21802 95TH AVE W.PDF111111111111
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21802 95TH AVE W
4
ADDRESS: ,7-113og- 91� live,&J
TAX ACCOUNT/PARCEL #: 00 5�Z7 q OC106 16c)�90
BUILDING PER MIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: Conditional Waiver Ej Study Required E] Waiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver E] Study Required F� Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: 411tqt b
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED: -7
SIDE SEWER PERMIT(S) #: �5 9
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
Address:
21802 95th Ave. W
Edmond, WA. 98020
Parcel No.: 00-5279-000-010-00
Owner: Ken Edwards
Zoning: RS-8
A
APPROVE0 ---ff Pt A 1+1011
0.
W1
9
Zone Corner Fla&_-'
Setbacks Reguired Actual
Front 6- -;-7 —
Sidesiv/S 7- 1- 1�73-/5-51
Rear 15- Ill'-41 r-
Other I I
Height 2- 3 '? - I
WC:1f'-WT f'Al t-C2 143 1 1
9
75'
. . . ISR��RSIETEIACK . . . .
LOT AREA: 9375 s.f.
LOT COVERAGE: 1900 s.f. (205A)
EXISTING
RESIDENCE
1112 S.F.
E)aSTING
CONC. PATIO
180S.F
A= + 101 1-011 iS F40NT ETEIZCK
C
B +1001-411 +102'
C +1021-011
D + 102'-0"
I_ A 211
AVG GRADE: +101 18
10111
ACTUAL HT: + 116' 112
MAXIMUM HT: + 126'-4a"
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DAMAGE
75'
4
IMPERVIOUS — — — — — — — — —
SURFACE CALCS
EXIST. Building Roof Outline (1956) = 1832 s.f.
EXIST. Patio/Driveway (pre-1 977) = 1535 s.f.
PROPOSED ADDTNL. Roof Area = +- Os.f.
PROPOSED ADDTNL. Paving = +/- 0 s.f.
PLOT PLAN Applicant shelf repair/replace all damage to
utlIftles or trontage improvements in City
Scale: 1 20'-0" right-of-way por C:ty standards that Is caused
or Occurs during the permitted project.
L
95TH AVE. W
—1
M
B
+100116.
IX6�5zel)
DOSTING
CONC. PATIO
275 S.F.
PROPOSED
GARAGE
UDGMG CONC.
CARPORT)
240 S.F.
0.
D
+102'
EASTING PAVED
DRIVEWAY
1080 S.F.
DATUM PT. +1001
STORM DRAIN COVER
CENTER OF R.O.W.
— — — — — — — — — — — --
RESUB
APR c? 2010
1040-ho BUILDING DEPARTMENT
aff OF EDMONDS
Irwev Al
, C3�'T u FILE 1 0 F �j
c RE
10 PLANNING DATA
SINGLE FAMILY RESIDENTIAL
STREET FI�JE
Name:
, d WCA/0
Date:
Site Address: 2 ( �(o �_ cis-,'
Plan Check #K� -2-
Project Description: COqd
Reduced Site Plan Provided. NO) J
Zoning:
Map Page:
Corner Lot: (YES Flag Lot: (YES /(170�
Critical Areas Determination 012 A=:�?
Study Required
19�-waiver
SEPA Determination:
Al -Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist APO List with notarized form
f J
(0/1 Aqlew 07Z�tequired_Setbacks
Street:
[Sid
Rpr:
Actual Setbacks
Street: 37
Side: 33
Side: 7. 5
Rear:
4OLDetached Structures: —S A0 d
11 Rockeries: /VLO YrD e_,Pst(?� 57,1_"CLCX�-
El Fences[Trellises:
El Bay Windows/Projecting Modulation:
Stairs/Deck:
Height
Datum Point: �4,01-A
Datum Elevation: 10 C�)
Maximum Height Allowed:_��,�,
Actual Height: �7
Other
Parking Required:
Parking Provided:
Lot Area:
Maximum Lot Coverage: 35% Proposed:/,? 010
Lot Coverage Calculations: 1 -70 -7 t)
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES NO)
commepts
ki— C
A to/ q0 5-. to 1- 3 41,15-
(07,
an Revi-ew By -
Raw" Data Fwm 04-11-06.doc
APPLICATION
The City of Edmonds c!. for
SIDE SEWER PERMIT EASEMENT NO . ............................................
t E-
NEW CONSTRUCTION REPAIRS F� LID NO . .................. ASMT. NO . ..................
=-7S,Z
OWNER ---- CONTRACTOR ...... L- J. Fz;c>-Tt-A NO - ----- ---------------
---------------------------------------------------------------------------------- --------- -------------------------------------------------------------------------------
-L --
JOB ADDRESS ---------------- LEGAL DESCRIPTION: LOT NO - ------ -- ---------------------------- BLOCK NO . ............ -----------------------
0
�l
NAMEOF ADDITION ............................................... .......................................................................
Approved:
'/7
ow
1/75
DATE ... ?�� ... . ...
APPLICATION
��� �3�� �� �»
___ __n __ ________~ EAS2&YEY�TY�K�
� �N0�$�m������� —'--'--'--'''---'—
mEmv CONSTRUCTION [] REPAIRS [] LID NO . _.------------ ASD&T. NO —_----
________________________________________________________________________
�
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NOTICE
a
-N'0...w-ar-rant.'y ... 0 - -a.
The -information *shown an the attached
for use by the CitY 01
map(s) was cOm ' Piled
Edmonds/ its Empl.oyees and Consultants.
Th.e City of 'Edm.onds does - not * warrant the
accuracy of anything set for.th on t - hese
M a P (s). A n . y person or entity -requesting a
copy should conduct an independent
orm'atlon shown* c
Inquiry regarding the infi ited to,
-t-Fe Map(s), including, but not Jim
er stub shown. Su(
the lotation of any sew
sewer stubs may or may- not exist and ma�,
or may not exist at the location shown
C-ity of Edm0'n'r'q4 s, nor its
Neitheir the 1_1
e M P-1. 0-Y e e-S 0 1, 0 ff i -c e,r s *s h- a I- I b e 1.1 a. f o r t, h
I n on thjs map(5), nor for
information g Ve
any one represe:ntation provided based
upon*sald map(-5).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.%
(Inspection will be provided within 24 hours after requst. No gat., Sun., or holiday Inspections-1
ADDRESS LOCATION OF CONSTRUCTION ----- 2.190.2 ---- --- ----------- - ---------------------- - -------------------------------------------------------
SEEATTACMD .... ............. . ...............................................................................
'PROPERTY LEGAL DESCRIPTION ........................................................................................
.......... I ............. . .......................... . ........... .......... . ........................................................................ . .............. . .................................. . ..................................................
..OVVNM AND/OR BUILDER ...... X�MGN ... MOON .......... . .......................................................
.............................................................
C01VTRACTOWSNAME & ADDRESS ..... ............................... .............................. . ... .......................................................
I --, iission Is granted ------------ ---- AqK;Lj ... a ...... . ......... -, 19.77, for repair and/or connection of a side sewer to the city sanitary sewer
�m in accordance with City of Edmonds ordinanceS.
ATTENTION IS CAT-1 D TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct
side sewer in street area. Do not cover any portion of sewer before It has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invazion of Right -of -Way Permit obtainable from the city Engineer's office.
NOTE No. 3--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade
sharper than % will be permitted. s condition. Contractors shall be responsible for failure due to improper
NOTE No. 5---Trenches in street must be water settled and surface of treet restored to original
work which may develop within one year of completion. rk on the maln. sewer or its appurtenances except to in -
NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any wo
sert the pipe into the wye.
DISAPPROVEDM 115Lte --- - ----------------------------------- By ---------------- Date ---------------- ------------------- - BY ................ Date ................ ................... . BY ----------------
APPROVED A-1
Z --& ------------------------ ...........................................
/t-7 .. 7 ------------------------------- By ;
Remarks: ....... - ------ - -------------------------- - --------------------------------------------------------------------------- * -------------------------- - -------
................................. ... I ..................... --------- . ................................... .................................................... . .......... ....................... .......................................... ---------
BOTH Co i S Be i ed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I hereby certify that the side sewer installation constructed under this permit
ra ti -Per-f-or-ming--C-on-stru-ctio-n-)---
---- -- ------ -- -- ----- ---- -
W&I ceeord ce with all governing ordinances of the City of Edmonds.
Datedthis ............................ day of ---------------------------------------------------------------- P 19 ---------
Check BEFORE you dig for: Water [:], Gas E], Telephone 0, Power C], Sewer [:19 Other
Date April 8, 1977
Memo to: Director of Maintendn6e Operation
Pu'bli.c Works
From: City Engineer Assistant,
Subject: Sewer*Connection Charges
Legal Description:
Lot 10, R. C..Munger Addition No. 3, as recorded on Page.3.6, Volume
16 of Plats. Records of Snohomish County, Washington.
Commonly known as: 21802 -95th Avenue West o wner: Vernon E. Moon
Z. F. F. Calculatio,n:
75 Z. F. F. x 5. 50 $ 412.50 Connection Fee'
Lateral X Lateral Charge
Unit x $25 s 25.0 0 Trunk Charge
10-00 Permit.
447.50 TOTAL,), -
CC: Mr. Moon RICHARD H.-ALLEN
2108
REGARDING: 21802 95th Avenue West
(address)
R E C 0 R D 0 F C 0 N T A C T S
DATE NAME., PHONE NO., & COMMENTS ACTION TAKEN INITIALS
ADDRESS of CALLER
4/4/77 Vernon. Mom Certified Letter No. 406806 sent Letter received. JT
requiring hook-up by 7/1/77.
4/8/77 L. J. Roth obtained Permit #5752 JT
and connection, fee of $412.50 paid.
CONNECTION COITLETED APRIL 11, 1977
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CITY of EDMONDS
200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525
Department of Public Works
CERTIFIED MAIL �/06904.
Mr. or Mrs. Vernon E. Moon
21802 95th Avenue West
Edmonds, Washington 98020
Dear Mr. or Mrs. Moon:
April 4, 1977
Following a petition by a majority of the residents in your neigh-
borhood, the City Council of Edmonds accepted the annexation in--
corporating your property, located at 21802 95th Avenue West,
within the City limits. Officially, the annexation became effective
November 6, 1976. The City has now transferred accounts from the
Alderwood Water District to the Edmonds water system. Billing has
been converted to the Edmonds water rate and utility fee.
The major motivation for annexing to the City was to obtain avail-
ability for sewer hookups. Our records indicate that your property
abuts an existing sewer main and you are, therefore, required to
make connection. City Ordinance normally requires connection within
60 days. However, on annexation we allow for inclement weather con-
ditions and additional time for the home owners to make necessary
arrangements. We are establishing a date of July 1, 1977, as the
time in which you must have your residence connected to sewers.
Requirements for obtaining a Side -Sewer Permit are as follows:
1. Payment of connection fee. Please bring the legal
description of your property to the Public Works De-
partment prior to your request for a Permit so that
the connection fee can be computed.
2. Payment of $35 Permit fee.
3. Copies of all recorded easements (where applicable).
4. A plot -plan drawing of the proposed connection.
Side -Sewer Permits may be obtained at the Public Works Department,
200 Dayton Street, Edmonds, between the hours of 8:00 a.m. and
5:00 p.m., Monday through Friday.
Please phone Mr. John B. Mitchell, Water Sewer Superintendent, at
775-2525, extension 226, for any information or assistance you may
desire.
4 Yo rs ve
"o rzz'��
IF. M, N, P. E.
LEI LARSO
Direftor of Public Works
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ov! 1973
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EG'ST'ER
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RE AN J
'M Al L
RECEIPT FOR CERTIFIED MAIL-30�
(plus postage)
SENT TO
_Pj),STMARK
Er. or Mrs. Vernon E. Moon
z,
CID
STREET AND NO.
CD
21802 95th Aventle West
Vt P
00
P:O., STATE AND ZIP CODE
Edmonds, Washington 98020
70VTib—NAL SERVICES FOR ADDITIONAL FEES
RET U 'N
I $now$ to Mani anti ciato delivered
With delivery to addressee only
650"'
RECEI IT
2� Snows to whom, date and where delivorcd''..
350
IS I Is
�� !L ylv�E
With delivery to addressee only
850
D FO ADDRESSEE ONLY ... .... . .....
bUd
SPECIAL DELIVERY (extra fee required) . ..... .. - .. .... - -
I
PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (Soo "thor side)
Apr. 1971 NOT FOR INTERNATIONAL MAIL
capo: 1070 0-397-408
0 SIREET FILE 0 Da, April 8, 1977
Memo to: Director of Maintenan6e Operation
Public Works
From: City Engineer Assistant
Subject: Sewer Connection Charges
Legal Description:
Lot 10, R. C. Munger Addition No. 3, as recorded on Page 36, Volume
16 of Plats Records of Snohomish County, Washington.
Commonly known as: 21802 95th Avenue West Owner: Vernon E. Moon
Z.F.F. Calculation:
75 Z.F.F. x 5.50 $ 412.50 connection Fee
Lateral X $ Lateral Charge
unit: x $25 $ 25-00 Trunk Charge
$ 10. 00 Permit
447.50 TOTAL
RICHARD H. ALLEN
CC: Mr. Moon
2108
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Checked -Date P VoL-PG.-Order No,
Drawn by (7L �� - 1, '7 - C �C_�7
4
SKETCH OF PROPERTY SET IUT IN ATTACHED ORDER
To assist in locating the premises. It is ot based on a survey, and the company
assumes no liability for variations, any, in dimensions and location.
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Note—This map does not purport to show all highways, roads or easements affecting the property.
REAL ESTATE TAX STATEMENT 1976
SNOHOMISH COUNTY, STATE OF WASHINGTON
OF ALL STATE, COUNTY, MUNICIPAL,
c, SCHOOL, AND ROAD TAXES.
L E V Y MARKET VALUE
"�C O:D,:E RATE LAND BUILDINGS TOTAL
-2 L
YOUR TAX DOLLARS WILL BE DISTRIBUTED TO THE FOLLOWING TAX DISTRICTS:
STATE 'I, COUNTY CITY OR ROAD/ LIB. SCHOOL DISTRICT
FIRE DISTRIII T HOSPITAL WATER SEWER
.3 L
C
NAME AND ADDRESS i. "1 192 5.-74 LEGAL DESCRIPTIO&
MUNGER n-U'D Nr- -7
r'l '�v
c- ELK 00U
-u ji, �-'ijot A. 00
I kici
PLEASE PRINT CHANGE OF TAXPAYER
NOTICE: OR CHANGE OF ADDRESS BELOW
NAME
ADDRESS
c
CITY STATE
ZIP
CODE-
- 9 1 (a 0 Z. .. c� � s - r b. 4.
MAKE �EMITTANCES PAYABLE TO: FIRST HALF MUST BE PAID BY APRIL30 OR ENTIRE TAX PLUS
INTEREST MUST BE PAID. SECOND HALF DELINOUENT AFTER
KIRKE SIEVERS OCT. 31ST.TAX UNDER S1000TOBE PAIDIN FULL.
SNOHOMISH COUNTY TREASURER
EVERETT,WA 98206
T A X PROCESS ACCOUNT NUMBER <
GENERAL SPECIAL NUMBER
z
174714 5)79-0Ct.)-0'l0-0001 D
3 . 9 71 0
1976
IT D157RICT OTHER 1976 . FULL TAX
7.1,31021
NO. I DRAIN NO.
LESS EXEMPTION, IF ANY
FULL
CHECK BOX TO 9
INDICATE FULL OR 7 N.HALF
HALF PAYMENT
I
OMIT ROLL HALF-H
0 P.
YEA? YEAR TAX AMOUNT INTEREST. FULL-F
CHECK 11
M.O. El
CASH 11
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