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HomeMy WebLinkAbout2016 - Sensitive Area Covenant and Hold Harmless Agreement - Stolyarchuk Nikilay / Stolyarchuk Maryana - 20161107000113Return to: City Clerk City of Tukwila 6200 Southcenter Boulevard Tukwila, WA 98188 20161107000113 CITY OF TUKWIL AG 156.00 PAGE -001 OF 011 11/07/2016 09:36 KING COUNTY, WA Above this line reserved for Recorder's use HOLD HARMLESS - SENSITIVE AREA Grantor /Borrower: N /K /LAY AND MARYANA STOLYARCHUK Grantee /Beneficiary: CITY OF TUKWILA, a municipal corporation of King County, Washington Document Reference Number(s): Section/Township /Range: SEC 23, TWP 23N, R 4E Assessor's Tax Parcel Number(s): 115720 -0072 Property Legal Description (abbreviated): BROOKVALE GARDEN TRACTS PARCEL B OF TUKWILA BLA L06 -033 REC #20060725900001 SD BLA BEING LOT 7 OF SD PLAT LESS HWY COVENANT AND HOLD HARMLESS AGREEMENT — Sensitive Area Page L of // SENSITIVE AREA COVENANT AND HOLD HARMLESS AGREEMENT This covenant and hold harmless agreement (the. "Agreement ") is entered into between. Nikolay and Maryana Stolyarchuk, ("Owner"), and the City. of Tukwila, a Washington municipal corporation (the "City ").. RECITALS WHEREAS,. Owner owns and has applied. for necessary permits to. develop certain real, property (the. "Property ") legally described in Exhibit A,. which. is attached. and incorporated. by reference.. WHEREAS,. a portion of the Property contains sensitive. areas. of classified potential. geologic instability. as depicted in Exhibit B, which. is attached. and incorporated. by reference. WHEREAS,. as a. condition of the issuance. of construction permits. for the Property,. the application for which. is attached. hereto. as Exhibit C. (the. "Project "), the City. required. the Owner to_ execute. and record this "Sensitive. Area Covenant and Hold. Harmless. Agreement ". to hold. the City of Tukwila harmless. from all. loss incurred as a. result of any, landslide,. seismic activity, or, soil disturbance.. WHEREAS, Owner assumed this obligation in order to obtain said subdivision plat approval, land use permits, and /or construction . permits for the. Property. WHEREAS,. the parties. agree. that this. Agreement constitutes an arms- length, bargained -for agreement,. which includes. a. waiver of liability, that runs. with the land for risks created by the proposed. use of the Property. because. of the shape,. composition,. location or other characteristic unique. to the Property sought to be developed.. NOW, THEREFORE, the parties agree as follows:. AGREEMENT 1.. In consideration. of the City. issuing. subdivision plat approval and /or other development permits,. which. constitutes. good. and valuable. consideration,_ the receipt of which. and the sufficiency of which. the Owner hereby. acknowledges, the. Owner shall. defend, indemnify,. and. hold the City, its officers,. officials,. employees,. agents,. and assigns. harmless, from any and all. claims,. injuries,. damages,. losses,. or suits,. whether brought by Owner or third. parties,. including all legal costs and reasonable attorney fees,. arising. out of or in connection with any injuries or damages to. persons. or property. caused. in whole. or in part by, any, landslide. or seismic activity or soil disturbance on the Property,. legally. described. in. Exhibit A,. which, is attached and incorporated. by reference. hereto,. provided that Owner shall. not be liable. for any claims,. injuries,. damages,. losses,. or suits. (including. legal. costs and reasonable attorney fees),. arising out of or in connection with, any injuries or damages to persons or property. caused in whole or in part by. any landslide or seismic 2©F'J DATED this 4\\ day of C � O - ; 20 14 GRANTOR(s): GRANTOR(s): GRANTOR(s): individual(s) STATE OF WASHINGTON ss. COUNTY OF KING On this 67 day of Se 0014 ✓, 20 / 6 , before me a Notary Public in a d for the State of Washington, personally appeared r n i �Ciila 1 S-i-DI a rd«X , , and J\ )/, )1a (4.. .6 to / dalto ( , to me known to be the individual(s) that executed the foregoing instrument, and acknowledged it to be the free and voluntary act of said individual(s), for the uses and purposes mentioned in this instrument, and on oath stated that he /she /they was /were authorized to execute said instrument. IN WITNESS WHEREOF, I have he, eunto set my hand and official seal the day and year first above written. LAURIE A. WERLE NOTARY PUBLIC STATE OF WASHINGTON COMMISSION EXPIRES MAY 29, 2018 Name: Aae/o7i Le A L1t -ice (, NOTARY PUBLIC, in and for the State of Washington, residing at •%ct kwwt My commission expires: 05/d- �l �S Page 4 of if DATED this 1(D`* day of 0C-1-72)1--e---K- Ci"1-72) K- , 2016. GRANTEE: CITY OF TUKWILA Mayor Attest/Authenticated: Approve • As to Form: I 4_-L.LA/ IF- ity Attorney STATE OF WASHINGTON ) ) ss. County of King ) On this (7 day of 0(A-1:› , 2016, before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared Allan Ekberg, known to me to be the Mayor of CITY OF TUKWILA, the municipal corporation that executed the foregoing instrument, and acknowledged it to be the free and voluntary act of said municipal corporation, for the uses and purposes mentioned in this instrument, and on oath stated that he was authorized to execute said instrument. WITNESS my hand and official seal hereto affixed the day and year above written. r Dide-& ) print name sER 1i" 7.44:::44:443;i4:9;;;:.;#i) Op wow 1111 %%MO Q try\ NOTARY PUBLIC in aWd for the State of Washington, residing at Page Yof EXHIBIT A LEGAL DESCRIPTION OF PROPERTY THAT PORTION OF TRACT 7 OF BROOKVALE GARDEN TRACTS AS RECORDED IN VOLUME 10 OF PLATS, PAGE 47, LYING SOUTH AND WEST OF THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT ON THE WEST LINE OF SAID TRACT 7, 170.00 FEET NO 41 '20 "E OF THE SOUTHWEST CORNER THEREOF; THENCE N89 (16'41 "E 208.84 FEET,- THENCE S2 26'32 'E 180.00 FEET TO THE SOUTH LINE OF SAID TRACT 7. COVENANT AND HOLD HARMLESS AGREEMENT — Sensitive Area Page 6 of 1 EXHIBIT \B DEPICTION OF SENSITIVE AREAS • SENSITIVE AREA 1 COVENANT AND HOLD HARMLESS AGREEMENT — Sensitive Area Page 2 of 1� EXHIBIT C D16 -0159 PERMIT APPLICATION CITY OF TUKWILA Conununi4, Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulcwilaWAs_ov Building Permit No. Pro7ectNo;,... Date Application Accepted: Date Application Expires: I Z (For 'o CONSTRUCTION PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION �a2&.S(z Site Address: \ 2-cfaf) Tenant Name: PROPERTY OWNER "L____ Name: UE- C� 17vr )PY1jZ�! `i,.� r,c Address: L, 0,2) ,.f.-/ r City: f —J_ _, - -oy.) State:(n n Zip:q -S1 CONTACT PERSON - person receiving' all project communication "L____ Name: s__a_e,, Address: wc.., 644 r s---,0 City: '71.60.... State: Zip:q [3e PhonV,0 /04 s,..9.!!'2.13x: Email: AGor.c4.ie AL 1m,s4L, (CAF4 f� GENERAL CONTRACTOR INFORMATION Company Name: Engineer Name: /I - 41/4( &I'r / X ,(rp Address: Phone: /2040.../.059 / 17(Oax: Architect Name: City: State: Zip: Phone: Fax: City: Contr Reg No.: Zip: Exp Date: Tukwila Business License No.: Email: King Co Assessor's Tax No.:1 ZO - 007 Z Suite Number: Floor: New Tenant: El Yes 12]..No ARCHITECT OF RECORD Company Name: f , � ,f� 1i<4.9 Engineer Name: /I - 41/4( &I'r Company Name: City: ..171‘„ State:[ , Zipq'c /c Phone: /2040.../.059 / 17(Oax: Architect Name: Address: City: State: Zip: Phone: Fax: Email: ENGINEER OF RECORD Company Name: f , � ,f� 1i<4.9 Engineer Name: /I - 41/4( &I'r Address: i(- -Z 4- 4 5� f City: ..171‘„ State:[ , Zipq'c /c Phone: /2040.../.059 / 17(Oax: ( Email:,., �rU- -) .4W , CAR LENDER/BOND ISSUED ,(required for projects $5,000 or greater-per RCP/ 19.27.095) Name: Address: City: State: Zip:. COVENANT AND HOLD HARMLESS AGREEMENT - Sensitive Area Page 6 of !! J i L,11C- ogO iT;RNIT INFO] i Y11®l�I 206 433 0179: Scope of Work (please provide detailed information): Call before you 1JMgo 8 Please refer to Ftahlic Works B lietin #Il for fees Mad estimate sheet. Water District ❑ ...Tukwila ❑ ... Water District #125 ❑...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate ❑ .. Highline ❑...Valley View . Renton ❑... Sewer Availability Provided .. Renton ❑ .. Seattle Septic System: ❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design. approved by King County Health Department. Submitted with Arolication (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34 ") ❑ ...Technical Information Report (Storm Drainage) "❑,,.Bond ❑ .. Insurance ❑ .. Easement(s) ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ ...Traffic Impact Analysis ❑ ...Hold Harmless — (SAO) ❑ ...Hold Harmless — (ROW) Proposed Activities mark boxes that appilv): ❑ ...Right -of -way Use - Nonprofit for Less than 72 hours ❑ .. Right -of -way Use - Profit for less than 72 hours ❑ ...Right -of -way Use - No Disturbance ❑ .. Right -of -way Use — Potential Disturbance ❑ ...Construction/Excavation/Fill - Right -of -way ❑ Non Right-of-way ❑ E ...Total Cut �� cubic yards ❑ .. Work in Flood Zone ❑ ...Total Fill cubic yards ❑ .. Storm Drainage ❑ ...Sanitary Side Sewer 7 q 0 .. Abandon Septic Tank ❑ ._ Grease Interceptor ❑ ...Cap or Remove Utilities ❑ .. Curb Cut ❑ .. Charmelization ❑ ...Frontage improvements ❑ .. Pavement Cut ❑ .. Trench Excavation ❑ ...Traffic Control ❑ .. Looped Fire Line ❑ .. Utility Undergrounding ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ ...Permanent Water Meter Size... WO # ❑ ...Temporary Water Meter Size .. WO # ❑ ...Water Only Meter Size WO # ❑ ...Deduct Water Meter Size o ...Sewer Main Extension Public ❑ Private ❑ • ❑ ...Water Main Extension Public ❑ Private ❑ FINANCE INFORMATION Fife Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water ❑ ...Sewer ❑ ...Sewage Treatment Monthly Service Billing to: Name: Day Telephone: Mailing Address: - City State Zip Water Meter Refund/Billing: Name: Day Telephone: Mailing Address: I City Sate Zip 90p 1/ `BtTILDING PERMI T )N'ORMATIIDI?I 206- 430670 Valuation of Project (contractor's bid price): $ 1 'at2r iz o ' Describe the scope of work (please provide detailed information): t� >t�coa -9 CO 0,21' G Will there be new rack storage? ❑ Yes Existing Building Valuation: $ 2�3 .. No If yes, a separate permit and plan submittal will be required. Pro* All goildttig Arias it Sqs nra gotage t.elow PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) For an Accessory dwelling, provide the following: ..7i5-70 Lot Area (sy ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes k No If "yes ", explain- FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 "paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System -For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. 10 OP 11 Existing. InteriorRemodel Addition 'to Existing Structtre. New Type'of Construction per IBC Type of • Occupancy per IBC V:Floor .. PVC, I. '%(GLP ... ■I:(> 12 2 "4 Floor s - - ' 3' Floor Floors thin Basement ,g,C2 tom_ Accessory" Structure' - Attached Garage Detached Garage o .- p -2 - _ w Attached Carport. - _ —' Detached Carport _., d _ Covered Deck - - �-! --!_::' - - Uncovered Deck _ q(.9 A PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) For an Accessory dwelling, provide the following: ..7i5-70 Lot Area (sy ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes k No If "yes ", explain- FIRE PROTECTION /HAZARDOUS MATERIALS: ❑ Sprinklers ❑ Automatic Fire Alarm ❑ None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes ❑ No If `yes', attach list of materials and storage locations on a separate 8 -1/2" x 11 "paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On -site Septic System -For on -site septic system, provide 2 copies of a current septic design approved by King County Health Department. 10 OP 11 PERMIT APPLICATION NOTE8.: Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code ( current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN R OR A .' ED AGE Signature: Print Name: Mailing Address: C L `jiG ) Date: (Wt� (I Day Telephone: Ve,lO q55 e7I Z s•—.77 C�-) q Cif ty State Z13C. i ip 11 OP