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ENG2022-0002 SEWER PERMITPERMIT PERMIT NUMBER City of Edmonds AveSEWER 9801 111 www.cityofedmonds.gov Description: EXCAVATE AND FIND CLOGGED SIDE SEWER, REPAIR VIA PIPE BURST ISSUED: 01/03/2022 Address: 1235 CORONADO PL EDMONDS WA 98020 EXPIRES: 04/03/2022 Permit Type: SEWER Permit Subtype: PARTIAL LINE Parcel Number: 00515200001200 REPLACEMENT CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT KATHERYN MYERS 2617 RUSSELL WAY, EVERETT WA 98204 (425)512-9652 CONTACT DIRT CHEAP INC 2615 RUSSELL WAY #3, EVERETT WA 98024 (425)451-2496 CONTRACTOR DIRT CHEAP INC 2615 RUSSELL WAY #3, EVERETT WA 98024 (425)451-2496 OWNER MICHAEL D HANSHEW 1235 CORONADO PL S, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 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. :»•A[-3 THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 01 /03/2022 DATE Printed: Monday, January 03, 2022 2:02:18 PM 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-2 TV AND WATER TEST E-9 SEWER ASBUILT Printed: Monday, January 03, 2022 2:02:18 PM 2 of 2 CITY OF EDMONDS M BuildingPermit.com Utilities Application #1070981 -Side Sewer Repair-Hanshew Applicant First Name Last Name Company Name Katheryn Myers Dirt Cheap inc. Number Street Apartment or Suite Number E-mail Address 2617 Russell Way katheryn@dirtcheapinc.com City State Zip Phone Number Extension Everett WA 98204 4255129652 Contractor Company Name DIRT CHEAP INC Number Street Apartment or Suite Number 2617 Russell Way City State Zip Phone Number Extension Everett WA 98204 (425) 512-9652 State License Number License Expiration Date UBI # E-mail Address DIRTCCI836BT 1/30/2023 RunR7911 katheryn@dirtcheapinc.com Project Location Number Street Floor Number Suite or Room Number 1235 CORONADO PL S City Zip Code County Parcel Number EDMONDS 98020 00515200001200 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Michael D Hanshew Number Street Apartment or Suite Number 1235 CORONADO PL S City State Zip EDMONDS WA 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 1/3/2022 Submitted By: Katheryn Myers Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Utilities Application #1070981 -Side Sewer Repair-Hanshew Project Contact Company Name: Dirt Cheap inc. Name: Katheryn Myers Email: katheryn@dirtcheapinc.com Address: 2617 Russell Way Phone #: 4255129652 Everett WA 98204 Project Type Activity Type Scope of Work Single Family Residential Utility Modification Side Sewer Repair Only Project Name: Side Sewer Repair-Hanshew Description of Work: Excavate and find clogged pipe and repair via pipe burst. Project Details Project Information Repair Page 2 of 2