2614_001.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
1%00
*PERMIT MUST BE POSTED ON JOBSITE*
-STATUS: ISSUED ENG20190402
I SIDE SMER PERMIT (I-Singic Fanifly)
Pennit Nurnber: ENG20190402 Expiration Date: 10/14/2020
Job Address: 714 13TH WAY SW, EDMONDS
APPLICANI CONTRACTOR
JENKINS LANE LOT 31 JENKINS LANE LOT 3;
4001 198TH ST SW 4001 198TH ST SW
LYNNWOOD, WA 98036 LYNNWOOD, WA 98036
(425) 673-1100
LICENSE #: ECHELIL905D6 EXP: 03/28/2020
JOB DESCRIPTION
-_Lj REPAIR N PROPOSE TO REUSE LATERAL UDNUMBER:
N I allNDER PUMP N I PROPOSE TO REUSE SIDE SEWER FN7771 DRAINAGE
INSTALL SANITARY SIDE SEWER ON PRIVATE PROPERTY WITH CONNECTION TO EXISTINGSTUB ONLOT 3 OF THE
JENKINS LANE PLAT (PLN20170028).
FASENIFIVI- INFORMATION
NJ PROJ CROSSES OTHER PRIVATE PROPERTY
N VERIFICATION OF RECORDED EASEMENTS COMPLETE
IADEMATTY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorneyfees by reason ofgranting this permit.
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CAILL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRM FOR ALL INSPECTION REQUESTS
-%PPLICATIONAPPROVAL
THIS APPLICATION IS NOTA PER10TUNTIL SIGNED BY THE CITY ENGINEER OR HISMERDEPUTY: AND FEES ARE PAID, AND RFCEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Tuesday, October 15, 2019
RELEA SED BY
DATE
D FILE COPY F-1 INSPECTOR COPY EJ APPLICANT COPY
STATUS: ISSUED
ENG20190402
• Refer to City of Edmonds Side Sewer Infon-nation 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.
• Maintain 10'separation between the sanitary side sewer and the water service line.
• A separate right-of-way construction permit is required for work within the City right-of-way.
• Condition of the eidsting 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 of the e3dsting sanitary side sewer to be verified prior to obtaining approval for reuse. TVinspection required. Video
to be submitted to City for review.
• Easement and/or permission from 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/Contractorto provide Side Sewer asbuilt at final inspection. See City Standards for requirements.
• 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 7:00amto 6:00pm on weekdays and 10:00am and 6:00pm 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 a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to inderrinify 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 ofthis 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.
6 E-Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: