ENG20150372.PDFdes
of ED-A10
Alb� 111
�CITY OF EDMONDS z
121 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221 )lo/,
�Qc. 189�
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20150372 (N
SIDE SEWER PERMIT (I -Single Family) -J
Permit Number: ENG20150372 Expiration Date: 09/07/2016
Job Address: 19228 OLYMPIC VIEW DR EDMONDS
GILBERT CONSTRUCTION CO LLC GILBERT CONSTRUCTION CO LLC
23415 TIMBER LANE 23415 TIMBER LANE
WOODWAY, WA 98020 WOODWAY, WA 98020
(206)542-7171
LICENSE #: GILBECC976DI EXP: 03/21/2017
N
N
DESCRIPTIONJOB
REPAIR N PROPOSE TO REUSE LATERAL LID NUMBER
GRINDER PUMP N PROPOSE TO REUSE SIDE SEWER FN I DRAINAGE
Side sewer for new single family residence (Vacant Lot - BLD20150718).
INFORMATIONEASEMENT
N
PROJECT CROSSES OTHER PRIVATE PROPERTY
N
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 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 NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOT PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Tues
RELEA S BY DATE
201
FILE COPY INSPECTOR COPY APPLICANT COPY
STATUS: ISSUED
ENG2O15O372
• 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/Contractorto provide Side Sewerasbuilt at final inspection. See City Standards forrequirements.
• Sound/Noise originating fromtemporary construction sites as a result ofconstruction activity are exempt fromthe noiselimits
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 other times the noise originating from construction s ites/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 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.
• E-Sanitary Side Sewer Inspection
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL:
PARTIAL INSPECTION DATE: IMTIAL:
FINAL INSPECTION APPROVED DATE: INITIAL:
NOTES:
NOTES: