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ENG2022-0026 SIDE SEWER PERMITSEWER PERMIT PERMIT NUMBER City of Edmonds ...0i 1 11 www.cityofedmonds.gov Description: REPLACING SIDE SEWER FROM HOUSE TO PROPERTY LINE ISSUED: 01/26/2022 Address: 803 6TH AVE S EDMONDS WA 98020-4009 EXPIRES: 04/26/2022 Permit Subtype: TOTAL LINE Permit Type: SEWER Parcel Number: 00610900001102 REPLACEMENT CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT ROB KUCHAN 5014 157TH AVE SE, SNOHOMISH WA 98290 (425)478-3133 CONTACT PRO SEWER REPAIR 5014 157TH AVE SE, SNOHOMISH WA 98290 (425)478-3133 CONTRACTOR PRO SEWER REPAIR 5014 157TH AVE. SE, SNOHOMISH WA 98290 (425)478-3133 OWNER DEREK W & KACIE S TTE JANKE 803 6TH AVE S, EDMONDS WA 98020-4009 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 - FULL 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 ENGINEERING DIVISION "DTED RELEASED BY — �%L v 11/26/2022 DATE Printed: Wednesday, January 26, 2022 2:06:10 PM 1 of 2 SEWER PERMIT City of Edmonds Ave N, Edmonds WA •:• •ENG2022-0026 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" E-2 SEWER PRESSURE E-9 SEWER ASBUILT Printed: Wednesday, January 26, 2022 2:06:10 PM 2 of 2 CITY OF EDMONDS M BuildingPermit.com Utilities Application #1082206 - Pro Sewer Repair Applicant First Name Last Name Company Name Rob Kuchan PRO SEWER REPAIR Number Street Apartment or Suite Number E-mail Address 5014 157th ave se info@prosewerrepair.com City State Zip Phone Number Extension Snohomish WA 98290 (425)478-3133 Contractor Company Name PRO SEWER REPAIR Number Street Apartment or Suite Number 5014 157th Ave. SE City State Zip Phone Number Extension Snohomish WA 98290 (425)478-3133 State License Number License Expiration Date UBI # E-mail Address PROSESR8140C 9/3/2023 RD4DAg1 Rg info@prosewerrepair.com Project Location Number Street Floor Number Suite or Room Number 803 6TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00610900001102 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 Derek W & Kacie S Ttee Janke Number Street Apartment or Suite Number 803 6TH AVE S City State Zip EDMONDS WA 98020-4009 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: 1/26/2022 Submitted By: Rob Kuchan Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1082206 - Pro Sewer Repair Project Contact Company Name: PRO SEWER REPAIR Name: Rob Kuchan Email: info@prosewerrepair.com Address: 5014 157th ave se Phone #: (425)478-3133 snohomish WA 98290 Project Type Single Family Residential Activity Type Scope of Work Utility Modification Side Sewer Repair Only Project Name: Pro Sewer Repair Description of Work: Repairing sewer line from house to property line. Project Details Project Information Repair Page 2 of 2