ENG2023-0144 SIDE SEWER PERMITDescription: SPOT REPAIR INSTALL CLEANOUT ON PRIVATE PROPERTY
Address: 7729 175TH ST SW EDMONDS WA 98026-5023
Permit Type: SEWER
Permit Subtype: PARTIAL LINE
REPLACEMENT
ISSUED: 03/21/2023
EXPIRES: 06/19/2023
Parcel Number: 00378500000300
NAME TYPE NAME ADDRESS PHONE
APPLICANT DEVON PAFFORD 6202 214TH ST SW, MOUNTLAKE TERRACE WA 98043 (206)960-3200
CONTACT JIM DANDY SEWER AND PLUMBING 6202 214TH ST SW, MOUNTLAKE TERRACE WA 98043 (206)960-3200
CONTRACTOR JIM DANDY SEWER &PLUMBING 6202 214TH ST SW, MOUNTLAKE TERRACE WA 98043 (206)960-3200
OWNER MEGHAN & MCDONNELL KE 7729 175TH ST SW, EDMONDS WA 98026
KEOUGH
A FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
SIDE SEWER PERMIT- PARTIAL REPLACEMENT $126.00 $126.00
REQUIREMENTS
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.
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: 03/21 /2023
Printed: Tuesday, March 21, 2023 10:07:06 AM 1 of 2
SEWER PERMIT
PERMIT NU M�IBE
City of Edmonds
121 Sth Ave N, Edmonds WA 98020 ENG2023-014A
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, March 21, 2023 10:07:06 AM 2 of 2
RECEIVED
Y
INC. I S90
CONTRACTOR INFORMATION:
SIDE SEWER
PERMIT APPLICATION
Company Name: JIM DANDY SEWER & PLUMW Site Contact: DEVON PAFFORD
Company Address: bLU1 L "I 41 H 5 I JVV
Phone #: (206)960-3200
Mar 21 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
6202 214TH ST SW
City: MOUNTLAKE TERRACE Zip:98043 Email#: dispatch@jimdandysewer.com
State License # JIMDADS879133 City Business License # NR-726074
Expiration Date: 12/23/2023
PROPERTY INFORMATION:
Address: 7729 175TH ST SW I EDMONDS 198026
Owner's Name: KERRY MCDONNELL & MEGHAN KEOUGH
Phone #:
FULL LINE REPLACEMENT POT REPAIR []PIPE BURST ❑RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific):
- Excavate 4` x 4` hole up to 3 1/2 feet in there to expose what appears to be broken or offset PVC section of pipe.
- Install new PVC dual sweep cleanout to access and hydrojet any remaining debris or blockages.
- Bed pipe using 5/8"crushed rock
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.
SIGNATURE '
ont actor or Agent
DATE 03/20/2023
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
RECEIVED
A mt WA WON
CITY OF EDMONDS
CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICESDEPARTMENT
DEPARTMENT
Utilities Application #1285987 - MCDONNEL I SIDE SEWER SPOT REPAIR
Applicant
First Name Last Name Company Name
DEVON PAFFORD Jim Dandy sewer and plumbing
Number Street Apartment or Suite Number E-mail Address
6202 214th St SW dispatch@jimdandysewer.com
City State Zip Phone Number Extension
Mountlake Terrace WA 98043 (206) 960-3200
Contractor
Company Name
Jim Dandy Sewer & Plumbing
Number Street Apartment or Suite Number
6202 214th ST SW
City State Zip Phone Number Extension
MOUNTLAKE WA 98043 2069603200
State License Number License Expiration Date UBI # E-mail Address
JIMDADS879133 1/23/2025 F;nigri74:3.'l dispatch@jimdandysewer.com
Project Location
Number Street Floor Number Suite or Room Number
7729 175TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00378500000300
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
Meghan & Mcdonnell Kerry Keough
Number Street Apartment or Suite Number
7729 175TH ST SW
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: 3/20/2023 Submitted By: DEVON PAFFORD
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1285987 - MCDONNEL I SIDE SEWER SPOT REPAIR
Project Contact
Company Name: Jim Dandy sewer and
plumbing
Name: DEVON PAFFORD
Address: 6202 214th St SW
Mountlake Terrace WA
98043
Email: dispatch@jimdandysewer.com
Phone #: (206) 960-3200
Project Type Activity Type Scope of Work
Single Family Residential Utility Modification Partial Line Replacement
Project Name: MCDONNEL I SIDE SEWER SPOT REPAIR
Description of - Excavate 4ft x 4ft hole up to 3 1/2 feet in there to expose what appears to be broken or
Work: offset PVC section of pipe. - Install new PVC dual sweep clean as tribute to access and
maintenance and hydrojetting - Bed pipe using 5/8in crushed rock
Project Details
Structure Type
Single Family Dwelling
Project Information
Repair
Page 2 of 2