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ENG2022-0456 SIDE SEWER PERMITSEWER PERMIT PERMIT NUMBER City of • • • ...0i 1 14 Zlk www.cityofedmonds.gov Description: SEWER - SPOT REPAIR WITH DUAL SWEEP CLEANOUT ISSUED: 09/08/2022 Address: 21505 89TH AVE W EDMONDS WA 98026-7313 EXPIRES: 12/07/2022 Permit Type: SEWER Permit Subtype: PARTIAL LINE Parcel Number: 00373600600101 REPLACEMENT CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT DEREK HENRY P.O. BOX 68133, SEATTLE WA 98168 (206)707-1497 CONTACT PINKY'S PLUMBING, LLC P.O. BOX 68133, SEATTLE WA 98168 (206)707-1497 CONTRACTOR PINKY&APOS;S PLUMBING LLC P.O. BOX, SEATTLE WA 98168 (206)707-1497 OWNER ROBERT & JANICE FOOS 21505 89TH AVE W, EDMONDS WA 98020 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. 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 19/08/2022 DATE Printed: Thursday, September 08, 2022 3:58:33 PM 1 of 2 SEWER PERMIT ER PERMIT NUMBER City of Edmonds ...• •ENG2022-0456 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. 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. 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. 'SIDE • INSPECTION TYPE DATE RESULT NOTES COMPLETE E-2 SEWER X-2 ENGINEERING FINAL" Printed: Thursday, September 08, 2022 3:58:33 PM 2 of 2 Firefox about:blank Of ED&4j04' ANC. 189� CONTRACTOR INFORMATION: SIDE SEWER PERMIT APPLICATION Company Name: pinkys plumbing Company Address: po box 68133 po box 68133 City: seattle ZIp:98168 State License # PINKYPL905LS Expiration Date: 10/15/23 PROPERTY INFORMATION: Address: 21505 89th ave w Owner's Name: Janice Foos Site contact: Jeremy Gookstetter Phone #:2064027739 Email #: psuedohero@gmail.com City Business License # 603018755 RECEIVED Sep 07 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Phone #: E 'ULL LINE REPLACEMENT POT REPAIR OIPE BURST RELINE (PERMALINE ONLY) DESCRIPTION OF PROPOSED WORK (Be Specific): Sewer repair with a dual sweep clean out ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE PERMISSION TO WORK ON ANY PROPERTY OTHER THAN THAT OWNED BY THE SUBJECT PROPERTY OWNER. CERTIFICATIONS NECESSARY FOR INSTALLATION METHODS ARE THE RESPONSIBILITY OF THE CONTRACTOR PERFORMING SAID WORK. I REPRESENT AND WARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEWER EXTENDS TO AN ADJACENT PROPERTY. I HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT PROPERTY. �y/� SIGNATURE f TI/ L4& DATED C tractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE of 1 9/7/2022, 9:58 AM CITY OF EDMONDS Utilities Application #1198252 - Sewer repair MyBuildingPermit.com RECEIVED Sep 07 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Derek Henry Pinky's Plumbing, LLC Number Street Apartment or Suite Number E-mail Address P.O. Box 68133 customerservice@pinkysplumbing.biz City State Zip Phone Number Extension Seattle WA 98168 (206) 707-1497 Contractor Company Name Pinky's Plumbing LLC Number Street Apartment or Suite Number P.O. Box City State Zip Phone Number Extension Seattle WA 98168 (206) 707-1497 State License Number License Expiration Date UBI # E-mail Address PINKYPL905LS 6/10/2024 F;miniR755 customerservice@pinkysplumbing.biz Project Location Number Street Floor Number Suite or Room Number 21505 89TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00373600600101 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 Robert & Janice Foos Number Street Apartment or Suite Number 21505 89TH AVE W City State Zip EDMONDS WA 98020 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: 9/7/2022 Submitted By: Derek Henry Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1198252 - Sewer repair Project Contact Company Name: PLCys Plumbing, Name: Derek Henry Email: customerservice@pinkysplumbing.biz Address: P.O. Box 68133 Phone #: (206) 707-1497 seattle WA 98168 Project Type Activity Type Scope of Work Single Family Residential Utility Modification Partial Line Replacement Project Name: Sewer repair Description of Work: Excavating 4 feet in order to remove the broken section of concrete sewer line and replace it with a section of sdr35 that will include a dual sweep clean out. Project Details Structure Type Single Family Dwelling Project Information Repair Page 2 of 2