AG 23-216 - FALVIC, LLCMODIFICATION OF CLOSING DATE ADDENDUM
The following is part of the Purchase and Sale Agreement dated October 11, 2023, between the
City of Federal Way ("Buyer") and Falvic, LLC ("Seller") concerning the property located at
31016_2e Ave S, Federal Way, WA 98003 (the "Property"), parcel number 092104-9009.
1. MODIFICATION OF CLOSING DATE. The parties hereby agree to modify the Closing
Date set forth in said Purchase and Sale Agreement to on or before: January 9, 2024.
All other terms and conditions of said Purchase and Sale Agreement remain the same.
1213/2023
Buyer's initials Date Buyer's initials Date
1 y3
Seller's initials Date
RETURN TO: PW ADMIN EXT: 2700 ID #(4307) 4316
CITY OF FEDERAL WAY LAW DEPARTMENT ROUTING FORM
1. ORIGINATING DEPT/DIV: PUBLIC WORKS / Deputy Director
2. ORIGINATING STAFF PERSON: Desiree Winkler EXT: 2711 3. DATE REQ. BY: 9/29/23
3. TYPE OF DOCUMENT (CHECK ONE):
a CONTRACTOR SELECTION DOCUMENT (E.G., RFB, RFP, RFQ)
❑ PUBLIC WORKS CONTRACT ❑ SMALL OR LIMITED PUBLIC WORKS CONTRACT
❑ PROFESSIONAL SERVICE AGREEMENT ❑ MAINTENANCE AGREEMENT
❑ GOODS AND SERVICE AGREEMENT ❑ HUMAN SERVICES / CDBG
p REAL ESTATE DOCUMENT ❑ SECURITY DOCUMENT (E.G. BOND RELATED DOCUMENTS)
❑ ORDINANCE ❑ RESOLUTION
❑ CONTRACT AMENDMENT (AG#): ❑ INTERLOCAL
EI OTHER Purchase & Sale Agreement
4. PROJECT NAME: Operations and Maintenance Facility - Property Acquisition PSA Master Template
5. NAME OF CONTRACTOR: Parcel Number: 0921049009
ADDRESS: TELEPHONE:
E-MAIL: FAX:
SIGNATURE NAME: TITLE:
6. EXHIBITS AND ATTACHMENTS: ❑ SCOPE, WORK OR SERVICES ❑ COMPENSATION ❑ INSURANCE REQUIREMENTS/CERTIFICATE 0 ALL OTHER
REFERENCED EXHIBITS ❑ PROOF OF AUTHORITY TO SIGN ❑ REQUIRED LICENSES ❑ PRIOR CONTRACT/AMENDMENTS
CFW LICENSE # BL, EXP. 12/31/^ UBl # , EXP.
7. TERM: COMMENCEMENT DAIS n/a COMPLETION DATE: n/a
8. TOTAL COMPENSATION: $ 485, 000.00 (INCLUDE EXPENSES AND SALES TAX, IF ANY)
(IF CALCULATED ON HOURLY LABOR CHARGE - ATTACH SCHEDULES OF EMPLOYEES TITLES AND HOLIDAY RATES)
REIMBURSABLE EXPENSE: ❑ YES 13 NO IF YES, MAXIMUM DOLLAR AMOUNT: $
IS SALES TAX OWED: ❑ YES ❑ NO IF YES, $ PAID BY: ❑ CONTRACTOR ❑ CITY
RETAINAGE: RETAINAGE AMOUNT: ❑ RETAINAGE AGREEMENT (SEE CONTRACT) OR ❑ RETAINAGE BOND PROVIDED
O PURCHASING: PLEASE CHARGE TO: r36610-26110
9. DOCUMENT / CONTRACT REVIEW INITIAL / DATE REVIEWED INITIAL / DATE APPROVED
❑ PROJECT MANAGER
❑ DIVISION MANAGER
6 DEPUTY DIRECTOR os y gimp
❑ DIRECTOR 1O tq 70�'7�,
❑ RISK MANAGEMENT (IF APPLICABLE)
A LAW DEPT KVA 9/21/2023
10. COUNCIL APPROVAL (IF APPLICABLE) SCHEDULED COMMITTEE DATE: COMMITTEE APPROVAL DATE:
SCHEDULED COUNCIL DATE: COUNCIL APPROVAL DATE:
11. CONTRACT SIGNATURE ROUTING
❑ SENT TO VENDOR/CONTRACTOR DATE SENT: DATE REC' D: 10/17/2023
❑ ATTACH: SIGNATURE AUTHORITY, INSURANCE CERTIFICATE, LICENSES, EXHIBITS
❑ CREATE ELECTRONIC REM INDER/NOTIFICATION FOR 1 MONTH PRIOR TO EXPIRATION DATE
(INCLUDE DEPT. SUPPORT STAFF IF NECESSARY AND FEEL FREE TO SET NOTIFICATION MORE THAN A MONTH IN ADVANCE IF COUNCIL APPROVAL IS NEEDED.)
INITIAL / DATE SIGNED
❑ FINANCE DEPARTMENT
IS LAW DEPT V f1 ZO Tad
d SIGNATORY (MAYOR OR DIRECTOR) O
6 CITY CLERK O
ASSIGNED AG # # 23-216
❑ SIGNED COPY RETURNED b4rE SENT: S
COMMENTS:
EXECUTE " 1 "ORIGINALS
Requesting a review of this offer package as the "TEMPLATE" for all offer packages on this project Once this one is reviewed and approved, we will make all offers on These same forms.
KVA 9/21/23 - template approved
l/2020
T�Ierrertl
A C L S C 0 M P A N V
RE: Project Name: Federal Way, O & M
Property Owner: Falvic, LLC
Project Parcel No. 092104-9009
DOCUMENT(S) TRANSMITTED:
El Hand Delivered ❑ US Mail
DATE: 1011812023
TO: City of Federal Way
Attn: Desiree S. Winkler, P.E.
Address: 33325 81h Ave. S.
Federal Way, WA 98003
Phone: (253) 835-2711
n Pick -Lin ❑ Other
Dated
No.
Item
/28/2023
1
Offer Letter -signed acknowledgement
10/11/2023
2
Purchase and Sale Agreement- for city signatures
10/11/2023 i3
Warranty Deed - for city signatures
10/11/2023
4
Real Estate Excise Tax Affidavit- for city signature
10/11/2023
10/11/2023
5
6
Real Property Voucher- for processing payment
W-9 for LLC - to process payment
10/11/2023
7
Utility Service Provider Contact List
10/11/2023
8
Seller's Disclosure Statement -for city review
9/19/2021
10/11/2023
9
10
Inspection Report
Escrow Agreement -need city signature, for escrow to process closing
For your Approval & Process
❑ For your Information
❑ As Requested
❑ For your Signature
❑ For your Use
❑ For Review & Comment
❑ Other:
COMMENTS:
Desiree,
Please let me know if you will deliver signed original copies to Escrow/Title. We need to send originals to
the Chicago Title Seattle office. They will coordinate signing for the city and the seller.
Thanks,
Marge
Marge R. Bailey
Project Manager
Tierra Right of Way Services, Ltd.
8685 Martin Way E., Ste 203, Lacey, WA 98516
253.439.7143 mobile 1800. 887.0847 1 www.tit�rEa-row.com
RECEIVED BY:
DATE:
^='_
, 4 .__. .._--it `��.i_�:;i�-... _:i; .., ■
h��., �i _. _�:J 33 13J
A C L S C 0 M P A N Y
9/28/2023
Falvic, LLC
Attn: Karen Lu
2307 17th Ave. S.,
Seattle, WA 98144
Offer Letter
Project Title: City of Federal Way, Joint Operations & Maintenance Facility
Parcel No.: 092104-9009
Dear Ms. Lu:
The City of Federal Way (City) plans to proceed with the above -titled public project. The City will
be constructing a new Operations and Maintenance Facility in the Steel Lake proximity.
The purpose of this letter is to notify you of the following:
• The City's interest in acquiring your property and/or property rights for this project.
• The City's determination of just compensation for your property and/or property rights.
• The basic protections afforded to you by law.
As outlined below, the City has established an amount it believes is just compensation based on
the market value estimated for your property. The City's offer is as follows:
Land and Improvements Conveyed in Fee:
$485,000.00
Total Amount
$485,000.00
Your property has been examined by a qualified appraiser and appraisal reviewer who has carefully
considered all the elements which contribute to the market value of your property. You, or your
designated representative, were provided with an opportunity to accompany the appraiser and
appraisal reviewers on all inspections of your property. By law, the appraisers and appraisal
reviewers must disregard any general increase or decrease in value caused by the project.
Tierra Right of Way Services, Ltd. LPA-350
Leslie Findlay, Designated Broker #27965 Rev.812022
8685 Martin Way East, Suite 203 • Lacey, Washington 98516 • Phone: 206.363,1556
Right of Way • Cultural Resources • Environmental Planning
Toll Free: 800.887.0847 9 www.tierra-row.com VV_I „&.
The City has determined that the project will displace you, your tenants, or your personal property.
By law, you are eligible for relocation assistance consistent with state and federal law and have
rights. Owners and tenants of dwellings, businesses, farm operations, or nonprofit organizations
being displaced cannot be required to move from the referenced property without being given a
written assurance of at least 90 days prior to the date by which they will be required to vacate the
property. The City will provide this assurance as well as additional information regarding your
eligibility in forthcoming relocation letter entitled, "Notice of Relocation Eligibility, Entitlements,
and 90-Day Assurance". Occupancy of the property beyond the date the City acquires possession
will require that a rental agreement be signed, and rent be paid. If the occupant vacates the property
within 30 days after the "payment date", the City will refund all prepaid rent.
RCW 64.06 provides for a disclosure statement from sellers of residential property including
multi -family dwellings up to four units and condominiums unless the Purchaser elects to waive
the necessity of said statement. The City, as Purchaser of your property, does require you to
provide the disclosure statement.
If a mutually agreeable settlement is not reached, the City, acting in the public interest, will use its
right of eminent domain to acquire property for public use. In conformity with the Washington
State Constitution and laws, the City's legal counsel will file a condemnation suit to obtain a "Court
Order of Public Use and Necessity", and a trial will be arranged to determine the just compensation
to be paid for the property. This action is taken to ensure your rights as an individual property
owner are protected. If a condemnation action is filed, you should consider consulting with an
attorney to ensure that you receive appropriate representation.
You may wish to employ professional services to evaluate the City's offer. If you do so, we suggest
that you employ well -qualified evaluators so that the resulting evaluation report will be useful to
you in deciding whether to accept the City's offer. The City will reimburse up to $750.00 of your
evaluation costs upon submission of the bills or paid receipts.
The Internal Revenue Service (IRS) requires that the City obtain your correct taxpayer
identification number (TIN) or social security number (SSN) to report income paid to you as a
result of this real estate transaction.
Payment for your property and/or property rights will be made available to you as soon as
reasonably possible after acceptance of the City's offer, provided that there are no delays in closing
the transaction. The date on which payment is made available to you is called the "payment date".
On that date, the City becomes the owner of the property rights purchased and responsible for its
control and management.
If you have personal property presently located on the property being acquired by the City that
needs to be moved, the City will reimburse you for the cost of moving it through the Relocation
Assistance program.
LPA-350
Rev. 8/2022
Enclosed please find the following:
• The necessary legal documents for the transferring of the property or property rights
• Real Estate Excise Tax Affidavit
• Real Property Voucher
• W-9 per IRS requirements
• Utility Service Provider Contact Sheet
• Seller Disclosure Statement
• A copy of the valuation of your property
• Title Report
• Escrow Agreement
• Transportation Needs and You Brochure (explaining the Right of Way acquisition process)
This letter has been sent to provide a concise statement of the City's offer and summary of your
rights. Please feel free to direct any questions you may have to the undersigned. Thank you for
your time and consideration.
Sincerely,
Brendenn Kralicek
Right of Way Agent
Tierra Right of Way Services, Ltd
8685 Martin Way E., #203
Lacey, WA 98516
bkral icekntierra-row.com
(206) 677-8361- mobile
Enclosures
Acknowledgment of receipt of Offer Letter
Signature: Date: 101111 J-3
Karen Lu
Signature above does not mean acceptance or rejection of offer.
LPA-350
Rev. 8/2022
REAL ESTATE PURCHASE AND SALE AGREEMENT
THIS REAL ESTATE PURCHASE AND SALE AGREEMENT (hereinafter "Agreement") is
entered into by and between Falvic, LLC, a Washington limited liability company (hereinafter
"Seller") and The City of Federal Way, a municipal corporation and political subdivision of the
state of Washington (hereinafter "Purchaser"). Seller and Purchaser may hereinafter collectively
be referred to as "Parties" or individually as a "Party."
AGREEMENT
FOR AND IN CONSIDERATION of the mutual promises and covenants contained herein,
the sufficiency of which is unconditionally acknowledged by Seller and Purchaser, the Parties
agree as follows:
1. The Property. Seller is the sole owner in fee simple of a certain real property located in
King County, Washington legally described on the attached Exhibit A (the Property).
2. Purchase and Sale. Seller shall sell and convey to Purchaser, and Purchaser shall
purchase and accept from Seller, upon the terms, covenants, and conditions set forth in this
Agreement, all of Seller's right, title, and interest in and to the Property, including all after -
acquired property. Seller warrants that Seller has full right, title, authority, and capacity to execute
this Agreement and sell the Property. Purchaser warrants that Purchaser has full right, title,
authority, and capacity to execute this Agreement and purchase the Property.
3. Purchase Price and Payment. The total purchase price for the Property (hereinafter
"Purchase Price") is FOUR HUNDRED EIGHTY-FIVE THOUSAND DOLLARS and NO/100
Dollars ($485,000.00) and shall be paid by Purchaser to Seller by cashier's check, certified check,
or wire transfer of immediately available funds to Seller at closing.
4. Conveyance of Title. Seller shall convey title to the Property legally described on the
attached Exhibit A to Purchaser by Statutory Warranty Deed (hereinafter "Deed").
5. Closing; Possession. Closing shall occur upon payment of the Purchase Price to Seller
from Purchaser and delivery of the executed Deed from Seller to Purchaser (hereinafter "Closing
Date"), but in no event later than 11/30/2023 . The Parties agree to execute any and all documents
necessary to effectuate the intent of this Agreement. Purchaser shall be entitled to possession of
the Property legally described on the attached Exhibit A as of the Closing Date.
6. Risk of Loss. Risk of loss of or damage to the Property shall be borne by Seller until the
Closing Date. Thereafter, Purchaser shall bear the risk of loss. In the event of material loss of or
damage to the Property prior to the Closing Date, Seller shall promptly notify Purchaser in writing
and Seller shall not be obligated to restore the Property nor pay damages to Purchaser by reason
of such loss or damage. Upon receipt of written notice pursuant to Section 10 below, Purchaser
may within five (5) business days terminate this Agreement by giving written notice of such
termination to Seller and such termination shall be effective immediately; provided, however, that
Purchaser may elect to purchase the Property in the condition then existing; provided that,
Purchaser delivers notice of such election pursuant to Section 10 below within five (5) business
days of receipt of Seller's notice of a material loss of or damage to the Property as provided for in
this Section 8.
7. Closine Costs & Prorations. Seller shall pay its own attorney fees. Purchaser shall pay
the cost of recording the Deed, its own attorney fees, and all other costs and expenses allocated to
Purchaser and Seller pursuant to the terms of this Agreement; excepting only the Seller's payment
Page 1 of 5
of its own attorney fees as provided for above in this Section 8 and any prorations for which it is
responsible pursuant to the following sentence. Any taxes, liens, assessments, insurance, or
charges imposed by law upon the Property shall be prorated as of the Closing Date, with such
prorations to be a final settlement between the Parties.
8. Notices. Except as specifically set forth herein, any demand, request or notice which either
Party desires or may be required to make or deliver to the other shall be in writing and shall be
deemed given when personally delivered, or when delivered by private courier service (such as
Federal Express), or three days after being deposited in the United States Mail first class, postage
prepaid and addressed as follows:
PURCHASER
SELLER
Falvic, LLC
City of Federal Way
Attn: Karen Lu
33325 8th Ave. S.
2307 17th Ave. S.,
Federal Way, WA 98003
Seattle, WA 98144
The foregoing addresses may be changed by written notices to the other party as provided herein.
9. Time. Time is of the essence in every provision herein contained.
10. Binding Agreement. This Agreement shall inure to the benefit of and be binding upon
the heirs, personal representative, successors, and assigns of the Parties.
11. Attorneys' Fees. In the event of any litigation regarding the rights and obligations of the
parties under this Agreement, the prevailing party shall recover its costs and attorneys' fees,
including such costs and attorneys' fees for appeals.
12. Nezotiation and Construction. This Agreement was negotiated by the Parties and shall
be construed according to its fair meaning and not strictly for or against either Party.
13. Entire Agreement. This Agreement contains the entire understanding between the Parties
and supersedes any prior understandings and agreements between them regarding the subject
matter hereof. There are no other representations, agreements, or understandings, oral or written,
between the Parties relating to the subject matter of this Agreement. No amendment of, or
supplement to, this Agreement shall be valid or effective unless made in writing and executed by
the Parties.
14. Counterparts. This Agreement may be signed in two or more counterparts, which taken
together shall constitute the complete Agreement.
15. Invalid Provision. If any provision of this Agreement is held to be illegal, invalid or
unenforceable under present or future laws, such provision shall be fully severable; this Agreement
shall be construed and enforced as if such illegal, invalid or unenforceable provision had never
comprised a part of this Agreement; and the remaining provisions of this Agreement shall remain
in full force and effect and shall not be affected by such illegal, invalid or unenforceable provision
or by its severance from this Agreement.
[SIGNATURES & ACKNOWLEDGEMENTS APPEAR ON FOLLOWING PAGES]
Page 2 of 5
PURCHASER'S SIGNATURE PAGE
City of Federal Way
Date: 10 I �5 �ZD�3
EJ alsh, P.E.
Director of Public Works
STATE OF WASHINGTON
ss
County of Xi )
On this 19A day of before me personally appeared EJ Walsh, P.E., to
me known to be the Director of Public Works, for the City of Federal Way, and that he
executed the within and foregoing instrument and acknowledged the said instrument to be the
free and voluntary act and deed of said City of Federal Way, for the uses and purposes
therein set forth, and on oath states that he is authorized to execute said instrument.
GIVEN under my t �R, and official seal the day and year last above written.
_a`'`��+(L SAS ��►i�
(SEAL)
��°x'�..1`•, �° % Notary Publi in and fof the S e of
i 20104456 Washington, residing at w1b,c4
My commission expires [ — 1-7-9
Pit
e� r
ATTEST:
Date
APPROVED AS TO FORM:
/� - ZY:::
Ryan tall, City Attorne
Ebb y.
NO
Page 3 of 5
SELLER'S SIGNATURE PAGE
Dated 0C--f0bC1 // , 2023
Falvic, LLC, a Washington limited liability company
By:
Karen u
Its' : Manager
STATE OF WASHINGTON )
:ss
County of KIN; )
i4%
On this I day of 06h- er 2023, before me personally appeared Karen Lu to me
known to be the Manner of Falvic, LLC, a Washington Limited Liability Company that
executed the foregoing instrument, and acknowledged said instrument to be the free and
voluntary act and deed of said Limited Liability Company, for the uses and purposes therein
mentioned, and on oath stated that she is authorized to execute said instrument.
GIVEN under my hand and official seal the day and year last above written.
(SEAL)
Notary Public
State of Washington
JAMES GRIFFIN
MY COMMISSION EXPIRES
JANUARY 24, 2024
t�
N tary Public in and for the State of
Washington, residing at .S,-, * 4 le-
My commission expires 01 t 12-42..02-
Page 4 of 5
EXHIBIT A
LEGAL DESCRIPTION
THAT PORTION OF THE SOUTH HALF OF THE SOUTHEAST QUARTER OF THE NORTHEAST
QUARTER LYING WESTERLY OF STATE HIGHWAY;
EXCEPT THE SOUTH 435.5 FEET THEREOF;
ALSO EXCEPT THE NORTH 75 FEET OF THE WEST 155 FEET THEREOF;
ALSO EXCEPT THE NORTH 50 FEET OF THE EAST 27 FEET OF THE WEST 182 FEET THEREOF;
ALSO EXCEPT COUNTY ROAD;
ALL IN SECTION 9, TOWNSHIP 21 NORTH, RANGE 4 EAST, W. M., IN KING COUNTY,
WASHINGTON.
EXCEPT THAT PORTION CONVEYED TO CENTRAL REGIONAL PUGET SOUND REGIONAL
TRANSIT AUTHORITY BY DEED RECORDED UNDER RECORDING NO. 20191125000933.
SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON
Page 5 of 5
After recording return document to:
City of Federal Way
33325 8" Avenue South
Federal Way, WA 98003
Document Title: Warranty Deed
Reference Number of Related Document:
Grantor: Falvic, LLC
Grantee: City of Federal Way
Legal Description: PTN NE 1/4, SEC 9-21-4E, W.M.
Additional Legal Description is on Page 4 of Document.
Assessor's Tax Parcel Number: 092104-9009
WARRANTY DEED
City of Federal Way, Joint Operations & Maintenance Facility
The Grantor, Falvic, LLC, a Washington limited liability company for and in
consideration of the sum of TEN AND NO/100 ($10.00) Dollars, and other valuable
consideration, hereby conveys and warrants to the City of Federal Way, a municipal
corporation, Grantee, the following described real property situated in King County, in the
State of Washington, under the imminent threat of the Grantee's exercise of its rights of
Eminent Domain:
For legal description and additional conditions
See Exhibit A attached hereto and made a part hereof.
It is understood and agreed that delivery of this deed is hereby tendered and that the terms and
obligations hereof shall not become binding upon the City of Federal Way unless and until
accepted and approved hereon in writing for the City of Federal Way, by its authorized agent.
Project No. 36610
LPA-302 Page 1 of (4) Pages Parcel No. 092104-9009
10/2014
WARRANTY DEED
Dated 06oh-er , 2023
Falvic, LLC, a Washington limited liability company
By:
KarenT.0
Its': Manager
STATE OF WASHINGTON )
:ss
County of --r N 6_ )
Ok
On this I day of C40 b,er 2023, before me personally appeared Karen Lu to
me known to be the Manager of FaIvic, LLC, a Washington Limited Liability Company
that executed the foregoing instrument, and acknowledged said instrument to be the free
and voluntary act and deed of said Limited Liability Company, for the uses and purposes
therein mentioned, and on oath stated that she is authorized to execute said instrument.
GIVEN under my hand and official seal the day and year last above written.
(SEAL)
tary Pub is in Wry for the State of
'Notary Puhue
Washington, residing at k4-+f r_
Stott of Washiogtoa My commission expires 01 24-
]AMES GRIFFIN
LICENSE # 183558
MY COMW SSION EXPIRES
IANVARY 24, 2024
LPA-302 Page 2 of (4) Pages Parcel No. 092104-9009
10/2014
WARRANTY DEED
City of Federal Way
Date: l O (l `l: [ Z-O z3
EJ W sh, P.E.
Director of Public Works
STATE OF WASHINGTON
ss
County of A<� na )
On this �Cfsday of clOa► before me personally appeared EJ Walsh, P.E., to
me known to be the Director of Public Works, for the City of Federal Way, and that he
executed the within and foregoing instrument and acknowledged the said instrument to be
the free and voluntary act and deed of said City of Federal Way, for the uses and purposes
therein set forth, and on oath states that he is authorized to execute said instrument.
GIVEN under my hand,
�W\qQial seal the day and year last above written.
! sp "Ift
(SEAL) ,r��+ R�,
—4 G'�, d�
2010441
L Notary Pub c in and or the e of
or a q {4� s Washington, residing at
,IFj'�+�
fih� ��� = My commission expires
ATTEST: ''ifil� 1%%N ����� APPROVED AS TO FORM:
tep a 'e urtney, C C-, City Clerk : Ryan Call, City Attor
Date Date
LPA-302 Page 3 of (4) Pages Parcel No. 092104-9009
10/2014
WARRANTY DEED
EXHIBIT A
LEGAL DESCRIPTION
THAT PORTION OF THE SOUTH HALF OF THE SOUTHEAST QUARTER OF THE
NORTHEAST QUARTER LYING WESTERLY OF STATE HIGHWAY;
EXCEPT THE SOUTH 435.5 FEET THEREOF;
ALSO EXCEPT THE NORTH 75 FEET OF THE WEST 155 FEET THEREOF;
ALSO EXCEPT THE NORTH 50 FEET OF THE EAST 27 FEET OF THE WEST 182
FEET THEREOF;
ALSO EXCEPT COUNTY ROAD;
ALL IN SECTION 9, TOWNSHIP 21 NORTH, RANGE 4 EAST, W. M., IN KING
COUNTY, WASHINGTON.
EXCEPT THAT PORTION CONVEYED TO CENTRAL REGIONAL PUGET SOUND
REGIONAL TRANSIT AUTHORITY BY DEED RECORDED UNDER RECORDING NO.
20191125000933.
SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON.
Grantor's Initials
a.,
LPA-302 Page 4 of (4) Pages Parcel No. 092104-9009
10/2014
Department of Real Estate Excise Tax Affidavit (RCW 82.45 WAC 458-61A)
Revenue Only for sales in a single location code on or after March 1, 2023.
Wo: 8ton State This affidavit will not be accepted unless all areas on all pages are fully and accurately completed.
Form 84 0001 a This form is your receipt when stamped by cashier. Please type or print.
❑ Check box if partial sale, indicate % sold. List percentage of ownership acquired next to each name.
1 Seller/Grantor 2 Buyer/Grantee
Name Falvic. LLC. a Washington limited liability comoanv - — Name City of Federal Way Public Works.
(do Karen Lu) a municipal cornortation.
Mailing address 230717th Ave S. Mailing address 33325 8th Ave. S.
City/state/zip Seattle, WA 98144 City/state/zip 206.621.8682 Federal Way, WA_83903
Phone (including area code) Phone (including area code) 253.835.2711
3 Send all property tax correspondence to:0 Same as Buyer/Grantee
Name
Mailing address
City/state/zip —
List all real and personal property tax
parcel account numbers
092104-9009
Personal Assessed
property? value(s)
❑ $ 3331000.00
❑ $ 0.00
❑ $ 0.00
4 Street address of prrpe 31016 281h Ave S. Federal Way, WA 98003
This property is located in Federal Way (for unincorporated locations please select your county)
❑ Check box if any of the listed parcels are being segregated from another parcel, are part of a boundary line adjustment or parcels being merged.
Le al descri otion of omparty Of u need more space, att ach a s Q02f2te
THAT PORTION OF THE SOUTH HALF OF THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER LYING WESTERLY OF STATE HIGHWAY:
EXCW1 THE SOUTH 435.5 FEET THEREOF;ALSO EXCEPT THE NORTH 75 FEET OF THE WEST 155 FEET THEREOF; ALSO EXCEPT THE NORTH 50 FEET OF THE EAST 27 FEET OF THE WEST 182
FEETTHEREOF; ALSO EXCEPT COUNTY ROAD; ALL IN SECTION 9, TOWNSHIP 21 NORTH, RANGE 4 EAST, W. M., IN KING COUNTY, WASHINGTON EXCEPT THAT PORTION CONVEYED TO
CENTRAL REGIONAL PUGET SOUND REGIONAL TRANSIT AUTHORITY BY DEED RECORDED UNDER RECORDING NO.20191125000933. SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTOfK
5 111 - Household, single family units 7 List all personal property (tangible and intangible) included in selling
price.
Enter any additional codes N/A
(see back of last page for instructions)
Was the seller receiving a property tax exemption or deferral
under RCW 84.36, 84.37, or 84.38 (nonprofit org., senior If claiming an exemption, list WAC number and reason for exemption.
citizen or disabled person, homeowner with limited income)? ❑ Yes 0 No WAC number (section/subsection) WAC- 458-61A-206
Is this property predominately used for timber (as classified
under RCW 84.34 and 84.33) or agriculture (as classified under
RCW 84.34.020) and will continue in it's current use? If yes and
the transfer involves multiple parcels with different dassifications,
complete the predominate use calculator (see Instructions) []Yes la No
Reason for exemption
Threat of Eminent Domain
6 Is this property designated as forest land per RCW 84.33? Dyes 0No
Is this property classified as current use (open space, farm Type of document Warranty Deed
and agricultural, or timber) land per RCW 84.34? ❑ Yes 0 No Date of document — _ __ 1 I/ 2A2J
Is this property receiving special valuation as historical
property per RCW 84.26? ❑ Yes 0 No
If any answers are yes, complete as instructed below.
(1) NOTICE OF CONTINUANCE (FOREST LAND OR CURRENT USE)
NEW OWNER(S): To continue the current designation as forest land
or classification as current use (open space, farm and agriculture, or
timber) land, you must sign on (3) below. The county assessor must then
determine if the land transferred continues to qualify and will indicate
by signing below. If the land no longer qualifies or you do not wish to
continue the designation or classification, it will be removed and the
compensating or additional taxes will be due and payable by the seller
or transferor at the time of sale (RCW 84.33.140 or 84.34.108). Prior to
signing (3) below, you may contact your local county assessor for more
information.
This land: ❑ does ❑ does not qualify for
continuance.
Deputy assessor signature Date
(2) NOTICE OF COMPLIANCE (HISTORIC PROPERTY)
NEW OWNER(S): To continue special valuation as historic property, sign
(3) below. If the new owner(s) doesn't wish to continue, all additional tax
calculated pursuant to RCW 84.26, shall be due and payable by the seller
or transferor at the time of sale.
Signature
Print name
(3) NEW OWNER(S) SIGNATURE
Signature
Print name
Gross selling price
485,000.00
'Personal property (deduct)
0.00
Exemption claimed (deduct)
485.000.00
Taxable selling price
0.00
Excise tax: state
Less than $525,000.01 at 1.1%
0.00
From $525,000.01 to $1,525,000 at 1.28% 0.00
From $1,525,000.01 to $3,025,000 at 2.75% 0.00
Above $3,025,000 at 3% 0.00
Agricultural and timberland at 1.28%- 0.00_
Total excise tax: state 0.00
0.0050 Local
'Delinquent interest: state 0.00
Local u.VU
'Delinquent penalty 0.00
Subtotal 0.00
*State technology fee O.UU
Affidavit processing fee 5.00
Total due 10.00
A MINIMUM OF $10.00 IS DUE IN FEE(5) AND/OR TAX
`SEE INSTRUCTIONS
a 1 CERTIFY UNDER PENALTY OF PERJURY 7H g1'THE FOREGOING IS TRUE AND CORRECT
Signature of grant or agent r�i Signature of grantee agent
Name (print) �� Name (print) L ►►_
Date & city of signing In MI34X-C __ Date & city of signing�������� � 1��1'e:i `-U O y WA
Perjury in the second degree is a class C felony which is punishable by confinement in a state correctional institution for a maximum term of five years or by
a fine in an amount fixed by the court of not more than $10,000, or by both such confinement and fine (RCW 9A.72.030 and RCW 9A.20.021y1)(c)`.
To ask about the availability of this publication in an alternate format for the visually impaired, please call 360-705-6705.Teletype
M) users may use the WA Relay Service by calling 711.
REV 84 0001a (02/28/23)
THIS SPACE TREASURER'S USE ONLY COUNTY TREASURER
Print on legal size paper.
Page 1 of 6
REAL PROPERTY VOUCHER
City of Federal Way
33325 8th Ave. S.
Federal Way, WA 98003
hereby certq under penalty of perjury that the items an
amounts listed herein are proper charges against the Agency,
that the same or any part thereof has not been paid,
and that I am authorized to sign for the claimant.
SIGNATURE IN INK FOR EACH -CLAIMANT
DATED
r� fps
1 a�
GRANTOR OR CLAIMANT (NAME, ADDRESS) TIN/SSN:
Falvic, LLC
Attn: Karen Lu 87 - 35 8 zO I b
2307 17th Ave. S.,
Seattle, WA 98144-5105
By: aren Lu
It's: Manager
X
PROJECT NO. AND TITLE
#36610 - City of Federal Way, Joint Operations & Maintenance Facility
FEDERAL AID NO.
PARCEL NO.
1092104-9009
In full, complete and final payment and settlement for the title or interest conveyed or released,
as fully set forth in:
DATED
$ AMOUNT
LAND: Land and Improvements Conveyed in Fee
+
$485,000.00
IMPROVEMENTS:
DAMAGES:
Cost to Cure +
Proximity +
Other +
SPECIAL BENEFITS
JC (Just Compensation) Amount
$485,000.00
REMAINDER:
Uneconomic Remnant +
Excess Acquisition +
DEDUCTIONS:
Amount Previously Paid
Performance Bond
Salvage Amount
Pre Paid Rent
Other
ADMINISTRATIVE SETTLEMENT +
STATUTORY EVALUATION ALLOWANCE +
ESCROW FEE +
REAL ESTATE EXCISE TAX +
OTHER:
ACQUISITION AGENT
Brendenn Kralicek
DATE
if 0
Voucher No.
TOTAL AMOUN' PAID
$485,000.00
AUTIfORiZ7D AGENT FOR AGENCY
DATE
Z
7
LPA-32�I 10/2014
W-
Request for Taxpayer
Give Form to the
Form
(Rev. October2018)
Identification Number and Certification
requester. Do not
Department of the Treasury
send to the IRS.
Internal Revenue Service
► Go to wwwJrs.gov/FormW9 for instructions and the latest information.
1 Name (as shown on your income tax retum). Name is required on this llna; do not leave this line blank.
Falvic, LLC
2 Business name/disregarded entity name, if different from above
M
�P
3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the
Y
4 Exemptions codes apply only to
P� ( PPY Y
following seven boxes.
certain entities, not individuals; see
a
instructions on page 3):
o
❑ Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate
m
ai c
single -member LLC
Exempt payee code (if any)
ao
❑✓ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► P
`o r
Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check
Exemption from FATCA reporting
H
LLC if the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is
code if an
( Y)
E
a
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single -member LLC that
8
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
m
❑ Other (see instructions) ►
(App&s to —oums m•mtefned owrside the U.S.)
5 Address (number, street, and apt. or suite no.) See instructions.
Requester's name and address (optionaq
aa)
2307 17th Ave. S.
U)
6 City, state, and ZiP code
Seattle, WA 98144
7 List account numbers) here (optional)
RiUM
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
social security number
backup withholding. For individuals, this is generally your social security number (SHowever, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
- M -
entities, it is vour emDlover identification number (EIN). If you do not have a number, see How to oet a
TIN, later.
Note: If the account is in more than one name, see the instructions for line 1
or
Also see What Name and Employer identification number
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding; and
3. 1 am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because
you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments
other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.
Sign Signature of C
Here U.S. person ■
General Instructions
Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to www.irs.gov/FormW9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS must obtain your correct taxpayer
identification number (TIN) which may be your social security number
(SSN), individual taxpayer identification number (ITIN), adoption
taxpayer identification number (ATIN), or employer identification number
(EIN), to report on an information return the amount paid to you, or other
amount reportable on an information return. Examples of information
returns include, but are not limited to, the following.
• Form 1099-INT (interest earned or paid)
Date► to 1/112-02-
• Form 1099-DIV (dividends, including those from stocks or mutual
funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross
proceeds)
• Form 1099-B (stock or mutual fund sales and certain other
transactions by brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
• Form 1098 (home mortgage interest), 1098-E (student loan interest),
1098-T (tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.
If you do not return Form W-9 to the requester with a TIN, you might
be subject to backup withholding. See What is backup withholding,
later.
Cat. No. 10231X Form W-9 (Rev. 10-2018)
SELLER DISCLOSURE STATEMENT (RCW 64.D6-020) Page 1 of 6
INSTRUCTION5 TO THf SELLER
Please complete the following form. Do not leave any spaces blank. If the question clearly does not apply to the property check "N/A." If
the answer is "yes" to any * items, please explain at the end or on attached sheets. Please refer to the question numbers when you
provide your explanations. For your protection you must date and initial each page of this disclosure statement and each attachment.
Delivery of the disclosure statement must occur not later than five business days, unless otherwise agreed, after mutual acceptance of a
written contract to purchase between a buyer and a seller.
NOTICE TO THE BUYER
THE FOLLOWING DISCLOSURES ARE MADE BY THE SELLER ABOUT THE CONDITION OF THE PROPERTY LOCATED AT
31016 Mh Ave S, Federal Way, WA 98003 _ _ ("THE PROPERTY"), OR AS LEGALLY DESCRIBED ON ATTACHED EXHIBIT A.
SELLER MAKES THE FOLLOWING DISCLOSURES OF EXISTING MATERIAL FACTS OR MATERIAL DEFECTS TO BUYER BASED ON SELLER'S
ACTUAL KNOWLEDGE OF THE PROPERTY AT THE TIME SELLER COMPLETES THIS DISCLOSURE STATEMENT. UNLESS YOU AND SELLER
OTHERWISE AGREE IN WRITING, YOU HAVE THREE BUSINESS DAYS FROM THE DAY SELLER OR SELLER'S AGENT DELIVERS THIS
DISCLOSURE STATEMENT TO YOU TO RESCIND THE AGREEMENT BY DELIVERING A SEPARATELY SIGNED WRITTEN STATEMENT OF
RESCISSION TO SELLER OR SELLER'S AGENT. IF THE SELLER DOES NOT GIVE YOU A COMPLETED DISCLOSURE STATEMENT, THEN YOU MAY
WAIVE THE RIGHT TO RESCIND PRIOR TO OR AFTER THE TIME YOU ENTER INTO A SALE AGREEMENT.
THE FOLLOWING ARE DISCLOSURES MADE BY SELLER AND ARE NOT THE REPRESENTATIONS OF ANY REAL ESTATE LICENSEE OR OTHER
PARTY. THIS INFORMATION IS FOR DISCLOSURE ONLY AND IS NOT INTENDED TO BE A PART OF ANY WRITTEN AGREEMENT BETWEEN
BUYER AND SELLER.
FOR A MORE COMPREHENSIVE EXAMINATION OF THE SPECIFIC CONDITION OF THIS PROPERTY YOU ARE ADVISED TO OBTAIN AND PAY
FOR THE SERVICES OF QUALIFIED EXPERTS TO INSPECT THE PROPERTY, WHICH MAY INCLUDE, WITHOUT LIMITATION, ARCHITECTS,
ENGINEERS, LAND SURVEYORS, PLUMBERS, ELECTRICIANS, ROOFERS, BUILDING INSPECTORS, ON -SITE WASTEWATER TREATMENT
INSPECTORS, OR STRUCTURAL PEST INSPECTORS. THE PROSPECTIVE BUYER AND SELLER MAY WISH TO OBTAIN PROFESSIONAL ADVICE OR
INSPECTIONS OF THE PROPERTY OR TO PROVIDE APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN THEM WITH RESPECT TO ANY
ADVICE, INSPECTION, DEFECTS OR WARRANTIES.
Seller 0 is ❑ is not occupying the property.
I. SELLER'S DISCLOSURES
*If you answer "Yes" to a question with an asterisk (*), please explain your answer and attach documents, if available and not otherwise
publicly recorded. If necessary, use an attached sheet.
1. TITLE
YES
NO
DON'T
KNOW
N/A
A. Do you have legal authority to sell the property? If no, please explain:
p
0
0
0
*B. Is title to the property subject to any of the following?
(1) First right of refusal
Q
0
0
0
(2) Option
❑
0
❑
❑
(3) Lease or rental agreement
0
❑
❑
❑
(4) Life estate?
❑
0
❑
❑
*C. Are there any encroachments, boundary agreements, or boundary disputes?
0
®
0
❑
*D. Is there a private road or easement agreement for access to the property?
0
0
0
❑
*E. Are there any rights -of -way, easements, or access limitations that may affect the Buyer's use of
0
❑
❑
❑
the property?
*F. Are there any written agreements for joint maintenance of an easement or right-of-way?
❑
0
0
❑
*G. Is there any study, survey project, or notice that would adversely affect the property?
❑
0
❑
❑
*H. Are there any pending or existing assessments against the property?
0
0
0
❑
*I. Are there any zoning violations, nonconforming uses, or any unusual restrictions on the property
❑
®
❑
0
that would affect future construction or remodeling?
Seller's Initials: - I"- Date: AblhlaIj Seller's Initials. Date:
SELLER DISCLOSURE STATEMENT (RCW 64-06.020)
Page 2 of 6
*J. Is there a boundary survey for the property?
0
0
❑
0
*K. Are there any covenants, conditions, or restrictions recorded against the property?
❑
0
0
❑
2. WATER
YES
NO
DON'T
KNOW
N/A
A. HOUSEHOLD WATER
(1) The source of water for the property is:
0 Private or publicly owned water system
0 Private well serving only the subject property
*❑ Other water system:
*If shared, are there any written agreements?
0
❑
❑
0
*(2) Is there an easement (recorded or unrecorded) for access to and/or maintenance of the
❑
0
❑
❑
water source?
*(3) Are there any problems or repairs needed?
❑
0
0
❑
(4) During your ownership, has the source provided an adequate year-round supply of potable
0
❑
0
❑
water? If no, please explain:
*(5) Are there any water treatment systems for the property?
❑
0
0
0
If yes, they are: 0 Leased ❑ Owned
*(6) Are there any water rights for the property associated with its domestic water supply, such
0
0
❑
❑
as a water right permit, certificate, or claim?
(a) If yes, has the water right permit, certificate, or claim been assigned, transferred, or
❑
❑
0
0
changed?
*(b) If yes, has all or any portion of the water right not been used for five or more successive
0
❑
❑
0
years?
*(7) Are there any defects in the operation of the water system (e.g. pipes, tank, pump, etc.)?
❑
0
❑
❑
B. IRRIGATION WATER
(1) Are there any irrigation water rights for the property, such as a water right permit, certificate,
❑
®
0
❑
or claim?
*(a) If yes, has all or any portion of the water right not been used for five or more successive
0
❑
❑
0
years?
*(b) If so, is the certificate available? (If yes, please attach a copy.)
❑
0
0
0
*(c) If so, has the water right permit, certificate, or claim been assigned, transferred, or
❑
0
❑
0
changed?
*(2) Does the property receive irrigation water from a ditch company, irrigation district, or other
❑
0
❑
0
entity? If so, please identify the entity that supplies water to the property:
C. Outdoor Sprinkler System
❑
21
0
❑
(1) Is there an outdoor sprinkler system for the property?
*(2) If yes, are there any defects in the system?
❑
0
❑
0
*(3) If yes, is the sprinkler system connected to irrigation water?
❑
0
0
0
3. SEWER/ON-SITE SEWAGE SYSTEM YES NO DON'T N/A
KNOW
A. The property is served by:
0 Public sewer system
0 On -site sewage system (including pipes, tanks, drainfields, and all other component parts)
0 Other disposal system, please describe: _
B. If public sewer system service is available to the property, is the house connected to the sewer ❑ 0 ❑ 0
main? If no, please explain.
Seller's Initials: Date: _ ►6�If
i3 Seller's Initials: Date:
SELLER DISCLOSURE STATEMENT (RCA54.4b. )
Page 3 of 6
*C. Is the property subject to any sewage system fees or charges in addition to those covered in your
❑
0
❑
❑
regularly billed sewer or on -site sewage system maintenance service?
D. If the property is connected to an on -site sewage system:
0
❑
❑
❑
*(1) Was a permit issued for its construction, and was it approved by the local health
❑
❑
0
❑
department or district following its construction?
(2) When was it last pumped? 11/1/2021
0
p
❑
❑
*(3) Are there any defects in the operation of the on -site sewage system?
❑
®
0
D
(4) When was it last inspected? 11/1/20z1
❑
❑
By whom? G&N Septic Tank Service, LLC
(5) For how many bedrooms was the on -site sewage system approved?__ T
0
❑
E. Are all plumbing fixtures, including laundry drain, connected to the sewer/on-site sewage system?
0
❑
❑
❑
If no, please explain:
*F. Have there been any changes or repairs to the on -site sewage system?
0
❑
❑
G. Is the on -site sewage system, including the drainfield, located entirely within the boundaries of 0 ❑ 0 ❑
the property? If no, please explain:
*H. Does the on -site sewage system require monitoring and maintenance services more frequently ❑ 0 ❑ ❑
than once a year? .
IF THIS SELLER DISCLOSURE STATEMENT IS BEING COMPLETED FOR NEW CONSTRUCTION WHICH HAS NEVER BEEN OCCUPIED, THE
SELLER IS NOT REQUIRED TO COMPLETE THE QUESTIONS LISTED IN ITEM 4, STRUCTURAL OR ITEM 5. SYSTEMS AND FIXTURES.
4. STRUCTURAL YES NO DON'T N/A
KNOW
*A. Has the roof leaked within the last five years?
❑
❑
0 ❑
*B. Has the basement flooded or leaked?
❑
❑
0 ❑
*C. Have there been any conversions, additions, or remodeling?
❑
0
0 0
*(1) If yes, were all building permits obtained?
❑
❑
❑ 0
*(2) If yes, were all final inspections obtained?
❑
❑
❑ 0
D. Do you know the age of the house? If yes, year of original construction: 1963
0
❑
❑ ❑
*E. Has there been any settling, slippage, or sliding of the property or its improvements?
❑
❑
0 ❑
*F. Are there any defects with the following: (If yes, please check applicable items and explain.)
0
❑
❑ ❑
❑ Foundations ❑ Decks ❑ Exterior Walls
0 Chimneys ❑ Interior Walls ❑ Fire Alarm
❑ Doors ❑ Windows ❑ Patio
❑ Ceilings ❑ Slab Floors 0 Driveways
❑ Pools ❑ Hot Tub D Sauna
❑ Sidewalks ❑ Outbuildings 0 Fireplaces
❑ Garage Floors ❑ Walkways ❑ Siding
❑ Wheelchair Lifts ❑ Woodstoves ❑ Elevators
❑ Incline Elevators ❑ Stairway Chair Lifts 0 Other: See Inspection Report
*G. Was a structural pest or "whole house" inspection done? If yes, when and by whom was the
0
❑
❑ ❑
inspection completed? Inspection was done on D9/19/Z021 by Key Inspection Services
Seller's Initials: 11F- Date: l- n zt -j Seller's Initials:
Date:
SELLER DISCLOSURE STATEMENT (RCW 64.0&Q20)
Page 4 of 6
H. During your ownership, has the property had any wood destroying organism or pest infestation?
0
❑
❑
❑
I. Is the attic insulated?
❑
0
O
❑
J. Is the basement insulated?
❑
0
❑
❑
5. SYSTEMS AND FIXTURES
YES
NO
DON'T
N/A
KNOW
*A. If any of the following systems or fixtures are included with the transfer, are there any defects? If
yes, please explain.
Electrical system, including wiring, switches, outlets, and service
❑
o
❑
❑
Plumbing system, including pipes, faucets, fixtures, and toilets
❑
®
❑
❑
Hot Water Tanks
❑
0
❑
❑
Garbage Disposal
❑
❑
❑
0
Appliances
❑
a
❑
❑
Sump Pump
❑
❑
❑
0
Heating and Cooling Systems
0
❑
❑
❑
Security System ❑ Owned ❑ Leased
❑
❑
❑
0
Other:
❑
®
❑
0
*B. If any of the following fixtures or property is included with the transfer, are they leased? (If yes,
please attach copy of lease.)
Security System
❑
❑
❑
0
Tanks (type: hot water tank
❑
0
❑
❑
Satellite Dish
❑
0
❑
❑
Other:
❑
0
❑
❑
*C. Are any of the following kinds of wood burning appliances present at the property?
(1) Woodstove?
❑
0
❑
❑
(2) Fireplace insert?
❑
0
❑
❑
(3) Pellet Stove?
❑
0
❑
❑
(4) Fireplace?
❑
El
is
❑
If yes, are all of the (1) woodstoves or (2) fireplace inserts certified by the U.S. Environmental
❑
❑
❑
0
Protection Agency as clean burning appliances to improve air quality and public health?
D. Is the property located within a city, county, or district or within a department of natural resources
0
❑
❑
❑
fire protection zone that provides fire protection services?
E. Is the property equipped with carbon monoxide alarms?
0
❑
11
❑
(Note: Pursuant to RCW 19.27.530 the seller must equip the residence with carbon monoxide
alarms as required by the state building code.)
F. Is the property equipped with smoke detection devices?
0
0
0
❑
(Note: Pursuant to RCW 43.44.110if the property is not equipped with at least one smoke detection
device, at least one must be provided by the seller.)
Seller's Initials: /r"c Date: 10 �� 102.3 Seller's Initials: _ Date:
SELLER DISCLOSURE STATEMENT (R(:W 64.05 020) Page 5 of 6
6. HOMEOWNERS' ASSOCIATIONS / COMMON INTERESTS YES NO DON'T N/A
KNOW
A. Is there a Homeowners' Association? Name of Association and contact information for an officer, ❑ 0 ❑ ❑
director, employee, or other authorized agent, if any, who may provide the association's financial
statements, minutes, bylaws, fining policy, and other information that is not publicly available:
B. Are there regular periodic assessments: ❑ ❑ ❑ 0
$ per ❑ Month ❑ Year ❑ Other:
*C. Are there any pending speclal assessments? ❑ ❑ ❑ 0
*D. Are there any shared "common areas" or any joint maintenance agreements (facilities such as EJ ❑ ❑ ❑
walls, fences, landscaping, pools, tennis courts, walkways, or other areas co -owned in undivided
interest with others)?
7. ENVIRONMENTAL
YES
NO
DON'T
N/A
KNOW
*A. Have there been any flooding, standing water, or drainage problems on the property that affect
0
0
❑
❑
the property or access to the property?
*B. Does any part of the property contain fill dirt, waste, or other fill material?
❑
❑
0
❑
*C. Is there any material damage to the property from fire, wind, floods, beach movements,
❑
®
❑
❑
earthquake, expansive soils, or landslides?
D. Are there any shorelines, wetlands, floodplains, or critical areas on the property?
❑
®
❑
❑
*E. Are there any substances, materials, or products in or on the property that may be environmental
❑
❑
0
❑
concerns, such as asbestos, formaldehyde, radon gas, lead -based paint, fuel or chemical storage
tanks, or contaminated soil or water?
*F. Has the property been used for commercial or industrial purposes?
❑
0
0
❑
*G. Is there any soil or groundwater contamination?
❑
❑
0
❑
*H. Are there transmission poles or other electrical utility equipment installed, maintained, or buried
❑
❑
0
❑
on the property that do not provide utility service to the structures on the property?
*I. Has the property been used as a legal or illegal dumping site?
❑
0
0
❑
*1. Has the property been used as an illegal drug manufacturing site?
❑
0
❑
❑
*K. Are there any radio towers in the area that cause interference with cellular telephone reception?
❑
❑
0
❑
S. MANUFACTURED AND MOBILE HOMES
DON'T
YES
NO
N/A
If the property includes a manufactured or mobile home:
KNOW
*A. Did you make any alterations to the home? If yes, please describe the alterations:
❑
❑
❑
0
*B. Did any previous owner make any alterations to the home? ❑ ❑ ❑ 0
*C. If alterations were made, were permits or variances for these alterations obtained? ❑ ❑ ❑ 0
9. FULL DISCLOSURE BY SELLERS YES NO DON'T N/A
KNOW
A. Other conditions or defects: ❑ 0 ❑
*Are there any other existing material defects affecting the property that a prospective buyer should
know about?
Seller's initials: AC Date: !� "/u�-3 Seller's Initials: Date:
SELLER DISCLOSURE STATEMENT (RCW-64.05.020)
Page 6 of 6
If you answered "Yes" to any questions with an asterisk (*), use the following space to provide an explanation for each answer.
Please refer to each question number. Attach additional pages if necessary (and initial and date each page):
1.B(3) - there is a Lease Agreement with Thomas & Heidi Hansen that expired on 8/31/2023, they are on month to month now.
1.D & 1.E & 6.D - there are a several easements recorded: wall maintenance, permanent access (pedestrian), temporary
construction (see Chicago Title Report, Order # 0253202-04).
1.J - there is a record of a survey recorded under recording no. 8804189002 (see said title report).
41- home was inspected on 9/19/2021 by Key Inspection Services (see inspection report).
4.G - home was inspected on 9/19/2021 by Key Inspection Services (see inspection report).
5.A - heat vent in the living room is not working, per the tenant. Tenant declined offer to fix it because it would be obstructed by
furniture anyway.
B. Verification:
The foregoing answers and attached explanations (if any) are complete and correct to the best of my/our knowledge and I/we have
received a copy hereof. I/we authorize all of my/our real estate licensees, if any, to deliver a copy of this disclosure statement to other
real estate licensees and all prospective buyers of the property.
5ELLE j�/rC, LLCC DATE SELLER DATE
J J NOTICE TO THE BUYER:
INFORMATION REGARDING REGISTERED SEX OFFENDERS MAY BE OBTAINED FROM LOCAL LAW ENFORCEMENT AGENCIES. THIS NOTICE
IS INTENDED ONLY TO INFORM YOU OF WHERE TO OBTAIN THIS INFORMATION AND IS NOT AN INDICATION OF THE PRESENCE OF
REGISTERED SEX OFFENDERS.
II. BUYER'S ACKNOWLEDGMENT
A. Buyer hereby acknowledges that: Buyer has a duty to pay diligent attention to any material defects that are known to Buyer or can
be known to Buyer by utilizing diligent attention and observation.
B. The disclosures set forth in this statement and in any amendments to this statement are made only by the Seller and not by any real
estate licensee or other party.
C. Buyer acknowledges that, pursuant to RCW 64.06.050(2), real estate licensees are not liable for inaccurate information provided by
Seller, except to the extent that real estate licensees know of such inaccurate information.
D. This information is for disclosure only and is not intended to be a part of the written agreement between the Buyer and Seller.
E. Buyer (which term includes all persons signing the "Buyer's acceptance" portion of this disclosure statement below) has received a
copy of this Disclosure Statement (including attachments, if any) bearing Seller's signature.
DISCLOSURES CONTAINED IN THIS DISCLOSURE STATEMENT ARE PROVIDED BY SELLER BASED ON SELLER'S ACTUAL KNOWLEDGE OF THE
PROPERTY AT THE TIME SELLER COMPLETES THIS DISCLOSURE STATEMENT. UNLESS BUYER AND SELLER OTHERWISE AGREE IN WRITING,
BUYER SHALL HAVE THREE BUSINESS DAYS FROM THE DAY SELLER OR SELLER'S AGENT DELIVERS THIS DISCLOSURE STATEMENT TO
RESCIND THE AGREEMENT BY DELIVERING A SEPARATELY SIGNED WRITTEN STATEMENT OF RESCISSION TO SELLER OR SELLER'S AGENT.
YOU MAY WAIVE THE RIGHT TO RESCIND PRIOR TO OR AFTER THE TIME YOU ENTER INTO A SALE AGREEMENT.
BUYER HEREBY ACKNOWLEDGES RECEIPT OF A COPY OF THIS DISCLOSURE STATEMENT AND ACKNOWLEDGES THAT THE DISCLOSURES
MADE HEREIN ARE THOSE OF THE SELLER ONLY, AND NOT OF ANY REAL ESTATE LICENSEE OR OTHER PARTY.
BUYER
DATE
Seller's Initials: A_ Date: 10 !f P2_3
BUYER
Seller's Initials:
Date:
DATE
Form Made Fillable by eForms
Name: Falvic, LLC (c/o Karen Lu)
Phone: 206.465.7831
Address: 31016 28th Ave S, Federal Way, WA 98003
UTILITY SERVICE PROVIDER CONTACT SHEET
Water
Lakehaven Water & Sewer District
Name
31627A 1 st Ave. S.
Address
Federal Way, WA 98063
City, State Zip
253-941-1516
Phone Number
Fax Number
Sewer
N/A (septic tank)
Name
Address
City, State Zip
Phone Number
Fax Number
Garbage
Waste Management
Name
355 H St. NW
Address
Auburn, WA 98001
City, State Zip
855-523-1344
Phone Number
Fax Number
Electricity
Puget Sound Energy
Name
P.O. Box 91269
Address
Bellevue, WA 98009
City, State Zip
888-225-5773
Phone Number
Fax Number
Gas
Puget Sound Energy
Name
P.O. Box 91269
Address
Bellevue, WA 98009
City, State Zip
Phone Number
888-225-5773
Fax Number
Internet
Name
Address
City, State Zip
Phone Number
Fax Number
Cable
Name
Address
City, State Zip
Phone Number
Fax Number
Leased Equipment
N/A
Name
Address
City, State Zip
Phone Number
Fax Number
Other:
ESCROW AGREEMENT
TO: Chicago Title Company of Washington
701 5`h Avenue, Suite 2700
Seattle, WA 98104
(206)628-5600
CTISeattleTitleUnit4@ctt.com
Title Commitment Number: 0253202-04
Commitment Date: March 28, 2023
OWNER:
Falvic, LLC
Attn: Karen Lu
2307 17th Ave. S.,
Seattle, WA 98144
Parcel Number: 092104-9009
DATE: i Zp
City of Federal Way, and the undersigned, mutually agree and direct you to close this escrow in accordance with the following
instructions:
1. The undersigned grantors hereby authorize the issuance of a City of Fedcral Way warrant payable solely to the above -named
Escrow Agent, for our benefit.
2. Receive the Warrantv Deed handed herewith from us as grantors to the City of Federal Way as grantee, conveying the lands
described in your above -referenced Preliminary Commitment.
3. Receive the sum of $485.000.00 in the form of a City. of Federal Way warrant that you are instructed to distribute as follows:
Pay and eliminate of record all encumbrances on said premise shown in your preliminary commitment 0253202-04 dated
March 28th, 2023. Together with any other encumbrances appearing of record against said premise, on statement of holder or
holder's representative prior to closing, except those noted on #1, #2, #3, #4, #5, #6, #7, #8, #9, #11 Schedule B, Special
Exceptions.
4. Note: All escrow and recording fees shall be paid by the City of Federal Way
5. The City of Federal Way, at its discretion, reserves the right to withdraw the funds for this transaction from escrow and close
this transaction independently or deposit said funds with the Clerk of the Court if deemed necessary.
6. When ready to vest title in City of Federal Way, record instrument shown in instruction 2 above (no recording fee or excise
tax is to be charged) and prepare CLOSING DETAIL STATEMENT as explained on the reverse hereof.
7. Remit the balance by your check to: Falvic LLC (c/o Karen Lu) 2307 17th Ave. S., Seattle, WA 98144, with your CLOSING
DETAIL STATEMENT.
8. Issue standard form Owner's policy of title insurance in the sum of $485,000.00 insuring City of Federal Way as owner of the
estate conveyed.
9. Upon closing, mail recorded instruments, title policy, and copy of CLOSING DETAIL STATEMENT to City of Federal
Way.33325 81 Ave. S., Federal Way, WA 98003,
City of Federal Way
By:-3esiDate
Public Works Director
Owner — Falvic, LLC
By: Karen Lu
Its': Manager
Date
Falvic, LLC (Karen Lu).docx
CLOSING DETAIL STATEMENT
As indicated on the Escrow Instructions, the Escrow Agent shall furnish, upon the completion of the escrow
transaction, a CLOSING DETAIL STATEMENT that will show thereon:
(a) The date of receipt and total amount of escrowed funds.
(b) The fee for escrow services and a statement that the entire escrow fee has been paid solely by the City of
Federal Way.
(c) The date on which the City of Federal Way's grantor(s) is notified that the Escrow Agent is ready to disburse
funds to the City of Federal Way's grantor(s).
(d) Date of closing of the escrow.
(e) Detail of a mortgage payoff that includes:
Principal unpaid balance and date.
Accrued interest and dates for which interest is paid.
Prepayment penalty assessed, if any.
Offset of reserves held by mortgagee.
Net amount paid to mortgagee and date.
(f) Sums, if any, withheld from distribution to the City of Federal Way's grantors at time of closing, and for what
reason.
(g) Endorsements to the effect that:
The statement has been read by the City of Federal Way's grantor, approved, and
acknowledgment of receipt of the funds indicated as the net balance due from the Escrow
Agent.
2. The closing officer certifies that the statement is true and correct.
In case the Escrow Agent has withheld funds from distribution to the City of Federal Way's grantor(s) for any reason, the Escrow
Agent shall furnish to the City of Federal Way copies of correspondence transmitting such withheld funds at the time of their
final disposition.
Falvic, LLC (Karen Lu).docx
KEY INSPECTION SERVICES, LLC
41 Horne Education andInsoection Company
KEY INSPECTION SERVICES
-7 1
off icete-jrn� k, e�'/! �specl irlr�serwi -es, cc, r-,,,
h L LIDS: e, /In I
-1 L 1 G ri S '� �A/! S' - 0, 11-,
INSPECTION REPORT
31016 28th Ave S
Federal Way WA 98003
Ebbie Smith
SEPTEMBER 19, 2021
Gordon Papik Anthony Shulman Ebbie Smith
253-720-0664' Keller Williams Realty, Bellevue
go C,
31016 28th Ave S
Ebbie Smith
TABLE OF CONTENTS
1: Inspection Details
2: Orientation For Report
3: Exterior
4: Roof
5: Doors, Windows & Interior
6: Electrical
7: Plumbing
8: Heating
9: Insulation And Ventilation
10: Structure
11: Kitchen
12: Items Not Inspected
Standard of Practice
7
8
9
15
22
24
30
38
40
45
55
57
59
Key Inspection Services LLC.
Paget of59
31016 ?Sth Ave S
Ebbie Smith
Scope of Inspection & Comment Explanations
The following definitions of comment descriptions represent this inspection report. All
comments by the inspector should be considered before purchasing this home. Any
recommendations by the inspector to considered a primary concern potentially
needing repair or replacement and suggests a second opinion or further inspection
by a qualified contractor. All costs associated with further inspection fees and repair
or replacement of item, component or unit should be considered before you purchase
the property.
Inspected (IN) = I visually observed the item, component or unit and if no other
comments were made then it appeared to be functioning as intended allowing for
normal wear and tear.
Not Inspected (NI)= I did not inspect this item, component or unit and made no
representations of whether or not it was functioning as intended and will state a
reason for not inspecting.
Not Present (NP) = This item, component or unit is not in this home or building.
Inquire with Seller (IQ) = Inquire with seller for further details. This can simply be a
reminder to the buyer to ask for further information from the present
occupant/owner. If the information or reasoning is not clear and cohesive with details
covered we recommend further evaluation by the appropriate professional.
Deferred Maintenance (DM) = These are common maintenance items for the age of
the home, that in our opinion have been overly deferred. These are items that will
need to be maintained and serviced sooner than typical common home maintenance
items. As with any item improper maintenance can lead to additional cost of
ownership and potential safety hazards. These items are mentioned as a courtesy
and are not included in the repair summary.
Primary Concern (PC) = The item, component or unit is not functioning as intended,
or needs further inspection by a qualified contractor. These Items should be repaired
sooner than later we recommend within 90days or sooner. Items, components or units
that can be repaired to satisfactory condition may not need replacement.
Potential Safety Concern (SC): Denotes a condition that is unsafe and in need of
prompt attention. This may include a simple repair to significant hazard. Safety
hazard may become more significant depending on the occupants of the home (i.e.
small children, elderly, etc.).
Thank you for the opportunity to service your inspection needs. As inspectors we
strive in every way to give each client a competent and thorough inspection, there
may be specific features, systems/components, or issues we are not able to inspect or
perhaps even confirm their existence. Even in the case of those items which receive
the most thorough examination, there may be further tasks which you as the property
buyer and new owner, will need to address during your period of ownership.
Key Inspection Services LLC. Page of59
31016 ?Sth Ave S
Ebbie Smith
(r,'U `(J1_ �. �ill13 � Q❑ lil •=•I';iP" ��r1_ OIJ �1G :l: � : �� 'DU `_�t� �r� �'•�I c.
I"=CJr'1'1i,•,'.'lia it _,: �._._� ��C i�C _1C��;i4"P_=� ilc'i" i:�l _` bel.—, i C011'if?lLl""1Ci�ClOh:i" Iil'3 I`, r!C„_._.
r2.p3i— fill Cl!IL
rc)I-_bV!i;�_ Cg1I=IC 'cl. nS .ti :i:ui._2! aIIC_ �iS[ "ail I:: Cli.icCl f0i-d!1 cCiOrNi
1JC lil;=�L+7^ICI U _1S IS 01']It_ 2Ci!R_dCli�hCi a'1
(1s ct!or1 Tic; -i r;? on Prtoncc/ Concern sU uc-rJra I Concerns, Cnrnp,,nen; ?i I-
n c a r i nq i!1= C:i_ILI i)II- i.o-_ ,-7l i7fe•
:�(7;tl7cr;Clf1C2 h�_'!'115 i7 n1-[ "or-luCEE_1i In rhis r onrtPr C7Chhr;onul fc? Cilr, odd
11%Cll,"1C2!lol7C� 1�2.'115, If 1)':'(""7(liC 1C1YiCP arp IYrncioned rhLS- ore ool_yn1 entmjnz?d iS CI
Not visible review during final walk through due to the potential for portions of the
home not being completely visible for inspection due to personal belongings; boxes,
chairs, tables, wall hanging, etc. We recommend reviewing such areas for damages,
repairs, functionality, during final walk through prior to taking formal ownership. We
urge you to make arrangements, as part of a Pre -Closing -Walk -Through to cover all of
the points concerning the maintenance and operation of this property with the
previous owner and/or occupants. We may have made suggestions items or tasks
throughout the report which we believe you should cover with the outgoing occupants
before they leave and you take over.
An inspection is NOT a guarantee, warranty, value appraisal, or construction repair
guideline. The inspector is providing a visual inspection of all major components of
the home based on the above criteria.
This inspection is only a beginning of the journey of property ownership. You have
the advantage of being better educated about your property due to this inspection
and report. However, as property inspectors we are human and therefore not perfect,
we cannot see through walls and do not carry a crystal ball to predict the future. Our
services include a visual non-destructive evaluate of the property of interested. A
property inspection is not the end of the ownership journey but the beginning.
Qualified licensed contractors, experienced in the types of repairs recommended,
should be consulted to further investigate the items contained in this report and
perform all necessary repairs. All repairs or improvements shall be completed to
present day industry standards.
Key Inspection Services LLC. Page 4 of59
.. r
31016 28th Ave S Ebbie Smith
SUMMARY
INQUIRE WITH SAFETY CONCERN
SELLER/DEFERRED
MAINTENANCE
3❑
PRIMARY CONCERN
03.1.1 Exterior - Siding, Flashing & Trim: LP Smart Side
03.2.1 Exterior - Exterior Doors: Double Keyed Deadbolt
03.2.2 Exterior - Exterior Doors: Hardware Missing
Q 3.3.1 Exterior - Walkways, Patios & Driveways: Settling Stoop
3.5.1 Exterior - Eaves, Soffits & Fascia: Eaves - Staining, No Moisture
03.5.2 Exterior - Eaves, Soffits & Fascia: Fascia - Deterioration
03.6.1 Exterior - Vegetation, Grading, Drainage & Retaining Walls: Tree Debris on Roof
Q 3.6.2 Exterior - Vegetation, Grading, Drainage & Retaining Walls: Vegetation 12" Clearance
04.1.1 Roof - Coverings: Vegetation in contact with covering
�4.2.1 Roof - Roof Drainage Systems: Downspouts Damaged/Leaking
494.2.2 Roof - Roof Drainage Systems: Downspouts Drain Near Structure
194.2.3 Roof - Roof Drainage Systems: Gutter Damaged/Leaking
042,4 Roof - Roof Drainage Systems: Gutter Debris
05.2.1 Doors, Windows & Interior - Windows: Cracked Glass
Q5.2.2 Doors, Windows & Interior - Windows: Failed Seal
06.1.1 Electrical - Service Entrance Conductors: Vegetation In Contact With Service Entrance Cables
06.2.1 Electrical - Main & Subpanels, Service & Grounding, Main Over current Device: Knockouts Missing
06.2.2 Electrical - Main & Subpanels, Service & Grounding, Main Over current Device: Zinsco Panel
0
6.3.1 Electrical - Lighting Fixtures, GFCI, AFCI, Switches & Receptacles, Branch Wiring Circuits : Cover Plate
Missing
0
6.3.2 Electrical - Lighting Fixtures, GFCI, AFCI, Switches & Receptacles, Branch Wiring Circuits : Exposed
Electrical Wires
0
6.3.3 Electrical - Lighting Fixtures, GFCI, AFCI, Switches & Receptacles, Branch Wiring Circuits : Improperly
Terminated Wires
0
6.3.4 Electrical - Lighting Fixtures, GFCI, AFCI, Switches & Receptacles, Branch \miring Circuits : Loose Outlet
Key Inspection Services LLC. Page 5 of59
31016 28th Ave S
Ebbie Smith
0
6.3.5 Electrical - Lighting Fixtures, GFCI, AFCI, Sw!tches & Receptacles, Branch Wiring Circuits Signs or
arcing
Q6.4.1 Electrical - Smoke Detectors/Carbon Monoxide Detectors: CO Alarm Missing
07.1.1 Plumbing - Main Water: Insulate Water Line
07.1.2 Plumbing - Main Water: Main Shut Off Location not Found
Q7.2.1 Plumbing - Hot Water Systems, Controls, Flues & Vents: Aged Unit
Q7.2.2 Plumbing - Hot Water Systems, Controls, Flues & Vents: Seismic Straps Missing
07.2.3 Plumbing - Hot Water Systems, Controls, Flues & Vents: TPR Extension, Tube .Missing
Q7.2.4 Plumbing - Hot Water Systems, Controls, Flues & Vents: Missing Armored Conduit
Q 7.3.1 Plumbing - Distribution Systems and Fixtures: Insulate Plumbing Pipes
Q 7.4.1 Plumbing - Sink: Home Owner Items Limiting Inspection
Q 7.5.1 Plumbing - Shower/Bathtub : Shower Controls Leaking
Q 7.5.2 Plumbing - Shower/Bathtub : Shower Head Leaking
Q 7.6.1 Plumbing - Toilet: Moisture Around Toilet
Q 7.7.1 Plumbing - Drain, Waste, & Vent Systems: Sewer Scope
Q7.9.1 Plumbing - Washers & Dryers: Washer & Dryer Not Inspected
Q8.1.1 Heating - Equipment: Electric Wall Heater Non -Operable
Q 9.1.1 Insulation And Ventilation - Attic Insulation: Attic Hatch Missing Insulation
Q 9.1.2 Insulation And Ventilation - Attic Insulation: Missing Insulation
Q 9.1.3 Insulation And Ventilation - Attic Insulation: Rodent Activity Attic
Q9.2.1 Insulation And Ventilation - Floor Insulation: No Insulation
09.3.1 Insulation And Ventilation - Ventilation: Fungal Staining - Attic
Q9.4.1 Insulation And Ventilation - Exhaust Systems: Damaged/Missing Damper
Q9.4.2 Insulation And Ventilation - Exhaust Systems: Vinyl Dryer Vent
Q 10.1.1 Structure - Foundation, Basement, and Crawlspace: Evidence of water intrusion
Q 10.1.2 Structure - Foundation, Basement, and Crawlspace: Foundation Cracks - Concerning
Q 10.1.3 Structure - Foundation, Basement, and Crawlspace: Foundation Cracks - Minor
Q 10.1.4 Structure - Foundation, Basement, and Crawlspace: Rot
Q 10.3.1 Structure - Columns and piers: Pier Settled
Q 10.3.2 Structure - Columns and piers: Positive Connection
Q 10.5.1 Structure - Roof Structure and Attic: Non-standard Trusses
Q 11.3.1 Kitchen - Range/Oven/Cooktop: Anti -Tip Bracket Missing
Q 11.5.1 Kitchen - Built-in Microwave: Inoperable
Q 12.1.1 Items Not Inspected - Items Not Inspected: Extra Buildings
Q 12.1.2 Iterns Not Inspected - Items Not Inspected: Tree Health
Key Inspection Services LLC. Page 6 of59
31016 _'Sdi Ave S
Ebbie Smidi
1: INSPECTION DETAILS
IN IQ DM PC SC NI NP
1.1 1 General X
IN = Inspected IQ = Inquire with Seller DM = Deferred Maintenance PC = Primary Concern SC = Safety Concern
NI = Not Inspected NP = Not Present
General: Approximate age of General: In Attendance General: Occupancy
building Renter Occupied
Over 50 years
General: Temperature (F) General: Type of Building General: Weather Conditions
Approximately Single Family Light Rain, Recent Rain
60-70
L J ldts:atlon33
General
HOMEOWNER/SELLER INSPECTION
This inspection was performed for the home owner selling this home and was inspected according to the
Washington State Standards of Practice. The comments made in this report were based on the condition
of the home at time of inspection. There is no warranty from the inspection company. For a fee, our
company can return and review the inspection, or inspect the home again. The proposed buyer can hire a
different inspector if desired. Different inspectors can find different things sometimes on the same home.
Our inspection company is not responsible for any discoveries included or not found. As this inspection
report ages, the condition of this home and its components can change.
General
OLDER HOME
This was an inspection on an older home. With most older homes, it is common to have areas that do not
comply with current building codes and while we make every effort to point out safety issues, we do not
inspect to code. Many homes, regardless of age, have had repairs/renovations performed that do not meet
standard workmanship qualities. We do notjudge the quality of the work but rather whether it is
functioning as intended and safe. It is common to see older plumbing and/or electrical components.
Evidence of water damage could be years old from a problem that no longer exists or may still need
further attention and repair. Determining this can be difficult on an older home. Sometimes in older
homes there are signs of damage to wood from wood eating insects. Having this is typical and fairly
common. If the home inspection reveals signs of damage you should have a pest control company inspect
further for activity and possible hidden damage. It is common to have lead based paint products and/or
asbestos material in older homes. Testing whether or not this material is present in the home is beyond
the scope of a standard home inspection. The home inspection does not look for possible manufacturer
recalls on components that could be in this home. Always consider hiring the appropriate expert for any
repairs or further inspection.
Key Inspection Services LLC. Pa.-e 7 of59
31016 218th Ave S
Ebbie Smith
2: ORIENTATION FOR REPORT
IN IQ DM PC SC l Ni NP
2.1 1 Orientation IX
IN = Inspected IQ = Inquire with Seller DM = Deferred Maintenance PC = Primary Concern SC = Safety Concern
NI = Not Inspected NP = Not Present
Information
Orientation: Front
r%.
Orientation: Right Side
Orientation: Left Side
Orientation: Rear
Key Inspection Services LLC, Page 8 of59
w
31016 218th Ave S
Ebbie Smith
3: EXTERIOR
IN
IQ
DM
PC
SC
NI
NP
3.1
Siding, Flashing &Trim
X
3.2
Exterior Doors
X
3.3
Walkways, Patios & Driveways
X
3.4
Decks, Balconies, & Porches
X
3.5
Eaves, Soffits & Fascia
X
3.6
Vegetation, Grading, Drainage & Retaining Walls
X
IN = Inspected IQ = Inquire with Seller DM = Deferred Maintenance PC = Primary Concern SC = Safety Concern
NI = Not Inspected NP = Not Present
Information
Siding, Flashing & Trim: Siding
Material
Wood, LP
Decks, Balconies, & Porches
Appurtenance
Front door steps
Observations
Exterior Doors: Exterior Entry Walkways, Patios & Driveways:
Door Driveway Material
Wood Gravel
3.1.1 Siding, Flashing e Inquire With Seller/Deferred
Trim
LP SMART SIDE
The composite trim or siding boards on this house are a newer
product. It is unknown to this inspector how durable this product is
in weather conditions over time. It simply has not been on the
market long enough to establish a track record for reliable and
conclusive data. The earlier versions of the composite siding was
very problematic. I recommend inquiring with the seller for any
transferrable warranty information.
Recommendation
Contact a qualified siding specialist.
f
i
Right
3?.1 Exterior Doors
DOUBLE KEYED DEADBOLT
Key Inspection Services LLC Page 9 of59
3 10 16 28th Ave S
Ebbie Smith
v
A double keyed deadbolt was installed on one or more exterior
doors. This means that a key is required to unlock the deadbolt from
the interior as well as the exterior. This is a potential safety hazard
as it can impede or prevent exit in the event of an emergency. I
recommend removal of the interior keyed deadbolt for increased
safety.
Contact a qualified professional.
E;a2rinr Doors Safety Concer�'--
-91
HARDWARE MISSING
One or more components of door hardware were missing.
Recommend repair or replacement by a qualified contractor to
improve functionality and/or safety.
E2�o!rr � � enrla or,
Recommended DIY Project
rl "�. j.,- Pang
Inquire With Seller/Deferred Maintenance
Drw:
SETTLING STOOP
Signs of settling noted at the stoop. I recommend monitoring for any
further movement. If further repairs are required, I
recommend evaluation and repair by a qualified concrete contractor.
�%'Ci)lillllhOJU0�1
Contact a qualified concrete contractor.
Key Inspection Services LLC. Page 10 of59
31016 _28th Ave S Ebbie Smith
Rear
5 Ear<e �u ri[ f a l-i
EAVES -STAINING, NO MOISTURE
Staining was observed at the eaves. This may indicate a roof leak and/or a flashing defect. No elevated
moisture at the time of inspection. Recommend evaluation by a qualified roofing contractor for
repair/replacement.
Contact a qualified roofing professional.
Front
Front Front Normal moisture readings
Key Inspection Services LLC.
Page I I or;U
31016 28th Ave S Ebbie Smith
Front Normal moisture readings
Hear
3 5 z Eaves, SoFfius & Fascia
InquireSeller/Deferred
FASCIA - DETERIORATION
One or more sections of the fascia were showing signs of wood deterioration. Recommend that a qualified
contractor evaluate for repair/replacement.
Recommendation
Contact a qualified carpenter.
Key Inspection Services LLC. Page 12 of59
31016 38di Ave S
Ebbie Smidi
16.1 Vegetation, Grading, Drainage 'I,Re[aining WallsSeller/Deferred
TREE DEBRIS ON ROOF
Tree debris observed on roof. This can effect roof drainage, promote accelerated deterioration of roof
materials, and allow for moisture intrusion if not removed. Recommend having a qualified contractor clear
the debris from the roof.
Recommendation
Contact a handyman or DIY project
Key Inspection Services LLC Page 13 of59
31016 ?Sth Ave S
Ebbie Smith
6.2 Vegeranon, Grading,
Inquire With Seller/Deferred Maintenance
Drainage & P,eLaIning Walls
VEGETATION 12" CLEARANCE
We recommend maintaining a 12" clearance between vegetation and
the structure, and a minimum 4" clearance bemeen soil and wood
products to avoid conducive conditions for rodent entry and/or wood
destroying organisms as well as wood rot, Areas covered by
vegetation were not visible for inspection, Not all pictures represent
all vegetation in contact with the structure.
Recommendation
Contact a qualified landscaping contractor
Key inspection Services LLC Page 14 of59
31016 28th Ave S
Ebbie Smith
4: ROOF
Coverings
IN
IQ
DM
PC
SC
Ni
NP
4.1
x
4.2
Roof Drainage Systems
x
4.3
Flashings
x
4.4
Skylights. & Other Roof Penetrations
x
IN = Inspected IQ = Inquire with Seller DM = Deferred Maintenance PC = Primary Concern SC = Safety Concern
NI = Not Inspected NP = Not Present
Information
Coverings: Layers
One Layer Of Shingles
Coverings: Material Coverings: Roof Type/Style
Composite Shingles Gable
Key Inspection Services LLC. Page 15 of59
31016 ?Sth Ave S
Coverings: Inspection Method
Walked Roof
Ebbie Smith
Key Inspection Services LLC
Paoe 16 ot'59
31016'_UiAvc S
Fbbic Smith
Ir(I
hev Lisp"tion Services LLC. Page 17 c C59
3101628th Ave S
Ebbie Smith
ik
Observations
41.1 Coverings
VEGETATION IN CONTACT WITH COVERING
Vegetation appeared to be in contact with the roof cover at the time of the inspection. This could allow
moisture to become trapped against the covering leading to deterioration of the shingles and eventual
moisture intrusion. I recommend a qualified contractor remove all vegetation that is in contact.
Recommendation
Contact a qualified landscaping contractor
Key Inspection Services LLC. Page 18 of59
31016 28th Ave S
Ebbie Smith
4.2.1 Roof Drainage
Systems
DOWNSPOUTS DAMAGED/LEAKING
One or more downspouts appeared to be damaged, restricted,
and/or leaking. I recommend repair/replacement by a qualified
gutter specialist to ensure that water is properly diverted away from
the structure.
Recommendation
Contact a qualified gutter contractor
Front
4.2.2 Roof Drainage Systems
DOWNSPOUTS DRAIN NEAR STRUCTURE
One or more downspouts terminated too close to the foundation. This can result in excessive moisture in
the soil at the foundation, which can lead to moisture intrusion and/or structural movement. Recommend
that the water be diverted at least 6 feet from the foundation.
Recommendation
Contact a handyman or DIY project
Key Inspection Services LLC. Page 19 of59
3101623th Ave S
Ebbie Smith
Ex'er_ion FitchcJ
ba::k �nw��rd hnu •c
dope falls .award house
QL^+IY1T5 !lL G1[CCn514!'1
j4� Ld i7 � !ong minimurn
51OFe IB OrAdM 6twaY
FrOn7 hPitSe, [Irog ,o
in. for every fL. 6
e -,- i — u, r. -
E50,19
Left Side Rear
4.2,3 Roos Drainage Sys7ems Inquire With Seller/Deferred t
GUTTER DAMAGED/LEAKING
Gutter appeared to be damaged and/or leaking at time of inspection. Recommend a qualified contractor
evaluate and repair/replace as necessary to properly divert water away from the structure.
Recommendation
Contact a qualified gutter contractor
Key Inspection Services LLC. Page 20 of59
3101628th Ave S
Ebbie Smith
Rear
Front
wwnr Jr)
4.2.4 Roor Drainage Sys[ems
Seller/Deferred,# Inquire With Maintenance
GUTTER DEBRIS kh2 -A
Excessive debris noted in gutters at time of inspection. Recommend cleaning to facilitate water flow.
Recommendation
Contact a handyman or DIY project
Pr
�_..:
Key Inspection Services LLC, Page? 1 of59
31016 28ih Ave S
Ebbie Smidi
5: DOORS, WINDOWS & INTERIOR
Doors
Windows
IN
IQ
DM
PC
SC
NI
NP
5.1
X
5.2
X
X
5.3
Floors-- Walls - Ceiling
X
5.4
Steps, Stairways & Railings
X
5.5
Countertops & Cabinets
X
IN = Inspected IQ = Inquire with Seller DM = Deferred Maintenance PC = Primary Concern SC = Safety Concern
NI = Not Inspected NP = Not Present
Information
Doors: Interior doors
Hollow Core
Floors - Walls - Ceiling: Floor
Covering
Mixture of materials
Limitations
Windows: Materials
Metal, Vinyl
Floors - Walls - Ceiling: Wall
Materials
Painted
Floors - Walls - Ceiling: Ceiling
Materials
Painted
Countertops & Cabinets:
Countertop and Cabinet Material
Mixture of materials
Floors - Walls - Ceiling
HOME OWNER ITEMS IMAGES NOT INCLUDED
Homeowner items blocked multiple areas for inspection. For the home owners privacy images were not
included in the report.
Observations
5.2.1 Windows
CRACKED GLASS
Cracked glass was observed in one or more of the windows. To
increase the and function I recommend repair by a qualified
contractor.
Recommendation
Contact a qualified window repair/installation contractor.
Key Inspection Services LLC. Page22 of59
31016218th Ave S
Ebbie Smith
Bedroom
5 2.2 Windows
FAILED SEAL
One or more windows showed symptoms of a breached seal, or
failure of the seal between the two pieces of glass. The symptoms
often take the form of condensation between the panes of an
insulated glass unit. These failures are more a cosmetic
consideration than a functional one, as the breach does not
appreciably affect the thermal insulation value of the window unit.
However, the fog cannot be removed by cleaning the exposed
surfaces of the unit. There is no simple fix for this condition, short of
replacing the entire glazing unit. Not all windows may be
represented in the photos. I recommend a qualified window
contractor to evaluate all windows for repair/replacement.
Recommendation
Contact a qualified window repair/installation contractor.
Key Inspection Services LLC. Page23 of59
31016 28th Ave S
Ebbie Smith
6: ELECTRICAL
IN
IQ
DM
PC
SC
NI I
NP
6.1
Service Entrance Conductors
X
6.2
Main & Subpanels, Service & Grounding, Main Over current Device
X
X
6.3
Lighting Fixtures, GFCI, AFCI, Switches & Receptacles, Branch Wiring
Circuits
X
6.4
Smoke Detectors/Carbon Monoxide Detectors
X
IN = Inspected IQ = Inquire with Seller DM = Deferred Maintenance PC = Primary Concern SC = Safety Concern
NI = Not Inspected NP = Not Present
Information
Main & Subpanels, Service &
Grounding, Main Over current
Device: Panel Capacity
200 AMP
Main & Subpanels, Service &
Grounding, Main Over current
Device: Panel Type
Circuit Breaker
Main & Subpanels, Service & Main & Subpanels, Service &
Grounding, Main Over current Grounding, Main Over current
Device: Branch Wire 15, 20, and 30 Device: Panel Manufacturer
AMP Zinsco
Copper
Main & Subpanels, Service &
Grounding, Main Over current
Device: Wiring Method
NM Cable
Service Entrance Conductors: Electrical Service Conductors
Overhead
Li
Smoke Detectors/Carbon
Monoxide Detectors: Carbon
Monoxide
None
Key Inspection Services LLC. Page24 of59
3101628th Ave S
Ebbie Smith
Main & Subpanels, Service & Grounding, Main Over current Device: Main Electrical Shut-off Location
Kitchen
Observations
6 1.1 Service Entrance Conductors
VEGETATION IN CONTACT WITH
SERVICE ENTRANCE CABLES
The electrical service entrance cables appeared to be in contact with
vegetation. I recommend a qualified tree specialist to properly
remove limbs to prevent any damage to the electrical lines.
Recommendation
Contact a qualified tree service company.
6.2.1 Main & Subpanels, Service & Grounding, Main Safety Concern
Over current Device
KNOCKOUTS MISSING
An open hole was observed in the panel where a knockout had been
removed. These holes should be filled to deter critter or human
access and/or electrical arcing to leave the panel enclosure and
potentially start a Fite. To reduce this safety hazard, the hole should
be closed with a special filler plug made for this purpose. These are
available at home improvement centers or electrical supply stores.
Key Inspection Services LLC. Page 25 of59
31016 28th Ave S
Ebbie Smith
Recommendation
Contact a qualified electrical contractor.
6.2.2 Main & Subpanels, Service & Grounding,
Main Over current Device
ZINSCO PANEL
LAPrimary
Concern
Zinsco electrical panel installed in home. Zinsco is a known
problematic electrical panel with the potential for a fire hazard as
often times the breakers don't trip during over amperage. I
recommend a qualified electrician evaluate for repair/replacement.
Recommendation
Contact a qualified electrical contractor.
6.3.1 Lighting Fixtures, GFCI, AFCI, Switches & _
Receptacles, Branch Wiring Circuits Safety Concern
COVER PLATE MISSING
One or more cover plates were missing at time of inspection. This
allows for possible human contact. Recommend installation of plates
for increased safety.
Recommendation
Contact a handyman or DIY project
Key Inspection Services LLC. Page 26 of59
3101628th Ave S
Ebbie Smidi
6.3.E Lighting Fixtures, GFCI, AFCI, Switches & <#
Receptacles, Brancn Wiring Or_uits
EXPOSED ELECTRICAL WIRES
Exposed electrical wires noted. I recommend a qualified electrical
contractor evaluate for correction to ensure safety for occupants. All
electrical connections should be concealed from human contact for
safety reasons.
Recommendation
Contact a qualified electrical contractor.
Attic
6 3 Lighting Fixture-, GFCI, AFCI, 5�,�itches ?Receptacles, Branch \-ti!!nng Circuits
IMPROPERLY TERMINATED WIRES
Electrical wires appeared to be improperly terminated outside of a receptacle orjunction box.
Recommend repair by a qualified electrical contractor.
i=t!=-irlenCi:�-ior.
Contact a qualified professional.
Key Inspection Services LLC. Page27 of59
3101628th Ave S
Ebbie Smnh
Attic Entrance
Attic Right Side
63.4 Ll,gh> ing Fixtures, GFCI, AFCI, S�/inchesjjj& _
Receptacles, Branch Wiring Circui>s'-
LOOSE OUTLET
One or more outlets appeared to be loose at the time of inspection.
For increased safety, I recommend that a qualified electrical
contractor evaluate for repair/replacement.
Recommendation
Contact a qualified electrical contractor.
Living Room
63.5 L!ghiirg Flxti•�re, GFCI, AM, Switcl ics
Safety Concern,
Receptacles, Branch VVVnng Circul[s
SIGNS OR ARCING
One or more outlets showed signs of previous arcing, it is unknown
to the inspector if this was a previous issue or and on going problem.
I recommend a qualified electrical contractor evaluate and repair as
necessary.
Recommendation
Contact a qualified electrical contractor.
Key Inspection Services LLC. Page 29 of59
31016 28th Ave S
Ebbie Smith
Laundry Room
6.4.1 Smoke Detectors/Carbon Monoxide Detectors
CO ALARM MISSING
CO alarm was not found or missing in a required location in the home at the time of inspection.
recommend adding a carbon monoxide alarm on every level of the home. For further Information visit:
U.S. Consumer Product Safety Commission.
Recommendation
Contact a handyman or DIY project
Key Inspection Services LLC. Page29 of59
31016 28th Ave S
Ebbie Smith
7: PLUMBING
_
1 Main Water
Hot Water Systems, Controls, Flues & Vents
IN
IQ
DM
PC
SC
NI
NP
7.1
X
X
7.2
X
X
7.3
Distribution Systems and Fixtures
7.4
Sink
X
7.5
Shower/Bathtub
X
7.6
Toilet
X
7.7
Drain, Waste, & Vent Systems
X
7.8
Fuel Storage & Distribution Systems
X
7.9
Washers & Dryers
IX
IN = Inspected IQ = Inquire with Seller DM = Deferred Maintenance PC = Primary Concern SC = Safety Concern
NI = Not Inspected NP = Not Present
r
I?� ;fl °;:fa_.ar
..1flr
Main Water: Main Water Shut -Off Main Water: Water Source
Location Public
Noted at meter
Hot Water Systems, Controls,
Flues & Vents: Capacity
40 Gallons
Distribution Systems and
Fixtures: Distribution Material
Copper
Hot Water Systems, Controls,
Flues & Vents: Power
Source/Type
Electric
Drain, Waste, & Vent Systems:
Material
Copper, Cast iron
Main Water: Water Supply
Material
Copper
Hot Water Systems, Controls,
Flues & Vents: Seismic Straps
No
Key Inspection Services LLC. Page 30 of59
3101628th Ave S Ebbie Sinrth
Hot Water Systems, Controls, Flues & Vents: Approximate Age Of Water Heater
13 Years Old
�t
r 'ril t.�''Cu VTi
Fuel Storage & Distribution Systems: Main Gas Shut -Off Location
N/A
Propana
gae euppy
�3
Observations
/ 1. i �/lnlll'r\%l[C_[ InquireSeller/Deferred
INSULATE WATER
LINE
The main water line did not appear to be properly insulated.
Insulation can prevent the pipe from freezing. I recommend that a
qualified contractor insulate as necessary.
F�COmmL-nd,,uicn
Contact a qualified plumbing contractor.
Gas suppy line to
0Mai0nDVaVC
PIlEtIG g80
serAcs 11ne -
from etroet
P002
Key inspection Services LLC, Page 31 of59
31016 28di Ave S
Ebbie Smith
7.1.2 Marn Warer
MAIN SHUT OFF LOCATION NOT FOUND'A Inquire With Seller/Deferred Maintenance
I could not locate a main water shut-off at time of inspection. I recommend inquiring with the sellers for
location. If a main shut-off does not exist in the home, you will need to use a water key at the street meter
or have a plumber install a shut-off within the home.
Recommendation
Contact a qualified professional.
7 2 1 Hol, Ahater Sysrerns, Controls, Flues c. Vents
AGED UNIT
The water heater is nearing or past the end of its design life, it was
13 years old. Standard life is 8-12 years. I recommend budgeting for
replacement. If one is not already installed, I recommend installation
of a water alarm in a drain pan at the base of the water heater to
alert you to a leak.
r,e+_omniendarJOn
Contact a qualified plumbing contractor.
7.2? Hot VV1 iLer S;'stems, Controls, Flue, : Venrs
SEISMIC STRAPS MISSING
Safety Concern
liar
w"r Yam
in«. -
Key Inspection Services LLC Page 32 of59
r
31016 28th Ave S
Ebbie Smith
The water heater was missing seismic straps on top third and
bottom third of water tank. These are required, not only by local
jurisdictions but often by appraisers and lending institutions. I
recommend correction by a qualified contractor.
Recommendation
Contact a qualified plumbing contractor.
Bathroom
7.2.3 Hot Water Systems, Controls, Flues & Vents Safety
TPR EXTENSION TUBE MISSING
The TPR (Temperature and Pressure Relief) valve was missing an
extension tube which should extend within 6 inches of floor/ground
for safety. I recommend evaluation and repair by a qualified
plumbing contractor.
Recommendation
Contact a qualified plumbing contractor.
Bathroom
7.2.4 Hot Water Systems, Controls, Flues & Vents Safety Concern
MISSING ARMORED CONDUIT
Armored conduit appeared to be missing at the hot water heater. I
recommend a qualified electrical contractor to evaluate and repair as
necessary.
Recommendation
Contact a qualified electrical contractor.
Key Inspection Services LLC Page 33 of59
31016 28th Ave S
Ebbie Smidi
bathroom
7 3 1 Dismbunon Systems and Fixtures
INSULATE PLUMBING PIPES Inquire With Seller/Deferred Maintenance
Missing insulation on plumbing pipes in one or more areas. Recommend insulating plumbing lines in
crawls pace -garage -exterior to help deter freeze potential. Generally, a simple repair, but can be expensive
if pipes burst.
Recommendation
Contact a qualified handyman
Q
74.1 Sink
inquire'ItmT . - -
HOME OWNER ITEMS LIMITING INSPECTION
Multiple areas under the sink were not available for inspection due to homeowner items. I recommend
reviewing these areas during final walk-through. If any additional repairs are needed I recommend a
qualified plumber to repair or replace as necessary.
Key Inspection Services LLC_ Page 34 of59
31016 28th Ave S
Ebbie Smith
RP r(ii`1menCIJ:!011
Contact a qualified plumbing contractor.
Kitchen
7.5.1 Shmver/Batncub Inquire With Seller/Deferred
rred Maintenam
SHOWER CONTROLS
LEAKING
Leak noted at shower controls at the time of inspection. Often,
leaking in this area can allow for moisture intrusion to the wall
structure behind the valve. I recommend repair or replacement, as
needed, by a qualified plumbing contractor.
Recommendation
Contact a qualified professional.
75.2 Shf-)�!\(ei/Bathtub Inquire With Seller/Deferred
SHOWER HEAD
LEAKING
The shower head appeared to be leaking. I recommend a qualified
plumber to repair/replace to prevent any potential moisture
damage.
Rey _,�7lmendat'cn
Contact a qualified plumbing contractor.
Key Inspection Services LLC. Page 35 of59
31016 28th Ave S
Ebbie Smith
Bathroom
7.6.1 Toilet _
rimaryrn
MOISTURE AROUND TOILET _ .
Elevated moisture noted at the floor around the toilet. Unknown to the inspector the extent of any damage
that may have occurred due to this issue. I recommend evaluation and repair by a qualified plumbing
contractor.
Recommendation
Contact a qualified plumbing contractor.
Flush
lever
Tank
Fill
Float
rYYhet
Warr Flapper
Overflow
tube
orb111
flush
valve
l5owl
5u"
Water
Wax ring
stains
seal
Wax ring seals tollet
Water stains
to draln €pa, Alleek
will cause a sra€n In
Drain pipe
Aryl flooring and In
wood below toilet
O T—Fw
P027
Example Picture
Key Inspection Services LLC. Page 36 of59
31016 ?Sth Ave S
Ebbie Smidi
77 1 Drain, Was[e. &VennSeller/DeferredInquire Maintenance
Systerns
SEWER SCOPE
Due to the age .of the home and the potential for damagelroot
intrusion to the sewer line, it is recommend inspection of the sewer
line or inquiring with sellers on the history of maintenance,
inspection and operation of the sewer drainage piping. if further
technical details are needed, we recommend that a qualified
professional optically scan the sewer line for defects, damage, etc.
Recommendation
Contact a qualified plumbing contractor.
7 9.1 Washers & Dryers
WASHER & DRYER
NOT INSPECTED
Washers and dryers are not part of a standard home inspection. I
recommend inquiring with the seller about any history or
maintenance to the washer and dryer. For increased protection
against leaks, I recommend ensuring a drain pan under the washer
with a external drain, water alarm and having braided stainless steel
hoses which are more durable than rubber.
Recommendation
Contact a qualified appliance repair professional.
Key Inspection Services LLC Page 37 of59
31016 28th Ave S
Ebbie Smith
8: HEATING
Equipment
IN
IQ
DM
I PC
SC
NI
NP
8.1
X
8.2
Distribution Systems, Presence of Installed Heat Source in Each
Room, Normal Operating Controls
X
8.3
Vents & Flue
X
IN = Inspected IQ = Inquire with Seller DM = Deferred Maintenance PC = Primary Concern SC = Safety Concern
NI = Not Inspected NP = Not Present
Information
Equipment: Approximate Age Of Equipment: Filter Location Equipment: Heat Energy Source
Equipment No Furnace Electric
00 No Furnace
Equipment: Heat Type
Electric Baseboard
Observations
Distribution Systems, Presence of
Installed Heat Source in Each
Room, Normal Operating
Controls: Ductwork
NA
81.1 Equipment
ELECTRIC WALL HEATER NON -OPERABLE
HALLWAY, LIVING ROOM
The wall heater appeared to be non -operable at the time of inspection
electrician to repair or replace.
Recommendation
Contact a qualified electrical contractor.
I recommend a qualified
Key Inspection Services LLC_ Page 38 of59
31016 ?Sth Ave S Ebbie Smith
Key Inspection Services LLC Page 39 of59
31016?8th Ave S
Ebbie Smith
9: INSULATION AND VENTILATION
Attic Insulation
Floor Insulation
IN
I IQ
DM
PC
SC
NI
NP
9.1
X
X
9.2
X
9.3
Ventilation
X
9.4 1
Exhaust Systems
X
X
IN = Inspected IQ = Inquire with Seller DM = Deferred Maintenance PC = Primary Concern SC = Safety Concern
NI = Not Inspected NP = Not Present
f ai r I^--r", I t•^
Attic Insulation: Insulation Type
Fiberglass
Exhaust Systems: Dryer Power
Source
220 Electric
Floor Insulation: Flooring
Insulation
None
Exhaust Systems: Dryer Vent
Material
Vinyl (Flex)
Ventilation: Ventilation Type
Soffit and Roof Vents
Exhaust Systems: Exhaust Fans
Window
9 1.1 Arne IrSularlon
ATTIC HATCH MISSING INSULATION . A Inquire With Seller/Deferred Maintenance
Missing insulation on the attic hatch was noted. This can effect the heating and cooling. I recommend
adding proper insulation to the attic hatch.
^ecnmmem_;ation
Contact a qualified insulation contractor
L :71TCC= FI.—tJI
i UrAPA'
tit
�•ir. dtt�C Cr�pdck:r �8ti 7tl d o g air jno h8d' :.�'.,,
!: nr•r.A� nee=-er:6rlrpira and �r'ou•�::�n.
Example Picture
Key Inspection Services LLC Page 40 o f 5 9
31016 ?Sth Ave S
Ebbie Smidi
9.12 Atli(C in-sul?710n:.'A Inquire With Seller/Deferred Maintenance
MISSING
INSULATION
There appeared to be missing insulation in one or more areas of the
attic. I recommend adding insulation for increased heating and
cooling efficiency.
Recommendation
Contact a qualified insulation contractor.
P4'
I
9.1.3 Attic Insulation WSafety Concern
RODENT ACTIVITY ATTIC
Rodent activity noted in the attic area. I recommend inquiring with the sellers on the history of rodent
activity/infestation. I also recommend contacting a qualified Pest Control Operator to evaluate and remedy
the situation which will include removing all rodents, rodent droppings, and damaged materials followed
by taking the proper steps to ensure no future infestation will occur. Due to the common nature of rodent
accessing different areas of the home, I recommend these steps also be taken in any other areas where
pest activity/infestation has occurred. Also recommend having a qualified insulations contractor install new
insulation in any areas where insulation was damaged/removed.
Recommendation
Contact a qualified pest control specialist.
Key Inspection Services LLC. Page 41 of 59
31016i&hAve S
Ebbie Smith
9.2.1 Floor Insulanal
NO INSULATION 6 # Inquire With Seller/Deferred Maintenance
FYI, there was no insulation installed in the crawlspace. This is
common for age of home. For increased energy efficiency, I
recommend having a qualified contractor install insulation. I also
recommend inquiring with seller for an understanding of utility bills
throughout the year.
Recommen claLion
Contact a qualified insulation contractor.
9.3.1 VennIatlon �-
FUNGAL STAINING -ATTIC
Residue observed on attic sheathing appeared to be fungal in nature. Ventilation of attic area may need
alteration or correction. I recommend a qualified fungal growth speciafist to review for potential remedy.
Poor ventilation can decrease the life of the roof. I did not inspect, test or determine if this growth is or is
not a health hazard. This type of testing is beyond the scope of a standard home inspection. The
underlying cause is moisture or dampness.
Recommendation
Contact a qualified environmental contractor
Key Inspection Services LLC- Page 42 of59
31016 28th Ave S
Ebbie Smith
9.4.1 Exhaust Systems _ _ _,
rrMaintenance
DAMAGED/MISSING
DAMPER
The exhaust termination damper appeared to be damaged or
missing at the time of inspection. I recommend repair by qualified
contractor to deter critter or moisture intrusion.
Recommendation
Contact a handyman or DIY project
9.4.2 Exhaust Systems " ..
VINYL DRYERVENT
Vinyl dryer vent material used for dryer exhaust. This is no longer an
acceptable material and may pose a fire hazard. We recommend
replacing with an approved EPA material for optimal safety.
Recommendation
Contact a qualified professional.
Key Inspection Services LLC. Page43 of59
31016 ?Sth Ave S
Ebbie Smith
Key Inspection Services LLC. Page 44 of59
31016 28th Ave S
Ebbie Smith
10: STRUCTURE
- IN iQ DM PC SC NI NP
10.1 Foundation, Basement, and Crawlspace X X
10.2 Vapor Retarders _ X
10.3 Columns and piers X X
10.4 Structural System (Walls -Ceilings -Floors) X
10.5 f Roof Structure and Attic I X
IN = Inspected IQ = Inquire with Seller DM = Deferred Maintenance PC = Primary Concern SC = Safety Concern
NI = Not Inspected NP = Not Present
Information
Columns and piers: Material
Wood Posts/Cement Piers, Wood
Beams
Key Inspection Services LLC. Page45 of59
31016 38[h Ave S
Ebbie Smith
Foundation, Basement, and Crawlspace: Material
Poured concrete
_ _. .vi_� ,
M
Key Inspection Services LLC, Page 46 of59
31016 28di Ave S
Ebbie Smidi
Key Inspection Services LLC. Page47 of59
3101628th Ave S
Ebbie Smith
Roof Structure and Attic: Structural System
Home made trusses, Rafters
�07
,.r
Key inspection Services LLC Page 48 of59
31016 28th Ave S
Ebbie Smith
Observations
'10 1 1 FO indation, rA Inquire With Seller/Deferred
Basement, and Crawlspace
EVIDENCE OF WATER INTRUSION
There were signs of previous water intrusion in the crawlspace. No
standing water at the time of inspection. I recommend inquiring with
the seller about any history of the crawlspace.
Recom:-nendatlon
Contact the seller for more info
Key Inspection Services LLC. Page 49 of59
31016 28th Ave S
Ebbie Smith
------------------
10.1.2 Foundation, Basement, and Crawlspace
Primary Concerr
FOUNDATION CRACKS -CONCERNING
Large foundation cracks noted. This is typically consistent with soil movement and could lead to damage
to structural components, foundation and/or slabs. We recommend a foundation contractor evaluate and
for repair/replacement.
Here is an informational article on foundation cracks.
Recommendation
Contact a foundation contractor.
10.1.3 Foundation,
Basement, and Crawlspact
FOUNDATION CRACKS -MINOR
Key Inspection Services LLC. Page 50 of59
31016 218th Ave S
Ebbie Smith
Minor cracking was noted at the foundation. This is common as
concrete ages and shrinkage surface cracks are normal. Recommend
monitoring. for more serious shifting/displacement.
Here is an informational article on foundation cracks.
Recommendation
Recommend monitoring.
101.4 Foundation, Basement, and Crawlspace ,#, Inquire With Seller/Deferred
ROT
There appears to be rot In the crawlspace. I recommend a qualified contractor to evaluate and
repair/replace.
Recommendation
Contact a qualified general contractor.
10.3.1 Columns and piers
PIER SETTLED
Key inspection Services LLC. Page51 of59
31016 28th Ave S
Ebbie Smidi
It appeared that one or more piers had settled or were poorly
installed. I recommend that a qualified structural contactor evaluate
and repair as necessary.
Recommeraj lon
Contact a qualified professional.
10.3 ? Columns and piers
POSITIVE CONNECTION Inquire With Seller/Deferred Maintenance
Post did not appear to have a positive connection to its pier pad. Missing appropriate brackets (post to
pier and/or post to beam) which help ensure stability in case of contact or seismic activity. Recommend
appropriate repair or replacement by a qualified foundation contractor.
Recommendation
Contact a qualified general contractor.
Crawlspace
Key Inspection Services LLC. Page 52 of59
Ebbie Smidi
31016 28th Ave S
W.
10.5.1 Roof Structure and Attic
NON-STANDARD TRUSSES
The trusses appeared to be home made trussing. I recommend it is unknow to the inspector if this will
preform properly. Truss systems are typically and pre designed engineered design. I recommend further
evaluation from a qualified Structural contractor.
Re Comm end -idol
Contact a qualified structural engineer.
Key Inspection Services LLC Page 53 of59
3101628th Ave S Ebbie Smidi
Key Inspection Services LLC. Page 54 of59
3101629th Ave S
Ebbie Smith
1 1: KITCHEN
Dishwasher
Refrigerator
IN
IQ
I DM
PC
SC
NI
NP
11.1
I
i
I
I
I X
11.2
X
11.3
Range/Oven/Cooktop
I
X
11.4
Garbage Disposal
X
11.5
Built-in Microwave
X
IN = Inspected IQ = Inquire with Seller DM = Deferred Maintenance PC = Primary Concern SC = Safety Concern
NI = Not Inspected NP = Not Present
1nformriHr^r
Range/Oven/Cooktop: Exhaust
Hood Type
Vented
Observations
11.�'1 Fame/O;'en/Coolaop
ANTI -TIP BRACKET MISSING
Missing anti -tip bracket at stoveloven. This is an inexpensive metal bracket screwed to the Floor or wail
and slipped around the rear leg of a stove. This safety bracket Is installed to help prevent the stove from
tipping over if a child climbs onto the stove or a heavy object is placed on the oven door. I recommend a
qualified professional properly install an anti -tip bracket on this stove, particularly if a child Is to occupy
the home. For further Information visit: U.S. Consumer Product Safety Commission.
RpcoM171!_'rl�-tio1,
Contact a qualified appliance repair professional.
FIG. r C�.4001d J
l���ar �ar�trnr nr
l
�Rmr
Key Inspection Services LLC.
PaV55 o f 5 9
31016 28th Ave S
Ebbie Smith
11.5.1 Built-in Microwave Seller/Deferred
1.
INOPERABLE Inquire With
The microwave appeared to be inoperable at the time of inspection.
recommend a that qualified specialist evaluate and repair/replace as
necessary.
Recommendation
Contact a qualified appliance repair professional
Key Inspection Services LLC Page 56 of59
31016 28th Ave S
Ebbie Smith
12: ITEMS NOT INSPECTED
IN = Inspected IQ = Inquire with Seller DM = Deferred Maintenance PC = Primary Concern SC = Safety Concern
NI = Not Inspected NP = Not Present
fibs=.=: � aI--ions
12.1 1 Items Not D. _ _. Maintenance
Inspected
EXTRA BUILDINGS
I did not inspect any additional buildings. I only inspected the main
structure. Deficiencies may exist with these structures or buildings.
Our company makes no representation to the condition of these
structures or buildings. I recommend inquiring with the seller about
any history, maintenance and information on the additional
buildings.
Recommendation
Contact the seller for more info
121 Z Items Not Inspected Seller/Deferred
TREE HEALTH
Evaluation of tree health and life span is outside the scope of a standard home inspection. Several trees
exist in the vicinity of this home. For further technical service I recommend a qualified arborist evaluate
tree health as needed.
Recommendation
Contact the seller for more info
Key Inspection Services LLC. Page 57 of59
31016 28th Ave S
Ebbie Smith
Key Inspection Services LLC. Page 58 of59
31016 28th Ave S
Ebbie Smith
STANDARDS OF PRACTICE
Key Inspection Services LLC. Page 59 of59
10/19/23, 11:56 AM Corporations and Charities System
BUSINESS INFORMATION
Business Name:
FALVIC, LLC
UBI Number:
604 834 628
Business Type:
WA LIMITED LIABILITY COMPANY
Business Status:
ACTIVE
Principal Office Street Address:
659 S WELLER ST, SEATTLE, WA, 98104-2944, UNITED STATES
Principal Office Mailing Address:
659 S WELLER ST., SEATTLE, WA, 98104, UNITED STATES
Expiration Date:
11/30/2024
Jurisdiction:
UNITED STATES, WASHINGTON
Formation/ Registration Date:
11/15/2021
Period of Duration:
PERPETUAL
Inactive Date:
Nature of Business:
REAL PROPERTY INVESTMENT
REGISTERED AGENT INFORMATION
Registered Agent Name:
KAREN LU
Street Address:
659 S WELLER ST, SEATTLE, WA, 98104-2944, UNITED STATES
Mailing Address:
2307 17TH AVE S, SEATTLE, WA, 98144-5105, UNITED STATES
GOVERNORS
Title
GOVERNOR
GOVERNOR
GOVERNOR
Governors Type
INDIVIDUAL
INDIVIDUAL
INDIVIDUAL
Entity Name
First Name
KAREN
STEPHEN
RAN
Last Name
LU
LU
LU
htti)s://ccfs.sos.wa.qov/#/BusinessSearch/Businessinformation 1 /1