that its obligation to perform the required work is not limited to the amount of funds held by the bank. This Assignment of funds is irrevocable and cannot be cancelled by the bank or applicant. �fia hS To �,Ti. At,, Applicant:&c*rol Xr,C, Rank:/+ U. S. sole of Washington i Signature �� tiig .t rc Frank J. Tonkin Jr. Pres. kolnnd D. Funk, Vice President and District Manager Name,Title Namc,Title January 9, 1991 Date Date ASSIGNMENT OF FUNDS TO THE CITY OF RENTON STATE OF WASHINGTON COUNTY OF �G ' On this 9"day of )�0. .�rtL , 19`_I,before me the undersigned,a Notary Public in and for the State of Washington,duly commissioned and sworn,personally appeared(Applicant)•to me known co be fTi W of (Company),the company that executed the foregoing instrument,and acknowledged the said instrument to be the free and voluntary act and deed of said company,for the uses and purposes therein mentioned and on oath state that He/She is authorizeJ to executive the said instrument. WITNESS my hand and official seal hereto affixed the day and year in this certificate above written. 1 1U ryN ('�)C('._SGVN-, Notary Public in and for the State a Washington raiding at my commission expires 4 STATE OF W ASHINGTON COUNTY OF O^this""-' day of i......'->~,19 before me the undersigned,a Notary Public in and four 1 4 Washington,duly commsssioned and sworn,personally appe red I' n to me known to be is l of• g Y ., �.:ice., Cot, the company that executed the foregoing instrument,. d ac nbsvle3g'cd-the said instrument to be tho free and voluntary act and deed of said company,for the uses and purposes therein mentioned and on oath state that ide/She is authorized to executive the said instrument. WrMESS my hand and official seal hereto affixed the day and year in this certificate above writ.-n. Nota Public in and for the State of Washington residiin at my commission expires G 5 E w- 9'7el Bond No. 5238385 PERMIT BOND WNOW All MEN BY THESE PRESENTS: That we ACCORD,. INC. of RENTON, WA AS Principal, and SAFECO INSURANCE COMPANY pF AMERICA a Washington corporation, as Surety, are held and firmly bound unto the CITY OF RENTON, a municipal corporation of the State of Washington, in the penal sum or -THIRTY SIX THOUSAND SIXTY ONE AND 08/100 DOLLARS ---(5 36,061.08**) lawful money of the United States of Americo, for the payment of which, will and truly to be male, we firmly bind ourselves, and each of our heirs, executors, administrators, and assigns, Jointly and severally by these presents. Sealed with our seals and dated this 9th day of OCTOBER, .989. THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH, that, VHEAEAS, the above named Principal has applied for a permit, pursuant to the provisions of Ordinance No. 3205, to do certain work on a City or Renton roadway, street, alley, avenue, or other public place, during a period ending OCTOBER 11th, 1990. NOW THEREFORE, If the above named Principal shall Indemnify and save harmless the City of Renton, from all claims, ectlons or demages of every kind and description which may accrue as a result of opening and/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 sewer or water system, or any other purpose cr object whatever, and that he will replace and restore such roadway, street, avenue, alley or other public place to as good a state or condition as at the time of the commencement of said work, and maintain the same In goad order to the decided satisfaction of the City of Renton Engineer, and that he will comply with all the provisions of his or their franchise or permit, and all resolutions or Instruments relating thereto, then this obligation to be void; otherwise to remain in full force and affect. The liability under this bond Is for a period of one year from OCTOBER llth. 1989 to OCTOBER lith, 1990 and way be extended by the surety lssutng a Continuation Certificate. ACCORD, INC. erg r SAFECO NSUR9 CE MPANY OF AMERICA Dy l�Y�oov Fenn F. vidson, Attorney-in-Fact I3.03 4/23/07 V nrdn.� UYYLW—WK 11aW:TIbSeJ1 To: ��QQ1C From: A-vc<dw subject:T Pao 'Vi AE Date: 1/9�R 1 Project No: U)-97 6 _ QEunt 9- 7324- �l E ?2ocE5s tnE (;uktaw1+G t t�. EtERsE 9eenr` Sm9 No• 5133385 flit, AuoR9 lW�. CON Of. 1;2i V"9 114. 9E¢►.I[ s f - 732 a-) Z) fllE A,0%0%C-9 Msmmt%ElA of CoOV3 (gpz Eo 1 /q)91) IN NN1M'��NPMCE g4NC4 FnIE (4o+L out (H`Q f-u- N/9r41) 3 NAiL (Qp� of ArtAtif.3 -6 M9 '¢Ft-E«s6 -%I sA{Eto 1H`_' cn . tM.em,mw un.m..a.0 s.rol,w�o w.r..o.�.�aim d s.'—_ m.e.o•w..a.�e ua.e.mw ww.eeow/en con THIS SPACE ofSt ED r0r rtCOrDtx5 Ult Pioneer Nationarance Company W ASHINGTON TITII DIVISION Filed far Record at Request of TO z Z BILL OF SALE U KNOW ALL MEN BY THESE rRESLNTS: That W of 1091 County of ,State of Washington, the paryy/E?of the first part. for and in c�id ation of the sum of jt90 w/-� ��//`' /C— _r O lawful money of the United States of America, to rn >7 in hand paid by C-d�� e'frlfj,� the par /d of the second part, the receipt whereof is hereby acknowledged, do&T)by these presents grant. bargain, ll and deliver No the sai rt hreof t e second paFt, the following d ribed venal property now o. IDutea at 3300 /IyCI� Ca' 1� nF4- fI&E C in the City of ,/) l� ount of / ,r/`>�nTrtil) ��irM and State of Washington, to-wit: �0 j�p W �Cs�+/i�03/✓� [✓Yh7 /gam/k{' A-11C S S. fC%f d-Jl,/ � /�%rd���� i /�+L%i� '✓. r.'Z(4 ���'/t/J �/ii'rC f7 �/7CiG/n�f 7fitr/�. f0�� ✓1'�'i'cti5�, c'' tc><r.���` rvcw TO HAVE AND TO HOLD the same to the Said part r�(of the second ^,_rtl )•g/rC/� heirs, executors, administrators and assigns forever. And said part�i/Jbihe first part, for / f7j Cii✓ heirs, executors, administrators, covenant 5 and agree S' to and with the said part qPEI �of the second part,yfIrIAA ' - executors, administrators and assigns, that said parur�4 of the ilrsl part iS' >7A owner(S) of the said property, goods and chattels and ha(//£ good light Oand full -uthority to sell the same, and that i�`/�lrJ will wareant and defend the sale hereby made unto L'u said parLr4Ps of the second part, executors, administrators and assigns, against all and every person or persons, whomsoever, IawffiBy claiming or to claim the tame, IN WITNESS WHEREOF, The said part y of the first pa hpS hereunto set —43 hand and anal this l 7 A" l day of G C�VY+LN (suL; — ssn&L. STATE OF WASHINGTON, ) f � } t 6 1990 County of 1 c ) as. OCT On this day personally appeared before me F Y^r-T.-K .� 1t}v '�.- (� bUILJ{NG I,iVIStON to me known to be the individual 1-Z described in and who executed the within and foregoing instrument, ar.d acknowledged that '-.q signed the same as Vw ') free and voluntary act and deed, for the uses and purposes therein mentioned. GIVEN under my hand and official seal this 11 1� day of �,�.><-CC�S-l.� I dl ct Q.) Notary We Pand/a r`a Stare of`WaaskinFtaa, 'HIS ACE nSENED f01 reCOeDrY S USE Pleeeer Netloeal Title lewraeee Compuy xaaet, OTor.TiTca DIVlama Filed for Record at Request of TO BILL OF SALE Z. KNOW ALL MEN BY THESE PRESENTS- That Accord Inc. Q of Renton, tY County of King , State of Washington, the party of the first part. 0 for and in consideration of the sum of One and 00/100 Cr W lawful money of the United States of America,to them Dollars in hand paid by the City ay of Renton j Cthe party of the second part, the receipt whereof is hereby acknowledged, does by them presents grant. r.. bargain, sell and deliver unto the said part y of the second part, the following described personal property now located at 3300 Maple Valley Ilwy, Renton, WA 98058 in the City of Renton , County of King and Slate of Washington, to-wit: Water Project W-976 Approximately 288 L.F. of 12" Ductile Iron Pipe, 2-12" Gate Valves, 2 Fite hydrant Assemblies and all appurtenances pertaining to said watermain, expressly warranting said watermain against any expenses, costs or liens hereto incurred thereon by through or under seller herein TO HAVE AND TO HOLD the same to the mid party of the second p_rt, it's heirs, executors. administrators and assigns forever. And mid part y of the first part, for it 's heirs, executors, administrators, covenants and agrees to and with the mid party of the second part, executors, administrators and assigns, that mid parry of the first part is the owner of the said property, goods and chattels and has good right and full authority to sell the same, and that i t will warrant and defend the sale hereby made unto the mid party of the second part, executors, adminstrators and assigns, against all and every person or persons, whomsoever, lawfully claiming or to Claim the same, IN WITNESS WHEREOF, The said party of the first part has hereunto set it's hand and seal this day of Act: �nt /.,. (sdtt) v v (sue) (slat) STATE OF WASHINGTON, —(saaL) ss. County of :' C r� On this day personally appeared before me F s D ,..1_ ,�0 to me known to be the individual ,{ described in and who executed the within and foregoing instrument aed acknowledged that I,( signed the same as 1�.-� free and voluntary act and deed, for the uses and purposes therein mentioned. GIVEN under my hand and official seal this r }� day of 0. Ct q Notary Public in and/or tie Start of Wasiiaytoa, re idiag at CCrS..(011 l-y'�, o +/ THIS SPAef et5lrito roe NECOritl s use �AIIIfw SfHIwoTON TIT"Ov''ofA1RQ11Y I Filed for Record at Request of I TO_ rat.., : ... BILL OF SALE z KNOW ALL MEN BY THESE PRESENTS: That Accord Inc. of Renton (Y 0 County of King ,State of Washington,the put of the fist part. LVfor and in consideration of the sum of One and 00/100 Dollars O Re"'°° lawful money of the Tinited States of America,to them in hand paid by the City 01 the poly of the second Part, the receipt whereof is hereby acknowledged, does by ibex presents grant, bargain, sell aid deliver unto the said part y of the second part, the following described personal property now located at 3300 Maple Valley Hwy, Renton, WA 98058 in the City of Renton, , County of King and State of Washington, to-wit: A Storm Proiect # 17-4-10 — Taco Time — Maple Valley HWy Approximately 66 L.F. of 12 inch CMP Sttrm pipe and 1 Type I catch basin and 1- 48 inch Type 11 manhole and all appurtenances pertaining to said storm sewer system expressly warranting said storm screw system against and expenses costs or liens thereto incurred thereon by, through, or under seller herein TO HAVE AND TO HOLD the same to the said party of the second tart, it's heirs, executors, administrators and assigns forever. And said party of the first part, for it`s esecuton, administration, covenants and agrees to of the first part art party ofof theowner second pa t, the said executors, administrators and assigns, that said party p it property, goods and chattels and has good right and full authorityto sell the same. and that will warrant and defend the sale hereby made unto the said party of the Second part, executors, administrators and assigns, against all and every person or persons, whomsoever, lawfully claiming or to claim the same, IN WITNESS WHEREOF,The said party of the first part bats hereunto set it's hand and seal this day of "fie cv,-� •� (atAll (stA ) _(aCAtl STATE OF WASHINGTON, 88. County Of r �r E On this day personally appeared before the � t N .-Q to me known to be the individual described in and who eseeuted the within and foregoing Instrument and acknowledged that F .t signed the same as ��.o free and voluntary act and deed fur the uses and purposes therein mentioned. t➢ GIVEN under my hand and official seal this .G_1e, day of 0.tiu.cQ•'s,�� n S N_ /: Arotery Public in sad Jar the Slafe o;Waskix;taa, PUBLIC WORKS DEPARTMENT' ENGINEERING DIVISION CITY OF RENTON, WASHINGTON PERMIT APPLICATION ONLY - UNTIL VALIDATED NUMBER Owner Location of Work Address INSPECTIONS FEES CONSTRUCTION Sanitary Sewer/Storm Water Permits Right-of-Way Construction _ PERMIT Right-of-Way Inspection Fees (Public Right-of-way) Water Inspection/Approval Fee Special Utility Connection Fee, Water Water Latecomer Fee Special Assessment District, Water Date Issued Sewer InsDecb.in/Approval Fees _ Special Utility "onnection Fee, Sewer . Expiration bate Sewer Latecomer I-, Special Assessment District, Sewer Reference Data Special Deposit, Private Latecomer _ Special Deposit, Cash Bond _ TOTAL FEE Description of Work and Number of Feet Contractor Business License Address Bond Telephone IT IS UNDERSTOOD THAT THE CITY OF RENTON SHALL BE: HELD HARMLESS OF ANY AND ALL LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE OF SAID WORK. ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BE DONE BY A LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING. CALL 235-2631 FOR INSPECTION. Call between 8 AM and 9 AM for APPLICANT inspection in afternoon; call before 12 Noon the day before for inspection in morning. PUBLIC WORKS DIRECTOR SPECIFY TIME FOR INSPECTION. CALL 235-2620 for street signs CALL BEFORE YOU DIG BY " end lighting. 48-HOUR LOCATORS I-800-424-5555 • Legal descrlpilon of property (It more space Is r•ctulred, attach a separate sheet). Lot 9, Block 6, Maplewood Addition No. 2, EXCEPT that portion described as follows : — Beginning at the most westerly corner of Lot 1, Block 6 said addition thence S 61 9911511 E 50 ' thence S 09 55 ' 00" W 51 ' thence N 65 05 ' 00" W 40 ' thence Northerly along Westerly line of said Lot 9 to point - IV-i,N �l� of beginning and Except that portion taken for SR 169. Iff 1 I 1 I I •t sass M� a ZA .S T. 1 , . :�.•. � R . y 512640 alai 0110 to \v * 6 7 eo s¢se s�.e�� ss r •1�S 01g0 ♦ '� Y 10 y , SQA'I / . 1� i A \ I 0145 M140 >p = 2 ^' s.o a also 6 EllI 4 amyl a e,! • �' ` �lh. PCs- '150 any taav i v O 'A , a•. �? rye M1\ �02 m I g0�. 1i.7.a1 ! \ 3 \� oa z o- • � J , p"o ry aoo y1 �O "2, ) IV ot95 'q Te J•`'at- et6a b►�4 a .+ lit \'G. <•^, 69 'Qp 4T�H. .MC�� NO �M1"�ry� atoa� not O > qp in r r 1 to TMdo ti o CT S !ar NO 1140 vu �h 4 • �1+ Gaya raw J AVEq.w.�p 'P � anrnwnr swm N CJ Pr WA Y/OEe m mi To: ARLfPf From: ,,SOout. SubjecCTAco Tint Date: t1 ,/91 P"ectNo: W- 976 ST I7-4-10 RE(Otv"& of 'DOCUKENJS r�coE VLE1tSE t{A uE 3� THE AT Ike View 8iLL Of TAlE3 QEm0.pF9 a,wu 3EwP ZME Q2F COROEO Ct►ics -to Jack Love Vice President Site Analysis Vf/fe and Construction Conns�strru�uction Peb-�r7/W " o . TacoTime • U.S.Chicken Corporate Otfice 3300 Maple Welty Pi, Revlon.WA 96056 ,206t 226 6656 '—• ANV ME cap fat Out IUAw OL 9t-OSEeF iiL[ , �1Taeh Y.r- rtr«aw.l w.nrwa�erq,r b a.r.r�.ru.n r.T am�wurerm er r es....r n+.w w...r nw�r Futiae.00t/wr l/ •C• C,d wde� a uw EVE +Q� J an unl es WA A"" n wrt ms rr�o+:asx�r To: ARIEf� From: Sul>lect: TA to TiMt Date: 11 1/91 Protect No: W- 976 ST 17 4-1 U QECOV.V"r of TDocu nf.c15 flt rye V.1ou�o 'Co4 OlE*�e NAME t1•E Ar PC Nfo $i, of SALFi (ZE topoE9 Awo 7fwO I 1ZF[oROFo M?ifs -to Jack Love v,ce President -----� Sllr AndIVS1S ano, Construction Accord Food Servicessinc. Taco7lme • U.S.Chicken _ perporale Ottmc 3300 Ni&Ple V-1 - RenrVn.WA 9E 2061 226.6656 Aw0 Mt COP ( CtiR 6uit WAY4 9QoSCtE fiLF . --�-hn�k Y•�- Mwnmr wrn...errwyrna.w�e.*..a..dmn-w1w1.n...a•da....�.n�y...••a.-a�.e.rswr raw••am��en 7105 S AC( rf1(MO" atCOtOl r 1 US[ tllouar National 'It's Iasuruea Campny WMaIMOrOM IV la 01.4.0N Filed for Record at Request of TO BILL OF SALE KNOW ALL MEN BY THESE PRESENTS That Accord Inc. of Renton, County of King ,State of Washington, the party of the first part. for and in consideration o1 the sum of One anu CO/100 Dollars lawful money of the United States of America, to t hem in hand paid by the CiLy of Renton the party of the wood part, the receipt whereof is hereby acknowledged, do vs by these presents grant, bargain, sell mud deliver unto the mid part y of the second part, the following described personal property now located at 3300 Maple Valley Hwy, Renton, WA 48058 in the City of Renton ,County of Ktng and State of Washington, to-wit: Water Project W-976 Approximately 288 L.F. of 12" Ductile iron Pipe, 2-12" GaLe Valvk. , 2 Fire Hydrant Assemblies and all appurtenances pertaining to said vatermain, expressly warranting said vatermain against any expenses, costs or liens hereto incurred thereon by through or und, r seller herein TO HAVE ANr TO HOLD the same to the aid party of the second part, it's heirs, executors, admirdstwors and assigns forever. And aid party of the first part, for it 's heirs, executors, administrators, covenants and agrees to and with the aid party of the second part, executors, adm}rstratom and assigns, that aid party of the first part is the owner of the said property, goods a-d chattels and has good right and full authority to sell the mine, and that it. will warrant and defend the sale hereby made unto the said party of the second part, executers, administrators and assigns, against all and every person or persons, whomsoever, lawfully claiming or to jt Glum the same, IN WITNESS WHEREOF, The said party of the first part has hereunto set it's hand ! and seal this day of --(SEAL) (SEAL) _(SEAL) STATE OF WASHINGTON, as, County of \\ 111 (J_ On this day personally appeared before sec 'r . is,..lc. to me known to be the individual 1.<- described in and who executed the within and foregoing instrument ar.d acknowledged that signed the sane as free and voluntary art and deed. for the uses and purposes therein mmtionei. GIVEN under my hand and official seal this day of L1....cl.n .,.A Notary h4 ie is"dd jar Ike Steer of Washmg'oe, rashihat sit Nis srACI nstmo FOR sicotma s OF Molest National Title Insurance CompaeT WASWNOTON Tic"olvWoN Filed for Record at Requeat of TO re.. c xu BILL OF SALE KNOW ALL MEN BY THESE PRESENTS: That Accord Inc. of Rcnt on County of King ,Stale of Washington,the put of the first part. for and in consideration of the sum of One and 00/100 Dollars lawful money of the United States of America,to them in hand paid by t he C i t y Ot Rcnt on the party tf the second part, the receipt whereof is hereby acknowledged, does by these presents grant, bargain, sell it deliver unto the said part y of the second part, the following destribed persoruil property now located at 7300 Maple Valley Iiwy, Renton, WA 98058 in the City of Renton, ,County of King and Stale A Washington, to-wit Storm Project $ 17-4-10 — Taco Time — Maple Valley Hwy Approximately 66 L.F. of 12 inch CMP Sotrm pipe and 1 Type 1 catch basin and 1- 48 inch Type II taanhole and all appurtenances pertaining to said storm sewer system expressly warranting said store serew system against and expenses costs or liens thereto incurred thereon by, through, or under seller herein TO HAVE AND TO HOLD the same to the said pall' of the second p_rt, it 's heirs, executors, administrators and assigns forever. And said party of the first part, for it's beirs, executors, administrators, covenanit; and agrees to and with the said party of the second part, emculm%, administestora and assigns, that mid party of the first part is the owner of the said property,goods and chattels and has good right and full authority to sell the mine, and that I t will warrant :.nd defend the Sale hereby made unto the mid party of the second part, executors, adnin6trators and assigns, against all and every person or persons, whomsoever, lawfully claiming or to claim the same, IN WITNESS WHEREOF,The said partv of the first pan has hereunto aM it's hand sod feel this day of :9ti�. rr,T/ J.l�. c� ,r L 91. (SUL) (SSAL) _(SUL) STATE OF WASHINGTON, L aa. County of ...r' On this day personally appeared before the to me known to be the individual tit described in and who executed the within and foregoing instrument. and i acknowledged that t l signed the same as free and voluntary act and deed, for the u"and purposes therein mentioned. 1 ri GIVEN under my band and official seal this '., day of �0' kLt'S-c1 I t ! Not"PaeNt in ad/or tit Soh of waskia;rast, rwldirg N C.�..s.,bu-��1 �.t') tl 93 —V 1Hi1 SPACE e[SIVID lOt ILCOVOU'1 USE Ploaaar National Tito Inwnece COMPANY WA.NINOTON TITLE 1)1V16I0- Filed for Record at Request of TO BILL OF SALE sax KNOW ALL MEN BY THESE PRESENTS: That A.-"'�`f� � JJ/ , of CY . County of ,State of Washington, the pis Hof the first part. for and in consid .lion of the sum of c �[[�� 7-� ollars lawid money of the United Stales of America, to TA��r in hand paid by cl the par AR of the second part, the receipt whereof is hereby acknowledged, do&,f*,)by them presents grant. bargain, ll and deliver No the mi art I'iifof t e second part, the following d ribed w}aI property now located at 33G'U �yz � � JtiL'. in the City of 62r>yfFtiount ofno once State of Washington, to-wit: Ar/1!S ��� ✓�/ r `�C� l�rt'/c'/ TO HAVE AND TO HOLD the same to the aid part �t1 of tLe second p_rtl,�j+s/jrrd/!' heirs, executors, administrators and assigns forever. And said part�itjb� the first put, for //S /�Cn" heirs, eaecutors, administrators, covenant S and sgree'.$ to and with the said pared�C3 of the second part./&/'/�F`i' exttulors, administrators and assigns, that said partx,JJ�iL.J'of the first part /S 1, C- owner(s) of the' aid property, goods and chattels and ha eltr good right ed, full authority 13 sell the same, and that i'AjIIAarJ will warrant and defend the ale hereby made unto the said parljlj of the second put, jell J/ISer executors, administrators and assigns, against all and every person or persons, whomsoever, law[ Illy claiming or to claim the�sme, IN WITNESS WHEREOF, The said part of the first pith J hereunto set va`]I hand snit seal this (1 4+ � day of O C1G 0 ^�� I ( ft ICE C-)L.... (SAL) cm-c+nc•-rut STATE OF WASHINGTON, l OCT 1 8 1990 i County of On this day personally smeared before else ( 4'. .- ) ���'-�.k-.`„ t _.sJ11.JNVG 01VISION to me known to be the individual 1—c. described in and who executed the within and foregoing instrument ai:d acknowledged that V signed the mine as free and voluntary act and deed. for the uses and purposes therein mentioned. GIVEN under my hand and official seal this day of QI r IA-CT(1s -1 I ce cI C-) Notary Public is and JJar ME State of W,Ej tytaa, rasidiug at (,L .1714,L.'•-s_ r t CITY OF RENTON Department of Placating/Building/Public Works Earl Clymer, Mayor Lyon Cuttmann, Administrator November 21, 1990 Mr. Jack Love R.iti - 6656 Accord Food Services,Inc. 3300 Maple valley Highway Renton, WA 98055 SUBJECT. Taco Time - Maple Valley Project Completion and Acceptance Requirements Dear Jack: The as- Jilt plans, Cost Data Inventory and Bill of Sales for the subject project have been reviewed by the Public Works Department. The as-built plans are accepted for compliance to City standards. The Cost Data Inventory and Bit! r• Sales are included herein with modifications required as shown. In order to receive the Public. Works Department's acceptance of this project, the following is required ■ Revised Bill of Sales for the watermain improvements to be conveyed to the City for maintenance and operation. The quantities shown on said Bill of Sales shall comply with the corrected quantities as shown on the attached copy. Is Bill of Sale for off-site storm system improvements to be conveyed to the City. A COPY of a prepared Bill of Sale is attached. +✓■ A revised Cost Data Inventory form with corrected quantities as si.own on the attached for.."n . �� ■ A maintenance bond in the amount equal to 10% of the totals shown on the cost- data-inventory form . A standard City of Renton maintenance bond form is attached. The permit bond will be released upon receipt and acceptance of the maintenance bond and of the above documentation. If you have any questions or require additional information, please contact me at 277-6210. Very truly yours, A: � ur Water Util;ty 90-41aAC:pa En..lwun. 200 Mill Avenue South - Renton, Washington 98055 + ► 7 PUBLIC WORKS DEPARTMENT DESIGN/UTILITY ENGINEERING a 235.2631 • MUNICIPAL BUILDING 200 MILL AVE.SO. RENTUN.WASH.96055 �'ro eva'd BACKFLOW DEVICE TEST REPORT %ccount No. jlcoxuch/n a/w�• y cowrie nor ��/ ANE FftM sF S t «ncl:amble. '1 CCUrd —L/�C C 10.n11 Tr,le of ftCaJ 33un, Maple I)g:T ljwst P)ej hrvN 9 Bw s x`�lon or oel+es w4 t=cbeo %osY {K'A . WMra4.0 rrwM a.rr FrM11r M e1NeN1N al laq IN 1({1 rn[ae1M,PMpr ACnOY,a1{1 Cd{erl Valli l85 Z lln. CHECK VALVE NO.1 CHECK VALVE NO.2 DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL I. Leaved ...................... ❑ s.Lealed .............. ... ❑ 1. Opened at Re. TEST reduced p,aseu.s _ 2. Closed Light.................. Q. E. Closed light.................. 2. Did not open ........... ..... ❑ Cleaned........................ ❑ Cleaned........................ ❑ Clesnad........................ ❑ Replaced: Replaced. Rtplsced: Disc........................ ❑ Disc........................ ❑ Oise.upper ................. ❑ sp,big...................... ❑ Spring...................... ❑ Disc.10w9................ ❑ RGuide ...................... ❑ Guide ...................... ............ ❑ E ❑ spllnp.......... P Pln.staine. ................. ❑ Pin.sleiner ❑ Diaphragm,large ................. AIpngs pin................... ❑ Hmgs pin................... ❑ LIPP,. ................... ❑ RISeat........................ ❑ ❑ Beal........................ ❑ lnwe, ................... tObph'agm.................. ❑ Diaph.som.................. ❑ Dbphiagm.amall Odwr.describe. .......... ❑ Olba,.daschbim.............. ❑ Upper ................... ❑ lower ................... ❑ Spacer,Iowa. ............... ❑ Ci describe.............. ❑ FINAL IEST Closed 1yl11.................... ❑ Cleeei..................... ID Opened al lbs. educed Pressure invads. l) cmaRD+*V ED n THE ABOVE REPORT IS CERTIFIED TO BE TRUE OrT I b 1990 IlUlai Mr0e110 IOr1a err,,,,t • Mi DIVISION ll Public Works Department DESIGN/UTILITY ENGINEERING 200 Mill Avenue Soulli Renton, Washington 98055 "'"'"—'""'""-----�^•'{ ILC� 2-7-I- 96 CALCULATION OF INSPECTION FEES PROJECT PROJECT REFERENCE / PAYING & STREET LIGHTING, l`r4l- SANITARY SEWER S STORM: o60516,,//-= r7oS.c� S,o,/. of<siG,•/T= 3oa� s�azN, WATER, o,J5i6li' D fFC, 7= Z1� 43Q ago xf-*/ zz, TOTAL CONSTRUCTION COSTS: $ TOTAL INSPECTION FEE[[ A, FIRST $100,000 2{0 s SECOND $100,000 f REMAINING $ - $ TOTAL: S l448.6T3 CALCULATIONS: PAVING 1 STREET LIGHTING: 271 Zlduo-7 X 1448,58 = 540, 3Z ZZ4A1n SANITARY i STORM SEWER: Z3,o73.95 �l4¢a sa = 4��,Qs :W 4Z9,II WATER: sz t 7e BOND AMOUNT FOR 100% OF WORK IN R/W s NUMBER OF STORM SEWER CONN. TO SYSTEM 2 NUMBER OF SAN. SEWER CONN. TO DG.(S) PREPARED BY: 1r ��y$% ATE D/INSP-FEE:AH:If 6/12/89 CONSTRUCTION COST ESTIMATE TACO TIME OFFICE 3300 MAPLE VALLEY HIGHWAY I . OFFSITE WATER Quantity Item Unit Price Total 268 LF 12" DIP S 28/LF 7 ,504 .00 6" DIP 15/LF 180.00 12 LF 6" FH ASSY 2000/EA 4 ,000 .00 2 EA 12" GATE VA:._VE IN VAULT 700/EA 1 ,400.00 2 EA 700/EA 1 ,400.00 2 EA 12" CROSS 450/EA "0.00 2 EA 12" PLUG 550/EA 550 .00 1 EA 12"X6" TEE W/GONG . BLOCK 4 EA 12" BEND W/GONG. BLOCK 500/EA 2,000.00 1 EA '2"XB" REDUCER 500/EA 500.00 1 EA 8" SOLID SLEEVE 500/EA 500.00 I LA 4'X6'X2' CONCRETE DEADMAN 1500/EA ==1 ,5500 00 TOTAL $20,434.00 II . OFFSITE STORM Quantity Item Unit Price Total 50 LF 12" CMP $ 15/LF 750 .00 TYPE I CB 750/EA 750.00 1 EA 1 EA TYPE II-48" CBMH 1500/EA 1 ,500.00 =_- TOTAL E 3,000 .00 I i . OFFSITE SURFACE IMPROVEMENTS Quantity Item Unit Price Total 85 LF CURB S GUTTER $ 7/LF 595 .00 85 LF S/W 6/LF 510.00 30' OW APRON 50O/F.FI 500 .00 1 EA ASPHALT PAVING LUMP SUM 1 ,000.00 60 5Y TOTAL $ 2,605.00 IV. OFFSITE STREET LIGHTING Quantity Item Unit Price Total 1 EA LUMINAIRE POLE h ACCESSORIES LUMP SUM 7,320 .00 TOTAL 7,320 .00 V. ONSITE STORM Quantity Item Unit Price Total 1 EA OIL/WA1-ER SEP. VAULT $ 800/EA 800 .00 2 EA TYPE I MH 700/EA 1 ,400.00 1 EA TYPE II-54"CBMH 2O00/EA 2 ,000.00 1 EA TYPE II-60'CBMH WITH 3250/EA 3.250.00 ORIFICE CONTROL 126 LF 12" CMP 15 LF 1 ,890.00 4 LF 36" 0 CMP 50 LF 200.00 100 LF 48" 0 CMP 71/LF 7,100.00 $16,640 00 VI . Oi S:TE SANITARY SEWER Qua, - Item Unit Price Total 97 LF 6" PVC S 15/LF 1 ,455 .00 1 EA CONNECT TO STUB 0 PL LUMP SUM 250.00 TOTAL S 1 ,705.00 VII . ONSITE SURFACE IMPROVE'TENTS Quantity Item Unit Price Total 975 LF E.C.C . $ 1/LF 975 .00 2190 SY ASPHALT PAVING LUMP SUM 14,323.00 TOTAL $15,298.00 Y �/ Zle CITY OF RENTON =1 Department of Planning/Building/Public Works Earl Clymer, Mayor Lynn Guomann, Administrator November 7, 1990 Paul J. Casey 10116 36th Ave. Ct. SW, Suite 203 Tacoma, WA 98499 SUBS. Taco Time Office Building 3300 Mule Valley Highway Building Permit AB-15199 Gentlemen: The following items must be corrected or completed and approved before the above referenced buildinq can be issued a permenent Certificate of Occupancy. Water Utility Section (235-26311 The following project documentation must be submitted for review and approval prior to a final occupancy permit issuance. All new utilities Snstalled (watermain) will not be accepted by the City until all of the following requirements are met: a. A cost data inventory sheet, showing actual construction costs and quantities of new watermains and other utilities (street light, curb, gutter and new sidewalk, storm pipe and structures. . .) that are to be conveyed to the city for maintenance and operation. b. Bill of sale for stew utilities (water, storm, street light) to be conveyed to the City for maintenance. C. Maintenance bond (10% of actual construction costs of utilities to be conveyed to the City) and a one year warranty. d. All documentation submitted is subject to review for Nccuracies and compliance prior to final acceptance of utilities improvements. 2W Mill Arcnuc South - Itcntm4 Washington 93055 (206) 235-2569 Taco Time Office Building November 7, 1990 Page 2 Construg iOn F1 A Se rViCma /235_254 a. Complete storage building and call for final inspection. b. Construction material cnd debris to be removed from Planter areas north and east of �,ew building located at the northeast corner of the prcperty. Transportation Services (275-2621) a• Submit bill of sale for st,.eet liglits. If you have any questions concerning these matters please contact the concerned department or our office. sincerely, `L Gi, /t Randy Martin Building Inspector Construction Field Services RM:mjp Cc: Jack Love Taco Time Coporation 1911 Maple Valley Highway Renton, WA 98055 rm/B-15199 ' P CITY OF RENTON PUBLIC WORKS DEPARTMENT Earl Cl er, Mayor Design/Utility Engineerin i I BACKFLOW PREVENTION DEVICE I REPORTING AND TESTING INSTRUCTIONS All Backflow Prevention Devices installed are required, by Washington State Law (RCN 42.20.050.83-19-002/WAC 248-54-195), to be tested on installation, and annually thereafter. Testing must be done by a Tester certified by the State of Washington Department of Social and Health Services, a list of whom may be obtained from this office. Please complete the bottom of this form, and return it to the Utility Engineering Department at 200 Hill Ave. S., Renton, WA 98055, together with the completed Test Form(s) attached, when the required device(s) have been installed. IOWNERS MAILING INFORMATION OWNER'S NAME:-,.. . Ec#--a rip"L of7pice - 4caDd T.,c MAILING ADDRESS: 17// m TLe _Qcr,ts„ LJo. DEVICE IOCATION INFORMATION J L� STREET ADDRESS:_ 3Cp tY a{S�C �IC�L( ilQYllu +� QS�$ DEVICE LPEATION'• eel 1 ice_ jL AW. Dex CONTACT PERSON: FI 66ke I PHONE NUMBER:flb-/S S PROTECTION ZONE+: 'I DATE INS'ALLED:I,,R -jd VC USER CODE+: METER SIZE:�� _— METER MAKE:�11 . ' SERIAL NO:-//� ' Directions to the device on the premises. (eg. Second Floor utility room (Rm 209) next to elevator. Tof aE 7 [)E C E I V E[) R + To be completed by Utilities Personnel. U/M/BKFLPREV DAY 1 8 1990 BUILDING DIVISION 1 200 Mill Avenue South - Renton, Washington 98055 • (206) 235-2631 _ V-976 BUILDING DIVISION F-73', FINAL OCCUPANCY INSPECTION REPORT DATE: OCTOBER 23, 1990 TO: UTIZBUTIQING MS ORM - RANDALL PARSONS WER - DAVE CHRISTENSEN TER - ABDOUL GAFOUR [ CTION SVCS - GARY YOUNC[ gTATION SVCS - CLINT MORGAN[ PE/ZONING[ G FINAL - RANDY MARTIN ( ) FIRE PREVENTIO!! r33 M:_BUIJECT0 MAPLE VALLEY HIGHWAY TYPE BUSINESS OFFICE 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 QCTOBER 30, 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 toil- o _ FROM: A%DCUA. 6kfouR - 0AM UMTY This project is approved by this department subj the following corrections: (Note: see copy of So day requiremenLa attachci) faltWi.G Ptt7ttt OOG.AENTAnCN Hui be 3402AMED h4 kv'6v: 8v0 APPCUAL Pglkm It A 6VAt (xwPANC1 PCthtt MS AOCi - ALL dE*; Lniuun INIYAIIO (WAICdHA"1I) iLtu. Ncf P,E ACUKeo hY TIE C111 uNT%L Au. of ThE fovvL Al O&A6 MmEw S M* NeT -- ♦G101016S A CflSZ•01(TH 1NU6u�LY $11Ef1•, rAvw.t* KIUAL t NllaL (%404 dY-14 e4 ady Wale A',.1'1 -r&MA LMUT105 [ slew u6wr, Cuab,ruM1L TNtP, Swewwk %VPA PIPC Aw 7"CTA;5 ...) lnm hac ib A,& rC vc4rao Yv "e Cl" kk hM016NA9c1F f UTEPAnoN - CCOAtvT. sn'tA 5-ios' U"r ,'M W CoNJtltO -M 01q ram NMwSeMAMd t 61LL at SAC6 (40. NGw (Lola f'ES �'"n ti WA¢aAMtY © HAh.ItLI.r6'C6 b+NO ( IO/o at at i1r11Drtmuno Ye eE rcvu=Yto n GCY) AND r Y£A AiL BJUnMCNiATIin S46P11i'1'NJ A¢E SuOTC<r 10 Vxo�evW tan ACCLaACACA t CQNPUANCE 9VA4. 'Ra f1vPl A(CtP?hNcf 6f UYY�t,[t INCQC:UEn[N7S_ /� Authorized Signature i BUILDING DIVISION FINAL OCCUPANCY INSPECTION REPORT DATE: EPTEKBER 11, 1990 TO: UTILITY SYSTEM$, [ ] STORM - RANDALL PARSONS [ ] SEWER - DAVE CH ISTENSEN [ ] WATER - ABDOUL CAFOUR [ ] CONSTRUCTION SVCS - GLARY YOUNG [ ] TIMNSPORTATIONC -ORGAN [ ] LANDSCAPE/ZONING KEN IBINDA(iA I - FROM:_BUILDING DIVISION - KE" dINDARA (6171) SUBJECT:—TACO TIME PERMIT NO_B-15199 W q16 _WORK O2DER M --. —_TYPE BUSINESS_O_FFICE The subject project is nearing (completion. Please investigate your area ofl responsibility and indicate below either your acceptance or non-acceptance. It is necessary to return this (form by SEFTEND&R 21. 1990 in order that a permanent Certificate of Occupancy may be issued. If no comments are received by the above date, theipermanen_ certificate will be issued. TO: BUILDING DIVISION - 3RD F OP/DATE_ FROM: ( Lrc — C This project is approved by this department subject to the following corrections: (Note: see copy of 90 day requirements attached) I w T[1i� -L�� -. •— k�h6 " l F T Ri Z » G kS11A l F• 'rA A� n�iro nab , WILL (z6aI111R_ P r' rP'AE& /may I lsdti V�luc�/ SF�t.rr 11 a �, qi lt'o-1•al, L r�eri..� Fa^i" r< Mew S - l A nl :nJxaOhN akin Nss -7 ?r a or, I."-fsdl S -'ova&rdmckk A4thorized Signature WATER AND SEWER PROJECTS PRESENTLY UNDER. CONSTRUCTION IN THE CITY Of RENTON WATER PROJECT A' [JT SEWER PROJECT 0 DATE I� 1 WATER PROJECT TITLE PROJECT LOCATION SS DEVELOPER ADDRESS n 4 PHONE EMERGENCY PHONE CONTRACTOR ! Jug. Clef ADDRESS PHONE EMERGENCY PHONE SCi kw- -Q- FOREMAN /4' e- PHONE 5�,.P2,2-'<--f ---- EMERGENCY <1 PHONE -;r— ✓YI' 'C City of Renton Inspector Other Inspector PRECONSTRUCTION CONFERENCF PROJECT: I1L'�J ���•-'� DATE: l ADDRESS/LOCATION: PROJECT fl �- PERMIT A WORK ORDER A THOSE IN ATTENDANCE NAME COMPANY PHONE 2JS-7-4,.2�D Amin, �n(ouw COY - Wr a U�Y ENsz 235 - 26s1 9 AUTHORIZATION OF SPECIAL BILLING DATE: 10 1 11,1AQ _ PROJECT NAME:- PROJECT NUMBER: t_J—`77( WORK ORDER NO.: It is the intent of this letter to authorize the City of Renton to bill the undersigned for all costs incurred relative to the above-referenced project, by the City of Renton for the following work: wRf�RtlAlu TiE ms U1RteR 11fTER ; + 'FEUREO WATfie Walzi<s 161 CITY kfa Dspr ?URtI Sr�hp �r BILLING TO BE SENT///JTQ Names _�C'Ar Addreaa: C!A City: Attn: 1� //Uo✓ �/St Phone Noa Z-Zto —Z7Z� Owner/Developer, Contractor Authorized Agent W-976 CITY OF RENTON JL PUBLIC WORKS DEPARTMENT Earl CI er, Mayor Design/Utility Engineering BACKFLOW PREVENTION DEVICE REPORTING AND TESTING INSTRUCTIONS All Backflow Prevention Devices installed are required, by Washington State Law (RCM 42.20.050.83-19-002/WAC 248-54-195), to be tested on installation, and annually thereafter. Testing must be done by a Tester certified by the State of Washington Department of Social and Health i Services, a list of whom may be obtained from this office. Please complete the bottom of this form, and return it to the Utility Engineering Department at 200 Mill Ave. S., Renton, WA 98055, together 1 with the completed Test Form(s) attached, when the required deviceks) have been installed. i OWNERS MAILING INFORMATION i Vf�rC.c - 4Caavtf t„C OWNER'S NAME: 71� / e m� MAILING ADDRESS: /9// A1uDIe — r � i — gty2"tan LJo — i DEVICE LOCATION INFORMATION STREET ADDRESS: ��C� t�l�o�e Ja1I _ +�ejllz�. DEVICE LOCATION*: 1 Crle, a� t<1r miler 1a_ r�i AW. & e Deg CONTACT PERSON: f PHONE NUMBER: 914-15 45 PROTECTION ZONE+: DATE INSTALLED:J,,Q .3d Tp�j USER CODE+:__ METER SIZE:��_ _ METER MAKE:: SERIAL NO: Ai — _ ' Directions to the device on the premises. leg. Second Fl -or utility room (Rm 209) next to elevator. + To be completed by Utilities Personnel . U/M/BKFLPREV 200 Mill Avenue South . Renton, Washington 98055 - Q06) 235-2631 ov Ni: W. q76 I� I. ' AM 7 PUBLIC WORKS DEPARTMENT T'• 'A M DESIGN/UTILITY ENGINEERING • 235-2631 MUNICIPAL BUILDING 200 MILL AVE.SO. RENTON.WASH.98055 BACKFLOW DEVICE TEST REPORT Accont Ib. .prn acr nns conlscl u «n«s r comtr/Ste f`v^CUrd a�\C r IC�a�elc> Tile oFftcn > C sinw�t Anoka" 3306 a1ale Val `e..[L t"TF-t-)�- �eJ1f2S>1 4 OUS 1pC.lgNp pfK! —T--- awes u«,rrrlw« — p.rar yr. wwm UAf MEseprle.,nAll Of TEST .ns SSUM Oep..cl aM rKsl cWCK vllve Z LOS. CHECK VALVE NO.1 CHECK VALVE V172 �01FFERENTIALRENTIAL PRESSURE RELIEF VALVE INITIAL 1. Leaked . .................... ❑ 1 Leaked ......... ... pened at Ibs. educed pressureTEST 2, Closed light.................. la 2 Closed lighl ........... id not open .................Cleaned ...... ❑ Cleaned................. aned—...................... Replaced. Replacedlaced'.Dlee ... ❑ Disc ................ Dnc.upper ..................................... Cl Sprang.... ................. ❑ Spring...................... Diac.lon'b................ . RGu1de ...................... ❑ Gu-de ...................... ❑ Spring...................... ❑ Diaphrag .large Pinlebler ................. 'nrealM ....... AWnge pm................... ❑ Hmge pm................... ❑ Upper ....,.............. ❑ 1 ❑ Lower . ❑ RSeal........................ ❑ Seat........................ ...........I...... SOtophlsgm.................. ❑ Ouphmgm.................. ❑ Disphratlm.WON Otim,dofNEw.............. ❑ Other.descuba.............. ❑ Upper ................... ❑ Lower ................... ❑ Spacer.I0«e1 ............... ❑ Other,daurlbe.............. ❑ FINAL ❑ Opened at SN. TEST Closed tight.................... ❑ Closed hOhl.................... reduced pressure Remarke: THE ABOVE REPORT IS CERTIFIED TO SE TRUE myU ""110 "&,(a et.sx t e. Public Works Departmen' — — DESIGN/UTILITY ENGINEERING 200 Mill Avenue South frnpelalMWW� MIS Renton, Washington 98055 1-_L'- Yo t CITY OF RENTON Department of Planning/Building/Public Works Far[ Clymer, Mayor Lynn Guttmann, Administrator October 28, 1990 Safeco Insuran.x Company Northwest Region Surety 4909 156th Avenue NE Redmond,WA 98082 Attn:Mary R. Burtis Seattle Division Surety Stm$fecr: BoND#5238385-ACCORD,INC.-PE2virr BOND TAco TLmE-3300 MAPLE VA[I.EY HtGiiwAv-RENroty This letter is to inform you that the subject permit bond cannot be released at the present time. The improvements as required by the permit have been completed,but all required project documentation have not been submitted by the applicant. An actual construction cost data of the utilities improvements (water,.;totmwater,strcet Iight,street improvements) and a bill of sale for the conveyance of said utilities to the City is required from the applicant. Upon receipt and verification of those documents, the applicant must furni::h a maintenance bond in the amount of 10% of the cost of said utilities for a period of one year from date of acceptance . Upon acceptance of the improvements and receipt of the maintenance bond the City will rckase the subject permit bond. Please call me at 277,-6210 if you have any questions on this matter. Very truly yours, �Vfte"` Abdoul Gafour Public Works Department/Water Utility 200 Mill Avenue South - Renton, Washington 98055 - (206) 235-2569 r NOTICE OF NEW FIRE HYDRANT IN-SERVICE PWV OF DEVELOPMENT (A , )r / ADDRESS INSTALLATION CONTRACTOR WATER PROJECT N0. Aj-* c/](t, NUMBER OF HYDRANTS N fir" HYDRANT LOCATIONS (FOR FIRE DEPT. USE ONLY) 1. _ r W- HYDRANT NO. 2. T 3. + l4 4. 5. 6. I NSPEC i OR fZtJr./J Cwh� /Q�Q i s I A h - 3firoA kVYY�l H , fit +e �y � 5�N NNN � N4N h L7 U c oL{�/ ttfS DBaIB ISTTB RIle11 STATE OF WASHINOTON O®AN"MWT OF fOC1AL AND HEALTH SERVICES 0 ,,,�+' WATER BACTERIOLOGICAL ANALYSIS 311MPLE COLLEC11011 READ INSTRUCTIONS ON BACK OF OOLDENRPO COPY If IRSINORORS NO Rot f011oweB,Umple will be.elected. DATE COLLECTED TIME COLLECTED COUNTY NAME i MONTH DAY YEAR AM ❑❑ PM1t�G TYPE�OF SYSTEM IF PUBLIC SYSTEM,COMPLETE: RvrjSLIC LF cIASS ❑ INDIWOW I.D. No. L I ( 'Lf 7 i airy� xbnc�i NAME OF SYSTEM SPEOEICL WHERE SAMPLE COLLECTED SYSTEM OMERtMGR NAME AND TFLENOM Iq Ma a.�ba Aryon remN,.I SAMPLE COLLECTED BY:FRANKFRANKKa; t rL I \ryy `Yc SOURCE TYPE `r .❑SURFACE ❑WELL ❑SPRING ❑PURCHASED a, MBINATION 4/o LOOTHER SEND RE POF 17 To Kf m A,Name,Amlala and DP Coen AN i\ &TIATi Nt WASHINGTON ^� TYPE OF SAMPLE c+re+e ,ow .�n,n coi.mni K 1. ❑ ORINKINGWATER ❑ Chlwln@tW(ResiouaF_Total_Freel Check treatment 11:1 I Filtered J U YNF*I o n,OtNar 2. CJ RAW SOURCE WATER 3 III NEW CONSTRUCTION or REPAIRS 4. ❑ OTHER ISpscilyl___ COMPLETE Ir THIS SAMPLE IS A CHECK SAMPLE PREVIOUS IAS NO PREVIODS SAMPLE COLLECTION GATE REMARKS: LABORATORY RESULTS tFoR LAB USE ONLY MJW COLIFORM STU PLATE COUNT SAMPLE NOT TESTED BECAUSE: MPN DILUTION m TEST-UNSUITABLE— ❑ S.mple Too Ole /100 ml 1. ❑ ConOoent Growth ❑ Not In Proper Container MF COLIFORM 2. ❑ TNTO ❑ InsUP'alent leamse Read W m PlpvirMO—Please Rwtl 3. ❑ Excess Di I"IT1.0ions on Form FECAL COLIFOR 'i ❑ MPN ❑ MF 4 ❑ ❑ ' O0 ml FOR NKING WATER SAMPLES ONLY.THESE RESULTC ARE'. , P§ATISFACTORY ❑ UNSATISFACTORY e REVERSE SIDE OF GREEN COPY FOP: It ANATION OF RFSW T LAB NO. DATE TIME RECEIVED— I RECEIVED BY DATE REPORTED LABORATORY , LAUC�"S T=STIPIfr'- LABS REMARKS "';G HARNEY 5EATILE.WA 98100 WATER SUPPLIER COPY DSHS tdn]IR1411) r 9 STATE OF W ASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES WATER BACTERIOLOGICAL ANALYSIS jA It CULLELI:ON BFA:I h. N-0Y EA',ll-' I0 Ik''U J(InetN,;Ion,efe not followed,eamVle will be nl�ted. DA COLLECTED TIMOLLECJTE^O COUNTY NAME mbATX OAY vTAP a S �� �,AM ❑ PM /C/ Ca TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE'. PUBLIC tE Elms ❑ INDIVIDUAL I.D. NO. / C 3 a a....mr l•aXwcN / 7 NAME OF SYSTEM SPECI TtDN WHERE SAMPE COLLELTE SYSTEM OM AINEP N ME NIO TELEPHUNE W SAMP ECOI.LECTEO Y:INemel 5 '$$D,URCE TYPE L'J SURFACE ❑WELL Tu SPRING ❑PURCHASED XOMBINATION OTHER SEND PEPQRT`OI•ri Nama, 21P W61"6a `, c am'✓F. sn, TYPE OF SAMPLE 1. DRINKINGWATER ❑ Chlorinated(Realduef._Total_Freel check treatment--► ❑ Filtered ❑ UDlmeted or Of",_ p, ccc❑aa� IIAW SOURCE WATER 3 NEW CONSTRUCTION or REPAIRS -- 4. OTHER IS"ON) COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PREVIOUS LAB NO -- PREVIOUS SAMPLE COLLECTION GATE REMARKS! '_S 3 LABORATORY RESULTS IFORI :USE ONLYI COUFORM STO PLATE COUNT SAMPLE NOT TESTED fJ BECAUSE l S TARNTEST UNSUITABLE Semple Too Old l 1. ❑ Confluent Growth ❑ NotmProperCorumner 2 Q TNIC I msuH¢IentIntorrTgl l ❑ Prpvlded--Pl"se ReadInsUucu.o.on Form 3" ❑ Excess DehHs1. ❑l FQR,yD{�pw_r�e����KING WATER SAMPLES ONLY.THESE RESULTS ARE'. t x(-f SATISFACTORV ❑ UNSATISFACTORY 'SEE REVE` , SIDF OF GHEEN COPY FOR FCPLANAT'.I1N OF RESULTS LAS NO PATE,TMEIRSCEIY90_ RECEIVED SY DATE REPORTED IILABORATORY IEMARKS S HI il. Y H �urt•8 WATER SUPPLIER COPY CITY OF RENTON WATER DEPARTMENT Pressure Test f, Purification Test Form PROJECT NO. NAME OF PROJECT.__ 4 O T,iVJE �jy�l PRESSURE TEST TAKEN By AT A PRESSURE OF ��jn PSI. FOR - NIN. TEST ACCEPTED ON L� f�d r-_ PURIFICATION TEST TAKEN BXS ON PURIFICATION TEST RESULTS, SAMPLE Y1 SAMPLE M2 SAMPLE N3 REMARKS: .�� � ". i r.. u ' r s5� 7 a �PF1� Ta,eAA ctnS�c. AY \n BUILDING DIVISION EIAL OCCUPANCY INSPECTION REPORT I DATE: SEPTEMBER 11, 1990 TO: UTILITY SYSTEMS [ ] STORM - RANDALL PARSONS ( ] SEWER - DAVE CH ISTENSEN [ ] WATER - ABDOUL AFOUR ( ] CONSTRUCTION SVCS - dARY YOUNG [ ] TRANSPORTATION SVCS - CLINT MQRGAN ( ] LANDSCAPE/ZONING V ] FROM:_BUILDING DIVISION - KE BINDARA (6173) SUBJECT: TACO 7IME PERMIT NO B-15199 W q Ib _WORK ORDER / —.TYPE BUSINESS_OFFICE _ The su. j ect project is nearing 'Completion. Please investigate your area of responsibility and indicate belbw either your acceptance or non-acceptance. It is necessary to return this (form by SEPTEMBER 21. 1990 in order that a permanent Certificate of Occupancy may be issued. If no comments are received by the above date, t'.ieilIper//manent certificate will be issued. TO: BUILDING DIVISION - JRD FIJOOR1DATE '-=era`T. ol, 1990 FROM: I. ''-• ."(2 C�C' 'T. II This project is approved by thi's department subject to the following corrections: (Note: see copy of 90 day requirements attached) I li TH,S bfel YIONT HIS N.MI' t'v.r tzArzAM,VkTr A ra,u. or � hLE KJ,LL k' )0117-e- %r L,92 QF-x wwlf4i 5;wua i 3 T&L. fox �eurr=sl s�zas� F�raTs � Xo-ra, L�tien..e- Fe�c � ?].rrs t-r<zfaca- is ±!jC•,u" llr2r rn !c P j�oPzti t-INAL t.1aur- N S AO PJNGH L�St. .t+Nlc�.LT6,2.P..c•-rf / FoR. ABG1:'��i• r3.n`v:1R- Nr; Authorized Signature BUILDING DIVISION FINAL Q PANCY INSPECTION REP �s D DATE: U PTEMBER 11, 1990 I "] TO: UTILITY SYSTEMS Engineering DCpt. ( ) STORM - RANDALL PARSONS [ ] SEWER - DAVE CHRISTENSEN [ ) WNTER - ABDOUL GAFOUR [ ) CONSTRUCTION SVCS - GARY YOUNCC [ j TRANSPORTATION SVCS -_-CUNT MOR N [ ] LANDSCAPE/ZONING [ ) BUILDING FINAL - KEN BINDARA [ ] FIRE PREVENTION FROM:_BUILDING DIVISION - KEN BINDARA (6173) SUBJECT: TACO TIME \ PERMIT NO_B-15199 W R 6 WORK_ORDER k (ND�/_TYPE BUSINESS OFFICE 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 §EPTEMBER 21. 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: AUILDING DTVISIO'l - JRD FLOOR DATE ___ FROM: This project is approved by this department subject to the following corrections: (Note: see copy of 90 day requirements attached) Authorized Signature �% }= CITY OF RENTON `LL BUILDING DIVISION Earl Clymer, Ma,�or Ronald G. Nelson, Building Official 49 PRe- oc-c. 770 1C//✓A L 43Gc, a ,9 LL Bv✓ "C April 25, 1990 „U 0 Taco Time 3300 Maple Valley Highway Renton, WA 98055 SUBJ: 3300 Maple Valley Iligh,tay Building Permit B-IS199 Gentlemen: The following items must be corrected or completed and approved before this building can be issued a permanent Certificate of Occupancy. 1. Public Works Department (235-2631) a. Activate street lighting see, -e cabinet and submit bill of sale. b. Require bill of sale and cost data and inventory for water. C. Require backflow lest results for V irrigation meter. j d. Certified as-builts drawings for water. e. Require bill of sale cost data and inventory, and certified as-built drawings for storm system. f. Raise oil/water separator to match landscaping in planter. 9. Clean all storm structures. h. Clean ow water vault. 2. Landscaping (235-2550) a. The fencing needs to be installed along the north and west property lines. b. The underground irrigation system needs to be installed. C. The landscaping needs to be installed. d. Jack hammer out all asphalt in landscaping planters, especially along east property line and in island planters. e. Paint walkway stripes with handicap parking stall. f. A sidewalk is required to be provided between the building to Maple Valley Highway as illustrated on the site plan. 200 Mill Avenue South - Renton, Washington 98055 • (206) 235-2540 ' Taco Time/B-15199 J April 25, 1990 Page 2 3. Building Division (235-2540) a. Complete storage building. If you have any questions concerning these items please contact the appropriate department or our office. Sincerely, 6 __oo "Kenneth C. Bindara Lead Inspector KCB:mjp KCB:B 15199 BUILDING DIVISION COMMUNITY DEVELOPMENT DEPARTMENT U1 ��� PRE-OCCUPANCY INSPECTION REPORT DATE: MARCH 3C. 1990 _ TO'' rr_ PUB LIC7INFORMATZON.SOUNTER; I—I BUILDING FINAL z C7�RRI8/_'PUBLIC;WORKS _I LANDSCAPE/ZONING I—I FIRE PREVENTION FROM:—BUILDING DIVISOON SUBJECT:_TAcn Tnrc PERMIT N0_R__I& _ —3300 MAPLE VALLFY HY TYPE BUSINESS OFFICE S� # The subject project is nearing completion. Please investigate your area of responsibility and indicate below either your acceptance or corrections necessary by 42gIL 6. 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 DATE FROM: UTILITY SYSTEMS - Water This project is approved by this department subject to the following corrections: n _5A !*, '� kol�o �•.0 pfio Q. �Yo dCC,uPC.,w r..� 1 Pill o� So�c . Co7+ D(ulka. lrw�*max- 3 . �ccc_t(ov �aS� fowl o t' off a� o� oF.� y Z biu�" -� ..S�ec,1-mc� v�FF� I�s�' vkEaFiw� avnof�y� — B DO YOU HAVE ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY? I�lYES 1_1NO FORMS/1:PREMC Authorized Signature W JL col i \ i L A- J.LL i olj -T- 1 ell f -t r _ a I { yz sLXE�Iz I I i I 11 f! { - - _ I �-t 11 - /,V s FNGCI FICINEEFiING „• TALQfNIE OF-OF-FILEFiMPANY CIVIL ENGINEERING AND •n I[./IS D� PLANNING CONSULTANTS pgyWiDw I� - AT MAt N REVISION n T E faD REYlslo0I-L_ ,R + _ 15'TIM6 UTILITIES TACO �~ I �� 1 I Iz'GAI�VALV61N�Au1• 8@ e*dla RT LyT _ _ 1 I i i EXIiSTIHG 46'6Ekt4 \i -9 DTI. 1 `- ' -50LF- 2pflIP --- 1 _ ___7__J r,.._..,. . MAPLE-- VA VALLEY ...--..., ,, - - - 01 q 18612 p fGiSTENAL PBr•4Vr�i f -- 304 Moro X• nue South Pent- WoShmoton 98055 IN IFIC INO TAr fmF OEF!L �— COMPANY •„•r CIVIL ENOINEEAINO AND IZ�I,°�� PLANNING CON9ULTANTH w^wr.T[ n ALL aae — SLALE; N-°I76 9LF IYCL53 DIP '7LF IZ'C.L53 DIP — ALL FITTIr1u5 TD 13E StJACYLED 12-'CL53 DIP USIrIG MEGk-LuG AND 5NACKLE. PJDDS QS SFIDWN. SEEBELOWFOR l5!• E`�E MOLTS INSTEAD C_ "f�EBCL.TS ON JD1N'CS,j 4-'Ye RODS L. I — a5°seen EXISTING 4Z"� P�RP�nN 12 (ZAT�F-VALVE __g5 __ METRO SEWER IN 48 MANNP_e STA 8014 STA 9*9(l STA St?4 R STA S*99 1, I#T IS' RT 13' STP 8+ 82.5 4-Ef9 nD r STAB+92 STA B+84 TC' IjQj-- F—iiC'e"'GFKS t AS?W+I_T HOT MIYC-'MIUGHESS AS REQUIRED-rON 1l WTC (o-CLASS B Cor�CLETc C NIGH EA�LI� STA EfaST (0'1- 5/g�) C�2,.isilFJ�RoCx - -L PGG - � ± .kn ->°- 304 Man Avenue South Renton.Wosnmpton 98055 CITY OF RENTON TEMPORARY WATER SERVICE AGREEMENT DATEhcord We, John W. Dobson, as owner in his separate right a Inc., a Washington Corporation, as lessee of property legally described as follows: Lot 9, Block 6, Maplewood Addition No. 2, EXCEPT that portion described as follows: Beginning at the most westerly comer of Lot 1, Block 6 of said addition thence 61 0915" E 50' thence S 09 55'00" W 51' thence N 65 0' j0" W 40' thence Northerly along Westerly line of said Lot 9 to point of beginning and 69 Cl?. g0513 1? Except that portion taken for SR 169. F.ECFEE 2.00 RECU F 6.00 for and In consideration of the Renton Water Deparbnent guanming a permit to connect a temporary/permanent water service and/or main in 55 Monroe Avenue S.E. or SR.169 for the above property. The owners of the above described property, their successors, heirs and assigns, hereby agree and covenant to participate in, slgr a petition In q4 support of, and accept any Local Improvement District (L.I.D.) or City- 10 initiated proposal, other than L.I.D., and pay their fair share therefore. O for the extension of the water main in SR.169 when required by the N4 Renton Subdivision Ordinance, or as directed by the Director of Public Works. O O IN WITNESS WHEREOF We have set our hands and seal the day and year first above written. n W. Dobson 'c� r Accord, Inc. (SEALY, President y I - �=-- �- S'i By: OF WASHINGTON ) )SS COUNTY OF KING ) I, the undersigned, a Notary Public to and for the State of Washington, residing at f. Wk ., do hereby certify that on this 1 7 day of July, 1989, personally appeared before me John W. Dobson. to me known to be the individual described herein and who executed the 'A h)AW'J',,,>rwnent and acknowledged that he signed and sealed the ar sp� .��,•15, C," old voluntary act and deed for uses and purposes thh��hl'ji���fe111t�d�•- .3 --------- - j t �• .. NOTARY PUBLIC In and for a fate , � of Washington residing at J(i R.��:• t j I My commission expires STATE rOV•WASHiNGTON ) , )SS COUNTY OF KING ) Y Or( this 0 - day of July, 1989, before me, the undersigned. a Notary Public in and for the State of Washington, duly commissioned and oru personally appeared Frank J. Tonkin Jr. to me known to be the I(lent. of Accord Inc. the corporation that executed the foregoing 'ORO AT REQUEST OF LL,,e c e"irtv e OFFi, ;ITY UERK R RENIu, JIFAL BLDG. JUL 2 4 1989 200 MILL AVE, 50. aULU1NG DIVISION REN10N,WA H055 /j�,_ ❑istrument, and acknowledged the said instrument to be the free and voluntary act and deed of %aid corporation, for the uses and purposes therein mentioned, and on oath stated that he is authorized to execute the said Instrument. -WITNESS my hand and official seal hereto affixed the day and year in this certificate above written. l� :••"eSion •'•�.�'; N! _� blic 1n and for ie St to of ;� y Washington residing at r+-+v S` ;� ��OY /► i My commission expires t7 �I 0 o� 0 o� ao ,I cmaa®nox I RE C E I V ED AL Z 4 1989 OUILJI14G DIVISION �39-89 CITY OF RENTON f Department of Planning/Buildi—g/Public Works Earl Clymer, Mayor Lynn Guttmann, Administrator November 2, 1990 Mr.John Cady Gall Landau Young Construction Company, Inc. P. O. Box 6728 Bellevue, WA 98008-0728 , d F y. SUBJECT: BLACK-LIVER CORPORATE PARK PHASE IN, BUILDING'B" '. PROJI 'COMPLETION REQUIREMENTS . . Dear John: The Asbuilt plans and Cost Data Inventory For the subject project have been reviewed by the Public Works Department. The Asbuilts are accepted for compliance to City standards. The Cost Data Inventory form is included herein with the modifications required shown. In order to receive the Public Works Department's acceptance of this project, the following is required: ■ Bills of Sale for the sanitary sewer and water improvements to be given to the City of Rentor,. The quanrities shown on the Bills of Sale shall comply with the corrected ;uantities of the Cost Data Inventory form (blank Bills of Sale attached). ■ A revised Cost Data Inventory form complying with the attached markup. ■ Backflow device test report for the DCVA required on the 11" irrigation line (have already received report on 8" DDCVA and V bypass for fire vault). • Completion of Public Works' inspectoes construction punchlist. ■ nance bond iu the atnourt equal to 10% of the total shown an the Inventory form. The permit bond will be released upon receipt tans a" the maintenance bond. A standard City of Renton t,%-t bond fon is attLched. If you have +L/ ,uestions or require iitional information, please contact me at 277-6212. 1 Very my ours. id M. iristensen Wastewater Utility Engineer 90-389 DM::pr Ecdorun 200 Mill Avenue South - Renton. Washington 98035 - (206) 235-2569 f