APPROVED ENG2025-0061 SEWER PERMITSEWER PERMIT
PERMIT '
City of • • .
:� - 1 11.
www.edmondswa.gov i
Description: SEWER SPOT REPAIR INSTALL 4 IN CLEANOUT ON PRIVATE PROPERTY
ISSUED: 02/13/2025
Address: 20632 76TH AVE W 14 EDMONDS WA 98026-6813
EXPIRES: 05/14/2025
Permit Subtype: PARTIAL LINE
Permit Type: SEWER Parcel Number: 00784600001400
REPLACEMENT
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT NICOLE MARINEZ 21010 70TH AVE W, EDMONDS WA 98026-7202 (425)775-0201
CONTACT MIKE'S PLUMBING & DRAIN 21010 70TH AVE W, EDMONDS WA 98026-7202 (425)775-0201
CLEANING
CONTRACTOR MIKES PLUMBING/DRAIN CLEANING PO BOX 1535, EDMONDS WA 98020-1535 (425)775-0201
OWNER KATHLEEN R KERWAT 20632 76TH AVE W 14, EDMONDS WA 98026-6813
AL FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $49.00 $49.00
SEWER - PARTIAL REPLACEMENT-1.1.25 $137.00 $137.00
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: 02/13/2025
Printed: Thursday, February 13, 2025 1:11:17 PM 1 of 2
SEWER PERMIT
PERMIT NU�IBEJ
City of Edmonds
...121
Sth Ave N, Edmonds WA 9:01 11.
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.
TRAFFIC CONTROLS
Traffic Control per approved plan and MUTCD. All Flaggers shall be certified.
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.
1"" 11
01-UX"I 0
INSPECTION TYPE DATE
RESULT
NOTES
iff
COMPLETE
E 22 SIDE SEWER
X-2 ENGINEERING FINAL"
Printed: Thursday, February 13, 2025 1:11:17 PM 2 of 2
RECEIVED
SIDE SEWER
PERMIT APPLICATION
CONTRACTOR INFORMATION:
Feb 10 2025
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Company Name: M I 'S Site Contact: 2� ax1 ttl 4 a (n S
Company Address: Phone #:
2OLP, lg4.15cs
� i o t o 3o th tt ve- c,J
City: Ed&70n dS zip` q$0
State License # M l Ve SpC q qo ,�M
Expiration Date: 0-4 1 2-d 2-5
PROPERTY INFORMATION:
Email #:
(✓lPo oa r-hikeSy(vmbir7aOtndIma
City Business License #
-t:� N2-0;�-(Q-Soo
Address:
2-0(032- HI -Ott Zt-v-f- 1 Ed mortal S ,14I,4 q Sa 9ILP
Owner's Name:
Phone #: 4 gcJ5-4 -4 S. -=I555
FULL LINE REPLACEMENT DPOT REPAIR [:]PIPE BURST F—IRELINE (PERMALINE ONLY)
i' 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.
1 REPRESENT AND WARRANT TO THE CITY OF EDMONDS, 1F REPAIR OF EXISTING SEWER EXTENDS TO AN
ADJACENT PROPERTY, I HAVE OWNERS EXPRESS PERMISSION TO PERFORM WORK ON THAT ADJACENT
PROPERTY. /
SIGNATURE DATE 4-/1 Q ! a S
Con ractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE