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CITY OF TUMWATER Community Development Department 360-754-4180 Monday Friday 8:00am 5:00pm IMPACT FEE DEFERRAL APPLICATION APPLICANT: PROJECT NAME: OWNER INFORMATION NAME: Unit # PERMIT NO: PARCEL NO: PRIMARY CONTACT / AGENT PHONE NUMBER: EMAIL PHONE NUMBER: EMAIL WHAT IS AN IMPACT FEE DEFERRAL? The City of Tumwater has adopted impact fees on new development in the city limits. Impact fees may vary by the intensity of the project or by year. Impact fees directly pay for the public infrastructure improvements required to accommodate new development. The City of Tumwater offers a deferred payment system for up to 20 single-family residential building permits per applicant per year. PROCESS 1. The applicant may begin the fee deferral process at any time in advance of building permit issuance. The impact fee is calculated by the Community Development Department based on the fee schedule in effect at the time the building permit and this application is submitted to the City. 2. The applicant must grant and record a deferred impact fee lien, provided on the following page, against the property in favor of the City in the amount of the deferred impact fee. This lien will be released upon payment of the impact fee. 3. If the property is owned by a company, partnership, corporation, or other entity, then the lien must be signed by an authorized company representative and documentation must be provided verifying this individual s authority to sign. 4. The applicant must record the lien with the Thurston County Recorder s Office and is responsible for any fees associated with the recording of the lien and for complying with the requirements of the Thurston County Recorder s Office. 5. The applicant may then submit the Impact Fee Deferral Application form, a copy of the recorded lien and applicable administration fees. 6. Payment of the impact fee is due to Community Development prior to (1) final inspection; or (2) within 18 months from the date of the first building permit issuance, whichever comes first. Once payment is received, the City will issue a lien release document that the applicant may file with the Thurston County Recorder s Office. The applicant is responsible for any fees associated with releasing the lien. CITY STAFF ONLY TOTAL FEES DUE: STAFF INITIALS: DATE: PERMIT ISSUED DATE: IMPACT FEE DUE DATE: August 2016

WHEN RECORDED, RETURN TO: City of Tumwater Community Development Department AGREEMENT FOR LIEN FOR IMPACT FEES Lien for Benefit of Grantee: City of Tumwater, a municipal corporation Person(s) Indebted to Grantee (Grantor(s)): Reference Numbers of Related Documents: Permit File Number(s): Principal Amount of the Lien: Name of Project: Assessor s Tax Parcel Number: Full Legal Description: See Exhibit A attached. This AGREEMENT FOR LIEN FOR DEVELOPMENT IMPACT FEES ( Agreement ) is made and entered into this day of, 20, by and between ( Grantor ) and the CITY OF TUMWATER, a Washington municipal corporation ( City or Grantee ). I/we hereby request deferral of payment of impact fees associated with Building Permit No. and agree that impact fees of $ are due to the City of Tumwater prior to (1) final building inspection conducted by the City, or (2) 18 months from the date of building permit issuance, whichever comes first. The City of Tumwater hereby claims a Lien for Development Impact Fees (which may include park, schools and/or transportation impact fees), against the above described real property. This agreement runs with the land and creates an obligation on behalf of the Grantor and owners of the affected real property. The agreement is binding on successors and assigns of the Grantor. The Grantor shall record this agreement in the Thurston County property records and submit copy of recording to the City. The Grantor agrees and acknowledges that the City will not perform a final inspection on the property until the impact fees are paid. The Grantor acknowledges that the building cannot and will not be occupied prior to final inspection and issuance of a certificate of occupancy. The Grantor also acknowledges that the City may pursue foreclosure proceedings if the impact fees are not paid. The lien amount is due and owing to the City prior to (1) final building inspection conducted by the City or (2) 18 months from the date of building permit issuance, whichever comes first.

The term of the impact fee deferral shall not exceed 18 months. All payments shall be made payable to the City and shall be directed to the Community Development Department at,. Upon payment of the impact fees, the City agrees to execute a Release of Lien, substantially in the form attached hereto as Exhibit B. The Grantor may, at his or her own expense, record the Release of Lien. DATED this day of, 20. CITY OF TUMWATER, GRANTEE/LIENHOLDER By: Title: DATED this day of, 20. GRANTOR(S) By: By: Address: State of Washington, County of Thurston I certify that I know or have seen evidence that is the person who appeared before me, and said person acknowledged that he/she signed this instrument, on oath stated he/she was authorized to execute the instrument and acknowledged it as his/her free and voluntary act and deed, for the uses and purposes stated therein. Dated: State of Washington, County of Thurston Name: NOTARY PUBLIC in and for the State of Washington, residing at: My appointment expires: I certify that I know or have seen evidence that is the person who appeared before me, and said person acknowledged that he/she signed this instrument, on oath stated he/she was authorized to execute the instrument and acknowledged it as his/her free and voluntary act and deed, for the uses and purposes stated therein. Dated: Name: NOTARY PUBLIC in and for the State of Washington, residing at: My appointment expires:

EXHIBIT A (Full Legal Description of Property)

EXAMPLE OF RELEASE OF LIEN FORM TO BE FILED AFTER PAYMENT OF IMPACT FEES EXHIBIT B WHEN RECORDED, RETURN TO: City of Tumwater RELEASE OF LIEN FOR DEVELOPMENT IMPACT FEES Lien for Benefit of Grantee: City of Tumwater, a municipal corporation Person(s) Indebted to Grantee ( Grantor(s) ): Reference Number(s) of Related Document(s): Impact Fee Deferral Application Number: Amount Released: Assessor s Tax Parcel Number: Legal Description (Abbreviated): Full legal description: See Exhibit A attached. THIS RELEASE OF LIEN FOR DEVELOPMENT IMPACT FEES (the Release ) is made as of this day of, 20, by the City of Tumwater (the City ). The City recorded a Lien for Development Impact Fees dated and recorded under Thurston County Recording No. (the Lien ) with ( Grantor / Property Owner ) 1

to provide for deferred payment of certain Impact Fees. Except as otherwise specifically defined in this Release, all capitalized terms shall have the same meaning as provided in the Lien. Grantor / Property Owner has completed construction of the home which was the subject of the Lien and which is located on the real property legally described as (the Property ). Upon receipt of the payment of the impact fee, the City hereby releases and discharges Grantor from the obligations described in the Lien. Upon recording of this Release, all of the Grantor / Property Owner obligations under the Lien shall be deemed fully and completely satisfied and the Lien shall have no further force or effect. DATED this day of, 20. CITY OF TUMWATER, GRANTEE/LIENHOLDER STATE OF WASHINGTON ) ) ss. COUNTY OF THURSTON ) By: Title: Address: I certify that I know or have satisfactory evidence that is the person who appeared before me, and said person acknowledged that he/she signed this instrument, on oath stated he/she was authorized to execute the instrument and acknowledged it as the of the City of Tumwater to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. DATED this day of, 20. Notary Name: NOTARY PUBLIC in and for the State of Washington, residing at My commission expires: 2