ENG2022-0488 SIDE SEWER PERMITSEWER PERMIT
PERMIT NUMBER
City of Edmonds
..
www.cityofedmonds.gov
Description: SPOT REPAIR ON PRIVATE PROPERTY ISSUED: 10/03/2022
Address: 19510 81ST PL W EDMONDS WA 98026-6203
EXPIRES:01/01/2023
Permit Subtype: PARTIAL LINE
Permit Type: SEWER Parcel Number: 00572600001900
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT SOUTH WEST PLUMBING 2401 SW ALASKA ST, SEATTLE WA 98106 (206)932-1777
CONTACT SOUTH WEST PLUMBING 2401 SW ALASKA ST, SEATTLE WA 98106 (206)932-1777
CONTRACTOR SOUTH WEST PLMBG &WATER HTRS 2401 SW ALASKA, SEATTLE WA 98106 (206)932-1777
OWNER CHARLES & WENDY LARSON 19510 81ST 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.
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 0��
0/03/2022 DATE
Printed: Monday, October 03, 2022 10:49:59 AM 1 of 2
SEWER PERMIT
ER
City of Edmonds
www.cityofedmonds. ov/425.771.0220
CONDITIONS
CONDITION TYPE
ALERT RESIDENTS
ALERT AFFECTED RESIDENTS AND OR BUSINESSES PRIOR TO WORK START.
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.
SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT.
INSPECTIONS
www.mybuildingpermit.com
POTHOLING
VERIFY CLEAR BORE CROSSINGS.
RESTORE LANDSCAPE
Restore landscape to like or better conditions
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.
INSPECTIONS
INSPECTION TYPE DATE
RESULT
COMPLETE
E-2 SIDE SEWER
X-2 ENGINEERING FINAL**
Printed: Monday, October 03, 2022 10:49:59 AM 2 of 2
RECEIVED
Sep 30 2022
CITY OF EDMONDS
Utilities Application #1209854 - 19510 81st PI W
CITY OF EDMONDS
M BuildinaaPermit.com°EVELOPMENTSERVICES
y 7 DEPARTMENT
Applicant
First Name Last Name Company Name
South West Plumbing South West Plumbing
Number Street Apartment or Suite Number E-mail Address
2401 SW Alaska St permits@southwestplumbing.biz
City State Zip Phone Number Extension
Seattle WA 98106 (206) 932-1777
Contractor
Company Name
South West Plmbg & Water Htrs
Number Street Apartment or Suite Number
2401 SW Alaska
City State Zip Phone Number Extension
Seattle WA 98106 (206) 932-1777
State License Number License Expiration Date UBI # E-mail Address
SOUTHWP8070J 9/11/2024 FD1 '1'17744 permits@southwestplumbing.biz
Project Location
Number Street Floor Number Suite or Room Number
19510 81 ST PL W
City Zip Code County Parcel Number
EDMONDS 98026 00572600001900
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
Charles & Wendy Larson
Number Street Apartment or Suite Number
19510 81 ST 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: 9/30/2022 Submitted By: South West Plumbing
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1209854 - 19510 81st PI W
Project Contact
Company Name: South West Plumbing
Name: South West Plumbing Email: permits@southwestplumbing.biz
Address: 2401 SW Alaska St Phone #: (206) 932-1777
Seattle WA 98106
Project Type Activity Type
Single Family Residential Utility Modification
Project Name: 19510 81 st PI W
Description of Work: Emergency Side Sewer Spot Repair
Project Details
Structure Type
Single Family Dwelling
Project Information
Repair
Scope of Work
Partial Line Replacement
Page 2 of 2
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
RECEIVED
Sep 30 2022
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Company Name: South West Plumbing Site Contact: Janet Aurelio
Company Address: 4150 Lind Ave. Phone #: 206-932-1777
4150 Lind Ave.
City: Renton zip: 98057 Email #: permits@southwestplumbing.biz
State License # SOUTHWP8070J City Business License # 026739
Expiration Date: 09/24
PROPERTY INFORMATION:
Address: 19510 81 St PI. W
Owner's Name: Wendy Larson
Phone #:
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DESCRIPTION OF PROPOSED WORK (Be Specific): Emergency Side Sewer Spot Repair
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.
�AMJIV-- Digitally signed by Janet Aurelio
SIGNATURE Date: 2022.09.30 15:30:42-07'00' DATE 9/30/2022
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE