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HomeMy WebLinkAboutPermit L04-076 - ZAHRUDIN COSIC - SHORT PLATZAHRUDIN COSIC SHORT PLAT LAND DIVISION LAND DEVELOPMENT 4246 S 148 STREET L04 -076 March 24, 2005 Mr. Gary Singh 4614 S. 148 St. Tukwila, WA 98168 RE: Short Plat L04 -076 4246 S. 148 Street Dear Gary, Utilities City of Tukwila NOTICE OF DECISION PRELIMINARY APPROVAL CONDITIONS Steven M. Mullet, Mayor Department of Community Development Steve Lancaster, Director The Short Subdivision Committee has completed review of your short plat application (No. L04- 076), and determined that it complies with all applicable City code requirements. The City SEPA Responsible Official has previously determined that this application does not require a SEPA threshold determination because it is categorically exempt. This letter serves as the Notice of Decision per TMC 18.104.170. Based on the latest project submittal, preliminary approval is granted subject to the conditions stated below. There are three basic steps in the short plat approval process: 1. Preliminary Approval This letter constitutes your preliminary approval. The application was reviewed by the Tukwila Short Subdivision Committee and approved with conditions. The conditions imposed are to ensure the short plat is consistent with the Criteria for Preliminary Approval listed at TMC 17.12.020 C in the Tukwila Subdivision Code. a. Complete and provide a storm water report/analysis for Lots 1 and 2 for Level 2 flow control, per KCSWM. Provide over -flow for private storm drainage system to public system within South 148 Street. This site is within a Level 2 detention area — see enclosed map. Contact the Tukwila Public Works Department for submittal and design requirements. Page 1 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 - 3665 Access b. Pursuant to the Tukwila "underground ordinance ", all utilities including power shall be placed underground. c. Relocate the water line to the existing house on lot 2. As -built plans shall be provided to the Public Works Department. d. Construct a 12 foot wide paved access road built to Public Works and Fire Department standards along the east side of the lots. Both lots will be required to use this access point. Provide cross - section of private road on plan sheet — see sample plan sheet enclosed. General e. You will need to obtain all required permits prior to beginning any construction. For water and sewer permits, contact the individual provider District. You shall apply for a Public Works (PW) type `C' permit for grading, road construction and storm drainage, contact Tukwila Public Works at (206) 433 -0179. A Street Use will be part of this permit and require bonding and insurance for work within the Right -of -Way. f. Install all required site improvements, including those proposed in the short plat application and those identified above as conditions of approval. On your permit application provide a site development plan showing new paved driveway, storm drainage system including connection within South 148 Street, etc.. Plans shall be signed and stamped by a Washington State Licensed Engineer. See sample Civil plan set — enclosed. g. Submit a set of recording documents in either legal or record of survey format that meet the King County Recorder's requirements and contain the following items: 1. A survey map as described in the application checklist that is consistent with all of the conditions of approval. The surveyor's original signature must be on the face of the plat. 2. Existing and proposed legal descriptions for all lots. 3. Legal description of the access /utility easement. This easement shall also be included in the Joint Maintenance Agreement. 4. Provide draft copy of private ingress /egress, utilities, and maintenance agreement for review by the Public Works Department — see samples enclosed. To be recorded at King County prior to recording of final short plat map. Short Plat L04 -076 Page 2 2. Final Approval Appeal materials shall include: 1. The name of the appealing party. APPEALS This short plat approval decision is appealable to the Hearing Examiner. One administrative appeal of the decision on the short plat, excluding challenges to the DNS, is permitted. If no valid appeals are filed within the time limit the decision of the Department will be final. In order to appeal the decision a written notice of appeal must be filed with the Department of Community Development within 21 days of the issuance of the Notice of Decision (April 14, 2005). The requirements for such appeals are set forth in Tukwila Municipal Code 18.116. 2. The address and phone number of the appealing party; and if the appealing party is a corporation, association or other group, the address and phone number of a contact person authorized to receive notices on the appealing party's behalf. 3. A statement identifying the decision being appealed and the alleged errors in the decision. The Notice of Appeal shall state specific errors of fact or errors in application of the law in the decision being appealed; the harm suffered or anticipated by the appellant, and the relief sought. The scope of an appeal shall be limited to matters or issues raised in the Notice of Appeal. Any appeal shall be conducted as an open record hearing before the Hearing Examiner. The Hearing Examiner's decision on the appeal is the City's final decision. A party who is not satisfied with the outcome of the administrative appeal process may file an appeal in King County Superior Court from the Hearing Examiner's decision pursuant to the procedures and time limitations set forth in RCW ch. 36.70C. An appeal challenging a DNS, an MDNS or an EIS may be included in such an appeal. The next step is to install the required site improvements, comply with the conditions of approval and submit the necessary short plat documents (survey, legal descriptions, and other required paper work). You may apply to delay installation of the site improvements up to six months beyond fmal approval subject to the approval of the Public Works Director. A financial guarantee must be provided to ensure installation. All taxes and fees assessed against the property must be current prior to final approval. Please check with the King County Assessor's Office and the City of Tukwila Finance Department prior to submitting final mylars. After the documents have been found to be in order, and the all of the requirements of the short plat have been met, the Chair of the Short Subdivision Committee signs your short plat which constitutes a grant of final approval. Short Plat L04 -076 Page 3 Expiration 3. Recording Sincerely, Enclosures h. The fmal approved short plat must be filed with the King County Department of Records by March 24, 2006, one year from the date of this preliminary approval or the application will expire. The City may grant a single one year extension if requested in writing prior to the expiration date. The signature of the Chairman of the Short Subdivision Committee certifies that your short plat application is ready for recording. It is your responsibility to record the City approved short plat documents with the King County Department of Records. You will need to pay the recording fees and submit your approved original short plat to King County, see the Recording Procedures handout. The short plat is not complete until the recording occurs and copies of the recorded documents are provided to the Department of Community Development. After recording, the County returns the recorded original to the City of Tukwila within 4 - 6 weeks, at which time your short plat is considered complete. You can shorten this processing time by hand - delivering a copy of the recorded short plat to the project planner. In many circumstances, building permits on the short platted property may not be issued until a copy of the recorded short plat (or original) is returned to the Department of Community Development. Short Plat L04 -076 Lt/ Steve Lancaster Chair, Short Subdivision Committee cc: Jim Morrow, Public Works Director Nick Olivas, Fire Chief King County Assessor, Accounting Division Department of Ecology, SEPA Division Page 4 TO: Jim Morrow via Dave McPherson Nick Olivas via Don Tomaso FROM: Nora Gierloff RE: Cosic Short Plat DATE: October 24, 2005 FILE: L04 -076 Approved by Nick Olivas Approved by Jim Morrow MEMORANDUM The above referenced short plat mylars are ready for final approval. The applicant has submitted the required bond. Attached are the documents for recording. Please review these materials and indicate your approval by signing the plat. Jim Morrow and Nick Olivas, please indicate your approval by putting your initials next to your name below. If you do not approve, indicate any additional requirements below. (initials) (initials) 20051014001132 AND PRIVATE ROAD MAINTENANCE & WATER LINE & IT'S MAINTENANCE COVENANT The private drainage system shall be maintained in an operable and efficient condition consistent with the 1998 King County Surface Water Design Manual or its successor document. The private road shall be maintained as an operable asphalt surfaced road. Where any question exists as to the standards to be applied. The owners may obtain a recommendation from the City of Tukwila or its successor agency and/or a licensed engineer. A minimum 60% majority of the owner(s) may initiate an improvement or repair action. All owners shall share all associated costs on equal basis, with no fees allowed for administration by one or more of the owners. All funds shall be due at the time that the work is billed by the respective contractor or professional. Independent payment schedules may be used if agreed upon by the majority of the owners. In the event that funds are not paid when due, the aggrieved owner(s) may initiate an action to collect the funds and shall be entitled to costs and a reasonable attorney's fee RECE OCT 21 2005 ME INNWEVI This covenant is executed to provide for the repair and maintenance of the private road , drainage system & water line within the property described below for the continued use and benefit by the owners thereof, as described below. This covenant shall run with the land for as long as the private road , drainage system and water line is used to serve the lots described below. Owners: The owners of Lots 1 and 2 of the City of Tukwila Short Plat No. L -04 -076 for the private road , drainage system and water line within Said City of Tukwila Short Plat. Tax 00 y000 o goo Private Road and Private Drainage Easement Description: See attached exhibit A and B. upon recovery. This covenant shall be binding upon all owners, their heirs, successors, or assigns. In the event that the property changes hands, the new owner shall be responsible for all past due charges outstanding against the lot at the time of transfer. Water line Utility And It's Maintenance Easement Description : See Exhibit C Water line easement is hereby dedicated for the use and benefits for lot # 2 of short plat # L 04 -076 of city of Tukwila .The sole purpose of this easement is for construction, repair , or / and maintenance of water line for lot # 2 . All maintenance , repair , and / Re- installation of water line shall be the sole responsibility of the owner (s) of the lot Serviced by the water line .When said maintenance is performed within the easement, the disturbed land areas shall be substantially returned to their condition prior to such maintenance. We hereby declare , convey and dedicate easement (s) over , under , across and through Said premises for private road , private drainge system ,water line and their maintenance. The above said easement shall be deemed a convenant running with the land. Owner: Lot 1 4- ( Date County of King On this 3 day of 6c. f - , 2005 before me, the undersigned, a Notary" Public in and for the State of Washington, duly commissioned and sworn, personally appeared Ze rv clr►. = cos lc- to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged that he signed the same as a free and vohmtary act and deed, for the uses and purposes therein mentioned. ess my hand and official seal hereto affixed the day and year»rst above •` °'° 4 • � '» y r otary Public in and for the State f a 4 - aT'� W a s h i n g t o n , residing at / / t - '" COMMISSION EXPIRES 2- a,o: —O7 ' op.. 2 26 On this day of , 200 before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared to me known to be the individual described iri ant who executed the within and foregoing instrument, and acknowledged that signed the same as a free and voluntary act and deed, for the uses and purposes therein mentioned. Witness my hand and official seal hereto affixed the day and year first above written. Notary Public in and for the State of Washington, residing at COMMISSION EXPIRES H 0 ct s Ti° ,31 fen V 11/ 77 w 0- c o 0 0 �► o Nte Exhibit `A' LOT2 Existing House' #4246 N88'02'35 "W 64.34' u,,Lt -tq Ens, LOT P ^' 1;188'02'35"W' 01 64.33' v If N Of N i s v. �1���i 20.0' - 4KO Proposed line 4.4 c iij" p LA rip , PA i filkit4 OW 4 N CO 0 N Existing House #4252 Existing 6" Sewer t y (Val Vue Sewer Dis New private r2.6 e7e7/7 for ingress, egre65 _t .utilities subject -to Road and Maintel1ANe Covenant King Co,` Recording No. r - 20.0' Exhibit `B' Legal Description 0 Private 12 foot Easement for Ingress, Egress, and Utilities; subject to a Road and Maintenance Agreement, as recorded under King County recording no. , described as follows: A Portion of the NW 1/ of the NE 1/ , Sec. 22, T.23N., R.4E., W.M., (a.k.a.) the East 12 feet of the South 104.14 feet of the East half of Lot 17, Block 6, Adam's Home Tracts, according to the plat thereof recorded in volume 11 of plats, page 31, Records of King County, Washington. nitary Sewer MH = 265.9' <E — >W) = 257.3' sis of Elevation cb rim = 266.9' inv(12 "cmp(W)= 25 inv(12 cmp(E) = inv(6 "A0S x2(N)- 265.6' /I/EN/1" SSS 8' gravel road &EW S ! W /DE UT /L /J'% FAIF /•1- T °° s. , o a Exhibit `C' N [Rs:, t i( ` foe 1 1rs�s /lecG A Existing House #4246 edye r s q swale' proposed 2nd meter Existing shed ^ , y 'L ti 4 Existing House #4252 C► Adv /%DG .i . SSS 2 HEW c' W/ TEE• 12' easement for ingress, egress/ ii S. 20051012001648 PLEASE RECORD AND RETURN TO: Val Vue Sewer District PO Box 69550 Seattle, WA 98168 DECLARATION OF EASEMENT FOR SIDE SEWER WHEREAS, THIS AGREEMENT, made this OWNERS NAME Zehrudin Cosic ONE PARTY Owner of the following described real property situated in King County, Washington, to -wit: 4246 S 148 St TL #004000 - 0800 Lot 17 BLK 6 Adams Home Trs (Lot 2) And 42xx S 148 St TL #004000 -0800 Lot 17 BLK 6 Adams Home Trs (Lot 1) day of October , 2005, between is desirous of establishing a side sewer easement for the benefit of each of said properties. WITNESSETH: That for and in consideration of the mutual covenants herein expressed, it is hereby agreed by the above party as follows: 1st - A side sewer shall be constructed as follows: Centerline Description: 5 Ft (2.5 Ft on each side) Starting at a point along S 148 St 6 Ft W of SE prop corner thence N 8 Ft thence NW to a point 13.5 Ft W of E prop. Line and 25 Ft N of South porp line thence N to a point 104 Ft of S prop line and 14 Ft W of E prop line. 2nd - There shall be, and each party does grant unto the other, an easement for sewer for the use of said properties and for the purpose of constructing, installing, reconstructing, replacing, repairing, maintaining and operating a sewer pipeline and lines and all necessary connections and appurtenances thereto, together with the right of ingress and egress therefrom for the purpose of enjoying the easement, and also granting to each party and to those acting under or for each party the use of such additional area immediately adjacent to the above easement as shall be required for the construction of the sewer pipeline or lines in the easement, such additional area to be held to a minimum necessary for the purpose, and immediately after the completion of the construction and installation, or any subsequent entry upon the easement, the responsible party(s) shall restore the premises as near as may be to its condition immediately before such construction or entry. 3rd - The cost of construction of said sewer shall be borne by the owners of the said properties as follows: As mutually agreed 4th - The cost of maintenance, repair or reconstruction of that portion of the sewer used in common shall be borne in equal shares, except that the owners of any lower parcel shall not be responsible for the part of the sewer above their connection; and when necessary to repair, clean or reconstruct the sewer, the parties to this agreement shall have a right of entry for that purpose. 5th - This agreement shall be a covenant running with the land and shall be binding upon all parties, their heirs and assigns forever. IN WITNESS WHEREOF we hereunto set our hands and seals the day and year first above written. j t-- �' il.0 Page 2 (AND) PLEASE RECORD AND RETURN TO: Val Vue Sewer District PO Box 69550 Seattle, WA 98168 STATE OF WASHINGTON ) ) SS COUNTY OF KING ) This is to certify that on this f day of O( - fi , 20 S", me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally came Z evtl...r Co , ;c . to me known to be the parties who executed the in instrument, and acknowledged to me that the e' she ) signed and sealed the same as ( their, is her) free and voluntary act and deed for the uses and purposes therein mentioned. STATE OF WASHINGTON ) ) SS COUNTY OF KING ) WITNESS my hand and seal the day and ye this certificate first /bove written. Notary Public in and for the State Washington, residing at Sea <� WITNESS my hand and seal the day and year in this certificate first above written. Notary Public in and for the State of Washington, residing at This is to certify that on this day of , 20_, before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally came to me known to be the parties who executed the within instrument, and acknowledged to me that ( they, he, she ) signed and sealed the same as ( their, his, her) free and voluntary act and deed for the uses and purposes therein mentioned. Return Address: CITY OF TUKWILA Office of the City Clerk 6200 Southcenter Blvd. Tukwila, WA 98188 (206) 433 CITY OF TUKWILA DOCUMENT RECORDING COVER SHEET Document Title(s): Waiver to Undergrounding Parties: Other: 004000 -0800 City of Tukwila, WA 6200 Southcenter Boulevard Tukwila, WA 98188 Cosic Zahrudin Last First Initial Address Company Name (if business) 4246 South 148 Street Tukwila WA 98168 City State Zip Legal Description: A Portion of the NW' /. of the NE % • Sec. 22, T.23N., R.4E.. W.M., (a.k.a.) the East half of Lot 17, Block 6, Adam's Home Tracts, according to the plat thereof recorded in volume 11 of plats, page 31, Records of King County. Washington. Assessor's Property Tax Parcel/Account Number(s): APPLICANT: UNDERGROUNDING AGREEMENT WAIVER TO UNDERGROUNDING ORDINANCE OBLIGATION FOR FUTURE UNDERGROUNDING (L04 -076) The proposed development at: 4246 South 148 Street, a.k.a Lots 1 and 2, City of Tukwila Short Plat No. L04 -076, within tax parcel no. 004000 -0800, require undergrounding per Ordinance 486, 924 and 1321. In compliance with the requirements of Ordinance No. 1607, the property owner of this 2 lot short plat, hereinafter referred to as "Owner" has demonstrated application with the Underground Ordinance will create undue hardship if carried out as part of the development. Subject property is legally described as THE EAST HALF OF LOT 17, BLOCK 6, ADAM'S HOME TRACTS, ACCORDING TO THE PLAT THEREOF RECORDED LET VOLUME 11 OF PLATS, PAGE 31, RECORDS OF KING COUNTY, WASHINGTON, and depicted in Exhibit `A', which is attached and incorporated by reference. The Owner is obligated to participate in funding future undergrounding improvements for their proportionate share of said undergrounding fronting their property. Furthermore, if the L.I.D./U.L.I.D. process is used to carry out the construction of this unndergroundine, Owner waives the right to protest L.LD. or U.L.I.D. formation for this undergrounding. Owner retains the right to contest the method of calculating assessments in such L.I.D. or U.L.I.D. and the amount thereof to be levied against the Owner's subject property, and other property owned by Owner which would be within such L.I.D. or U.L.I.D. This Agreement shall be recorded by the City Clerk with the King County Auditor as required by Chapter 35.91 RCW and the cost of said recording will be paid by the City. This Agreement shall be binding upon the parties, their respective heirs, legal representatives, assignees, transferees and successors. This Agreement runs with the land. eit COS / e6-f — 1 - 05 Applicant (Signature) Date g. -12 c}1 rJ �N c 2-o6 Applicant (Print Name) Phone S /L S 7 c-( 1 A g / �� Street Address City, State, Zip Page 1 of 2 County of King STATE OF WASHINGTON On this day personally appeared before me Z e h ra d i h Co 5 ! to be known to be the individual described in and who executed the within and foregoing instrument, and acknowledged that he/she/they signed the same as hislleriltheir free and voluntary act and deed, for the uses and purposes therein mentioned. Given under my hand and official seal this /7th day of / pri / 2005 . CITY OF TUKWILA: lie Wdrks Director a'ZSsC�� ) ss SigT 5Wrc /line- A. Dec cy Print Name NOTARY PUBLIC IN AND FOR THE STATE OF WASHINGTON, RESIDING AT R enfon My commission expires 6 -/b -O8 Page 2 of 2 4 /c 5 Date .12 eosernen invess, eve.. • • '„„Ylest line of the east 1/2 of • ....:•.Troct 17 • , • • n. • • , • 1 •.. EXHIBIT 'A' DEPICTION OF UNDERGROUNDING AREA ; : 64 36 %, ,; • I r--PICOpessci In ; I / N88'02'37' I 6 S. I 1,1%•. ` • line' of Tract . 17 1 6' If SCAL.6. 1 0 ' C4‘. • E i . sting house 0252 ' • , ! _L. 67E • , _ , • : • • • • r i m 220.7 o i i 0 :.111 22"..cdmrn:((16):.2265.,.°; N)1265 8 • 'i / , s f , f1 . 3 . '0 . 2 • I •-, , . 1 .1 \d—:6,11-r-7,s4- . ..„. •• :-..',%?' s.. 14a -I or. ) 1 - - . /. • . • i. ,t • „ • . .„ • •••• •• ., f 4-6., cc 1 : . ... • • , : •-, : ....• • - ,,2 . em t: 7.:.,:r...,.. . ?:.,-.7... ---' - 12 "" • ..- - —I.---- ;----- :.:' CgracTirg co; \; • . .. '4 \ .. .. ... ;: . -I. •• I ... , .: 7,.?:u rnete• ' I . - 1 - .7■....., . • (. .eogi osph0 • '?-- ---", . • .■ • .i.... t , • -., Nora Gierloff - Re: Cosic Preliminary AF 'al Letter From: Donald Tomaso To: Nora Gierloff Date: 3/22/05 11:09AM Subject: Re: Cosic Preliminary Approval Letter 12' is not a problem and thank you for the CD Don »> Nora Gierloff 03/22/05 10:10AM »> Reduced to 12'? I put a CD of the Sound Transit boards in the Fire Department permit center box for you. »> Donald Tomaso 03/22/05 08:30AM »> Nora, If the new driveway is less than 150', they may reduce the width of the drive access. Let me know if you have any other questions. Don »> Nora Gierloff 03/18/05 10:27AM »> I have attached a draft letter for your approval. David - I will attach the examples you gave me with your memo. Thanks, Nora Don - I did not include information about sprinklers because we are back to the 2 lot configuration with the new lot against the street and the existing house about 240' from the hydrant. I also wanted to double check that this road would require the 20' of paving, David was thinking that your requirement might be smaller for the 2 lot, 104' road scenario. Nora Gierloff - Cosic - 2 Lot Short Plat - . '4-076 Page 1 From: David McPherson To: Nora Gierloff Date: 3/18/05 11:51 AM Subject: Cosic - 2 Lot Short Plat - L04 -076 Nora, Ref. Cosic - 2 Lot Short Plat - L04 -076. The NOTICE OF DECISION letter, for Preliminary Approval, dated March 21, 2005, is ready for approval by Public Works. Thank you. David IT zg TIPP -1---vm oo el—hht • 7Q?' -id 1 - 0 ) ?Pit 7/ ?`/ v - J ?? c. 1 "'J - , j 7 fe rev i LI 7P (17?-( 9 Yr y 1 � , fi 4 ( vd uri 7t, SSLB££b90Z - V -L.� r, -J . i c. r tf«p1d 21 :gt 1,00Z'SI ��u December 3, 2004 Zahrudin Cosic 4246 S. 148 Street Tukwila, WA 98168 RE: L04 -076 Short Plat Dear Mr. Cosic: Sincerel Nora Gierloff Planning Supervisor City of Tukwila Department of Community Development Steve Lancaster, Director NOTICE OF INCOMPLETE APPLICATION Steven M. Mullet, Mayor Your application for a two lot short plat to be located at 4246 S. 148 Street has been found to be incomplete. In order to be a complete application, the following materials must be submitted: a. Storm drainage design which meets the King County Surface Water Design Manual. Call out total existing and proposed impervious surface in square feet. Include all storm drainage conveyance systems, water quality features, detention structures, maintenance access and safety features. b. Show location of existing water line. c. Clarify whether the existing 8' driveway is to be abandoned. d. The Fire Department requires a 20' access road to reach the rear property, the 12' road you have proposed is not adequate. Upon receipt of these items, the City will re- review them for completeness and will mail you written notification of completeness or incompleteness within 14 days. These applications will expire if we do not receive the additional information within ninety days of the date of this letter unless an extension is granted pursuant to Section 18.105.070(E). If you have any questions with this matter please call me at (206) 433 -7141. 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 By Certificate of Sewer Availability Title 14816 Mhry Road South P.O. Box 69550 Tukwila, WA 98168 Phone: (206) 242 -3236 Fax: (206) 242 -1527 CERTIFICATE OF SEWER AVAILABILITY /NON - AVAILABILITY OR ❑ Certificate of Sewer Non Availability Part A: (To Be Completed by Applicant) Purpose of Certificate: ❑ Building Permit ❑ Preliminary Plat or PUD ❑ Other "® Short Subdivision ❑ Rezone Proposed Use: Residential Single Family ❑ Residential Multi- Family ❑ Commercial ❑ Other Applicants Name: Ze two di ✓! Ce3,54 L Phone: 2c6 _7 7a' - 'ts Property Address or Approximate Location: '-1 a Y6 S 196 Tax Lot Number: Legal Description(Attach Map and Legal Description if necessary): .f Lot r Bloc. -- 6 ) 71%.-45 RECO NOV 1 'S ?op D fo Part B: (To Be Completed by Sewer Agency) 1. ® a. Sewer Service will be provided by side sewer connection only to an existing C u size sewer O feet from the site and the sewer system has the capacity to serve the proposed use. OR ❑ b. Sewer service will require an improvement to the sewer system of: ❑ (1) feet of sewer trunk or lateral to reach the site; and /or ❑ (2) the construction of a collection system on the site; and/or ❑ (3) other (describe): 2. (Must be completed if 1.b above is checked) ❑ a. The sewer system improvement is in conformance with a County approved sewer comprehensive plan, OR ❑ b. The sewer system improvement will require a sewer comprehensive plan amendment. 3. ® a. The proposed project is within the corporate limits of the District, or has been granted Boundary Review Board approval for extension of service outside the District, OR ❑ b. Annexation or BRB approval will be necessary to provide service. 4. Service is subject to the following: PERMIT: $ Po .t a. District Connection Charges due prior to connection: sz GFC: $ SFC: $ J?O %a,n ;s, JNIT: $ xbo o TOTAL: $ (Subject to Change on January 1st) King County/METRO Capacity Charge: Currently, $1867.54 /residential equivalent, will be billed directly by King County after connection to the sewer system. (Subject to change by King Co/Metro without notice.) b. Easements: ❑ Required E May be Required c. Other: I hereby certify that the above sewer agency information is true. This certification shall be valid for one year from date of signature. )� /Plo7 Date ATTACHMENT TO VAL VUE SEWER DISTRICT CERTIFICATE OF SEWER AVAILABILITY/NONAVAILABILITY The following terms and conditions apply to the attached Val Vue Sewer District ( "District ") Certificate of Sewer Availability/Non - Availability ( "Certificate "). 1. This Certificate is valid only for the real property referenced herein ( "Property "), which is in the District's service area, for the sole purpose of submission to the King County Department of Development and Environmental Services, King County Department of Public Health, City of Seattle, City of Tukwila, City of Burien and/or City of SeaTac. This Certificate is between the District and the applicant only, and no third person or party shall have any rights hereunder whether by agency, third -party beneficiary principles or otherwise. 2. This Certificate creates no contractual relationship between the District and the applicant and its successors and assigns, and does not constitute and may not be relied upon as the District's guarantee that sewer service will be available at the time the applicant may apply to the District for'such service. 3. As of the date of the District's signature on this Certificate, the District represents that sewer service is available to the Property through sewer systems that exist or that may be extended by the applicant. The District makes no other representations, express or implied, including without limitation that the applicant will be able to obtain the necessary permits, approvals and authorizations from King County, City of Seattle, City of Tukwila, City of Burien, City of SeaTac or any other governmental agency before the applicant can utilize the sewer service which is the subject of this Certificate. 4. If the District or the applicant must extend the District's sewer system to provide sewer service to the Property,. the District or applicant may be required to obtain from the appropriate governmental agency the necessary permits, approvals and authorizations. In addition, the governmental agency may establish requirements that must be satisfied as a condition of granting any such permits, approvals or authorizations, which may make impractical or impossible the provision of sewer services to the Property. 5. Application for and possible provision of sewer service to the Property shall be subject to and conditioned upon availability of sewer service to the Property at the time of such application, and compliance with federal, state, local and District laws, ordinances, policies, and/or regulations in effect at the time of such application. I acknowledge that I have received the Certificate of Sewer Availability/Non Availability and this Attlzchmenj, and fully derstand the terms and conditions herein. ( CSC Applicant's Signature 8953910011270798.0115SY601!.DOC (1/26/04) -1- - D pi Date RE /QED NOV I's 2004 COMM rI CITY OF TUKWIL4 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 96166 Site address (attach map end,legai descri tion shoqwwi�ng hydrant location a size of main): 1/2.6 c� 2 /46) � t !, tk��4 main):_ Address: Phone: Name: Address: Phone: '71 P-(4 1 lit.(• , /G 424 R s tica/!.A This certificate is for the purposes of: ❑ Residential Building Permit ❑ Preliminary Plat ❑ Commercial/Industrial Building Permit ❑ Rezone Estimated number of service connections and water meter size(s): / JAI it4 / �- Vehicular distance from nearest hydrant to the closest point of structure is $Ofi ft. � Area is served by (Water Utility District): t'' Owner /Agent Signature 7 5 11 'rss r ( ry 1. The proposed•Rroject Is within — �4.k_ .'1 I4. rim t (City /County) 2. ag required. 3. ,The Improvements required to upgrade the water system to bring it into compliance with the utilities' comprehensive plan or to meet the minimum flow requirements of the project before connection and to meet the State cross connection control requirements: (Use separate sheet 11 more room 1a needed) Based upon the Improvements listed above, water can be proviqed and wHi be available at the site with a flow of 3090 at 20 psi residual for a duration of 2 hours at a velocity of S fps as documented by the attached calculations. gpm Water availability: �eceptable service can be provided to this project ❑ ❑ Acceptable service cannot be provided to this project unless the improvements in Item B -2 are met. System is not capable of providing service to this project. I hereby certify that the above information Is true and correct. Agency / hone ?l.dV' • Z� 95'f 7 CERTIFICATE OF WATER AVAILABILITY Required only If outside City of Tukwila water district s7' fZ Short Subdivision ❑ Other Date This Cei't1fiCate is not Valid without "Attachment to Certificate of water Ada Distri " No. 125's attachme entitled Permit Center /BuildTi Division: 206431 -3670 .. Public Works Department: 206 -433 -0179 Planning Division: 206.431.3670 PERMIT NO.: p Date RECE 'Nov 151004 D C01V►MUly l1 �CE'MENr The following terms and conditions apply to the attached Certificate of Availability ("Certificate "). 1. This Certificate of Water Availability is valid only for the, real property referenced herein for the sole .}purpose of submission to the City of-r 4 4("CIt This Certificate is issued at the request of the City, and is not assignable or transferable to any other party. Further, no third person or party shall have any rights hereunder whether by agency or as a third party beneficiary or otherwise. .2. The .District makes no representations, express or implied, that the applicant will be able to obtain the necessary permits, approvals, and tauthorizations: om the City or any other .,, applicable - larid-guse= Jurisdiction or governmental agency 'necessary:, before applicant can utilize the utility : service which is the subject of this Certificate. 3. As#f the °date of the issuance of this Certificate, the-:District has water available to provide utility service to the real property which is the ,subject: ofthis Certificate, and the utility systems exist or may be extended by the applicant to provide service to such property. However, the issuance of this Certificate creates no contractual relationship between the District and the applicant or the City, and the issuance of this Certificate may not be relied upon and does not constitute the District's guarantee that water utility service will be available to the real property at the time the applicant may apply to the District for such service. 4. Application for and the possible provision of District utility service to the real property which is the subject of this certificate shall be subject to and conditioned upon the availability of water service to the real property at the time of such application, as well as all federal, state, and District laws, ordinances, policies and regulations in effect at the time of such application for utility service, including conservation, water restrictions, and other policies and regulations then in effect. Applicant's Signatur District Representativ ATTACHMENT TO CERTIFICATE OF WATER AVAILABILITY KING COUNTY WATER DISTRICT NO. 125 'NOV 1 1'5 2004 D Date j�• -(,(� Date RECEIVED CHICAGO TI TI ;INSURANCE COMPANY 2300 EAST VALLEY ROAD, SUITE B, RENTON, WASHINGTON 98055 (425) 277 -8681 (425).277 —$919 Property: 4246 SOUTH 148TH STREET TUKWILA, WASHINGTON 98168 TO :. CHICAGO TITLE INSURANCE COMPANY 2300 EAST VALLEY ROAD, SUITE B RENTON, WASHINGTON 98055 ESCROW INSTRUCTIONS Escrow No. 538912 Title No. 538912 Date: JANUARY 22, 1999 Buyer: ZEHRUDIN COSIC AND NIHADA COSIC, AND MUAMERA CIZMIC Seller: JERRY DOUGLAS LARSON Np1 :11/° beak!'" ?ON, SELLER herein shall deposit with escrow under these instructions the following: (REAL ESTATE PURCHASE AND SALE AGREEMENT & ADDENDUMS THERETO, IF ANY ESTIMATED SETTLEMENT STATEMENT NOTICE: THE ESTIMATED CLOSING STATEMENT IS SUBJECT TO CHANGES, CORRECTIONS AND /OR ADDITIONS AT THE TIME OF FINAL COMPUTATION OF CLOSING ESCROW STATEMENT. STATUTORY WARRANTY DEED EXCISE TAX AFFIDAVIT 'TAXPAYER IDENTIFICATION NUMBER — SOLICITATION which you are instructed to deliver, release and /or record when you have for the account of the seller NINETY —FIVE THOUSAND AND 00/100 ($95,000.00 subject to any charges and /or credits authorized herein and PURCHASER herewith deposits with escrow: LOAN DOCUMENTS IN FAVOR OF SEATTLE MORTGAGE 'FIRE INSURANCE FUNDS AS REQUIRED TO CLOSE ESTIMATED SETTLEMENT STATEMENT NOTICE: THE ESTIMATED CLOSING STATEMENT IS SUBJECT TO CHANGES, CORRECTIONS AND /OR ADDITIONS AT THE TIME OF FINAL COMPUTATION OF CLOSING ESCROW STATEMENT. which sums and documents you are instructed to use: 1. ` When you are able to close according to the terms and conditions set forth in the Real Estate Purchase and Sale Agreement and Addendums attached thereto and in compliance with these instructions, and issue your policy (or policies) of title insurance in the amount (or amounts) as follows: STANDARD OWNER'S POLICY! INSURING BUYER IN AMOUNT OF SALE PRICE EXTENDED LENDER'S POLICY INSURING LENDER IN AMOUNT OF LOAN containing the insuring clauses, exceptions, exclusions, provisions and stipulations as contained in commitment issued under number 538912 under which parties herein have read and approved, and a. Conditions, restrictions or reservations as may be contained in the plat or Federal or State patents. b. Matters attaching by, through or under the Grantee c. Special Exceptions 1999 REAL ESTATE TAXES AND DEED OF TRUST BEING CONSUMMATED HEREIN. 2. You are instructed to disburse deposited funds pursuant to closing statement(s) examined and approved by the parties hereto and by this reference made a part hereof. Certain items shown on the closing statements may be estimated only and the final figures may be adjusted to accommodate exact amounts required at the time of disbursement. 11. WATER, SEWER AND SEATTLE CITY LIGHT ESCROW INS RUCrIO Date: JANUARY 22 , 1999 Escrow No. 538912 Title No. 538912 3. The undersigned have examined and hereby approve for use in this escrow the documents described above as to content and form. 4. Assume a per diem basis in any pro -rate herein provided, and unless parties otherwise instruct you, you are to use the information contained in the last available tax statement as provided by the seller, beneficiary's statement, and fire insurance policies delivered into escrow for the pro -rates provided above. 5. All money received by you in this escrow is to be deposited in your trust account pending closing. It is understood that all checks, money orders or drafts will be processed for collection in the normal course of business. You may commingle funds received in this escrow with escrow funds of others, and you may, without limitation, deposit such funds in your custodial or escrow accounts with any reputable trust company, bank, savings bank, savings association, or other financial services entity, including any affiliate of Chicago Title Insurance Company. You shall be under no obligation to invest the funds deposited with you on behalf of any depositor, nor shall you be accountable for any earnings or incidental benefit attributable to the funds which you may receive while you hold such funds. If for any reason funds are retained or remain in escrow after closing date, you are authorized to deduct therefrom a reasonable charge as custodian. 6. You are instructed that all money and documents required by you herein shall be deposited with you on or before FEBRUARY 14, 1999 . If this escrow has not been placed in a condition to close by said date, the above items deposited by me (us) are to be returned tome (us) upon written demand, at which time I /we will pay all your charges in connection herewith, but in the absence of such written demand, you will proceed with these instructions as soon as practicable. 7. These closing escrow instructions may be executed in counterparts with like effect as if all signatures appeared on a single copy. Facsimile copies of certain documents may be accepted, at the discretion of Chicago Title Insurance Company, for purposes of dosing. 8. These escrow instructions are not intended to amend, modify or supersede the terms and conditions set forth in the Real Estate Purchase and Sale Agreement and Addendums thereto, if any. Escrow is to be concerned only with the provisions specifically set forth in these instructions and identified by the Buyer and Seller as conditions to the closing of this escrow. 9. You are instructed to furnish to any broker or lender identified with this transaction or anyone acting on behalf Of such lender, any information concerning this Escrow upon request of said broker or lender. 10. Should any dispute arise between parties interested in property or funds covered by these instructions, you shall have the option to hold all matters pending in their then existing status or to join in or commence a court action, deposit the money and documents referred to herein into the Reg of the Court or upon holding this escrow open for determination of the rights of the parties, you will be relieved of all responsibility. It is further agreed that in the event of any suit or claim made against you by either or both parties to this agreement, that said parties shall be required to pay you all expenses, costs and reasonable attorney's fees in connection therewith, whether suit is instituted by you or any of the parties hereto. Escrow Holder is to assume no responsibility or liability for the preparation of the Truth in Lending, Consumer Protection Statement. 12. Escrow Holder is to assume no responsibililty or liability for the calculation, deduction, or any other act such as the withholding of funds and /or for the payment of taxes in compliance with the Foreign Investment in Real Property Tax Act as amended in 1984 (IRC 1445 et seq). The determination of whether such tax is due and its payment or withholding, if due, shall be handled by the parties outside of escrow. Escrow Holder has advised the parties to contact their attorney or tax advisor regarding the applicability of section 1445 to this transaction. Escrow Holder reserves the right to take any action it believes the law requires it to take, whether included in instructions or not. 13. The legal description as in Preliminary Commitment for Title Insurance No. 538912 is that of the property intended to be conveyed in this transaction. 14. The undersigned hereby acknowledge receipt of the Commitment for Preliminary Title Insurance covering subject property together with Escrow Agents Admission to Practice Rule Disclosure. 15. You are instructed to prorate as of the date of recording the following: 1999 REAL ESTATE TAXES 16. The parties hereto request escrow agent to pay closing utility bills as provided to escrow by seller. Parties hereto understand and acknowledge that escrow agent liability is limited to information provided to escrow by seller and by utility companies. Escrow agent it not to be held responsible for the actual transfer of utilities as this will be handled by the parties outside of escrow. Bills for the following utilities were provided to and will be paid through escrow: 17. Escrow holder is advised that the personal property, if any, will ransferred outside of escrow between the principals hereto, and escrow holder is to assume no responsibilit al9y& for the condition, delivery or sates tax due thereon. al 9y& OV, � ti. c. to. ESCLINAZ /4- 3- 97 /RLM Escrow No. 538912 Title No. 538912 Date: JANUARY 22, 1999 ADDITIONAL INSTRUCTIONS: `,,,, ESCROW INSTRUCTIO ESCROW HOLDER IS ADVISED THAT THERE IS NO LEASED EQUIPMENT ON SUBJECT PREMISES. THE 1999 REAL ESTATE TAXES ARE TO BE PRORATED ON THE BASIS OF CURRENT AVAILABLE INFORMATION AT THE TIME OF CLOSING. ANY ADJUSTMENT OF TAXES BY THE COUNTY TREASURER SHALL BE PRORATED OUTSIDE OF ESCROW BETWEEN THE PRINCIPALS AND NOT BE WITHIN THE ESCROW HOLDER'S RESPONSIBILITY TO COLLECT OR PAY. TAXES ARE BASED ON SELLERS 1998 AMOUNT OF $681.59 WHICH INCLUDES A DEFERRED RATE. THE PARTIES HERETO HOLD ESCROW HOLDER HARMLESS FOR COLLECTION OR PRORATION OF REAL ESTATE TAXES THAT MAY BECOME PAYABLE DUE TO SELLER'S EXEMPTION. ESCROW HOLDER IS ADVISED THAT PURCHASER HAS RECEIVED AND READ A COPY OF THE COVENANTS, CONDITIONS AND RESTRICTIONS AFFECTING THE SUBJECT PROPERTY. ESCROW HOLDER IS TO ASSUME NO RESPONSIBILITY OR LIABILITY OF ANY NATURE REGARDING THE CONDITION, COMPLETION OR DELIVERY OF THE SUBJECT PROPERTY. ESCROW HOLDER IS INSTRUCTED TO AMEND THE LEGAL DESCRIPTION AS SET FORTH IN THE EARNEST MONEY RECEIPT AND AGREEMENT TO THE LEGAL DESCRIPTION TO BE INSURED UNDER CHICAGO TITLE INSURANCE COMPANY'S PRELIMINARY COMMITMENT FOR TITLE INSURANCE NO. 000538912, WHICH CORRECTLY DESCRIBES THE PROPERTY BEING CONVEYED IN THIS TRANSACTION. ALL PARTIES TO THIS ESCROW ACKNOWLEDGE THAT CHICAGO TITLE INSURANCE COMPANY DOES NOT PROVIDE LEGAL ADVICE NOR HAS IT MADE ANY INVESTIGATION, REPRESENTATION OR ASSURANCES WHATSOEVER REGARDING THE COMPLIANCE OF THIS TRANSACTION WITH ANY TAX, SECURITIES OR OTHER LAWS OF THE UNITED STATES OR THE STATE IN WHICH THIS TRANSACTION IS CONSUMATED. ESCROW AGENT RECOMMENDS THAT THE PARTIES OBTAIN INDEPENDENT LEGAL COUNSEL AS TO TAX, SECURITIES OR OTHER LEGAL ASPECTS OF THIS TRANSACTION. THE PARTIES HERETO ACKNOWLEDGE THAT SEATTLE MORTGAGE, THE LENDER HEREIN, WILL NOT DEPOSIT ITS LOAN PROCEEDS UNTIL THE DEED OF TRUST IN ITS FAVOR HAS BEEN RECORDED; THEREFORE, ESCROW WILL NOT DISBURSE THE TOTAL CONSIDERATION AT TIME OF RECORDING AS HEREIN SET FORTH. ESCROW HOLDER IS INSTRUCTED TO RECORD ALL DOCUMENTS, INCLUDING BUT NOT LIMITED TO THE STATUTORY WARRANTY DEED FROM SELLER TO PURCHASER AND THE DEED OF TRUST FROM THE PURCHASER TO LENDER, AND TO DEFER ALL PAYMENTS AND DISBURSEMENTS OF FUNDS AS SET FORTH HEREIN UNTIL SUCH TIME AS ESCROW HOLDER IS IN RECEIPT OF GOOD AND SUFFICIENT FUNDS FROM LENDER FOR SAID LOAN PROCEEDS. YOU ARE TO WITHHOLD THE 2ECORDING OF ALL RECONVEYANCE AND /OR RELEASES UNTIL SUCH TIME AS THE PROCEEDS OF THIS ESCROW ARE DISBURSED IN ACCORDANCE WITH THESE INSTRUCTIONS. PURCHASER(S) SHALL OBTAIN NEW FIRE INSURANCE COVERAGE AND SELLER IS AUTHORIZED TO CANCEL THEIR COVERAGE UPON RECEIPT OF NET PROCEEDS. ESCROW IS INSTRUCTED TO PAY SAID WATER /SEWER AND LIGHT BILL (BUT ONLY IF LIGHT BILL IS WITH SEATTLE CITY LIGHT) BILL FROM THE FUNDS HELD WITHOUT FURTHER INSTRUCTIONS AND RETURN ANY EXCESS FUNDS TO THE SELLERS. BUYER HEREIN HAS READ, RECEIVED AND APPROVED CHICAGO TITLE INSURANCE COMPANY'S PRELIMINARY TITLE COMMITMENT DATED AT 8:00 A.M. AND IS AWARE OF THE CONTENTS THEREIN, INCLUDING THE ENCUMBRANCE AGAINST THE PROPERTY DESCRIBED THEREIN AND DIRECTS ESCROW HOLDER TO PROCEED WITH THE CLOSING OF THIS ESCROW AS DIRECTED HEREIN. THE UNDERSIGNED HEREBY AGREE THAT ALL SPECIAL CONDITIONS AND CONTINGENCIES OF THE PURCHASE AND SALE AGREEMENT, TOGETHER WITH ANY AND ALL ADDENDA THERETO, EITHER HAVE BEEN OR WILL BE MET TO THEIR SATISFACTION OR WAIVED. CHICAGO TITLE, AS ESCROWEE, SHALL ONLY BE RESPONSIBLE FOR CLOSING IN ACCORDANCE WITH THE WRITTEN TERMS OF THE PURCHASE AND SALE AGREEMENT AND ANY OTHER WRITTEN INSTRUCTIONS DEPOSITED TO ESCROW. THE PARTIES SHALL HOLD CHICAGO TITLE INSURANCE COMPANY AND ITS EMPLOYEES HARMLESS FROM ANY CLAIM RESULTING FROM THE FAILURE OF ANY PARTY TO MEET ANY ADDITIONAL CONDITIONS AND /OR CONTINGENCIES. 4/ .0 CONTINUED ON NEXT PAGE • Escrow No. Title No. cos IC /LARSEN Date: January 22, 1999 ESCROW INSTRUCTIO&D. ADDITIONAL INSTRUCTIONS: (Continued) PARTIES ARE HEREBY ADVISED THAT PROPERTY SOLD WITHIN THIS TRANSACTION MAY REQUIRE SELLER DISCLOSURES AS PROVIDED IN TITLE 64 RCW. PARTIES TO THIS TRANSACTION WILL HANDLE THIS OUTSIDE OF CLOSING AND ESCROW AGENT SHALL NOT INQUIRE INTO THIS MATTER. ESCROW AGENT ADVISES THE PARTIES TO SEEK THE ADVICE OF THEIR ATTORNEY IF THERE ARE ANY QUESTIONS. PLEASE BE ADVISED THAT EFFECTIVE JUNE 7, 1990, ESCROW AGENTS WERE REQUIRED TO WITHHOLD DISBURSEMENT OF FUNDS UNTIL ONE DAY FOLLOWING THE DEPOSIT OF CASHIER'S CHECK TO OUR BANK. ALL DEPOSITS SHOULD BE MADE AT LEAST ONE DAY PRIOR TO THE PROPOSED CLOSING DATE. THE ONLY EXCEPTION TO THIS REQUIREMENT IS IF FUNDS ARE WIRE TRANSFERRED TO OUR ACCOUNT OR A SEAFIRST CASHIER'S CHECK IS DEPOSITED WITH US. g442400 ( C -2 JERRY DOUGLAS LARSON ZEHRUDIN COSIC 1 4 1 1 6 2g A APli6 fic 2ful L otol, 60 ry e NIHADA COSIC 4 Escrow No. 538912 Title No. 538912 Date: JANUARY 22, 1999 DECLARATION OF ESCROW SERVICES Both Purchaser and Seller acknowledge by their signatures hereon the following: I have been specifically informed that CHICAGO TITLE INSURANCE COMPANY (hereinafter designated 'CHICAGO') is not licensed to practice law and no legal advice has been offered by CHICAGO or any of its employees. I have been further informed that CHICAGO is acting only as an escrow holder and that it is forbidden by law from offering any advice to any party respecting the merits of this escrow transaction or the nature of the instruments utilized, and that it has not done so. I have not been referred by CHICAGO to any named attorney or attorneys or discouraged from seeking advice of any attorney but have been requested to seek legal counsel of my own choosing at my own expense, if I have doubt concerning any aspect of this transaction. I further declare all instruments to which I am a party, if prepared by CHICAGO, have been prepared under the direction of my attorney or myself and particularly declare that copying legal description from title reports into forms of deed, etc. or reforming of legal descriptions or agreements is, or will be solely at my direction or request. I have been afforded adequate time and opportunity to read and understand these escrow instructions and all other documents referred to therein. THE UNDERSIGNED HAVE READ AND FULLY UNDERSTAND THE FOREGOING CLOSING INSTRUCTIONS AND ALSO THE DECLARATION SET FORTH ABOVE AND AGREE TO THE SAME (3AV4cJ(/t/i ZEHRUDIN COSIC NIHADA COS IC �IIAA o. C_ MUAMERA CIZMIC ESCROW INSTRUCTIONS JERRY DOUGLAS LARSON Forwarding Address: PLEASE TYPE OR PRINT PLEASE SEE REVERSE Date PERSON AS HIS SEPARATE ESTATE Street City/State /Zip . KENT, WA 98042 Is this property currently: 40 Classified or designated as forest land? Chapter 84.33 RCW Classified as current use land (open space, farm and agricultural, or timber)? Chapter 84.34 RCW Exempt from property tax as a nonprofit organization? Chapter 84.36 RCW Seller's Exempt Reg. No. Apt. (4+ unit) agricultural REV 84 0001 a (6- 05 -98) (PD 9- 22 -98) 15232 S.E. 272ND ST. #61 ADDRESS TO SEND ALL PROPERTY TAX RELATED CORRESPONDENCE SAME AS BUYER /GRANTEE Name Street City /State /Zip Receiving special valuation as historic property? Chapter 84.26 RCW Property Type: ❑ land only land with previously used building 0 timber only Principal Use: timber ❑ other (1) NOTICE OF CONTINUANCE (RCW 84.33 OR RCW 84.34) If the new owner(s) of land that is classified or designated as current use or forest land wish to continue the classification or designation of such land, the new owner(s) must sign below. If the new owner(s) do not desire to continue such classification or designation, all compensating or additional tax calculated pursuant to RCW 84.33.120 and 140 or RCW 84.34.108 shall be due and payable by the seller or transferor at the time of sale. The county assessor must determine if the land transferred qualifies to continue classification or designation and must so indicate below. Signatures do not necessarily mean the land will remain in classification or designation. If it no longer qualifies, it will be removed and the compensating taxes will be applied. All new owners must sign. This land ❑ does ❑ does not qualify for continuance. (2) NO11CF OF COMPLIANCE (Chapter 84.26 RCW) If the new owner(s) of property with special valuation as historic property wish to continue this special valuation the new owner(s) must sign below. If the new owner(s) do not desire to continue such special valuation, all additional tax calculated pursuant to Chapter 84.26 RCW, shall be due and payable by the seller or transferor at the time of sale. (3) OWNER(S) SIGNATURE REAL ESTATE EXCISE TAX AFFIDAVIT CHAPTER 82.45 RCW — CHAPTER 458 -61 WAC FOR USE AT COUNTY TREASURER'S OFFICE (Use Form No. 84 -001 B for Reporting Transfers of Controlling Interest of Entity Ownership to the Department of Revenue) THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS 1 -7 ARE FULLY COMPLETED Name JERRY DOUGLAS LARSON, A MARRIED 101 Name ZEHRUDIN COSIC & NIHADA COSIC, DEPUTY ASSESSOR ❑ land with new building El land with mobile home ❑ building only [residential ❑ commercial /industrial w 0 FOR TREASURER'S USE ONLY HUSBAND & wife and MUAMERA CIZMIC, AN Si ugte person Street 4246 SOUTH 148TH ST. City/State/Zip TUKWILA, WA 98168 ALL TAX PARCEL NUMBERS 04000 - 0800 -04 LC 2414 LEGAL DESCRIPTION OF PROPERTY SITUATED IN ❑ UNINCORPORATED COUNTY ] OR IN CITY OF Tukwila Street Address (if property is improved): 4246 South 148th Street, Tukwila, WA 98168 East half of Lot 17, Block 6, Adam's Home Tracts, according in Volume 11 of Plats, page 31, in King County, Washington. NO °6 Description of tangible personal propert rluded in sale (furniture, appliances, etc.) If exemption claimed, list WAC number and explanation. WAC No. (Sec /Sub) Explanation Type of Document Date of Document 01/21/99 Date & Place of Signing: i 14 • c i to the plat thereof, NOV . D C0 ? ©14 Statutory Warranty Deed This form is your receipt 4/ �Vv� when stamped by cashie C 1 o �ti., t j ri Oit1 � y COUNTY TREASURER PLACE ASSESSED VALUE IF TAX EXEMPT Gross Sale Price $ Personal Property (deduct) $ Taxable Sale Price $ 95,00/LQO 95,000.00 1,691.00 recorded Excise Tax: State $ Local $ Delinquent Interest: State $ Local $ Delinquent Penalty: State $ Total Due $ 1,691.00 A MINIMUM OF $2.00 IS DUE AS A PROCESSING FEE AND TAX. AFFIDAVIT I Certify Under Penalty Of Perjury Under The Laws Of The State Of Washington That The Foregoing Is True And Correct. (See back of this form). Signature of Grantor /Agent Name (print) Date and Place of Signing: ,,D �( Grantee /Agent Signature of h� r /n C08- - C Name (print) ? R Ia D j N Cos tG Perjury: Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years, or by a fine in an amount fixed by the court of not more than five thousand dollars ($5,000.00), or by both imprisonment and fine (RCW 9A.20.020 (1C)). COUNTY TREASURER A. CHICAGO TITLE INSURANCE COMPANY CLOSER: NICKIE JULIAN (425) 277 -8681 0 DATE OF PRINTING: 01/22/99 AN TIME OF PRINTING: 16:28 air ESTIMATED SETTLEMENT STATEMENT U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT B. TYPE OF LOAN 1. i7 FHA 2.0 FmHA 3. • CONV. UNINS. 4. ■ VA 5. ■ CONV. INS. 6. File Number: 538912 02 1000538912 -001 NJJ REN 7. Loan Number 099541 8. Mortgage Insurance Case Number 561 6843452 - 702 C. NOTE: ',This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.e.)" were paid outside the closing; they are shown here for informational purposes and are not Included In the totals. D. NAME OF BORROWER: ZEHRUDIN COSIO, AND NIHADA COSIC, SEE ATTACHED 1.0 • ADDRESS: 3240 SOUTH 152ND STREET #10 k%/1_ SEATTLE WASHINGTON 98188 4 . a ff'' E. NAME•OF SELLER: JERRY DOUGLAS LARSON s v • ADDRESS: 15232 SOUTHEAST 272ND STREET # 61 G �� j RENT WASHINGTON 98042 '�O � N/ry oil F. NAME OF,LENDER: SEATTLE MORTGAGE ADDRESS: 6450 SOUTHCENTER BOULEVARD, SUITE 106 TUKWILA WASHINGTON 98188 G. PROPERTY LOCATION: 4246 SOUTH 148TH STREET TUKWILA WASHINGTON 98168 H. SETTLEMENT AGENT: CHICAGO TITLE INSURANCE COMPANY ADDRESS: 2300 EAST VALLEY ROAD, SUITE B RENTON WASHINGTON 98055 PLACE OF SETTLEMENT: 2300 EAST : VALLEY ROAD, SUITE B ADDRESS: RENTON WASHINGTON 98055 I. SETTLEMENT DATE: January 27, 1999 J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 101. Contract sales price 9 5 , 000.00 401. Contract sales price 102. Personal Property 402. Personal Property Settlement charges to borrower pine t03. 9 p 1400) 18.024.20 rr. n r.. r ..r i •ri:Y` •' �:• ?ii: +iii :<tiLi i:%ii::F: r 'VOWS r f r:•r #ar• !r :.f : : :3 r':•S{ it !Fr.4l1:Ri: ?'i:if %% WSf::: 403.::�•r:r.. , ^ � ! rf i/•r:.:::J i�J i� %lr r� /.1J.4% .r.C. . "} f '•;>' +f r: }i� r �/ ...... 104. 404. 105. 405. Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance 106. City/town taxes to 406. City /town taxes to 107, County taxes to 407. Countytaxes to 108, Assessments to 408. Assessments to 109. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMT DUE FROM BORROWER 113.024.20 420. GROSS AMT DUE TO SELLER 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. Deposit or earnest money 1,000.00 501. Excess deposit (see Instructions) 202. Principal amount of new loan(s) 105,300.00 502. Settlement charges to seller (line 1400) 203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to • 504. Payoff of first mortgage loan 204. 205. i 505. Payoff of second mortgage loan fi:4.ri:{riif:ir':'3l �:if {'r.;:f :Yii:•i�ri:%:.... i } { : ; f. ^ :. ii::'iiJr:$:::.'y i: i .. I ni.'rf {O Y r krff:,...:3•r;.:.• ?;:`ri, ?;�.: r � <d:: SMANONSOW 206. 506. 207. 507. 208. 508. 209. _ 509. Adjustments for items unpaid by seller Adjustments for Items unpaid by seller 210. qty /town taxes to 510. City /town taxes to • 211. County taxes 01/01/99 to 01/27/99 48.55 511. County taxes to 212. Assessments to 512. Assessments to 213. 513. 214. 514. 215. 515. 216. i ■ 516. 217. 517. 218. 518. 219. i 519. 220. TOTAL PAID BY /FOR BORROWER 106, 348.55 520. TOTAL REDUCTIONS AMT DUE SELLER 300. CASH AT SETTLEMENT FROM/TO BORROWER 600. • CASH AT SETTLEMENT TO /FROM S ELLER 301. Gross amt due from borrower (line 120) 111, 094.9A 601. Gross amt due to seller (line 420) 302. Less amts paid by /for borrower (line 220) ( 106,348.55) 602. Less reductions in amt due seller (line 520) 303. CASH( FROM) (■ TO) BORROWER . 6,675.65 603. CASH(0 TO) ( ❑ FROM) SELLER eoir X L L A in enC « OMB No. 2502-0265 (Exp. 12-31-86) Page 1 I have carefully reviewed the HUD -1 Settlement Statement and to the best of my knowledge and belief, It is a true and accurate statement of all receipts and disbursements made on my acco nt or by me in this transaction, I further certify that I have received a copy of the HUD -1 Settlement Statement. f t, alar JA vx -P1O xEHRyt)fpl_ TA 4, nC NIHADA COSIC To the be of my knowledge, the HUD -1 Settle • ent Statement which I have prepared is a true and accurate account of the funds which were received and have been • will • . • - • .d • the and = . • ed as part of the .settlement of this transaction. / / 6 s °te , nt bete WARNING: It Is a eri � to Iowe make :.. Wt e the United States on this or arty other similar form. Penalties upon conviction can Include aline and Imprisonment. For details ■ 7Mle 111 U.S. Code Section 1. "• 1 and Sedbn 1010. r- 4001:U 14 /bU ORD /ABS/ 538912 br ESCf 000538912 NJJ REN 700. TOTAL SALES /BROKER'S COMMISSION based on price $ @ 4- 1110. Owners coverage $ 95 000.00 $ 418.11 $385.00 + $33.11 TAX) 1111. Additional Closing Fees to CHICAGO TITLE INSURANCE CO. 1112. (INCLUDES WIRE, DELIVERY & EXPRESS FEES $75.00 + $6.45 TAX) 1113. Division of Commission (line 700) as follows: 701. LB: i $ to 702. SB: $ to 703. Commission paid at Settlement (Money retained by broker applied to commission $ 704. Other sales agent charges: 705. Additional commission: $ to 800. , ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan' Origination Fee 1.000 % SEATTLE MORTGAGE 802. Loan Discount 1.500 % SEATTLE MORTGAGE 803. Appfalsal Fee to MAHON & RUTLEDGE $400.00 POC 804. Credit Report to ARC 805. Lender's Inspection Fee to 806. Mortgage Insurance Application Fee to 607. Assumption Fee to 808. DRAW INSPECTION TO SEATTLE MORTGAGE 809. OTHER LOAN FEE TO SEATTLE MORTGAGE 810. REHABILITATION COST TO SEATTLE MORTGAGE 811. PLAN REVIEW FEE TO SEATTLE MORTGAGE 812. ADDITIONAL ITEMS PAYABLE iN CONNECTION WITH LOAN (ATTACHED) 900. , ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest from 01/27/99 to 02/01/99 @$ 20.1945 /day for 5 days 902. Mortgage Insurance Premium for 0.00 months to 903. Hazard Insurance Premium for 1.00 yearsto SEAWEST INS. AGENCY 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance 2.00 month as 26.08 per month 1002. Mortgage Insurance 2.00 month Q$ 43.67 per month 1003. City property taxes 0.00 month as per month 1004. County property taxes 5.00 month as 57.69 per month 1005. Annual assessments 0.00 month @$ per month 1006. 0.00 month @$ per month 1007. 0.00 month as per month 1008. Aggregate Accounting Adjustment 1100. TITLE CHARGES 1101. Settlement or Closing Fee to CHICAGO TITLE ($375.00 + $32.25 TAX) 1102. Abstract or title search to 1103. Title examination to 1104. Title insurance binder to 1105. Document preparation to 1106. Notary fees to 1107. Attorney's fee to 1108. Title Insurance to CHICAGO TITLE INSURANCE COMPANY (includes above Items numbers:) 1109. Lender's coverage $105,300.00 $ 323.63 ($298.00 + $25.63 TAX) 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording fees: Deed $ 1202. City/county tax /stamps: 1203. State tax /stamps: 1204. EXCISE TAX (1.78%) 1205. 9.45 ;Mortgage Deed $ Deed $ 13 00. ADDITIONAL SETTLEMENT CHARGES 1301. Survey to L SETTLEMENT CHARGES $ 15.45 ; Release $ ; Mortgage $ ; Mortgage $ 1302. Pest inspection to 1303 RELEASE/SAT. MTG. PROCESSING FEES TO CHICAGO TITLE 13°4 DEFERRED TAXES TO KING COUNTY TREASURY DIVISION 13°5 ASSESSMENT TO KING COUNTY TREASURER 1 . 1998 R _ TAXFS + iNT_ ANn PENALTY 1307 UTU ITY HOI DRACK (WATFR, SFWFR & CITY I I0HT1 1400. TOTAL SETTLEMENT CHARGES PAiD FROM BORROWER'S FUNDS AT SETTLEMENT 1,053.00 1,579.50 100.00 350.00 350.00 12,869.00 100.00 25.00 100.97 313.00 52.16 87.34 288.45 0.00 407.25 323.63 24.90 PAID FROM SELLER'S FUNDS AT SETTLEMENT %'''!`': ":.lid.% • ii " "•.:} NJJ (enter on lines 103, Section J and 502, Section K) 18, 024.20 I have carefully reviewed the HUD - Settlement Statement and to the/ knowledge and belief, It Is a true and accurate statement of all receipts and disbursements made on my account or by me In this transaction, f • at I have received a copy of the HUD-1 Settlement Statement. Borrower l' HR P� C.trf JP 0 OS re. NO V i ' ' 7. � ° /1(.l /I o j Z•l.L.v� C v ' �tG 0$J Gor;2 Co Opp , f ntAeent WARNING: It k a alms ngy maks Tole 18 U.B. Code Section 1001 stet - ntto d 0. Page 2 OMB No. 2502-0265 (Bp. 12 TIME OF PRINTING: 16 :28 DATE OF PRINTING: n1 /97 /qq NINADA COSIC 4 4 p 4 , - , _ 7 1 The D-1 Settle r : t Statement whic ave prepared is a true and acctJrajount of this transaction. I have caused or will cause funds to be disbu - _ - • a -. •rd= w this - e • =nt. Date United States on this or any other similar form. Penalties upon conviction can Include a fire and Imprisonment. For details see: HUD (3/86) RESPA, HB 4305.2 NJJ OMt. 2502 -0265 (Exp.1231 -86) Page 3 ESC # /ABS# 000538912 0 2 MEN ESTIMATED TIME OF PRINTING: 16:28 SUPPLEMENTAL PAGE DATE OF PRINTING: 01/22/99 D. NAME OF BORROWER: ZEHRUDIN COSIC AND NIHADA COSIC ADDRESS: 3240 SOUTH 152ND STREET #10 SEATTLE WASHINGTON NAME OF BORROWER: MUAMERA CIZMIC E. NAME OF SELLER: JERRY DOUGLAS LARSON ADDRESS: 15232 SOUTHEAST 272ND STREET #61 KENT WASHINGTON F. NAME OF LENDER: ADDRESS: { SEATTLE MORTGAGE 6450 SOUTHCENTER BOULEVARD, SUITE 106 TUKWILA WASHINGTON 98188 98042 98188 ADDITIONAL BUYER SETTLEMENT CHARGES CHARGE AMOUNT 812.001 FLOOD CERTIFICATION FEE TO FDSI $ 25.00 TOTAL ADDITIONAL ITEMS PAYABLE IN CONNECTION WITH LOAN (LINE 812) $ 25.00 I have carefully reviewed the HUD -1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction, I further certify that I have received a copy of the HUD -1 Settlement Statement. d ) ZIA Q /ii C S C, a ZEHRUDIN COSIC ' 1� ` 4 1c & 7 c 4�V . ��� NIHADA COSIC ' NUAMERA CIZMIC ,'Y HUD (3/86) RESPA, HB 4305.2 PLAT MAP Borrower: ZEHRUDIN & NIHADA COSIC Property Address:4248 S 148TH ST City: TUKWILA Lender: SEATTLE MORTGAGE COMPANY State: WA File No.: 03B088AM Case No.: Zip: 98168 ea2pej t ,,,■.e, A J-I— {^ C.- 228 MARKET ST KIRKLAND, WA 98033 PH:425- 823.6666 FAX 425821 -3428 LOCATION MAP Borrower: ZEHRUDIN & NIHADA COSIC Property Address: 4246 S 148TH ST City: TUKWILA Lender: SEATTLE MORTGAGE COMPANY State: WA File No.: 038088AM Case No.: Zip: 98168 2231 S 134T71$r`; *Op 228 MARKET ST KIRKLAND, WA. 98033 PH:425- 823-6666 FAX 425821,3428 WHEN RECORDED RETURN TO ZEHRUDIN COSIC AND NIHADA COSIC 4246 SOUTH 148TH STREET TUKWILA, WASHINGTON 98168 READ AND .APPROVED AS TO FORM AND CG:-, D CHICAGO TITLE INSURANCE COMPANY STATUTORY WARRANTY DEED THE GRANTOR JERRY DOUGLAS LARSON, A MARRIED PERSON AS HIS SEPARATE ESTATE for and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION in hand paid, conveys and warrants to ZEHRUDIN COSIC AND NIHADA COSIC, HUSBAND AND WIFE, AND MUAMERA CIZMIC, A SINGLE PERSON the following described real estate situated in the County of KING State of Washington: Tax Account Number(s): 004000 - 0800 -04 EAST HALF OF LOT 17, BLOCK 6, ADAM'S HOME TRACTS, ACCORDING TO THE PLAT THEREOF, RECORDED IN VOLUME 11 OF PLATS, PAGE 31, IN KING COUNTY, WASHINGTON. SUBJECT TO ZONING AND LAND USE RESTRICTIONS, IF ANY. JERRY DOUGLAS LARSON Dated: JANUARY 21, 1999 538912 swd /rlm/ - 97 PLAT MAP Borrower: ZEHRUDIN & NIHADA COSIC Property Address: 4246 S 148TH ST City: TUKWILA Lender: SEATTLE MORTGAGE COMPANY File No.: 03B088AM Case No.: State: WA Zip: 98168 r P C evert NOV 15 2004 �' NT 228 MARKET ST KIRKLAND, WA. 98033 PH:425-823-6666 FAX 425-821-3428 Part A: (To Be Completed by Applicant) Purpose of Certificate: ❑ Building Permit ❑ Preliminary Plat or PUD ❑ Other '® Short Subdivision ❑ Rezone Proposed Use: P Residential Single Family ❑ Residential Multi- Family ❑ Commercial ❑ Other Applicants Name: Ze hpU a rri l Phone: 2C6 —7 7P Ytr3P Property Address or Approximate Location: Tax Lot Number: 42 5i6 S, 15►P h Sire-a- Cott ow— opao Legal Description(Attach Map and Legal Description if necessary): Eks f 11 of Lot 17 d Block 6 j Aria ....;J Hvn►,.c Duds' ftc . Al oil 15 2444 , , Part B: (To Be Completed by Sewer Agency) u 1. 51 a. Sewer Service will be provided by side sewer connection only to an existing 6 size sewer 0 feet from the site and the sewer system has the capacity to serve the proposed use. OR ❑ b. Sewer service will require an improvement to the sewer system of: ❑ (1) feet of sewer trunk or lateral to reach the site; and /or ❑ (2) the construction of a collection system on the site; and /or ❑ (3) other (describe): 2. (Must be completed if 1.b above is checked) ❑ a. The sewer system improvement is in conformance with a County approved sewer comprehensive plan, OR ❑ b. The sewer system improvement will require a sewer comprehensive plan amendment. 3. ® a. The proposed project is within the corporate limits of the District, or has been granted Boundary Review Board approval for extension of service outside the District, OR ❑ b. Annexation or BRB approval will be necessary to provide service. 4. Service is subject to the following: PERMIT: $ Po .r a. District Connection Charges due prior to connection: GFC: $ VS SFC: $ /700 , in &$✓sUNIT: $ Sbo 2 TOTAL: $ (Subject to Change on January 1st) King County/METRO Capacity Charge: Currently, $ 1867 .54 /residential equivalent, will be billed directly by King County after connection to the sewer system. (Subject to change by King Co/Metro without notice.) b. Easements: ❑ Required 51 May be Required c. Other: By 14816 Military Road South P.O. Box 69550 Tukwila, WA 98168 Phone: (206) 242 -3236 Fax: (206) 242 -1527 CERTIFICATE OF SEWER AVAILABILITY /NON - AVAILABILITY lig Certificate of Sewer Availability OR CI Certificate of Sewer Non - Availability I hereby certify that the above sewer agency information is true. This certification shall be valid for one year from date of signature. Title // /ploy Date ATTACHMENT TO VAL VUE SEWER DISTRICT CERTIFICATE OF SEWER AVAILABILITY/NONAVAILABILITY The following terms and conditions apply to the attached Val Vue Sewer District ( "District ") Certificate of Sewer Availability/Non - Availability ( "Certificate "). 1. This Certificate is valid only for the real property referenced herein ( "Property "), which is in the District's service area, for the sole purpose of submission to the King County Department of Development and Environmental Services, King County Department of Public Health, City of Seattle, City of Tukwila, City of Burien and /or City of SeaTac. This Certificate is between the District and the applicant only, and no third person or party shall have any rights hereunder whether by agency, third -party beneficiary principles or otherwise. 2. This Certificate creates no contractual relationship between the District and the applicant and its successors and assigns, and does not constitute and may not be relied upon as the District's guarantee that sewer service will be available at the time the applicant may apply to the District fen service. 3. As of the date of the District's signature on this Certificate, the District represents that sewer service is available to the Property through sewer systems that exist or that may be extended by the applicant. The District makes no other representations, express or implied, including without limitation that the applicant will be able to obtain the necessary permits, approvals and authorizations from King County, City of Seattle, City of Tukwila, City of Burien, City of SeaTac or any other governmental agency before the applicant can utilize the sewer service which is the subject of this Certificate. 4. If the District or the applicant must extend the District's sewer system to provide sewer service to the Property, the District or applicant may be required to obtain from the appropriate governmental agency the necessary permits, approvals and authorizations. In addition, the governmental agency may establish requirements that must be satisfied as a condition of granting any such permits, approvals or authorizations, which may make impractical or impossible the provision of sewer services to the Property. 5. Application for and possible provision of sewer service to the Property shall be subject to and conditioned upon availability of sewer service to the Property at the time of such application, and compliance with federal, state, local and District laws, ordinances, policies, and/or regulations in effect at the time of such application. I acknowledge that I have received the Certificate of Sewer Availability/Non-Availability and this Att chmenj, and fully riderstand the terms and conditions herein. p C Applicant's Signature 8953910011270798.01PSY601IDOC (1/26/04) -1- fC c-7 R NO v 5 7004 0 Name: Address: Phone: Short Subdivision ❑ Other Estimated number of service connections and water meter size(s): l -1/4i / . Vehicular distance from nearest hydrant to the closest point of structure is °fi ft. Area is served by (Water Utility District): Ctia■ar, a . /2g , 77 2 — c 4 —,1) /d`l Owner /Agent Signature 1. 2. CITY OF TUI WIL.4 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 96168 CERTIFICATE OF WATER AVAILABILITY Required only If outside City of Tukwila water district Site address (attach reap and.legal desert tion showing hydrant location and size of main): r� g1YAIfl' � f z�t�w x f xiC Cd .rkt? amt Tc19 /i lj�,i . e–Q4–`1G Address: 42 6' /z, p s Phone: 2 O G 7 6'— L:tJ 4.49 This certificate is for the purposes of: ❑ Residential Building Permit ❑ Preliminary Plat 0 Commercial/industrial Building Permit ❑ Rezone The proposed project is within T t (q PERMIT NO.: Permit Center /Builds Division: 206-431-3670 .. Public Works Department: 206- 433 -0179 Planning Division: 206.431 -3670 ik —o F —d6 Date (City /County) o improvements required. 3. • The improvements required to upgrade the water system to bring It Into compliance with the utilities' comprehensive plan or to meet the minimum flow requirements of the project before connection and to meet the State cross connection control requirements: (Use separate sheet if more mom is needed) 4. Based upon the improvements listed above, water can be provided and will be available a t the site with a flow of 3 at 20 psi residual for a duration of 2 hours at a velocity of ,� ty fps as documented by the attached calculations. 9pm 5 Water availability: rig Acceptable service can be provided to this project ft c ❑ System is not capable of providing service to this project. cc ❑ Acceptable service cannot be provided to this project unless the improvements in Item B -2 are met. ! I hereby certify that the above information is true and correct. riN Agency / hone • ! , Z �FZ' g 7 By This certificate is not valid without "Attachment to Certificate W Water Availability District No. 125's a „ fern entitled o 54 lit 4 Date Cy, 'cc ATTACHMENT TO CERTIFICATE OF WATER AVAILABILITY KING COUNTY WATER DISTRICT NO. 125 The following terms and conditions apply to the attached Certificate of Availability ( "Certificate "). 1. This Certificate of Water Availability is valid only for the. real property referenced herein for the sole :purpose of submission to the City of - (4 "C� This Certificate is issued at the request of the City, and is not assignable or transferable to any other party. Further, no third person or party shall have any rights hereunder whether by agency or as a third party beneficiary or otherwise. .2. The , District makes no representations, express or implied, that the applicant will be able to `obtain the necessary permits, approvals, and 'authorizations =from the City or any other applicable .laid A use jurisdiction or governmental agency , necessary ecessary, before applicant can utilize the utility, service which is the subject of this Certificate. - 3 As cif the'date of the issuance of this Certificate,:: the District has water available to provide utility service to the real property which is the ,subject of this Certificate, and the utility systems exist or may be extended by the applicant to provide service to such property. However, the issuance of this Certificate creates no contractual relationship between the District and the applicant or the City, and the issuance of this Certificate may not be relied upon and does not constitute the District's guarantee that water utility service will be available to the real property at the time the applicant may apply to the District for such service. 4. Application for and the possible provision of District utility service to the real property which is the subject of this certificate shall be subject to and conditioned upon the availability of water service to the real property at the time of such application, as well as all federal, state, and District laws, ordinances, policies and regulations in effect at the time of such application for utility service, including conservation, water restrictions, and other policies and regulations then in effect. Applicant's Signatur District Representativ RECEIVED 'NOV 1 2004E DEVELOPMENT FOR STAFF USE ONLY Sierra Type: P-SS Planner: File Number: Lot 0 -7 Application Complete (Date: ) Project File Number: Application Incomplete (Date: ) Other File Numbers: CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E -mail: tukplanAci.tukwila.wa.us APPLICATION NAME OF PROJECT/DEVELOPMENT: d Cos", SKot PLA LOCATION OF PROJECT/DEVELOPMENT: (Give street address or, if vacant, indicate lot(s), block and subdivision, access street, and nearest intersection. LIST ALL TAX LOT NUMBERS. 4v/4 S. /4 Tax Po,zeel Quarter: Section: Township: Range: (This information may be found on your tax statement.) RE p SHORT 1,10 'is 2004 PLAT PERT° CE -t (P-SS) DEVELOPMENT COORDINATOR : The individual who: • has decision making authority on behalf of the applicant in meetings with City staff, • has full responsibility for identifying and satisfying all relevant and sometimes overlapping development standards, and • is the primary contact with the City to whom all notices and reports will be sent. Name: 7RitRVDI"/ CoS Address: " i 2 L( SO. l e (.G• 57 , "PtK to/ LA- A/a -- 9gl'e Phone: 02 b (> — 77 $" --e-/s FAX: E -mail: Signature: ) r.ii2t' t (J' Ili l OSs ( Date: //// q , G: A PPHAN\LANDUSE.APP\SHTPLTPT.doc, 09 /11/03 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E -mail: tukplan @,ci.tukwila.wa.us RZ"c D Fo SHO PL 1 2004. (P-SS) A short plat (or short subdivision) is the division of property into nine (9) or fewer lots. City review is required to ensure that development and infrastructure requirements are satisified, the action is consistent with the Tukwila Comprehensive Plan, and the plat is properly recorded. REQUIREMENTS: The City has extended the range of administratively approved short plats from 1 -4 lots, to a maximum of nine (9) lots. However, short plats of 5 -9 lots are required to provide public notice, environmental review and development standards specified for subdivisions (creating over nine lots). PROCEDURE: Within 28 days of receiving your application, City staff will determine if it is complete based on the attached "Complete Application Checklist ". If not, you will be mailed a letter outlining what additional information is needed. Short plats are reviewed by the Short Plat Committee in a four step process. 1. Preliminary approval: Approval of lot patterns, access and infrastructure schematic design. 2. Construction permit approval: Approval of detailed construction drawings (if applicable). 3. Installation of required improvements. 4. Final approval and recording: Final City approval of all construction, City Council acceptance of any infrastructure or property to be turned over to the City and recording with King County. Final documents must meet the King County Recorder's Format requirements. Applicant may apply to defer certain on -site improvements until after recording the fmal short plat, due to project phasing or engineering considerations. The applicant shall include a list of specific deferred improvements, a cost estimate from the contractor who will do the work and a financial warranty equal to 150% of the cost. The warranty may be cash, an assigned savings account or an irrevocable letter of credit. Short Plat Committee decisions are based upon the following criteria: (TMC 17.12.020.C) CRITERIA FOR PRELIMINARY APPROVAL OF SHORT PLATS: The Short Subdivision Committee shall base its decision on an application on the following criteria: 1. The proposed Short plat is in conformance with the Tukwila Comprehensive Plan and any other such adopted plans. 2. Appropriate provisions have been made for water, storm drainage, erosion control and sanitary sewage disposal for the short plat, which are consistent with current standards and plans. 3. Appropriate provisions have been made for road, utilities and other improvements, which are consistent with current standards and plans. 4. Appropriate provisions have been made for dedications, easements and reservations. 5. The design, shape and orientation of the proposed lots are appropriate to the proposed use for which the lots are intended and are compatible with the area in which they are located. C: None Fiks\Rcd Book\SHTPLTAPP.doc, 01 /IW03 6. Appropriate provisions for the maintenance of commonly owned p._ . ate facilities have been made. 7. The short plat complies with the relevant requirements of the Tukwila Zoning Ordinance and other relevant local regulations. (TMC 17.12.030(c)) CRITERIA FOR FINAL APPROVAL OF SHORT PLATS: 1. All requirements for short plats as set forth in the Subdivision Code are met. 2. All terms of the preliminary short plat approval have been met. 3. The requirements of Chapter 58.17 RCW, other applicable state laws, and any other applicable City Ordinances have been met. 4. All required improvements have been installed in accordance with City standards or an improvement agreement with financial guarantee pursuant to TMC 17.24.030 has been entered into by the applicant and accepted by the City. 5. That the plat is technically correct and accurate as certified by the land surveyor responsible for the plat. C:\Nordl_ Piles\Red Book\SHTPLTAPP.doc, 01/10/03 Check items submitted with application Information Required. May be waived in unusual cases, upon approval of both Public I3 and Planning 1 ���i4j-0,�41 `"'"0 d, APPLICATION MATERIALS: ✓ 1. Application Checklist (1 copy) indicating items submitted with application. N/2. Completed Application Form and drawings (4 copies). L.-'1. One set of all plans reduced to 8 1/2" by 11". Application Fee — up to 4 lots in LDR dr, other zones $1,000 -- 5 to 9 lots in all zones $1,000 '� � P �o SEPA Environmental Checklist (for 5 -9 lots, cut/fill over 500 cubic yards see SEPA Application Packet) 4 4, 3 2 PUBLIC NOTICE MATERIALS: \ 6. If the project requires SEPA review or involves a short plat of 5 9 lots: a 4' x 4' public notice board will be required on site within 14 days of the Department determining that a complete application has been received (see SEPA Application). 1 7. If the project involves a short plat of 5 9 lots: One (1) set of mailing labels for all property owners and tenants (residents or businesses) within 500 feet of the subject property. Note: Each unit in multiple - family buildings — e.g. apartments, condos, trailer parks — must be included (see SEPA Application) 0 \iN ' 8. If the project involves a short plat of 5 —9 lots: King County Assessor's map(s) which shows the location of each property within 500 ft. of the subject lot PROJECT DESCRIPTION AND ANALYSIS: '-- 10. Vicinity Map with site location. ✓ 11. Title Report: Clearly establish status as legal lot(s) of record, ownership, all known easements and encumbrances, must be dated within 45 days of application filing. `� 12. Document sewer and water availability if provided by other than the City of Tukwila. 1`1 13. A written discussion of project consistency with decision criteria (see Application). W i 1 le. -14. Any required maintenance agreements, easements or other documents ready for recording. � ,15. Technical Information Report (TIR) including feasibility analysis per King County Surface Water Design Manual (KCSWDM). For additional guidance contact Public Works. octn2 , 16. Provide sensitive area studies as needed per Tukwila's Sensitive Areas Ordinance (TMC 18.45 for exam • le wetland or r eotechnical reports. S " , (ocr''D r 17. Printed computer plat closure or demonstrated mathematical plat closure on all lots, streets, alleys and boundaries. Allowable error of closure shall not exceed one foot in 5,000 feet. COMPLETE APPLICATION CHECKLIST The materials listed below must be submitted with your application unless specifically waived in writing by the Public Works Department and the Department of Community Development. Please contact each Department if you feel that certain items are not applicable to your project and should be waived, or should be submitted at a later date for use at the public hearing (e.g. colored renderings). Application review will not begin until it is determined to be complete. ADDITIONAL MATERIALS MAY BE REQUIRED. The initial application materials allow starting project review and vesting the applicant's rights. However, they in no way limit the City's ability to require additional information as needed to establish consistency with development standards. City staff are available to answer questions about application materials at 206 -431 -3670 (Department of Community Development) and 206 -433 -0179 (Department of Public Works). C:Wora's FiksUted_BookA.SHTPLTAPP.doc, 01/10/03 Check items submitted with application Information Regted. May be waived in unusual cases, upopproval of both Public Works and Planning PLAT SURVEY: a template is available from the City in AutoCAD format 18 (a) The plat survey must include the name of the plat, graphic scale, space for the City of Tukwila file number and north arrow. It shall be drawn with black ink in record of survey format and include the elements listed at TMC 17.04.060 A. This shall be stamped by the surveyor. 0 (b) Legal descriptions of the existing and proposed lots. /'/ (c) The final plat documents must include all applicable certificates and approvals listed in the "Certificates and Approvals" section of this application (TMC 17.04.060). Sections for the surveyor and owner(s) must be signed prior to submittal. // (d) Existing and proposed lot lines shall be shown solid with new lines called out and lot lines to be removed shall be shown dashed. // (e) Lot and block numbers shall begin with the number one (1) and be numbered consecutively without omission or duplication. // (f) Total lot or parcel sizes and average width of each proposed lot (min 50 ft. for residential). // (g) Dash in required setback distances from all parcel lot lines. // (h) Fire access lanes and turn- arounds per Fire Department standards. // (i) Location of all tracts to be dedicated to any public or private purpose shall be distinguished from lots intended for general development with notes stating their purpose and limitations. / / (j) Locations of existing and proposed public street rights -of -way and private access easements. // (k) Location, dimension and purpose of existing and proposed easements. Provide recorded documents which identify the nature and extent of existing easements. LANDSCAPE PLAN: fo -91 ' short plats 13 )V \V 19 (a) Landscape planting plan stamped and signed by a Washington State licensed landscape architect. Plan must include at least one tree in the front yard of each lot and meet Public Works standards (TMC 17.20.030 G). Plans must include the type, quantity, spacing and location of all plantings. Maximum sheet size 24" x 36 ". (b) Show all existing trees to be retained and any tree protection measures required (for example fencing at drip line). SENSITIVE AREAS PLAN: v 20 (a) Location of all sensitive areas (e.g. streams, wetlands, slopes over 20 %, coal mine areas and important geological and archaeological sites). For stream frontage provide existing and proposed top of stream bank, stream bank toe, stream mean high water mark, and base flood elevation (i.e., 100 yr. flood). Maximum sheet size 24" x 36 ". (b) Location of all required sensitive area buffers, setbacks tracts and protection measures. (c) Show all trees over 4" caliper, indicating those to be retained. (d) Show proposed lot and tract lines. CIVIL PLA i JS: (a) One set of all civil plans and analyses shall be stamped, signed and dated by a licensed professional engineer. Include a graphic scale and north arrow. Maximum sheet size 24" x 36 ". � � 21. (b) Vertical datum NAVD 1988 and horizontal datum NAD 83/91. Conversion calculations to NGVD 1929, if in a flood zone or flood -prone area. (c) Existing (dashed) and proposed (solid) topography at 2' intervals (minimum 20 ft. beyond the property line). C:\ Nora' s_FileAlted_Book\SHTPLTAPP.doc, 01/10/03 , Check items submitted with application Information RequL..'. May be waived in unusual cases, upon `royal of both Public Works and Planning 30 t 'y(S (d) Total expected cut and fill for plat buildout. CSe>rtifli Sw G'\'"1 (e) Existing and proposed utility easements and improvements, on site and in street (water, sewer, power, natural gas, telephone, cable). Schematic designs to be provided regardless of purveyor (e.g. site line size, location, and size of public main). No capacity calcs, invert depth, valve locations or the like are needed. Total acres involved in the Short Plat. (f) Storm drainage design at least 90% complete, which meets the KCSWDM. Call out total existing and proposed impervious surface in square feet. Include all storm drainage conveyance systems, water quality features, detention structures, maintenance access and safety features. Sv-+ i' l (g) Locate the nearest existing hydrant and all proposed hydrants. �/ (h) Show the 100 yr. flood plain boundary and elevation as shown on FEMA maps. --4' (i) Plan, profile and cross - section for any right -of -way improvements. C (j) Show planned access to lots, driveways, fire access lanes and turn- arounds. // (k) Show the location and distance to proposed property lines of all existing structures, indicating those to be removed. Show the expected location of all new buildings. ft /1 (1) Show proposed lot and tract lines. t► Information Required. Response Total existing lots prior to Short Plat. I Total lots in this Short Nat. 2- Total acres involved in the Short Plat. 61-0 u'- D L f 5 ac v , , Constraints (sensitive area, right of way, retention/detention areas) in acres or sf. 0 4 0 . Any preexisting uses? f\L L* Overall density (lots /acre). 4 5- - "&awSc.,, / G'C Y'e- , N w 'ro GROWTH MANAGEMENT ACT REQUIRED INFORMATIO O - C. Non' s_Files\Red_Book1SHTPLTAPP.doo, 01/10/03 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E -mail: tukplan@ci.tukwila.wa.us AFFIDAVIT OF OWNERSHIP AND HOLD HARMLESS PERMISSION TO ENTER PROPERTY STATE OF WASHINGTON u COUNTY OF KING The undersigned being duly sworn and upon oath states as follows: 1. I am the current owner of the property which is the subject of this application. 2. All statements contained in the applications have been prepared by me or my agents and are true and correct to the best of my knowledge. 3. The application is being submitted with my knowledge and consent. 4. Owner grants the City, its employees, agents, engjneers ctors or other representatives the right to enter upon Owner's real property, located at 1-12 1 /C �'o /( / T 4 /LA for the purpose of application review, for the limited time necessary to complete that purpose. 5. Owner agrees to hold the City harmless for any loss or damage to persons or property occurring on the private property during the City's entry upon the property, unless the loss or damage is the result of the sole negligence of the City. 6. The City shall, at its discretion, cancel the application without refund of fees, if the applicant does not respond to specific requests for items on the "Complete Application Checklist" within ninety (90) days. EXECUTED at 1 0; k /ij (city), (X / (state), on � d ` , 20 0 /' &- P- 4 O 'N C o. S"‘ e C (Print Name) RECEIVED NOV 15 2004 COMMUNITY DEVELOPMENT (Address) (Phone Number) YA2zAelt/ii (Signature) On this day personally appeared before me Z e J, r a d l N COS / f'. to me known to be the individual who executed the foregoing instrument and acknowledged that he/Ale-signed the same as his/her voluntary act and deed for the uses and purposes mentioned therein. SUBSCRIBED AND SWORN TO BEFORE ME ON THIS /Stir DAY OF Move -ether Q . � .•• lo, �. I NOTARY P , ', U • �� 4;p% • r� residing at I ip and for the State Washington e M7D °' 9 ' 6 - 16 -0g i � V O a • k N t , i My Commission expires on N PUBOG : a '..° kC i Pt i tigefo e 20 0/ lc` RECORDING DOCUMENTS The recording documents submitted for final approval must be on mylar, in record of survey format, meet all of the King County recording requirements and contain the following signature blanks, where applicable. The standard signature blanks are included in the AutoCAD template available from the City. If you choose not to use the template please reproduce the applicable language accurately on the mylar. SIGNATURE BLANKS OWNERS' DECLARATION Know all men by these present that we, the undersigned, owner(s) in fee simple of the land herein described do hereby make a short subdivision thereof pursuant to RCW 58.17.060 and acknowledge that said subdivision shall not be further divided in any manner within a period of five years, from date of record, without the filing of a final plat. The undersigned further declare this short plat to be the graphic representation of said short subdivision and the same is made with the free consent and in accordance with the desire of the owner(s). In witness whereof we have set our hands and seals. Name: Name: Name: Name: (Provide a name blank for each owner and as many notary blanks as needed) STATE OF WASHINGTON County of King On this day personally appeared before me to me known to be the individual who executed the foregoing instrument and acknowledged that he /she signed the same as his/her voluntary act and deed for the uses and purposes mentioned therein. GIVEN under my hand and official seal this day of , 20 LAND SURVEYOR'S CERTIFICATE: Any survey submitted for a short plat shall include a certification with t e 10� responsible for the survey and final plat with the following statem r � "I, S kfrA' , registered as Signature: Name of commissioned: Title: My appointment expires: tur`e of the surveyor a land surveyor by the State of VtRashington, certify that this plat is based on an actual survey of t e land described herein, conducted by me or under my supervis ; that the distances, courses and angles are shown thereon c ectly; and that monuments other than those monuments appr ed for setting at a later date, have been set and lot RECEIVED corners stak on the ground as depicted on the plat." NOV 1 5 2004 COMMUNITY DEVELOPMENT • SEATTLE - KING COUNTY HEALTH DEPARTMENT'S APPROVAL (This is only required if lots are served by septic sy tems:) Examined and approved by the Seattle -King County Health Dep ent this day of ,20 a 1� There are no delinquent special assessments, and all special assessments on of the property that is dedicated as streets, alleys or for other public use are paid in full. Examined and approved by the City of Tukwilaance Department this day of ,20 This Director Finance Director CITY TREASURER'S CERTIFICATE (only required if land is to be dedicated to the City) 0\' COUNTY TREASURER'S CERTIFICATE I certify that all property taxes are paid and that a deposit has been made in sufficient amount to pay the taxes for the following year; that there are no delinquent special assessments certified to this office for collection; and that all special assessments on any of the property herein dedicated as streets, alleys, or for other public use are paid in full. day of , 20 Deputy King County Treasurer King County Treasurer C:R Jon's Fdes\Red Book\SHTPLTAPP.doc, 01/10/03 COUNTY ASSESSOR'S CERTIFICATE Examined and approved by the Department of Assessments this Deputy King County Assessor King County Assessor day of , 20 Rc e - IvEo NOV 15 ?004 MENT RECORDING CERTIFICATE Filed for record at the request of the City of Tukwila this day of , 20 , at minutes past M, and recorded in Volume of Plats, on page Records of King County, Washington. Deputy Director, King County Director, King County Department of Records and Elections Department of Records and Elections TUKWILA SHORT SUBDIVISION COMMITTEE APPROVAL Reviewed and approved by the Short Subdivision committee and hereby certified for filing this day of , 20 Chair, Short Subdivision Committee KING COUNTY RECORDER'S FORMAT REQUIREMENTS Document Standardization • The second page and all succeeding pages must have a one -inch margin on all sides (unless document is using record of survey format, 18" x 24 "). • No attachments are allowed on the pages. • The font size must be at least 8 point. • The page size can be no larger than 8 V2 x 14 (unless in record of survey format, recorded at Condominium and Plat desk). • The paper must be of a weight and color capable of producing legible images. • The ink must be a color that is capable of being imaged. • All seals must be legible and capable of being imaged (pressure seals must be smudged). • The first page of all documents must have: > A three -inch margin at the top and a one -inch margin on the sides and bottom (if using letter or legal sized paper). > The following key information: ♦ Return address ♦ Document title and titles • Reference numbers of documents assigned or released (if applicable) ♦ Names of the grantors and grantees with reference to pages where additional names can be found • Abbreviated legal description • Assessor's property tax parcel number or account number A coversheet may be used to fulfill the three -inch top margin & indexing information requirements list above, however, the requirements listed below must still be met or the document will be returned for compliance. Also, when a coversheet is used one dollar will be added to the recording fee for the additional page on the document. C :Nora's FileARed Book\SHTPLTAPP.doc.01 /10/03 24" WITH 2" ON LEFT MARGIN AND 1/2" ON RIGHT MARGIN SHORT PLAT NUMBER, DECIMATION ow enigma D soNalaCwaw"IYlwla/mM Hal averslatIaraw‘UiilavIAWWI TNbpow plq 41141110 PAN NEW WOWS furls NanNSMEMO Paw ap was yMae pawed dM MadmOald, amONN be altos Yd WWI Mar6d la bmy ore a Mon I wbaarlos wwaf pwwMat Is Ram OLTION wadoa- Yya IAN add arablise Wla* WNW/ OMNIla o0r awsaralhla NNW efian yaw Inn WO at ssamiA INIeaaftaleOWplaLowrrr/Md WNW dacMai Mat p NW b.M papal NpssNdws add Marl adalrWs wMswab maaWNM Tao aawaewbasowa an MNOa IWaaMw*N14 la Warm alwaslaa haw Wow Duda sal awl. MaINr Ilia COON OWTYA NEKTON aMrawNr Oa NO pear* adas dbarnm rmbaarar M M IaaiMOW WMSwadM MaNa a w /Nayolas bslaaae w wbasesgwdaW MOW apaal lamas Wallar NNINact wdadfaM and and pawns Mawr awnrbaad. GWEN wake pc, Mad awl Moil awl llis_ON � fL� LAND NAOIIYORTI wRTIWATI Npaaaa Nam, rwNSraNaND TINN by appellant aapbr MU OW IGIISSION Caay I ON ON We pram* a pa ad Wan EN r m lama r balm Ine WivMaaadrMrWawIrgrybnwese W aakuradONlbw/ WWI Ward Oa Ism rblabavalaayalma ANA Iona ss w poems awake awNbmd. WAN oolong Awl aid waarNit _ dyes .>r Ilo.+IN. Nam rrmiaWMt, TON 1Wepabbrdwp a r NaplIbd ra bdawga yM Maw aIINWINtawAdMaMbpodb bawd asa aridawNYawbd dusead * WAaaMNdDimes wr ayawawieWNMtOaMawa ,awaaw w Was amWawa WNW aNSlyl wMaaaarNNaaM,Nr arm -nags wood fa dabs eaINWINIAbanM sewMarwabWaaMpound at *NNW WIN ON USW oroelr WNW D mOsal Njla1 RECE NOV 15 2004 COMMUN EV� ENT AM#DYAI/ W M COMITY NANCE I IMION I as* INA ail paorala wwpaidwNWMpsNMrMNadsbawNdaeNNadrpayWs two tar M /daabq yeses; NW O Mla m N dalwpwr *odd aaswsorlsaaAldrill WON far salaam aIIWaIapadiWaNwaaaran aw diIN away WNW MdIWdas aaaat Maya aloe*, pubis malaw paid la DK 1111 dad a KW CarlTNwww Deputy wa/ Coady Twaraar IONS GOYIM Assonant APPROVAL E dined and applaud DiM Deward aAaswsaaar dy es' >o� Was Crrg DIP* Woad b*wiNN}a VICINITY IMP IOM rpurNt IIMd Pull iaa CNai la TIAI tA$HORTOUNOMIaNCOMMITTEE Drawled w appal yD a Wet BNbdMdon CaNww and bray MEW IN Wm Ia *Na Wes_ Naar,'N__WOP w OP adCION —T...—MA --2. WAI,NMNa WNW. DaDos tai iaa Na`� ayd aq� + wt_irrMa��MM �rravaO �gnwra�„_�a.r aaao.rOwaia assay Imam aaar Amami Dias awNapa AaaawR hNONa rlraAlaO RAVEYORs 8114, stone Van IIttE al= CHOW at MIR & ART 1 aR 24" WITH 2" ON LEFT MARGIN AND 1/2" ON RIGHT MARGIN My o Waft Oi eM"eMGmergyYwNOpw/ p11 IkrawaItt MWMd Tii"Mk MIA NIS TwYpwplg Gwen FMMilitia! avert MI SHORT PLAT NUMBER INSERT MAP HERE SWIM MICAS It Valalf PAGE OF IN P 0 W P 0 M z 0 es- LOT 2 Building setback lines VID AO New Lot Line Li a n O' 0 o I N 98.69' zi5,.� 45. -•‘ 43.04'.__ 128:69' 1 . 1 1\ S87'59'09 "E p = 89'06'5 LOT 3 R= 3 °; ° ° k I 6 i a Parcel A — Tukwila! V � ( LLA # L04 -014) Building setback I 1 8 — 128.68' S87'59'07 t "E i 5 ' ' l in e s 1 New Lot - Line ,LOT 4 New Lo Line 30.00' 61 S87'59'09 "E i garage o0 4 0 006- ego ,- Building setback lines 0 128.06' " N 88'02 35 W I , Lot .__.. Zine 17/1 — LOT 1 I d �y�oo-oso , 41- o Building setback �I 1 lines 10 a 0 0 N lo M gr- vi O g I (I' 1 20.00' 44 ..fire O =90'53'01" R=20.00' L =31.72' 150.00' h� — 10.8' 94.35' Existing Garage Existing House #4240 (Parce B — Tukwila LLA # L04 -014) New Private 20' Easement for egress and utilities Subject to Drainage and Privat Maintenance Covenant Rec. #2( T.L.0040000795 L Water Line Utility & Maintenance Easement Re' hyd O N Private l Egress a Easemen Rec. #2( CITY OF TUKWILA KING COUNTY, WASHINGTON . 'SHORT PLAT. .• FILE NO. •`DECLARATION :' know Fall man' by the pneente that.ee,..the Undersigned, owited(0 inflec.simple of the Iand..II.rs :dssg Ashby:: .rtidti..01SH0( i.nde„refgned'firth edore 4A1. SHORT Kit to'be;o h1c rePreeentatlon of sold' SMOf 'PL-AT af .old '�d saris kr mode' with';thr free Consent and la' acc dglioe`wlth'.the dasMs.af the o.m.r(s)• IN 4 1N S :WFIEREOF. w• set :our hands: and scale. 'z - c_ Rangy • Nome - Stets, :. 11:•IE EAST H ADAM S FIOAIE,TRAGTS,' ACCORDI TO TM<i PLArt T} REOF REC ORDED 1N: VOLUME 11 ' OF PLATS;. PAGE 31-, .RF,OQRDS.OF RING ;COUNTY, WASHINGTON; 'EXCEPT.—THE SOUTH 1 THEREOF 'PRIVATE 12 FQOT *SEMENT: FOR :INGRESS, EGRESS AND UTILITIES LOT g:'. THE EAST FEET:.,OF' THE •SOUTH 1'04.14 FEET OF THE EAST • HALF 'OF 1.OT.17 ;.BLOCK •6, ADAM'S HOME TRACTS,: ACCORDING TO THE =RECORDED: IN: VOLUME 11 PLATS, PAGE '31x: RECORDS' AF •KING `CQIJNTY :.:.WASHINGTON. LAND SURVEYOR'S CER11FFCATE • 1: 'rpptred' oui. a. load. . • aurvayar: Air .the State of dishkngton,, codify that. Pim • • plat is based on Derr actual study of the land ukealbed • heresu, condd'by, uote me :a under my auptrvhlon; : ' • that the efedemee• Courses and : angle,.ore idiom thereon correct%%.- ad that mailumenlo o t h e r t h a n • o h m s monuments' Cppro d •for. setting at a laterv,dote. • had been•aet and ',at•oornfrs'staked'on the •grand dr • depleted on the plot: • SURVSY FOR: Zehrudkf Cock: 4248 So. 148th Street Tukwila. WA RECORDING NO. PORTION OF NW 1/4 of NE 1/4.- S. 2 t•'. T.' 2'3 .j `t R. — 4 LE•, SCHROETER. t►ND SU'R90 - 111 ': PROFESSIONAL- LAND SURVfr1'ORS.; :.. • ... •.. en lee &7. e.Nerrk.'VU p step ees'R ado txsiest PAx V70L14d?'"9AM� ,1DB NO 44 .q."44.:: , ::' Ps..' O i24tp. . DM. BY LAW. Cttim. BY , VOL/PAGE DATE . 11/06/04 CATE P1E1.0 6/24/04^ t ISO • .r..: sY Pi Ma Existing 84944 !4232 H 4- 17:aasrnent kprpa..eg . DATE (FIELD) 9/24/04'. ,LOB / 449/32 Rsv .d 10/8/04 PROJECT NO. DATE (OFFICE) 10/7/04 1 . 9 ': Fouod..plps or,r.8ar ?.' .:tIYdr9 Pottier gob • air . Trig, Etrrrgrssn Trai wofir"Tnater: pin' Found bigia ln . eon r to on Cale — .:' GRAPHIC SCALE 1 faab . >p. ft; LEGAL. DESCRIPTION '; TNE'EAST.HAEF OF TRACT 17..ELOCK 8. ADAMS :HOME TRACTS.• • AO`CORDING TO:TFLE PLAT THEREOF. RECORDED IN 9OWME'. n PLATS. PAGE 31.. RECORDS OF KING COIi■T.Y. WASHINGTON. South 148th .Street rift i 288: . " . "5 1 11" 0S s .ADS • Swirl♦: ry S;aiar' RH. ImiCa'X80 28i.* papirt hive Won ox ikon p1i�YC'•raabral . ide or.ot, or•Wy m•Mrt• ird/,o vdtain , ,. . s 'e.• mwwpp, css vh9:aeswaYeri ae rotes* ►:h+`., as,' : a.ida a t siYr7 ar. . t o -.m-4N seracfie a intgr vrd witty tpcolo s. ' . • Frir wa'b /e zti a . ` 'r __ rstt aM e . ol:* , • Coi.Wurs ihoa reeve b.en.Mi litsof i : 1Ybt etwa`aww • ecb.t Op:r .iryia. ray .!rY. ^ ' . THS 4ev.y M Win moored non.** xcin .. .. o► parties whin no ow s sower hereon only. end aW b riot insets to any unroof ah►1 par*. Mahout .xarase r.c.rwbatan by tn. Wd au.reyor• DWO BY law I JL 1/4 SEC. _22__ TWP.-22.- RG. , )LOT AREAS • 1 '- 6.700 SO.F . LOJ -2` =.1 • .q LE &END: . 2nd meter. •• SCALE: t'tee4. 30 tr. ' , DV*. 87 irr bF TUI(WJLA- :Cf3t WAS - N0TON PILE _NO. Mgr. Found brass pim:in • concrete on case - 9/24/04 Abiiarrtent in Case s� d' . ,'Stone. pkyp; y(', "or'F1ail8: Dirk • o'•. . Set:rstap.4f/4 Found: pip} o - i.,bar..:- 'RECORDER'S .CER flied for reedrdthis. day of ' 20 : . ,....at M In book of. ,,....at page ' of the request of Supt. of Records : Field dote for this sprvey woey • - .• .direct field Nugsuemebt.. Anodic!, and linear • mentionable. . ' airs 'rrreaedred'wMh'a,.x peaoild tksodditd•an¢►lecffdnk • msogurti9. d.vlce, , ipP ingnted by a steed Tape' • this survey neete• r.*itaede the etanAarr aontaLhd; h WAC 332 - 130,-090;.. LAND •SURVEY'OR'S CERTIFICATE . t. `' wgistrid. qi a land • surveyq by the Stole m Waar *VW that this • plat Y based an an attar*._svriax,ofrthe•.knd' ds.crbsd hirer. Conducted by rrli bider m}!..wpdvi ion: . • that :the dis`tancee,'. • carsw *dada are shown theism tarred$ •end :that maren.M other 'than those monuments approved for aattlnp at - o doter date, have been set and lot camera stoked on the ground as depicted an the plat SUR VSY', FOR: • Zihru i- Grids 4248 S 148th Street Tukwila, WA *hp:ADINC: NO. vbL/?AGE.. SCHRO;TOR pROFtSSItiNI : :i44. . iPkVEY6 Aa 1?s S13. Seeli red Vutlwa10 %oIH a0F, a ap4i 439ifl DATE 11./08/04 •.: DATE FIELD 9/24/04 PRQcJETT NO.. 0.024p • SCALE 1" . 30' SHEET 2 2 OF