ENG2022-0336 SIDE SEWER PERMIT-LFSEWER PERMIT
PERMIT NUMBE
City of • • •
Edmonds98020 ENG2022-0336
www.cityofedmonds.gov
Description: INSTALL 6 IN CLEANOUT TO TV LATERAL FOR NEW SFR
ISSUED: 06/27/2022
Address: 23511 74TH AVE W EDMONDS WA 98026-8500
EXPIRES: 09/25/2022
Permit Subtype: PARTIAL LINE
Permit Type: SEWER Parcel Number: 27043200200100
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT BRIAN DUFFY 23511 74TH AVE W, EDMONDS WA 98026 (425)830-1046
CONTACT PUGET SOUND PLANNING, LLC 6100 219TH ST, MOUNTLAKE TERRACE WA 98043 (425)830-1046
CONTRACTOR ENCORE CONSTRUCTION LLC 7910 123RD AVE NE, LAKE STEVENS WA 98258 (425)359-9896
OWNER BRIAN F & NANCY DUFFY 23511 74TH AVE W, EDMONDS WA 98026-8500
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00
ENGINEERING INSPECTION FEE $110.00 $110.00
SIDE SEWER PERMIT - PARTIAL REPLACEMENT $110.00 $110.00
•
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.
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
ENGINEERING DIVISION
APPROVED AS NOTED
RELEASED BY 06/27/2022 DATE
Printed: Monday, June 27, 2022 3:20:06 PM 1 of 2
SEWER PERMIT
PERMIT NUMBER
"ED4
City • • • •121
Sth Ave N, Edmonds WA ..ENG2022-0336
www.cityofedmonds.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 ATTHE 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.
TRAFFIC CONTROLS
Traffic Control per approved plan and MUTCD. All Flaggers shall be certified.
UNDERGROUND WIRING
All new, extended, rebuilt, or relocated electrical utility and/or service shall be placed underground.
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 RESULT NOTES
7SIDE
COMPLETE
R
X-2 ENGINEERING FINAL**
Printed: Monday, June 27, 2022 3:20:06 PM 2 of 2
RECEIVED
/ Jun 24 2022
CITY OF EDMONDS MyBuitdingPermit.com CITYOFEDMONDS
- DEVELOPMENT SERVICES
DEPARTMENT
Utilities Application #1164181 - Duffy Side Sewer Permit
Applicant
First Name Last Name Company Name
Brian Duffy
Number Street Apartment or Suite Number E-mail Address
23511 74th Ave W brianfduffy(abmsn.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 830-1046
Contractor
Company Name
ENCORE CONSTRUCTION LLC
Number Street Apartment or Suite Number
7910 123RD AVE NE
City State Zip Phone Number Extension
LAKE STEVENS WA 98258 4253599896
State License Number License Expiration Date UBI # E-mail Address
ENCORCL857K6 12/14/2023 603507820 dlokhmatov(Dgmail.com
Project Location
Number Street Floor Number Suite or Room Number
23511 74TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 27043200200100
Associated Building Permit Number Tenant Name
BLD2021-0578
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Brian F & Nancy Duffy
Number Street Apartment or Suite Number
23511 74TH AVE W
City State Zip
EDMONDS WA 98026-8500
Certification Statement - The applicant states:
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.
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: 6/24/2022 Submitted By: Brian Duffy
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i
CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1164181 - Duffy Side Sewer Permit
Project Contact
Company Name: PLCet Sound Planning,
Name: Lee Michaelis Email: lee.michaelis@pugetsoundplanning.com
Address: 6100 219th St Phone #: (425) 830-1046
Mountlake Terrace WA
98043
Project Type Activity Type Scope of Work
Single Family Residential Utility Modification Partial Line Replacement
Project Name: Duffy Side Sewer Permit
Description of Work: Install 6" clean out on existing side sewer line for future video inspection to be
conducted by the city.
Project Details
Project Information
Repair
Page 2 of 2