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ENG2022-0055 SIDE SEWER PERMITSEWER PERMIT 'I ER City of • • • Ave98020 ENG2022-00155 www.cityofedmonds.gov Description: SPOT REPAIR AND LINER ISSUED: 02/16/2022 Address: 7821 203RD ST SW EDMONDS WA 98026-6852 EXPIRES: 05/17/2022 Permit Subtype: PARTIAL LINE Permit Type: SEWER Parcel Number: 27041900111800 REPLACEMENT CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT NICOLE MARINEZ PO BOX 1535, EDMONDS WA 98020-1535 (425)775-0201 CONTACT RYAN HIGGINS PO BOX 1535, EDMONDS WA 98020 (206)794-7518 CONTRACTOR MIKES PLUMBING/DRAIN CLEANING PO BOX 1535, EDMONDS WA 98020-1535 (425)775-0201 OWNER JAMIE LYNN COTTLE 7821 203RD ST SW, EDMONDS WA 98026 A 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. RELEASED E THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW ENGINEERING DIVISION .,7TED 12/16/2022 DATE Printed: Wednesday, February 16, 2022 8:29:36 AM 1 of 2 SEWER PERMIT City of Edmonds Ave N, Edmonds WA •:• •ENG2022-0055 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. SEWER REQUIREMENTS SEWER REQUIREMENTS 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 7:00am to 6:00pm on SOUND OR NOISE weekdays and 10:00am and 6:00pm 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 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 TV AND WATER TEST Printed: Wednesday, February 16, 2022 8:29:36 AM 2 of 2 CITY OF EDMONDS M BuildingPermit.com Utilities Application #1092936 - SEWER REPAIR Applicant First Name Last Name Company Name Nicole Marinez Marinez Plumbing, LLC Number Street Apartment or Suite Number E-mail Address PO Box 1535 admin@mikesplumbinganddrain.com City State Zip Phone Number Extension Edmonds WA 98020-1535 4257750201 Contractor Company Name MIKES PLUMBING/DRAIN CLEANING Number Street Apartment or Suite Number PO Box 1535 City State Zip Phone Number Extension Edmonds WA 98020-1535 (425) 775-0201 State License Number License Expiration Date UBI # E-mail Address MIKESPD795MO 12/1/2023 BD9114ins admin@mikesplumbinganddrain.com Project Location Number Street Floor Number Suite or Room Number 7821 203RD ST SW City Zip Code County Parcel Number EDMONDS 98026 27041900111800 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 Jamie Lynn Cottle Number Street Apartment or Suite Number 7821 203RD ST SW City State Zip EDMONDS WA 98026 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: 2/15/2022 Submitted By: Nicole Marinez Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1092936 - SEWER REPAIR Project Contact Company Name: Name: Address: Ryan Higgins PO Box 1535 Edmonds WA 98020 Project Type Single Family Residential Email: ryanhiggins.pinw@gmail.com Phone #: 2067947518 Activity Type Scope of Work Utility Modification Side Sewer Repair Only Project Name: SEWER REPAIR Description of Work: Side sewer repair and liner installation Project Details Project Information Repair Page 2 of 2