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APPROVED ENG2024-0113 SEWER PERMITSEWER PERMIT PERMIT ' City of • • . :01 1 I WWI 121 Sth Ave N, Edmonds WA Ilk www.edmondswa.gov i Description: SEWER - SPOT REPAIR ON PRIVATE PROPERTY ISSUED: 03/18/2024 Address: 20901 83RD AVE W EDMONDS WA 98026-7031 EXPIRES: 06/16/2024 Permit Subtype: PARTIAL LINE Permit Type: SEWER Parcel Number: 00558800003400 REPLACEMENT CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT SPENCER CHYNOWETH PO BOX 55573, SHORELINE WA 98155 (206)931-7728 CONTACT NW SEWER & DRAIN PO BOX 55573, SHORELINE WA 98155 (206)931-7728 CONTRACTOR NW SEWER & DRAIN PO BOX 55573, SHORELINE WA 98155 (206)931-7728 OWNER JUSTIN & COLLEEN BELL 20901 83RD AVE W, 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: 03/18/2024 Printed: Monday, March 18, 2024 1:54:55 PM 1 of 2 SEWER PERMIT PERMIT NU�IBE 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. E - I Le" INSPECTION TYPE DATE RESULT NOTES COMPLETE X-2 ENGINEERING FINAL" E-2 SIDE SEWER Printed: Monday, March 18, 2024 1:54:55 PM 2 of 2 SIDE SEWER PERMIT APPLICATION CONTRACTOR INFORMATION: Company Name: NW Sewer & Drain Site Contact: Spencer Chynoweth Company Address: PO Box 55573 Phone #: 206-931-5989 City: Shoreline Zip: 98155 Email #: office@!nwsewer.com State License # NWSEWSD863PB City Business License # Expiration Date: 10/2024 PROPERTY INFORMATION: Address: 20901 83rd Ave W Owner's Name: Justin & Colleen Start/Bell Phone #: DULL LINE REPLACEMENT []SPOT REPAIR [:]PIPE BURST RELINE (PERMALINE ONLY) �BBBBBBBBBBBBBBBBB��FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF��FFFFFFFFFFFFFFFFFFFFFFFFFF� s DESCRIPTION OF PROPOSED WORK (Be Specific): Spot Repair sewer line, per City's request. 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 Spencer Chynoweth DATE 3/15/2024 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE CITY OF EDMONDS M BuildingPermit.com Utilities Application #1459552 - NW Sewer & Drain Applicant First Name Last Name Company Name Spencer Chynoweth NW Sewer & Drain Number Street Apartment or Suite Number E-mail Address PO Box 55573 office@nwsewer.com City State Zip Phone Number Extension Shoreline WA 98155 (206) 931-7728 Contractor Company Name NW SEWER & DRAIN Number Street Apartment or Suite Number PO Box 55573 City State Zip Phone Number Extension SHORELINE WA 98155 (206) 931-7728 State License Number License Expiration Date UBI # E-mail Address NWSEWSD863PB 10/2/2024 FD99A7494 office@nwsewer.com Project Location Number Street Floor Number Suite or Room Number 20901 83RD AVE W City Zip Code County Parcel Number EDMONDS 98026 00558800003400 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 Justin & Colleen Bell Number Street Apartment or Suite Number 20901 83RD AVE W 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: 3/18/2024 Submitted By: Spencer Chynoweth Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Utilities Application #1459552 - NW Sewer & Drain Project Contact Company Name: NW Sewer & Drain Name: Spencer Chynoweth Email: office@nwsewer.com Address: PO Box 55573 Phone #: (206) 931-7728 Shoreline WA 98155 Project Type Single Family Residential Project Name: NW Sewer & Drain Description of Work: Spot Repair Project Details Structure Type Single Family Dwelling Project Information Connection to City sewer service Activity Type Scope of Work Utility Availability Sanitary Sewer Main Page 2 of 2