HomeMy WebLinkAboutPermit D99-0431 - Paz Residence - Foundation and RepairsThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
D99 -0431
Fernando Paz
1395256 th Avenue South
RECORDS DIGITAL D- ) EXEMPTION LOG
THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION
Page # tode Exemption = 8rlef Explanatory DeSclriptiop �t�tutel ule
The Privacy Act of 1974 evinces Congress'
intent that social security numbers are a private
concern. As such, individuals' social security
Personal Information —
numbers are redacted to protect those
Social Security Numbers
individuals' privacy pursuant to 5 U.S.C. sec.
5 U.S.C. sec.
DR1
Generally — 5 U.S.C. sec.
552(a), and are also exempt from disclosure
552(a); RCW
552(a); RCW
under section 42.56.070(1) of the Washington
42.56.070(1)
42.56.070(1)
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
Redactions contain Credit card numbers, debit
card numbers, electronic check numbers, credit
Personal Information —
expiration dates, or bank or other financial
RCW
19
DR2
Financial Information —
account numbers, which are exempt from
42.56.230(5)
RCW 42.56.230(4 5)
disclosure pursuant to RCW 42.56.230(5),
except when disclosure is expressly required by
or governed by other law.
Fernando Paz
City of Tukwila ( (206) 431 -3670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
Parcel No: 000280 -0020
Address: 13952 56 AV S
Suite No:
Location:
Category: ASFR
Type: DEVPERM
Zoning: LDR
Const Type:
Gas /Elec.:
Units: 001
Setbacks: North:
Water: N/A
Wetlands:
Contractor License No:
OCCUPANT FERNANDO PAZ Phone:
13952 56th AVE, TUKWILA WA 98168
OWNER BOE DAVID L
16526 117 AV SE, RENTON WA 98058
CONTACT FERNANDO PAZ Phone: 206- 323 -1845
13952 56th AVE, TUKWILA WA 98168
* *•k ** k * * * * * ** ******• k*********** * * *•k * * *•k * *•k * * *•k **** *•k k *•k * * *•k ******** * *•k * * *•k * **** k
Permit Description:
SHORE UP EXISTING HOUSE PIER AND POST
FOUNDATION & REPAIRS
k * * ** k****************** *•k * * * * * * * * * * * * * * * * * * *•k *•k * * ** k****• k * * * *•k * *•k* * * * *•k * * * * *•k * * * ***
Construction Valuation: $ 400.00
PUBLIC WORKS PERMITS: *(Water Meter Permits Listed Separate) Eng. Appr:
Curb Cut /Access /Sidewalk /CSS: N
Fire Loop Hydrant: N :No: Size(in): .00
Flood Control Zone: N
Hauling: N Start Time:
Land Altering: N Cut:
Landscape Irrigation: N
Moving Oversized Load: N Start Time: End Time:
Sanitary Side Sewer: N No:
Sewer Main Extension: N Private: N Public: N
Storm Drainage: N
Street Use: N
Water Main Extension: N Private: N Public: N
*•k******************************************************* * ** * *k * ** *•k *•k** * * * * *•k** * *•k*
TOTAL DEVELOPMENT PERMIT FEES: $ 43.28
* * * ** ***********• k **•k * * * * * * * *•k * * * * * * * * * * * * ** * **•k *•k* k k* * *•k * * *•k **•k *•k * * * *k * * *** ** * **
_L ll
Gate 2— f__
Permit Center Authorized Signature:
I hereby certify that I have read and examined this permit and know the same
to be true and correct. All provisions of law and ordinances governing this
work will be complied with, whether specified herein or not.
The granting
cancel the
or the perf
development
DEVELOPMENT PERMIT
WARNING: IF CONSTRUCTION BEGINS BEFORE APPEAL PERIOD EXPIRES,
APPLICANT IS PROCEEDING AT THEIR OWN RISK.
.0 South: .0 East:
Sewer: N/A
Slopes: N
rmit does
on of any of
of work.
Occupancy:
UBC:
Fire Protection:
Permit No:
Status:
Issued:
Expires:
.0 West:
Streams:
End Tine:
Fill:
D99 -0431
ISSUED
12/13/1999
06/10/2000
DWELLING
1997
NONE
.0
presume to give authority to violate or
to or local laws regulating construction
thorized to sign for and obtain this
Date : MS/
This permit shall become null and void if the work is not commenced within
180 days from the date of issuance, or if the work is suspended or abandoned
for a period of 180 days from the last inspection.
•Address:`` .13952 , 56 AV
Suite.
Tenant
Type ,DEVPERM
Parcel ft: : :000280 -0020
No: .D99-0431
Status: ISSUED
App.lied 12/10/1999
Issued 12/13/1999
•k * * * ** k•k*'k . .t**•AMk* k**... k• k• k* k****** k• k**• k•k * * * *•k* * * ** * * * * * ** * * * *kA
Per'init Conditions:
1 •No changes w i l l : be, made to the plans unless approved by the
:Engineer and the Tukwila Building Division.
All permits, inspect ion recn'rds. and ;approved . plans shall ' be
•
,available.' at . the..job site prior to the start of any con-
struction. These documents are to`. be rnalntai'ned :and avail
;able until final inspection .approval is granted
Electrical._.perinits shall' be aiitained thr,ough.`the Washington
:estate Division; Labor and Industrles and al `electrical
.wort, AO 11` be i t s pe . cted by that agency'(-2,48-6630).
~Plumbing. :perrni,ts�Yshall be obtained through the Seattle King
County Public ;Health. Plumbing will be
.insperctedh�by that agency, ' g all gas piping'
(296 - 4:722)
A11; necl anical . wor.k,shall be under separate permit
the }''C i ty of = ,'Tukw i la.
,A1 ;P'construction to be done`:i,n conformance wi th approved
plans and requirements Of the Uni form ' B u i l d i n g Code (1997,
:Ed1tion) as amended, Uniforin Meehanical Code (1997 ,Edition).
and .Washington ,'State Energy "Code;` (1997.Edition) .
Validity, of Permit. The issuanc,eof a permit or approvalo
plans, specifications ,'. and aeon putations shall not be. con-
strue d to "be`'a permit for,' or an approval of, any violation
of of the provisions of the building ,code or of any,.
otheri ordinance of the jurisdiction., , No permit presuming, to
give autho'ritv"to violate or cancel the provisions of this
code, sha l l be valid.
Project Name/Tenant:
Y t Pq-a
Type of work: ❑ New Single - Family Residence ❑ Addition - Single - Family Residence
f terior Remodel- Single - Family Residence ❑ Residential Accessory Structure'
❑ Remodel /Addition to Accessory Structure ❑ Garage(s)
❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof
Value f Construction:
` f �G
Site Address: r City State /Zip:
I . q5 - Crrf i tie • S • (0 f au, In (I//? 9Y AL/
Tax arcel Number:
((00 — Aic0- 0'0 ,-- y
Property Owner:
Phone: 0-06)3,)-3--/q_5
Fax #:
Street Address:
3 r3 — - ,P:Y)i A ()e . St'Ct 7(P ,1
City State /Zip:
(4 /?
Contractor: No
Phone:
Street Address:
/J fir
City State /Zip:
Fax #:
Architect: r l) v e
Phone:
Street Address: `n
//)
� n
City State /Zip:
Fax #:
Engineer:
/
/V
Phone:
Street Address: n /
City State /Zip:
Fax #:
Contact Person:
FeY ncind 0 P07_.
Phone:
Street Address:
City State /Zip:
Fax #:
Description of work to be done:
S HtDR� (,) e xt-5 1 r3to RUL4SE PI t R (4N1 Pc> T FOvt D4lio?J! e R
Type of work: ❑ New Single - Family Residence ❑ Addition - Single - Family Residence
f terior Remodel- Single - Family Residence ❑ Residential Accessory Structure'
❑ Remodel /Addition to Accessory Structure ❑ Garage(s)
❑ Deck(s) - Covered & Uncovered ❑ Residential Reroof
Is this site served by: 71 Sewer ❑ Septic (King County Health Dept. approval required - 296 -4722)
Existing Square Footage for Structure: etc al sq. ft. Dwelling sq. ft. Covered Deck(s)
sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck
Proposed New Square Footage: sq. ft. Dwelling sq. ft. Covered Deck(s)
sq. ft. Garage /Carport sq. ft. Accessory Structure(s) sq. ft. Uncovered Deck
Floor Area Ratio: (total floor area of all structures divided by the area of the lot) •
*For an Accessory dwelling, provide the following:
Lot area Floor area of principal dwelling Floor area of accessory dwelling
* Provide documentation that shows the principal owner lives in one of the dwellings as his or her primary residence.
FOR STAFF USE ONLY
Single - Family Residential Permit Application
CITY OF TUKWILA
Permit Center
6300 Southcenter Blvd., Suite 100, Tukwila, WA 98188
(206) 431 -3670
Project;'h i n
: Pbrni
Application and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mall or facsimile.
APPLICANT REQUEST FOR'PUBLIC WORKS SITE/CIVIL ,PLAN .REVIEW OF THE FOLLOWING:
(Additional reviews shall be determined by the Public Works Department)
❑ Channelization /Striping
❑ Flood Control Zone
El Moving an Oversized Load:
❑ Sanitary Side Sewer #:
❑ Storm Drainage
❑ Water Meter /Permanent #
❑ Water Meter Temp #
SFPERMIT.DOC 2/13/97
:
❑ Curb cut /Access /Sidewalk in Fire Loop /Hydrant (main to vault) #:
❑ Land Altering: 0 Cut cubic yds.
End Time:
❑ Sewer Main Extension 0
❑ Water Main Extension 0
❑ Hauling
Start Time:
❑ Street Use
Private 0 Public
Private 0 Public
Size(s):
0 Fill cubic yds.
Size(s):
Size(s): Est. quantity: gal Schedule:
❑ Miscellaneous
Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be re-
viewed 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 ex-
pire by limitation. The building official may extend the time for action by the applicant for a period not exceeding 180 days upon
written request by the applicant as defined in Section 107.4 of the Uniform Building Code (current edition). No application shall
be extended more than once.
Date a 1 `cr •
Date attion,Os: 000
Ap cationtirals)
PLEASE SIGN BACK OF APPLICATION FORM
PAktas
BUILDING OW E J • • AUTHORIZED AGEN •
Signatur 'AN I°
Data
`g
/ ' �" ��
Print name: •
'
,.
r ey Y) A 1
rig
Phone:
�Qc. 9
I��
Fax #:
Address: .,�
4('
4ue
7 ` WI)
City /State /Zip:
( WI 97"/ 2Z
ALL SINGLE- FAMILY RESIDENTIAL PERMIT APPLICATIONS MUST BE SUBMITTED WITH THE FOLLOWING:
D DRAWINGS PREPARED By REGISTERED ARCHITECT OR PRC 'SSIONAL ENGINEER MAY BE
REQUIRED BY THE BUILDI ' OFFICIAL
D . S SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN
D BUILDING SITE PLANS AND UTILITY PLANS ARE TO BE COMBINED
N/A SUBMITTED
❑ ❑ Copy of recorded Legal Description from King County
❑ ❑ Certificate of water /fire flow availability (Form H -11 a). Contact the Public Works Department
(206) 433 -0179 for servicing district.
❑ ❑ Certificate of sewer availability (Form H -11). Contact the Public Works Department (206) 433-
0179 for servicing district.
❑ ❑ Metro: Residential Sewer Certification (if Tukwila Sewer District) (Form H -12)
❑ ❑ King County Health Department approval for septic - 296 -4722
Four (4) sets of working drawings, which include:
❑ ❑ Site Plan (see example Form H -16)
1. Existing fire hydrant location(s).
2. Proposed access road.
3. Driveway location- driveway shall be 10' wide minimum and 20' wide maximum. If driveway is over
150' long, driveway shall be 20' wide and have an approved turnaround (City Ordinance 1741).
4. North arrow and scale.
5. Building setback from property lines. Any proposed or existing easements must be shown on plan.
6. Public Works review requires the following on site plan: driveway location (10' min., 20' max. width),
show proposed and existing power, water and sewer lines, existing storm drainage system,
downspouts and foundation drains, and where drains tie -in.
7. Parking plan.
8. Lowest building elevation (if in Flood Control Zone).
9. Estimated /proposed topography at 2' intervals and proposed elevation of lowest floor level.
10. Identify location of sensitive areas slopes 20% or greater, wetlands, watercourses and their buffers.
11. Identify location and size of significant trees that are located in sensitive areas and buffers or the
shoreline zone. Of those, identify which are to be removed (Title 18, City of Tukwila Zoning Code).
12. Identify location of high water mark of the Green /Duwamish River if site is located within 200' of the
high water mark.
13. See Public Works Checklist for detailed site plan information required for Public Works Review (Form
H -9).
❑ Foundation plan and details
❑
) 5 ( Floor plan
❑ ❑ Roof plan
❑ ❑ Building elevations (all views)
❑ ❑ Building height
❑ ❑ Building cross - section
❑ ❑ Structural framing plans and details necessary to completely describe construction
❑ ❑ Washington State Energy Code Data (Gas /Electric /Oil /Propane /Heat Pump) Form H -15 available
at Permit Center OR Prescriptive Heating System Sizing Chap 9 Form H -6.
❑ ❑ Complete Land Use Applications if not previously submitted (i.e., Reasonable Use Exception,
Variance, Shoreline or Tree Permit).
❑ ❑ Attach plans, reports or other documentation required to comply with Sensitive Area Ordinance
and other land use or SEPA decisions.
❑ ❑ If dwelling has a septic tank, and a bedroom or bathroom are added, provide written approval
from the King County Health Department or the Tukwila Public Works Department prior to
submittal of permit application.
❑ ❑ Copy of Washington State Department of Labor and Industries Valid Contractor's License. If
not available at the time of application, a copy of this license will be required before the permit
is issued, unless the homeowner will be the builder OR submit Form H -4, "Affidavit in Lieu of
Contractor Registration ".
Building Owner /Authorized Agent If the applicant is other than the owner, registered architect/engineer, or contractor licensed
by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and
obtain the permit will be required as part of this submittal.
I HEREBY CERTIFY T AT HAVE READ AND EXAMIN D THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF
PERJURY BY THE THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
SFPERMIT.DOC 2/13/97
.43.281
tk., K* 4R* eF** A•R.> k•k *d4. * >t *. * *fi>t * ",*A 1,•AA ,.k • A• *:4.>t1k * **• * 4 * * •. .A*A.* . * * **:k
�;r` ►/ o1- Tur xI to. 1 :ra . 0 •I , rx��,430,1 r . .
A ' ' �4 •>4 +t ' A, . *: * ' ' �'' *' >'. * * k >t �t >�' rt'•1 h 1. >t • •R ! * A 4 4f •k +k *hit• :t i it it >k >. 4, k •+ * Ic * * >4 4.. 4 •k t d• ., •A /
. T N.urnhe� • W98.00201 '(4 nount,1 4+ 2I3.:12, 1.O/9►9 •10:21
I' tt Vni ii tr'<11.e:t, L1- HEC'I < Natisi; i ur : F CR,Ilf: rtDO - PAZ': . . I'll it i., .WEE;
Total Fee ; '143.2e
1•011Ml ALL. f n►t' 43
11 ancc�.; . t?O
t Ak** k**• k,*** k •h *>k>tkR *'A * *kk. >t►* *ok *>tk ** *** �t *.kA *>t * * " *k* >t * * * *A >4>t. *>t ,�,*
f? r ni "ri hIa• `.'t?'.ar-I 043 J. 1 ".y nu. C��'Jf'�fi11 t1 tlC:'L UF2�EPlT NCF<1!1JT• •
Pat�c. 1:_.:Nc u,Ci(l�?1�� ?•.0t 20 •
it•e' F1ridl X55 ! 3'a�.1:' 5E'r (4V.' �i ..
Account Code . • I)i c r i a1; i on •
000/322.'100 111.13 1_fix1 -' 2IC,NR(
000 /345.330 •PL(;t' CR ClC..- 14 0 14 12 0 13
000/3 86.904 $'f (.11E . 11113 1:D.I140 SLIDC1•IA1dCiE>
maun 1°
• 15.20
Pro ect:
T o f Ins ec '
Addres
t5` 5(0
5
Date called:
- c1- qq
Special instructions:
Sp a�c :
Dat wante
a Y (W.t
Ph on .14A 1 T7 LI 5
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF.TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
pproved per applicable codes.
COMMENTS:
Coget nvAis erowb
Inspe
Date:
PERMIT NO.
(206)43 1 -3670
0 Corrections required prior to approval.
$47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No:
Date:
COMMENTS: /A10..47 -1eMf -- z406.1 6.
A/0;4e. S ,t7Q 7" f re
pow
Abixvcr
'l 4/007.17 £ rC'$ 5F_ '
�jI
Date called:
//. ,4;1/4› rfiti(6,,S
CP P0575 4-d°E Ado 7%6,A/ 7 71)
13 S• (w /¢'r7D /" ,7 5)
,4'ot/ /p? foie' UPE, 6 '1¢,
�.�° %o.s.7 z9/,4 Ck( r 71) 50/4.-
3 . c 5O,41F, tAl /7 c> " 7v 5/
9 /6 1 Cl ,9F ' .5
6) P0a.ii.i SM o'75 X' vd D /,etc rz.9
/ icita "'op r2.c..76-7 / / c7` /.�./A r ,cx.
ri P ect:
� i i 2�1 c pO
'
Type of -inspection: !
(-61 -tclet -r7 /5)//
Add s
k .
Date called:
Special instructions:
Date wanted: t 1 /L9 J a.m.
/ p.m.
Requester:
al I O.-'t'•? ap
Phone:
Ala -- 5; — /g - fS °
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd, #100, Tukwila, WA 9818
0 Approved per applicable codes. Corrections required prior to approval.
PERMIT NO.
(206)431 -3670
0 $47.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid
at 6300 Southcenter Blvd., Suite 1001 Call to schedule reinspection.
6ae,10444.,
Date:
iZ l 99
Receipt No:
Date:
r f "PARATE' PER NT
FOR.
o MIECHAMCAL
ELEGTFICAL
PLUMBING
GAS PIPING
C :rf OF TUKI NI+LA
I_. 6IL DVI; BO
FILE COPY
I understand that the Plan Check approvals are
subject to errors and omissions and approval of
plans does not authorize the violation of any
adopted Ede srdinance. Receipt of con-
tractor's c' i
f approved plans ckr vuledged.
7 7
Permit No. ems,
By
Date
CITY OF TUKWILA
APPROVED
0 C 01999
Bt ;Ii_DING DIVISION
Shove -up 1d5 Whose
per a.4 Pas+ f
1 - • -
„ -
• • • • ".
- :
- . • .
•
y •
• • - • •
. .
4X4 treated wood
attached with
triangular plywood
to the main house
Ga de
13952 56th Ave S
Tukwila, Wa 98168
Fernando Paz (Owner)
206-323-1845
"SHORING DETAIL"
1 8x1 8x8 footing
reinforced with rebar
4X4 wood
ties
4x4 Wood treated
1/2 inch plywood
main structure
Existing partial
foundation
1/2 inch plywood screwed
with exterior rust free screws
Chimney
pr
Main entrance
//
//
CITY OF TUKWILA
APPROVED
DEC 1 0 1999
;fl DING DiVISION
Escrow: 46329JBWA
Escrow Officer: Jasmine B. Wall
ESTIMATED
ESCROW STATEMENT OF: Efieda Balagot
SELLER: David L. Boe
Property Address: 13952 56th Avenue South, Seattle, WA 98168
ITEMS DEBITS CREDITS
TOTAL CONSIDERATION
EARNEST MONEY DEPOSIT TO ESCROW
PRORATIONS /ADJUSTMENTS FROM TO
County Taxes, TAX ACCOUNT 000280- 0020 -07
CURRENT YEAR TAXES AT $661.62 11/24/99 1/01/00
TITLE CHARGES TO Evergreen Title Company, Inc.
Deed Recording Fee
BALANCE DUE ESCROW
TOTALS
Efieda Balagot
irst American Title Insurance Company
2101 FOURTH AVENUE, SUITE B00 • SEATTLE, WASHINGTON 98121 -2387 • (206) 728 -0400 • FAX (206) 728 -7220
ESCROW CHARGES
Escrow Fee
SALES TAX
Courier and Delivery Fees
Courier and Delivery Fees - Ta
ADDITIONAL DISBURSEMENTS
Hazard Insurance to
3r)3 ao*A�
` ♦ sq *ME
A .� 1
BUYER'S CLOSING STATEMENT
.„ WM-. 043
COPY
Order: 11764
Date: 11/23/1999
Closing Date: 11/24/1999
48,000.00
68.88
15.00
300.00
25.80
30.00
2.58
500.00
500.00
48,442.26
48,942.26 $ 48,942.26
CITY OF TUKWILA
DEC 1111999
PERMIT CENTER
TO: FIRST AMERICAN TITLE INSURANCE COMPANY
2101 Fourth Avenue
Seattle, WA 98121
(206) 728 -0900
AME
ti
A rhht�
First American Title Insurance Company
2101 FOURTH AVENUE, SUITE 800 • SEATTLE, WASHINGTON 98121 -2387 • (206) 728.0400 • FAX (206) 728 -7220
ESCROW INSTRUCTIONS
IMPROVED PROPERTY
Escrow No. 96329JBWA
Commitment No. 11769
Commitment Date October 13, 1999
First American Title Insurance Company as escrowee, is hereby instructed by the seller and the buyer named herein to act as an independent third party
in closing this transaction. In so doing, escrowee has or will select, prepare and complete certain instruments or documents, which may substantially
affect your legal rights. If you have any questions regarding such documents or instruments, or your rights, you should consult an attorney of your
choice, and First American Title Insurance Company recommends that you do so prior to signing such documents or instruments.
1 (We) fully understand that First American Title Company is not licensed to practice law and that neither it nor any of its employees are permitted to
offer legal advice of any nature, nor have they done so, nor may they advise as to the merits of a transaction or the manner in which I(We) should hold
title.
Escrowee has been handed a copy of the Purchase and Sale Agreement or such other documents and any Addendums, as constitute the Agreement to
sell and purchase this property. Acting in accordance therewith, escrowee is directed to close the transaction, and shall perform said closing in
accordance with the following instructions.
In the event there is a variance between the terms of the Purchase and Sale Agreement and the final terms of the sale as evidenced by the documents
delivered under these or other instructions, and the closing statements agreed to by the parties, closing shall he in accordance with such documents,
instructions and closing statements. All principals to this escrow acknowledge and agree that all terms and conditions of that certain
Purchase and Sale Agreement dated , and all Addendums thereto, have been met, waived, or satisfied, or
will be resolved outside of escrow and escrowee shall not be responsible for same, and they are no longer to be considered as conditions to this closing.
BUYER AND SELLER ACKNOWLEDGE THAT SELLER'S DISCLOSURE STATEMENT AS REQUIRED UNDER TITLE 64 RCW WILL 13E
DELIVERED OR WAIVED OUTSIDE OF ESCROW AND IS NOT TO BE CONSIDERED A CONDITION OF CLOSING.
SELLER(S) HEREIN DEPOSIT WITH YOU THE FOLLOWING:
( X ) Warranty Deed ( X ) Excise Tax Affidavit
( ) Bill of Sale ( ) Real Estate Contract (To be jointly executed by buyer)
( ) Deed in fulfillment of said Contract (To be returned to seller's possession on closing)
( ) Additional Documents:
executed by and between the following: David L. Boe, a single person
to EfLeda Balagot, a married woman as her separate estate ,
which cover the premises fully described in the above referenced preliminary commitment for title insurance ( the "Commitment"), which document(s)
you are instructed to record, file, release and /or deliver when you have all necessary funds and /or other documents as follows:
Seller warrants to escrowee that if seller is an individual, seller is not a non - resident alien for purposes of U.S. income taxation, or if seller is a
corporation, partnership, trust or estate, seller is not a foreign entity.
THE FOREIGN INVESTMENT IN REAL PROPERTY TAX ACT OF 1980 AS AMENDED BY THE TAX REFORM ACT OF 1984 PLACES
SPECIAL REQUIREMENTS FOR TAX REPORTING AND WITIIIIOLDING ON THE PARTIES TO A I;EAI4 ESTATE TRANSACTION WHERE
TIIE TRANSFEROR (SELLER) IS A NON- RESIDENT ALIEN OR NON - DOMESTIC CORPORATION OR PARTNERSIIIP OR IS A DOMESTIC
CORPORATION OR PARTNERSHIP CONTROLLED BY NON- RESIDENTS OR NON - RESIDENT CORPORATIONS OR PARTNERSIIIPS. IT IS
UNDERSTOOD AND ACKNOWLEDGED BY TIIE UNDERSIGNED THAT FIRST AMERICAN TITLE INSURANCE COMPANY AND ITS
ESCROW OR CLOSING OFFICER WILL NOT TAKE AN ACTIVE ROLE IN EITIIER THE DETERMINATION OF THE NON -ALIEN STATUS
OF THE SELLER TRANSFEROR OR THE WITHIIOLDING OF ANY FUNDS AND THAT FIRST AMERICAN TITLE INSURANCE COMPANY
AND ITS CLOSING OFFICER MAKE NO REPRESENTATIONS AND TIIAT PARTIES TO TIIIS TRANSACTION ARE SEEKING AN
ATTORNEY'S, ACCOUNTANT'S OR OTHER TAX SPECIALISTS OPINIONS CONCERNING THE EFFECT OF TIIIS ACT ON TIIIS
TRANSACTION AND ARE NOT ACTING ON ANY STATEMENTS MADE OR OMITTED BY THE ESCROW OR CLOSING OFFICER.
Buyer herein has deposited $ 500.00 , in U.S. funds as Earnest Money with First American
Title Insurance — Escrow ; and hands you herewith, and /or through their lender
will deliver to escrowee, funds sufficient to close. Buyer further hands you, or will cause to be delivered to you, such documents as may be required of
them to close this transaction. You are instructed to disburse or pay out said funds when you have recorded the necessary conveying document and /or
such other documents as required by this transaction, and can cause to be issued a policy of title insurance as called for in the Purchase and Sale
Agreement, and as may be required by the lender, insuring tide in (if by Deed) or an interest in (if by Contract), the named buyers(s), free from
encumbrance other than matters attaching by, through or under the buyers, and the following paragraphs as set forth in the Commitment,
which paragraph are numbered as 1
in the Commitment. Said policy is to further contain those Insuring clauses, exceptions, exclusions, provisions and stipulations customarily contained in
the printed provisions of such policy or policies.
Buyer and Seller acknowledge receipt of a copy of the Commitment and have agreed to the matters to remain, and have examined the legal description
contained therein and acknowledge the saute to be a full and correct description of the real property that is the subject of this transaction.
Page 1 of 3
Seller authorize deduction and payment of all encumbrances except those to be excepted from coverage in the tide insurance policy and to pay all other
disbursements and charges as itemized on the estimate closing statement and /or HUD settlement statement(the "Closing Statement "), which seller signs
contemporaneously herewith.
If there are underlying encumbrances being paid off which require the obtaining of a Fulfillment Deed, Reconveyance, Release or Satisfaction, you are
instructed to pay the demand of the appropriate party and obtain and record such a document. Sellers approve payment of the amount of the demand,
including interest and /or penalties and late charges, as shown on the Closing Statement, even if escrowee has not been able to obtain written verification
of the amount claimed as due. Sellers authorize deduction and /or agree to pay forthwith any difference that may result if the final written demand is
higher than that shown on the Closing Statement. The undersigned acknowledge that the payoff figures on existing encumbrances may accrue daily
interest and are not to be considered to be paid in full until received by the party entitled thereto and that interest will be paid to the date of anticipated
receipt of funds by the entitled party. Parties hereto authorize escrowee to transmit all documents, payoffs, checks, letters and all communication by
regular service through the U.S. mails, and if said items are deposited in the U.S. Mail system a minimum of five (5) working days before any
deadline, escrowee shall be relieved and discharged of any and all liability, and the obligated principal shall indemnify escrowee against any and all
claims resulting therefrom, and if additional funds are needed to satisfy these claims, the obligated principal shall deposit same forthwith.
Buyers authorize payment of those charges and adjustments as itemized on the Closing Statement, which buyer signs contemporaneously herewith.
It is understood and agreed that any Closing Statement is subject to final adjustment and audit, and may be amended to reflect actual charges and
adjustments at time of closing. If any monetary error is discovered, the principal liable therefor will forthwith pay into escrow for disbursement such
amounts as may be necessary.
All pro - rating is to be done as of Recording of Documents , on the basis of a 365 -day year. Pro -rate taxes only on real property (not personal property)
base on the latest available tax figures. Principals hereby acknowledge that the taxes may be assessed on land value only. In the event after closing, the
lender and /or its assigns is notified of taxes for omit improvements for said property, said principal parties will deposit on demand, their respective
share of omit taxes pro -rated as of date of closing.
GENERAL PROVISIONS
1. Value of fuel oil remaining on the premises is to be pro -rated and paid for outside of escrow between the buyer and seller. Buyer and Seller
acknowledge that seller is responsible for the liens set forth in R.C.W. 35.12.290; 35.67.200; 36.36.045; 36.89.090; 36.94.150; 56.16.100; 57.08.080
or 87.03.445. In accordance with R.C.W. 60.80, seller may request that Escrow holder administer disbursement of closing funds necessary to satisfy
the unpaid charges set forth above, Escrow holder is not liable if the Escrow holder's refusal to comply is based on the seller's inaccurate or incomplete
identification of utilities providing service to the property or if a utility company fails to provide an estimated or actual final billing, or written extension
of the per diem rate or if disbursement of closing funds necessary to satisfy unpaid charge would violate R.C.W. 18.44.070. A fee may be charged for
performing the services described herein above.
2. Neither the maner of possession of the property nor the condition thereof or suitability for its intended use shall be in any way an obligation of the
escrowee. Seller(s) warrant that all Homeowner's Association Dues and /or Assessments are paid to date and no delinquencies exist. Buyer(s) assume
responsibility for all subsequent Dues and /or Assessments.
3. You are authorized to fill in the date of close of escrow and such other necessary dates on any documents which require same to correct any typing
or scriveners errors on any documents delivered into escrow. Date of closing means the date on which instruments referred to herein are recorded.
Recording of any instrument delivered into this escrow, if necessary or proper in the issuance of policies of title insurance called for, is hereby
authorized.
4. All disbursements shall be in U. S. funds and shall be by escrowee's check, or by wire transfer. Escrow funds will be placed in an escrow account
which will pay no interest to depositor unless specifically requested. Parties hereto understand and agree that all funds delivered into escrow are subject
to immediate deposit, and that all checks must clear and be credited to escrowee's trust account as good and sufficient U.S. funds before closing can be
completed. Any delay in clearing deposits will delay closing.
5. Coverage of the subject property with fire or any other type of hazard insurance is the sole responsibility of the buyer and escrow is relieved of any
responsibility or obligation in connection therewith. HOWEVER, when a fire /hazard insurance Binder or Policy is required as a condition of closing, it
shall be submitted to escrowee and paid for, as required.
6. In the event this escrow fails to close, a sum sufficient to pay title commitment and escrow cancellation charges shall be paid, and as appropriate,
may be deducted front funds held.
7. The compliance with ordinances required by any governing bodies including City or County Short Plat(Subdivision)ordinances will be the
responsibility of the necessary principal parties herein and escrow is relieved of all liability in connection therewith. Any and all charges for building
permits or assessed charges in connection therewith will be handled outside of escrow.
8. You are to furnish a copy of these instructions, amendments thereto, closing statements and /or any other documents deposited in this escrow to the
lender or lenders, the real estate broker or brokers and /or the attorney or attorneys involved in this transaction upon request of such lenders, brokers, or
attorneys.
9. In the event any dispute shall arise involving a party to this escrow concerning the property covered by these instructions, or in the event conflicting
demands or claims are made with respect to this escrow or the rights of any of the parties hereto, it is expressly agreed that escrowee shall have the
absolute right, at its election, to do any, or all of the following; Withhold and stop all further proceedings in performance of this escrow; file suit in
interpleader and obtain an order from die court requiring the parties to interplead and litigate their claims and rights among themselves; or issue a check
to either seller or buyer made payable jointly to seller and buyer in the amount of the sums in dispute. In event an interpleader suit is brought,
escrowee shall be immediately fully released and discharged from all obligations to further perform any and all duties or obligations imposed upon it in
this escrow. Buyer agrees jointly and severally with seller to pay escrowee all costs, damages, judgments and expenses suffered, expended or incurred
by escrowee in connection with or arising out of this escrow, including, but not limited to, reasonable attorneys' febs.
10. Any additional instructions given to the escrowee herein shall be presented in writing. Buyer and seller further understand that contemporaneously
herewith there may be instructions by third parties which are necessary for the completion of this escrow and are, therefore, tnade a part hereof;
namely, such instructions as may be received from a lender, grantor, vendor, or others, affecting the property which is the subject of this escrow.
11. These escrow instructions, and amendments hereto, may be executed in one or more counterparts, each of which independently shall have the same
effect as if it were die original, and all of which taken together shall constitute one and the same instruction.
12. Title to equipment, fixtures, personal property or encumbrances or liens thereon or personal property tax or sales tax associated therewith are not a
part of this escrow and will be handled outside of escrow.
13. We have been afforded adequate time and opportunity to read, understand and approve these escrow Instructions and all documents referred to
herein.
14. The parties hereto authorizes you to destroy these instructions and all records of this escrow, regardless of date of same, at any time after seven(7)
years from date of these instructions without liability on your part, or need of further notice to or from us.
15. Internal Revenue Code Section 6109(11) imposes requirements for furnishing, disclosing, and including taxpayer identification number in tax returns
on the parties to a residential real estate transaction involving seller - provided financing. The parties understand that the disclosure reporting
requirements are exclusive obligations between the parties to this transaction and that First American Title Insurance Company is not obligated to
transmit the taxpayer identification numbers to the Internal Revenue Service or to the parties. First American Title Insurance Company is not rendering
an opinion concerning the effect of this law on the transaction, and the parties are not acting on any statements made or omitted by the escrow or
closing officer.
Page 2 of 3
ADDITIONAL INSTRUCTIONS:
Seller
Seattle, WA 98168
SELLERS INSTRUCTIONS RECEIVED THIS
PROCEEDS CHECK: (
To facilitate compliance with this law, the parties to this escrow hereby authorize First American Title Insurance Company to release any patty's
taxpayer identification number to any requesting party who is a patty to this transaction. The requesting party shall deliver a written request to escrow.
The parties hereto waive all rights confidentiality regarding their respective taxpayer identification numbers and agree to hold First American Title
Insurance Company harmless against any fees, costs, or judgments incurred and/or awarded in connection with the release of taxpayer identification
numbers.
First American Title Insurance Company has used reasonable commercial efforts to determine that the depository bank and
other commercial vendors selected by First American are capable of proccssing transactions without errors due to date field
related computer processing errors, including, without limitation, "Year 2000" errors. However, First American expressly
disclaims any liability resulting from date Geld related computer processing errors, including, without limitations, "Year
2000" errors, of third parties upon whom First American depends in processing escrows and/or titles and over which First
American has no rantrol.
Subject to the provisions of Paragraph No. 9 of the GENERAL PROVISIONS herein, these instructions shall be irrevocable by the undersigned for a
period of (30) days from the date of last execution hereof and shall be performed with said period or thereafter until written demand is made upon you
for the cancellation thereof.
Dated November 23, 1999 Dated November 23, 1999
David L. Roe
Seller Buyer
Seller Buyer
Seller Buyer
Address 13952 56th Avenue South Address
Telephone (253) 630 -3275 Telephone
DAY OF BUYERS INSTRUCTIONS RECEIVED THIS DAY OF
. 19 AT O'CLOCK. ' , 19 AT O'CLOCK.
) • Picked up by Sellers
) Call When Ready
) Mailed to Sellers (Give new address if available)
Page 3 of 3
Buyer Z elct. �ela
E ed a Balagot
i
}
AFTER RECORDING MAIL TO:
Filed for Record at Request of
First American Title /Seattle
Escrow Number: 96329JBWA
Grantor(s): Fernando Paz, husband of Efleda Balagot
Grantee(s): Efidea Balagot, a married woman as her separate estate
Abbreviated Legal: Portion of Joseph Foster Donation Land Claim #39
Additional legal(s) on page: 2
Assessor's Tax Parcel Number(s): 000280 - 0020 -07
THE GRANTOR Fernando Paz, husband of Efleda Balagot
for and in consideration of to separate community property
conveys and quit claims to Efleda Balagot, a married woman as her separate estate
the following described real estate, situated in the County of KING State of Washington, together with all after
acquired title of the grantor(s) therein:
Real property legally described under attached Exhibit A, incorporated
herein by this reference.
QUIT CLAIM DEED
STATE OF WASHINGTON }.
County of
I certify that I know or have satisfactory evidence that Fernando Paz
Dated: November 23, 1999
King 3 SS:
1 A me•,
Furst American Title
Insurance Company
i s the person s who appeared before me, and said person acknowledged that he
signed this instrument and acknowledge it to be his free and voluntary act for the uses and purposes
mentioned in this instrument. •
Jasmine B. Wall
Notary Public in and for the State of WASHINGTON
Residing at Seattle
My appointment expires: 6/17/2002
Page 1 LPD -12
First American Title Insurance Company
2101 FOURTH AVENUE, SUITE 800 • SEATTLE, WASHINGTON 98121 -2387 • (206) 728 -0400 • PAX (206) 728 -7220
Escrow No.: 46329.IBWA
November 23, 1999
TO: Purchaser and Seller
s l &ma o
4%*
DISCLOSURES TO THE PARTIES
UNDER APR12
IN ACCORDANCE WITH THE REQUIREMENTS OF A.P.R. 12 OF THE SUPREME COURT OF THE
STATE OF WASHINGTON, FIRST AMERICAN TITLE INSURANCE COMPANY AND THE CLOSING
OFFICER SPECIFIED BELOW HAVE THE DUTY TO INFORM YOU OF THE FOLLOWING:
1) The Closing Officer is not acting as the advocate or representative of either party;
2) The Closing Officer will prepare documents which affect the legal rights of both parties;
3) The parties may have differing interests in the documents;
4) The parties have the right to be represented by lawyers of their own selection and each party
may have a separate lawyer;
5) The Closing Officer cannot give legal advice to the parties concerning the manner in which the
documents affect those parties.
The Closing Officer is only permitted to select and complete documents which have been approved by the Limited
Practice Board in accordance with a written Purchase and Sales Agreement which contains all of the basic terms of
the transaction. The Closing Officer is not permitted to negotiate terms which are not included in the written
Purchase and Sales Agreement. The Closing Officer is not permitted to practice law.
In this transaction your Closing Officer is: Suzanne Schroeder , her Limited Practice License No. is: 722 .
Dated: November 23, 1999
FIRST AMERICAN TITLE INSURANCE COMPANY
Please acknowledge receipt of the foregoing Notice of Compliance with A.P.R. 12 and that you have read the
same by signing your name(s) to the copy of this Notice on the signature line(s) below. (If such Notice has been
hand - delivered or mailed to you, please return the copy of the Notice showing your signature(s) in the enclosed,
stamped, self addressed envelope.) We will be unable to continue with the closing until we have received the
signed Notice from you.
I have received and read a copy of the Disclosure, and understand its contents this day of
,19
PURCHASERS: SELLERS:
`t�l,Ccaa- eq,tot.
Efieda Balagot
David L. Hoe
Purchased by: EFLEDA B PAZ
Bank of America
Cashier's Check Receipt
Prepared by:
117
Payable to: ** *FIRST AMERICAN TITLE * **
** *ESCROW TRUST ACCT * **
Check purchased in the amount of: ** *$48,442.26 * ** DRAWER: Bank of America, N.A.
NOT NEGOTIABLE
Date Issued: November 23, 1999
NO.:
}
Notice to Client: If your check Is loot, stolen or destroyed, you may be required to sign an Indemnity agreement
before drawee will provide a refund or replacement. You will not be entitled to a refund or replacement until
after 90 days from the Issue date, and you will receive a refund or replacement only If the check has not been
paid and the drawee is not otherwise required to pay the item or hold the funds.
FORM 7330 REV 9.1999
PURCHASER'S RECEIPT
Ref# '3081171385
December 8th., 1999,
e: Authorization.
I Efleda Balagot authorizes Mr. Fernando Paz ( to do any and all work
in our house.
If you have any questions please feel free to contact me at your convenience at
206- 323 -1845 or you can call me at work at 206 - 324 -9360 ext. 2291.
June 9, 2000
Fernando Paz
13952 56 Ave S
Tukwila Wa 98168
RE: Permit Status D99 -0431
13952 56` Ave S
Dear Mr. Paz:
Department of Community Development Steve Lancaster, Director
In reviewing our current permit files, it appears that your permit to repair the house foundation,
issued on December 13, 1999, has not received a final inspection as of the date of this letter by
the City of Tukwila Building Division.
Per the Uniform Building Code and/or Uniform Mechanical Code, every permit issued by the
building official under the provision of this code shall expire by limitation and become null and
void if the building or work authorized by such permit is not commenced within 180 days from
the date of such permit, or if the building or work authorized by such permit is suspended or
abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, if a final inspection is not called for within ten (10) business days from the
date of this letter, the Permit Center will close your file and the work completed to date will be
considered non - complying and not in conformance with the Uniform Building Code and /or
Mechanical Code.
Please contact the Permit Center at (206) 433 -7165 if you wish to schedule a final inspection.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
Xc: Permit File No. D99 -0431
Duane Griffin, Building Official
Steven M. Mullet, Mayor
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206.431.3670 • Fax: 206 - 431.3665
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DEPARTMENTS:
Building Division
Public Works
PERMIT COORD COPY
PLAN REVIEW /ROUTING SLIP
CTIVITY, NUMBER: D99 -0431 DATE: 12-10-99
PROJECT :NAME: FERNANDO PAZ RESIDENCE
X Original'Plan Submittal Response to Incomplete Letter # ,
Response to Correction Letter # _ Revision # _ After Permit Is Issued
C
Fire Prevention
Structural
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
n
n
Planning Division
Permit Coordinator
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S
DUE DATE: 12 -14 -99
Complete Incomplete Ti Not Applicable Ti
Comments:
TUES /THURS ROUTING:
Please Route ri Structural Review Required n No further Review Required
REVIEWER'S INITIALS: DATE:
APPROVALS OR CORRECTIONS: (ten days) DUE DATE 1 -11 -00
Approved Ti
n
Approved with Conditions ❑ Not Approved (attach comments) Ti
REVIEWER'S INITIALS: DATE:
CORRECTION DETERMINATION: DUE DATE
Approved n Approved with Conditions ❑ Not Approved (attach comments) El
REVIEWER'S INITIALS: DATE:
\PRROUTE.DOC
5/99
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