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PLR- 4061
PROJECT SET-UP/UPDATE FORM
CED Staff Use Only
Project Information
Project Name: NE 1st Sewer Extension
CED Plan # (LUA): CED Permit # (C): C19001872
Project Address: 5002 NE 1st Street
Parcel #(s): 692800-0280
Street Intersection: Ne 1st Street / Hoquiam Avenue NE
Project Status Project Description:
File Status: Project Type:
Project Phase:
Project Contacts
City Contacts Construction Contacts
Civil Plan Reviewer Nathan Janders Consulting Engineer Offe Engineers, PLLC
Planner N/A Owner Tuscany Construction, LLC
Construction Inspector Patrick DeCaro Contractor Andrew Michael Construction LLC
Developer Tuscany Construction LLC
Project Description Project Description:
Install approximately 156 LF of sewer main, four side sewers and street overlay.
Additional Permits:
Street Lighting Permit #: N/A Building Permit #: N/A
Other Aliases
Project Totals by Discipline City Project Numbers
Erosion/Sediment Control 2559
Water 0 WTR- N/A (Water - mains, valves, hydrants)
Sewer 41771 WWP- 4061 (Wastewater/Sanitary Sewer mains)
Stormwater 0 SWP- N/A (Surfacewater Improvements)
Traffic & Lighting 0 TRO- N/A (Signalization, channelization, lighting)
Roadway 32651.4 TED- 4061 (Roadway, drainage, offsite improvements)
Subtotal of Improvements 74422.4
Intake Accepted By Nathan Janders Date: 44145
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): Tuscany Construction, LLC
Additional Project Owner
GRANTEE: City of Renton, a Municipal Corporation
ABBREVIATED LEGAL DESCRIPTION: Lot 28, Plat of Puget Colony Homes, recording number 6390948; records of King County, Washington
ASSESSOR TAX PARCEL I.D. NUMBERS: 692800-0280
NAME OF PROJECT: NE 1st Sewer Extension
ADDRESS OF PROJECT: 5002 NE 1st Street
PROJECT FILE NUMBERS: LUA, C19001872, PLR-4061
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
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.
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 Its
BILL OF SALE
Project File Number: LUA, C19001872, PLR-4061
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
Project File Number: LUA, C19001872, PLR-4061
EXHIBIT A
Legal Description
Lot 28, Plat of Puget Colony Homes, recording number 6390948; records of King County, Washington
Return Address: City Clerk’s Office City of Renton 1055 South Grady Way Renton, WA 98057 (City Staff Use Only)
City Project Numbers:
WTR - N/A
WWP - 4061
SWP - N/A
TRO - N/A
TED - 4061
EXHIBIT "B" Contributary Assets
PROJECT NAME: NE 1st Sewer Extension Current Sales Tax Rate: 0.1
CONSTRUCTION PERMIT NO. C19001872
PROJECT FILE NUMBER: N/A
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.
This column determines if there are any facilities in the noted discipline - DO NOT EDIT
ROADWAY, STREET LIGHTS AND SIGNALS Y
Y
DESCRIPTION QTY UNIT TOTAL COST Y UNIT COST
Curb and Gutter 0 L.F. 0 Y
Sidewalk 0 S.Y. 0 Y
Asphalt Concrete Pavement 386 S.Y. 14282 Y
Monument Case and Cover 0 EA. 0 Y 250
Traffic Signs - Complete System 0 L.S. 0 Y 0
Traffic Signals - Complete System 0 L.S. 0 Y
Number of Luminaires and Poles 0 EA. 0 Y 0
0 0 0 0 Y
0 0 0 0 Y
0 0 0 0 Y
Subtotal 14282 Y
Sales Tax 1428.2 Y
Grand Total Roadway, Street Lights and Signals 15710.2 Y
N
STORMWATER SYSTEM IMPROVEMENTS N
N
QTY UNIT SIZE TYPE DESCRIPTION TOTAL COST N UNIT COST
0 L.F. 6" PVC Storm Drainage Pipe 0 N 13
0 L.F. 8" PVC Storm Drainage Pipe 0 N 15
0 L.F. 12" PVC Storm Drainage Pipe 0 N 23
0 L.F. 15" PVC Storm Drainage Pipe 0 N 35
0 L.F. 18" PVC Storm Drainage Pipe 0 N 41
0 L.F. 24" PVC Storm Drainage Pipe 0 N 56
0 L.F. 30" PVC Storm Drainage Pipe 0 N 78
0 L.F. 36" PVC Storm Drainage Pipe 0 N 130
0 L.F. 8" CMP Storm Drainage Pipe 0 N 19
0 L.F. 12" CMP Storm Drainage Pipe 0 N 29
0 L.F. 15" CMP Storm Drainage Pipe 0 N 35
0 L.F. 18" CMP Storm Drainage Pipe 0 N 41
0 L.F. 24" CMP Storm Drainage Pipe 0 N 56
0 L.F. 30" CMP Storm Drainage Pipe 0 N 78
0 L.F. 36" CMP Storm Drainage Pipe 0 N 130
0 L.F. 48" CMP Storm Drainage Pipe 0 N 190
0 L.F. 60" CMP Storm Drainage Pipe 0 N 270
0 L.F. 72" CMP Storm Drainage Pipe 0 N 350
0 L.F. 8" Concrete Storm Drainage Pipe 0 N 42
0 L.F. 12" Concrete Storm Drainage Pipe 0 N 48
0 L.F. 15" Concrete Storm Drainage Pipe 0 N 78
0 L.F. 18" Concrete Storm Drainage Pipe 0 N 48
0 L.F. 24" Concrete Storm Drainage Pipe 0 N 78
0 L.F. 30" Concrete Storm Drainage Pipe 0 N 125
0 L.F. 36" Concrete Storm Drainage Pipe 0 N 150
0 L.F. 42" Concrete Storm Drainage Pipe 0 N 175
0 L.F. 48" Concrete Storm Drainage Pipe 0 N 205
0 L.F. 6" CPE Storm Drainage Pipe 0 N 14
0 L.F. 8" CPE Storm Drainage Pipe 0 N 16
0 L.F. 12" CPE Storm Drainage Pipe 0 N 24
0 L.F. 15" CPE Storm Drainage Pipe 0 N 35
0 L.F. 18" CPE Storm Drainage Pipe 0 N 41
0 L.F. 24" CPE Storm Drainage Pipe 0 N 56
0 L.F. 30" CPE Storm Drainage Pipe 0 N 78
0 L.F. 36" CPE Storm Drainage Pipe 0 N 130
0 L.F. 6" LCPE Storm Drainage Pipe 0 N 60
0 L.F. 8" LCPE Storm Drainage Pipe 0 N 72
0 L.F. 12" LCPE Storm Drainage Pipe 0 N 84
0 L.F. 15" LCPE Storm Drainage Pipe 0 N 96
0 L.F. 18" LCPE Storm Drainage Pipe 0 N 108
0 L.F. 24" LCPE Storm Drainage Pipe 0 N 120
0 L.F. 30" LCPE Storm Drainage Pipe 0 N 132
0 L.F. 36" LCPE Storm Drainage Pipe 0 N 144
0 L.F. 48" LCPE Storm Drainage Pipe 0 N 156
0 L.F. 54" LCPE Storm Drainage Pipe 0 N 168
0 L.F. 60" LCPE Storm Drainage Pipe 0 N 180
0 L.F. 72" LCPE Storm Drainage Pipe 0 N 192
0 L.F. 8" HDPE Storm Drainage Pipe 0 N 42
0 L.F. 12" HDPE Storm Drainage Pipe 0 N 74
0 L.F. 15" HDPE Storm Drainage Pipe 0 N 106
0 L.F. 18" HDPE Storm Drainage Pipe 0 N 138
0 L.F. 24" HDPE Storm Drainage Pipe 0 N 221
0 L.F. 30" HDPE Storm Drainage Pipe 0 N 276
0 L.F. 36" HDPE Storm Drainage Pipe 0 N 331
0 L.F. 48" HDPE Storm Drainage Pipe 0 N 386
0 L.F. 54" HDPE Storm Drainage Pipe 0 N 441
0 L.F. 60" HDPE Storm Drainage Pipe 0 N 496
0 L.F. 72" HDPE Storm Drainage Pipe 0 N 551
0 L.F. 6" PPE Storm Drainage Pipe 0 N 84
0 L.F. 8" PPE Storm Drainage Pipe 0 N 89
0 L.F. 12" PPE Storm Drainage Pipe 0 N 95
0 L.F. 15" PPE Storm Drainage Pipe 0 N 100
0 L.F. 18" PPE Storm Drainage Pipe 0 N 106
0 L.F. 24" PPE Storm Drainage Pipe 0 N 111
0 L.F. 30" PPE Storm Drainage Pipe 0 N 119
0 L.F. 36" PPE Storm Drainage Pipe 0 N 154
0 L.F. 48" PPE Storm Drainage Pipe 0 N 226
0 L.F. 54" PPE Storm Drainage Pipe 0 N 332
0 L.F. 60" PPE Storm Drainage Pipe 0 N 439
0 L.F. 72" PPE Storm Drainage Pipe 0 N 545
0 L.F. 6" DI Storm Drainage Pipe 0 N 61
0 L.F. 8" DI Storm Drainage Pipe 0 N 84
0 L.F. 12" DI Storm Drainage Pipe 0 N 106
0 L.F. 15" DI Storm Drainage Pipe 0 N 129
0 L.F. 18" DI Storm Drainage Pipe 0 N 152
0 L.F. 24" DI Storm Drainage Pipe 0 N 175
0 L.F. 30" DI Storm Drainage Pipe 0 N 198
0 L.F. 36" DI Storm Drainage Pipe 0 N 220
0 L.F. 48" DI Storm Drainage Pipe 0 N 243
0 L.F. 54" DI Storm Drainage Pipe 0 N 266
0 L.F. 60" DI Storm Drainage Pipe 0 N 289
0 L.F. 72" DI Storm Drainage Pipe 0 N 311
0 EA. 48" TYPE 1 Catch Basin 0 N 1500
0 EA. 48" TYPE 1L Catch Basin 0 N 1750
0 EA. 48" TYPE 2 Catch Basin 0 N 2300
0 EA. 54" TYPE 2 Catch Basin 0 N 2500
0 EA. 60" TYPE 2 Catch Basin 0 N 2800
0 EA. 72" TYPE 2 Catch Basin 0 N 6000
0 EA. 96" TYPE 2 Catch Basin 0 N 14000
Subtotal 0 N
Sales Tax 0 N
Grand Total Stormwater System Improvements 0 N
N
STORMWATER FACILITIES N
N
QTY UNIT ITEM TOTAL COST N UNIT COST
0 EA. Detention Pond 0 N 0
0 EA. Detention Tank 0 N 0
0 EA. Detention Vault 0 N 0
0 EA. Infiltration Pond 0 N 0
0 EA. Infiltration Tank 0 N 0
0 EA. Infiltration Vault 0 N 0
0 EA. Infiltration Trenches 0 N 0
0 EA. Basic Biofiltration Swale 0 N 0
0 EA. Wet Biofiltration Swale 0 N 0
0 EA. Wetpond 0 N 0
0 EA. Wetvault 0 N 0
0 EA. Sand Filter 0 N 0
0 EA. Sand Filter Vault 0 N 0
0 EA. Linear Sand Filter 0 N 0
0 EA. StormFilter 0 N 0
0 EA. Rain Garden 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
0 EA. Other: 0 N 0
Subtotal 0 N
Sales Tax 0 N
Grand Total Stormwater Facilities 0 N
N
WATER SYSTEM IMPROVEMENTS N
N
QTY UNIT SIZE TYPE ITEM TOTAL COST N UNIT COST
0 L.F. 4" DI Water Main Pipe and Fittings 0 N 50
0 L.F. 6" DI Water Main Pipe and Fittings 0 N 56
0 L.F. 8" DI Water Main Pipe and Fittings 0 N 60
0 L.F. 10" DI Water Main Pipe and Fittings 0 N 70
0 EA. 6" DI Water Main Pipe and Fittings 0 N 80
0 EA. 4" Gate Valve Assembly 0 N 500
0 EA. 6" Gate Valve Assembly 0 N 700
0 EA. 8" Gate Valve Assembly 0 N 800
0 EA. 10" Gate Valve Assembly 0 N 1000
0 EA. 12" Gate Valve Assembly 0 N 1200
0 EA. 6" Fire Hydrant Assembly 0 N 4000
0 EA. Permanent Blow-Off Assembly 0 N 1800
0 EA. 2" Air Vac Assembly 0 N 2000
0 EA. 1" Air Vac Assembly 0 N 1500
0 EA. 3" Large Water Meter Assembly 0 N 8000
0 EA. 4" Large Water Meter Assembly 0 N 9000
0 EA. 6" Large Water Meter Assembly 0 N 10000
0 EA. 8" - 10" Pressure Reducing Valve St 0 N 20000
Subtotal 0 N
Sales Tax 0 N
Grand Total Water System Improvements 0 N
N
Y
SANITARY SEWER SYSTEM IMPROVEMENTS Y
Y
QTY UNIT SIZE TYPE DESCRIPTION TOTAL COST Y UNIT COST
156.4 L.F. 8" PVC Sewer Main 16422 Y 105
0 L.F. 12" PVC Sewer Main 0 Y 120
0 L.F. 8" DI Sewer Main 0 Y 115
0 L.F. 12" DI Sewer Main 0 Y 130
0 L.F. 4" PVC Side Sewer Laterals 0 Y 80
73.4 L.F. 6" PVC Side Sewer Laterals 6973 Y 95
0 EA. 48" Diameter Manhole 0 Y 6000
1 EA. 54" Diameter Manhole 6500 Y 6500
0 EA. 60" Diameter Manhole 0 Y 7500
0 EA. 72" Diameter Manhole 0 Y 8500
0 EA. 96" Diameter Manhole 0 Y 14000
0 LS Lift Station 0 Y 0
Subtotal 29895 Y
Sales Tax 2989.5 Y
Grand Total Sanitary Sewer System Improvements 32884.5 Y