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ENG2023-0295 SEWER PERMITSEWER PERMIT PERMIT NUMBE3 City of Edmonds 98020 ENG2023-0295 www.edmondswa.gov i Description: SEWER - T SPOT REPAIR AND A CLEANOUT ISSUED: 06/22/2023 Address: 8018 242ND ST SW EDMONDS WA 98026-9125 EXPIRES: 09/20/2023 Permit Subtype: PARTIAL LINE Permit Type: SEWER Parcel Number: 00491100001402 REPLACEMENT CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT NAOMI DANIELS 175 ROY RD SW, PACIFIC WA 98372 (253)872-6944 CONTACT RESCUE ROOTER 175 ROY RD SW, PACIFIC WA 98372 (253)872-6944 CONTRACTOR RESCUE ROOTER 965 RIDGE LAKE BLVD SUITE 201, MEMPHIS TN 38120 (253)872-5330 OWNER SHARON CAMPBELL 8018 242ND ST SW, EDMONDS WA 98026 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. 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: WHJ DATE: 06/22/2023 Printed: Thursday, June 22, 2023 1:43:43 PM 1 of 2 SEWER PERMIT PERMIT NUMBE3 City of Edmonds ,...Ave N, Edmonds WA 9:01 1 • 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. 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. 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. • 'SIDE INSPECTION TYPE DATE RESULT NOTES COMPLETE E-2 SEWER X-2 ENGINEERING FINAL" Printed: Thursday, June 22, 2023 1:43:43 PM 2 of 2 { OF EDA1041- /'VC. 1840 CONTRACTOR INFORMATION: SIDE SEWER PERMIT APPLICATION Company Name: ARS RESCUE ROOTER 1NA"1 AVdd❑ S301/�?J3S 1N3 WdO�d/�dO SONOWOd d0 A110 i;ZOZ ZZ unf QAA1a33U Site Contact: NIUMULt Company Address: 175 A ROY RD SW SUITE 101 Phone #: 2 5 3-872-6944 City: PACIFIC Zip:98047 State License # RESCUR*007Q7 Expiration Date: 1 /26/24 PROPERTY INFORMATION: Email #: NLTUCKER@ARS.COM City Business License # 601837949 Address: 1138 6TH AVE S EDMONDS WA 98020 Owner's Name: GWEN BAUGH Phone #: FULL LINE REPLACEMENT POT REPAIR []PIPE BURST FVJRELINE (PERMALINE ONLY) DESCRIPTION OF PROPOSED WORK (Be Specific):4.5 FT SPTOT REPAIR 30 FT OF LINER. 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 z —e-1 DATE 6/19/23 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE RECEIVE CITY OF EDMONDS Utilities Application #1337028 - SHARON CAMPBELL MyBuildingPermit.com Jun 22 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name naomi daniels rescue rooter Number Street Apartment or Suite Number E-mail Address 175 Roy rd sw NLTUCKER@ARS.COM City State Zip Phone Number Extension pacific WA 98372 (253) 872-6944 Contractor Company Name RESCUE ROOTER Number Street Apartment or Suite Number 965 Ridge Lake Blvd Suite 201 City State Zip Phone Number Extension Memphis TN 38120 (253) 872-5330 (253) 872-4902 State License Number License Expiration Date UBI # E-mail Address RESCUR*007Q7 1/26/2024 Rn1 R37949 NLTUCKER@ARS.COM Project Location Number Street Floor Number Suite or Room Number 8018 242ND ST SW City Zip Code County Parcel Number EDMONDS 98026 00491100001402 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 Sharon Campbell Number Street Apartment or Suite Number 8018 242ND 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: 6/22/2023 Submitted By: naomi daniels Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Utilities Application #1337028 - SHARON CAMPBELL Project Contact Company Name: rescue rooter Name: naomi daniels Address: 175 Roy rd sw pacific WA 98372 Project Type Single Family Residential Email: NLTUCKER@ARS.COM Phone #: (253) 872-6944 Activity Type Scope of Work Utility Modification Partial Line Replacement Project Name: SHARON CAMPBELL Description of Work: 2 FT SPOT REPAIR INSTALL CLEANOUT. Project Details Structure Type Single Family Dwelling Project Information Repair Page 2 of 2