20170113113621.pdfV EQ4
Cl"I"YOF EDMONDS
121 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBS TE*
STATUS: ISSUED ENG20170016
SIDE SEWER PERMIT (1-Single ]FaWly)
Permit Number: ENG20170016 Expiration Date: 02/24/2017
Job Address: 8128 206TH ST SW,. EDMONDS
CONTRACTOR
SOUTHWEST PLUMBING SOUTHWEST PLUMBING
2401 SW ALASKA ST 2401 SW ALASKA ST
SEATTLE, WA 98106- SEATTLE, WA 98106-
(206)793-SS49
LICENSE 4: SOUTHWP07IC6 EXP: 04/11/2017
JOB DESCRIPTION
N REPAIR N 'PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP N PROPOSE TO REUSE SIDE SEWER N DRAINAGE
5' REPARI AND ADD NEW CLEAN OUT AT THE HOUSE IN THE BACKYARD
PROJECT CROSSES OTHER PRIVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMNITY The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any of its departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
CALL DIAL -A -DIG (1-800-424-55 55) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOT A PERNETUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED,
Printed: Friday. JanuaiN 13,201
W112
DATE
FILE COPY ❑ INSPECTOR COPY APPLICANT COPY
STATUS: ISSUED
ENG2O17OO16
• Refer to City of Edmonds Side Sewer Infomnation handout for approved pipe materials, inspections and other requirements.
• A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
a Maintain 10' separation between the sanitary side sewer and the water service line.
w A separate right-of-way construction permit is required for work within the City right-of-way.
W Condition of the ebsting lateral to be verified by the City's Public Works Dept. to obtain approval for reuse. Contact Edmonds
Sewer Division at 425-771-0235.
• Condition ofthe e)asting sanitary side sewerto be verified prior to obtaining approval for reuse. TV inspection required. Video
to be submitted to City for review.
• Easement and/or permission fi•om adjacent property owner is required prior to entry/work within adjacent property.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
• Owner/Contractor to provide Side Sewer asbuilt at final inspection. See City Standards for requirements.
0 Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:OOpm on weekdays and 10:00am and 6:OOpm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless avariance has been granted pursuant to ECC 5.30.120.
Applicant, on behalf ofhis or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly fromthe issuance of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
a E-Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: IMTIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: ISO F.S:
...
FINAL INSPECTION APPROVED DATE: INITIAL: