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ENG2022-0521 SIDE SEWER PERMITSEWER PERMIT City of • • • Edmonds98020ENG2022-05,121 www.cityofedmonds.gov Description: SEWER LINE FOR ADDITION BLD2022-0387 ISSUED: 10/21/2022 Address: 20304 87TH AVE W EDMONDS WA 98026-6619 EXPIRES: 01/19/2023 Permit Subtype: PARTIAL LINE Permit Type: SEWER Parcel Number: 00572400001000 REPLACEMENT CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT ROGER DIAZ 516 143RD ST, LYNNWOOD WA 98087 (425)971-5802 CONTACT JDA PLUMBING LLC 516 143RD ST, LYNNWOOD WA 98087 (425)971-5802 CONTRACTOR JDA PLUMBING LLC 17410 52ND AVE W, LYNNWOOD WA 98037 (425)971-5802 OWNER CYNTHIA L MARKER 20304 87TH AVE. W., EDMONDS WA 98020 A FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00 SIDE SEWER PERMIT - PARTIAL REPLACEMENT $110.00 $0.00 • 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 B' 0/21 /2022 DATE Printed: Friday, October 21, 2022 2:56:01 PM 1 of 2 SEWER PERMIT City of Edmonds •:• •ENG2022-0521 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 DATE 7SIDE RESULT 2rNOTES Im COMPLETE R X-2 ENGINEERING FINAL" Printed: Friday, October 21, 2022 2:56:01 PM 2 of 2 RECEIVED CITY OF EDMONDS Utilities Application #1218681 - Addition sewer Oct 20 2022 MyBuildingPermit.com CITYOFEDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Roger Diaz JDA Plumbing LLC Number Street Apartment or Suite Number E-mail Address 516 143rd St diguer38@gmail.com City State Zip Phone Number Extension Lynnwood WA 98087 (425) 971-5802 Contractor Company Name JDA PLUMBING LLC Number Street Apartment or Suite Number 17410 52ND AVE W City State Zip Phone Number Extension LYNNWOOD WA 98037 4259715802 State License Number License Expiration Date UBI # E-mail Address JDAPLPL782J8 5/16/2024 BD4,19fl9B.,i diguer38@gmail.com Project Location Number Street Floor Number Suite or Room Number 20304 87TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00572400001000 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 Cynthia L Marker Number Street Apartment or Suite Number 20304 87th 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: 10/20/2022 Submitted By: Roger Diaz Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1218681 - Addition sewer Project Contact Company Name: JDA Plumbing LLC Name: Roger Diaz Email: diguer38@gmail.com Address: 516 143rd St Phone #: (425) 971-5802 Lynnwood WA 98087 Project Type Activity Type Scope of Work Single Family Residential Utility Modification Partial Line Replacement Project Name: Addition sewer Description of Work: Connectind bathroom drain that is been added to current sewer line within the property . Project Details Structure Type Single Family Dwelling Project Information Repair Page 2 of 2 RECEIVED Oct 20 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT