ENG20150410.PDFUyOV E 41
CITY OF EDMONDS
121 5THAVENUE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20150410
SIDE SEWER PERMIT (I -Single Family)
Permit Number: ENG20150410 Expiration Date: 01/04/2016
Job Address: 23105 75TH PL W, EDMONDS
SEWER FRIENDLY SEWER FRIENDLY
PO BOX 3415 PO BOX 3415
LYNNWOOD, WA 98046 LYNNWOOD, WA 98046
(425)478-3133
LICENSE #: SEWERFL916MS EXP: 07/10/2017
Y
N
I DESCRIPTION
I REPAIR N PROPOSETOREUSELATERAL LID NUMBER:
GRINDER PUMP N 1 PROPOSE TO REUSE SIDE SEWER EN-71 DRAINAGE
Expose 5-feet of4" sewer in backyard. Repair and install 4" cleanout to grade.
EAS 1 1
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 NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
SED BY
Printed: Mondav, October 05, 2015
tO/S/Zo.
DATE
WFILECOPY INSPECTOR COPY APPLICANT COPY
S,
0
STATUS: ISSUED
ENG2015O41O
• 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 pemritted 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:OOpm on weekdays and 10:OOam and 6:OOpm 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-CONTRACTOR TO PROVIDE ASBIJELT
• B-Sanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
DF EDA 0+
-1NC. I B90
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name:
Site Contact: J
Mailing Address II nn
State License #: 52WEi2r(,.LC,.,MS
Expiration Date: 2%I I i-,Z)L (D
City Business License #: �\, 9 9f ieq�0(,o
PROPERTY INFORMATION:
Phone #:(�SJ ? —313�
Email #: °
Liability Insurance Bonded
Address: Z,� i O5
Owner's Name:
Phone #: 4VT _-73(a — 20ct0I
❑ Full Line Replacement Spot Repair ❑ Pipe Burst ❑ Reline (PermaLine Only)
DESCRIPTION OF PROPOSED WORK (Be Specific) :
See c
SIGNATURE DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Julie
Subject:
Location:
Start:
End:
Show Time As:
Job: Cameron Miller
23105 75th PI W, Edmonds
Mon 10/12/2015 12:00 AM
Wed 10/14/2015 12:00 AM
Free
Recurrence: (none)
Meeting Status: Meeting organizer
Organizer: Mike
Required Attendees: Rob; Todd
Categories: JOB
425-736-2099
Cameron.miller(@bms.com
Remove landscaping as needed in the back yard.
Excavate to expose approx. 5' of 4" sewer per Aurora Plumbing sewer inspection report
Make necessary repairs and install 4" clean out to grade.
Have work inspected, backfill affected area and clean up.
Remove basement toilet.
Cut, demo and -remove -bathroom floor as needed.
Replace eroded 90 to plumbing system and install new toilet flange.
Backfill affected area and dean up.
$5700 + tax + permit
Escrow from seller (?) paid first half 9/22 check
Provided cc info for the second half
1