ENG20150133.PDF�y Ot E174f �J
° CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, W A 98020
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' PHONE: (425) 771-0220 - FAX: (425) 771-0221
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*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20150133 IN
SIDE SEWER PERMIT (I -Single Fam
Permit Number: ENG20150133 Expiration Date: 04/07/2016 �
Job Address: 9221 OLYMPIC VIEW DR, EDMONDS
SCOTT ALAN & ASSOCIATES INC SCOTT ALAN & ASSOCIATES INC
PO BOX 1465 PO BOX 1465
EDMONDS, WA 98020 EDMONDS, WA 98020
(206)261-1604
LICENSE 4: SCOTTAA8830D EXP: 09/25/2016
i DESCRIPTION
Y I REPAIR Y PROPOSE TO REUSE LATERAL LID NUMBER
N GRINDER PUMP N PROPOSE TO REUSE SIDE SEWER N DRAINAGE
Install of side sewer for new single family residence (BLD20150038).
EASEMENTINFOWMATION
N PROJECT CROSSES OTHER PRIVATE PROPERTY
N VERIFICATION OF RECORDED EASEMENTS COMPLETE
IADEMA7TY.- 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 ofits 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 (1-800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICE REQ UIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: W
1010111 N
M
FILECOPY INSPECTORCOPY APPLICANT COPY
201
STATUS: ISSUED
ENG20150133
• 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 Div is ion at 425-771-0235.
• Condition of the 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 from adjacent property owner is required prior to entry/work within adjacent property.
• Applicant -shall repair/replace all damage to utilities or fi-ontage i nprovements 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 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times 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 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.
INSPECTIONS
• E-Lateral Approval to Re -use
• E-Sanitary Side Sewer Inspection
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: