HomeMy WebLinkAboutWTR2702227 W-2227 Renton Church of the Nazarene 8" Watermai.n&Fire Hyd
BEGINNING
y
• u rsneY
MIEN RECOIIOED RETURN TO: Molter rite a %J 77 2 7 b Oflirra,h Ckyar& — Sir: /A -alt -OS b
R.I.MUMcipat Ou MI., rJAN
cPFIVED GMnial(a)malIK �AaTA11 F
MMOlAwnwSouth STREET INT4RSECION or rJ A2 CRrnrun,VA"OSS 0 91996 NAME or PROfecr:vsn Uu r a a
h .- t,INTY U 02 --- G
� c_COtiO°R 8
T
BILL OF SALE K
KNOW ALL MEN BY THESE PRESENTS: That 1Ft"tW c4wgm OP TfIFUAZAA:71t—
.
County of {GA uc�, ,State of Washington,the part(y/i!R) of the first part,
for and in consideration of the sum o100L=-t , tvo/1
Dollars 19
lawful money of the United States of America,to in hand paid by
the partly/ws} of the second pan,the receipt whereof is hereby acknowledged,do(es)by
these presents grant,bargain,sell and deliver unto the said part(y/ics) of the second pan,the
following described personal property now located at eD Vr.11 W Anll-,UP,
in the City of RF?M&J,Counry of K-1 fd6 and State of Washington,to-wit:
See Attached Exhibit`A`
TO HAVE AND TO HOLD the same to the said part(y/ies)of the second part,(their/hiafher)
M heirs,executors,administrators and assigns forever. And said panto Vies)of the fist part,for
0) (thoir/htsµer)heirs,executors,administrators,covenant(s)and agme(s)to and with the said
{� panto Vies)of the second pan,(their/hir,Qter)executors,administrators and assigns,that said
part(Wies)of the first pan(Ware)the owner(s)of the said property,goods and chattels and
has(ve)good tight and full authority to sell the same,and that Tiur will warrant and
defend the sale hereby made unto the said party/ics)of the second pan, (their/L+is/bay
executors,administrators and assigns,against all and every person or person,,whomsoever,
lawfully claiming or to claim the same,
IN WITNESS WHEREOF,The said partly/ics)of the first pan has(ve)hereunto set(theirAhisAer)
hand and seal this z day of n s E.
IK //
STATE OF WASHINGTON )
SS
COUNTY OF KING )
1 certify that I know or have satisfactory,evidence thas the person who
appeared before me and said person acknowledged OCTtl at (le/give) signed this instrument and
acknowledged it to be (his/per)free and voluntary act for the uses and purposes mentioned in
the instrument.
Dated: 9 ,k«as.a 19� L•.•
—f_ of ry Public fin and for the state of
Washington
Notary(Ptint)L ISQ STEPHBAIS ,am
r/ru,mvamsroRMD0cb"fg1 T Mynppointmentexpires! to—jq-47
M iA 4 1a 'Taa•YAw�r�..�i� ._�� _.
a .
{
t
N` \n
S
9'
Y
x
I
EXHIBIT A -
200 L.F. 8" Ductile Iron Watermain
1 8" Gate valve
1 6" Gate Valve
1 51 MVO Fire Hydrant Assembly
X
M
r
o ,
as
1
PROJECT CLOSING gg Fiscal coal D.
MAL COST DATA AND INVENTORY and Iosneaton
SUBIBCT: MUAL TfY PROJECT NUMBERS: WTR-
I��-Tit A WWP-
T�3]tetJ chitzsN-CDF Tffc fftzatzeKE SWP.
Name of ptojM W0.
TED-
TO: Gtyof Renton FROM: (�,}(ba rsBC1lPf A4AF� �Q6tA�,
Plan Review Section
Pimning/BuildingiTublic Wohs —
200 Mill Avmae South
Remote WA 98055 DATE:
Per the¢quest of the City of Renton,the following infottnation is furnished concerning final costs for improvements
installed for the above referenced project,
WATER SYSTEM CON.sT+s KMON Opcte.
LAvh Sine
�TZ �.of _ t�/1 • '�r WATBRMAIN
LP.of WATERMAIN
LF.of WATFRMABJ
LF of WATERMAW
EACH of GATE VALVES
EACH of + GATE VALVES
EACH of GATE VALVES
_L EACH of M\IQ FIRE HYDRANT ASSEMBLIES f �ZOb
(Cost of Fite Hydrants man be listed wpiaaly) f /43P0
(Include Engtsming and Sales Tax if applicable
f
TOTALCOSTFDRWATERSYSTEM f 75DO
SANITARY BWWFR CYMbill
S7GBM-QBAIEAQE SYST@J
Length size Type
LF.of Length Sim SLIVER MARE LF.or STORM LINE
I.F.of SLPIER MASH
LF.of SEWER SLAW LF.of SroRM•!NE
EA of DIM¢'IFR MANHOLES
LF.of STORM IJNH
DIAMETER MAN110LES EAof STORM WIlsT9VHET
STORM GTt]iHASBf
(lrcJudieg and SalaTUTu of -- STORM GIT]BIA:P!
f al'PWaNe) S 0 a6 FsgiRwingaMSalesTu
TOTALIX),ST PoRSANITARY SLIVEa SYSTEM S 1 "Inn e) S
IOTALs]]S MRSfORMDRAWAGESYSTIM f
STREET IMPROVEMENTS: (Including Curb,Guoes,Sidewalk.Asphalt Pavement said Strad L(ghting)
SIGNALRATION: (Including Eng.Design Coss,City Porous Fees,WA St Saks Tax)
STREET LIGHTING: (Including Erg.Design loss,tit)Peanut Fees,WA St Sales Ti a) --
Lyle K. C.I,I„j ' ) SR Pnsleti _ 1..4- 271- 3:df.
Print signatory tome
day
�.•nLG7
kmsek-DSSDAT1WGfy (SIGNA7 ) " r
(Sigmteny must be inuhotiscd agent r
or owner of subject developmem)
I
PROJECT CLOSING 04 Final Cost Data
FINAL COST DATA AND INVENTORY and Inventors
SUBIECT: C.1 p[,ITYPROJECTNUMBERS: WTR. G— QSZ1I�
1�6TMcAT&-w W WP.
Tl z=tT CH42CK CF Ttit NW?e4fzeop SWP-
Name of pmjw TRO-
TED.
TO: City of Renton FROM:
Plan Review Swim
Planniag/Buildingp'ublic Works
200 Mill Avenue South
Renton,WA 9NO55 DATE:
Per the request of the City of Renton,the following information is furnished concerning ftnal costs for improvements
installed for the above referenced project.
WATER SYSTEM CONSTR CrI JN COSTSi
Length size Type
L.F.of WATERMAIN
LF.of WATMIAIN
LF.of WATERMAIN
LF.of WATERMAW
EACHof GATE VALVES
BACCH 31 of . GATE VALVES
&U71 of GATE VALVES
EACH of MVe) FIRE NYDRANr ASSEMBUFS s 200
(Cost of Fro Hydrant;fraud Is.llnad separately) S tp3O0
(Include Engireping and Sales Tax if applicable $
TOTAL COST POR WATER SYSTEM S 75'00
SANITARY SEWER SYSTEM. STORM DRAINAGE STEM
Length Sim Type Length Sin Type
LP.of SMTR MAIN LP.of STORM IINE
L.P.of _ SOWER MAIN __ LF.of STORM ILINE
M
J S EA
FA off SOWER MAIN LF.of STORM IRrtE
DI\METER MAMIOIFS EA of STORM INul'IOU LET
EA of DIAMETER MANHOLES STORMCATCHBASBI
Pate(Including aM Saks Tao —-- of — ' STORM Gtt7HBASIN
if apmo.40 It (Irckgag 2+aimviog aMSW.Tax
TOTAL LUST MR SANITARY SOWER SYSTEM 2 iNs Jlrabte) s
TOIALCOSTFORSTORMDRAWAGESYSIBM $
STREET IMPROVEMENTS: (including Curb.Gutter,Sidewalk,Asphalt Pavement and!Shen Lighting)
SIGNALIZATTON: Disclosing HAS,Design C.a,City Permit Ems,WA St Sales TuJ
STREET]LIGHTING: (including Eng.Design Costs,Oty Per ful Feu,WA St Sales Tax)
so, Pnsl+4 _ ze 6- x7f- -Szvb
Poet signatory tame dry zee a
/J
(SIGNATVft
fumv/COSIDARDOChh (Signatory must be authorized agent
of owner of subject oevelopmen) i
t
t
Qa•ira Gw�ir oc 7N6 AJHzRlP,t4�
WNRI■mcianto aErlIaN TO'. Pmka Pace •1.99a7
oakeard-c"tich U[Ri[iea -AS 0096
aemtm Munldpa saftla EAAMENT Parc<I T.Aeeonnt at��
2W MW Avenue bath Gran(ol0)Name Q 0 p ��'
Rnu,al,WA 99055
aTSQ � Z3��eJ
THIS INSTRUMENT,made this day of 19 shoe iYdA�
by and between BEeia !'L4)or:.t nG Tflc hW-4495 y� O
and $9
and
and
hereinafter called-Gr..ntor(s),"and the Crl'y Or'RENTON,a Municipal Corporation of King County,
N Washington,hereinafter called"Grantee."
h That said Gn other for and N rnnsidcntlon of the sum of 8
paid by Grantee,and other valuable considcnUon,receipt nt which Is hereby acknowledged,do by
these presents,grarnt,bargain,sell.convey,and warrants un[o the silo Grantee,its successors and
assigns,an easement for public utilities(including water,wuteaater,and surface water)with li neSh`-esfsaq'
Q appurtenances over,wgdcr,through.across and upon the following described property(
way)in King County,Washington,more particularly described as follows:
�t ,rnacnEo �><N,fStTs �antt �
RGrFIVED
JAN 0 91996
K ..uw"T'
R[r;RHR
z
EXCIS TAX NOT UIRED
Cki
a 0"
vt
1. U11r01caF�mcnt
aaaWarrrwaa larnmaPr ��yy6�L---��
x„. OI\AtlWatrPr.N,tfn alien 1 nr 2 rMrlarl a,cui
a •
Y
t
1-
For the purpose of constructing,reconstmcting,installing,repairing,replacing,enlarging,operating and
maintaining utilities and utility pipelines,including,but not limited to,water,sewer and storm drainage
lineproceedings
together with the right of ingress and egress thereto without prior institution of any suit or
egal
igation or
tial
construe ion oflaw and its facilities,Gut incurring rantee may from time toltime constructtity such additional facilities t es as it he may
require. This easement is granted subject to the following terms and conditions:
1. The Grantee shall,upon completion of any work within the property covered by the easement,
restore the surface of the easement,and any private Improvements disturbed or destroyed during
execution of the work,as nearly as practicable to the condition they were in immediately before
commencement of the work or entry by the Grantee.
2. Grantor shall retain the.ight to use the surface of the easement as long as such use does not
interfere with the easement rights granted to the Grantee. Grantor shall not,however,have the right to:
a Erect or maintain any buildings or structures within the casement;or
b. plant tree,shrubs or vegetation having deep root patterns which may cause damage to or
Interfere with the utilities to be placed within the easement by the Grantee;or
c. Develop,landscape,or beautify the easement area in any way which would unreasonably
increase the costs to the Grantee of restoring the easement area and any private improvements therein.
d. Dig,tunnel or perform other forms of construction activities on the property which would
disturb the compaction or unearth Grantee's facilities on the right-of-way,or endanger the lateral support
facilities.
e. Blest within fifteen(15)feet of the right-of-way.
O) This easement shall run with the land described herein,and shall be binding upon the parties,their heirs,
successors in Interest and assigns. Grantors covenant that they are the lawful owners of the aoove
properties and that they have a good and lawful right to execute this agreement.
at o
� SR �la�ti and
Tom— and
and
and
TM FOx OF rer MIDGMFNr
STATE OF WASHINGTON )
) SS
COUNTY OF KING ) i`
I certify that 1 know or have satisfactory evidence thatLyle V. co b 1 signed this instrument,
strum
on oath stated that he/OteJthey was/weea authorized to execute the�rttrume t and acknowledged it as
the 10A l4, op!{cgjaAc 1, o dl tl,,, Rwaa.••+•, to t u'frce and voluntary ace of
such pa�rty/p�arties for the uses and purposes mentioned in the instrument. ,
_ Dated 95 L
n
r� oY
Mary 'ublic in and f r the State
•,£.}a of Washington residing at
Notary(print):, ISn Y
My appointmentexplms:
� 0r�� I uwnkrP.emem
sera a or a
k I
�f
} , ,-
,
EXhihit A
RMW a¢mal OF THE NAZRMM
Water Easement
A portion of the following described property:
The north half of the south half of the southwerst quarter of the
northwest quarter of Section 10, Township 23 North, Range 5 Fast,
N.M.; except the north 100 feet and except the south 110 feet and
except that portion lying within 132nd Avenue SE;
Q Together with the north 100 feet of the north half of the south half
N of the southwest q-,uter of the northwest quarter o. Section 10,
vi Township 23 North, Range 5 East, W.M.; except that portion lying
Cwithin 132nd Avenue SE.
Said portion is more particularly described as follows:
The south 10.00 feet of the north 59.00 feet of the west 225.00
feet.
p U
I'
bleb hti\Ll
01/02/95 q6-pL�3
l
I
EXHIBIT B
RENTON CHURCH OF THE NAZARENE
WATER EASEMENT
A PORTION OF THE NW 1/4, SEC 10, TWP 23 N, RGE 6 E. W.M.
1V0025'03"W 217.95'
►
m
ti II N v
II 3
II
�x' I ► I ;�x
I
n
0
0
1
VL
� � I
is �
,4
E
218.82' �
GRAPHIC SCALE
z
( IN FEET)
1hct-100fL
�96•�3
J
AFFORDABLE BACKFLOYY
TE6TZNG � „� •„ �' �
CELLO(206)799-2790
OWNER DALE PARKS
CUSTOMER: o me Add t- NiOr� ,J1p,J
LOCATION: jfn•n nt•. N tlA e.-9 0•� Fll w
' Type of Dnwe: I-RPRA �!k.VA t=I'\'li
11
Make. Etkn Madul pOC••T_ - eve �_
SetiiN - I.tn<ITuz<ure
${jBQ�Pre.�Y Baeklk Asimpabl,
01 Clack-CItal iti 02 L'hick-L'h,of tight
Lmkcd I uL d
Dillatal4al PSI Ralel Vaha-(¢clad at rmlit ,2 rmmin uni
Datable C►eek Vahe Aaeaaakh
Nl Chmk-Chmadti ✓ i`. gM e2 Clav:k.C1,wa1 right
Inked 1 ukod
7q
Enepp'e Vaetre.Beeakee
.4u hIW-Opetwi e1 Chwk V.1w_I.,$
Did am open_ Inkw
a�
t ^y AhoM Tap 14n Ah,w I i>t bail I W.Duu
eft IW: k C •aA'f Numha _ ILw I"W 9r
.LI.:
3.
f
I
AFFORDABLE BACKFLOYY
TEISTING
CEM(206)799-2790
OWNER CIALE PARKS
Pde N. /N 2s0
I'I li�NI Z7�-330 tI
` I ('l'tiTONER: Addm• ✓MON Ai
k«•A ION: _
Iqv nt I\,ne T .HRb\ : -❑C\'.\ j•I'VIi
p t,
rrtnl No l uw ih+wu
al ltwk-I.h, .d tko" a'_(las .UowdtyM
I ram J Luakod
I htlocrm.d 1'wl Itclal\'die '"Xi a1 II t mmtmmnl
Dpwlk(lank Vahv Aunn\h
•I t Ixv\ t 4"l right �� •:l lac\ C4.wJ ttpkt t.-/ —
I ca\J leaked
rrrmw Vaetar onsk r
\n Inh+t gw•iwJ.a _pvp Clwc\Vahe__IaF
1,AW
\hxc Ica 1'.n. _ I(1 Mow,w I'a+t Pad_ [1nm 11tw
I mvlAJ Ih , ( � . N,11-Numlv� ILte Imtcd /.?-4.1 "�'�
Nt Ill v
t
r
a
FP
I
Ih L&XkE Testing L'b"ItOnsil.Inc.
BIAS NaineY 5•atlM Wq Bq,pg
WATER BACTERIOLOGICAL ANALY8M8 SMfRF tX1LLEG1EYI HEAD IN'Mkk'TK)NS GN WX DE GOI.MFIDD(ppy
EMInMyw,,, I.M.wr.--Ob wp he Moves,
D TIES Wl1ECTED
DDIMtYMA R
�5 W
opm
' �T++EaEErEts1 r EEETwotawE --
nnuc
❑EdVgME O ' i,�illpl.O�
«.Iw.wrwyw.y 4g.NB. VI Je
MEN a
Ma
ON
Ews�ID
"MileErotaEDwT1eMIER:IMwy—
' EaErt TwEj� olla,o EEunIDMEIItIEe►AF;EEgEEMI� --
❑r ^wnE;6 ❑t"ow []E
tglD w O.tmNFnw TI
w
i N
I �—
wI
TY.E W TI EIF I.ru mrr a.w,w mMp
RDUIEE:
MIwDywwTER ❑E?YwM•IIMEe.!_1♦IY_FIMI
�J/IEKAT$M,MEE DMvw.wOlr I
EYwn.uoMwn pnlln. L10,
OMI /
I MIN IKE wMM,
GGNSTBIIGIIWwI®em'®CLI wro
D11ER 1� h.piw
.
w IK aanwErEE.wEEEwBLq
p Gtas>m•crom GIw rs ems
peOY wW ❑Ew+rE ❑D .wE~
❑Fewpoww, ❑pMwwr
o"www lmommp
wTCI�bDtIEGIIt1 AGO. —'ECou— wo
I�oroaEMlw1—/Imr tS/DE nDllpf-__At
ANDtMo1 EAEMlF wlq/tp
EM}nM�-.E MDT Tplp ERMIpE: IEET Ulol/T
E�wY1a umme, :
❑�wAw
Sw~�~ (j❑�TYWMw
U E.wn EMM1
5[E NF Fw SIX b GWENCOOYEptE,RAMfIpVb NESLLtS WII.BwMw IM1L woo l�
m,wBM
OAIIIVgMq �-
12�T4
e ,_ �` I
I
CITY OF RE%'TO\ WATER DEPARTMENT
Pressure Test 6 Purificetion Test Form
PROJECT No.
NAME OF PROJECT ,J--L�y/��.'
---�_ dr-
PRESSURE TEST TAKEN py tz
-L=� Lt�_titn ON
AT A PRESSURE OF-
PSI, FOR
TEST ACCEPTED ON /� / `Q� MIN,
PURIFICATION TEST TAKEN sy,� Z
PURIFICATION TEST RESULTS, SAMPLE »I
SAMPLE 52
SAMPLE e3
REMARKS:
�i
J
CITY OF RENTON Construction Permit
y
permit Number C950149
Permission is hereby given to do the following described work,
according to the conditions hereon and according to the approved
plans and specifications pertaining thereto, suI to compliance
with the Ordinances of,he City of Renton.
Work Description
INSTALL 8" WATERMAIN AND 1 FIRE HYDRANT. PAVE
PARKING AREA 6 ASSOCIATED DRAINAGE IMPROVEMENTS
ARRANGE PRE-CON ON SITE WITH THE INSPECTOR `
PER ATTACHED ATTACHMENT AND APPROVED PLAN
Job Address
850 UNION AV HE
Owner
RENTON CHURCH OF NAZARENE .s
850 UNION AVE NE 0010
RIINTON WA
CGRMM Contractor's License
Q-p C36 DE/f.-iL°,41Aacy� Contractor's Phone
City License
Contact NASON, JOHN ARCHITECT Contact's Photo 206-631-0294
Other Information Work Order 87031
Date Issued 10/18/1995 Parcel Number 102305-9078
Date of Eapitation 04/1S/1996
Date Finaled Inspector's Name PINKHAM, STEVE
Inspector's Plane 999-1832 `
It is understood that the City of Renton shall be held harmless of any and all liability,damage or Injury
arising from the performance of the work described above. You will be billed time and material for any work
done by City staff In repair damages. Any work performed within the right-of-way must he done by a
licensed.bonded contractor Call 277-5170 one working day in advance for inspections.
Locale utilities before excavating.
Call before you dig-48 flour Locators 1-800-424.SSSS
1 hereby certify,that no work is to be dune except Subject to compliance with the Ordinances of the
ss described above and in approved plans,and that City of Renton and information filed herewnth this
all work is to conform to Renton codes and permit is gtarI
ordinances. -
X
X cant ��, f_.st?"L-- wn1iac Works Rep
THIS PERMIT MUST BE POSTED AT THE JOB SITE AT ALL TIMES.
uo,nas,uaa art
i
............. ,�. s� m�ra.. ,.»a
I
♦flfloffflflf ffff1f11flffllltefllfyklf:ef afyyaffffyffuflfflfaf•
2itY of Renton WA Receipt
' eff 11f 1ffyffyfflffaffifRff!!fllfifffffflflf yf yffff yfff lfffflfaf• l_I
Receipt Number: R950343S Amount: 250.00 07/21/95 11:33 I
Payment Method: CHECK Notation: p4785MAPLEVALLEY Init: DS
____________________________________ ________________________
Permit: C950149 Type: ENG ENG Construction Per
Parcel No: 102305-9078
Site Address: 850 UNION AV HE U�
Total Fees: 250.00 u
This Payment 250.00 Total ALL Pmts: 250.00
Balance: .00
iffityflifffffffflfflfyyffllffffyffff if lfflfflf yf if ffy11ff 1fif if
Account Code Description Amount
401.343.90.00..0001 Water Inspection Approvl 250.00
_----------------________________________________________________
I
Prppr4 Tin I15IQd/nI/04 46 k4w 8 Kamp Maly ruw( TIvv
t,y�lvaw7• hlso pavlky r P '"uj ,ram J 4ssoua7cd dvuw
Iw�prvtwZt.
Sou ft6 -fiT VAS afro suuU ai✓w4 in AA10ped pOv7ioy 4
r� sI -Uw.fu Ko &d� SewA OI r.4Z'1 Svcs {ram vtj'cl �
parh,4' lot alreuly tresll - Yk"I�u '49 'iaw U✓ai--�(
Sou. -Fte vecd awly Am au4 c�j 3 kla) lair. —
y780
Also Warty '{tt0 7vI 'tIC-IN Cd S�� -to UkiO4 yl vt NC. I-
r t Wlll k ItILf S�c. LI/��� frn tehXtn +el�ftc( ac.T,viTin• re
1` ° $a,� 'FCt oh est��kalf ubtlut awrm( '� pk.., revxw -el-<.t p-•... „ �
A4ANMtG two *"a 0" Leh Dvwinc.
i I ' (per
JUL 21 1995 p ri71
EUILDING DIVISION { . � CG101 t✓
J
t
I
Short Plat (SHPL# . .
)
REQUEST FOR PROJECT Al Prelim.Plat (PP# )
CAG# )
To: Technical Services Date /O . -�p y?S WO# 970;/ Green# UUaJF
From: Plan Review/Project Manager l j6fL pt4l-I S I nA.G Rf:B riL/
Project.Name RE.UTOIJ O-1g OeC* IiF THE N4z•9lZ4CA1
(M chv w.)
Description of Project. lur ro-i L g 1• I.I ATrre L/xJE A r- O F/P-z t4 YDeIo uT
oc� xx - os')p c✓- os �
Circle Sint of Waterlim ® 10" 12" Circle One: ew or Extension
Circle Size of Sewerline: 81 10" 12" C61C One: New or Extension
Circle Size of Stomd 12" 15" 18" 24" Circle One: New or Extension
Address or Street Name(s) J.�L)LDS 1 Ali (V E I'JO•Cf N n O kit A
DApr/Cootractm/Owner/Cslc:
' OO raraawrmu)
Check each discipline involved in Project Ltr Drwg #of sheets per discipline
✓ ✓
❑ Trans-Storm ❑ ❑
- Qa.avrral.in.ge) (Olrrte mpovemrmxlw.ar bnMara) leMl.ae TFSC rhxu)
❑ Transportation IsiIDdiaa.n a..d�usmias) ❑ ❑
❑ Wastewater ❑ ❑
Swury Sew alaie(urluae b.vn wrc)
Water IMrr.V.Iw.lhy ) ❑
'. IMrl+k aompourallorimnrJ CN SA.rti)
❑ Suface Water ❑ ❑
Improvements i.Il Win avae>
t
IS Use Only O�- ;C?-c�&n � - - -
i•.
4
br —
ir,�.
Approved by TSM Date:
�J"� � NTwnYaa7xyal-090.W(:/Cnbh + ' '
a . e
.1
3
1 r
e
S
IV
E
tOR D
FOR DISTRIBUTION TO:
tl Water Ulihty ❑ Building Division
Wastewater Utility ❑ Public Works Constr Inspector
Surface Water Utility ❑ Fire Prevention
Maintenance Services
El Transportation Systems
From: O4 O,
Project:
Location: X r�77 SQ LA
j
Attached please find copies of
::�>RMIT
//RCCEIPT
LETTER OF SPECIAL BILLING
STUB SERVICE AGREEMENT
PRECON NOTES
PRECON ATTENDEES
M DRAINAGE REPORT
IN MEMO-WATER BREAKDOWN
Or"MAP WITH NEW MAINS AND VALVES
® OTHER
St k0a4v- I n5Ti dq
�ase_mae�'
cnrsema o�smr
nA
, . +rs+x•mw � .. _ r r.,•,>•»w+�ru+new+tF+.'�+14, ^+•
fi ,> ;
tb��• ' AUTHORIZATION OF SPECIAL BILLING
DATE: /0/j�/r/S�
PROJECT NAME:
PROJECT NUMBER:
WORK ORDER No.: $7 O'3)
It is the intent of this letter to authorize the City of Renton to bill the undersigned for all
costs incurred relative to the referenced project,by the City of Renton for the following
work
TIME AND MATERIALS FURNISHED BY CITY OF RENTON WATER
DEPARTMENT'FO PERFORM CONNECTIONS TO EXISTING WATER
MAINS,WATER PURITY SAMPLES,AND RELATED WORK.
TIME AND MATERIALS FOR ANY AND ALL ROAD CLEANUP EFFORTS
PERFORMED BY CITY FORCES OR CITY CONTRACT.
ALL OVERTIME FOR INSPECTION AND RELATED ACTIVITIES,BILLABLE
AT A RATE OF FIFTY DOLLARS(S50.00I AN HOUR
TIME AND MATERIAL FOR ANY WORK DONE BY CITY STAFF TO REPAIR
DAMAGES.
I
BILLING TO BE SENT TO.
Name. �E�� � SCltfl-7�7C1C
Company. �h0q61W MoruCA�1�
Address.
Phony. 957.-0.7"
ar
1 Aelop«or Aut wised AgcM
�r
A}
P
M .
u
y
,rr n
r`�wa
++•f+••,•1♦+If.f••+f kf i4tf ir•+.•++•1+•k•i•+!••iY.•••+•+Receipt• 1F
y of Renton WA
.....••...+..•..+.+•e•a•••+•e+•ea••+••1.346-62.10/18/95+11 22
�ceipt Number: R9505086 Amount:
s^
- - d3
?ayment Method: CHECK Notation_ p5 --------
--------- ---- __I- TB
' ----------------"- ENG Construction Per +�..
Permit: C950149 Type: ENG
Parcel No: 102305-9078 ,k
Site Address: 850 UNION AV WE Total Fees:
1,596.62
1,596.62 ,.
This Payment 1,346.62 Total ALL : 00
Balanceance:
• ••a:♦,•••••+er••++ea.+•,•,a+e„ta+•.+•..+•f•we••.+•.Amount + 2.
Description 250.00 4°r'
Account Code royal
40i.343.90.00.0003 Stormwater Inap App 480.00
401.388.10.00.0013 Misc Water Installation 616.62 "&3
421 388-10-00.0040 Spec Util Connect Storuw _--- -- _ -w
_________________ ___ .
A
r.i.
i5
4
j'
1�
S�
1
k
Y
r�0
1:,15:95 13;2_ $106 T6T 506.-- LI4CRS TESTING -+- RENTON P,B,Pl� 1®007
bh -
a -
t(��j,,� SS=.9r.L6 •. :: 15'1€c/-5(It.
.uaLmar aumr�¢3uc — auetlam
S rIM iO NOUrNY'dGllIDl!efD NEW A030t935Y31dB MW
PIWI
mu � &m
�0 �/�,�❑
:3sIm393 wY(t911153t 36tS�30 o3r5311px 3,d/Ivt
Wwrg M1rwvfft[aY0wr
"—Jww M" WmY—MIOFlro3
wmu f�003 "MW /MO/IwNIOL
_ umlYMrol�Yw�noYe
Y�RIviI}�{ 03 03Y
�W. 3�I /.dPJ3LJ iY w
]$LLY$❑ YAMd r4PJ'MI�LIYfi.U"$M1❑
41111<iY ruu 71a111M04'M03t10'71
15a�Y YiLLO❑
WAA�f•Aly � �$ /vA! MIdM 3]IIflOS MMI
/OII M/Y Wp�D MpWd
3'idM'61Y3e3tl❑
AItQA0Rw1W11}nR�
WtY 1..1��—AIYO/Y iyD
0..wwar.o4AowH rowsc3tLL
1
of O Aar tv❑ oM AO '-Mg n-Vm❑
»rmwaavrnt�omnml.Mmnar� w.u3oYnai �
- IwW�ro�v3lMn lvtw a./nU"ra 3vms -
(— eraeni
/ w 7
-f.. 9 v gl'lil ta+r.Mwl
All
e.on0�O _ yyb❑k/
wunt ays Ruwio �O
{ 3MVY uww m153TYfO31R Q3153Twalvo
.: see/h�y��Y!si7�i+LtMRT•sO�!lY/G.i`
Ad0000UtfiQ1l7D�70W10$QL�1119�O'FAI/ JSOf'R, � -
6 SIS4IVN�,°1Y�Q Y—` l .IF ... J3G. ..
IX �
3�N
�tN /NV�yl.fl.
i ti �I
hw
I
CITY OF RENTON i
TRANSPORTATION SYSTEMS-TRAFFIC OPERATIONS
TRAFFIC CONTROL PLAN
CONSTRUCTION COMPANY: APPL DATE:
'� ADDRESS: /.P>/�f X7 /�l�P SG PER= l: ��95CLT� I
III �AloNenoie{� G//Ufi 9f�i9[, PHONE J:
CONSTRUCTION SUPERINTENDENT: (r vne v.•t YOB./CE. /: ( )% e�0
CONSTRUCTION �TION: �d/in41 i?rJE /v✓ PAY /:
WORE TUNS: T'AO - Z:10 Pn. APPROVED
lWORK DATE: 10 m1 Zd� 4S APPROVAL DATE:
NOTES: I) r•N+ 911. FIRE A POLICE DEPARTMENTS BEFORE ANY C.OSVRL. USE LOCAL PHONE.
21 THIS PLAN NRIST HE SUBYTTTEU AT LEAST THREE (01 WORKING ➢AYS 11I0ICTO WORK
' COIOSITI'S:
SKETCH
. II �IaRR ARt� NORTH
HAthatot .
Z
.N I Ratio CHwsT0u 0R� AR6A0
1 i
iI hove bean informed of my r sponsiblities far traffic control and atrt2`COY ._
agree to camel With d t c regulations of the City of Renton. wyEchok NOA wAm
SIONATM DATE:A0'.30 3 f— eaS .qE rEANr
N1E y qAY
� � evNeMw.MKleww
r
x !
aye r-..... ...-�.�..—..._. _._......__, ._....,+.
t F�
I ,
I
I, An�1¢i i > ean,IL representing 4lt4 `.
agra to comply with ail traffic regulations of the City of Renma. I shall prepare a traffic
control plan and obtain City approval of that plan. Thar plan sbail be implemented for all
street and lane closures, and the plan shail be toe.-formed in compliance with the Manual on
Uniform Traffic Control Devices. I shall notify services ,weary-four C-14) hours
before anv street or lane closures. I understand any lane or saes, closures not in conformance '
with the approved traffic control plan and/or without notification of emergency services may
result in my receiving a citation :or violation of R.C.W. 47,36.200 through 47,36.220,
9A.36.050 Reckless Endangemaent,and other applicable State and City codes.
I certify I am responsible for the project and the responsible party to be cited for violation of
R.C.W. 47.36.200 through 4s,36120 or 9A.36.050 Reckless Endanger:pent, and other
applicable State and City codes.
NAM R E: eR[rT
D.O.B.:_5 --2-7-µ-7 S54:
HOME ADDRESS: / q)C3 1 g 7
34(AAA"v 11eld 22 74 2
WORK ADDRESS: 9"24
WORK PHONE: HOME PHONE:_ D
COLOR EYES:A*f— WEIGHT: /'7U HEIGHT: 15,;[�_ COLOR HAIR& v� '
WASHINGrMN STATE DRIVERS LICENSE NUMBER: )4tn or 424X6 3 rFIC 7
. G:'division.,;in�oe.n,wpenaaunr<on;r II t
1
I
I
i
i
� yam.,-- .. _..W..,-. ......... ,.
i=
•u
T'..
t
TO:
Were, Utility
❑ Wastewater Utility
❑ Surface Water Utility
a
Maintenance Services
❑ Transportation Systems
FROM: Dee
� PROJECT: iClt 4 ilu% 110 I'rQ "'C
Attached please find copies of
i KKK���III
I y : Permit
Receipt
Letter Special Billing
Stub Service Agreement
Precon Notes
Precon Attendees
Drainage Report
f-
A
Memo-Water Breakdown
aMap with new mains and valves
i
a Other _
w oocs15-07eMC,
i
d
i � F•
AUTHORIZATION OF SPECIAL BILLING
DATE: /Q//6,/r o
PROJECT NAME:
PROJECT NUMBER:
WORK ORDER No.: $7 03
It is the intent of this letter to authorize the City of Renton to bill the undersigned for all
costs incurred relative to the referenced project,by the City of Renton for the following
work:
TIME AND MATERIALS FURNISHED BY CITY OF RENTON WATER
DEPARTMENT TO PERFORM CONNECTIONS TO EXISTING WATER
MAINS,WATER PURITY SAMPLES,AND RELATED WORK.
i TIME AND MATERIALS FOR 1NY AND ALL ROAD CLEANUP EFFORTS
PERFORMED BY CITY FOR(ES OR CITY CONTRACT.
ALL OVERTIME FOR INSPECTION AND RELATED ACTIVITIES,BILLABLE
AT A RATE OF FIFTY DOLLARS(S50.00)AN HOUR.
TIME AND MATERIAL FOR ANY WORK DONE BY CITY STAFF TO REPAIR
DAMAGES. ..
BILLING TO BE SENT TO:
1 Name: 345�-r Df9M(t* 17) CF
Company: VACK-lw," moot- v"igQt-krL---
Address: •PUS �41 rnq
Phone: Cif
` I
��"rye
do
er/Deve!oper or Authorized Agent
r
I
4 t aq�
i
ye
h ,y
Li :,a
Y
1 r
,f,
14-4
fY11Rif Rff1f R1111f1f1ttltf Rlfifft1111ff1f11ff11fflff111f#1f1R1f
ity of Renton WA Receipt
ttfffff11f11f1f1f if if lff##1111f#f111f#1fiRlf#f1R1f1tff111 t11 Rif F
Receipt Number: R9505086 Amount: 1,346.62 10/18/95 11:22
payment method: CHECK Notation: 85117MAPLEVALLEY Init: TB
__________________________________
Permit: C950149 Type: ENG ENG Construction Per
Parcel No: 102305-9078
Site Address: 850 UNION AV HE Total Fees: 1,596.62
This Payment 1,346.62 Total Balan 1,596.62
ce:
t1f11f#t1n1#lfiflffll#1##fiflfititfff1f111f##11fItf11tt 1f1ttf lff
Account Code Description Amount
401.343.90.00.0003 Stormwater Insp Approval 250.00
401.388.10.00.0013 mist Water Installation 480.00
421.388.10.00.0040 Spec Util Connect Stormw 616_62
i
I
I
F?•v
1.
1.
r
aµ
rl • •.
F
�•Y
r
4
4
I '
I .
4
rvnrx.... wu •• -.x. ... ....� .N-y_o..r.r.�`wm a__��+rm..—<. _ _
MCITY OF RENTON Construction Permit
Permit Number C950149
Permission is hereby given to do the following described work,
according to the conditions hereon and according to the approved
plans and specifications pertaining thereto, subject to compliance
with the Ordinances of the City of Renton.
Work Description
INSTALL 8" WATERMAIN AND 1 FIRE HYDRANT. PAVE
PARKING AREA & ASSOCIATED DRAINAGE IMPROVEMENTS
ARRANGE PRE-CON ON SITE WITH THE INSPECTOR
PER ATTACHED ATTACHMENT AND APPROVED PLAN
I
Job Address
i
850 UNION AV NE
i
! Owner
!!� RENTON CHURCH OF NAZARENE
850 UNION AVE NE 0010
RENTON WA
Contractor •$1
Contractor's License
Contractor's Phone
City License
Contact NASON, JOHN ARCHITECT Contact's Phone 206-631-0294
Other Information
Date Issued 10/18/1995 Work Order 87031
Date of Expiration 04/15/1996 Parcel Number 102305-9078
Date Finaled Inspector's Name PINKHAM, STEVE
Inspector's Phone 999-1832
It is understood that the City of Renton shall be held harmless of any and all liability,damage or injury
arising from the performance of the work described above. You will be billed time and material for any work
done by City staff to repair damages. Any work performed within the right-of-way must be done by a
licensed,bonded contractor. Call 277-SS70 one working day in advance for inspections.
1
Locate utilities before excavating. ^.,.T.
Call before you dig-48 Hour Locators I-80t1-1243jSS
1 hereby certify that no work is to be done exccp• Subject to compliance with the Ordinances of the u
as described above and in approved plans,and that City of Renton and information filed herewith this
all work is to conform to Renton codes and permit is granted.
j ordinances. '
L.A I f
X
i ant PuAI'Works Rap -
THIS PERMIT MUST BE POSTED AT THE JOB SITE AT ALL TIMES.
at
,
k>
c
� r .
�titPi
,
1 I
141; lo+h -or.
tj
17 - �
op I
i
C
I 1.
iId•IlYSS6 ` � O�iY1iGF
t— r
+� k
y