ENG2023-0023 SIDE SEWER PERMITPERMIT
PERMIT NU
City •EdmondsSEWER
Edmonds:iENG2023-00231
www.edmondswa.gov i
Description: SEWER SPOT REPAIR ON PRIVATE PROPERTY ISSUED: 01/17/2023
Address: 7808 206TH ST SW EDMONDS WA 98026-6862
EXPIRES: 04/17/2023
Permit Subtype: PARTIAL LINE
Permit Type: SEWER Parcel Number: 00614300003001
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT TERRY CLINTON 6608 220TH ST SW, MOUNTLAKE TERRACE WA 98043
(206)783-4129
CONTACT FISCHER PLUMBING CO INC, THE 6608 220TH ST SW, MOUNTLAKE TERRACE WA 98043
(206)783-4129
CONTRACTOR FISCHER PLUMBING CO INC, THE 6608 220TH ST SW, MOUNTLAKE TERRACE WA 98043
(206)783-4129
OWNER RENEE C LANG 7808 206TH ST SW, EDMONDS WA 98026-6862
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
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.
RELEASED BY: GRN DATE: 01/17/2023
ENGINEERING DIVISION
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Printed: Tuesday, January 17, 2023 2:24:37 PM 1 of 2
SEWER PERMIT
PERMIT NU�IBE
City of Edmonds
www.edmondswa.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 RESULT NOTES
7SIDE
COMPLETE
R
X-2 ENGINEERING FINAL"
Printed: Tuesday, January 17, 2023 2:24:37 PM 2 of 2
SIDE SEWER
PERMIT
APPLICATION
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CONTRACTOR INFORMATION:
Company Name: Fischer Plumbing
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Site Contact: Jim Medina
Company Address: 6608 220th st. sw. Mountlake terrace, wa. 9 Phone #: 206) 771-4347
6608 220th st. sw. Mountlake terrace, wa. 98043
City: mountlake terrace Zip: 98043
Email#: don@fischerplumbinq.com
State License # Cgg Fsc-h P City Business License #
Expiration Date: 2-122 / x) f i1
PROPERTY INFORMATION:
Address: 7808 206th ST. SW. Mountlake Terrace, WA. 98026
Owner's Name:
Renee Lang
Phone #:
[jFULL LINE REPLACEMENT RjSPOT REPAIR []PIPE BURST RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific): Emergency repair in back yard
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 PRO ERTY, HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY.
SIGNATURE DATE
1 /16/2023
ontrac or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
RECEIVED
Jan 17 2023
CITY OF EDMONDS MYBuilding Permit.comDEVELOP ,EN° S°R° CES
DEPARTMENT
Utilities Application #1254370 - Lang
Applicant
First Name Last Name Company Name
Terry Clinton Fischer Plumbing Co Inc, The
Number Street Apartment or Suite Number E-mail Address
6608 220th st sw fpdsl@nwlink.com
City State Zip Phone Number Extension
Mountlake terrace WA 98043 (206) 783-4129 2065104296
Contractor
Company Name
Fischer Plumbing Co Inc, The
Number Street Apartment or Suite Number
6608 220th ST SW
City State Zip Phone Number Extension
Mountlake Terrace WA 98043 (206) 783-4129
State License Number License Expiration Date UBI # E-mail Address
FISCHPC131 R1 2/22/2024 FD1 D5R75q fpdsl@nwlink.com
Project Location
Number Street Floor Number Suite or Room Number
7808 206TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00614300003001
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
Renee C Lang
Number Street Apartment or Suite Number
7808 206TH ST SW
City State Zip
EDMONDS WA 98026-6862
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: 1/16/2023 Submitted By: Terry Clinton
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1254370 - Lang
Project Contact
Company Name: Fischer Plumbing Co Inc, The
Name: Terry Clinton Email: fpdsl@nwlink.com
Address: 6608 220th st sw Phone #: (206) 783-4129 2065104296
Mountlake terrace WA 98043
Project Type Activity Type
Single Family Residential Utility Modification
Project Name: Lang
Description of Work: Emergency side sewer repair
Project Details
Structure Type
Single Family Dwelling
Project Information
Repair
Scope of Work
Partial Line Replacement
Page 2 of 2