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ENG2023-0256 SIDE SEWER PERMITPERMIT PERMIT NU City •EdmondsSEWER 98020 ENG2023-02561 www.edmondswa.gov i Description: SEWER SPOT REPAIR ISSUED: 05/24/2023 Address: 657 BELL ST EDMONDS WA 98020-3020 EXPIRES: 08/22/2023 Permit Subtype: PARTIAL LINE Permit Type: SEWER Parcel Number: 00434209902100 REPLACEMENT CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT SOUTH WEST PLUMBING 4150 LIND AVE, SW, RENTON WA 98057 (206)932-1777 CONTACT SOUTH WEST PLUMBING 4150 LIND AVE, SW, RENTON WA 98057 (206)932-1777 CONTRACTOR SOUTH WEST PLMBG &WATER HTRS 4150 LIND AVE. SW, RENTON WA 98057 (206)932-1777 OWNER JANICE E CURTIS 657 BELL ST, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 SIDE SEWER PERMIT - PARTIAL REPLACEMENT $126.00 $126.00 REQUIREMENTSEi 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: 05/24/2023 Printed: Wednesday, May 24, 2023 12:50:29 PM 1 of 2 SEWER PERMIT PERMIT NUMBER 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 7SIDE RESULT NOTES COMPLETE R X-2 ENGINEERING FINAL" Printed: Wednesday, May 24, 2023 12:50:29 PM 2 of 2 RECEIVED SIDE SEWER PERMIT APPLICATION CONTRACTOR INFORMATION: Company Name: SouthWest Plumbing Company Address: 4150 Lind Ave. SW 4150 Lind Ave. SW City: Renton Zip:98057 State License # SOUTHWP8070J Expiration Date: 09/24 PROPERTY INFORMATION: Address: 657 Bell St. Owner's Name: Jeff &Jan Curtis Phone #: Site Contact: Janet Aurelio May 24 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Phone #: 206-867-4556 Email #: permits@a southwestplumbing.biz City Business License # 026739 FULL LINE REPLACEMENT [6POT REPAIR ❑PIPE BURST RELINE (PERMALINE ONLY) 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. 41� Digitally signed by Janet Aurelio SIGNATURE Date: 2023.05.24 09:06:14-07'00' DATE 5/24/2023 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE RECEIVED CITY OF EDMONDS Utilities Application #1321681 - 657 Bell St. / May 24 2023 MyBuildingPermit.com CITYOFEDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name South West Plumbing South West Plumbing Number Street Apartment or Suite Number E-mail Address 4150 Lind Ave, SW permits@southwestplumbing.biz City State Zip Phone Number Extension Renton WA 98057 (206) 932-1777 Contractor Company Name South West Plmbg & Water Htrs Number Street Apartment or Suite Number 4150 Lind Ave. SW City State Zip Phone Number Extension Renton WA 98057 (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 657 BELL ST City Zip Code County Parcel Number EDMONDS 98020 00434209902100 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 Janice E Curtis Number Street Apartment or Suite Number 657 BELL ST 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: 5/24/2023 Submitted By: South West Plumbing Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1321681 - 657 Bell St. Project Contact Company Name: South West Plumbing Name: South West Plumbing Email: permits@southwestplumbing.biz Address: 4150 Lind Ave, SW Phone #: (206) 932-1777 Renton WA 98057 Project Type Activity Type Single Family Residential Utility Modification Project Name: 657 Bell St. 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