Loading...
HomeMy WebLinkAboutWTR2701865 MT-ON RIDGE APTS. PHASE 2 975 ABERDEEN AVE NE W-1045 BEGINNING OF FILE ,Irr ❑ua SPACE atslMP PO. ereO.utrs use. Ploaur Nallaaal 11111 Ialsufaaes Compaay WAIIHINOION rnLa OIVI610N Filed for Record at Itequeat of - 11 1 TO OFFICE OF THE CITY CLERK a Renton Municipal Bldg. 200 Mill Avenue South' a` Renton, WA 98055 v t' ruu. L ltll BILL OF SALE KNOW ALL MEN BY THESE PRESENTS: That 'RENTON RIDGE APARTMENTS of Renton County of King ,Stale of Washington,the party of the first part. for and in consideration of the sum of One and no/100- - - - - - - - - - - Dollars lawful money of the United States of Attletica,to them In haled paid by C i ty o f Ren t o n tilt pail y of the second part, the receipt whereof Is hereby acknowledged, do e 5 by them pros,., , grant, bargain, sell and deliver unto the said party of t second part, the lullowblg described personal properly now located at 975 Aberdeen Avenue N. [. In the City of Renton , County of King and State of Washington, to-wit: V 1045 WATER - PERMIT NP-7559 two fire hydrants, ApproxtmateTy b0I T.T. of iIt" Ductile Iron Pipe, one 10" Gate Valve, and all appurtenances pertaining to said Water Main expressly warranting said Water Main against any expenses, costs or liens hereto incurred thereon by, through or under seller herein, d TO HAVE AND TO HOLD the same to the said patty of the second tart, i tS heirs, tAECY1013, administrators and assigns forever. And said party of the first part, for i t S heirs, Executors, administrators, covenant and agree to and with the laid party of the second part, i t S executors, adminlslratota and asigtn, that said party of Ilse first part i S the . owner of the laid Properly. goods and chattels and haS good right and lull authority to sell the same, and that i t will warrant and defend the sale hemby made unto the laid patty of the second part, i t5 eseculors, administrators and assigns, against all and every person or persons, whomsoever, lawfully claiming or to claim the more, IN WITNESS WHEREOF,The aid part y of the fi4bb hereu o act i t 5 band and seal this �n,. � day of 199 (SEAL) enneth P. Kester, artner (SEAL) (SEAL) „4&,si (SEAL) STATE OF WASHINGTON, C. Laward 54loyingirijilf. Parth r County of �.•,p JJ kw,..,em �Ste� .a l' 6�,u�:t20jO'ic,�'rtt✓-� L`V%Chi;Jay personally appeared before me Itr Z nor Uy Le the lodividual-aJ described In and wbo executed the within and foregoing Instrument. al:d killVfaked W t f, '11141 ,igaed the lame as a fret and voluntary act and deed, fur the QJn�j,:a d pu eln mentioned. � 1)♦J n{ f y land and official seal this J1.n„_ day of it`*&VV+ asI ,w,1,,,,.�` _- 1f0 /5, t�..�O.c}9•(µ Notary aalie nd I"the State of filaihinglon, a 1 residing m 0 COST DATA AND INVENTORY SUBJECT: RENTON RIDGE CITY PROJECI'NUMBERS: W- 1045 _APARTMENTS Phase II Permit S NAME OF PROJECT +! P-7559 ST- TO: CITY OFRENTON FROM: KBI DIVERSIFIED, LTD. UTILITIES DIVISION 200 MILL AVENUE SOUTI I Post Office Box 1676 RENTON,WA 98055 Bellevue, WA 98009 DATE: October 2 , 1991 Per your request, the following information Is famished concerning costs for improvements Installed for the above referenced project. WATER SYSTEM: Length Size Type 601 L.F. OF 10" " DI WATERMAIN ( 16. 50/LF 9,916. 50) L.F. OF WATERMAIN L.P. OF WATERMAIN L.F. OF WATERMAIN One EACIIOF 10" GATE VALVES (600.00 each 6CO.00) EACH OF GATE VALVES EACH OF GATE VALVES SUBTOTAL $ 10 ,516. 50 2 EACH OF 6" M/H FIRE HYDRANT ASSEMBLIES $ 2,Q96.84 (COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY).(1,498.42/ea TOTAL COST FOR WATEP.SYSTEM $ 13,513.34 SANITARY SEWER SYSM- 1: k Length Size �OC 27 L.F. OF 6" " SEWER MAIN (8.00/LF 216 .00 L.F. OF — " _ _ SEWER MAIN / L.F. OF � SEWER MAIN EACH OF 6 ETER MANHOLES ' TOTAL COST FOR SANITARY SEWER SYSTEM $ ,216.00 STORM DRAINAGE SYSTEM: Length Size Type 28 L.F. OF 18" CP STORM LINE (18. 50/1-F 518.00) 364 L.F. OF � ^ ---77— STORM LINE ( 14. 25/LF 5, 187.00) 20 L.F. OF — " PVC STORM LINE ( 8. 50/1-F 170. 00) EA. OF STORM INLET 4 EA. OF ` I STORMCATCIIBASIN ( 1,050 ea. 4,200. 00) 2 EA. OF " 11 STORM CATCHDASIN ( 1 ,450 ea. 2,900.00) TOTAL COST FOR STORM DRAINAGE SYSTU- 1 $ 12,975. 00 STREET IMPROI.TNIENTS: (Including Curb, Gutter,Sidewalk, Asphalt pavement and Street Lighting) included in Phase I TOTAL COST FOR STREET I.MPR • IENT $ (SI NATUItT� Kenneth P. Kester (SIGNATORY MUST BE AUTHORIZED AGENT OR Partner OWNER OF SUBJECT DEVELOPMENT) 'FILED FOR RECORD AT REQUEST r HI-16+5 OFFICE OF THE CITY CLERK RENTON MUNICIPAL BLDG. UTILITIES #1 200 MILL AVE. SO. FENTON, WA 98055 E A s E M E N T THIS INSTRUMENT, made this6th day of June by and between RENTON RIDGE ASSOCIATES —I9 90 and and i 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 $ 1 .00 _ LONE DOLLAR) paid by Grantee, and other valuable consideration, do by these presents, gran[, bargain, sell , convey, and warrant unto the said Grantee, Its successors and assigns, an easement for public utilities (including water and sewer) with necessary appurtenance; over, through, across and upon the following described property In King County, Washington, more particularly described as follows: SEE ATTACHMENT "N„ clry of Toa DE C E I v ED (�JUN 6 1990 y7— Z,7 BUILDING DIVISION U C ac @ 4 u 11IINE V/R ♦(ltBTIHMt DErN Y n � 91/06:0E M0992 1F d RFCD F 9.00 ('J RF_CFFE 2.X, 0 CRSHSI. 1.OC1 rt Sti UENI-1 9/- - A w•leas Said heretofore mentioned grantee, its successors or assigns, shall have the right, without prior notice or proceeding at law, at such times as may be necessary to enter upon said above described property for the purpose of construct- ing, maintaining, repairing, altering or reconstructing said utilities, or making any connections therewith, without incurring any legal obliyations or liability therefore, provided, that such construction, maintain,ng, repairing, altering or reconstruction of said utilities shall be 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 thk aforedescribed premises, including 7 the right to retain the right to use the surface of said right-of ay if such use does not interfere with installation and maintenance of the utilises. 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 ow is of the above properties and that they have a good and lawful right to execut this agreemer . and and Ke(nne0 P. Kester Edward C. Spr gmay and and CORPORATE FORM: STATE OF WASHINGTON ) SS � COUNTY OF KING 3 O cD O On this 6th day of June 19 90 before me, the undersigned, CO a Notary Publ c�{n an _for the tale o yg pN duly commissioned and sworn O personally appeared and to mg, known t be the and ra respectively, of the corporatio t executed the fore- going instrumenti and acknow5aged the said instrument to be Vie free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that authorized to execute the said in.trument and that the seal affixed is t e corporate seal of said corporation. WITNESS my hand and official seal hereto affixed the day and year in this certificate above written. l/� 1 4-1 Notary PuGllc In and for the Starf residing ato e. O�aEM ON RE CCrtY E I V ED JUN 6 199Q Bull D:NG DNISION UE12-2 b -- —. 91060609`3z NORTH o 7/2. 9G R•G92.96 \ vgy'5/'00'E /954ro r�. �� 20.��—— /DlA-v- /V 1 51'09'OD'N \ /\ 'f1.90 /a � r�: 15.50 L'J 4500 p, 14.00 00 /ip 00 ) m1 24.00 '\ N4: 9900"!✓ PT G' /N/�i�'d9r5i'oa P/'D' F. G> Fr 'E' I' Q,� N00 09'00"h � •. ./ /�{ S4S'09'00"� Q� NCD•09'00'W � SOD P1 yrr ir U-1 PT K 5000 r800� v hoo'09'ODE a 0 m p� m p� Z Q W- 1045 UTILITY EASEMENT ATTACHMENT rrArr K131007 EXHIBIT 'A" An casement for the purpose of domestic water supply being a strip of land 15 feet in width situated in a portion of Tracts 17 and 18, HARRIES GARDEN HOME TRACTS, according to the plat thereof recorded in Volume 34 of Plats, page 38, records of King County, Washington, said plat situated in the Northeast quarter, Section 8, Township 23 North,Range 5 East,W.M., EXCEPT that portion of said Tract 18 taken for SR 405(P.S.H. No. 1) by King County Superior Court Cause No. 656773, said easement having 7.50 feet on each side of the following described centerline: COMMENCING at the Southeast corner of said Tract 17,said corner being situated on the westerly right-of-way margin of Aberdeen Avenue N.E. (112th Ave. S.E.); thence N 00009'00" W along said margin a distance of 83.64 feet to the POINT OF BEGINNING of said centerline, said margin being the easterly limits of said easement sidelines; thence S 89051'00"W a distance of 31.50 feet;thence N 21°41'58"W a distance of 44�0 feet;thence N 57052'04" W a distance of 71.22 feet; thence S 88°17'33" W a distance of 106.71 feet to a point to be known hereinafter as Point "A"; thence continuing S 88°17'33" W a distance of 52.00 feet; thence S 37051'00" W a distance of 15.00 feet to a point to be known hereinafter as Point"13%thence continuing S 37°51'00" W a distance of 20.00 feet tc. a point to be known hereinafter as Point "C'; thence continuing S 37°51'00" W a distance of 45.50 feet to a point to be known hereinafter as Point '13% thence cor. 'nuing S 37°51'00" W a O distance of 13.32 feet; thence S 89051'00" W a distance of 14.00 feet ,o a point to be known Ohereinafter as Point "E"; thence continuing S 89°51'00" W a distance of 60.00 feet; thence tp S 44051'00" W a distance of 25.00 feet to a point to be known hereinafter as Point "F'; O thence continuing S 44°51'00"W a distance of 62.11 feet to a point to be known hereinafter 74 as Point"G'; thence continuing S 44°51'00" W a distance of 7.00 feet; thence S 00°09'00" E a distance of 17.80 feet to the South line of said Tract 17,said South line being the terminus of said centerline and the southerly limits of said easement sidelines. TOGETHER WITH: Strips of land 10.00 feet in width having 5.00 feet on each side of the following described centerlines: BEGINNING at the aforesaid Point"A; thence S 01°42'47"E a distance of 45.00 feet to the terminus of said centerline and easement. TOGETHER WITH: BEGINNING at the aforesaid Point"B%thence S 5Z 09'00"E a distance of 24.00 feet to the terminus of said centerline and easement. TOGETHER WITH: BEGINNING at the aforesaid Point "C"; thence N 52°09'00" W a distance of 15.50 feet to the terminus of said centerline and easement. TOGETHER WITH: BEGINNING at the aforesaid Point "D"; thence N 52°09'00" W a distance of 17.50 feet to the terminus of said centerline and easement. TOGETHER WITH: arr 1 on (]EC E 1 V ED JUN 6 i990 A BUILDING DIVISION W-101'S BEGINNING at the aforesaid Point 'E"; thence N 00°09'00" W a distance of 18.00 feet to the terminus of said centerline and easement. TOGETHER WITH.- BEGINNING at the aforesaid Point"F'; thence S 45°09'00" E a distance of 24.00 feet to the terminus of said centerline and easement. TOGETHER WITH: A strip of land 15.00 feet in width having 7.50 feet on each side of the following described centerline: BEGINNING at the aforesaid Point "G"; thence N 45°09'00" W a distance of 26.00 feet to the terminus of said centerline and easement. TOGETHER WITH: A strip of land 15.00 feet in width situated in a portion Tract 16 of said plat, said strip having 7.50 feet on each side of the following described centerline: COMMENCING at the Northeast corner of said Tract 16,said corner being situated on said right-of-way margin; thence S W09'00" E along said margi^ a distance of 16.01 feet to the POINT OF BEGINNING of said centerline, said margin being the easterly limits of said 9 easement sidelines; thence s 89°51'00" W a distance of 55.00 feet to a point to be known hereinafter as Poir.t 'H";thence continuing S 89°51'W' W a distance of 28.00 feet to a point to be known hereinafter as Point 'T; thence continuing S 89°51'W' W a distance of 30.00 feet to a point to be known hereinafter as "Point "K", said point being the terminus of said C) centerline and easement. TOGETHER WITH: O CStrips of land 10.00 feet in width having 5.00 feet on each side of the following described C0 centerlines: O V4 BEGINNING at the aforesaid Point "H"; theto:e S 00°09'00" E a distance of 30.00 feet to the terminus of said centerline and easement. TOGETHER WITH: BEGINNING at the aforesaid Point 'T; thence N 00109'00" W a distance of 11.00 feet to the terminus of said centerline and easement. TOGETHER WITH: BEGINNING at the aforesaid Point 'V; thence N 00°09'00" W a distance of 18.00 feet to the terminus of said centerline and easement. The sidelines of said easement are to be lengthened or shortened to intersect at all interior angle points. •...... :h s: � ,q � ;',4:• cm of aFH.a1 ��ils•:'91�1 A .` Q-i Tl E C E i V E D `�hql LAND.a• JUN G 1030 BUILDI:GG DIVISION u• 16.t BOND NO. 119 38 53 MAINTENANCE BONG KNOW ALL hVN BY THESE PRTSENT5: That we , RENTON RIDGE ASSOCIATES, a Washington general Partnership ds Principal, and INSURANCE COMPANY OF THE WEST a corporation organized and -,'sting under the La•.s of the State of rA1TFQRNTA Surety are held and firmly bound unto CITY OF RENTON as Obligee, in the total sum of nNF THOIICANn FIVE HItNnRFn evn Nn/i nprl� Dollars, for the payment of which, well and t:,hly to be made, the executors, administrators, successors and assigns, jointly and severally, fir-mly by these presents: for 975 Aberdeen Avenue NE/PHASE 11 - PERMIT NOS. B-16142 through R-16145 h B-15934 WATER UTILITY SYSTEMS NOW, T'gcREFO1L, TML CONDITION OF THIS OBLIGATION IS SUC-`i, 'rhat if rh_ Principal shall maintain and remedy said work free from defects in materials and wcrl�- znship for a period of year(s) follow_nq completion, then this obligation shall be void; other-ise is . hall reoaln in full force and effect. ` • SIG:4ED, SEALED AND DATED this Ihrh day of S„ntp,hpr 19yL. RENTON RIDGE ASSOCIATES, �4 __ WWBt _ Kenneth P. Kester, Partner T NSIIRA Nf C rnNPANy nF THE WF'CZ 1 I" Susan B. Larson, ttorney-in-Fact -t•V OF RENTON DECEIVED Sr' P 2 0 1991 -•QIwmU UIViSION INSURANCE COMPANY OF THE WFIS V HOME OFFICE: SAN DIEGO, CALIFORNIA Certified Copy of POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That INSUrANCE COMPANY OF THE WEST, a Corporation duly authorized and existing under the laws of the State of California and having its principal office in the City of Son Diego, California, does hereby nominate, constitute and appoint: Tim Church SCarl N1elwmfatcn Cinld]yy E. Paulsen Cynthia L.�(Scott [ 1Jnhny N..1 lelkcles Heidi Felder its tine anrC�a. ulr A[torn:�y(5)t 1�1-F�OC t�,r Wei thl{f ullt powarSonat6uth01Tl t�""PAby conferred in its name, place and stood, to execute, seal, acknowledge and deliver any end all bonds, undertakings, recognizonces or other written obligations in the nature thereof. This Power of Attorney is granted and is signed and sealed by facsimile under "a by the authority of the following Resolution adopted by the Board of Directors of INSURANCE a- COMPANY OF THE WEST at a meeting duly called and held on the Sixth day of February, 1973, which said Resolution has not been amended or rescinded aNd of which the following is a true, full, and complete copy: 'RESOLVED: That the President or Secretary may from time to time appoint Attorneys-in- Fact to represent and act for and on behalf of the Company, '+and either the President or Secretary, the Board of Directors or Executive Committee may at any time remove such Attorneys-in-Fact and revoke the Power of Attorney given him or her; and be it further ' RESOLVED: That the Attorney-in-Fact may be qiven full power to execute for and in the dome of end on behalf of the Company any and all bonds and undertakings as the business of the Company may reruire, andup any such bonds or undertokings executed by any such Attorney- in-Foci shall be as binding on the Company as if signed by the President and sealed and attested by the Secretary.. IN WITNESS WHEREOF, INSURANCE COMPANY OF THE WEST has caused its official seal to be here- unto affixed and these presents to be signed by its duly authorized officers this 6Lh day OI December, 1990 INSURANCE COMPANY OF THE WEST /pr—Mrr 1_ \ P resident STATE OF CALIFORNIA COUNTY OF SAN O !.GO On Lhis 6th day of December, 1990 before the subscriber, a Notary Public of the State Pi California, in and for the County of Son Diego, duly commissioned and qualified, come BERNARD M. FELDMAN, President of INSURANCE COMPANY OF THE WEST, to me personally known to be the individual and officer described in and who executed the preceding it 'rumant, and he acknowledged the execution of the some, and being by a duly sworn, deposeth and saith, that he is the said officer of the Corporation aforesaid, and that the seal offixed to the preceding instrument is the Corporate Seal of the said Corporation, and that the said Corporate Seal and his signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my Official Seal, at the City of Son Diego, the day and year first above written. •' � OF SEAL NORMA PORTER m' NOWry Vyt SANbErp 1"2 LbT tc c•1,10FN7REI1D_12I,J 1011 STATE OF CALIFORNIA COUNTY OF SAN DIEGO Is I, the undersigned, JAMES W. AUSTIN, III, Secretary of INSURANCE COmj,6y jg4typirpi:,' o hereby certify that the original POWER OF ATTORNEY, of which the foregoing is a Yu '��CC ue and correct copy, is in full force and effect, and ties not been revoked. IN WITNESS WHEREOF, I have hereunto subscribed my name as Secretary, and affixed the Corporate Seal of the Corporation, this 18th day of September 19 91 CmWUr4 r`xn ,�J ocretory �`-- ICW CAL 37(REV. 5J07) ". B I DIVERSIFIED. LrD October 3, 1991 Greg Zimmerman Public Works Department CITY OF REN 1'ON a 200 Mill Avenue South Renton, WA 98055 RE: RENTON RIDGE APARTMENTS - PHASE 11 PERMIT #P-7559 Dear Greg: Enclosed herewith is the 'Cost Data and Inventory" for P'tase 11 of Renton Ridge together with a Bill of Sale for each utility to be deeded ovar to the City. Please feel free to give us a call should you have any questions regarding these documents. Sincerely, Robbie Duffin RD Enclosures cc: Neil Maune Building Inspector } ,t I'll Bo% 1676. N-Il•utc. Uashingtun 9MM9 21Nia,"�141'LI CONSTRUCTION FIELD SERVICES U1- I04S FINAL OCCUPANCY INSPECTION REPORT �Ssv DATE: OCTOBER 16, 1991 TO: UTILITY SYSTEMS [ J STORM - RANDALL PARSONS [ ) SEWER - DAVE CHRISTENSEN [ ] WATER - ABDOUL GAFOUR [ ) PLAN REVIEW - GREGG ZIMMERMAN [ ) CONSTRUCTION SVCS - RICK KOKKO [ ) TRANSPORTATION SVCS - CLINT MORGAN [ J LANDSCAPE/ZONING - BOB ARTHUR [ 3--BUILDING FINAL - NEIL MAUNE [ ) FIRE PREVENTION FROM:_CONSTRUCTION FIELD SERVICES- NEIL MAUNE x6172 SUBJECT: RENTON RIDGE PHASE II PERMIT NO. : B16142-45 & B15934 BLDGS. A,B,C,D & REC WON87041 975 ABDERDEEN AV NE TYPE BUSINESS: APARTMENTS The subject project is nearing completion. Please investigate your area of responsibility and indicate below either your acc ntance or non-acceptance. Please return this form by ISEDNESDAY. OCTOBER 991 in order that a permanent Certificate of Occupancy may be issue If no �jmments are received by the above date, the permanent certificate will be issued. TO: CONSTRUCTION FIELD SERVICES DATE 16/111,1I FROM: Wmb� Mali This project is approved by this department subject to the foll ing corrections: (Note: see copy of 90 day requirements attached)rN NON-LIFE SAFETY ITEMS I LIFE SAFETY ITEMS 906E Al Uud OVAL*6 4F EIMev Oulu to° )YwW cNAW( laudc.a n0 D1MLN rlere&a h ►z4-) . ^ AuewA &K UIUQ1 Fop, DOWA (6R. . SAL 6u samjvaev A 1&SVa, fm,ofew wra[r 900S U40w DLdA — Zop* uTmrt u*k th Uw ,r M aw& "e-- Msakm, Pula I1,J 'RS !M&S (Ace,. Ot• DNS a. DO YOU HAVE ANY OBJECTION TO ISSUANCE OF A PERMANENT CERTIFICATE OF OCCUPANCY? (IF YOU HAVE LISTED ANY LIFE SAFETY ITEMS, MARK "YES" . ) [ x] YES [ ] NO abmw, G�fau�. 21�c21a . Authorized Signature JUL x '91 oel 4-6 71 Pacific - --- C o m m e rc i a l 500 1 OBTH NOPITHEoST,SUITE 1018 SELLEVUE.WASI aNG1 ON 98004 Corporation _TELEPHONE 208/45i-0300 July 2�' VX)l VLk FAX to 235.2513 Jut Abdoul Galour r991 CITY OF KENTON c 1TY O� Renton, WAill nue 98(l�uth nBinee55 1i 8i�ep N RE: RENTON RIDGE APARTMENTS Dear Mr. Gafout: The City of Renton is holding a S89,743.27 Letter of Ctedit issued by Pacific First Bank. This was issued in lieu of a performance bond regarding off-site improvements. All off-siht; work has been completed, and a utility maintenance bond has been provided to the City (deliNered to Mar,aret Pullar on July loth). Please initiate the proper paper work to facilitate the release of this letter of credit. Please let the know if you have any questions. Thanks for your assistance. Sincelely, Ms- Robbie Duffin y RD r °•f VAiLNG AOOaESS POST OFFICE SOX 1478.. 9ELLEVUE,WASH.NOTCN 98009•FAX 455-SO37 6 ell( , CITY OF RENTON WATER DEPARTMENT ' D, Pressure Test 6 Purification Test Fcrm PROJECT NO. NAME OF PROJECT 4,;* �i, � . _ -. L��'/f!" -AC hiO AE TEST TAKEN BY_N'. '. s-/.rs✓i L: ON AT A PRESSURE OF PSI, FOR MIN. TEST ACCEPTED ON PURIFICA-IfN TEST TAKEN BY ON PURIFICATION TEST RESULTS, SAMPLE #1 ,_.. • ' SAMPLE I2 SAMPLE NS REMARKS: PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION CITY OF RENTON, WASHINGTON APPLICATION ONLY - UNTIL VALIDATED NU HER P 7SSy Amer �� '�� Location of Work Address 17 7 o&=/yl 4,vp NF _ �aLLUE ) u1A aSQo5 RENIoN A1/ 6-&F Zr9107S 4 J - FF LP (r C. INSPECTIONS FEES 1 5 70'"' CONSTRUCTION Sanitary Sewer/Storm Water Permits 350,C< Right-of-Way Construction PERMIT Right-of-Way Inspection Fees tPublic Right-of-way) Water Inspection/Approval Fee ' Special Utility Connection Fee, Water Water Latecomer Fee —D— _Q Special Assess .gent District, Water — D— Date Issued Sewer Inspection/Approval Fees ^d Special Utility Connection Fee, Se..er 1��750-n Expiration Date Sewer Latecomer Fee _ O Special Assessment District, Sewer Reference Data V�f,OqJ ux-.r.Lf &. J- Special Deposit, Private Latecomer - n Special Deposit, Cash Band TOTAL FEE CC�!c. fax G(01cK.� x �i7Se�.e.�. Description of Work and Niunber of Feet �,t4„a�� /JA?l�'RTSAN/j �,Y S�GI/ir^..�2 STCJ 92117E /4S11LTAII NSl�o14T9'f��N 1f11olPol��NIEN7� PAR 4*10V2_=/) /"L GU- 0 y - Contractor Business License Address Bond POW weR Tel hone - IT IS UNDERSTOOD THAT THE CITY OF RENTON SHALL BE BELL HARMLESS OF ANY AND ALL LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE OF SAID WORK. ANY WORK PERFORMED WITHIN THE RIGHT-OF-NAY OR ON SEWER MAIN MUST BE DONE BY A LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EKCAVATI 7 r CALL Z- FbR INSPECTION. GG ' r Call between B AM and 9 AM for APPLICANT Llti� l inspection in afternoon: call before 12 Noon the day before for inspection in morning. PUBLIC WORKS DIRECTOR SPECIFY TIME FOR INSPECTION. f L 235-2620 for street signs CAL: BEFORE YOU DIG By 4g-HOUR LOCATORS d 2"I�tIL"Lf.-L' -- and lighting. 1-800-424-5555 AUTHORIZATION OF SPECIAL BILLING DATE: PROJECT NAME: PROJECT NUMBER 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 (TY 7a P11 ai, -mue ng--/NS dwo FOP PURILK 5d4E < 'INn 629� B s1-04Z_ L{XSrC r BILLING TO BE SENT TO Name: a"'E;L Address Q�) City: ` Attn: q Phone No.: Owner/Developer, Conttutor or Authorized Agent l CITY OF RENTON No, N° 2753 V i UT IL Ty ENGINEERING ♦ ♦ 200 MILL AVENUE SOUTH RE VON, WA 98055 �� Vr PHONE, 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account No. Meter Charge $ -_ Work Order No. 9704.115566 Less Stub Service Credit Down, Payment Sundry Sale No. System Development Charge 7559 In City Yes u No❑ Late-Comers (City) _ (Others) On Sewer Yes M No❑ 1/ TOTAL FEE B 45() 4S fi Water Usage: Residential (] Commercial Industrial ❑ �E Other INSTALLATION: INSTALLATION: Meter Size 2.0 WMf31L -- Size Service Temporary Hydrant Metal Yes ❑ No CK Meter Make Sewage Exempt Meter Yes ❑ NON Meter No, Date Installed — Flre Protection Service Yes❑ No T GROa IN IAEIFL 0N1V Co 9 75- m ante: Service Address WwECN ME N E Le al Description BInE {'I ert3tm C1tlzs Ae}s 'VAT Z --T'" Sag e CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes(] No if Yes, Type of Device: Reduced Pressure Batkflow Devl,;e❑ Double Check Valve Assemblv❑ Air or Pressure Vac Breaker ❑ Make of Device Model Serial No. Size Data Device Installed Meter No. �/ pFile No. Owner's Name l Dwe QSlh� LTD• 1- Phone L°S' St4! p Address P o ODK t 676 City W.61',A State 11101 zip It Phone Contractor's Name Address City State zip _ Are. Served by Renton Water Seattle Water❑ Seattle Water Code No. Temporary Service Agreement yes ❑ No N If Yes, Agreement Retarding No. Service to be Located on an Easement Yes ® Wo❑ 1f Yes, Easement Recording Nc.lu_ 1O 4 Is There an Existing Stub Service yes ❑ No o if Yes, Water Project No. W- Existing Late-Comers Agreement Yes ❑ No If Yes, Agreexrt No. _ In Favor of Address City State zip tttI _ �Charge 5 System Development Fee Yes® No❑ if Yes, Syste� Development Fee Based onpai6 F- It i S9 Square Feet THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND lf' PROMISES TO PURCHASE THE WATER AND -AY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH Sh.>LL 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 3-203. �o �01A�J a H ✓ -"— ;_ Whlta - Utility Billing na e uA v4et on Aqel yellow - Engineering Z- 13 —Y J 1 Pink - eater Shop �fi !k -ang Agent vate Gold - Customer CITY OF RENTON , / JC V UTILITY ENGINEERING 56 n NO lam N•Q 2 ♦ ♦ 200 MILL AVENUE SOUTH .r.' RENTON, WA 98055 PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account No. Meter Charge $ Work Order No. 17044 5 5 i(Dl Less Stub Service Credit Down Payment - Oy- Sundry Sale No. System Development Charge In City Yes® No Late-Carvers (City) �--I On Sewer Yes� No U (others) W ` Water Usage: Residential Caonertlal ® Industrial TOTAL FEE S 4 5 +M/] Other �}• INSTALLATION: Meter Size L 06M � Site Service Temporary Hydrant Meter Yes No® Meter Make Sewage Exempt Meter Yes No Meter No. Fire Protection Service Yes No Date Installed Comments: 17Qpy,jL_ HE'fEfL aMl'j _ Service Address 5 ct - AAMID W WE rJ� Legal Descriptq�ion�I'IIO�111W1-�s 7 'QenkGn KI(IA• hTAt Vhmr __2 9 Le OSS CONNECTION CONTROL: Backflow Protection Device Required Yes No If yes, Type of Device: Reduced Pressure Backflow Device Cl Double Check Valve Assembly Air or Pressure Vac Breakerke of Device Model Serial No. Size te Device Installed Meter No. File No. Owner's Nam! Kbl 3iUCtyfn LTD Phone2�5- S2tT Address 1.p. Box 167K ___ CIty Uk msAL state WA zip (mo9 Contractor's Name _ Phone Address City State zip Area Served by Renton Water Seattle Water 0 Seattle Water Code No. Temporary Service Agreement Yes J No[K If Yes, Agreement Recording No. Service to be Located on an Easement Yes M No❑ If Yes, Easement Recording No. W- I0 4 S Is There an Existing Stub Service YesK] No C3 If Yes, Water Project No. W Existing Late-Comers Agreement Yas No® If Yes, Agreement No. In Favor of Address City State Zip Charge S System DeveloPment Fee Yes X] No F1 If yes, System Development Fee Based on Square Feet THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH SHALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 3-203. White - utility Billing __ a9nneut/e o t at gent ate Yellow - Engineering PSP�oouA, d Ls(j 2- 19-11 Pink - Water Shoo Gold - Customer LtLy ob lient.. onuz.zlg Agent Date RENTOR `1Y CJ� CITY OF ENGINE NO Ne III �V ' UTILITY ENGINEERING • � • 200 NIL: AVENUE SOUTH —__ RENTON, WA 98055 PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account No. p Meter LM rge $ Work Order No. 0 0 53 p`6 Less Stub Service Credit Dawn Payment 4 5o Sundry Sala Mr. System Development Charge ftel P. 7 55q- In City Yes M. No❑ Late-Comers (City) — On Sewer Yes n No❑ (Others) Water Usage: Residential ❑ Cemmerc'. Industrial ❑ TOTAL FEE s 459 {I ,rH) Other / Meter size a 04WNKfI(,. INSTALLATION: L Size Service Temporary Hydrant Meter Yes No Meter Y.akr. Sewage Exempt Meter Yes No® Meter No. Fire Protection SerYlce Yes No Date Installed Service Address Q 1-75p�-���sW�� 6"IC90Cw mF Ne CoMrerts' ')QnPW men (*tX Legal Description Pslsutp K �S T AP Qh 2- CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes❑ No® If Yes, Type of Device: Reduced Pressure Backfloe Device V Double Check Valve Assembly 'J Air or Pressure Vac Breaker Make of Device Model _ Serial No. Size Date Device Installed Meter No. file No. Owner's Name Kgi Phone 285-5205 Address P-0 tv 1676 City !JAM" .+ '1MLp,- State lilt- Zip 98601 Contractor's Name Plane Address City State zip Area Served by Renton Water} Seattle Water Srattle Water Code Mo. Temporary Service Agreement Yes C] No M If Yes, Agreement Recording No. Service to be Located on an Easement Yes�Z Mo E] If Yes, Easement Recording No.W-IOaE— Is There an Existing Stub Service Yes ® Re CD If Yes, Water Project No. W- Existing Late-Comers Agreement Yes ❑ No If Yes, Agreement No. In Few of Address City State Zip pp Charge $ System Development Fee Yes NoJ5 If Yes, System Development Fee Based on 6 t 7M Square Feet THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH SHALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 3-203. White - Utility Billing � 9.ute o6 voreitVgent )-ate Yellow - Engineering /A{,s,�s Pink - Water Shop S�1UL .4AfVa'i Z_ 1g-11 Gold - Customer — CLCY 06 Kenton Authourtng gent qce ��1 Q CITY vk RENTON �7 (]y A L A UTILITY ENGINEERING NO, N?e 21 52 ♦ • 200 MILL AVENUE SOUTH RENTON, WA 98055 ♦r�..`�`� PHONE: 275-2671 ORDER FOR WATER SERVICE INSTALLATION Account No. A"d"e•l Meter Charge $ Work Order No. 70 4 O 5 /�J���JJJ Less Stub Service Credit Down Payment 4 5 D Sundry Sale No. System Develop ment Charge QAM11 P- 71;)e( In City Yes® No Late-Comers (City) On Sewer Yes® No (Others) Water Usage: Residential Commercial ® Industrial E. TOTAL FEE Other Meter Size 24 ostic 1F INSTALLATION: Size Service _ Temporary Hydrant Meter Yes No Meter Make _ Sewage Exempt Meter Yes No® Meter No. Fire Protection Service Yes No g Date Installed cpmment.: lJRoy-lA NETre cWL T ; Service Address Bee 975- AR(aoEEw Au6 -- Legal Description Qtaiw 910(E Am p4ft 2 8lUIk0Av(a ° Lr CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes No® If Yes, Type of Device: Reduced Pressure Backflow Device Cl Double Check Valve Assembly C3 Air or Pressure Vac Breaker ❑ Make of Device McWel Serial No. Size _ Date Device Im/tolled _Es_ Meter No. _ File No. Owner's Name 1 51' b0C9%{f1E0 0 Phone 235— 524J Address _ R0. W 1676 City %ewuu, State WA _ zip 4180M Contractors Name Phone Address City State Zip Area Served by Renton Water Seattle Water Seattle Water Code No. Temporary Service Agreement Yes No If Yes, Agreement Recording No. S arvlce to be located on an Easement Yes ® No C3 If Yes, Easement Recording No. W-�U4s Is There an Existing Stub Service Yes Ni No If Yes, Water Project No. W- Existing Late-Carvers Agreement Yes No® If Yes, Agreement No. In favor of Address City State zip ((7t charge 6U S System Development Fee Yes No If Yes, System Development Fee Based Joo P-7519 Square Feet THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDMILE OF RATES WHICH SMALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE. RELATING TO THE PURCHASE AND SALE OF WATER. T415 IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 3-203. IA ite - Utility Billing agnrt /e� c, t as ge ate Yell Engineering QW�.�eIIQU Pink - Water Shop nl� Gold - Customer Can a en un oR.cz eng Agent ♦�1 �J� CITY OF RENTON I�i75B ND, N N•O � \.i UTILITY ENGINEERING 4 1 ♦ / ♦ 200 MILL AVENUE SOUTH RENTON, WA 98055 IFS` C`l PHONE: 235-263I ORDEP FOR WATER SERVICE INSTALLATION Account No. s1 Meter Charge S Nk, W Order Me. n O g' 15566 Less Stub Service Credit - - Down Payment S ur dry Sale No. IDl FL.f]s L -7554 System Dsve b nt pma Charge In City Yes wo ♦ate-Comars (City) On Sewer Yes No (Omen) Water Usage: Residential Commercial ® Industrial TOTAL FEE S Other 012it 990Cm014 IMMM 3/418Y.pis. Ce1 2tl FiefMh l� INSTALLATION: Meer Sit- R Site Sarvi-e Temporary Hydrant Meter Yes ❑ No Meter Make av Exempt Meter Yes ® No C3 Meter No. ire Protection Service Yes X No Date Installed Service Address q�5- AS(AXIEN PYdE Re _ ]Y'"•��9t•Or�n�Ht4x PtQ1mrPT twt�nLLtt3 'rw Vµlf Legal Description 19l.06 H TIE, 1164L4 CROSS CONNECT10. CONTROL: Backflow Protecti{o sn Device Required Yes ® No If Yes, Type of Device: Reduced Pressure Backflow Device❑ Vim, Double Check Valve Assembly 21 Air or Pressure Vac Breaker 13 Make of Device Model Serial No. Siea Date Device Installed Meter No. File No. s Owner's Name kPJZ —bWeRRiYfit9 I'Zfl• Phone 225-SII5' Addros -P.O. 6oK 16 city set" state WA zip 9 iooR Contractor's Name _ Phone _ Address —_ City State Zip Area Served by Renton Water Seattle water Seattle Water Code No. Temporary Service Agreement Yes❑ No® If Yes, Agreement Recording No. Service to be Located on an Easement Yes M No C3 If Yes, Easement Recording NoAY, 1�_ Is There an Existing Stub Service Yes 8 Ho If Yes, Water Project No. W- Existing Late-Comers Agreement Yes No® If Yes, Agreement No. _ in Favor of Address City State Zip Charge S System Development Fee Yes® No O If Yes, System Development Fee Based onW P- -7S S9 Square Feet THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF 3v RENTON'S SCHEDULE OF RATES WHICH SMALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANLE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 1-203. White - Utility Billing 9nAUtte a ¢n at g¢nt tea e�— Yellow - Engineering 2-Ig-91 Pink - Water Shoe Gold - Customs r tty o ¢n Lpn ITooucutgAgent— o — CITY OF RENTON E,� N4 2758 V UTILITY ENGINEERING NO,_ ♦ ♦ 200 ,ILL AVENUE SOUTH 'a RENTON, NA 98055 PHONE'. 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account No. Meter Charge Work Order No. n041 5564 Lass Stub Service Credit N. payment Sundry Sale No. L7 System Development Charge PNA 9 5 Sg In City Yes�I No rIan—.1 Late-Corners (City) On Sewer 'Yes Nog] Others) Water Usage: Rsaidsntla, , Commercial ® Industrial TOTAL FEE S �I�Ci other F4 ??S1v6%j UETM p I NSTALUT I CN: Muter S,te Vow 61,pAss 6N 2 Fth'C NAso Size Service _ Temporary Hydrant Meter Yes No Meter Make Sewage Exempt Meta, Yes10 NO 0 Meer No. Fire Protection Service Yet No Data Installed 15- A� ♦ EpmM ntt:VT�A11 wiLY ,E. t�tlls�r '(.sV Gel . SN(t� Service Address m✓C�ltys Ft-.e Nf L, fy,}Y.trjyt/- Legal Osscription Q41lR�Yh 1 r '12e�1rn "Ri Ul stgiutbutc CROSS CONNECTION CONTROL: Backflow Protection Cavite Required Yes g]j No If Yes, Type of Device Reduced Pressure Sackflow Device Qtt. Double Check Valve Assambly® Air or Prassure Vat Breaker Make of Device Medal Serial No. Size oat, Device Installed '1� Hater No. File No. n Owner's Name 4 'J(IJeRli6 n LT 0• Phone 215- SZ/f Address Q.O. 0`( 1&76 CItottakIV State WA zip gpe6Q Contractor's Name phone Address City State zip Area Served by Renton Water® Seattle Water❑ Seattle Water Code No, Temporary Service Agreement Is,0 No® If Yes, Agreement Recording No. Service to be Located on an Easement Y,, ® No u If Yes, Eas,ment Recording No.W- I O 4 Is There an Existing Stub Service yes CD No If Yes, Water Project No. W- Existing Late-Conars Agreement Yes No® If Yes, Agreement No. In Favor of Address City State zlp o� Charge $ System Development Fee Yes IW NO� If Yes, System uvelopeent Fee Based 0166 f p-7551 Square Fast THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH SHALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER, THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 3-203, White - Utility Billing ssstlI -tgnafu.tc d Yellow - Engineering Pink - Water Shop Id - Customer L U d znfon Athouzceq Agevit 1 -- CITY OF RENTON No.NOe 2759 UTILITY ENGINEERING ♦ ♦ 200 MILL AVENUE SOUTH RENTON, NA 98055 PHONE 235-2631 �':Y• ORDER FOR WATER SERVICE INSTALLATION Account No. Note, Charge �- --- 0 55 6G Less Stub Service Credl Mork Order 14 00. payment Sundry Sale No. System Development Charge •aE S�Q In City Yes sh, Leta-Lamers (City) (Others On Sewer Yes❑ No® TOTAL FEE Hater Usage: Residential ❑ [,mnercl al M Indusu lal ❑ Other Bee KriicriaU 3Atle& INSTALLATION: Meta, Sit$ V' dN •PM3 ,.1 '2 fi9E NNlal Sire Service Temporary hydrant Meter Yes ❑ No® Nate, Make _ Savage FNempt Meer Yes No❑ Note, No. 'r Data Installed Fire Prot$ction Service Yeps. No❑ Comments: 6 Ee Service AddressQ7 j_ A-�20EF3J F3YC NE a ��rf< 9(kt✓ Legal Description Ur\ H Kw LT'�— •ag t¢ If Yes, Type of Device: CROSS CONNECTION CONTROL: Backflow Prot$ction Darice AeCui red Yes® No® Air or Pros sun Vac breaker ❑ Reduced Pressure backflow Device❑ p�' . Double Check Volvo Assembly Serial No. Site Hake of Device Modal Gile No. Date Device Installed Meter No. __ 1181 �N��>,m L`v I Pn,o'n'e- Owner's Neme �W l2b�A� State �— 2fy QP�09 Address Pt. Box 16-4 city phone Convector's Name Eltr State 2'p Address Area Served by Renton water'® Seattle water❑ S-Ptt!a Water Code No. Tampprary Service Ag raenent yes. ] Na If yes, Agreement Recording No. Service to be Located on an Fuemen[ vasIVNo ❑ If Yes, Easement Recording No. •I Is Than an Es 4ting Stub Service yesg Np❑ If Yes, Water Project No. N- ENlsti ng La te•Comars Agreement Yes❑ No If Yes, Agreement No. Address _ In Favor of I Charge S City _ State 2 p Systen pev$Inoment Fee YasE] No❑ if Yaa, System Development Fee based on �IA ,• /551 Square Feet ER AT -mE PROMISESr TOG URCHASEC THEE WATERUAND PAYE TMET CICIY TTY OF N RENTOY THEREFORE TON TO SUPPLY T IN ACCORDANCE MWITH THE CITY R OF N AND THE WATERSTSEDUOL BEGUSE RATES WHICH HEREON,IL AND OT TOIME TO CONFORM T TO BE ANO ABIDE L By THE CITY Of RENTONUSP RJELESOAND WHICH REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY Of RENTON CODE, CH.IPTER 2, SECTION 3-203. qnA tt a , to oa gcnC p p Whit, Utility biliing yellow • Engineering Pink - Water Shop �� � �ftw V�V Gold - customer L.L. o en u ux\ng ,ass �Y O CITY OF RENTON UTILITY ENGINEERING No.,N •SI 27 60 ♦ 200 MILL AVENUE SOUTH _■` RENTON, WA 98055 PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Account No. A.1 Meter Charge qq-�ff04 / S N/L Work Order No. r 1 / 5 56 6 Less Stub Service Credit fr Do. Payment Sundry Sale No. System Development Charge uQ 755 9 In City Yes ICJ No pI� Lare-Comers (City) _ On Seer Yes HJ WJ (Others) water Usage: Residential Commercial 'N Industrial TOTAL FEE S 01 Other F3(LE P"-Tr1Mg1J hERFlL r� INSTALLATION: Meter Sizf,W QY-QA s Of, 2 6k- 0A"i Size Service Temporary Hydrant Meter Yes ❑ No m Meter Make Sewage Exempt Meter Yes m No Meter No. Date Installed _ Fire Protection Service Yes ® No f1e J ff comments: (}Z. OhA mtrki In vaarlG r IratA,T,Lp k Service Address Q�Y ADdei20C'Fy./ AVM' NE It. r }YA Auve Legal Description QI B6 w L.e it 1 �� rR,ntE OM ME 2 ' �4g une CROSS CONNECTION CONTROL: Backflow Protection Device Required Yes ® No If Yes, Type of Device- Reduced Pressure Sackflow Device ^Kf. Double Check Valve Assembly Air or Pressure Yee Breaker Make of Device Model Serial No. Size Date Device Installed Meter No. File No. Owner's Name WRI_ D�VHQ 61FfD . 'Ic5 1, Phone - J2or Address 67(,`_ _— City ,SAVILI-- state uJa_ zip 973o9 Contractor's Name Phone Address City _ State ___ 2ip Area Served by Renton kater Seattle water Seattle Water Code No. Temporary Service Agreement Yes No% If Yes, Agreement Recording No. _ Service to be Located on an Easement Yes CA Bo`J If Yes, Easement Reco,d L:g No. W• Is There an Existing Stub $er ice Yes® No If Yes. Water Project No. w Existing Late-romer-. Agreement Yes ❑ No R If Yes, Agreement No. In Favor of Address City State Iip (� (Charge $__ System Development Fee Yes 14 No .f Yes, System Development Fee Based on [�Lso . 1'-7� Square Feet THE UNDERSIGNED SUBSCRIBER REQUESTS THE CITY OF RENTON TO SUPPLY WATER AT THE PREMISES NOTED HEREON AND PROMISES TO PURCHASE THE WATER AND PAY THE CITY OF RENTON THEREFORE IN ACCORDANCE WITH THE CITY OF RENTON'S SCHEDULE OF RATES WHICH SHALL FROM TIME TO TIME BE LEGALLY IN EFFECT FOR THE PURPOSE FOR WHICH THE WATER IS TO BE USED NOTED HEREON, AND TO CONFORM TO AND ABIDE BY THE CITY OF RENTON'S RULES AND REGULATIONS IN FORCE, RELATING TO THE PURCHASE AND SALE OF WATER. THIS IS IN ACCORDANCE WITH CITY OF RENTON CODE, CHAPTER 2, SECTION 3-203. --� g uu o e.1vll gen, White - Utility Billing /1 It- Ott Yellow - ter Engineering �rino� la�rtu� L B e Pink - Water Shop �7N bICR1 d---- --- Gold - Customer �-�L'kty oJ Agent DSNS 111"011e1) t STATE OF WASHINGTON a� C DEPARTMENT OF GOCIQ AND HEALTH SERVICES { ,WATER BACTERIOLOGICAL ANALYSIS ,SAMPII COLIC^p,,,, Ip INSTRUCTIONS ON BACK 0' GCLOENROD COPY 1 '(( IS Instructions are UDt followed,softle will be rejected. DATE COLLECTED TIME COLLECTED COUNTY NAME MDN•`t DAY rLSR - AM L7 PM i TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLE E. PUBLIC I.D. No. OPttl c6KS t INDIVIDUAL Q L _,17 4 NAME OF SYSTEM j. SPECIRCL TKW WHERE SKIEM OM 1"I1WEMq T/T&MNE 1D ` YEX NnItla Nl,ee�. eY iW-,YX I � . SAMPLE COLLECTED By.Mm ) E_ Af it✓�- ySOURCE TYPE ���............ I' ❑ `or SURFACE ❑WELL ❑SPRING ❑PURCHASED p l///!!!e O BIHATION OTHER SEND RF,PORT IQ:lrnnlfname. s�I�.tlo Goael_ — E L" tie/ ,._. .. i fifiZ gip. /'N/f CiLA� , `- Ac .WASHINGTONl TYPE OF SAMPLE Y 1.❑ DRINKING WATER ❑ CMa1MNE1RHWIM:_ToMI_Freel CNecK treatment FWSred ❑ Ueam'W or Omer Y. ❑ RAW SOURCE WATER .`(�1''NEW CONSTRUCTION te REPAIRS 4 1(U OTHER ISP did _ COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE Pi*VIOLS 148 NO PREVIOUS SAMPLE COLLECTION DATE REMARKS:L/.✓ 1.. (..�d /�U+ "a !^..i144' LABORT06Y RESULTS Iron LAS tree ONLYI COLIFORM Sl',l PLATE COUNI SAMPLE NOT TESTED BECAUSE. MPN DILUTION TEST UNSUITABLE ❑ Sample Too Old AN-AN-1 ❑ Coell"M GmwXt ❑ Not In PmPer Ceelelner MF COLIFORM $. ❑ TNTC ❑ Inaullloantlease Read AW PraYl ctioms Nse Reap FECAL COLIFOR 3. ❑ Eacwa DWb Innmsnom w Form ❑ KIM ❑ MF 4 ❑_ ❑ AWE FoLigftNKING WATER SAMPLES ONLY,THESE RESULTS ARE: SATISFACTORY ❑ UNSATISFACTORY v CI.'..t , GMLF It, "'IlON of RI W, LAB NO. IME REEEIVED-- RECEIVED BY I �✓ l I A ED IABONA ORY REMARKS WATER SUPPLIER COPY •. OSHS+aln IR+en �a STATE OF WASHIHOTON DEPARTMENT OF SOCIAL AND HEALTH SM.C6 WATER BACTERIOLOGICAL ANALYSIS utJ NLIHu'..' .Sa IE I LkK OF 6001NROP COPY it Instructions m not t011owed,M e will be Dejected. DATE COLLECTED TIME COLLECTED L UNTY NAME MONTH PAY YEAR �L AM ❑ MA I TYPE OF SYSTEM IF PUBLIC SYSTEM.COMPI E: 4 PUBLICM.'.f CUSS ❑ INDIVIDUAL I.D.D No. x J NAME OF SYSTEM f �.. p � r ��t F SPECIFIC' T!ON WHERE SAMPLE COLTECT SYSTEM OME ME AIMOR NA AND TEEP"M NO I ' SAMPLE COLLECTED BY.INKma `�'>L)!7✓tom/" - ' SOURCE TYPE ❑ OT SURFACE ❑WELL ❑SPRING ❑PURCHASED T OINATION �V OTHER SEND R FIT TO:IP II N Add rM p ��Fbe Z. .i — <sf mar r�/ / Ai G 0 e � yi OIL TYPE OF SAMPLE 2ti. pme„inu cw�mm en 1.❑ DRINKINGWATER ❑ CAlonneled lRaequaL_TOMI__Flael pI*ck IIA&IDw-I--'U ❑ Fat.H ct - ❑ UPUnled oI Oth., $. ❑ RAW SOURCE WATER i I' 3.�NEW CONSTRUCTION or REPAIRS \ 1. 4. ❑ OTHER ISpec,tyl COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE PIIFYIOOS 14B NO PRE"IOUS SAMPLE COLLECTION DATE ARKS.eu A 4 LABORATORY RfSULTS IFOR LAB USE ONLY) N COLIFOHM STO PLATE COUNT SAMPLE BEC BECAUSETESTED MPN DILUTION TEST UNSI IL!. LE ❑ SaIPPIP Too Old /IN mI 1. ❑ GONIOAOt GlowtP ❑ Not In Propel CNtaIPel MF COUFORM $ ❑ TNTG I ❑ ProvitGeO—IReese Reed �Ln nil h.lwU tiO s OP FOIm FECAL COLIFOR 3. ❑ F.Cees Nb,,s ❑ MPN ❑ MF 4 ❑ ❑ pp ml FOR PRINKING WATER SAMPLES ONLY.THESE RESULTS ARE: SATISFACTURY ❑ UNSATISFACTORY EHtVLR:E`IOf0,tl-IFNIiI ,I''0' E%PLPNAYION%)I HESUL IS I j Ue NO- C PA RECIBVED— Y 14 ' U;l `I DATE REPORTED LASOMTORY l REMARKS WATER SUPPLIER COPY p+ Ana lswwlatl ' STATE OF WASHINGTON I DEPARTMENT OF SOCIAL AND HEALTH SERVICES WATER BACTERIOLOGICAL ANALYSIS ISAMPLF COLL LI;110N RtAU INSI RUGU UNS ON RACK:7F;Iij Of NB00 COPY If instmatlons aril not followed,sample will be rejected. DATE COLLECTED TIME COLLECTED COUNTY'NAME MONM DAY YEAR ^ AM p PM PE OF SYSTEM ,IF PUBLIC SYSTEM,COMPLETE wBUD I.D.No. cRLYE cuss ❑ IMMWDUAL A) O �. 2 3 6 rm..wA�..oe.nni NAME OF SpTFM SPECIFIC L➢ ATICINWIHRE SAMPLE COl'IECI SYSTEM UM' LIBR NMIEAND tEI(Mpa ND ! 12 SAMPLE COLIECTED BY:INAmAI SOURCE TYPE ,(� { ❑SURFACE ❑WELL ❑SPRING ❑ PURCHASED Y04'11BINATION �W OTHER D EP7RT TO: A)nt Full IlmO,AaINAs Ana ZID al 1 Ir Y � e _WABNINGTON�jf(�aj� 'I ,TYM OF itnw�rnMan m�nH caNmm t ❑ GRINNING WATER D CMonnateD lRB9itlWC_.iOlal_Frcyl Check t,"tnwnt.--0. FIIII , ❑ UmNNIIAD a DIM, Y. El RAW SOURCE WAl E9 t` A IF NEW CONSTRUCTION orREPAIRS , It OTHER(Specify)__ COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE I PRFNDUS LAB NO v VMVIOUS SAMPLE COLLECTION DATE REMARKS:e,./ a .$ LASORAT Y RESULTS(FOR LAB use ONLY) PN COLIFORM STD PLATE COUNI SAMPLE NOT TESTED BECAUSE MPN DILUTION„ TEST UNSUITABLE 4--IISRmrle Too Old ❑ 1I��J GonnueM Growth L Nol rn P,oper CMlaiw MF COLIFORM II--11 $. LJ TNTC El InSuHiCtent InRean �pp mi Pron0ed—plea" —Plea"eSe Read 3. ElEFCeIs DebrlS Instructions On Porm FECAL COLIFOR { ❑ MPN ❑ MF , El m' FOR INKING WATER SAMPLES ONLY.THESE RESULT S ARE: SATISFACTORY ❑ UNSATISFACTORY .I '1EpS zI tN F*" ANA iN JI NLSULT,i UB NO '' 11 DATE. IME RECEIVED— RECEIVE BY DATE `I 4v �. •. DATE REPORTED / IABORA RV C RFMARNB WATER SUPPLIER COPY �, CITY OF RENTON WATER DEPARTMENT d�vs�uric) Pressure Test g Purification Test Form C:5 P1S Lcl O. PROTECT NO. NAME OF PROJECT��'-"�„/rjJ PRESSURE TEST TAKEN BY ON s2e94 AT A PRESSURE OF .: / PSI, FOR, /./e) MIN. TEST ACCEPTED ON G -rd PURIFICATION TEST TAKEN BY ON PURIFICATION TEST RESULTS, SAMPLE N1 SAMPLE N2 SAMPLE 13 REMARKS: ��LU�D_�r LOSS i NOTICE OF NEW FIRE HYDRANT IN-SERVICE 1 NAME OF DEVELOPMENT r,- Q f-! 3:�C E.43- r5 ADDRESS INSTALLATION CONTRACTOR 3/_-ENVc> �c -v- WATER PROJECT NO. NUMBER OF HYDRANTS �. HYDRANT LOCATIONS (FOR FIRE DEPT. USE ONLY) HYDRANT NO. 4. > 6. INSPECTO�'L, �t � c AVI 3(i7 k>t1J _ 4�1B.2g25JRT. I �� i w/ P>IAr'XiN4, 1 Jam-. y -' - - BIDS 'y Z _N ��-'° ZfY'fC/HPER n 'P r �10 h 2' / CONNBGTION 11 s �0 n �' 1'QOME37�IG .0 WA TEC METER I ryl- M1 J 3" ��':• - ,( ,_,+ � � / � �•( t� ifs � I _ _� -- —_— T Gi\ / 1 � p '1 �► �5E8 2"DOG✓f VAULT,5i T. G-/2 2`IitR1G4710N h/M Z h 2'�OJ�ASS�_�.; .� . /' / .� /. ` ./ 20.PlY.. 71,` �� • /L�� — -- — — -- .4 .! 74 42- VIP gG /D`w -- -- - - L �� STA. 4+ 5 2. I / • �r '4 �_- .. - /'/O" /O"r 2"7BC(M AVI /97.sof A wn T. E•/93 71 E"//YORANT A9rY COI � I �,__�— ,`• �--'' O ---- __ � ,1 .�� ` _ � - — .-�;�✓� i .0 t �••43- :�q FORM C BACKFLOW DEVICE TEST REPORT FILE NO rlEr VMi Iq U•lEe r WM mmi W wYE Of mE 3 iereaee alwlNu � �r —..•.-....•- �,1 LOCJIlel of xwca ' ;�, , . .,s,•tt ,.E.�'.vs..>a �icg- 'G- y'. pevca EE..e lwe ,,, IMIE mF1S1Ml I•I(W gI Ilit mE55ULm ME DnW iECRpSf F WT LnEte VKVI I CHECK VALVE NO.I CHECK VALVE NO.2 DIFFERENTIAL PRESSURE RELIEF VALVE 1 Looked .....: ..... ❑ 1. Leaked ... , INITIAL .........,. .................. ❑ 1. Opened '�' IiEy' .... TEST reduced Wauun 2. Cloaed tight.................. ❑ 2. Closed tight.................. ❑ 2. Did not open ...:..'..:.:...... ❑ i• - Cl a Dd -. ❑ Cleaned........................ ❑ .CWnM ❑ - •- t t r 1 .. ,� Replaceo�I -S Replaced Replaced —Disc..,J •e ....... .. ❑ Duo... .................... ❑ mac upper ... ......... ❑ Spdn9 ❑ - ❑ Disc,lower.... ❑ R y Guide .. 1 ❑ GtSpringida ................ ❑ spring .. ❑ . P,n raralner •, t ❑ Pin retainer ❑ Diaphragm.large I I AHinge pin.... .......... ❑ Hinge pin............I...... ❑ Upper ................... ❑ 1 ❑ I , R Seat..................:..... ❑ Seat........................ ❑ Lower ..............;.... 11 S Diephrapm ... ❑ Diaphragm... .... ❑ Dn phragm•smAE _ ONerl deacnoell ❑ Other,describe .... ❑ Upper,..... ❑ rltr rT 't Lower..... I t ❑ ❑ PIN�LF 4II Opened al Iba. .._. LEST CIpeW EEM......:.:....:J..... Closed light.................... ' - reduced pressure , • ; r t i THE AEOVE REPORT IS CERTIFIED TO BE TRUE t V MTY REFprn(O lestep BV I .' PoikL Cse IU,ge wp 107 - IN-1�r4` ►s" FORM C BACKFLOW DEME TEST REPORT EE NO , 1. RE rVPN NO NIEP INAN OEYY.E ND AMC EI PPEWEEa D I [RACE N]INIF61 + RE�1//���/'/� /7�� �• ' AI ., :.;hpE,YI�.pE �/-r t... .. �\� -h/ /vY(`'-..�/'^'1 . ..: � - :• 1 6�.�/^ -,, ••j A- JI'iI t�InNTN c1� tYcl� ^ 1 J .,P r:,Ewr+�� � /� .� ,�/• r'(j' `� 7t. ,.: ; E ME Ml1a1mE AT Tall , P41aUPf pPOP AGaO%iMS1 CNEl.a YAIYE .t B5 EB5 i { CHECK VALVE NO.1 .CHECK VALVE NO.2 DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL 1. Leaked ....................... ❑ 1. Looked ...................... ❑ 1. Oduoed TEST ❑ I N II. Clawed I pnl ❑ E. Closed light...... ❑ 2 Did not ocen I i ... .Cleaned' ❑ Clamed........................ ❑ .Cleaned. .... .❑ i �� . Z 3 i . . I Replaced I r.t Repaced. Replaced �Dlap 3J Et ❑ Disc........................ ❑ Dnc Pper ❑ ! I ,'.Spring I ❑ Spring...................... Q Disc.IOwN ❑ f RGuide t i... r*�.,❑ Guide ...................... ❑ Spring.. .......... ..... ❑ , a Pm reWMr...........+..... ❑ Pin retainer ................. ❑ Ouspbegm large 1 i111 AHinge pin................... ❑ Hmge pin................... ❑ Upper ................... ❑ ASul..................:..... ❑ Seal........................ ❑ L"W................... ❑ I i. Diaphragm.................. ❑ Deptuagm.................. ❑ Diaphragm.email o (Other,Cie t CieecHM .. ❑ Other,des<nW.............. ❑ Upper ❑ Fg � a t ox};7T r i Lo ..r . 1 I� Spacer. l t ower ❑ Omar tlesvlee.... r Et rC1 I � ., C .�t_ . '' . �.: (�' opened al IDa ..'. 1 PINAL ��BSid t .. 7 .... 7C�Jmdllpht.................... .j' reduced pressure I I ' TEST } ' tl iemarka_.' • ' l r��� �(/C 'Y�- ` ��7^C �/` � 1 - �I i THE ABOVE REPORT 15 CERTIFIED TO BE TRUE EtYWALIMOT IQ -, 411Eper 1 . � PEPWEp a1 i PwAl IEiT � .� !,AClip /! <[PTNIURdM pAtl - / y T E S 107 _ W `1J4'� FOAM C BACKFLOW DEVICE TEST REPORT nLEW • 1. MHMN NO UIEn iNYI pEWG[NO .ouisara avVA :4 ��T a al J ; A•:J/ •.1 .f r'�YT N fay O{ *CVW7 �� ,�LA9. s ; Deuce areoas.w xaaK in wrr . .nl eseta,leE ArTYER TUt 1NKIilarleaW.cnoaa ltllft cNEu vrfa L KS CHECK VALVE NO.1 CHECK VALVE NO.E DIFFERENTIAL PRESSURE RELIEF VALVE INITIAL I Looked .....l........:....... ❑ 1. Leaked ...................... ❑ 1. Opened at IOt'' "'. reduced pressure ! i TEST 1. Closed tight....:..... g pen .... ❑ ........ 2. Closed k nl.................. ! Did not o � .... .... _Cleaned'., ......+.. ❑ Cleaned........................ ❑ .Cleaned ..... ..........❑ . I RoplecaGejiJ1f7Lt Replaced. Replaced:- pbeq{In�.. ,.,....... ❑ Dsc........................ ❑ Dix.upper,................. ❑ ............. ❑ Spring...................... ❑ Disc.Wow............ f... ❑ R .,,%.❑ Guide ...........:.......... ❑ Spring..........,.....1.:.... ❑ GukaR.,4U,—j...,....I.. E ❑ Pin retain ................. ❑ D ophra m, o la! I P pin fer111M.o..:.....L.o•, 9 g A Hinge pin n................. ❑ Hinge pin................... ❑ Uppw ................... ❑ aSeat........................ ❑ Seat........................ ❑ Lower................... ❑ S Ouphragm.................. ❑ Diaphragm.................. ❑ D.aphragn%amell .. El Other,describe ...... ❑ Other,describe.............. ❑ Upper .... O .Az Spacof. ptiY ` OVut,do•vibe �❑ 1 FINAL Cldaed YSM* �..... 4 Cbeed Ilynt....... (� Opened w �a ' TEST "" ""'" "" reduced pressure Rimarkc I i THE AEOVE REPORT IS CERTIFIED TO BE TRUE 1 tlfmwefroeno _„ narep e. � `� ' flnweep ar i ' rW iESTw Cfflltl lC4igN Is - 107 - i 1 l I•• t }.'.,' _ FORM C BACKFL.OW DEVICE TEST REPORT �� I I• RET1lIM w LATE.I.. OEVtE np .. t Y I !EwcE appnep . J}.� w, ..ti:..,:;t,y.•P;;'.a z���, ��r"-"'%` ° �•�,�...;,.,I -�nrr°may �RG�' �nRi�',�G�h., ��1��:= i !� f<Y [. - ,a PMESSIME At 1WEQ him. MEefUEF Otgl acnov,VUT CIIE(:K WIPE . CHECK VALVE NO.1 CHECK VALVE NO.2 DIFFERENTIAL PRESSURE RELIEF VALVE - j 1 Leaked .L:.°... ❑ 1. leaked ...................... ❑ 1.Opened at Imo. .. r INITIAL �"���•����•� reduced prepare TEST -` ❑ 2. Did not open ...:..1....:. ' p 2. Cioeed B ...... ❑ 2. Closed tight. Ceaned ❑ Cleaned........................ ❑ .Cleaned .. ❑ C. L-w Replaced I Replaced. 7 Replaced: _ Dan r 1. i ❑ Dtac ❑ Otac upper ' ❑ ` l fy ❑ Diu Ioww ❑ I Spring .1... ❑ Sonny , fl t.,y GNdenf_.' 1....� ❑ Gulda .................... . ❑ Spnnp ❑ I✓a•4.:... E Pin p1alMr...........;.....,Pfl,g1 .•. . ❑ Pin rpbinN ................. Ouphragmlug.e t ' ❑ AHing ................... ❑ Hinge pin........ Li ................... Soot..........:.......:..... ❑ , Sear........................ ❑ Loww.................... ❑ p�aphagm.:.. .. ... ❑ Dtapnugm.................. ❑ Daph,ag eneE •r U Dow desicdW............... Omer,dpclice. ......... ❑ U pper...: .. i1 II iI 1 SPEcu.bww a . +{•ly , N�• Y t t Omer.desulW.. , �❑ ' ' Cloned H nl.................... Opened at FINAL m Ste•:--' c- . TEST Closed �sigm .......�.. •• q reduced prepare I I THE ABOVE REPORT IS CERfIFIEO(0 BE TRUE ❑pRM MIOeI Ip I --' II I , n~Ei)eT Est . •- CEPnnPllpn Ne WIE -r o i - 101 - +. I W -yeas �►� 1:. FORM C .. SACKFLOW DEVICE TEST REPORT _ OEVCF ND M1EP 1.4N MAW Tt. .1 . te/ 9E•1• �/ E 1 � 1' pTJ,Tg110i pVKJl,t J..:N.'.J!^•t �uT� t. Err I .� Irma �1�1 ..,6•✓%G,�'�_--�--- I MlaeeeE plWi KM]e i1MT CNlpa ValVa eE11NE aTTWCDi irT :. •, LBS �... i. 1..., EBS 1 CHECK VALVE NO.2 DIFFERENTIAL PRESSURE RFLIEF VALVE CHECK VALVE NO-1 ' 1 ❑ 1.Opened al I!>L �. I ; -- 1. Leaked ^••••"' ❑ 1. leaked ...................... reduced Pressure _ ❑ i INIRAL ❑ 2. Closed tight.................. ❑ LOId rlW open ... '.......,..,. i•I TEST 2. ClDsedkght,::......:........ "' ❑ Cleaned........................ I? .cleaned.,.. •7 Cleaned ` 1 r ... . Replaced' . I Replaced. ReDlecad: ;- ❑ D ❑ D.W.upDUpperDisc.." O . iac........................ ❑ DIM lower 1 r n SMn9.p......:............ G SP, q........................ ❑ SOrinq............ �.}s..... ❑ Guide . hra m.lel 1 , q • Pin raulner ................. ♦' I F Pin nalner...........�..... ❑ IIDpx ................... 0 + P ❑ H,nge Pin................... 0 ........ `� Hinge .. ................... LE•wer....... .. 1 ..............�..... ❑ Seal............ ❑ c.:. .: R - sea! .. ❑ I D.sphragm.ernW',t : 1 Diaphragm .. Oiaphra9m.................. ❑ Upper ❑ s ❑ Other,descnDe......... ... t t t deecdber�.. Lower T.j� Z tyr YT1 t'. Spacer bwet r I� #•1'7V�1T�l�`���Yf'1V..jy ' .. I Omer describe ❑ .,..fit}'.J'diY . 1� •1l __ / ` �f ,y.•: .eJ OPened at lba I, Y i MAI Dbled FgM .. ebead..................... :educed PreEEUle . 1..... �I TEST ------------------ i♦ _y .�... �', � �� 9emerka THE ABOVE REPORT IS CERTIilEO i0 BE TRUE 1 1ESIED ev � 1 if1YfW 11flOOI 10 _ ,_ - I ♦ � 1 .. RIIUPED O' t 1 107 - • UJ -1o+�S ��" .'.l^ ..�. FORM C BACKFLOW WiVICE TEST REPORT •tE HO at.W...b U.En I.MN UEVCE W .orwr.wanfnca '. 1 57 ��� .. �.�..� yam.. j c we" taw lmnNmLer rmLanit rNae:rr lmw,cwmrwrcNuv.tm - i , I i. ..ti . . tes CHECK VALVE NO.1 .CHECK VALVE NO.2 DIFFERENTIAL PRESSURE RELIEF VALVE I iINITIAL I. Lamm .::.::.:..:.:.:....... ❑ L Lrkml ...................... ❑ 1.OF M ....�.,:,...: •' TEET - - toducp0 pmN11N ..... ❑ L CW"d ................. ❑ t ON nptpM...:.'a:1.;::...: ❑ 'i L Gloppy YpM.�.. ........ IiOIM. —.CNm1W ❑ CNonW........................ �i � rr ❑. .� a ». .❑ � �� Mq�aCJ.if7( .: Rplacot .. Roptoced e ❑ Disc........................ ❑ O.+S pPm t 4• . ❑ I' .2BpNq I i 1 PN 1V ❑ .................. L1 . ❑❑j ................ Dkiphogm o yER I "in"PIK r................. ❑ Mir"on................... ❑ UPW................... ❑ I �: fa.ok+vR ..• ❑ DiwwaEm.................. ❑ vWvWftINsmM ,,t ❑ ( �; }}r� rl�.Lt f ❑ Otnm,apperlw.. ...... ❑ le.'or:::...��rl . j '❑ �+ . 'i Mr��_.- d•1u. I t 3PAcm loam.r . « tr ❑ �! i �, r ,V e, 1 '1 Otpm yNrJ10�r •. • ❑ f T •t 1.�t.��. I � � _� 1 i, PWAL ' . Y• y.'iBi ... I 4• OpWadCwvw ..... Ceay..................... j� nyaca Ptawa l 4.� t• `•. 1 r , Rittterte � I 1 �1'• 4 . l THE ABOVE REPORT 13 CERTIFIED TO BE TRUE Nrmm NF0111 TQ r41N n Af ' NrNttom % i .7 rm.ana w 4 107 FORM C BACKFLOW DEVICE TEST REPORT 11ET1MW NO4rEN1WN �� � FILE MO mpwt EL n IPG,ION OE OlVIGl d�'Y. `L, ' rill P. C• I �'/t l<&' MEBE'NE PPP..0 iM TCeELltvuvE . lME MES&111F a1 TMN V TER lB5 'I LBS CHECK VALVE NO.1 CHMX VALVE NO.2 DIFFERENTIAL PRESSURE RELIEF VALVE ...... ❑ 1. Leake ......................d ❑ 1. Opened al_ It- 1 Leaked ....::......:... reducW Preeawe - INRRAL � TEST 2. Closed�.................. ❑ 2. Closed kghk.................. ❑ 2. Did nor open ...:............. ❑ ..� .................. ❑ Cleaned................. . ❑ _ ...................... ❑ Cleaned...... .... Cleaned.. . Replaced: Replaced. I . Replaced.. ❑ ' Rsc...:..................... ❑ Disc........................ 0 Uisc.uPPef ................. ❑ � I{plln Dec.loner.................. ❑ Spnnp.........:............ ❑ g...................... ❑ (nde Spring...................... R Oulde e.................. Q. ❑ Diaphragm.large I EPin robinef .....:........... ❑ F n retainer ................. P ...... ❑ Hinge pin................... ❑ UPDef ................... ❑ AHinge pin............. ❑ 1 Seal........................ ❑ Seel........................ ❑ Lower .................. I R ❑ Diaphragm, ❑ Diaphragm,smog SDiaphragm.................. ❑ Upper ❑ ❑ Other.describe.......... . i Other,describe.............. .............. ❑ . - Spacer,lower 1.............. ❑ I. .. Omer,describe.............. ❑ II '. Opened at Ib= FWALTEST Closed tight.................... red..ced piasters TEST THE ABOVE REPORT IS CERTIFIED TO BET E I<luMaV01111Q 111TEp S' 1 Y TEWUAED Of i Ewµ TEST er _ 7 yq L Gfa DATE /7-_ D TYiL.T 107 - FORM C BACKFLOW DEVICE TEST REPORT if.�_ REIUPN NO U\FR SI4N PEYIC.E RP _ l tr wfWMEw3Ef ( / � .•y yr . �L Fr�C V lAr;c;:E\:1> l,R/l�t✓s Z•s Z-�' '�-Y'1✓r�� ' «l ME5514L at LYE0IF31 ME381arl papR RtIrOW Far31 ONg3YKN :. :. .�..: ' ' '` CHECK VALVE NO.1 CHECK VALVE NO.E DIFFERENTIAL PRESSURE BELIEF VALVE 1 INITIAL 1. Leaked ..............:....... ❑ I. LOkeO .............. ❑ 1.Opened et :�.. �. .:... ., reduced praseun TEST ,.. .. t. Closed light.................. ❑ 2. Closed Rgm.................. ❑ E. Old not Oven ...:..........•.. ❑ r ' ---- ❑ : I "• ❑ .cl..nod.. ' Cleaned'..�.:_....._..........., ❑ Cleaned........................ ............:........_ , i Replaced E r t�. Reputed: .. MpleceG Oiu.. ....... ❑ Disc........................ Eln Disc,upo .... ❑ ;._ ......................... ❑ SPnq............. Disc.IOwer....... . Spring..... ..... ...... ❑ A . Guide ...................... ❑ Spring................. _:•.:••• ❑ tI , EPm reWmr ...........1..... ❑ Pm retainer ................. ❑ Diaphragm.large 1. . AHinge Pin................... ❑ Hinge pin................... ❑ Upper ............ ...... ❑ i 1 NSat........................ ❑ Seal........................ ❑ lower .......... ❑ • Diaphragm ❑ Dwphrvm•amall❑ Diaphragm.................. V ..Ome,l describe ❑ Omer.describe.... ❑ Uppe s . :: ` Lower .. 1 e y I Spacer,lower < u •.Y s � t I .. Omer,desUlbe...... r '❑ t �I FINAL tred. adTZ : 1 pened p E INA CbeW EWM..............�..... Closedhpht..................' p itlielarea '— 1 I, 1 THE kl3OVE REPORT IS CERTIFIER TO BE TRUE it UMW a{Ipei lQ __, RSIEO eY � 1 ' RERNRFp byA cLRm s.lro«w WE /d- r 7v i- 107 - BI DIVERSIFIED LTD „ MMAr TO Abdul Gafour DATE 11/15/91 COMPANY CITY OF RENTON FAX # 235-2541 Robbie Dutfin �P FROM_ _ ages to Follow KBI DIVERSIFIED, LTD. Post Office Box 1676, Bellevue, WA 98009 PHONE: 451-9211 FAX: 4SS-S937 t SUBJECT REN10 RIDGE PHASE 11 - Permit Nos. 816142-45 6 15934 A letter from Neil Maune, Building Inspector, dated October 25, 1991 listed the following itL_ s which need to be taken care of. Clean out vaults for DCVA for fire sprinkler and install concrete support pads under DCVA. Install plugs in test cocks of DCVA's. " Sprinkle- user control rooms need signage and some type of floor constructed and insulated. Could you please contact Don Nelson as soon as possible at 972-1099 or pager #991- 8268. He needs some direction from you as to exactly what is needed regarding these items. Our Temporary C.C. expired on October 14th, so we need to take care of these items immediately. Thanks for your cooperation. i l a tit'd 4 S2:01 16, St AnN � bko4� L f l//ALk— T--�fC OL-6r ;zo K)A71U. TALLLt ( iN aR4z: F?rztLA� VAS At, ti wx F 441 vs ervd I p ^p p 1 CALCU AT10N OF INSPECTION HU TAN RID( CIL PRO.... REFERENCE — PEuRCT PAVING 6 STREET LIGHTING: $ 30, 3v8X 1. o�i = � 3a, 806. ry SAN ITARY SEWER A STORM: WATER: 37) v yo x I, Owl = i y o v 707. 6 Y 17A 773. y'2 TOTAL CONSTRUCTION COSTS: $ TOTAL INSPECT 01 N FEE FIRST $100,000 2 f° S 2 0 c" SECOND $100,000 /.'5f . S I 0 %l' 60 REMAINING $ % S TOTAL: S 3,o 9/. bO CALCULATIONS: QgyING i STREELIIGHTING: 806,l9YZx 3) oyl. 6°= 507, o3 / 7t, 77 3. SANITARY l STORM $EWE&! q, `/ 57 L X31074 G°= 7 8O. 3 Y� 17�, 773. yz , WATER: y0,471, 6Y 17).,77342 �Icozeit �d�q BOND AMOUNT FOR 100% OF WORK 1N R/W $ 6 B vo NUMBER OF STORM SEWER CONN. TC SYSTEM — NUMBER OF SAW. SEWER CONN. TO BLDG.(S) PREPARED BY: �__ l �r _DATE D/INSP-FEE:AH:If / 2/89 COST Svc^,e��re y sh`E�i - (o C/'ram• 3,�-srB�s >, �(/'JZ 5u�✓� i1T�0 iN�o��'��IF_ y7-/G17-y6c3 , ) ,, 6,v /Q�U�56o ?tf�l !f5 lQ�iu�z57?--o thy% /�1'SF_�F TO INCLUDE ,q�c 9s -so�3�i, o Uriuri�s� w,4T�R; OG WAJ`�l cv�-rE/R o b3�y�, v „ GGf 7"1 ooe��ir/�c Su09 '• 37, 4vo uo �4DDi7)dN�C cos�i S` 3=_ a, ioo . $ OG, C/37 5 uf9+oTAG : yl 398 tSS01/ 6GQiG!N4L S�P� % Loh73 - 24/ i7fi 1401 Tjexa� 3 s� cyPiGiN� c 5��9 - 3 2 3� lyy,s° a �y6 � 3p� 393• . . vv vvV 1Hv 11. I, C f1VC 1 s STORM DRAINAGE SYSTEM Lenght site Type L.F. OF /� _. " GMQp STORM D1:Alfi �g L.F. OF /;I C, 4-f P STORM DRAIN '/ 02 y L.F. OF , " yC STORM DRAIN L.F. OF " STORM DRAIN OZ OF 7a- " CATCH BAS14 i OF ��� ° CATCH BASIN 0 OF " CATCH BASIN OF " CATCH BASIN TOTAL COST FOR STORM SYS'PFl1 i + . 4 .1 A114 ' VVUVUINVILLEiMBE Ii I SUBJECT: CITY PROJECT NUMBERS: id- fw, S- AM1FEJiiF�PRb7€�T''�`-' ,• .� TO: CITY OF REIITON FROM: S/a"e. 5a. S ^�- UTILITIES DIVISION 200 MILT. AVE. SO. /°O /fcx S'�! RENTON WA 98055 — _�o r�.rr, r Fay/ DATE: d�- Per your request, the following information Is furnished Concerning costs for Improve- ments installed for the above referenced project. UAIER SYSTEM: Length Size Type . �U L.F. OF /O NATERMP.IN L.F. OF �" WAIERM41M L.F. OF WATERMAINf L.F. OF " WATERMAIN _ EACH OF GATE VALVES EACH OF GATE VALVES ^- EACH OF iD GAi{-VAnn /5'`^ JS Size Type SUBTOTAL S_-476 9 EACH OF y" _ _&!�Zl FIRE HYDRANT ASSEMBLIES S �S 61 (COS] OF FIRE HYURANIS MUST BL LISTED SEPARATELY). IOIAL COST FOR WATER SYSTEM S SANITARY SEWER SYSTEM: Length Size Type o� 176 _ L.F. OF S /°4C SEWER MAIN I �` /o s' L.F. OF 0Z� SEWER MAIN L.F. OF SEVER MAIN EACH OF _� Di�MlFEft IIANtWFK G. 1 IOTAI COST FOR SANITARY SEWER SYSTEM S T 7 y?� SICRM ORAIMAGE SYSTEM: Lesyth Size Type /5-0 L.F. OF n6 Gi►iQ STORM LINE i F nF CTnnM ' l"r CON'r1HUE ON O'IHER srne P3c'.flc Commerc!oi Car"'Dr3t!0n, fec. post Office Box 1476 BELL7'1UE. WASHIt-G ON SSOCi9 3116 (601-073-133) Scow mn v.Mn Omx%m m m W mmspww *.Erna" (206) 451-0300 'M0°"g 1 w•e O s"�^a '7 tZ� To AENTON—RIDGE, APARTMENT$.--.— ____... 1029 An.rd.1m Avenue __-- 7 Renton WA a _ F �e � r - I t.Fiaaw faM Nwaa of your invests. nGnms snM+n aEOva. WV 'j.CdN if to Da lnl,rlE�n aotwoanoa wiln wKH.NNrvMy YM 1pao� ^ • ,� y W" O'D ae spac'�N '•„ ,i TRIPLICATE rpt7 PAVING COMPANY BOX 5430 • KENT, WA 98031 • Pnone 631-8290 SUBMITTEDTO: DATE. I7-1z(. I Rcj TELEPHONE © ZFrS- S1L-US gQ� L.1A JOB SITE: le R ICJjC ATTENTION TERMS 30 OW < „�&GATE CHARGE ON PAST DUE ACCOUNTS T DESCRIPTION / A cA/ne, �T fn-tLN.S' ti (✓Ic("L a 41' `To 5 �(�," `Nctu��� . . . �y�c,; .1046, Sy Cappvox, /. Flnesvad� a- c��� Su�v-cc�2 clef, crc�S�le� rock d Gax�cc'f' t FI1 rn. c�w.Plefra�. . OTl�ev'S 4za f PLUS WASHINGTON STATE SALES TAX IF APPLICABLE FOR RESALE CERTIFICATE NEEDED wE CFNNGT BE RESRONBIBIE FOR SUBGR.OE FA4URE ' PRICE VALID--DAYS F NO WORK STARTED UNTIL SIGNED CONTRACT RECEIVED THE UNDERSIGNED AGREES TO PAY LAKERIDGE PAVING COMPANY, LATE CHARGES ON ANY PAST DUE ACCOUNT,PLUS REASONABLE ATTORNEYS FEES AND COSTS INCU"AEO IN COLLECTION OF SAID ACCOUNT. _— LAKERIDGE PAVING COMPANY By Date-- eY `C'�^ fA/Yrrrti __. "Mill pool Underground Utilities Rental Utilities Equipinent April 18, 1990 K.B.I. DIVERSIFIED, LTD. P.O. BOX 1676 BELLEVUE, WA 98009 Attention: Don Nelson Re: Renton Ridge Phase II Storm System per Storm Detention mod. dated March '27, 1990. DELETIONS 13 L.F. B" PVC x $8.50 . . . . . . . . $68.00 234 L.F. 12" CMP x $10.20 per ft . . . . . .$2,386.80 80 L.F. 72" OT w/4 L.F 36" C 3 end caps $10,090.40 at $126.13 per ft . . . . . . . . . 1 Type II 72" M.N. Depth 17.79 ft. . . . . $9,600.00 1 Type II 54" M.H. @ Top Slab depth !0.50. $1,950.00. 1 Type II 48" M.H. @ Top Slab depth 8.80. $1,250.00 Total: $25,344.80 ADDITI 24 L.F. 8" PVC x $8.50 per ft . . . . . $204.00 179 L.F. 12" CMP x $10.20 per ft . . . . . $1,825.80 150 L.F. 96" CMP w/4 L.F. 36" end caps plus inline M.H. risers $151.38 per ft. $22,707.00 1 Type II 72" M.H. depth 18.52 . . . . . . $9,600.00 1 Type II 72" M.H. depth 13.54 . . . . . . $7,100.00 Total: $41,436.80 Add to contract : $16,092.00 / Changing contract to . . . . . . $77,513.40 V A�unung CivWd Sincerely, GLEAVEJ& SON'S, INC. a"•n"O Ken L. Cleave President KLG.sa Post OVioe Box 489 • Bothell. Washington 98041 d5ness Phont:�'06►' 3 0 ^�Iv.+4 9-oG)=-- II cc5- Eh Mf551NC- (osT D,47'1 iy�7�R •. i DC1/A '� 2) 2 ,� W41PA LriTP.�4A�S l/ �) (2) ?_ All ,Fi/oJY 5) 6c ! i I1 r4Ry hGt�F_iQ I ,) I orbzfee/ f21,2 ✓Z� �X3G C.r, cF 6 i �F,!/C) -c-hs4� �05 L.F GiS�D 2 12q 7 9 S�57 r i z (U C/4 4cn��J '35c L � �6i4 4g56 r �l L✓r(��� -� y6U JAY�� l7�-V 16 r� /8 u � dC t(tr2 VI/ CvRrgs• �a3t rH�7� i?R� Go5r3 i'I AA9/77oN TZ GR/Gi/yRL Svc/qr � KEE IDIU�8,v OITN ►� wi z ESIMA-,E, sv SdB�oP�c=��,o�g Tt hzmam 7a K Sj�) �. (NTAM 6$#Z17k 1 E-4- X BX) PVC. ZZSrF x 8V -= J. G gAAjq &i x 8r - 6 - 6 Z � 78-� G �cUi�d Jdks 6,qo c. 2" left Mnes 2 x e I s� �. W" WAM. Proposal Accurate Parking 15315 N.E. IsL St. Bellevue, WA 98007 644.8707 DATE ! 2S" Qt, PROPOSAL SUBMITTED TO PHONE JOB PHONE i{ rE0 ♦ STREET JOB NAME ,ee,u4c,,t) i ASc li CITY, STATE, ZIP JOB LOCATION (,)"+ 9d�:_6 we hereby submit specifications and estimates for ,� ,% p )T Q 3 '� sSo Z S •� EO �Q6 Arrt/ /N �� J� o0 Eq I �/ // O A.FK/N F/�QC LANE r/ —�IS LL �✓¢ //LOA / r/ it/c/ A'(.20 Ett 3 s' VA wlchA%2 s/E c//s /0• �q l I I 377$ ;/rQ}1QSP h<r.- /urish t.:ato iai and labor -• complete in accordance Leith above sy:c licatiana, fir — / - Payment a be made as to - ' • �y�O� SI Lattice /fAlff GY 1 NOTE: This proposal may be u'ithdra.n by us if not accepted by Arreptanrr of f rOpOsal The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorised to do the work as spa^ified. Payment will be made as +utlin eJ above. Date Ac,tad Signature I