ENG2021-0448 SEWER PERMITSEWER PERMIT
PERMIT
City of Edmonds
121 1..
www.cityofedmonds.gov
Description: REPLACE 30' OF 4" TO THE TRANSITION AND A 6" CLEANOUT
ISSUED: 11/30/2021
Address: 6416 170TH PL SW EDMONDS WA 98026-5212
EXPIRES: 02/28/2022
Permit Type: SEWER Permit Subtype: PARTIAL LINE Parcel Number: 00583500002100
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT AA PLUMBING LLC 8611 VISTARAMA AVENUE, EVERETT WA 98208 (425)489-0123
CONTRACTOR AA PLUMBING LLC 8611 VISTARAMA AVENUE, EVERETT WA 98208 (425)489-0123
OWNER O'CONNER-EUSTICE NANCY 6416 170TH PL SW, EDMONDS WA 98026-5212
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
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.
BY
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
Ii§09117100y"il
DATE
Printed: Tuesday, November 30, 2021 9:17:05 AM 1 of 2
SEWER PERMIT
City of Edmonds
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.
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.
INSPECTIONS
INSPECTION TYPE
DATE
RESULT
COMPLETE
E-2 SIDE SEWER
X-2 ENGINEERING FINAL"
E-7 SEWER LATERAL
E-2 SEWER PRESSURE
E-9 SEWER ASBUILT
Printed: Tuesday, November 30, 2021 9:17:05 AM 2 of 2
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: AA Plumbing Ilc Site Contact: Curtis Mcllrath
Company Address: 8611 Vistarama Ave Phone #: 425-489-0123
City: Everett zip: 98208 Email #: aaplumbingllc247@gmail.com
State License # AAPLUL*011 PD City Business License #
Expiration Date: November 30th 2022
PROPERTY INFORMATION:
Address: 6416 170th pl sw
Owner's Name: Brad Eustice
Phone #: 425-218-8797
FULL LINE REPLACEMENT []SPOT REPAIR [:]PIPE BURST RELINE (PERMALINE ONLY)
9' f
DESCRIPTION OF PROPOSED WORK (Be Specific):
Replace approx 30' of 4" pipe. New connection at the 6" clay Install cleanout to grade
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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 WARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEWER EXTENDS TO AN
ADJACENT PROPERTY, I HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY.
SIGNATURE C44�- DATE 11 /30/21
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE