ENG2021-0446 SIDE SEWER PERMITSEWER PERMIT
PERMIT NUMBER
City of Edmonds
-0446
www.cityofedmonds.gov
Description: SIDE SEWER CONNECT TO ADDN FOR BLD2019-0078 ISSUED: 11/23/2021
Address: 18209 76TH AVE W EDMONDS WA 98026-5408
EXPIRES: 11/21/2022
Permit Type: SEWER Permit Subtype: PARTIAL LINE Parcel Number: 00370800300500
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT JAMES & ALISON POPE 1 (425)350-7773
CONTRACTOR JAMES & ALISON POPE 18209 76TH AVE W, EDMONDS WA 98026 (425)350-7773
OWNER POPE JAMES & ALISON 18209 76TH AVE W, EDMONDS WA 98026
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00
SIDE SEWER PERMIT - PARTIAL REPLACEMENT $110.00 $110.00
REQUIREMENTS
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
ENGINEERING DIVISION
APPROVED AS NOTED
RELEASED BY %'/-*fie 9��9� 11 /23/2021 DATE
Printed: Tuesday, November 23, 2021 3:41:56 PM 1 of 2
SEWER PERMIT
PERMIT NUMBER
City of Edmonds
.98020 ENG2021-0446
www.cityofedmonds.gov• •
CONDITIONS
CONDITION TYPE
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.
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
HOLD HARMLESS
issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any
requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
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.
TRAFFIC CONTROL
Traffic Control per approved plan and MUTCD. All Flaggers shall be certified.
UNDERGROUND WIRING
All new, extended, rebuilt, or relocated electrical utility and/or service shall be placed underground.
All utilities shall be located prior to any excavation. New locates shall be called for if at time of
UTILITY LOCATES
excavation, original locates are no longer identifiable.
WATER AND SEWER
Maintain 10' of separation between the sanitary side sewer and the water service line.
SEPARATION
INSPECTIONS
INSPECTION TYPE DATE
RESULT
COMPLETE
E-2 SIDE SEWER
X-2 ENGINEERING FINAL"
Printed: Tuesday, November 23, 2021 3:41:56 PM 2 of 2
Rothfus, Debbie Debbie.RothfusCaedmondswa.gov
Side sewer permit application attached
Nov 1, 2021 at 9:30:05 AM
alison.pope@comcast.net
Alison,
Please complete the attached side sewer permit application and either email it to:
engineeringpermits@edmondswa.gov or drop it by City Hall.
If dropping it by, please call Development Services (425-771-0220) upon your arrival and we
will meet you at the front door.
Debbie Rothfus
Administrative Assistant, Development Services
City of Edmonds
121 5th Ave North, 2nd Floor
Edmonds, WA 98020
(425) 771-0220
CITY HALL IS CURRENTLY CLOSED TO THE PUBLIC.
The Development Services Permit Center is open M-F 8am-4:30pm for Telephone & Digital/
Remote access.
In -Person walk-in service is currently unavailable except by appointment. Please call ahead
to arrange an in -person or remote (Zoom) appointment to assure the appropriate staff
member is available.
CONTRACTOR INF'ORNIA I ION.
CutttlMtty �i1tM:
Cwnpan� �+lddrese:
city
State Lkexse M
Espiratbu Dage:
PROPERTY LNF'0W%J 110\:
(iwncr's \nosy:
I 1 Sb V)
SIDE SEWER
PERMIT APPLICATION
7Jp:
Site c ."lad: -r• me b(,Uvv -
F.naakld: II e+oYl 4 pope tomeaS41 rl e
Clt� liustncsi lJc�rac #
�' & -t" A"e 0
vAd jak4es
£-dwvnJs
Pap,
qZ C5 390
[FULL LINE REPLACENIFNT ❑ SPOT IMPALR O PIPF BURST ❑ RUINE CPFRAI,%LINEONLY)
DESCRIPTION OF PROPOSED WORK (&- Slxc.i le)t
>4 dP h e ial' —yb Wt a h addr-fiO.14 -.) k - �_e_LA
ISSUANCE OF TIIIS PrRhii'f DOES NOT CONSTITUTE. PEM-IISSION TO WORK ON ANY PROPERTY OTIiCR
THAN THAT OWNED BY THE SUBJECT PROPERTY OWNER.
Cf_RTIFICATIONS NEC FSSARY FOR INSTALLATION MI_TIIODS ARE TmE R LMKWSI RIL ITY OF TILL"" -
CONTRACTOR PERFORMINo SAID WORK.
I REPRESENT AND WARRANI- TO THE CITY OF EDMONDS. IF REPAIR OF EXISTING, .QA;- I"R EXTENDS TO AN
ADJACENT PROPERTY, 1 HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON TI IAT ADJACENT
PROPERTY.
SIGNATURE. PDATE l 07 ! 7- 0 Z- /
Contractor er Aivot
NO WORK SHALL RECIN PRIOR TO PERMIT ISSUANCE'
SITE PLAN NOTES
Alison & James Pope 1. THISISNOTANOFFICIALSURVEYANYCONTOURSSHOWN
18209 76th Ave W., Edmonds, WA 98026 HEREIN ARE BASED ON AVAILABLE DATA. THIS
ARCHITECTURAL SITE PLAN St IOULD BE SUFFICIENT FOR THE
Ls 1 Arta= 0.32 ActsTO
Smh—. C.-y P-1 R-1: 00370800300500 RELATIVE COMPLEXITY OF AND; OBTAIN
CNRgWNER SURVEY
Subdn�sioa
VERIFY D]. INFORMATION AND OBTAIN AN OFFICIAL SURVEY
IF NEEDED.
Rsidutu1% 'NS-12
w rvrama'In
Mni—B Ids Sabaha(1620.030) 2 SURFACE WATER SHALL DRAIN AWAY FROM THE I IOUSEATALL ^4oel9tak.,pg n
Fmm (1V) P—(E) Sldc(N) Side(S) MU Hngl POINTS. DIRECT TIIEDRAINAGEWATERTOTHESTREETORTO -
AN APPROVED DRAINAGE COURSE.
25ft 25ft IOft IOft 25ft coma„a usar.
;r tl
1 61
'r 1
i
_o
EXISUNG.FOOTPMIT
/ � ` 1 :PRO?OBFD ADGY^OV - �•(S@/
r80.
,0------------------PERAfITSHT
lO
t2+12018
EXISTING ROAD
I COLBY DALLEY
BUILDING DATA .> STEVE TLEK
M LOTSIZE 13.939 SF 0.32 AC
SITE PLAN = 2d875G 5.69% SITE PLAN
(BUILDING FOOTPRINT)
... scuel•-Io
IMPF.RVIOUSAREA 3.1A]SF 2729°A
(STRUCTURED- PAVING)
A-010