HomeMy WebLinkAboutWTR2702224 W-2224 Sprin--brook Warehouse 10" Waterm.ain
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EXHIBIT A
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PROJCCT CLOSING ,Ind Im•nnwr,,
MNAL COST DATA AND INVENTORY
Sl10fRt3' CITY Rscitit Num'1 %' wTit
Seattle Packaging MVP. '—
SDringbrook warehouse SWIA TRO ----
Name Of PrOttet Tro. ^-- -
FxoM Adventure 95`Limited_ Partnership
man TO; Renton ..Rom
c_- NPrfD1JL - .
+n Ret'IiE'Seetla0 - _ -
Manninµ/DuilAing/PuWlc\vnM ' •.irpiattle,'- --�gl l-fl`
1M1 Mill Aventu South
Renton,WA 99055 DA'Tr August 5. 1y�6__.
Per the request of the City of Renton,the following Information 1s furnished coneenung final cosh for
improvements installed for the above referenced project.
r'+Nt'roU TL1N GOrTi'
Length Sim T"' WnTERMAIN
Lr of D•I- WATCKMAIN
-af7 L. of _�- WATERLLAIN
LP WAITTRMAIN
L F of
4 rAf'l l of in-
2 GATT YAL\2i
1•ACH of _ - x GAIT VALYL,
RArH of GATE VALVId
2 LA(.t of ��� FINE IIYOIIAN'f ACGFMRI.Uit 7 2.'eLQB.—
S �1�193
(Cml attire II)thanu muss he IialcJ scynuh) -
Oncltroa Uiijmcnna ans Salts Tax if aftR6a6tc
TOTAL COST FOR W A11iR SYSI LM
t.NITAILY sR-QSYSITM: tTf/RM ORAINO�l ti__I
Length 51r: TYM IcnµW `
S h T'
_SYDP_ uonn:LFK
• _ 0 L.F.of .�_, D•1• SRIa'I:N tnAin' w SI LINM UN
t.I' W alitl'Fw MUN 612 111 of 1.�.- • �ffC-
LF Of JEWLit MAIN �,fi,- 11 of -.�. PEP. a�ILtll tllttWarr
—•1 Iw of ag• ouM�xs Lv,NtloL;x En o+
f rr4 Mt G It:11H.6iM
IA of INAMmYN MAIw IMfA y IA nt -�,. '�- STORM GA IT.IINAtIN
rA or
nndoUme rrry;nwennµ am Siam,tag a (IntLNmg Enguetnne tnJU. Lt .
J TOY.,
C an-]AIR gwNRARV SCWCR aYR11Y.t 1a n2o lOTnl fnAl'tOP SrQnM llenktM.L 1.•'TM' aal.3DI _
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S'I'xLrr IMIMUYimi:NTS (Imlo"ti'rn.(•Inter,AwttwaU. AyJLW Ih.•culeut and SiMe1 Liµ4lurU 5
c ti a it •-at sa_lgy .—__.� "-"�' IIt
SICNAIILATION ilndlWulg Cnµ.Dcsiµn::nNa.61) I\mut Fca'n tt•n AI Sakz'rax) j
None required - "--- �
S1TIL'hl'LIGIit'ING: finckAinµ rnµ Oaatµn Conn Gtv 1l"t Wc. wAMSak'a Tax)
Existing
I
Gordon M. Younger —_ 206 760- 8200 !�
Porn aillnvmY n•mL -0O
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WHEN"CORDEb Rt", SO N �u,, PmICC(PErl
Qat<e ofNc dry del RR Sir.—L It f I
'�.a ._._� o
arMon Munidpal aulbina
M M 11 A•enue Sours STRUM INTMULCII Nor
_Jiauon,WA 9aoa5 NAME OF Pr O)f7.,�
BILL OF SALE
KNOW All MEN BY THESE PRESENT;: That Adventure 95, Limited Partnership
of 6
Counry Of King ,State of Washington,We part(yyies) ., of the first pan,
for and in consideration of the sum of one - {;
Dolls s
lawful money of.he United States of America,to them in hand paid by
City of Renton
the pan(jAes)y of the second pan,the receipt whereof is hereby acknowledred,do(=)by
these presents grant,bargain,sell and deliver unto the said part(yfics) of the second pan,the ;t
following described personal property now located at 851 SW 34th StreetWT
to in the City of Renton .Count)-Of King and State of Washington,to-,'w %•
CD
94 See Attached Exhibit'A'
Q
TO HAVE AND TO[TOLD the same to the said part(y(ea)of the sevand part,(thcio'hls/her)
C
heirs,executors,administration and assigns forever. And said pan(y/ics)of the first part,for
(theldhls/hcr)hers,executors,adtnbnbstetnrs,covenant(s)and xgrcc(s)to and wUh the said
C) psn(y/bcs)of the second pan,( tieir/hls/her)executors,administrators and assigns,that said
patt(y/es)of the brat pan(Ware)the owner(s)of the said property,goods and chattels and
has(w)good tight and full authority to sell the same,and that will amrrant and
defend the ale hereby made unto the aid part(y9bes)of the second pan, (thcir/lus/her)
executors,administrator(and assigns,against all and every person or persons,veliomst>ever,
lawfully claiming or to claim the same,
. i IN WITNESS WHEREOF,The said part(ylies)of the first pan has(w)hcreunm sec(their his/her)
>, a hand and seat this 5th dayof August, 1996.
a
t'�x r • STATE OF WASHINGTON )
COUNTY OF KING )
skrc
�.0 I certify that I know or have satisfactory evidence that 1dai l ✓�tt O+c penou e:ho
.i'a,✓ _ appeared before me and said person acknowledged ths px!sh-J_sigrkd tins instrument and
rs aCknowledged it to be(his/her) free and voluntary act fort use.a^.. PJ17 I. mentioned in
+` the IMtnrmerlt. y �' �/ r�•fj(/1(� �.
a C qL��f lit
Dated;
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EXRLKMT A^
BILL OF SALE PROJECT 2224 -
WATER CYST M CONSTRUCTION COSTC y
1351 LF OF 10"DI
20 LF OF 6-DI
4-' 10"GATE VALVES
2--6"GATE VALVES !
2 FIRE HYDRANT ASSEMBLIES ..'
J
SANITARY SEWER SYSTEM
- y?
20 LF OF 8-DI
1--48"MANHOLEv,`
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4 x, 14y;Y •iT
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FOR DISTRIBUTION TO: 'r
� W,�'Yater Ullli;y ® Building Division
- ® Wastewater Utility ® Public Works Conetr Inspector
® Sueraee Water Utlllty ® Fire Prevention
® Maintenance Services
® Transportation Systems
t r
Project. I. '
Location:
y
Attached please rind copies of:
® PERMIT BILLS OF SALE
® RECEIPT � COST DATA INVENTORY •
® LETTER OF SPECIAL BILLING Ill-'EASEMENT(S)
® STUB SERVICE AGREEMENT COPY OF AS-BUILT
® PRECON NOTES ��'�0^—I j;d'f' (w
® PRECON ATTENDEES
�• ® DRAINAGE REPORT
'!"`•+ ® MEMO•WATER BREAKDOWN
4r ® MAP WITH NEW MAINS AND VALVES
® OTHER
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Date _ N-.a3 ri4+
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1 'ONCt RECORD90 RCWRN TO:
Omm of tM Ory Gat Sir,
Rauan HunlApal aulldlnE
ace Mill A•enue!AuLh STHParI INTE16GC W N o.
•fauon,W.911ass NAME OF PRgkff. �i li1..111LST `.
BILL OF SALE
KNOW ALL MEN BY THESE PRESENTS: Thai Adventure 95, Limited Partnership
Of
County of King ,State of\Vashingnon,the part(y/ies) ., of the IIrst part,
for and in consideration of the sum of one
Dollar::
lawful money of the United States of America,to them An hand paid by 3
City of Renton
the part(Yles)y of the second pan,the receipt whereof is hereby acknowledged,dotes)by
these presenrs grant,bargain,sell and deliver unto,die said part(yfiw) of the second pan,the ^ -
following described personal property now locuedat 851 SW 34th Street
to the Ciry of Renton ,County of King and State Of Washington,tmsvrc
Sec Attached Exhibit'A'
TO HAVE AND TO I1O1D the same to the said Wn(y/sea)of the second pan,(thciryfiWher)
heirs,executors,administrators and assigns forever. And said pan(y/ics)of the first pan,for ,
(thetr(Ws/her9 heirs,executors,administrators,covenant(s)and agmc(s)to and with the said
patt(y/les)of the second pan,(their/his/her)executor,administrators and assigns,that said
pattQ•/les)of the first part(love)the owner(s)of the mid property,goods and chattels and
has(ve)good right and M1dl authority to sell the same,and that will warrant and
defend the sale hereby made unto the said pan(y/la)of the second part, (thcir/lus/her)
executors,administrator(and assigns,against all and every person or persons,whomsoever,
Lawfully claim"cc to claim the same, s°:w
W WITNESS\VtiEREOP,The said part(yres)of the fins[pan has(ve)hereunto sea(theie/hlz,Rlec)
hand and seal this 5th day of August, 1996.
STATE OF WASHINGTON
IS
COJNTY OF KING )
I ccntly that r knew or have sausfaCn,ry evidCACC that L
{ —✓is tire, person who
appeared before me and said person acknowledged that (Inc/ih• sicllFd 'his ,isammenE and
acknowledged it to be(blVher)free and voluntary act fort us—anJ pvros s mentioned m
�5 the instnnent. ��/y
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FYHIBIT"A^
BILL OF SALE PROJECT 2224
1
iCONSTRUCTION COSTS
1351 LF OF 10"DI
20 LF OF 6"DI
a--10"GATE VALVES
2--U GATE VALVES
2 FIRE HYDRANT ASSEMBLIES
i
SANITARY CEW R SYSTEM
20 LF OF 6"DI
1--49"MANHOLE
Orrrn
-
a4 Yy^t:.F
f.
EXHIBIT P
PROJECT CLOSING •+ pi^nl(b.t nn
rINALCOSTDATA.ANDINWNTOR7•
SUBJECT CITY PACjLcf Numllq , WTR-
Seattle Packaging \Vkvp" --1 j)�y -----
Soringbrook Warehouse swr•
Name Of pmtcct Tito
TCD
TO: Cay of R.nton FROM Adventure 95_Limited_Partnership
Nan RCVICa•$CC60nNorfQjf$_,__
__.Nanning/Ouilding/Public Wt)fkr - Seattle, WA__96J1
200 Mill Awnuc Snu,h
Rrntan•\VA 95055 DATE August 5, -_-
Per the request of the City of Renton,the following information is furnished con.enung final costs for .!
improvements installed for the above referenced project.
WATRR SY2W..M CONSmUCTION COSTS
I<rlglb $its TTPc
Le of 1Dn In T WATLRMAIN
•yfy, Lf.Of 6— • D.I. WATERKAIN
L.F.of WATEReWN
I.F of WATTRMAIN
4 mcll of 7 O^ CAW VALYM
_2 EACH of 6. GAIL VALVLI
FAT71 of _ GATE vAl`/ES
2 EACH of � " ' FIRE 11VOIIANT Al]l MAI Its
(Cost of NX Ilydnins mug be lincd xparncy) $ 43.193
(lncludc EnµioccnnR and Satin Tax d apphnbtc t
TOTAL COST 1'09 WAt Ult SYSI LM s
915fIM&Y sF'W_Wy'=M: c1 QHM DRAINAGF JjlcTf N_
Lcagth Sizc T1'Pc Icnµul 5a,
^ 1pr
_20 L.F.of •�� D.I- snwlut MA"' 520 I_r.of 120 • _SPQP_ arua:uNt
L.F.W W., ar WFN en "•612 L.P.of ^ n'oµal LIN"
.��_ f.QI�1C..
aEWGN MAIN _66 _ rr nr 7R" „Cp6p. >r7wt uN.
of 4qx OtAhicIVn MAN6101.121 LA*I _� T.VRJM INL8rAIWI.I.1
ILA Of ni MY"nI.NIMIf< _�' IA m _4_^ jZ rrOMt Grc`f" N
pnrlvd;elaryoleerm�and Sale a Taa 9 rf,of •_�• STOW CAIYI11" I0
A anM+aa4M) ) nAet,N�nµ EAµaa<Ar,C aAO L:v lea
i•Ol'AL eOTYIllR awNl'fANY$PYlp SY111A1 a �.0?0�� `f�flA'ca1Nt) - a
TnlM r:0cTrontr*ft41 r.,lNAat•.,<:Fa• i 31.301 s
SI III'Pr IMNtUv1:AtI;N7$; OncludN,µ Q,M, I;ww,S,da_^^AL A,pb.tl,Yn u.uu'Ad SUVCI 1.lµb4-1141 �... '•
$ICNALIZTTION!(InduJ,ng ling 0C ,pn Cu.II Cn) 14nm,fee• "•A N S.Ihr.IAA) ^
None required
$1'9E11'I,IGiil'ING: Uncl,:dlnµ Enµ hex,µ.Cow GU'11Cnnu Ftt• WA M. tales 1 Ja)
Existing
Gordon M. Younger _ 206..760• 8200
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WHEN arLY RcW M M%N TO
oa;«xw car a..[ t17rLiTLES EASEMNT ( no _. _.._ N
200 Mll A.-S.M r..1' n,
WA9[n5r I SIR
R
'THIS INS IRUNM-4 f,made ibis day of AUQU-,t,_— 19
t.
by end between Adventure 95 Limited Parnemniip
and
hetrartnftcr ralled'Graotor(s),"and the crrY GF uni GN,a Municipal Corponinan,d I:iur l'tunt•,Nrs.hiu�tmt, S °: M
hereinafter Billed'Gramm.'
rr.�v_•
That said Gnirstor(s),for and Or consideration of mutual bmefits,do by these presorts.Want,bargain.sell,coney,and _.
warrants unto the said Gramm,its successors and assigns,an rasemem for public utilities(indudmg!vter,wstewater, ^s'
and surface Water)with aeassary appurtenances over,under,through,=on and upon the following described property x�q�
(the right-of-way)in King County,Washington,snore particularly describod as follows: �G
See arached FIIIDIT A(or legal description
For the purpose of constructing,tecomin+cvng,iosWlint,repairing,replacing.Warping,operating and trwataimag
utilities and utility pipelines,including,but not limited to,water,sewer and storm drainage lines,together with the right • �'
of ingress and egress thereto witham prior institution of any suit or proceedings of law and without inert, tg any legal
obligation or liability therefor. Following the initial concoction of its facilities,Grnatne tray from time to time
construct such afttioual facilities as it nay tequue. This easement is granted subject to the tbUO%vmg terms and
conditions:
t The Grantee dull,upon completion of nay work uithm the property ravened by the ras:mm,restene the Surface of l'
the easement,and any private improvemwts disturbed or dostroyod during execution of the wod:,as nearly as
practicable to the condition they wv:rc m inn iodiately before cahunencanmt of the work of entry by the Grantee.
2. Grantor shall retain the nght tome the Surfim of the easement as long as such uw does not interfere with the
casement rights granted to the Grantoc. Grantor shall not,however,Lave the right to:
a. Eruct or traimmin any buildings or structures;within the tasemmt;or
b, plant trees,shrubs or vegetation having deep root patterns which may cause damage to or tuterfare with the
utilities to be plated wither tine msemxnt by the Cann;or c. Develop,landscape•or beautify the easement area in any way which would unreamnably iactease the costs to `..
the Grantee of restoring the casement area and any private improvccnmU therein.
d. Dig,tumel or perforn other£BRIT of coatttuctic"activities on the property wivah would disturb the
compaction or unearth Giamms facilities on the nghtof way,or endanger the lateral Support facilities
e. Blast within fifteen(15)feet of the right-of-way. , -
t
'Ns casement shall nor with the land described hirew,and shall be binding upon the panics.their heirs,successors M '
interest and assigns. Grantors covenant that they are the lawful ownets of the above properties and that they have a
good and lawful right to acecute this agreement.
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STATE OF WASHNGTON a
e
SS t
C017N'IY OF LONG __is the Vtrr'0 abo afryraral UofOrc mc,and said
nidcaa that ..__ act for Nc uses
t. I mnify Utat I ITow of have sstufaaory ent and actmosvled6ad rt ro be(hrslau)as aad wlontan'
Poison ackMMWgcd dour(be/nce)sibaod tau tnstn+m
and pmposm mennoaed in the WtNOtcat
dr
Dared _.
CJtfury Public in and for tlic ti••'t'
ofWuhittgtoa residing at - - l
Notwn (Print).
My nppowtmeat expires
asNsslllfAt FOt4\I OF Ae'^��'tFnJ1t1:;�
STATE OF WASIUNGTONSS
couNn'or xatG )
)„
r sttm•d t1�iostruowul on 031h toted that
l eettf)•that l lava of have Smustctaty evidence that cordon M,—younae.as Ua yenSral.kaY�nS�-- of t r'
to exavte tnc tnsVumem and aeFmwledied
Wshdtw svw rd m Lt h i y c vnluou7'xt of such parp'IW1bm fui the uz and{HUWu� KOnJttcd in
Adventurt3 95__ _ x N trx aMl �r
tM iottrument .
Datad�-- _�l��'`''�'�`Yy'� .^---
Np�Ftrahc ht and fin the S m
of Wrashi tbw residing ai --
Nobuy(priotu '
My nppouun"
3
SSISLQRCTBISRM F CIMW1EtaO M; -
STATE OF WASMNGTON )
ss
. COUNTY OF PING )
_.. tom Y.nusm to tx
On this —day of_ ,19—�before m•{ ea and s tyoMedse the syd mswment
_p{die eorpoyso0 slut eaetutM the avltainidlnm t' ,herein nreuaoaed, and rash on Win
• a. to be the Rine and volunury w1 and daed of said curpomnou,for sae ova Jnd purposes t rn lrattun
;. stated tMt hdshe was authonasd ro eae�ute sad msUumznt aMt taxi We seal affixed IS the w tart scat of sm� T
Notary Public in a�for the$t:ttc oftl'ashiugt0a
Notary(PtinQ__ '"—
M)'apPoiottnan czpires�,_----.--
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WATER
All that portion of the North 463.95 feet of Lot 4, Block 8
of Burlington Northern Industrial Park Renton 11 , according
to the plat thereof, recorded in Volume ill of Plats, pages
42 through 44, incluFlve, in King Courty, Washington, as
measured along the West line thereof TOGETHER WITH 'he North
463.95 feet of the former railroad right of way as delineated
on said Plat adjoining said lot 4, as relinquished under
Recording Number B909110687, as measured along the East line
thereof (ALSO KNOWN AS Lot 3 of City of Renton Lot Line
i Ad juatmant Nn. LLA-92-090 recorded under Re-ording Numbet --
)206119003) . being more particularly desct d as follows:
41
k , I A 15 foot wide strip of land over, under and upon all that
portion of the above described parcel, lying 7.5 feet on
either side of following described centerlines:
commencing at the Northeast corner thereof , said point being
also on the South margin of Southwest 34th Street., as now
established; thence North 87,51'o9" west, along the Nelth
line of said parcel and along said margin, 46,17 feet to the
TRUE POINT OF BEGINNING; thence South 01.53'39" West , 278,92 t+
feet; thence South 63'25'39" west 20.57 feet; thence So�lth
23'04'54" West es.85 feet to a point hereinafter known as
Point 'A' ; tht, ce continuing South 23.04'S4" West 59.07 feet;
thence South 80'17'14" West 11.62 feet; thence North `s
87'08'03" West 446.21 feet; thence North 221OB'ol" west 33.64 y
feet to a point hereinafter known as Point 'B' ; thence
continuing North 22'08'01" West 76.89 feet; thence Notth
04'39'03" West 12.54 feet; thence North O1'02'56" East 356.20
feet to a point on said North line and said margin. fi om • _ , .,,�,,,
which point the said Northeast
stecorner beathers South 87'51'09"
East at 606.58 feet, and the
t.
AND
Beginning at said Point 'A' ; thence South 69'13'52" East
11.61 feet to the terminus thereof . -
AND ..
Beginning at said Point 'B' ; thence North 72'23'05" East
15.95 feet and the terminus thereof.
Yd ,
B ALSO y- tir
7,
A 50 foot wide strip of land over, under and upon all that
Portion of the above described parcel , lying 25 feet on
ru
either side of following described centerline:
S` Commencing at the Northeast corner thereof, said point being kie also on the South margin of Southwest 34th Street, as now . "
established; thence North 87'51'09" West, along the North -
�' line of said parcel and along said margin, 378.93 feet to the
TRUE POINT OF BSOINNINC of said centerline; thence South
? '
x 02'08'SI" Most 20,00 feet to a point on the North face of an
existing building and the terminus of said centerline.
,
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PIA\TI!<i,/b171D{:�4',TI1tiLG WONKS D6PARTMIIK1'
Water Utdlty BtVlneerb*255-265 t
Municipal 6ulldln6 200 MW A".S. Renton,WA 9"s
6UWWW DX"<M TBdT RBPVRT
#%,oR $Von' 5 Altf acitod
um,M"A....rr�wn -- owur Anne
r�.rw.r.r BArriE QAcKlGlirL le[MTIN S/NNc BRwK fdsk+[AY.ar7
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tw tar 1r00* A.edY' oerrr —_a••
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Air Gap lnepaNOlt: Requited minWium aw pp atpamtlon proMded Orr 0.
Retoarb: New iA(srAHAyl_ eni+ OACyp r4jT
IN PASS De- V+Lrr, 01*&"
--- s zstaxt�Aa pttaR
mtt to - .raeeyr�wu'p n
PubUc Won"Dep.rttnent I WNW av O.w ltw M.
Weer UWHY DtvWvn 4_-_. _
ZOO MUI Avenue SOuth I n9N TyT.Y oM It.
Renton.WaShm{ton 96055
cto..u.>.nenwaeo.n+
FM-% 19% 10:50 94', N.02
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Cie of Renton-water Depamme
?00 We Aye.S.
Rwtm, We. 9eo55
277.5592
BACKFLOW PREVENTION ASSEMBLY TEST REPORT
FIRM NAME C 8 s!'arAcas FILE NO.
ADDRESS 70611-E et 3S 6ethdI-Fv0Wt R^Y _ "hall We 16r 99012
SERVICE ADORFSS 651 S.W. 34th St. Ramon, Wa. 98055
CONIACI PERSON Brian/Superior SpinMNn PRONE 74S-6567
Reduced pramure beckfiow assembly [X] Double chock valve assembly
Pressure vacuum beaker 899WIPty oat*Installed _ A 4-96
ASSEMULI WHkk+a 950XL 1 - 1/21, 467463
MANIXACTURER FAUM SQC SERIAL NO
1 OCATION OF ASSEMBt N.W.end at buddlnp between sid.walk a bW"In stand.rd vW*box
AREA SERVED: UrasarVound 7Wkoder system
LINF PRrSSURF AT TARE OF TEST 81 PSI PRESSURE DROP ACROSS$1 CFIECK alb
MESSIlA!A3504KIS MEMM VAWUM aKEAMEa
DOENIE MCK NWI?S RAW Aa Yid I Owe Va.
Opened at paid
let Chock m Gyred Valve
DC-closed tight_(XI Closed tght. _..... x Opened at Od not I ask�d. .. ........
......p
katialtest RP-----pab Leaked.,... ...__ __❑ -- gpar..........
Ledkad...... .. . .....
Rapti s
.nd
materials
Used
Test After •dosed tight-0 Claaad light ...-. ] Opened at Opened at --Psid -� ...
r -
Ait Gap Inspection: Required ndnitlm, air gap separation provided-.... TES 11 40 11
Remarks: _
Tmed by, RIQ(WEAVER Can.No _ 81429 DATE:, 6/1,%
Repaired By Cs:t I.,_ DATE:
Fvol Test By art.Np._ DATE:
1 CMify the above test has bean peulortrnrk '� DATE: B/Z/9
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`,��. PLANNiNG/BUILDINGlPUBLIC WORKS DEPARTMENT
A�.n Water Utility Engineering Renton,
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e� a Municipal Building 200 Mill Ave.S.Renton,WA 98055 e.
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�@N,t.Or BACKFIAW ASSEMBLY TEST REPORT t /,
Permit No. C950130 �!
Uri11r BIIIIIm Accoun No. Coaocr Peeson I Collrul PMom
Name of Pmmiva 'i h
Seattle Packaging (Spring Brook Warehouse) I servme Addmu P51 39th Street S.N. Renton Washington wi
y
L auon of Devlcs
Inside Vault North Side of Building
A..awNr Mumfumnr Model Slu Seri)No. II f
DCDA FFRCI FIS6k
Rsawll foe Deawe Firs Prw .Syama :rrlawon UOdle: it aaer,Paaae+Pesdi a
New lmuWaon: IN ❑ m Low Pmwre u T..(Tsa
Red W Pma Aartmau, C:*
Pmamm VaeauR 6.9, "
Double Cbeck AuemWim )
Au INet CJaet VYss
Iu ChecA altl f]ul Renef VNa f4lmlod u Prd _
Ptl 9-
wool Tsu D Z"W Rgar....ia C7.d Wm-.. opeo,d n Demotion ❑ LaWad ❑ ..
RR_r" Isom ❑ _PIA ,.
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Mamrala
1
Uard I
Teu Ahr DCsbud Raal....❑ Cbaed oaM... OpeoW n OPermd ae_ __Pid
Remo, RP._Pd _11 Prd "t
Air Gap Inspection: RequircM minimum air gap sepa-ation provided ❑ym O ro
p;.
Remarks:
niz Aeovk orroaT is CRannP:n m uP.rRtre
Ret6'n Report to TYPED OR PRINTED NAME'. N..N.W., 206-265-8600
Tom M:Iphrus,Cross Charles Sta k
Connection Control Specialist mml.TM al Cen No. D", dw
Planning/Building/ Charles Stager B2061 8-6-96
Public Works Department REPAIRED BY. Con No. Dw
Water Utility Division
200 Mill Avenue South MAL TM SY. Cen No I'm j-
Renton.Washington 98055
CIORMSIMISCBACKFLOW AIb
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PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT
Water Utility Engineering 235-2631
. a . Municipal Building 200 Mill Ave.S.Renton,WA 98055
E BACKFLOW ASSEMBLY TEST REPORT
Permit No. C9',0130
lhiliry tlYlirrg Auoum Nn. Canou ft. C.,ptm
Name d Praruxa
Seattle Packaging (Spring Brook Warehouse)
s`mKe AM" 851 34th Street S.W. Renton Washington
laarion of 4rkr -
Inside Vault North Side of Building -
Asser"y M.M.n r Maki Sue SPnI No.
D/C FEBCO 805YBV 3/4" 000252 -
Reamn for Devrd Frre Prdunro SrBwr Irrigation ❑ Orhrr r.J H direr.Neax spdrfy
New Nwllalbn: yex ❑ ro -�kid•Pussorr n T,m or Tec
6 as
RMu Pm e A i. Pre.Vacuum Breaker
IAmble Check Asserohlies Air INer Check Va1w
Isr Cant 2N Chuk Rdref Vale
psr0
lercial Tesr a<Iosed twht... ChxA 010L Q Opened, Did nd opro ❑ IAakM ❑
RP _pars 1<+W ❑ _trsN
Leaked ❑ —" ,1.
Regain rutl
Maw'w'
usm
a
Ta•At-, DC<loxd tipM1r....❑ Ck)xd Wkr... (-. Opened ar oixMi R �.
Regir RP. .._._'m —Psid PW paM
Air Gap Inspection: kequired rllillimum air dap separation prow i ❑w Qro T
Remarks:
TM ABOVE REPORT a CERTIFIED To BE TRUE
Return Reportto TYPED OR PRINTED NAME- Prior NumbeC 265-8600
Tom Malphrus,Cross
Charles Staaer -77 c Royal Waldock
Connection Controls��lalist WITIAL TEST BY: -'"
Cen N. Darc
Planning/Building/ Charles Stager B2061 8-6-96
Public Works Department REPAIRED BY: Cen N. D.. ""..
Water Utility Division
200 Mill Avenue South FINAL TM BY: Can No. DaN
Renton,Washington 98055
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CITY OF RENTON WATER DEPAR7INENI
rr''''__ Pressure Test 6 Purification Test Form
PROTECT N0. mil# 1�I`ty-NAME OF PROTECT 1 �L.A. "UOI� LU4Yl IW
PRESSURE TEST TAKEN ON
AT A PRESSURE OF�PSI, FOR
TEST ACCEPTED ON 14_16- 9b 'I
PURIFICATION TEST TAKEN BY &/N
PURIFICATION TEST RESULTS, SAMPLE sl F/f � -- AApO yrj<d
SAMPLE 112 Fti4l 11DP VVVI�_
.PLE 03-Ro-LUG
REMARKS:
1
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taoeks Testing Lab"orlea•Inc. Lwo1La Testing Laboratorks,Inc.
P w S.Ha"y Scams.WA SSTON a SAGS H-r Sa.m WAIN
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City of Renton-Water Department '
200 Mill Ave.S.
Renton, We. 98055
277-5592
BACKFLOW PREVENTION ASSEMBLY TEST REPORT
FIRM NAME C S M Services FILE NO.
ADDRESS 20611-E #1358othell-Everett Hwy, Bothell Wa. ZIP 98012
SERVICE ADDRESS 851 S.W. 34th St. Renton, Wa. 98055
CONTACT PERSON Brian/Superior Sprinklers v� PHONE 745-8567
Reduced pressure backnow assembly [n] Double check valve assembly
Pressure vacuum breaker assembly Date Installed Jul-96
ASSEMBLY Wilkins 950XL 1 - 1/21, 467483
MANUFACTURER MODEL SIZE SERIAL NO.
LOCATION OF ASSEMBL N.W.end of building,between sidewalk 6 building in standard valve box
AREA SERVED: Underground sprinkler system
LINE PRESSURE AT TIME OF TEST 81 PSI PRESSURE DROP ACROSS#1 CHECK 3 lb
REDUCED PRESSURE ASSEMBLIES PRESSURE VACUUM BREAKER
DOUBLE CHECK ASSEMBLIES Relief Air We% Check Valve
Opened at psid
1st Check 2ND Check Valve _____ d -
DC-closed tght..[X]IClosed tight.........[% Opened at Did not Leaked....................[]
Initial test RP-____psk1 IlLeaked..................(] ----psid open............[]
,.. Leaked..................
Repairs
and
Materials
v Used
Test Aher DC-closed tight..❑ Closed tight.........[] Opened at Opened at
f P R Gap rapection: Required minimum air 9 W a separation
Prodded..... YES [INO [] r?•
Tested by: RICK WEAVER Can.No 81429 DATE: 8/1/96 -
,- Rid By: Can.No. DATE: l
" - Final Test By: Con, No. DATE:
NO
I cortHy the above test has been performed: DATE: 8/2/96 I "'
Rick Www/775.96S1
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REQUEST FOR PROJECT N Prelim.Plat (PPN )
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To: Technical Services Date /O—/ZZ- 9S WON 877 yV Grcenft
From: Plan Review/Pmjmt Manager P/24VL G (JMr&E2'T'
Project Narne 5pOWIA 6&/�'O OK W41114/O V,�E
G-scription of Project: J-WT 4GCAT/tJ/V 0,4 LyA76e- M A/A/ S�D�WAL/6'
Circle Sin of Waterline: 8" 10" 12" Circle One: ew or Extension
Circle Sim of Sewerline: 8" 10" l2" Circle One: New or Extension
Circle Sim of Siomtline: I2" 15" 18" 24" Circle One: New or Extension
Address or Street Nam(s) (357 5-let, ?y Z' ST
Dvlpr.Contraelor/Owner/Cnslt:: 40yewry t YS'/ /
60V6-(vivlt6 9rZOAui0 DoV6HAVY
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