1360 8TH AVE S.PDF1360 8TH AVE S
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City Of Edimon-64t Q s Permit No: /
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date:
A. Address or Vicinity of Construction: /3oo -TA 'Ove G 4: / 2 2 &
B. Type of Work (be specific): P,�,lt.253f �P�I%%1 f'SS/c>�1, �y OCte. �>�
C. Contractor: W# [.tom Conta t: &
Mailing Address: r W Phone: :26 2-
State License #: �V 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, COMMCASTT,,`OVWSD)
❑ Multi -Family ❑ Single Family ❑ Other
INSPECTOR:
F. PAVEMENT CUT: ❑ YES ❑ NO �Gx_ SIZE OF CUT X
CONCRETE CUT: ❑ YES ❑ NO
G. ❑ Mail Approved Permit ❑ Call for Pickup
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 of granting this permit.
THE CONTRACTOR ' IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR 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 1by 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 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.
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THAT I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS
Signature:
REQUIRED INSPECTIONS:"'
Call 425-771-0220, Ext. 1326 for a 24-hour
FINAL APPROVAL OF PERMITTED WORK:
Date:
request line.
DATE
f .
CADocuments and Settings\Curtis\My
V
Revised 10/01/03
SEFNCO comml
5931 238th St SE Suite J
Woodinville, WA 98072
Office (425) 489-2525 Fax (425)
Attn: Jeanie McConnell
From: Connie Borrego-Bilkovich
425.489.2525
Email:
Date: 6-Jan-05
Fax # 425.771.0221
Pages:
Comments: 1360 8th Avenue, South, Edmonds
Permit No. 2004-0220, dtd. 9/27/0
Jeanie,
Attached is the new permit for the above referenced Edmonds address.
a few days ago regarding this permit, you mentioned there was a disrupti
and we needed to apply for a separate permit for that work. This ROW a
Please let me know if there is anything else at our end that I need to do. I
appreciate anything you can do to expedite this permit.
Please contact me if you have any questions.
thanks for all your help.
ns
570
RECEIVE[)
JAN 1,0 2005
ONEERING DIVISION
sn we
to the
R
attached.
Permission to cut
approx. 5 ft x 2 ft (10 sq.
ft) window in roadway to
expose utilities, as
1360 necessary to extend and
hnni ('AT/ corviero rlrnn
•
pole
NORTH NOT TO
SCALE
Comcast of Washington, LLC
1525 75t' Street SW
Suite 200
Everett, WA 98203
Contact: Kermit Benson 425-263-5362
North Drop
1360 8'h Ave. S. - City of Edmonds
Work Details
Permission to cut window approx. 5 ft x2 ft (10 sq. ft) in roadway to expose utilities as necessary to extend and bury CAN
service drop to 1360 8t' Ave. S. Install cable at 36" depth.
All disturbed areas will be restored to existing or better conditions.
Backfill material will be mechanically compacted to 95% of maximum density as specified by the City of Edmonds. In tight
corridors hand trenching will be utilized to ensure protection of other utilities. Contractor must locate all existing utilities
impacted by this project. Please see attached plans for restoration, erosion control and traffic control. Erosion control will
consist of placing filter fabric fence and/or sandbags along curbs and catch basins where necessary. Keep drainage system
clean and functioning. Remove all debris from the work site. Streets and roads will be cleaned both during and after
installation of work.
Ccomcast
PROJECT'S TIMELINE AND PROPOSED HOURS OF OPERATION:
• Timeline - Up to 30-days past the issue date.
• Work Hours -The entire project area will be conducted from 7:00 AM to - PM or
as specified by the Inspector. &((A
Traffic Control Plans
1. The standards and guides of the latest version of the MUTCD or as set-up. per
Code shall be followed at all times.
2. A copy of the Permit and Traffic Control Plan shall be on -site with all
contractors during the project.
3. All contractors will avoid parking on sidewalks and shoulders and will take the
lane and follow the proper traffic control set-up for the given situation.
4. Pedestrian access shall be maintained through or detoured around all work
sites.
5. Please find attached the traffic control plans for the various types of work
sites that will be encountered during our project.
6. Flaggers will be used only when all other methods of traffic control are
inadequate to warn and direct drivers. Only licensed flaggers will be used on
the project.
7. If situations occur when questions arise about proper traffic control set-up the
solution will be determined in the field with the Comcast Construction Rep.
and the Inspector.
Erosion Control Rules' #1
If curb and gutters in project area:
• Filter bags will be placed in catchbasins downstream of work site, and
• Small check dams of pea gravel filled sandbags will placed within the
gutter upstream of the catchbasin.
Traffic control set-up for minor encroachment
,00;
Traffic control set-up for lane closure
FLAGGER STATION
100,
lace
FLAGGER STATION
1.
�. Y ♦ 7. � M1 '. 4 f$S Y1�:�ylx.�:�" T ! ^ ^ L Y 1� ".: � rtl > SI• J it r11 } _ � '
,4 w;��' h .e, > > araa�� ���` �'�� ``1�,�2 ° , ?G �•�•; SS +�i `�,+{ � �•+`,hq� ,� �'i
4� ;fir p; r �'k,`M {p b �s i'yt� "Y '.�r'S v' r� rlrtt ''°• •R C
Et ki����`{5�.'�`.1'r><",;A 'f` .�� .�4��' .a/y'��Y•. s�=��, `t.•"f�. '�'r:��..ti�'a �,�:h." '� .,ids'..
Depth, Cleaning, Containment,
Compaction, and Restoration
{�`
1Y' ,y N'1
h,x'14i�: ki t tt3y+iiF;
Depth =
♦ 36-inch minimum
♦ Compatible w/
other utilities
♦ Shoring required
_ ___at 4-ft +_
Pavement Cuts =
♦ T-cut 1-ft wider
than trench
♦ Neat -line saw -cut
or jack hammered
edge
Compaftxon>��
♦ All trench backfill shall be mechanically
compacted to 95 percent of maximum density
using 1-ft loose lifts with whacker or 2-ft loose
lift with a hoe pack.
♦ If proper compaction cannot be achieved with the
native material, new import material is required at
the 95 percent rate.
♦ As an alternative, CDF can be used in a design
mixture approved by the Engineer.
Ccomcast
CLEANING: All Streets and roads are required to
be cleaned and swept both during and after the
installation work.
___*__Mechanical_.Vacuum_is preferred .method
CONTAINMENT: All un-restored shoulders or
material storage areas are required to be contained
with reflective barricades.
All disturbed areas shall be restored to
existing or better conditions ! ► ! t
Trench parallel to road:
♦ Shoulder - Match existing surface conditions
♦ Pavement - 6 1/2 inches of crushed surfacing material
and asphalt concrete Class B at 2- inches minimum or
same thickness if greater..
Trench across road (immediate cold mix patch):
♦ Asphalt - Permanent hot mix patch at same thickness
or 2-inches and sealed within 30 days.
♦ Concrete - saw cut and pored with mastic joints, eight -
sack mix, either type II of III cement, within 30 days.
f
APPLICATION
tke City of
Edmonds
for
'F
SIDE SEWER PERMIT
EASEMENT NO. --------------------------------------------
NEW CONSTRUCTION REPAIRS ❑
LID NO . .................. ASMT. NO . ..................
OWNER C:;�'J'F .. .........................LaPt ...
CONTRACTOR ---- 5��Wt�4�E� ............. ----------------------------------------------
PERMIT NO. ------------- %-Y
JOB ADDRESS ....
......................
LEGAL DESCRIPTION: LOT NO. ----------------------
Cam..--........ ............ BLOCK NO. -------------- ---------------------
..................................................................................................................................................................
NAME OF ADDITION
----- =? 53-t -------- -----------
0
DATE. 7,......... By
---------- -
�-F
A,
E
C, "I ` 1,
TY WE --P
IT''
WATER -MEN
DEPARTMENT
�775-25�for side -{sewer Inspections lw
f
C 1
FORE :covering- any - portion o the: cOtlsiructlon:
withir�
e, provided
1., h,oursi.after
at., Sun.; gel holiday inspection I
1-7
DRESS: ILOCAMN�-OF`CONSTRUCTION flue.- -00th
J:•.............
............ ........................ ...... ... ..............................
PROPERTY
LtGAUDESCRIPT.ION.-..,.�. Lot Jj-,. Wr',�
....... ...............................
..................... i0n.". It 7.
............ ..................................
............................. ........... * ...........
................ %
.............................
........... .................... ..........
...................... ...........
............. ............. ...........
.............. .............. ............. ...... :.OWNER AIN
...... D/ ::.E-,ST- COAST':-M401 OR'BUILDEk .... ............... OR41
............... I .........................................
.......... . .....
'COb1TkACTOW9,',N,�J 9MIMR
E,,&.AI)DRESS; ................
.............. ........ . .... ... ......................
........... ...........
........... ...... ..............
36
C o 9 7
............................... :.......,.for repairr connection"o
and�o',f--
YS !1J`n*, City f:,.Edmo'to' the the-c-ity., sanitary Itary ndi* idtfiances...,
N,AS'1.6ALLjD.*TP'5,TH'E FO' L'L'O ING:
0 * ;.,;ENT1 ?
`,'NOTE No 112—Tjie,6,vn,rs*'of,the; Property -may obtain permit''to cons! rud;sewer insideprop�ert
Y line.- llcensed Side *Sewer: Contract
sl&-sewer In,' -street area: Do n ot'.cover' ariy?port ton of, sewer before It. �ha&-Ibeenl,lnspected' ui be
•NOTE' No,"All--work p6riorme*d,iti�clt*y�rJght-of.;v�ay ieci or t emp oyed to construct'
uirim,an Ihv"16n of RJght-.0f�Wai1Perrn1t;-obt�na'
ble,:fr,6rn -th�, cit y Engifieer!s -offIce
NOTE , No.. 3—bbt aln. full?Information" regaiding Ordinance'i 6. 0' 30and, R eg u I a t!on a:. governing - ilde''s*ewera wh6 NOTE' No:.4--:Top:of Ide se*w�e-ta`m us"Vh-
ave. at least Z10 ;Inch you jet permit.
es coverage at property
-.sharper :tban I& will be' Perm'Itted. .11he'and' . �i2: I�chbarAnsid�,: propemy"Ilrie: minimurfl' grade' -:,
N 0 2 % r�c; bends: I" -grade n'.
OT . E No..*,5� renches In-tstreet must be water, settled and� suriliCe•of street�resto
XO . FJk which may, develop, w red to -ojIkInaJ 0 �r
within, one. Year of.completion. 'coridition. P actors shall be responsible f allureAue to"11. m pro I pe . r -
or
.NOTR.No... 6�-Li�I,:unluf�to� alter orldo -any,� other" work"
than is -provided for In the permit.,or to.d6 any wor
.1he Plpe�into the.wye. .workon the sewer or'Its appurtenances:'excep�t
ert;
-,DISAPPROVEQ`.:, .:D'
7! .......... ...... ...... ........ Date:,'� ......
. ... ................ ..... y
APPROVED):,.` .... ...... Date� ...
�.Date
.......... By .....
4y-
.......... .... .. . .............................. ......................... . .
....... ........
Roniarks
.. .............. ..........................
.................. .........................
...........................
.................................................
.................. ....... ............
............. ......
............... ...............
TH-Termit.-Ci -IqU BO -Be- Signed By Copse �e of F.irm—E -To,R'
X eqpe§t'Fcir Inspection
P�c
P,
Performing. Construction PRIOR
.. .... ............. ........... .. ....... :.....�.,"Aereby -cert fy--:that the..Si e-,sewer install'ationc6nSt''
on)
'(Owner -of* Contracting, F1 ffi',Perfor Ing: Constructi ructed,und -permit
s
R.'
--`� .. le�l
.,,;�.-,,Iiiis't�i6din'.,accoi-dance,.Mth� all' er.
.:governing.. ordinances of.'the.City.
Dated?
Y, of ...... I ... ... 0.
this .. .... ..... da
19:....
Cil*Lbk BEFORE ��O'u dig fo
r ". r: Water Gas* Telephone Po%veF: C' Sewer Other
0
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT EASEMENT NO_ ---------------------------------- ________
NEW CONSTRUCTION REPAIRS LID N O. -
OWNER �S✓iA-SZ {� �---------------
JOB ADDRESS _j f�sO- �'.._-------------------------
N
CONTRACTOR -------%---------------------- -------------------------- PERMIT NO. �?�1__.__.
LEGAL DESCRIPTION: LOT NO. _-_!.'. _____________________________ B OCK NO. .
................ �0..,-V-ISR.7 --------�-t---�... 0 -1-- -----------
NAMEOF ADDITION--------------------------------------------------------------------------------
44AN #c)
RECEIVED
JUL 1 1976
Public Works Dept.
,C�67USG
r- -57 ._._
Approved:
DATE----------------------•--------------------• BY ----------------------------------------------- ----- >>i. i- -
s
RECEIVED
1976
Da to March 16, 1976 rks Dept.
Memo to: Director of Maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Legal Description: Lot 6, Sunset West Div. No. 7
1360 - 8th Avenue South
Commonly known as: Unissued 13th Way SW Owner: Robert Wetter
(West of 8th Avenue)
Z.F.F. Calculation:
( ) Z. F. F. x
( 0 ) Lateral x
( 1 ) Unit x ( $ 25 ) _
NOTE: $300/lot not applicable; Connection
Charge has been applied on this new
plat equally distributed among 6 lots.
cc:
$ 176.00 Connection Fee
$ 0 Lateral Charge
S 25.00 Trunk Charge
$ 10.00 Permit
$ 211.00 TOTAL
0
Form E=
4w '
STREET FILE
April 1, 1976
MEMO TO: Harry Whitcutt
Building Official
FRAM: Richard H. Allen
Assistant City Engineer
SUBJECT: Building Permit Application for 1360 8th Avenue S. - Lot 6,
Sunset hest Division 7
1. House location and utilities roust be coordinated with Plat
development and is the responsibility of the builder.
2. This is only permit to be issued until we receive recorded
plat sheet.
3. Sanitary sewer connection charge is due on this property
in the amount of $211.
4. Sewer Faust be connected to new plat sewer only and when
sewer has been installed and completed to CityTs approval.
S. Lots have been filled; foundations should be checked accordingly.
6. A 10-foot utility easement lies along the north 10-feet of this
lot per plat.
7. Underground wiring is required.
8. Shoulder work required on 8th Avenue and provisions made to
direct street drain away from this lot and driveway.
RHA:mjr
. 0 .
Reviewer's
Intials
Permi t 'Address
Legal Description lD
BUILDING PERMIT REVIEW - ENGINF.ERING.DEPARTMENT
CHECK LIST
1. Septic Tank System Design Approved
2. Sanitary Sewer_ Availability
Sht. of Dwo. No
Project:?A-T 2mlyLo p Side Sewer Availability:
QAny Sanitary Sewer Connection Fees-Irg
4.. Site Drainage Checked
/5. Storm Sewer Availability: Sht. of Dwg. No.4 CjCAB:W
Project:?LtT rM0 Roadside Ditch
6. Grading & Final Contours p'S S JACDW N I
7. Sidewalks (Site Inspection shows condition of existing walks as follows):
70
8. Curbs
9. Curb Cuts.
10. Underground Wiring & Street Lighting ��� owl W 4- !
11. Street Right-of-way & Bldg. Setbacks. Sht.
of Dwg. NO-4!C-2L of Official Street Map.
12. Existing Utility Easements T ��►��`' �' ��
13. Access Easements N
14.
Water Mains & Fire Hydrants (Indicate Size plater Main)
16. Special Requirements listed in memo to Bldg. Dept.
17. Commercial & Apt. Requirements form completed Q
18. Drawings stamped & notations made
19. Site Inspection made on
20. All items filled in on Bldg. Permit Application =) �'Z ,U,I
21. This Lot included in Subdivision �J 14t (List any special requirements):
2�r 11 Co '? Imo..' Na 1=I V fit. 3Z.D Or'Nn LI' 'I _
3/9/76 ole--'ro � v