APPROVED ENG2024-0278 SIDE SEWER PERMITDescription: SEWER - REPAIR EXISTING LINE- NO NEW LINE OR CONNECTION
Address: 23620 79TH AVE W EDMONDS WA 98026-9281
Permit Type: SEWER
ISSUED: 06/05/2024
EXPIRES: 09/03/2024
Permit Subtype: PARTIAL LINE I Parcel Number: 00424400000501
REPLACEMENT
NAME TYPE
NAME
ADDRESS
PHONE
APPLICANT
MARGO HENSON
7019 14TH AVE NW, SEATTLE WA 98117
(206)784-6627
CONTACT
MARGO HENSON
7019 14TH AVE NW, SEATTLE WA 98117
(206)784-6627
CONTRACTOR
MASTON PROPERTIES & CONST LLC
2020 Maltby Rd Ste 7 Pmb 116, BOTHELL WA 98021
(425)787-2137
OWNER
MARGO MARKET APPRAISAL, INC.
7019 14TH AVE NW, SEATTLE WA 98117
(206)784-6627
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
SEWER - PARTIAL REPLACEMENT - 4.1.24 $132.00 $132.00
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: 06/05/2024
APPROVAL FOR SPOT REPAIR ON EXISTING LINE ONLY -- NO NEW LINES
PERMITTED WITH THIS PERMIT.
Printed: Wednesday, June 05, 2024 10:29:10 AM 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.
ENGINEERING OTHER
APPROVAL FOR SPOT REPAIR ONLY. NO NEW LINES APPROVED, NO CONNECTIONS TO GARAGE UNIT.
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: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.
•
INSPECTION TYPE DATE
RESULT7E
NOTES
irl
COMPLETE
E 22 SIDE SEWER
X-2 ENGINEERING FINAL"
Printed: Wednesday, June 05, 2024 10:29:10 AM 2 of 2
RECEIVED
Jun 05 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Company Name: Site Contact:
Company Address: ��r} /� �(�� p _ \Phone #: 7
City: C00 _,Email #:
State License # M n C r 2 i_ c� City Business L
Expiration Date:
PROPERTY INFORMATION:
Address: 2-3 e2—C'
Owner's Name:
Phone #:
FULL LINE REPLACEMENT DPOT REPAIR [:]PIPE BURST RELINE (PERMALINE ONLY)
DESCRIPTION OF PROPOSED WORK (Be Specific):
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 WNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY. \� ^
SIGNATURES--�,► '2V DATE —)-
ontractor o Agen
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Fl
23620
RECEIVED
CITY OF EDMONDS
Utilities Application #1499061 - Dadu
Jun 05 2024
CITY OF EDMONDS
MyBulldingPermlt.Com DEVELOPMENT SERVICES
DEPARTMENT
Applicant
First Name Last Name Company Name
Margo Henson
Number Street Apartment or Suite Number E-mail Address
7019 14th Ave NW margo@marketappraisalinc.com
City State Zip Phone Number Extension
Seattle WA 98117 (206) 784-6627
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
23620 79TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00424400000501
Associated Building Permit Number Tenant Name
20240258
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
MARGO Market Appraisal, Inc.
Number Street Apartment or Suite Number
7019 14th Ave NW
City State Zip
Seattle wa 98117
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: 6/4/2024 Submitted By: Margo Henson
Page 1 of 2
CITY OF EDMONDS M BuildingPermit.com
Utilities Application #1499061 - Dadu
Project Contact
Company Name:
Name: Margo Henson Email: margo@marketappraisalinc.com
Address: 7019 14th Ave NW Phone #: (206) 784-6627
Seattle WA 98117
Project Type Activity Type Scope of Work
Single Family Residential Utility Modification Partial Line Replacement
Project Name: Dadu
Description of Work: Convert existing garage into a living unit.
Project Details
Structure Type
Single Family Dwelling
Project Information
Repair
Page 2 of 2