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ENG2023-0590 SIDE SEWER PERMITPERMIT PERMIT NU City •EdmondsSEWER Edmonds:i 1 1 '1 www.edmondswa.gov i Description: SEWER SPOT REPAIR ISSUED: 11/15/2023 Address: 1121 EDMONDS ST EDMONDS WA 98020-2944 EXPIRES: 02/13/2024 Permit Subtype: PARTIAL LINE Permit Type: SEWER Parcel Number: 00507100000400 REPLACEMENT CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT PHELAN MCGREW 2825 S 154TH ST, SEATTLE WA 98188 (971)217-3383 CONTACT PHELAN MCGREW 2825 S 154TH ST, SEATTLE WA 98188 (971)217-3383 CONTRACTOR PRICOR TECHNOLOGIES LLC 2825 SOUTH 154TH STREET, SEATTLE WA 98188 (206)258-5270 OWNER JAM ES & JIILL CROASDILL 1121 EDMONDS 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 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: GRN DATE: 11/15/2023 Printed: Wednesday, November 15, 2023 2:48:03 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, November 15, 2023 2:48:03 PM 2 of 2 RECEIVED SIDE SEWER PERMIT APPLICATION "//C. 139 Q CONTRACTOR INFORMATION: Company Name: Pricor Tech Company Address: 2825 s 154th st 2825 s 154th st City: seatac Zip:98038 state License # PRICOTL865KZ Expiration Date: 5-14-24 PROPERTY INFORMATION: Address: 1121 Edmonds st Edmonds Owner's Name: Jim Croasdill Site Contact: Phelan Mcgrew Phone #: 9712173383 Emaii #: Pmcgrew@Pricortech.com City Business License # N R026654 Nov 15 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Phone #: FULL LINE REPLACEMENT SPOT REPAIR ❑PIPE BURST RELINE (PERMALINE ONLY) DESCRIPTION OF PROPOSED WORK (Be Specific): Spot repair clean out install in back yard 10' deep 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. SIGNATUR� DATE Contractor or Agent NO WORK SRA_LL BEGIN PRIOR TO PERMIT ISSUANCE RECEIVED CITY OF EDMONDS Utilities Application #1404964 - 1121 Nov 15 2023 MyBuildingPermit.com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Phelan Mcgrew Phelan McGrew Number Street Apartment or Suite Number E-mail Address 2825 S 154th St pmcgrew@pricortech.com City State Zip Phone Number Extension Seattle WA 98188 (971) 217-3383 Contractor Company Name PRICOR TECHNOLOGIES LLC Number Street Apartment or Suite Number 2825 SOUTH 154TH STREET City State Zip Phone Number Extension SEATTLE WA 98188 (206) 258-5270 State License Number License Expiration Date UBI # E-mail Address PRICOTL865KZ 5/14/2024 FniiAF;sis pmcgrew@pricortech.com Project Location Number Street Floor Number Suite or Room Number 1121 EDMONDS ST City Zip Code County Parcel Number EDMONDS 98020 00507100000400 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 James & Jill Croasdill Number Street Apartment or Suite Number 1121 EDMONDS 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: 11/15/2023 Submitted By: Phelan Mcgrew Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Utilities Application #1404964 - 1121 Project Contact Company Name: Phelan McGrew Name: Phelan Mcgrew Email: pmcgrew@pricortech.com Address: 2825 S 154th St Phone #: (971) 217-3383 Seattle WA 98188 Project Type Activity Type Scope of Work Mixed Use Utility Modification Partial Line Replacement Project Name: 1121 Description of Work: spot repair Project Details Project Information Repair Utilites Modification? The work involves disconnecting, relocating, repairing, or replacing an utility installation Page 2 of 2