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HomeMy WebLinkAboutWTR2701881 WTR-1W-98 WATER CROSSING/NEW HYDRANT BURNETT AVE S. 4 PL�2.� BEGINNING OF FILE FILE TITLE w ICJ - 98 � avle 0 WTR-1 Water Crossing/Few Hydrant Burnett Ave. So. 4-Plex Tit Namber P- - q- is N.O. i z7 x. Das hmM: s ab Eapiter ��6 Cin hwp o Ire-Caa Mason am Spacial BiWeg Y ✓ N NIA prenme Ten Ate Satidactm rarity Tat am: Satitfactwy Y N At-built ata p aaati Fitsect / B:II ofSak/Verif'rd Y V/ N__ Ra ded w - Eaemeet/VmirOd Y N— Re dad Y N Racprdea CCoalam Ip+eatnrr./verifLec Backfbr tat repprt,ri .:..:.ape Y N_ N/A Fire hpleetias Y N N/A Final AeOmace By tapecmr Y �V--// N a —_ By vwity Eetimr Y N..—_ j I 1� F } , Kooucrs wv. A MYELLER COMPANr RICHARD A.IDICKI RASMI"'N 9220 SOUTHWEST WASHI ON STREET PORTLAND,OREOON 972- 503-2925288 CA4 TPN(OJ (p1(SS 4 4f,- P. ,E SAU fdR DRUB (. MAfhA GH 0 -9 GEQ8E2 10 C9N-TAC,- H E I-QE co%eol C. ADO'T9NAL (PST- VA-TA RXL. 1S50w- cf- Or Its J2 OA A-\ D a1 n/ag Q@ THIS steel surnm tos st,:o+otas use. Pietist Xgliens[ Title Insurance CompaY T' waaY,norou TITLE orviuow Z x Fled for Record at Request of F C r i' - N TO v -if rn FOR RECORD AT MUST( 4 /O9/27 .. j14125- rt' OFFICE OF THE CITY CLERK RECP F t.00 RENTON — RECFEE 2.00 C17SHSL 's:»:*t:a:7.00 PENTON,WA 98055 s5 IOaY l tars BILL OF SALE KNOW ALL MEN BY THESE PRESENTS: That C.J. Construction of Renton County of King ,State of Washington,the party/'esbf the first part, fur and in consideration of the sum of One and no/100 ' s ------ ----------------- lawful money of the United States of America, to them in hand paid by The City of %n'Y& the pares/ie;of the second part, the receipt whetc-of is hereby acknowledged, do (es) by them presents grant. co) bargain, sell and deliver unto the said party/ieof the second part, the following described personal property now I11 located at Barnett Ave. S. between 54th and 5th in the City of Renton , County of King and State of Washington, to-wit: W#- 987 O Approximately 49' L.F. of 8" _ ductile Iron Pipe, and one of t� Fire Hydrant Assemblies, and 1-8 Gate Valve, 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 therein. TO HAVE AND TO HOLD the -ime to the said party/desof the second part, its/their- heirs, executors, administrators and assigns forever. And said party/iesof the first part, for its/their heirs, executors, administrators, covenant s and agrees to ant: with the said party/iesof the second part, its/their executors, administrators and assigns, that said pars./des of the first part is the owner (s) of the said property, goods and chattels and hashe good right and full authority to sell the same, and that it (their) will warrant and defend the sale hereby made wdu the said partyhi sal the second part, its/their eseculors, administrators and assigns, against all and every person or persons, whomsoever, lawfully claiming or to claim the cone, IN WITNESS WHEREOF, The said partv/josaaf the first part has/te hereunto set its/their hand and seal this T- day of � (SEAL) (SEAL) (Sza ) (SEAL) STATE OF WASHINGTON, ss. County of K/ni., On this day personally apq.eared before me E41,6492D 66WZ 41Ea to me known to be the individual described in and who executed the within and foregoing instrument aid acknowledged that signed the same as ht3 free and voluntary act and deed, for 'tir uses aid pn roses thenln mentioned. (AYE^7 'order my hand and ofT,eial seal this o7/St Clay of vxliL� &76 Nobry Jim e la td Jar the Stale of WasFinseon, residing ae`AgAii ZA)d r' fin. 419 141 COST DATA AND INVENTORY SUBJECT: _2arnP7t A& CD i-fh CITY PROJECT NUMBERS: W- ` y37 NAME Of PROJEC � TO: CIiY OF RENTON FROM: L �' LDnsf/oC�IDN UTI_ITIES DIVISION 200 MILL AVE. SO. //&5 - 142T At k- RENTON WA 98055 p �&),? VA. /8QJ& DATE: Per your request, the following information is furnished concerning costs for improve- ments installed for the above referenced project. WATER SYSTEM: Length Size Type L.F. OF $_" 'j71 WATERMAIN L.F. OF WATERMAIN L.F. OF WATERMAIN L.F. OF WATERMAIN I _ EACH OF " GATE VALVES EACH OF GATE VALVES EACH OF GATE VALVES SUBTOTAL $ L 732,46 EACH OF . FIRE HYDRANT ASSEMBLIES $ /, 4110. 1% _ (COST OF FIRE HYDRANTS MUST BE LISTED SEPARATELY), TOTAL COST FOR WATER SYSTF14 E_3, l31. 06 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 STORM DRAINAGE SYSTEM: Length Size Type L.F. OF STORM LINE L.F. OF STORM LINE L.F. OF STORM LINE L.F. PF STORM LINE TOTAL COST FOR STORM DRAINAGE SYSTEM E 55U•X STREET IMPROVEMENTS: (Including Curb, Gutter, Sidewalk) TOTAL COST FOR STREET IMPROVEMENTS $ (SIGNATORY OUST BE AUTHORIZED AUENT OR OWNER OF SUBJECT DEVELOPMENT) i BACKFLOW DEVICE TEST REPORT n /J RETURN NO LATER THAN • NAME OF PREMISES SERVICE ADDRESS LOCATION OF DEVICE ��y7J-/ .S /(sti !!L� ��l��+y ~ �•U DEVICE. (` .h t�F� 0 50- mi- O�- A ,{NI,uIK1Y/M E1{bN Sw S. IA 4 LINE PRESSURE AT TIME OF TEST LBS. PRESSURE DROP ACROSS FIRST CHECK VALVE _� LBS• CHECK VALVE NO. 1 CHECK VALVE NO. E DIFFERENTIAL PRESSURE RELIEF VALVE_ INITIAL 1. LEAKED .G 1. LEAKED ❑ I. OPENED AT LBS. REDUCED PRESSURE TEST ❑ 7. CLOSED TIGHT ....... I. CLOSED TIGHT 7, DID NOT CPEN CLEANED ......... ❑ CLEANED .................... ❑ CLEANED ................................... ❑ IRFP1 ACFO' PEPLACFO: REPLACED. i S,SC L.J SPRING ................. .R ............................ � .., ..... ... � DISC. LOWER ... N 5.GLIDE ... U SPRING .. n E I GLIDE Lu GUIDE •• ❑ SPRING ... P PIN RETAINER ......... ❑ PIN RETAINER ...•••••• ❑ DIAPHRAGM, LARGE. ❑ A HINGE PIN ................ ❑ HINGE PIN .1.............. ❑ UPPER ................................. ............. 1 .....I.............. R SEAT........................ ❑ TEAT ........................ ❑ LC.YEN .......ALL S DIAPHRAGM ............ ❑ DIAPHRAGM ❑ DIAPHRAGM.SMALL .... ❑ OTHER.DcYCRIBE .... ❑ UPPER ................................ ❑ OTHER. DESCRIBE IOWfN ❑ SPACER. LOWER ............ ........... C OTHER. DESCRIBE L FINAL ./ REDV;ED PRESSURE TEST CLOSED T G T ni I CLOSED TIGHT ........ .. REMARKS. �- Waahin on State Certification d THE MOVE REPORT IS CE NTIFIED TO JE TNVE: t p N�.L���� ee�� I�I ��� 1 b ,y_, ,. INITIAL TEST PE HFO RMkO NY OF Ai+F��• DATE - - DATE REHIRED EV FINAL TEST PERFORMED BY �. ..� OF DATE _ r; .} •f►J�AaL� CITY OF RENTON r --------- Community Development Department Kenneth li.Nyberg,Director Earl Clymer, Mavor June 15, 1990 Neil Harris 3829 Eastern Avenue North y Seattle, WA 98103 SUBJ: 428 Burnett Avenue South Building Permit B-14578 Dear Mr. Harris: This is a courtesy letter reminding you that your temporary occupancy permit expires on July 2, 1990. The following items are required to be completed and approved. 1. Public Works (235-2631) a. The new fire hydrant is painted an off-yellow color. Repaint hydrant with two (2) coats of the color "International Yellow" *43- 11 114. This paint can be obtained from Preservative Paint Company. r I Need cost data inventory and bill of sale for watermain improvements. „n C. Submit as-built drawings certified by P.E. L.S. d. Install cast iron sewer clean out boxx at buildidi ng. e. Subject to final field inspections and completion of punchlist items or inspector's checklist. 2. Planning (235-2550) a. Complete concrete walkways around building. b. Replant globe maple trr•s in street planting strip south of the driveway. C. Complete landscaping. I d. Install the underground irrigation system. e. The parking lot needs to be paved and parkins. stalls striped. f. Complete exterior lighting in front of buitdinl,. g. Construct garbage container area by alley and :rovide required screening. 200 Mill Avenue South • Renton, Washington 99055 PUBLIC WORKS DEPARTMENT BUILDING DIVISION CITY OF RENTON, WASHINGTON PERMIT APPLICATION ONLY - UNTIL VALIDATED N"MBER Owner Location of Work Address INSPECTIONS FEES t 5 CONSTRUCTION Side sewer Storm Sewer PERMIT Right-of-Way Construction _� •cw Sp. Utility Conn. Fee - Water Water Latecomer Fees (Public Right-of-Way) Water :nap./Approval Fett _ Sp. Utility Conn. Fees - S.ver Sewer Latecomer Fees Sewer Insp./Approval Fees Date Issued Inspection Fees 2-4.t11 81247 Speci-1 Deposit - CRSH BOND TOTAL Expiration Date - Description of Work and Number of Feet Business Contractor License Bond Address Telephone IT IS UNDERSTOOD THAT THE CITY OF RENTON SHALL BE HELD HARMLESS OF ANY AND ALL LIAB[LITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE G:' 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 TIM£ FOR INSPECTION. CALL 235-2620 for street signs CALL BEFORE YUU DIG BY 48-HOUR LOCATORS and lighting. 1-800-424-5555 �EN �N�A6e4 J <:�Iwi�-R—WC7De 449,5 5.977.SAVC702✓4Y GoN1fYETE� !� RivcAl Gsr 7 72Sru f �ryc�ries Ago SreE�r - Aeotrei-/E ' �� cxca X � , dECE� 1y-- �/Y� i _ ... T/�A'.9GG .�/E�/ f�Yoe•9iclT3 k/i� � h�i�r� Gc%rf/ 7wv Co cas c� Irvr��r/�9nch/kJL Y oh/ 77/4 C,4n/ GZSTA/NEO may / S�ed.4-i�vE f�7i�J?' - CocIST l.lSP• rN IL 0'. 001. A(SWML t-A(t,uR, t�1L/40 Ilc 4 DIIY Al Ate i,i "irl A„ 3uwNa Pte1l" 0 a . 145-le ISSUE f'NAL O(OrANcY PCR11iT YaiL 1 Nip PRo sc(7 r. MOT 0 P.WcNu%v ocN1 nN rtuS U%T OAlty zptllU MACE r40T gcc>3 rcnolctto . (Atc fit x 6210 tf- Yea AAUP auras BUILDING DIVISION COMMUNITY DEVELOPMENT DEPARTMENT PRE—OCCUPANCY INSPECTION REPORT DATE: 02/20/90 TO: 1-1 PUBLIC-.INFORMATION COUNTER 1 1_1 BUILDING FINAL CARRIE,' PUBLIC WORKS I_I LANDSCAPE/ZONING FIRE PREVENTION FROM: BUILDING DIVISION SUBJECT:_428 BURNETT AV S _PERMIT NO_8_14578 TYPE BUSINESS APARTMENT The subject project is nearing completion. Please investigate your area of responsibility and indicate below either your acceptance or corrections necessary bN- FEBRUARY 27, 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 or' - dam' - i 0 FROM: Utility Systems - Water This project is a^proved by this department subject to the following corrections: /1L/cE0 e-05,r !)ArA /A/VeAVI-a2_7 FOR A1Xre-XA4AI/A/ 1AAXW0VGMTS ,Bi// 01PCA.' rdA WAY-4MAiA-/ .Mt'R-OLE, or4 ' SUPSM/r' A�6��iGTLYt..1lu/.VGS G��trFiEO RY f'• E� oR. L.6. _teiT ICE T F:OK r' a&,,L10604 Pyy164C t0V):- LA,"r1tcAva IM4ncg&Tio..l� �) _��E,rLf to P)rJAL F:ef.>, iN"!'��T On! C4Mf�.L`r0^1 6� PVNC♦•tLS( iTE.Mh o12 IrJ`�Pec-('oR cN DO YOU HAVE. ANY OBJECTION TO ISSUANCE OF TEMPORARY CERTIFICATE OF OCCUPANCY? I_IYES I RINO FORMSIl1:PRE000 Autho�ea signature .✓�Y7 eSHS 13113 MI A II STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION,.READ INSTRUCTIONS ON BACK OF GOLDENROD COPY II RntWcHOnS Bre not followed,eemple will be relected._= --DATE COLLECTED TIME COLLECTED COUNTY NAME MDNTN DAY YEAR IO nd 1, IL O 5 AM ❑ nM `S I fJ fj --_ TYPE OF SYSTEM IF PUBLIC SYSTEM,COMPLETE' AY�. aa j�IRCL(fL.55 yO PUBLIC I.D.NO, 7 t O 5 cl ` V2 � � ❑ INDIVIDUAL m•axx+n NAME OF SYRTEM 10 V� SPECIFIC LOCAIMII WHF RL SAMpII.COIIECI' $YSt91 OMEPrMtEI WJIE�TMDTE(FRBtE R? \N NenN NR•ream.m.a.�w•. Slr D _ N9?. guRN1lT ApN( 5e ) 9446 NYD1VANt AT 429- a'FTf _ SAMPLE COLLECTED BY:INYIYI •Y A J C t',f A�iDouL GAEoNR . Ut,tlt t _ SOURCE TYPE ]COMBINATION ❑ SURFACE ❑WELL ❑SPRING ❑PURCHASEO/ `.'or 0(HER 5ENO REPORT TO IpnM FUR NFeM.AdeleFA W 2w CMH G I1ry�rN MSS C NGQ �>)CPT 5C N(O V _ tT ASH NGTON • i S 5 TYFf OF 9AWLE RTw.r e,rr mr.np�cw^^ ❑ CnlonnUeC�ReSIduY.__Told,�.Fnsl T, DRINKING WATER FIIIlrad cbeok LreAlmsnl-� ❑ ❑ UnIrNlfd Or Olber --- 2_ nnn❑!!e RAW SOURCE WATER W 3, NEW CONSTRUCTION waWNVNS - 4 ❑ OTHER IS{»cHvl COMPLETE IF THIS SAMPLE IS A CHECK SAMPLE MI V016 I AS NO— PREVIOUS SAMPLE COLLECTION DATE_ REMARKS'. D T t W e• 5272 -__----- --- LABORATORY REBDITB(FOR LAB US[oNLn MPN COLIFORM STU PLATE COUNT SAMPLNOTBECAUSE STED �rJ �ml MPN DILUTION TEST UNSUITABLE ❑ SemPle Teo OW �OO mI 1, [] Ca+Iluenl 0rowin ❑ No'm Proowr COnlPner MF COt FORM 2, ❑ TNTC ❑' In.0fWRrnt lnlJ�mMion Prowled-plRAse RFAO ARO n InflrucNonR on Folm FECAL COlIFO I ❑ ERcele Debris ❑ MPH ❑ MF 4. ❑_ Cl �hl l FDA D�ENKItl;WATER SAMPLES ONLY,❑THESE RESULTS ARE LJ SATSFACIORY _ SEE REVERSE SIDE OF GREEN COPY FRY OR E%PLANATION OF µW VIS ED eY LAB NO GAI[,nM[RFCFIVlD- i- MTERLKIRTED U'eDRArOPY RFYARKR WATER SUPPLIER COPY T` NOTICE OF NEW FIRE HYDRANT IN-SERVICE NAME OF DEVELOPMENT 4 FL K N -7. i n- '—� aLK' 27 ADDRESS 4 9. '� U L� So INSTALLATION CONTRACTOR / TO W�R �F2,,,� lacc� Con)sT. WATER PROJECT NO. - 8 7 NUMBER OF HYDRANTS 0 "F HYDRANT LOCATIONS (FOR FIRE DEPT. USE ONLY) S HYDRANT NO. 1.4j� 2 TT 1 (b WRB� 2. 3. 4. 5. 6. ` ! SPECTOR M hwu,\l 4 i 1 l..oT T , C3 �K . 2Z �88 I i �a1 Q it 3 � 2cs.veuc ei i PAR�F.NG HCW IdYDYANT 1 tf. N!W u �; FANCO CONSTRUCTION P.O. BOX 2696 RENTON. WA. 98056 (206) 271-1746 April 11, 1989 City of Renton UTILITY DIVISION 220 Mill Avenue South Renton, WA. 98055 RE: BURNEFTE AVENUE SOUTH LOT 7 BLOCK 27 SUB-DIVISION Gentlemen. The cost for improvements within the City Right-O-Way are as follows: WATER SYSTEM /__CQST_QF $5..970 IlDz 1 each tie-in to existing, 49 LF B" DI Class 52 water main. 5 LF 6" DI Class 52 water main, 1 each 8" FL x MJ gate valve, 1 each 6" FL x MJ gate valve, 1 each 5/1/4 MM DO Cory fire hydrant assembly, 1 each 2" iron body gate valve. SANITARY SEWER SYSTEM 1_.COST..O£. .$900.00: 20' - 6" PVC sewer main STGRM DRAINAGE SYSTEM_/ ,COST- OE_S1.150_Aq_ 1 each Type I catch basin, 40" - 12" CMP. STREET _LMPROVEMENT._I. COST...OF_390Q.00; Curb, cut , and driveway, - : dvement patch and curb•. The total of the above listed is $8.920.00. These costs constitute :he bond liability to be posted with the C.ty of Renton. Sincerely. Paulette Hicks PRESIDENT CITY OF RENTON No. 1�`!� 2153 UTILITY ENGINEERING ♦ ♦ 2DO MILL AVEVUE SOUTH 'i RENTON. NA 98055 PHONE: 235-2631 ORDER FOR WATER SERVICE INSTALLATION Ac.ount No. Meter Charge s-- I�� ^ _ Less Stub Service credit Work Order No. 3 'X• pown Payment 4 TCAl� Sundry Sale No. System Development Charge `-0' �./ ❑ Late-comers (City) In City Yes CY No (others) On $ewer Yes[a,No❑ TOTAL FEE S Water Usage: Residential ❑�[Conawerelal 11 Industrial ❑ Other �.rP�T��{ �x INSTALLATION: Meter Site / /+j r, J/li'L�V�^-C/ Size Service ` Tamporery Hydrant Meter Yes❑ No CR" Meter Make I Yes❑ No a� Meter W. Sewage Exempt Meter Date Installed _ Fire Protection Service Yes No Comments: Service Address — I Legal Daxri ptlon ! aL^T 7 tik �7 Ttw�t �F — tgna use Yes❑ No[? if Yes, Type of Device: CROSS CONNECTION CONTROL: Backflow Protection Dev Double ice Reg Check Valve Assembly Led Air or Pressure Vac Breaker ❑ ❑ Reducee Pressure Back/low Device❑ Size Model No. Serial - Make of Device — ilia No. Date Device Installed _— Meter a •Y �>✓tT -ELijl lle� F10nlZALwGZ Phone 3 -' �iG2Z Owner's Name E,sX �'J Q P'fst 7h/ State WA 2ip P <7 r ` ro City Address Plane �— Contrac.or's Name State 21p . � Address ^ Area Served by Renton Water 1.1/ Srttle Water❑ Scattic Water Code No. t p Y g N�,--?/ IF Yes, Agreement Recording No. `em orar Service A regiment Yes❑ LJ7 Service to be Looted on an Easement Yes❑ No If Yes, Easement Recording Nn. ^/ fY If Yes. Water Project No. W- ._ / Is There an Existing Stub Service Y,n./❑ No L.Y l ' es I N No If Yes, Agreement No. � Existing lace-Came A reamen 4 vtZS Address In Favor of 21p Charge 5�-- city (� State n n Fee Based on '�/ �L�•'f System Development Fee Yea[V ' NO❑ Ir Yea, system Developme t ER AT THE ISES G THE UNDERSIGNED MASECRTHEENARERUESTS AND P THE EAY T CITHE CIOTY OF RENTON THE RE FORETON TO SUPPLY TIN ACCORDANCEM WITH THE CITTREON orPRO AND ISES TO THETNATERSISET TO BEOUSE DTNOTEDIMEREON,LAND TOT CONFORM TO AND ASIDE BY THEFECT CITY OF THE RENTONI'SROSE RULES AND MICH FROMIME TO BE 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. - en oR ge I J White - Utility Billing �l,dam�,4_I a�� Yellow - Engineering a e Pink - water Shop Gold - Customer t y ¢n p dui 3 En ,E �t/v..Z'//s GCS✓'.'�= QeO:t is,s3a.�o, �./o �7 Lauckso Testing Laboratories, Inc. hiv�oioe 940 South Harney St.,Seattle,Washington 98108 (206)767-5060 FAX 767.5063 Chemistry Micmitikkga and Technical Services City of Renton Utility Engineer INVOICE NO. 15296 200 Mill Ave. S. Renton, WA 98055 DATE: July 31, 1989 (lab #8148021-26) For the analysis of WATER during the month of July, 1989 ----------------------------- $33.75 C" EF(r LAWS OF lil6 171,mddpM db t•r4'r���Pr�10'�Prl�ty. Nu 4rt wte.Y�� frllYiaLL r odor w�,r! « u.try twbrr,r&Mbw M1wi%no at amown r.).,,,dw wd r4raae`rn.do"an City du.ma 14 tlrl�r�rttM r?�r W.Yta 98q g�ys�aa, guru sl' ZZn q L,1& 'w4 t 400 # 5:1fA - IJ- 9a9A - - elil9O.2 - 00# Saga - W 9G 9 AUG 231969 CITY OF RENTON Engineering Dept. Net 30 Days (t rr,ads e.auv d irox ueanmes ro .run warn. .rw,a cum,ro .ro�ro•Ms u.n uaee�r „mn n.m.nr.,n„u Ra smw io,ro n oseor10 ra wr«e�M e.row a m,.m. seroDro.our a axvaae enr n�Wee..Ma,ane�rne roownen . '�' g.� AUTHORIZATION OF SPECIAL BILLING DATE V—, PROJECT NAME: �:�=�t1.1_+...t iL. CGzt. A'-d ' 22 . 4 PROJECT NUMBER: %3 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: BILLING TO BE SENT TO: Name: Address: /1(9 B-x z4'Q3 City: 0 A.)� /�' Attn: F w*,e,0 Phone No: 7 wner/Devel er, ontr cto� r or Authorized gem LIT LITIES CITY Gf WORK ORDER - DISTRIBUTION DEPARTMEN REYTON NO. 5272 PROJECT NO. W- Q4 7 /; DATE PROJECT NAME `1'� g �-Zag �✓' "to FUNCTION OR DESCRIPTION OF PROJECT--- BY CITY FORCES ❑ CONTRACT ❑ If CONTRACT NO. - CONTRACTOR'S NAME FANCO C0A/S7?f4lC7'70A) P CONTRACTOR'S ADDRESS -� IBOX °�& 91J R.E,1,lrCc. . GUA .9 0S(c ESTIMATED COST_ FUNDING SOURCE ACTUAL COV ,/ AGREEMENTS El IF SO, NO. SPECIAL BILLING E IF SO, 10 (' CO A)S7,PUC7.10 .J 0. 5OX c Z'O 3 k�N'T0nl, WA • 8r5N: 'c',0A1AfL ztl: lag- / r,/ GOA/04�-XZ �. COMP.RED APPROVED BY a•e'L_,p' "" ' unm os�n-en Y tiT CITY OF RENTON ENGINEERING DEPARTMENT 235-2631 .dl PRE CONSTRUCTION CONFERENCE Or e. 'IrFo scrzcM��a DATE: MONDAY - APRIL 10, 1989 TIME: PLACE: IT FLOOR CONEEIL ROOM DEVELOPER / CONTRACTOR OR SUBCONTRACTOR / NAME OF PROJECT: COMPANY NAME: FANCO CONSTRUCTION CO. PHONE: 2, 9z CONTAC D� cerB n-nz NAME OF PROJECT: '^ ECT N: W-987 INSTALLATION: _PYRE H �F nATVFWAY STORM LOCATION: BURNFT� — NAME OF APPOINTED INSPECTOR: _ ABDOUL C,vOUa PLEASE CHECK DEPARTMENTS TO BE NOTIFIED AND SPECIFY PERSON TO ATTEND: PUBLIC WORKS DEPARTMENT: x Design/Utility Engineering x Traffic Engineering x Field Maintenance Supt. x Storm Water Utility x FIRE DEPARTMENT x POLICE DEPARTMENT PARK DEPARTMENT BUILDING DEPARTMENT _ OTHER OUTSIDE DEPARTMENTS: x CONTRACTOR TO NOTIFY Department of Transportation 872-6470 x U.S. West Communications 235-3012 x Puget Sound Power 8 Light Co. 255-2464 x2912 Seattle City Light 684-3076 x TCI Cable of Wash. 433-3434 x3084 x_ Washington Natural Gas Co. 622-6767 x249 Metro - Bus Routes 684-1738 King County Inspection 244-0770 Other: _ U/A/PRECON:REV. 1.5-89 DATE:AJ IG «.��� F' _--OF ENGINEER: ENGINEER:__ SUBJECT: 1300(Et PROJECT: PROJECT: ADDRESS/LOCATION: CONTRACIpR/DEVFiOPER• PROJECT DESCRIPTION: PERMIT NUMBER: DATE: DATE OF PRECONSTRUCTION CONFERENCE: 4 Iia/ P 9 DATE PROJECT STARTED: DATE PROJECT ACCEPTED: BY: Inspector DATE GUARANTEE LAPSES: SANITARY SEWER NORM DRAINS Date Date Tested _ Control Device Channelled Checked T.Y. Overflow Elev. As built Checked Accepted by Inspector Mains Complete Final MH Adjustment Manholes Complete Side Sewer as built Manholes Cleaned Trench Density Tested Catch Basin Complete Catch Basis Cleaned As-built plan Checked by Insp. Final Adj. Manholes 6 Catch Basins _ Trench Density Tested Accepted by Inspector SSForm/bh sr� DATE:__ _ E_OF ENGINEER: SUBJECT: PROJECT: CURB AND GUTTY$ CONC NA'K & DRIVEWAY VPROCHES Date Date Pour Complete Pour Complete Subgrade Density Subgrade Tested Tested (95%) _ 90% Density Repairs Complete Repairs Complete Accepted by Inspector Accepted by Inspector STREET PAVEMENT UTILITY TRENCHES IN R/W Date Date Asphalt 1st Lif• type Power Density Test _ 2nd Lift type Telephone Density lest 3rd Lift type Gas Density Test Repairs Complete _ T.V. Cable Density Test Subgrade Density Street Light Density Test Tested (95%) Accepted by Inspector Conc.Pvmt.Depth Accepted by Inspector INSPECTION FOR FINAL ACCEPTANCE: Date BY: i PUNCH LIST COMPLETED 6 RE-INSPECTION BY: SSF*rWbh W- q�� r �► AUTHORIZATION OF SPECIAL BILLING DATE: Arctt. 101 l9Rq PROJECT NAME: 4r$am �- 4. �tfA PROJECT .DUMBER: WORK ORDER NO.: �_5 —7 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 tho following work: 'TUC li I 5 li tf wry - - BILLING TO BE SENT TO: Name: riP �.v C' -N, T Address: v A0J' Y .. City: !�'r-ti tG' N� 4A, fZ•4 b Attn: 114 1 ( M Phone No.: 17( Owner/Developer, Contractor or Authorized Agent PRECONSTRUCTION CONFERENCE PROJECT: "PJUtmjrf 4- QtY{- / 428 • ''� DATE: - `+ rcfWi4 fw is ADDRESS/LOCATION: PROJECT 0 — C � PERMIT 8 _ WORK ORDER R THOSE IN ATTENDANU NANa COMPANY PHONE �( »„G{��r(�¢4I. Sty 7�>' 11P3) O=m ovu LIL., 03 c ��?�av (ARIA Z3_T—Z.[.VP �A�l; C�lr1PMd�' j,A^ o • 4wiT d7I - /7y6 A�yw� 6Afoua Cn+ �C�rn� . 23S-2631 w,q 8fi p1 � eti CITY OF RENTON ENGINEERING DEPARTMENT ..LL 235-2631 OP, PRECONSTRUCTION CONFER 0,9,rEo SCPS P ON AS' - APRIL 10, 1989 TIME: PLACE: _-IST FLOW, CONFFRFNCF ROOM DEVELOPER / CONTRACTOR OR SUBCONTRACTOR / NAME OF PROJECT: COMPANY NAME: FANCO CONSTRUCTION CO. PHONC: 971_039 C N ACT: GERBER NAME Of PROJECT: PP03ECT N:_W 98� INSTALLATION: FTRF HYDRANT SIDE SFI7F4 DRIV PR STORM LOCATION: RIIRNFTT AVE. SO. NAME OF AP;OINTED INSPECTOR: ABDOUL GAFOUR PLEASE CHECK DEPARTMENTS TO BE NOTIFIED AND SPECIFY PERSON TO ATTEND: PUBLi� WORKS DEPARTMENT: Design/Utility Engineering x Traffic Engineering _ x Field Maintenance Supt. x Storm Water Utility x FIRE DEPARTMENT x POLICE DEPARTMENT PARK DEPARTMENT BUILDING DEPARTMENT OTHER OUTSIDE DEPARTMENTS: x CONTRACTOR TO NOTIFY Department of Transportation 872-6470 x U.S. West Communications 235-3012 x Puget Sound Power 6 Light Co. 255-2464 x2912 _ Seattle City Light 684-3076 x TCI Cable of Wash. 433-3434 x3084 x Washington Natural Gas Co. 622-6767 x249 Metro - Bus Routes 684-1i38 King County Inspection 244-0770 Other: U/A/PRECON:REV. 1-5-89 �J 6 �I I + q I PI-AN REVIEW ROUTING SLIP _ DATE: / / -3D APPLICANT• 1J�o K_S, T-T- JOB ADDRESS: NATURE OF WORK: �`.�eU TO, Comments Due Comments Due I_I ENGINEERING DIVISION I_I FIRE PREVENTION BUREAU I_I TRAFFIC ENG. DIVISION _I BUILDING CODE REVIEW _ I_K I UTILITIES ENG. DIVISION / 2- �_I ZONING 6 PARKING OTHERS �_I ENERGY CODE Comments or suggestions regarding this application should be provided in writing. Please provide comments to the Building Division by 5:00 p.m, on above date, REVIEWING DEPARTMENT/DIVISION I_I APPROVED I'I APPROVED WITH CONDITIONS I`I NOT APPROVED Signature of Director or Authorized Representative -DATE— REVIEWING -"—' � DEPARTMENT/DIVISION blal-17-aFs LcPT i APPROVED I'I APPROVED WITH CONDITIONS I`) NOT APPROVED UTILM AMOVAL SUBJECT TO Ierd•X uT[pEptWFfrERT-WATER Ml- 56Z,_ 9YgS78sr UT191 OAYEOISOT-M-IM �r/p sYSTEM OlSOOPMDTT CHARGE-W-i.1 _ s ' ,/1�1"0O1c 4 u..... ► »9!"7o0.�O SYSTEM RSEIOPMEOT CHAR EE-SD�iIB -S�i i SPECIAL ASSFEYMEIR AM C1'.S_f-CiG:'c � .�/Qpp, eo SPECIAL ASSESSMERT ACE".a".... -_..:.:.- APPROVED WATER PLAN rz ar/I viS/.7 "PPCOVEB SEWER PUN �APE6BYE0 FIRE HYLP 1_ CV FIPF�" DATE�V—/—gSl Signature of Lir ctor or Authorized Representative i7-G-AMP'/�• ! 4- F4 1