Engineering Permit FormDescription: ANTHOLOGY SANITARY SIDE SEWER
Address: 21200 72ND AVE W EDMONDS WA 98026-7700
Permit Type: SEWER NEW COMMERCIAL I Permit Subtype: SENIOR HOMES
NAME TYPE NAME
APPLICANT MIKE PARKER
CONTACT CADB CATALYST CNSTRCTN GRP LLC
CONTRACTOR CADB CATALYST CNSTRCTN GRP LLC
OWNER
ISSUED: 03/21/2022
EXPIRES: 03/21/2023
Parcel Number: 00580700000401
ADDRESS
130 E RANDOLPH ST 201, CHICAGO IL 60601
130 E RANDOLPH ST 201, CHICAGO IL 60601
130 E RANDOLPH ST, SUITE 2100, CHICAGO IL 60601
154 LAKE WASHINGTON BLVD E, SEATTLE WA 98112
PHONE
(312)767-2531
(206)900-2395
(312)767-2531
DESCRIPTION
AMOUNT
PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00
$40.00
SEWER GENERAL FACILITY CHARGE - NEW COMM
$355,222.57
$355,222.57
SIDE SEWER PERMIT - NEW COMM
$220.00
$220.00
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
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 BY
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
DATE
Printed: Monday, March 21, 2022 2:19:39 PM 1 of 2
SEAKEW
CAMERCIAL PERMIT
PERMITNUMBER,
City of Edmonds
Ave N, Edmonds WA •:• •ENG2022-0037
www.cityofedmonds. ov/425.771.0220
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
REFER TO APPROVED CIVIL CONSTRUCTION PLANS AND CITY SEWER HANDOUT AND DETAILS.
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
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: Monday, March 21, 2022 2:19:39 PM 2 of 2