ENG2023-0636 SEWER PERMITSEWER PERMIT
PERMIT '
City of • • .
98020 ENG2023-0636
www.edmondswa.gov i
Description: SEWER ISSUED: 12/20/2023
Address: 9528 220TH ST SW EDMONDS WA 98020-4556
EXPIRES: 03/19/2024
Permit Subtype: PARTIAL LINE
Permit Type: SEWER Parcel Number: 00544200100100
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT ALEX BORROMEO 20907 HIGHWAY 99 STE C, LYNNWOOD WA 98036
(206)348-8138
CONTACT PRICE BUSTERS PLUMBING 20907 HIGHWAY 99 STE C, LYNNWOOD WA 98036
(206)348-8138
CONTRACTOR PRICE BUSTERS PLUMBING 3212 NE 167TH ST, LAKE FOREST PARK WA 98155
(206)348-8138
OWNER JANICE R GIFFORD 770 NORTHSTREAM LN, 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: WHJ DATE: 12/20/2023
Printed: Wednesday, December 20, 2023 2:56:29 PM 1 of 2
SEWER PERMIT
PERMIT NU �!B E
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.
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
7S111DE
RESULT
NOTES
COMPLETE
R
X-2 ENGINEERING FINAL"
Printed: Wednesday, December 20, 2023 2:56:29 PM 2 of 2
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: Price Busters Plumbing Site Contact: Alex Borromeo
Company Address: 20907 HWY 99 STE C Lynnwood WA Phone #: 2063488138
20907 HWY 99 STE C Lynnwood WA
City: Lynnwood zip: 98036 Email #: pricebustersplumbing@gmail.com
State License # 603388617 City Business License # 603388617
Expiration Date: March 31, 2024 March 31, 2024
PROPERTY INFORMATION:
Address: 9528 220th Street Southwest Edmonds, WA 98020
Owner's Name: Gifford
Phone #:
DULL LINE REPLACEMENT ®SPOT REPAIR [:]PIPE BURST RELINE (PERMALINE ONLY)
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DESCRIPTION OF PROPOSED WORK (Be Specific): 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.
SIGNATURE
Contractor or Agent
DATE 12/19/23
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
CITY OF EDMONDS M BuildingPermit.com
Utilities Application #1418981 - Spot Repair - 9528
Applicant
First Name Last Name Company Name
Alex Borromeo Price Busters Plumbing
Number Street Apartment or Suite Number E-mail Address
20907 Highway 99 STE C pricebustersplumbing@gmail.com
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 348-8138
Contractor
Company Name
PRICE BUSTERS PLUMBING
Number Street Apartment or Suite Number
20907 HWY 99 STE C
City State Zip Phone Number Extension
Lynnwood WA 98036 (206) 334-1649
State License Number License Expiration Date UBI # E-mail Address
PRICEBP869MA 7/1/2024 F i iFt B17 pricebustersplumbing@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
9528 220TH ST SW
City Zip Code County Parcel Number
EDMONDS 98020 00544200100100
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 R Gifford
Number Street Apartment or Suite Number
770 NORTHSTREAM LN
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: 12/19/2023 Submitted By: Alex Borromeo
Page 1 of 2
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1418981 - Spot Repair - 9528
Project Contact
Company Name: Price Busters Plumbing
Name: Alex Borromeo Email: pricebustersplumbing@gmail.com
Address: C 907 Highway 99 STE Phone #: (206) 348-8138
Lynnwood WA 98036
Project Type Activity Type
Single Family Residential Utility Modification
Project Name: Spot Repair - 9528
Description of Work: Side Sewer Spot Repair
Project Details
Structure Type
Single Family Dwelling
Project Information
Repair
Scope of Work
Partial Line Replacement
Page 2 of 2