HomeMy WebLinkAboutBill of Sale & Cost Data.xlsm
4005
24621.5
0
0
91402
4005
90000
4005
238544.5
4005
419946.5
4005
4005
4005
283
4174.25
14.75
0
0
39.5
1405
40343.571428571428
28.714285714285715
0
0
250
1
10000
10000
1
40000
40000
94517.82142857142
8979.1930357142846
103497.0144642857
0
0
19
0
0
29
0
0
35
0
0
41
0
0
56
0
0
78
0
0
130
0
0
190
0
0
270
0
0
350
0
0
42
0
0
48
0
0
78
0
0
48
0
0
78
0
0
125
0
0
150
0
0
175
65
13325
205
0
0
60
0
0
72
0
0
84
0
0
96
0
0
108
0
0
120
0
0
132
0
0
144
0
0
156
0
0
168
0
0
180
0
0
192
0
0
42
0
0
42
0
0
74
0
0
106
0
0
138
0
0
221
0
0
276
0
0
331
0
0
386
0
0
441
0
0
496
0
0
551
0
0
84
0
0
89
0
0
95
0
0
100
0
0
106
0
0
111
0
0
119
0
0
154
0
0
226
0
0
332
0
0
439
0
0
545
0
0
61
0
0
84
0
0
106
0
0
129
0
0
152
0
0
175
0
0
198
0
0
220
0
0
243
0
0
266
0
0
289
0
0
311
2
3000
1500
0
0
1750
0
0
2300
0
0
2500
0
0
2800
0
0
6000
0
0
14000
16325
1550.875
17875.875
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
46500
23250
0
0
0
0
0
0
0
0
0
0
0
0
2
25900
12950
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
72400
6878
79278
0
0
50
0
0
56
0
0
60
0
0
70
0
0
80
0
0
500
0
0
700
0
0
800
0
0
1000
0
0
1200
0
0
4000
0
0
1800
0
0
2000
0
0
1500
0
0
8000
0
0
9000
0
0
10000
0
0
20000
0
0
0
0
0
105
0
0
120
0
0
115
0
0
130
0
0
80
0
0
95
0
0
6000
0
0
6500
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7500
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8500
0
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14000
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0
Times New Roman,Regular"
Times New Roman,Regular" Page of EXHIBIT "A"
Contributary Assets Page of
City PW File #
Staff Use Only
PLR-
PROJECT SET-UP/UPDATE FORM
CED Staff Use Only
Project Information
Project Name:
CED Plan # (LUA):
CED Permit # (U):
Project Address:
Parcel #(s):
Street Intersection:
Project Status
Project Description:
File Status:
Project Type:
Project Phase:
Project Contacts
City Contacts
Construction Contacts
Civil Plan Reviewer
Consulting Engineer
Planner
Owner
Construction Inspector
Contractor
Developer
Project Description
Additional Permits:
Street Lighting Permit #:
Building Permit #:
Other Aliases
Project Totals by Discipline
City Project Numbers
Erosion/Sediment Control
Water
WTR-
(Water - mains, valves, hydrants)
Sewer
WWP-
(Wastewater/Sanitary Sewer mains)
Stormwater
SWP-
(Surfacewater Improvements)
Traffic & Lighting
TRO-
(Signalization, channelization, lighting)
Roadway
TED-
(Roadway, drainage, offsite improvements)
Subtotal of Improvements
Date:
Return Address:
City Clerk’s Office
City of Renton
1055 South Grady Way
Renton, WA 98057
BILL OF SALE
Please make no mark in the margin space - Reserved for County Auditor's Use Only
TYPE OF DOCUMENT:
Bill of Sale
GRANTOR(S):
GRANTEE:
City of Renton, a Municipal Corporation
ABBREVIATED LEGAL
DESCRIPTION:
ASSESSOR TAX PARCEL I.D. NUMBERS:
NAME OF PROJECT:
ADDRESS OF PROJECT:
LEGAL DESCRIPTION:
See Attached Exhibit A of this Document
PERSONAL PROPERTY DESCRIPTION:
See Attached Exhibit B of this Document
Reference Number(s) of Documents assigned or released:
Additional reference #’s on page _____ of document
By this conveyance, Grantor will warrant and defend the sale hereby made unto the Grantee against all and every person or persons, whomsoever, lawfully claiming or to claim the same.
This conveyance shall bind the heirs, executors, administrators and assigns forever.
IN WITNESS WHEREOF, said Grantor(s) has caused this instrument to be executed this ________ day of _______________________ 20 _____ .
By
By
Its
Page 2
INDIVIDUAL FORM OF ACKNOWLEDGEMENT
Notary Seal must be within box
STATE OF WASHINGTON
) SS
COUNTY OF KING
)
I certify that I know or have satisfactory evidence that ___________________
__________________________________________ signed this instrument and
acknowledged it to be his/her/their free and volumtary act for the uses and purposes
mentioned in this instrument.
Notary Public in and for the State of Washington
Notary (Print): ___________________________________________________
My appointment expires: __________________________________________
Dated: _________________________________________________________
REPRESENTATIVE FORM OF ACKNOWLEDGEMENT
__________________________________________ signed this instrument, on
oath stated that he/she/they was/were authorized to execute the instrument
and acknowledge it as the ______________________________ and
__________________________ of _______________________ to be free and
voluntary act of such party/parties for the uses and purposes mentioned in the
instrument.
CORPORATE FORM OF ACKNOWLEDGEMENT
On this ____ day of ____________ , 20 _____ , before me personally appeared
_______________________________________________ to me known
to be _____________________________________ of the corporation that
executed the within instrument, and acknowledge the said instrument to be the free
and voluntary act and deed of said corporation, for the uses and purposes therin
mentioned, and each on oath stated that he/she was authorized to execute said
instrument and that the seal affixed is the corporate seal of said corporation.
(City Staff Use Only)
Per the request of the City of Renton the following information is furnished concerning final costs for improvements installed and turned over to the City for the referenced project.
City Project Numbers:
WTR -
WWP -
SWP -
TRO -
TED -
PROJECT NAME:
CONSTRUCTION PERMIT NO.
PROJECT FILE NUMBER:
ROADWAY, STREET LIGHTS AND SIGNALS
DESCRIPTION
QTY
UNIT
TOTAL COST
UNIT COST
L.F.
S.Y.
EA.
L.S.
Subtotal
Sales Tax
Grand Total Roadway, Street Lights and Signals
TYPE
SIZE
CMP
8"
12"
15"
18"
24"
30"
36"
48"
60"
72"
42"
LCPE
6"
54"
HDPE
DI
Detention Pond
Detention Tank
Detention Vault
Infiltration Pond
Infiltration Tank
Infiltration Vault
Infiltration Trenches
Basic Biofiltration Swale
Wet Biofiltration Swale
Wetpond
Wetvault
Sand Filter
Sand Filter Vault
Linear Sand Filter
StormFilter
Rain Garden
COR Water Service?
WATER SYSTEM IMPROVEMENTS
4"
10"
Gate Valve Assembly
Fire Hydrant Assembly
Large Water Meter Assembly
3"
COR Sewer Service?
SANITARY SEWER SYSTEM IMPROVEMENTS
PVC
TYPE 1L
TYPE 2
ITEM
Water Main Pipe and Fittings
Sewer Main
Side Sewer Laterals
Diameter
Manhole
Curb and Gutter
Sidewalk
Asphalt Concrete Pavement
Monument Case and Cover
Traffic Signs - Complete System
Storm Drainage Pipe
Catch Basin
EXHIBIT "B"
Contributary Assets
STORMWATER FACILITIES
STORMWATER SYSTEM IMPROVEMENTS
Grand Total Stormwater System Improvements
Concrete
Grand Total Sanitary Sewer System Improvements
Grand Total Water System Improvements
EXHIBIT A
Legal Description
SW Facilities?
PPE
TYPE 1
96"
8" - 10"
Pressure Reducing Valve St
Permanent Blow-Off Assembly
Air Vac Assembly
2"
1"
Lift Station
LS
The Grantor, as named above, for, and in consideration of mutual benefits, hereby grants, bargains, sells and delivers to the Grantee, as named above, the following described personal
property as described in Exhibit B of this document.
Number of Luminaires and Poles
PROJECT FILE NUMBERS:
Intake Accepted By
Rohini Nair
Clark Close
Brad Stocco
KLB Construction, Inc.
Widening of Lake Washington Blvd Phase 3, along with stormwater improvements, street lighting, traffic signal improvements. All work proposed within public ROW.