HomeMy WebLinkAboutBill of Sale & Cost DataTYPE OF DOCUMENT:
GRANTOR(S):
GRANTEE:
NAME OF PROJECT:
ADDRESS OF PROJECT:
PROJECT FILE NUMBERS:
LEGAL DESCRIPTION:
PERSONAL PROPERTY DESCRIPTION:
Reference Number(s) of Documents assigned or released:
Additional reference #’s on page _____ of document
By By
Its Its
See Attached Exhibit B of this 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 _____ .
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
Bill of Sale
2525 Aberdeen, LLC
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.
Additional Project Owner
City of Renton, a Municipal Corporation
ABBREVIATED LEGAL
DESCRIPTION:
CD HILLMAN'S LK WA GARDEN DIV #4 LOT A OF RENTON LLA
#LUA16-000331 REC #20160707900006 SD LLA LOCATED IN NE 1/4
OF SE 1/4 OF NW 1/4 OF NE 1/4 STR 05-23-05 (INCLUDES POR OF
BLK 254 OF SD PLAT)
ASSESSOR TAX PARCEL I.D. NUMBERS: 3343902000, 3343902021
Finley Short Plat
2525 Aberdeen Ave NE
LUA16-000330, U16005573, PLR-3915
See Attached Exhibit A of this Document
PAGE 1 OF 5
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
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, 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.
Notary Public in and for the State of Washington
Notary (Print): ___________________________________________________
My appointment expires: __________________________________________
Dated: _________________________________________________________
CORPORATE FORM OF ACKNOWLEDGEMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING )
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.
Notary Public in and for the State of Washington
Notary (Print): ___________________________________________________
My appointment expires: __________________________________________
Dated: _________________________________________________________
BILL OF SALE
Page 2
Project File Number: LUA16-000330, U16005573, PLR-3915
PAGE 2 OF 5
BILL OF SALE
EXHIBIT A
Legal Description
Project File Number: LUA16-000330, U16005573, PLR-3915
CD HILLMAN'S LK WA GARDEN DIV #4 LOT A OF RENTON LLA #LUA16-000331
REC #20160707900006 SD LLA LOCATED IN NE 1/4 OF SE 1/4 OF NW 1/4 OF NE
1/4 STR 05-23-05 (INCLUDES POR OF BLK 254 OF SD PLAT)
PAGE 3 OF 5
WTR - 3915
WWP - 3915
SWP - 3915
TRO - N/A
TED - 3915
PROJECT NAME:
CONSTRUCTION PERMIT NO.
PROJECT FILE NUMBER:
ROADWAY, STREET LIGHTS AND SIGNALS
DESCRIPTION QTY UNIT TOTAL COST
Curb and Gutter 102 L.F. 1,275.00$
Sidewalk 55 S.Y. 2,150.00$
Asphalt Concrete Pavement 30 S.Y. 1,350.00$
Monument Case and Cover 2 EA. 500.00$
Concrete Driveway Removal 25 SY 875.00$
Concrete Driveway Pavement 53 SY 1,855.00$
Subtotal 8,005.00$
Sales Tax 800.50$
Grand Total Roadway, Street Lights and Signals 8,805.50$
STORMWATER SYSTEM IMPROVEMENTS
QTY UNIT SIZE TYPE TOTAL COST
23 L.F. 6" LCPE Storm Drainage Pipe 1,380.00$
103 L.F. 12" LCPE Storm Drainage Pipe 8,652.00$
2 EA. 48" TYPE 1 Catch Basin 3,000.00$
Subtotal 13,032.00$
Sales Tax 1,303.20$
Grand Total Stormwater System Improvements 14,335.20$
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.
DESCRIPTION
(City Staff Use Only)
EXHIBIT "B"
Contributary Assets
City Project Numbers:
Finley Short Plat
16005573
16-000330
Return Address:
City Clerk’s Office
City of Renton
1055 South Grady Way
Renton, WA 98057
PAGE 4 OF 5
PROJECT NAME:
CONSTRUCTION PERMIT NO.
PROJECT FILE NUMBER:
EXHIBIT "B"
Contributary Assets
Finley Short Plat
16005573
16-000330
WATER SYSTEM IMPROVEMENTS
QTY UNIT SIZE TYPE TOTAL COST
26 L.F. 6" DI Water Main Pipe and Fittings 1,456.00$
292 L.F. 8" DI Water Main Pipe and Fittings 17,520.00$
1 EA. 6" Gate Valve Assembly 700.00$
2 EA. 8" Gate Valve Assembly 1,600.00$
1 EA. 6" Fire Hydrant Assembly 4,000.00$
1 EA. Permanent Blow-Off Assembly 1,800.00$
0 EA. 2" Air Vac Assembly -$
1 EA. 1" Air Vac Assembly 1,500.00$
0 EA. 3" Large Water Meter Assembly -$
0 EA. 4" Large Water Meter Assembly -$
0 EA. 6" Large Water Meter Assembly -$
0 EA. 8" - 10" Pressure Reducing Valve St -$
SANITARY SEWER SYSTEM IMPROVEMENTS
QTY UNIT SIZE TYPE TOTAL COST
221 L.F. 8" PVC Sewer Main 23,205.00$
0 L.F. 4" PVC Side Sewer Laterals -$
0 L.F. 6" PVC Side Sewer Laterals -$
3 EA. 48" Diameter Manhole 18,000.00$
Subtotal 41,205.00$
Sales Tax 4,120.50$
Grand Total Sanitary Sewer System Improvements 45,325.50$
ITEM
DESCRIPTION
PAGE 5 OF 5