1351 8TH AVE S.PDFIIIIIIIIIIII
8698
1351 8TH AVE S
,4
City of Edmonds Permit No:
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date: "`
A., Address or Vicinity of Construction: 1 2)6 1 At -le �S
B. Type of Work (be specific): TC 1 V1 `arV� �� zi(',: z)�t `.� .��YV
J -1 V a S 1 tt U S L' ca 3 3 T' S (..zj
I o L9 I J a '770
C. Contractor: �t �c.1. �lA Cis C r t- " Contact: - Sl A i1 ,J 1 l� 1 C-L
Mailing.Address; "kr,%>?�6 �`�fll�. d-i ' N. Phone: 5
State License #:l C> t � �Liability Insurance: Bond: $
City Business License #: {
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision ❑ City Project ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD)
❑ ,Multi -Family ❑ Single Family [ Other
j1 �� ; a
INSPECTOR: I`'l/6cdt (- Gam/ Z!L/c CC Y71�1,J
IF
F.. PAVEMENT CUT: ❑ YES ® NO G. SIZE OF CUT ��L X
CONCRETE CUT: ❑ YES ❑ NO
G. ❑ Mail Approyed'Permit ❑ Call for Pickup d�{
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands by his/her signature ,to this application 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 ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALSFOR •A PERIOD OF ONE YEAR FOLLOWING THE -FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
♦ 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
p required training in their possession.
♦ 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.
♦ Three sets of construction drawings of proposed work are required with the permit application.
i` CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
HAVE READ•THE ABOVE STATEMENTS''AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE.
THAT I MUST MAKE THE PINK COPY OF THE PERMIT AVAILABLE bl' SITEAT .4LL`-TIMES,FOR-INSPECWONS
Signature: Date:
(Contractor or Agent)
"'*AFO 'CITY:USE;ONLY
Approved by: y R,glit of way Fee,/
Time Authorize :Void After % ' / Disruption Fee%F.und;:fIf:
Special Conditions:&7f)&E RayA( 7 Lki= fin( /� ,Inspectlon:Fee:2lJQ D >
AF. rM keDAJI) i T/CAI (�s ). f igil&# Ai�S-t M ,v SAT -Total Fee: A"I,,.%�.
BArx- Fl2nAJ_, A r / Ent //77 t_i L-Or_;^ rr 4,Receipt No:
1,40e � 072Q 77 jS iPP/Ck -M ASV ��- t7krr:n 64a ?-7 \Ossued by: ,
i4Lt; R-r A Ff'E .'TE 13... R F S r t Ent •' 5 1, G N T_ t72/N 7'O tRfr12,K I LLe ZA v1(/'At S
g
ND Aid-i�l2t�yEt�. T i 14 F'F/r' t"il ntTa2l�G C i4s C to [ t 7-Yl ,~ X(U•uF
REQUIRED INSPECTIONS: . 7—R,_ `4 H F t c CnA/T- 2CL.
L 61 12P) A.Tt tp&4
Cad-771-0220, Ext. 1326 for a 24-hour voice -recorded inspection request line.
FINAL APPROVAL OF PERMITTED WORK: DATE: R 10(
�10Clnspector's Signature
SHALLNO WORK BEGIN PRIOR
.,. , PERMIT
C:\Documents and SettingsTurtisNy Documents\Forms\Engnrng\ROWpermit_.doc Revised 10/01/03
PlichucWContractors, Inc. �
Job # 106158778
August 18, 2005,. +"
Sheet 1 of 1 Rob Inglis
aV3Rr
Z
KaOM
NOT
avow
TO
SCALE
0v3Lro
+
avow
3NtlT3N0
`
■
i
13th WAY SW
1*01
!—
�}66=-
I �
CAI
a
L
a0
APPROVED AS NOTED
BY ENGINEERIN 1
Date: �z 16Z25
CHANNEU7JUION DEVICE SPACING
MPH
TAPER
TANGENT
50/70
40
80
36/46
30
60
25/30
20
40
4
t
Notes:
1. All signs and spacing to conform
to the MUiCD and City of Edmonds
Traffic Control specs.
2. Channelizing devices are 28"
traffic cones.
3. All signs are 48" x 48" B/O unless
otherwise specified.
4. Alert affected residents and businesses.
5. Two flaggers will control alternating
one lane traffic.
6. Work area will be 8' W of C/L of 8th Ave S
& 60' S of 223 St SW.
14th ST SW
T n
ONE LANE
ROAD
T' AHEAD
N ROao
_ WORK
.AHEAD
LEGEND
•
28' TRAFFIC CONE
®
WORK AREA
TRAFFIC FLOW
WORK VEHICLE
SIGN LOCATION
4h
.ky
few
f'1
ti
"1 1 d'W
��ie931� u�r
0
40
APPLICATION
STREET FILE CARD No.s:o0.
The Cityof Edmonds for
SIDE SEWER PERMIT
OUTSIDE ❑ INSIDE ❑ REPAIRS ❑ EASEMENT No . ......................................
OWNER .. ... fi�.t:# 4'- �,. ...� .r 4� - CONTRACTOR .....A�)4..-dJ - A-'1--------------------------------------------------- PERMIT No. .--/.. 1
/� STREET r
HOUSE No...11.5—)... ... all... (4''r S ......----------- .. AVENUE LOT No . --•.................•--•----.........•----•............------......... BLOCK No. ...............................................
NAME ADD. !.1.. .� .9 .- d� .-'-- --�--4�....
17
17ve X:5
z&
ti
i
BACKFILL WORK
SEWER WORK OR
Date
07DER ISSUED .................
,DER ISSUED
ISSUED ........................
V
9
...... DEPOSIT, $.............
Approved:
r
DATE ......J/ ..t.... Yf
f�-
APPROVED
AP 7 1964
r
CITY OF EDMONDS .
Call Prospect . 0-1107 when work q� r
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for-,tnspectlon. (No inspec '�i O 1015
tlons Saturday; Sunday or.holidays.) 1 ,
SIDE SEWER PERMIT
ADDRESS.....- 1351.-.Ei-ghth...Ayenue.:.South.......:.............. ................................................................. :....................................
OWNER. t..-... M'-.-::Wi.la'd.-Hoofer.............................:::.... CONTRACTOR-.:...:RAY....Allen.::.-....-..:....-
Permission_ is granted ... f- pri.1...7 .......:...:............. 19_6.4.., for ........ ..... days, to REPAIR or CONNECT a side. sewer
-with ;City Sewers in accordance with application on file and governing .ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE -No. 1—The owners of 'the property may obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. -.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of side sewer must have at- least 30 Inches coverage at property line and 12 inches inside property line; minimum grade of 2q,.
No bends In grade sharper than 'A will be. permitted. '
NOTE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for '
failure due to improper work which may develop within one year of completion.
NOTE No. 5—It Is unlawful to alter or do any other work than Is provided for In the permit, or to do any work on the -main sewer or its ap-
purtenances except to Insert the pipe Into the.wye. -