ENG2024-0086 SEWER PERMITPERMIT
PERMIT NU
City •EdmondsSEWER
121 Sth Ave N, Edmonds WA :01 1 1 • ..
www.edmondswa.gov i
Description: SEWER - 5' SPOT REPAIR ON PRIVATE PROPERTY ISSUED: 02/26/2024
Address: 821 12TH AVE N EDMONDS WA 98020-2935
EXPIRES: 05/26/2024
Permit Type: SEWER Permit Subtype: PARTIAL LINE Parcel Number: 00507000002200
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT MIKE'S PLUMBING PO BOX 1535, EDMONDS WA 98020
(425)775-0201
CONTACT MIKE'S PLUMBING PO BOX 1535, EDMONDS WA 98020
(425)775-0201
CONTRACTOR MIKES PLUMBING/DRAIN CLEANING PO BOX 1535, EDMONDS WA 98020-1535
(425)775-0201
OWNER SHAWVER MACUGA TRUST 821 12TH AVE N, EDMONDS WA 98020
A 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: 02/26/2024
Printed: Monday, February 26, 2024 1:13:38 PM 1 of 2
Milk
SEWER PERMIT
PERMIT NUM E
City of Edmonds
...121
Sth Ave N, Edmonds WA 9:01 11:.
www.edmondswa.gov • •
CONDITIONS
CONDITION TYPE
ALERT RESIDENTS
ALERT AFFECTED RESIDENTS AND OR BUSINESSES PRIOR TO WORK START.
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.
SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT.
INSPECTIONS
www.mybuildingpermit.com
POTHOLING
VERIFY CLEAR BORE CROSSINGS.
RESTORE LANDSCAPE
Restore landscape to like or better conditions
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:OOam to 6:OOpm on
SOUND AND NOISE
weekdays and 10:OOam and 6:OOpm 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.
INSPECTIONS
INSPECTION TYPE DATE
RESULT
COMPLETE
E-2 SIDE SEWER
X-2 ENGINEERING FINAL**
Printed: Monday, February 26, 2024 1:13:38 PM 2 of 2
EUA40
SIDE SEWER
Milak �:
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: tdiKe—'s Site Contact:
Company Address: Phone #:*
!D-to10 :Fo+h Ave w
City: edmancis Zip: 9$O a—C9 Email #:
C
State License # M t K E S PO 9S MO City Business License #
Expiration Date: 4 12-0a-4 r O O6
PROPERTY INFORMATION:
Address: 8-I-I j P-4hh 7"Ve N EdImO/?CIS t o aW
Owner's Name:
�-a.j ra. S ho-wve, (-
Phone #: 858. 9L01-1? q D-7 0
FULL LINE REPLACEMENT POT REPAIR ❑PIPE BURST RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific):
Irtsta.e r urn to sr-i- oI= se.joie-Ju1 pt4 r2ve, an ] rePIOL .e
o/t4e
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 RP:PRESENT AND WARRANT TO THE CITY OF EDMONDS, IF REPAIR OF EXISTING SEWER EXTENDS TO AIN
ADJACENT PROPERTY, I HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY.
SIGNATURE DATE
0 or or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
CITY OF EDMONDS M BuildingPermit.com
Utilities Application #1447169 - SEWER REPAIR
Applicant
First Name Last Name Company Name
MIKE'S PLUMBING MIKE'S PLUMBING
Number Street Apartment or Suite Number E-mail Address
PO Box 1535 info@mikesplumbinganddrain.com
City State Zip Phone Number Extension
EDMONDS WA 98020 (425) 775-0201
Contractor
Company Name
MIKES PLUMBING/DRAIN CLEANING
Number Street Apartment or Suite Number
PO Box 1535
City State Zip Phone Number Extension
Edmonds WA 98020-1535 (425) 775-0201
State License Number License Expiration Date UBI # E-mail Address
MIKESPD795MO 12/1/2025 BD9114ins info@mikespiumbinganddrain.com
Project Location
Number Street Floor Number Suite or Room Number
821 12TH AVE N
City Zip Code County Parcel Number
EDMONDS 98020 00507000002200
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
SHAWVER MACUGA TRUST
Number Street Apartment or Suite Number
821 12TH AVE N
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: 2/23/2024 Submitted By: MIKE'S PLUMBING
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1447169 - SEWER REPAIR
Project Contact
Company Name: MIKE'S PLUMBING
Name: MIKE'S PLUMBING Email: info@mikesplumbinganddrain.com
Address: PO Box 1535 Phone #: (425) 775-0201
EDMONDS WA 98020
Project Type Activity Type Scope of Work
Single Family Residential Utility Modification Partial Line Replacement
Project Name: SEWER REPAIR
Description of Work: Install up to 5ft of schedule 35 PVC and replace wye
Project Details
Structure Type
Single Family Dwelling
Project Information
Repair
Page 2 of 2