eng20140153-permit and application.pdfov L041
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG201401531
WI m u!Jciimriaar 1
Permit Number: ENG20140153 Expiration Date: 07/01/2014
Job Address: 8609 193RD PL SW, EDMUNDS
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FISCHER PLUMBING COMPANY INC FISCHER PLUMBING COMPANY INC
1 1 15 NW 51 ST ST 1115 NW 51 ST ST
SE'A'I-rLE, WA 98107 SEAT-I'LE, WA 98107
LICENSE #. FISCIIPC13 IRI EXP: 02/22/2016
Y � REPAIR I N (PROPOSE TO REUSE LATERAL LID NUMBER:
N GRINDER PUMP
FN ]PROPOSE TO REUSE SIDE SEWER F --N-1 DRAINAGE
Pipe burst fi-orn building drain connection near garage door to the cleanout in side yard next to the driveway. Length will not exceed
40 -feet and a depth of 5 -feet, Will install a cleanout access point to the surface,
PROJECT CROSSES OTHER PRIVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMNITY.- The Applicant has signed an application which states he/she holcis the 01.1) of EcInionds harmlessfil,ont injuries,
(lutnuges or c1uhns of any 1(hul or description ivhutsoever, foreseen or unforeseen, that n7a.y be made against the City q1'LVmonc1,s or
any qfils departments or employees, including but not limited to the defense oj'any legal proceedings inclucling de
ftrise costs and
altorneyfiees h)) reason olgi,anling this permit,
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOT A PrRNU'r UNTIL SIGNED BYTHL CITY ENGINEER OR PIIS/HER DEPUTY AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED
3401al
FILE COPY INSPECTOR Copy
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Tuesday, April 01, 2014
APPLICANT copy
® Maintain erosion & sedimentation control. Keep street clean.
• Refer to City of Edmonds Side Sewer Information 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 existing 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 existing sanitary side sewer to be verified prior to obtaining approval for reuse. TV inspection 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/Contractor to 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 7:00am to 6:00pm on weekdays and I 0:00am and 6:00pni on Saturdays,
excluding Sundays and Federal Holidays, At all other times the noise originating fi-om 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 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 from the 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.
• E- pre -TV inspection
• E -pipe verification
® E -CONTRACTOR TO PROVIDE ASBUILT
• E -Sewer final, water & TV test
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:-
Company Name:
Site Contact:
Phone
Mailing Address:Fax #:
2�5-4 U-'-- 14L4
State License #:
Expiration Date:
City Business License #:
PROPERTY INFORMATION:
Address:
, /1, (11) C/ / ej 3 ///4e
Owner's Name:
Email #:
R Liability Insurance g Bonded
Phone #:
F� Full Line Replacement El Spot Repair Pipe Burst
F] Reline (PermaLine Only)
— - - --------
❑
SIGNATUIJ DATE
Contractor or Agent
RUIXIMATIA) HARIIIININIIIII
CASWELL, DAVID
8609 193`d PL. SW.
EDMONDS, WA. 98026
Attn:
SPECIFICATIONS
Jobsite: I SAME
Phone: 1425-697-5252
Fax:
SIDE SEWER PIPE BURST
® We will PIPE BURST a new section of side sewer from the building drain connection near garage door to the cleanout in
side yard next to driveway. The length will not exceed 40' and a depth of 5'.
® We will INSTALL a cleanout access point to the surface of the ground.
® We will EXCAVATE, BACKFILL, & COMPACT the trenchline. Upon completion, grade trench scar to rough raked
dirt finish.
® We will REMOVE & DISPOSE of landscaping and grass as necessary.
We will REMOVE, DISPOSE, & PATCH approximately 3' of Asphalt Driveway.
® Provide labor, materials, rentals, safety equipment, & services needed.
Notes:
Proposal price excludes all permits & inspection fees. All Drain cleaning efforts will be billed separately.
Pipe Bursting Technology is not viable in certain conditions. If traditional methods become necessary due to unforeseen
conditions, a change of work order will be issued.
Property owner is responsible for notification, communication, & legalities of performing work on neighboring property.
The texture and color of the new concrete/asphalt repair may not match the surrounding concrete/asphalt.
Property Owner is responsible for replacement of landscaping & grass in the affected work area. Landscaping in place when
work begins is assumed disposable.
Any interruptions, delays, or additional costs outside of our control, caused by regulatory authorities or suppliers will be billed
additionally.
.PRICE AND PAYMENT METHOD
We hereby propose to furnish material and labor --complete according to the above specifications, for the sum of:
$7,243.55 + Permit + Sales Tax.
Payment to be made as follows:
® $3,600.00 to start.
The remainder as invoiced.