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ENG2022-0131 SEWER PERMITPERMIT PERMIT NUMBER City of Edmonds EdmondsSEWER 98020 1 1 www.cityofedmonds.gov Description: SIDE SEWER REPAIR AN INSTALL A CLEAN OUT ISSUED: 03/29/2022 Address: 24211 77TH PL W EDMONDS WA 98026-9109 EXPIRES: 06/27/2022 Permit Subtype: PARTIAL LINE Permit Type: SEWER Parcel Number: 00488700301100 REPLACEMENT CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT ELLIOTT EDEN 23930 HIGHWAY 99, EDMONDS WA 98026 (206)890-7478 CONTACT SEWER FRIENDLY LLC 23930 HIGHWAY 99, EDMONDS WA 98026 (206)890-7478 CONTRACTOR SEWER FRIENDLY LLC 23930 HIGHWAY 99, EDMONDS WA 98026 (206)931-8161 OWNER NATASYA JULIETTE 24211 77TH PL W, EDMONDS WA 98026 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. EASVb BY THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 03/29/2022 DATE Printed: Tuesday, March 29, 2022 7:00:46 AM 1 of 2 SEWER PERMIT City of Edmonds •:• •ENG2022-0131 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. MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD ESC REQUIREMENTS 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. SEWER AND WATER MAINTAIN 10 FEET OF SEPARATION BETWEEN THE SANITARY SIDE SEWER AND THE WATER SERVICE SEPARATION LINE. 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 or 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 AND 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 and activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. TRAFFIC CONTROLS Traffic Control per approved plan and MUTCD. All Flaggers shall be certified. 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. PECTION TYPE DATE 7SIDE RESULT NOTES COMPLETE R X-2 ENGINEERING FINAL" Printed: Tuesday, March 29, 2022 7:00:46 AM 2 of 2 CITY OF EDMONDS M BuildingPermit.com Utilities Application #1114870 - Natasya Juliette Applicant First Name Last Name Company Name Elliott Eden SEWER FRIENDLY LLC Number Street Apartment or Suite Number E-mail Address 23930 Highway 99 info@sewerfriendly.com City State Zip Phone Number Extension EDMONDS WA 98026 2068907478 Contractor Company Name SEWER FRIENDLY LLC Number Street Apartment or Suite Number 23930 Hwy 99 City State Zip Phone Number Extension Edmonds WA 98026 2068907478 State License Number License Expiration Date UBI # E-mail Address SEWERFL916MS 7/10/2023 FD9g157RD Info@sewerfriendly.com Project Location Number Street Floor Number Suite or Room Number 24211 77TH PL W City Zip Code County Parcel Number EDMONDS 98026 00488700301100 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 Natasya Juliette Number Street Apartment or Suite Number 24211 77TH PL W 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: 3/28/2022 Submitted By: Elliott Eden Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1114870 - Natasya Juliette Project Contact Company Name: SEWER FRIENDLY LLC Name: Elliott Eden Email: info@sewerfriendly.com Address: 23930 Highway 99 Phone #: 2068907478 EDMONDS WA 98026 Project Type Activity Type Scope of Work Single Family Residential Utility Modification Partial Line Replacement Project Name: Natasya Juliette Description of Work: Side Sewer Repair with cleanout. Project Details Project Information Repair Page 2 of 2