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ENG2024-0007 SEWER PERMITSEWER PERMIT PERMIT ' City of • • • • : 1 1 1 17q www.edmondswa.gov i Description: SEWER - SPOT REPAIR ON PRIVATE PROPERTY ISSUED: 01/03/2024 Address: 23311 HIGHWAY 99 EDMONDS WA 98026 EXPIRES: 04/02/2024 Permit Subtype: PARTIAL LINE Permit Type: SEWER Parcel Number: 00576700002005 REPLACEMENT CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT DIRT SEWER 2617 RUSSELL WAY, EVERETT WA 98204 (425)512-9652 CONTACT DIRT CHEAP INC 2617 RUSSELL WAY, EVERETT WA 98204 (425)512-9652 CONTRACTOR DIRT CHEAP INC 2617 RUSSELL WAY, EVERETT WA 98024 (425)512-9652 OWNER LORI ANDERSON EDMONDS 2517 LOCH LEIGH RD, JAMISON PA 18929 PROPERTY 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 co I 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: 01/03/2024 Printed: Wednesday, January 03, 2024 6:49:10 AM 1 of 2 SEWER PERMIT PERMIT NU�IBE City of Edmonds ...121 Sth Ave N, Edmonds WA 9:0ENG2024-00071 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, January 03, 2024 6:49:10 AM 2 of 2 of EDAg0 4/, C, J' 4NC. 1 g90 SIDE SEWER PERMIT APPLICATION CONTRACTOR INFORMATION: Company Name: Dirt Cheap Site Contact: Rick Company Address: 2617 Russell WAy Phone #: 425-8766490 2617 Russell WAy City: Everett Zip: 98204 Email #: carmin@dirtcheapinc.com State License # DIRTCC1836BT City Business License # NR-026014 Expiration Date: PROPERTY INFORMATION: Address: 23305 STATE HWY 99 EdmondS WA Owner's Name: Lori Anderson Phone #: DULL LINE REPLACEMENT SPOT REPAIR [:]PIPE BURST RELINE (PERMALINE ONLY) :•�:�FFFFFFFFFFFFFFFFFFFFFF� ��;:. DESCRIPTION OF PROPOSED WORK (Be Specific): 1. Cut and remove asphalt 2 X6 foot area, Hand dig approximately 4 feet deep to trace back concrete line t( Le . . .�� ISSUANCE, OF TIIIS PERMIT DOES NOT CONSTITUTE PERMISSION TO WORK ON ANY PROPERTY OTHER THAN THAT OWNED I3Y 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 Ca V t)aty g DATE 1 /2/2023 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE CITY OF EDMONDS M BuildingPermit.com Utilities Application #1422810 - Anderson Project Applicant First Name Last Name Company Name Dirt Sewer Dirt Cheap Inc Number Street Apartment or Suite Number E-mail Address 2617 Russell Way office@dirtcheapinc.com City State Zip Phone Number Extension Everett WA 98204 (425) 512-9652 Contractor Company Name DIRT CHEAP INC Number Street Apartment or Suite Number 2617 Russell Way City State Zip Phone Number Extension Everett WA 98204 (425) 512-9652 State License Number License Expiration Date UBI # E-mail Address DIRTCCI836BT 1/30/2025 RunR7911 carmin@dirtcheapinc.com Project Location Number Street Floor Number Suite or Room Number 23311 HIGHWAY 99 City Zip Code County Parcel Number EDMONDS 98026 00576700002005 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 Lori ANDERSON EDMONDS PROPERTY LLC Number Street Apartment or Suite Number 2517 LOCH LEIGH RD City State Zip JAM I SON PA 18929 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: 1/2/2024 Submitted By: Dirt Sewer Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Utilities Application #1422810 - Anderson Project Project Contact Company Name: Dirt Cheap Inc Name: Dirt Sewer Email: office@dirtcheapinc.com Address: 2617 Russell Way Phone #: (425) 512-9652 Everett WA 98204 Project Type Activity Type Scope of Work Nonresidential Utility Modification Partial Line Replacement Project Name: Anderson Project Description of Work: Repair side sewer connection on private property Project Details Project Information Replace Utilites Modification? The work involves disconnecting, relocating, repairing, or replacing an utility installation Page 2 of 2