ENG2021-0330 SIDE SEWER PERMITSEWER PERMIT
PERMIT NUMBER
City of • • •
Ave9801 1 1
www.cityofedmonds.gov
Description: MASSA-EXCAVATE IN YARD OF 9106 BOWDOIN TO INSTALL REPAIR
ISSUED: 08/23/2021
Address: 9104 BOWDOIN WAY EDMONDS WA 98026-7336
EXPIRES: 11/22/2021
Permit Subtype: PARTIAL LINE
Permit Type: SEWER Parcel Number: 00373600600307
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT MIKE'S PLUMBING AND DRAIN PO Box 1535, EDMONDS WA 98020 (206)794-7518
CONTRACTOR MIKE'S PLUMBING AND DRAIN PO Box 1535, EDMONDS WA 98020 (206)794-7518
OWNER MASSA GREGORY L & FLORENCE 9104 BOWDOIN WAY, EDMONDS WA 98026-7336
PAMELA J
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $40.00
ENGINEERING INSPECTION FEE
$110.00 $110.00
SIDE SEWER PERMIT - PARTIAL REPLACEMENT
$110.00 $110.00
•
REQUIREMENT TYPE
NOTES
TRAFFIC CONTROL Traffic control and public safety shall be in accordance with City regulations as required by the City
Engineer. Every flagger must be trained as required by WAC 296-155-305 and must have certification
verifying completion of the required training in their posession.
RESTORATION Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with
asphalt or City approved material prior to the end of the workday - No Exceptions
WARRANTY The contractor is responsible for workmanship and materials for a period of one year following the final
inspection and acceptance of the work.
INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM
24 HR NOTICE REQUIRED
INDEMNITY
The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries, damages or claims of
any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any of its departments
or employees, including but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of
granting this permit.
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
08/23/2021
RELEASED BY
DATE
Printed: Monday, August 23, 2021 8:49:07 AM 1 of 2
SEWER PERMIT
PERMIT NUMBER
City of Edmonds
...• • 1 1
www.cityofedmonds. ov/425.771.0220
CONDITIONS
CONDITION TYPEIL
It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in
DAMAGE TO FRONTAGE
City right of Ways or Easements to City Standards caused by or occurring during the permitted
IMPROVEMENTS
project.
ESC REQ
Maintain erosion and sedimentation control per City and SWMMW standard requirements.
INSP PRIOR TO BACKFILL
Call for all required inspections. All work shall be inspected prior to backfill.
Owner/Contractor to provide Side Sewer asbuilt at final inspection. See City Handout E71 for
SEWER ASBUILT
requirements.
PLEASE REFER TO STANDARD DETAILS SS-200, SS-201 AND, SS-202. STANDARD DETAILS CAN BE
FOUND ON THE CITY OF EDMONDS WEBSITE. SDR35 WITH GASKETED FITTINGS IS REQUIRED FOR ALL
SEWER REPAIRS. FOR ANY REPAIRS WHERE THERE IS MORE THAN ONE STICK OF PIPE, A PRESSURE
SEWER REQUIREMENTS
TEST IS REQUIRED. WHERE LINING OR PIPE BURSTING WATER AND TV TEST IS REQUIRED. IF THE 4-6
TRANSITION IS ENCOUNTERED, A 6" CLEANOUT IS REQUIRED AT THE PROPERTY LINE. THE 6"
CLEANOUT SHALL HAVE A 12" CAST IRON LAMPHOLE COVER WITH 1/2 HEX BOLTS, GRIPPER TWIST
PLUG, AND A 24" CONCRETE COLLAR. AN AS BUILT IS REQUIRED PRIOR TO FINAL OF THE PERMIT.
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:OOam to 6:OOpm on
SOUND OR NOISE
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.
'SIDE
•
INSPECTION TYPE
DATE
RESULT
COMPLETE
E-2 SEWER
X-2 ENGINEERING FINAL"
E-2 TV AND WATER TEST
E-9 SEWER ASBUILT
Printed: Monday, August 23, 2021 8:49:07 AM 2 of 2
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SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: M IVS Mp1 Site Contact: PV A N 4 f-�% I ��
Company Address: `! Phone #: 2 p(; . T9 4 • IG 15
po 220x (535
City: F,PM ONys Zip: 95020
State License # M I pG!gq D V-"
Expiration Date: 015 • • ZO23
PROPERTY INFORMATION:
Address: ,;t I D 4
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Email #• @ 1n,um
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Phone #: 2 , , 85 3551
❑ FULL LINE REPLACEMENT 0 SPOT REPAIR ❑ PIPE BURST
DESCRIPTION OF PROPOSED WORK (Be Specific):
SIT, AMA
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XRELINE (PERMALINE ONLY)
ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO WORK ON ANY PROPERTY OTHER
THAN THAT OWNED BY THE SUBJECT PROPERTY OWNER.
CERTIFICATIONS NECESSARY FOR INSTALLATION METHODS ARE THE RESPONSIBILITY OF THE
CONTRACTOR PERFORMING SAID WORK.
I REPRESENT AND WAI
ADJACENT PROPERTY;
PROPERTY. C
SIGNATURE
FY OF EDMONDS, IF REPAIR OF EXISTING SEWER EXTENDS TO AN
EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
or Agent
DATE !� I I <� [g2�,
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE