eng20140441-Ed Park Apt-Sewer Permit.pdfMON
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12151"]-IAV'ENt]ENOI�(I'll.-EL)MONI�)S,)AA 98020
PHONE: (425)'771-0220 .- FAX (425)'/'71-0221
*P ERMIT MUSTBEd P (XSTF.'dD ON JOBSITE''4',
STATUS- ISSUED ENG20140144.1
im 1,1,
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Permit Number: El` G2,014 Expiation Date02/06/2015
Job Address: 424 3RD AVE S, EDMONDS
NMI 111
1116fic West construclion Pacific Wcst Construction
1730 Ist Ave S. W'130 Is[ Ave S.
Sealtic,WA 98184 Seattle, WA 9 S 184
(206) &617-6901.
LICENSE 4: PACIFW(905PQ EXP: 1 0/2 3120 1 6
Y REPAIRT
Z�OP)SF- O REUSE LATERAL LID NUMBER:
GRINDERPUMP I POSE TO REUSE SIDE SEWERC @ l I DRAINAGE'
Replace two pumps, wiring and control pariel.
Contractor has identified a failure switching betweeii the 2 pumps wheli fiffl slid has also stated it imy be ar IlTalfillICtioll fronithe
control panel or- electrical widi)g (or pumps themselves). The intent is to replace all three.
** Project proposal is in response to continued illegal discharge of raw sewage into Shellabarger CreeldEdmonds Marsh and
Subsequent notice orsuch violation by the City of Edmonds, Snohomish Health District and Department of Ecology, City records
related to the most recent illicit discharge can be found under City Cartegraph 1172013-05 **
PROJECT CROSS LS OTHER PRIVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDE,11NITY- The Applicant has sipped an application which states he/she holds the Ci�jy qfEdmonds hm-mlessftom
damages era- claims qfaiq kind oi- descn.'pl.ion whatsoever,.16nseen oi, mlfoi-eseen, that mqy be made agaiust the Ci'l); qfE&nonds o?,
any qfits depailments oi- employees, including but not limited to the defense olfemy legalpioceedings including dqfense oasts and
altoi-neyfiees lays i-eason oommling thispei-mit.
CALL DIALA-DIG (1 -800424-5555) BH—ORE ANY E XCAVAXION
CALL FOR INS P ECTION (4 2 5) 771-.0220 WE 1326
24 HOUR NOTICEREQUIRED FOR ALLINSP IXTUON REQUESIS
rills A P F LICATION IS NOT A PER MITUNTILSIGNED BY THECITYENGfNEER Olt I I IS? I I ERDUMI: AND FEES ARE PAID, AND RECEIPTISACKNOWLEDG ED TN
SP ACE PROVU)FD.
Ej ol'o, lrroi�z coln,
Printed: 'Thursdav, Noveni)er 06.2014
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• Owner/Contractor responsible for obtaining all permits as required by Dept. of labor and Industries.
• Refer to City of Edmonds Side Sewer Information handout for approved pipe materials, inspections and otherrequirenrents.
• 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 c3dsting lateral to be verified by the City's Public Works Dept, to obtain approval :For reuse. Contact Edmonds
Sewer Div is ion at 425-771-0235.
• Condition of the existing sanitary side sewerto be verified priorto 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 improvennnts in City right-of-way per City standards that is
caused by or occurs during the pemiitted project.
• Owner/Contractor to provide Side Sewer asbuilt at final inspection. See City Standards for requirements.
• Sound/Noise originating fronrtetnporary construction sites as a result of construction activity are exempt fromthe noise limits
ofECC Chapter 5.30 only during the hours of 7DOamto 6:00pinon weekdays and 10:00anTand 6:00pmon Saturdays, excluding
Sundays and Federal Holidays. At all other tithes 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 u7 interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents fi-ornany and all claims for damages of
whatever nature, arising directly orindirectly fiornthe issuance of this permit. Issuance of this penrrit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not lin-it uT any way the City's ability to enforce any ordinance
provision.
INS PECTIONS'
• Sewer Grinder Pump Install
• E-Frngineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: