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HomeMy WebLinkAboutWTR2702250 I I 6 yf t i N ' BEGINNING OF FILE FILE TITLE ✓ V I ,J i �rt F f� AFC. YL'A FOR DISTRIBUTION TO: - Oil Water Utility ® Building Division Pif Ywowwr Utility ® Public Wodcs Constr Inspector ® Surface Water Utility ® Fire Prevention 0 MaintenaneeServices �� f (,}/A 15�+°✓1(lS I''fransporlatlon Systems 11 !11 Qjec( b 1)011 n1 ly-ip � aeati�n:��of Fn�� 11�10 , d Auacned please[Ind topics of: PERMIT p®9I� DILLS OF SALE ® RECEIPT !t" COST DATA INVENTORY d.1 LETTER OF SPECIAL BILLING EASEMENT(S) ® STUB SERVICE AGREEMENT ® COPY OF AS-BUILT PRECON NOTES PRECON ATTENDEES DRAINAGE REPORT -- y 0 MFMO•WATER BREAKDOWN r U MAP WITH NEW MAINS AND VALVES O'i'''((HER From: 4(9-a— '+ Due 7—� S u ruco..wrtrss� } k I 44 k. pi PROJECT CLOSING A6 Pioal cost Du• FINAL COST DATA AND INVENTORY and ,CC, CITY PRO)CC NUMOEItS. wvn �35 VALLEY DISTRIBUTION CENTER SW^. Vamc cf JIOICct CRO- �C i d TO'. Olw of icnlon PIIUM Nan Rc.m.sccuon )9 1� ❑ Chnl a } i STLe IO P!annm[/Ouildins/PVWic tvnrxs inn4A�Il l * LAaoU .00 Mill Avenue south Itenton.WA 980511 Dn i 1 Per the mouest of the City of Renton, :he folloamg Infonmatlon is funlshed conccrung flnm toss for ;morovemcnts Installed for the above referenced project. WAIR S'T-,MM CONTRUC-ION COV-1 { j Lcn�lM1 Site 'Tnc 1702 12 ' DL-= 1eATERM.AIN 111 ' of R nT r,%2 WAr'cRMA1N L' of \VATERMAIN 3 -.nCa of 12 OATC v,ALVW t IAC:A Jf 6 C•nT'E VALVES t GACl Jf 6 °IIIE HYORAN'r n.(CHM81.1IS 177,830 ^n JI m Irdnnu mus,. nmcd sc ) 2.000 HYDRANTS me Cnµ,necnng&hG imes lax it annucanlc i 6,865 TAX 707AL COS i"OR WA'IAS)'SrEM 586,695 1AN17\Av SENVnR i .'A \,f/RM WAINAGE 51S :" :IjAh a'iae Tyne ..nth Gat -'n r fi >PVEa MAIN ^ of YOM1.:NC '01144 NAIF " of R011al.:NI: of Math MAIN _\nl OIAMCITR n1AHl'OLCS 1A JI Cq.\I:NL :nlll y{ ♦Ji )IAMI'�l'x MAAlln X_!t S-ORM v,rC.11U.,LIN A 1RI u c lx C'nnf"',$aKt Tq r.L1 JI S?ORA1 K UK 1 Ift."AR m.Ktnnc a,W Lhn"l] "OTAI Or: Ox)AM11ANY$[WGR?V11'IN (annxa UK) 101 Al C!Iin ^Ox 7rORM OKAWAOr.WS M S Si lt[�hM1111t;v1iA11GNT$. In Ivib a Can, l wel 'd Molk. N]06,11 Prvcn,cm IOU$UCcl LINnw,W iIONAUL,MON Oncwdma;inµ.0c,,cn CMala.C!,, 4n,v, "s IV.,N SaNl "aa) `I NOQ O REI"I':J CHIINO. pnel,lunlA 2nR.OealCn Wala.CIq•Ikmm,fca a'A G<Mca'ax) 0 — Pnnl Memmn•nanx /� ,I:n' + n,c w .. (SIC v`1LNIi) IWnwl,tl\IIIA I:.IMndN, \\ p IIVNN l'lx L try W- 225� Return Address City Clerk's Office City of Renton 200 Mill Avenue South Renton,WA 98055-2189 BILL OF SALE Property Tu Parcel Number: Project He a. Strttt Inetsechar. Reference Numberpl of Documents ssvgned or reieased Additional reference nuni are or page_ N Grantor(s): Grantec(s): tp 1, pager western. Inc. I. City of Renton,a Municipal Corporation The Granter,as named above,for,and in considctanon of mutual benefits,hereby prints,barguns,sells and deliver to ,V the Grantee,his named above the follw.mg drncnhed personal progeny now located at C LEGAL DESCRInTION: O That portion of parcel A, City of Renton Lot Line Adjustment No. LOIk- 96-058—LLR, filed under Ring County Recording Number 9606199001, more particularly described on fuuiAt "A' attached hereto and by reference made a part herself. Notes It is expressly smderstood this Bill of Sale does not convey any real estate, rather it includes only the actual water line end appurtenant hydrants located within the legal description described Y on said Bxhibit -Av. PN tar By this mnvgantt,Grantor will wanwnt and defer the sale hereby made unto the Grantee against all and ever,tenon d or persons,wh mns se>' ,,lawfully carer,or to clmm the sar..e. This conveyance shall bind the hews,executon, adm,nutritore and us,lns forever IN WITNESS yWHERE.OF,1 h vc hercunin wt m%hand and seal the day and year ss written below. K_ IssS .t/�Ovgf �Yve fADI✓IDUAt fO1tM OFACK.vOWLE'DGAIFA'T I Notary Seal most be wimin box STAIF.0I \s'ASHINGTON I SS t COON 1'1'OF KING I I cenir,that I know or have vasfacmm evidence that I •` signed this Insnvment and i acknowledged it to be his/herMeir free and valuman act for the uses and purposes g mcmtoned m the instrument Noun Public in and for the Sum of Wssmagton Noun II'nnn My eppumtmcni expos. Dated . H TORMMCRECOMBOS.000%h ft.) Y' vl 0 A N W £M M Notary Sea' I must he within box STATE OF WASHINGTON )SS COUNTY COUNTYY O OF KING ) I certify tMt 1 know or have satisfactory evidence that signed this instrument and acknowledged it to be his/huMeir free and voluntary au for the uses and purposes mentioned in the m trument Notary Public in and for the State of Washington Notary(Print) My appointment expires Dated: REPALSENTATIVEFORN OFACKNOWLIEDGMEAT Notary Sul must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that started this irstrument,on oath stated that hr/shNhey was/were authorized to execute the instrument and acknowledged n as the and of to be to free and voluntary act of such r anylpanas for the uses and purposes mentioned in the Instrument C yNolary Public in and for the State of Washington ONotary(Print) fw My appointment expires: Pe Dated: CORPORATE JrOAU A If' A! .AT Notary Sul must be within box STATE OF WASHINGTON )SS COUNTY OF KING 1 On this // dry of AnTiL_ 19j't,before me personally appeared ` taiN111E1//// R.B. Boyd to me known to - RF O// be w•....nesy. yir•. ar"ons 9fthe corpontion that 43•'start fJ' ueoned the wi hm instrument,and uknowlMge she said instrument to be the free and volunto7 act and deed of said earpontion,for the uses and purposu therem e NOTARY r, mentioned,end each on oath stated Nu lit/she-was authorized to execute and O mitument atM tymetMBxedisshetmporatranlefaidveTorNiea — �s PUBUt • : — / i�4�,4WA,H"xpaYp Notary Public in ayy�for the State of Washington Notary(Print) in, r M ^. aeJ My appointment expires: Dated: A/'.-IL H VORMSUCCRECOMEASEMENT.DOC, Par s FORM 03 OOOOrDNCA 21.97 EXHIBIT"A" LEGAL DESCRIPTION (Must be stamped by a P E.1r L.S Ia WATERLINE Valley Distribution Canter A 10 lode undo aaae w m"t for a atedine and sPoumnances lying vnthin the East Valley Commerce Park,a Bulling Sin Plan,recoroed in Vol a 167.pages 62 through 65 under Auditor File No. 9701231700.records of King County.Washington.lying 5.0 feel on aeon side of the existing"mMine as constructed and being mom particularly descnbed as fodom Commencing at the North Quarter comer of Searon 30.Townshol 23 North.Range 5 East. W.M. it King County,Waaltngton'.thence South 01.50'15'West.279.22 feet along the East line of the NOMvnsl Quarter of San Sector, thence North 88'09'45'West.40,97 feel to the West rghtbf."y line of the East Valley Mignway.also being the East It"of said Binding Site Plan of East Valley Commerce Park and the TRUE POINT OF BEGINNING of this aagong.9mitme descnotion:thence mnmumg North 88'09'a5"Waat, 9.oe het menu South 48'59'55"West.91 feet theme North 89'3TSL"West.39.18 12ee7t t.33 feet:thence Soum 9eK827 s WesL160.0027 1 teen thence North 88'thence North 87 S 0 0'05"We t 137.04 hat:thence South 72'50'27'Wan 2.19 het to Point'8' thence continuing South 72.50'27-West, 125,21 feet thence South 07.39'59'West. 185.00 feet'mom"South 54'2631"Weat.7 3.00 feet:than South 01°4755"West.194 27 hat to PomI :hence commuting South 01'4955'West,409.32 feet to Point'D',thence South 00'5a'.9"West. � j 23 89 feet to the South line of said Ending Site Plan of East Valley Commerce PIM also A being the Norm rgntaf-way Jima of SW 27^ Street and me terminus Of mis exlsmg j waroniria descndtion. San MITI lies North 84'38'13"East, 454 05 feet from the I m ersecuon monument of SW 21 Street are II Ayer"SW. j 1 TOGETHER WITH o 1 and easement AM 5.0 'eat an »cis she of the existing waroninef as<dnitrtdfed all being mom oamculatly 3eecnbe0 all bllOws. j I q Bpmning at aroromantoned Pamt'A'.thence South 00'08'02'`Nest,41 Al feet for'lre N hydrant: !V C' Ain beginning at aforomeno mad Point'S'.thence North 21.13'03"West.2154 feel br O It mydrant A'ao beg:rmng at aforomenhoned Prnm'C'.malice Norm 11"876'Neat.28.35 het for l fin hydrant Alto,beginning at SIOrome MW Point'7.;nonce North 88°2340"West..Sa15 isa br fire hydrant rYr 91 �r i •t saes FOAM 03 000WDNC.a141 97 I r`v s r - l FO-sRR DISTRIBUTION TO: j E Water Usllity ® Building Dlvision 141� Wumweler Utility nB1®99II Public Worlts Conslr Inspector Surface Water Utility IPaJ i4re Prevention Maintenance ScIvices Entl {¢1 'I'nnsporullon Systems LIE /— y I'ojecl � � s �1 tJtiY-lo'I� C..(11f�'1`� Attached please find copies or: PERMIT ® BILLS OFSALE ® RECEIPT ® COST DATA INVENTORY :.i LETTER OF SPECIALBILLING ® EASEMENT(S) ® STUB SERVICE AGREEMENT ® COPY OF AS-BUILT PRECON NOTES PRECON ATTENDEES I1Y DRAINAGE REPORT T,O,,tt MEMO•WATER BREAKDOWN IJ MAP WITH NEW MAINS AND VALVES kJ 0.1-HER From: Due. �' I1tgCOmW1l14\I '}te �r i �Ir A - r4. I PROJECT CLOSING « rinalD�la FINAL COST DATA AND INVENTORY Rne Inve ,EcT CmPltofr:CTNUNmras vnc. a^`a5o unvr OailSo VALL6Y DISTRIBUTION CENM swv. Name of nldlccl ^20 City of Renton PROM ��p� Plan Rom.r Sccuon l9�ls u I-VF 5r�3fo Pbnnmg/Ouilding/Public Wnrcs 0.n t-•ll t—•h gBGll f 200 Mill AKnOe SOUM - rtmon,WA98055 Per the request of the City of Renton, :he foUowing infon'nauon IS fURCthed conecming final Coss for ImomVcmens installed for the above referenced Droleet. wATPµ CV—M rONCTNIICrl0N OST L-ngcli siac TYnc 1702 LP.of 12 DL CT.c2 %VATTitMAIN 40 LP Of 10 nT M.V WATAMAIN ill F of 6 nT rT.b \VA1cRMAIN L? Of \VAT[RMAIN 3 :�_AclI of 12 GAT[VALV.S C.NCR of GA-VALV[S 4 EACH of 6 CATy YAIYTfS 4 EACH of 6 _ AMC HYDRANT ASS11M01.113 577 830 f^n of I'm I IYtlmnIs muss L.Ilslcd 3cnanl0h9 7 2,000 HYDRANTS 'cc_npmcennR and Sales Tax if appII=hjc S 6,865 TAX TOTAL COS' FOR Wn i7iN\\'S1:M 5 86,695 �ANITARY S'WPR SVST^M STORM DNnINnGC SVSTM _rcm Siac T,, Lcndm Sac 1'ync Of fF.V'I;R MAIN L,r Of S.'ORM: Nt _ tll )I:u•!N MAIN Of rU11N UNI: of s WEK MAIN LF of - o ow pNa LA of 01.MrT.:R MANIIOLU CA Of - e—Ck"U4L-i0U11Cr ��Jf 01AXIM.TR.MANI lnLft FA Of S-OM1M G X.1IWIN on'..Wne r.,n CnA,IAN AKf TA rA Of ),OMI QI'O.INAy1'N .f InnliCa041 t nMluClinR E.1...nAu IAN i, -0TA1 COST I'ON i^mn ANY SE\vEN SY111.M I .(,pplivinRl 1'01'm.COST FOR STONM URAINAGC SYSTEM f SOtll r IMMIUVRMNNTS_ (lnclueln9 tAINI,t�IRWI.SNCwvk.Anpball IMmRtul.Ind S(MCI LINm IIIN) SIGNAU7�ATION (IncluOmq Cng,DcRINn Cmis.CIIT Pcmul TCS,wn\I Salts taAl aaog� STREIT LIGIIIiNG. (Includ,nN cnN.DcRINn C,, Gd•P<nml 17111.WA$I Svcs Taa) _0 Pnnt IINn_ all __ 1206) 487-6¢66 Y name ,IOT w .It n ..... , .,.,, (S1CNn111N1i) ' •..-. ....__ .. , 1\l i uual Ik mbonGCJ n4fm h Y! R..Ad*M Cnr Cwk"oob, ciryorit R 100 Mill A - 5x Rntw.WA 9KOSS-2119 i Tllll: UTlLITD:t[ABRMTM Pn x! Ty Partd Mm .vD110 1P IYe9 •MYlmsw IeO Yn! Rdweax Maxbetq of Dawmxu xn(nw�cr n1avE'.�uan.wd Nalv.,n9.1..x eye_� (:ryMMl1: Gnaw(q: cf I. 9aq.[wPata. [w9. I.Cay of It d a Mw.d,I Coy. [. a Yablagt9R Cb rods 0 Ml:rrw,w.wxl w.4w N.n Iwyy artly {axe w.eM N NeW.e ewe G..y aw lepawq 9wsod wawel Mlan bewra Aaab.wlbplbr aaar`— PCE� LEGAL D Naanww.I lgNaaeMrMgEEM MnI nRI A (0� li(:AL ESCIUPf10N Ol 9Ra[ pmtlan „E P.L A. Cat" et llantw fe! ..� A j.w t b. e.ml- Tb-OS[-1L1, faw n r RLp M my �rdlw bs c 9f0i119001, cA par[L.We:1T[9laribaC oP LIUGIc `A• .twK W.W W by E. M rae • w[t Mraa[. `A„ atJlJ1= Z 13�1a4 � • WIN e . r r 1 r F r s A 3 I � AV]aM1CUlNaPrAY14MLRK1 nx� .! 1rx �.MCP�9+ap9ratlR.V.b.x EE�y'SE�� a„aM, 1 N9 s3Mn• . s 9 Fkd by rNW� r Y .e 9704220833 5 { y Ile 3 . 72 f t T F all _ rRL !( ! I I OFA> Nsal StYsghnM..M SfAR'fII VASIIOIpId)34 ' COUNIY MkINO ) - ' I r�ry M I Awnr wr r1111YaYTrlwrtlaY i +wl w.Aw.+r w'a.wlaaraww NMrrawMwww.rrrr�r�ww — nengnW MYe anwiws� Nnla♦Puhlic in rM(a 1(la$OY of W uhatlr Notary�Pnm) MY aopolamaa V{IR: D.I.a aMr �IAar!]wl No w.WM ST,\IE M'A'hL10gttM11S5 (plJxfr Of lRIG J I rcw�M1 nr i.w R w��nrn M ) ylarl lar�rwwr Ilw r, wrtlar wr.w aa+nlrxw.a.r:.ww Imr.xawaarr w '%` 1 MwrMw+wrYMro a.,rnnn+r�w rrwl+l.lr.r wr•rya ',.i 1 A Notary Nhitc in and la 0a SWa of W' ylm • � NourY(Trim)_ ',1 C MY arpainUneM upha�_ � UaaE r � � 1C}ppA7f77QF�+u�Ti � � Irrw V+xr w.alMM Sinlr fV'Y.SMINcroN Ig Cbtlltll'Of KMO 1 NA.AIL<q of *414 .11�MNa we�.walh alNw � `\\\\\11111111 MSYa�Y dopj.�oaa tj;Sob'y_ uwnll a..iw,isa.+lwar.u+wr.r..I�+rbrAa J$MAM :: - rwlWvl wlrar MlW er/aiMw■r..wr.�wo. it nrranwr4paN�WIMIwN. VrIrlMraawrM ANT L N,� � ipin.an+rwr11et1�.tl.wi�a�MaMl��ar�� A ' ' ••,°;n a\a o`` rY . � �we (>uaro a W,.e. aa Nry(PIMatWIdZL`Y.AfJ.tflx:rL- MI - Mr gpnhlstlM eapi w /./. •/ _ n Dalad: A/•a'ra // /O97 n:voaanaraaNwuxaMWrna� Mw> MrItlIMYfJII�M wn I Filed by. I PNwr r, Vol r mull e fj �. s it t reeoz�rocs � J .J 1. �I MN IMiw�.a�n�\I�l.l�1•a.1 Noma !.•rvw V�M''Y'V II.✓�V J J�' f1v I � r '>CGVIRNG/hY �fxersxw TKFICN 11 w m vI a(/Y b.SM/Q�v T'M� ClYTf �M iiWawcNtwwvlaJe\n mn MI 1pa\ea1MYfAta�M l �f J i NOW. � N RanWn Adlarr __ :itY CMt'S OR.0 Ciry of n 100 Mill1 4r.ut]o115A Rena.,WA 1te55-2119 I tlILL f1f SALE _ enryy ..M1,N aWr. 1p 11 47t .il[w l•IAyY. •r raWAy.I KlkaVaw.maaNwnkawaA brut enr•M•[.nrM_ ncnawepY. GnAleryq: C1. p t Wrearn. Is. 1 GI MRamm�,tMYIIKI ICa loll N 11w nw.w arNalwe. ,ew rn M`.krxw tlwwalAMt paaAalw.NA rawa �+ Ue Ga[haawl[a.bw.dV faWrae llarM lr•.N waeal)aw ata[G u. 1$4AL DESCI MON. 1Mt pettim at [areal A, city of Wtm EAt LLa ed Id]vttwnt we. WI. ti-0ShW. til aM,rr tl+q O tS Ia 't Lim ••w 160L1)90D1, wu partlNlarly Mnttiwd m tAAlbtt -A• at� A .w al.d AY FlaF.ne i Wa . wrt aarwe. "tat It to atpau•l1 MndeFtead tple pill et idle dma mt emry a I altata. [aNwr 5t I.IaMa m1Y •r . . I wtar llwa W ipyvrt t Wv�to looatad w1t1iln tAe 1Na1 datctlptlm dtldr] 1 s mlA 4Y►lt 'V. • 3 F'NNir 2�3�pA -D Bf lYu mnn!ua.l:nwr• .r[nIw4MMWe Yatt w.Fwl:ef rM puWw.•ay p[.alr ` H �Ov[sra.i..nM[w..u'NWI)<Mr.rMrrn[ar•ae aA.TW m�m.a[�'.W MNae MIReaWwla 1q.arawanw Mpu Nrtw '��f n[nwwa•Aw war Mawwwr•+^'alai Noe, aae WrtT /S An.("W�NIdYA /M Mary 5N W MrW M Si.tR(M'W.typap{df IA S C[NIMtY pI\►q 1 � I mmn aw I law.AtwrlarY nwn r_ ! rw,ekyr A w MYMrWt�ia w�Ma1 Y Y.rwrl w .mwt>r bM�waatiw wexrdrW[YaeWnw V-vn lRMl a.aMnarlraal walll M V.'aMMQOtMV10la](W NP 1 • 4 r1A0 mwr . 1 I 1 p YPYrLwr�Nln 4u xnn OFC; 9111RRW IU CgnRY dKINC ( I rp r 1 W+W r..�enrep msnr r YpMI r YIIYrY W YWrYlpy kr MYNr4rw repa4Ys W nr7r r�p�rNMrrYnl 1 Hanry Punic m W w Qlp Suu o Wuhm`rn _ Noury(PI W) MY nppoiMmN e�pils' Dub: nr.y wlw rwW�r� n ♦ n CNr' xAIEM WnSN11I[lldl)35 axnmwKmo ( ' 1 Wlry Irl I r.-r rw ritla�y wilwat M MWrr�nw oYr r'W'Yr Mw�MwrrMMYwrN rYwlrpr MYM W N r rrM R.w wrrY�reu ;9 pn(Vprin b M m W ryPerwrr YI pr yMeL 0 N N C Noury(Pnm)Nou7pim)in pnC for Stpro WWLyb y.:. My pPpmin upicn;__ NIIrYSW wrrrW x�tt OI WISH COIIMY pKRq Vt. .....r rr.lrr.�.r OJ,..�rfbn f�fil9 rNIrMVIW WYynMrppr YMKrt(IM :..3• WMrryv WMrrrlpYppntl�pxYrm WpWPmrs i�Npinnr = r.IwLwrxrrrrrlr...p,rlW rumor w/ WPIouOC NOIn'Nb� m et de SlWe N W..mosm my orry(h6n) M WinNMaW DO vq: DWd: /'i9 h•vW14V[d1YNI1NKEYmRDOP ryYi PMMu�u.rin J | i " !|; , ! ! - , ■ , z °- • • .- •. ®t| h j | ! ' . � Vp | � Jim �!/` � | §§ NE \ \ !h { jR. m| j --- -----© [ • 7 � � f"Jv IC i oyl Ta, eF '' a' N r. H. afXt nG'1 J,�. �' y.YB6 D°TC'w r�ue.�c 61 L p3�s i Co�,pl� s l O ;t r, to J u col ?N p �a,rit 9 s BACKFLOW PREVENTION ASSEMBLY TEST REPORT li 1.' Return No Later Than:_ Name of Premises: L/a l to 14 O i c V ru 6i Oo..ItIr File No.:27,E c a Service Address: 2 Sb I £A4 Uo�¢�PcNA_ Location of Assemi tl4l-1, fncF F�,.Y lti left- t in VAAIl _ Assembly: Fe hie) <� (� Y f) /D" 9S/- L3/3rr Manufacturer Model Size Senal No. Line Pressure at Time of Test: r� 6, LBS. Type of Assembly: LAC!)A e Reduced Pressure A.lembiles Pressure Vacuum Brooks, Double Check Assent llsi, Relief Ali Inlet Cheek Valw let Check 2nd Check Valve Opened at _pstd psid DC-closed bgnl LJ Closed tight Opened at D,d not Leaked ❑ Initial Test Rp._ psA Leaked ❑ ps,d open ❑ -. Leaked ❑ Repairs and Matenals used lest After DC-closetl it ❑ Closed Ili ❑ Opened at opened at -psid RePav Rp._- _ psid Psid __osid Air Gap Inspection:' Required minimum air gap separation provided ...........1-as ❑ No[-] Remarks: T C} 'r k" cY The Above Report Is Certified To Be True: Initial Test Performed By: t\ Ltwll, Cert. No.: Date: (2- Repaired By: _ Date: Final Test Performed By: Cert. No.: Date: Water Service Restored Yes C7 No[] Customers Sgnature h • 1 BACKFLOW PREVENTION ASSEMBLY TEST REPORT Return No Later Than: ,? Name of Fremises:_ 1/AW I File No.: 27 2=,so 1111f SendceAddress ISO 1 Ens il VM16N Q wd Location of Assembly: .Sne]LL GJee � a.e Lo/- n Assembly: f_pbeo 66G Y D /0a 96032S7/S/6 1,41. acm Model Size Serial No Line Pressure at Time of Test: _ LBS. Type of Assembly: & D A r Reduced Preaeurs Assemblies Pnasum Vscuem maker Double Cheek Assemblies Rallef AIr Inlet Check Valve I•1 Cheek 2nd Cheek Opened at _ps,d Valva paid Dc Cc;e:C rgn; roseC�� pened at Did not Leaned ❑ Initial Test Rp [aL Io;... ,. ❑ P&d =an ❑ LcaLo0 ❑ Repairs I and Matenals Used Teal After DC-Crnvv ii ht psid g ❑ Closed Ugn, ❑ Opened at Opened at Repair RP psd psid psid Air Gap Inspection Required minimum air gap separation provided ...........Yes ❑ No❑ Remarks:_ /ed E 0 K The Above Report Is Certified To Be True: Initial Test Performed By: Th21A Lea, ;s _ Cent. No.: Date Repaired By__ T'� Date. Final Test Performed By. Cert. No.: _ Dale'. Water Service Restored Yes El' No❑ _ ci saomer'S signawre 1 , WEktt - .; r r w I ti I„ � yi•�Ai�} V I rt�� f Backtlow Prevention Device Test Report Computer ID II /tle wl Return No later Than _ ''. Name of Premises Contact Person p / Service Address- ?/)A gcaz z;z e7— _ .ifN I,.ocation of Device_S 1* G a eC 'Rwrcn*- _ e Ed Device / •� W,114F 95a ! errw4 y O/— Muafaaarer model Sin o7 Z i i rut No. i.ine Pressure at Time of Test 7-E Ib Type of Device tti Reduced Pressure Assemblies Pressure Vacaam Breaker Doable Check Assemblies Relief Air InletIST Check 2ND Check Valve - Ched Valve i , ` __ jww I.i11iI DC-rllepal [`b{(E II�II y Dp.e a --�M Tw aP�Jab ie,\ed_ DN.a a as _ t<.ww_ — .ue Maeri,l U..d y. Tar Ana DC-alu.drlale___ Qn WAr _ Operede OpenW ar :n. R.pair RP- , MW AIR GAP INSPECTION: Required minimam air nap sepantion provided,.... Yes No Remarks: Agol, 6 ME ABOVE REPORT IS(MRTI• Initial Tat Performed by Repaired by Date linal Tat Perfwu..d L/ -- _._ Dale .Z L-1 a i F 01 C' 9T THE 09:52 FAX T67 5063 I-LUCKS TESTING WATER BACTERIOLOGICAL ANI IWATER BACTERIOLOGICAL ANALYSIS SICIRED :NFADESPARpIP6t40RulDK OF DOID!)lNDO CLVT matauMAr SAIIPEF CXLECT"NEW 06TRIjc M ON MCK OF Q0LMNDD mF N MEYUOIIOM M .MlnlY M b MTAARAE. f AA.mun.ilA M M 1011wM.ARINRy f♦VI b wIKrE. DATE COILFRED THE OCLLECrE➢ I u AyAE DATE=1 D AE COl1ECilg COU wuE .e.Tn w. MAA w. .uA Aa " 1� % _—_ /fig /°6 to TY![Oi SYi1EN Ioypl,C bYErfY.L4lAMET! aRs•siel v.usLc srsTe1.DwntTf Mrusut_ F� p ` /R�� wax l I.D.Ii 1 ( / J o L aV'GAWF 1 OM1+r.s41 I.D.MO. m NAao"sysi ^ l/ YJ7r11 O YEDIV INHECfED TREMaNE ND "IctiorakMlflE CQLCTm TELERNOiy(Np G�tMj� •�7 DAYaU Z3S-2S�_4 "ty,o(loq j` DAY(Z"k 3S-7SL lceu MAA+I NNrwacowNE' sAURtE 00 5Z EVENwI SOURCE TYPE GRdIND WAIT]R IRaEN SURF aRUENCE sIxI C TALE GROUNDwArER IMOER SIIRf wRLL1END!J 9IRFACf �WELLa �lPRM GMTROu EDv LDDDARRAI ❑SURFACE yVw LM -r WE11flE{D MERTL OTNEA InEID :)SORK cpUR PI TA EDv rPTMiE•,, R Fu1 TO WA Lot 1 ;+1 A D v ! rtl 1 Ol 5+ r!l Ac J5o �I ...,m•a aS ...�A.a4 v0 M'K OE$ANME Iswi vp M RMdRlnl tYPE O SAANLf(Nb AIW Ary R IM�IRrwl G ROUT WE L J OMs��wN0 FRI—TPa' Fw.l DRIN YAm'WAFER '}LLS.Jj) DAMIP dKllrrvtiM�� F1�mD DRWM.GwA1En U WIwARtl 14YAUA'_TdA:__ tiv6 SAa�l— nEENE UrorAyvOMI RMPEAT SARI DNEAAsl w OMB____� RmrM OYIMARrAAArq WR ❑NEPFAT SAAwLE MwUle YiMn pAAAre T.e A DY I I _ D"_ RAW SDUI WATER SA-P R S H pr CAA � Mw$01111Cf wAT[R bq.e A n �� i-Ty 4y.�- NE`wCOAIMUTiONvRE9yRs u Fwa fLlvm AtwcUA7rRLxTg REt4R5 U }�2 Fyi OTHER ISPN..'I OTI(RISI REauuS. II 4 I wI G 4 ca use atn aware ATATER asuLTs Dr uE!axh DRaRTxe WATCR REsuLTb J REPEAT CRMv.feRmwprA CaNvmAAAAVA ❑UN9ATNf.CTOR..CofDmN PIAAAnr ` BATS ,',rpP sAnsF.GTo6c umpa6 ❑CfsEMwEm E.CIAAnr. REIEM E.Cv'pv�m faNvm w.. RQUIRED ❑R'd Flm FiRmS N L n�f.Cau ADIAm "a FPRP WAm OTM LYDMTDNT R[atTs DTIER{AtDgT}Op K:ARTi roiALC0.ffORN nmlN E.DOU�nmml TOTAL.CDUFORa nmro E.00.i.�nDYN RCAI COLIFORY_�IImM PLATE couw AM FECALODLRaW� N PLATECW:+r__mA AMDTTER SAMPLE RLmMEO �— ANDTTER&AI MowgD SAAInENOTTESTED KDAIIsf TESTU14URAYE SEGUSE: SAANNE NDTTESTED EECMISE. TfbTU16JITAAIEBEGJSE rElbA wAt E)F�' .T S.PIAeF L' V IPI ❑E nl EMT !� ❑TtR Wryt vnvirwl TMC ���' ❑TA010 FJYm iUT�bm L Tmrb MO.n ❑Ew..aenA ❑__� uF»u IAIA. EEE RELtRSE SIDE OF GREEN DOPY FOR EIPAANATIDN O<RESULTS SEE RETIER Sa[K GREEN CDPr FOq ESPLA/unpv a RESULT9 'W o.nva•n wrt.rTliP C"b AELEr.EDn WIq PDgrtR O.R.rK AFCErvtJ �RFGEntc[• 0$1y�3�y 1t-50-96 U81u�3a/ its-;c- 4F II �G wR AEFMPLO uAMATMN •`� wrT<FDAIED WnlAran Ij;4 Jr -y r n'..xy�Fk�E�4,4°.Lib';u'��'!�"'4R7�,�.t�:^(xi°4.S ll.ir �"M1 r'. 'y+�lT"�:/�i '•, is I , fy 1 Aar. 01 02'97 TNC 09_S1•FAX T67 n^ISimae LACCHS TESTING MO 6.p1Arn.y 6..N..WAi/09 WATER BACTERIOLOGICAL ANALYSIS I WATER BACTERIOLOGICAL ANALYSIS cEwF CY}1EnON.RM MS'IRIC7MON WKOF0MODRODCOPY suml_C011$i1P1 FtEw wTRUCnIDNS ON era OF MLO MM COP P'-F M rW TABpWAM.RANw,MIrrysyl. ■N.NMASNN"MT bIbW.N,AARPA WIY bR.,~r DATE COLEFRED TMFE 0`AECiEQ AWE pATEfaU.KrED nW COUEC WU NAME Nona AA. ._SLC� _ ( .� "q l� j 30 /9�" W "$1 1 3Pi i 96 p,L 71w ®JYPEOFSKTIY IFENLCM .COFIFLER VASOI SYSTEM F% CSYStM.COVIMT . /� p A IAIDNDUAL MDmouu I.D.No. 1 D V e r Iw'NLLMI r.Ywl //nJJ lJ IA.�n MKAT.WArI NAM WO G N+EREEWEwFCO.IECTED 1REP�IWE I YECPf!!�D 55%;;, REsum RED iElCfrgF�Np��' 1 ac n/+ez j D.Y lj ey 43 -25 _ F �.`dv1H111NT �a I DALI" Z ft Nt 101.lN D7 �tiJ�/ EVEMNGI Nd 41� EVENM 1 C�COLLf T( R�MEOEI SYSjF4 DW G P wl Ey E Br.IAd.I Sys M OWNE GR pa ni BWPCE ME II/NI TERUMER KSURF NiLUE�NcE/n 90URGE MIrEE/ALj UMg D WATER UNDER SU(AF INFLUEAGEE :DSJRFACE 3 WELLr 0SPRM C] M Sft [J ODAI9NATWN pSURFACE WEu- FIWNTAO pFURCIWSEDd pODMBAATI( SE�p WELL lsew IMTERTIE 0mA WFiI FIELD EYTEROE dDTNEv II ICY M4 W'Y'�F tN�3b 0eg1 OLD NO TOM UFN „Aep�uEW 1p / - .7e jN;!l x � J Kj`XC1 1 1 1 ME OF SAMPLE IRd deI W W Eq AANNRnI IYFE Of SWs,,E Idw d+r»N N muMl URWIINE CAANN DNNdN.—TNEI P.1 DRIWYNG WATER DRWbNO WARP -� O XOUTxYE GAAA..ACIRAENIIN TdA 1. urw.r d OAur -�uw..We d oW.. REPEAT SAMPLE pREPEAT SWPLE -'hworrF mRPA mRnA RACE I FYPr'ANt mRmM prR.AA LAC E DAR—fff^^^I ! DAM _ I I SOURCE WATER Sc.E S T }dy C<Mmn RAW S ACE WATER SRuro F Q T �l T,,CaYmrt. 1RF�.I�y.'NEW CLNSTRDCTION d REPAIRS - '�LJ OFgICIINn NEW CONSTRUCTQN REPAIRS �1J pF.,uN, OMER 19p.*) e1 eT OTHER ISEAOAI REMARKS 1, t• I ll� / / RE.4ME. r O 1� AM M ONLY)DAAPMO WATER RRSATS RAB WE DLYI MNKM WATER RESULTS p U+SArVACTORY,CNA ,An&n1 DgA A+ O UNSAWACTORY.coN .0 U F rus~I AEWOA I � REPEATREMM E A � Id O BW ..- B lMEp E OOIER LABORATORY RESULTS OTHER LABORATDRY M%LTB TOTILCOLRgWI P Om RI TOTy COLIFORM _Am. E.P , Al FKALCb-IfDRY_.IIm RI BATE rzLwr ni FEM=jPt)AM_IImM PLATE COSWy Al TAERSWPlEAEO V AWTERSW.TE REGWEO -- SAMPLEMOTTESTEDKCAUSE. TEST UNSUITABLEKCAM SANFANOTTESTEDSECAUFE TES•UNSU!TAB:E KCA:SE ❑EAACNm.M c: m . R.e ❑%A,vww. U OA Sae C Wk'rV OFNAN. C.1N•C ❑WrdV TmWn.r CDrNTCTC WmIrN\Mm TM FJNA O WRIMAI,Mn L TMTW:.Yr n luau EACnA ❑ ❑EAmFEPCni SEE REVERSE SIDE O<GPEEN QYY Fpi FIPIANA`IOII OF RE9uKTS SEE REVERSE SIDE OF GREEN COPY FDA ExP AN T%0,OF RESULT$ MAlc.nowml oAR,TIAR acEAEG AEK:EAEon WwPdWRI dTE EWE AECENFo AluMDP• VY147336 i, -t� ✓J Off l'f��7f n-7r-tG wTc1LFORnn NNA'AAToN' u+c lR" I.Aon.TaR. ��7J-`1 N J Sit OrOwAiiiii CITY OF RENTON TELEPHONEiCONTACT RECORD Contacted: Pedro-Rupert Engr. Date of Comaci 6/27/96 Telephone No.. 833-7776 Time 4 00 PM City of Renton Abdoul File No W-2250 Contact: SUBJECT. Valley Dist. Center Location, SW 27th and _ E Valley Rd. Items Discussed. Received call from Pedro of Rupert Engr requesting the deletion of the 2 new 12"gate valves at Sta 7+28 and Sta 10+44 as a follow-up to discussion and suggestion made by City at pre-constructed meeting. 1 concur with Ms request since the valves are not needed. Due to a potential cost saving, I also suggest that he may want to connect the 2 new 2" i meters at the south driveway on SW 27th St, to the new 12"line north of SW 27th St, instead of having the meters connected to the existing 12' on SW 27th (this is considered 'full installation by City" at $2.800.00 each versus the suggested way at "drop-in"costs. He will look into this matter and call Kayren back. I suggest that he called or faxed request to Kayren Kittrick I i Recommended Follow-up. None CC Kayren Kittrick by E-mail on 6'28196 and Dee Beadle by E-Mail for information only on water meters issues H Mrna",t tloc ag `r Of ti t - t� r r v CITY OF RENTON ��Y Q PUBLIC WCRKS DEPARTMENT 235-2631 _ + PRECONSTRUCTION CONFERENCE DATE: June 26, 1996 -' NT TIME: 1:00 pm PLACE: City Hall 3rd Floor Conference Room VALLEY DISTRIBUTION CENTER COMPANY NAME: Puget Western COMPANY ADDRESS: 19515 N. Creek Pkwy Suite 310 Bothell WA 98011 PHONE: 487-6556 FAX NO: _487-6565 CONTACT: Pat Plumb _ NAME OF PROJECT: Valley Distribution Center INSTALLATION: Water Sanitary Sewer, Storm, Paving, Lighting LOCATION: 300 SW 27th Street PROJECT COORDINATOR: Kayren Kittrick PLEASE CHECK DEPARTMENTS TO BE NOTIFIED AND SPECIFY PERSON TO ATTEND: IXI PUBLIC WC (S DEPARTMENT IXI Utility Plan Review Neil Watts i IXI Water Utility Lys Hornsby IXI Wastewater Utility David Christensen IXI Surface Water Utility Ron Straka IXI Transportation Systems Karl Hamilton IXI Maintenance Services Division Jack Crumley IXI Customer Services P.I.C. Dee Beadle IXI Construction Services Rick Kokko IXI FIRE PREVENTION Corey Thomas I I POLICE DEPARTMENT I I PARK DEPARTMENT IXI BUILDING DEPARTMENT Jim Chandler 1 I OTHER OUTSIDE DEPARTMENTS: 1 X I CONTRACTOR TO NOTIFY IXI ALL ASSOCIATED CIVIL CONTRACTORS FAX I I Department of Transportation 872-6470 IXI U.S. West Communications (Wendy Boyle) 235-3012 235-5274 IXI Puget Sound Power R Light Co. (Karen Sharpl 850-5560 277-4908 1 1 Seattle City Light 684-3076 IXI TCI Cable of Washington (Phil Fisk) 656-9028 433-5103 IXI Washington Natural Gas Company :Steve Dickison) 224-2403 521.5279 f I METRO - Bus Routes (Friary Malcolm) 684-2732 684-2686 I 1 Renton School District (Kevin Olson) 235-5813 I I King County Inspection 244-0770 1 1 Other: r+ecoar.oars _1 ')f v r A W` Z25o CONSTRUCTION REPORT FOR PUBLIC WATER SYSTEM PROJECTS F j Effective September 9, 1983 the following Regulation applies: WAC 246-290.040(3)•A construction report shall be submitted to and accepted by the department within sixty days of completion and prior to use of my project for which plans and specifications have peen approved oy the department for projects designed by a - professional engineer. The, -action report must be signed by a professional engineer. The report shall state in the opinion of the signet whether the project has been constructed in accordance with approved plans and specifications and the installation,testing and disinfection of the system were carried out in accordance with department regulations. a) If a project is being completed in staged construction,attach a map and description of portion of project being certified as completed as approved on date given below. b) As future portions of staged construction projects arc completed,each must be certified as requited by WAC 246-290.040(3). f c) Additional certiftcaC, rortns are available upon request from DOH offices listed below. City of Renton " DOH Water System No. 218c0[ 200 Mili Avenue South Renton,WA 99055 Referendum No.(if any) i PROJECT NAME AND DESCRIPTIVE TITLE: Date Specifications Approved _ City of Renton Water System by Department of Health King County August 18, 1993 Renton Project Number W TR 2 727 5 G (1220 Comprehensive Water Svgem Planl Project Tiae: Va I Ie N_ Do7e,bu cod s (.Oa re 11"15e — FA" Va Ilr4 X.,( d 5lt) 27145z The undersigned engineer or his authorized agent has inspected the above-described project,which as to layout,size and type of pipe,valves and materials,reservoir and other designed physical facilities has been constructed in accordance with specifications approved by the Secretary,Department of Health,and in the opinion of the engineer,the installation,testing and disinfe^.tion of the system was carried out in accordance with the specifications approved by the try. Engineer Engineer's Seal ' 'O _�•T,'Y.�'•7r"----7 Date Please return completed form to DOH office checked below: NW Drinking Water SW Drinking Water Eastem Drinking Wa'cr © Environme•lal Health ❑ Environmental Health ❑ Environmental Health 1511 Third,Suite 719 Mail Stop 7923 1500 W Fourth,Suite 305 Seattle,WA 98101 Olympia,WA 98504 Spokane,WA 99204 H DIVISIOWUTIL ES\DXS%b361 Doc CITY OF RENTON WATER DEPARTMENT pp Pressure Test 6 Purification Test Form PROJECT NO. Ob l NAME OF PROJECT �t<I�� DIJrYl6t,, Y � PRESSURE TEST TAKEN BY rf IU ON 'a / AT A PRESSURE OF e73V pSI, FOR TEST ACCEPTED ON Ja q PURIFICATION TEST TAKEN BY n�P4 ON I��aQfrJL PURIFICATION TEST RESULTS, SAMPLE eI FipI- Vp4�5(e�r SAMPLE Mz FW d 'I - fisko e — 4 wd // // J SAMPLE a3 FII +1 3- p".j s0 RE�MA/IRKSS{: �k(0 ri✓"'Athl 0rl cd, b. Tit . Fn Vn 27it �AkT 0- N4,11, C„J _ I/7lrti J r muvYae '� 4s S dM •xr'N'd�r. Ifi „ `"��-� �«•FV+�:•"" t� H7&M 'S"nS3N 'i NOI.I a NDY.L SSay LLYOIdI NOUOd >w1: No OaI,d3O7V 1531 �L. d •_ c?j do aNnSS3Nd V IV .r" )b �, U . C..�t� All N'dlYI J.9ay aNnsS3Ud ' 1'7(� Z3MUd do 3NVN I 11 Lojg 'ON .L03Coad w aiod icoy�UOTi»I3Isnd l=icoy�oznscosd OSZZL2 W-LrA d MU)IIIII'M vayYN III do Am 'i r � w 4 1 a � yAS 01106i JT MON 12:26 FAI 76, SO63 _ LIUC1fS TESTING � 002 WATERBAC1EF110L „ 'a bE.YwYIYw�wIf.EN..E,W"Ill row F T0tX,1p y 1la OtTEm _ TOE "-`� wAgwYF�N..pYRE, �� ,, wAiE YMr.L YriN y. T7 i d_— Dilim+EGfm loft�t{ELIED -y7 C]yl w !� Y.11n e.e _1 �JVEp�`�- -Ti'fEOFS;51B1 61VKC MTFl1.COMPLETE: I / 4 /91 � � I�l'f ' fWC ❑W w 7 /', �yt�FFOF S"TIM ff{EUCSTifEy,METE❑MONOu.LL I.C.No. / I P Q I L O [G,gUf Ib RIll1C N..rw�.wr.,, A B Qw0mp,tE orsslEY N.+..., 6 �E{ �, " '�'y� .sTEy - FU Jl� nJxx+eRE SY.,E C0IFRED RIF1wME No. (n� MT ) Z— � �rt' 1LZ INf1E SYNimLLfcrrn «1En101l Tq Sde EVF o4q a35-2Sz9 ••• �E ! E rYn., 11Y01 pp�J�RC,�TF//FpOer A,In., EwFw6 1 solArt TYPE CAOUTA VNTEAUWFII CF[.LK,Ct. — �} .Mu pwNfcE "+EWrt�iiFrlEw ❑sfAfa pn,Anu,Eor ❑ TYPE OIGAOtM�MYTFA{MEE,IEIAFtCEFE,UgCE i r TACE ptif fw .�a.a.wsr 1 jE�p�EFpp WEurElt ❑S^u'apemwu. �OJ i/1 w f IS�l1fr lOt �rl.: 'Menrwyl yl l - �oo f F [q 6tYPTE roru.W w b EY wn.0 �...m>MI LL— Q CAEO WATER ❑�Iwa MlMwt__Tw_fn11 TYP^Ep SEYhEWwaMe.01.m11.y artnr..,a 0i `'OANIOYG WTFII !v-�aW1.�IAII�w[ �Y.II.Iv O.N v.�IFIIw�-.II Aye �TaYi�FY ❑,+..evavzmn WI U.IsavOna Prn. ❑AEfEtTStMFIE 01► _ 1 �_ Fiww mvn OnArra Wf_ d. 1 ,In{nMW SQIRCE WtTEA SaIr1 O m ('1 TaYIp�IR1 �Iq NE��d6iRUCTgY V REF4R5 l}J{� r n�-�A.-•W 304MCl WtRR Ss�a l[s] TwY CSEv� IIFFJJ OInEA(Splyrl! NEWmISTgIC.AEYu4E -� ��}+ UA OVEN LJ Fai fm. siLYAIII r p a IEAN UK al DAMONO wATEnNOiAT O 85 pugtTISFACTOA;Ce...1T.Y M1N ROILIJOAY910WaoEN6ULTs -- /-cai.w.� ui«I rIE naFtCTdn.Caron.ERrxlGplrl 1Cn� pglw ly ❑��M`EE OfMEN ALOAATONT OESIATS o ❑ TOT4 COlIF0NM Amery EMU Aaw OTNGI AEg4T0111 AE$yETi FEYx C-0Uf�AY_Amiw fA1E COVM TOTtLCOUFOAY nmN EGCy nmw fYOREA S.wRE AEOIIII® M fEGICOtNOgY,Am nI FATE COUrt_,.I SwIMENOTTESTEO"CP&=: Q S✓W.ew TETT�EdREE6CIYSE EtMPF wOTRSTEp EECtUSE p—v�y.r �~�'n salr tOm TESTUNEUITattE EEGYIS[ Taw,yyl �nYN.WN QTN1C SEE REVERSE SIDE OF GNEEN WFV FON Evluu 8 Ea..e/an roROF AESAii War.Ym OERtii.4 Ileenmw W su AEVFJESE SEMI OF 6AFFOq E1RAwtnON OF AESi15 uEOAtmw 13� l an nwv{N v36-a J I L_ � 01/06/eT ■ON 1P:2T F.{T 78T SOBJ L{UGES TESTING ®OOJ "WAT�p$ACTERIOLflGiCAI '•��:� ��; wEwlEmuWmcIFAD867w8.TMCNO%CKCFGOLMUMww -".A RAW Q•wQsuQ�w left-.a.r m -ow NOR r'°. ,ErAOQrw�.rw14M.Qr.*snob w T.wlbs DATE CoF TIW licro NAPE DATE co"CTEO 1►E OJUMT N4E /onN TNT wu r� ram. nT win I 7 J /3 /4'l p,� h*f�EDr SrsTFw vruu[trsrnlmur�EE7�E TYPE osssu/ cnaucs�•1sTey.mt/RETE: GR oCA-)5 WaQw�..r�M ID.No. 1 0 S 0 l— iAl B TPI+ N EOF VSTEA1 V c} 44 "r c� oa r 9'EDRL TqN WIEIE TIAIA0.E000ECRD TpEPNOIE M. 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