HomeMy WebLinkAboutBill of Sale & Cost Data
4072
18000665
19003341
21263.9
78010
4072
160115
4072
178021
4072
170000
4072
319418.42000000004
4072
905564.42
3/25/2021
4072
4072
4072
4072
4072
0.1
19003341
18000665
805
10062.5
764
29032
1569
52946
6
1500
250
0
0
0
0
0
0
17
170000
10000
0
0
0
0
0
0
0
0
0
0
0
0
263540.5
26354.050000000003
289894.55
0
0
13
0
0
15
139
3197
23
0
0
35
0
0
41
0
0
56
0
0
78
0
0
130
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
326
15648
48
0
0
78
0
0
48
0
0
78
0
0
125
0
0
150
0
0
175
0
0
205
0
0
14
0
0
16
0
0
24
0
0
35
0
0
41
0
0
56
0
0
78
0
0
130
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
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
4
6000
1500
0
0
1750
5
11500
2300
0
0
2500
0
0
2800
0
0
6000
0
0
14000
36345
3634.5
39979.5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
100000
100000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
20000
20000
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
120000
12000
132000
0
0
50
0
0
56
0
0
60
271
18970
70
343
27440
80
0
0
500
0
0
700
0
0
800
5
5000
1000
4
4800
1200
4
16000
4000
1
1800
1800
0
0
2000
0
0
1500
0
0
8000
0
0
9000
0
0
10000
0
0
20000
74010
7401
81411
663
69615
105
0
0
120
0
0
115
0
0
130
0
0
80
0
0
95
7
42000
6000
0
0
6500
0
0
7500
0
0
8500
0
0
14000
0
0
0
111615
11161.5
122776.5
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):
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:
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
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
WATER SYSTEM IMPROVEMENTS
4"
10"
Gate Valve Assembly
Fire Hydrant Assembly
Large Water Meter Assembly
3"
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
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
CPE
Traffic Signals - Complete System
Current Sales Tax Rate:
Grand Total Stormwater Facilities
This column determines if there are any facilities in the noted discipline - DO NOT EDIT
Return Address:
City Clerk’s Office
City of Renton
1055 South Grady Way
Renton, WA 98057
Nathan Janders
Clark Close
Thomas Main
Van Hoof Construction LLC
Sapphire Homes Inc.
Install storm, sewer and water utilities to service a new 20 lot townhome project. Install a residential access street and street lights internal to the plat and frontage improvements
including curb/gutter, planting strip, sidewalk and streetlights along Talbot Rd.
CED Permit # (C):
Sapphire Homes Inc., a Wahsington Corporation
LOT 1 OF RENTON SP NO 399-79 RECORDING NO 8005139001 OF SURVEYS SD SP DAF S 1/2 OF N 1/2 OF NW 1/4 OF SE 1/4 LY W OF 96TH AVE S AKA SPRINGBROOK RD