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ENG2022-0118 SEWER PERMITNEW RESIDENTIAL PERMIT PERMITNUMBER, City of Edmonds EdmondsSEWER •:• • ENG2022-0118 hL www.cityofedmonds.gov• • Description: KECK SEWER FOR NEW SFR-CONNECT TO SP STUB ISSUED: 05/20/2022 Address: 15722 72ND AVE W EDMONDS WA 98026 EXPIRES: 05/20/2024 Permit Type: SEWER NEW RESIDENTIAL Permit Subtype: Parcel Number: 00513100002501 iiii Isle] 0 1 ' NAME TYPE NAME ADDRESS PHONE APPLICANT BRENT HEATH 5021 216TH PLACE SE, BOTHELL WA 98021 (206)234-1932 CONTACT E & H CONSTRUCTION CO 5021 216TH PLACE SE, BOTHELL WA 98021 (206)234-1932 CONTRACTOR E &H CONSTRUCTION CO 5021 216TH PL SE, BOTHELL WA 98021 (206)234-1932 OWNER KEVIN W & HATHAWAY HE KECK 583 BATTERY ST 508N, SEATTLE WA 98121 (775)772-2630 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $330.00 $330.00 SEWER GENERAL FACILITY CHARGE - NEW SFR $4,417.00 $4,417.00 SIDE SEWER PERMIT - GRINDER PUMP $110.00 $110.00 SIDE SEWER PERMIT - NEW RESIDENTIAL $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 6 4tfa&" vawaa 5/20/2022 DATE Printed: Friday, May 20, 2022 3:35:57 PM 1 of 3 RELEASED BY Printed: Friday, May 20, 2022 3:35:57 PM 2 of 3 SEWIMEW RESIDENTIAL PERMIT City of Edmonds Edmonds•:• •ENG2022-0118 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. 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 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. 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. • • PECTION TYPE 7SIDE DATE RESULT 2rNOTES COMPLETE R X-2 ENGINEERING FINAL" E-2 GRINDER PUMP E-9 SEWER ASBUILT Printed: Friday, May 20, 2022 3:35:57 PM 3 of 3