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15810 68TH AVE W
ITY OF EDMONDS 4 �
it PUBLIC WORKS DEPARTMENT FOR INSFECTION CALL Permit ���
SIDE SEWER PERMIT 775-252°5 Ext. 22,0 Issue Date `�;� } A
771 --Nza? 219")
PERMIT MUST BE POSTED ON JOB SITE
1. Address of Construction 1151.41C G)@1,;h
2. Property Legal Description (include all easements) _
a t-t _xc Zee I LYNNWOOD LINE
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and/or Builder Ora:kp T and *baron A Coleman
5. Contractor & License No.
6. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig Q3?4F2,'S/3(4/fl before
excavation) . 1-800-424-5555
7. Cross other private property: Yes No t; Easement required -
attach legal description and county easement number.
READ THE FOL.LOWI.NG AND SIGN:
'a' a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
w b. The side sewer contractor assumes full reponsibility for each
H installation for one year.
aC. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
o d. Side sewers may not be installed closer than thirty inches (30")
to any structure'.
e. Side sewer lines must be laid at a minimum grade of 2% (1.150)
o and maximum grade of 100% (450). 0
e-+ f. No turn in side sewer greater than 45 (1/81bend) is0allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required. n
DATE: 9/5/8
`I. certify that I have read
and shall comply with the above
PERMIT FEE:-:v),on DISAPPROVED By: Date:
w r I G' ,'2Z-> G-0 BN Date:
CONNECTION FEE): APPROVED By Date: 9- -R
w w SP. as R.
* PERMIT MUST BE POSTED ON JOB SITE
----------
PARCEL A:
Tne 2w5fthalf of i.he foi lowing describ d
mu77d e tract:
That portion of Tract -
°lat thereof recorded i�'`:PiatQof Meadowdale Beach, according 'to the
Auditor of the County `'m` ' of Pla Ls, page 38, records of the
as follo:,,s: 1 °f �n°h0Mlish, State of Washington, described
Beginning on the North line of said Tract 37, a distance of 233.5
East of the Northwest corner thereof; thence East 193.5 feet to feet
213.5 feet West of the Northeast cornera point
208.5 feet; thence West 193.5 feet; thence
said Tract 37;_ thence South
Point of beginninc. thence North 208.5 feet to the true
EXCEPT the Nest 70 feet thereof.
PARCEL B:
An' undivided one-half interest in the following described tract:
'-he NOrth 20 feet f
° the North 208.5 feet of the East'213.5 feet of
Tract 37,• Plat of '��_��°;.,�dal�
corded in Volume 5 a `'eac'�� according to the Plat thereof re -
County of Snohomish�fStatesofpage 31, records of the Auditor of the
4ashington.
T6 City of Edmonds Side Sewer Drawing
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION ❑
REPAIRS 0
LID NO. ---- ASMT. NO-
------------------
OWNER ----- 94A'! 5 T-----S1r`per..--A------------
CONTRACTOR ------
home----00.3,W- ----------------------------------------------
PERMIT NO.
46-502,
JOB
dor
;i
Lf, atefo)
--------- 1-$!AP ------- (0-16 --- AA-� ------ W ------ LEGAL DESCRIPTION: LOT NO- --------------------------- ---------- BLOCK NO. --------------
LYNNWOOD LINE
---------------------------------------------------------------------------------------------------------------------- ------- I ----------- 1'---,---,-,--.,--.-.-.-.--
9 NAME OF ADDITIONW ---------------------- ----------------------------------------------
A." 10—%1 5,
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Approved:
ID/O
PWW-Wl-11/75 (REV.11/78) DATE ----- ---------------- By ------ ---------
'IMF
� r v r ;,, r 1i j.` f , -. j. f t' , � �'1iU•" .+:.>'.�fy 1�0vil, .ram 4� t h �G K'•�
City of Edmonds Permit No: 0 z32
RIGHT-OF-WAY CONSfi :� Vi_ ,TION PERMIT Issue Date:
A. Address or Vicinity of Construction:
B. Type of W rk (be specific): wref. 4
ALAI) nAAAAVh,- Ice .,..I1 I Od"_ ] _ _J
- -
C. Contractor: 0_.tn n.Sl 0, • �t✓a Sh wn �n.n d LU ,
Mailing Address: 1C15 7<;A— Syr+& s�
State License #:
City Business License #:
D. Building Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision
❑ Multi -Family ❑.'Single Family
INSPECTOR:
Liability Insurance: Bond: $
I
l Side Sewer Permit # (if applicable):
1
❑ City Project ❑ EUC (PUD, VERIZON, PSE, M A OVWSD)
❑ Other
A
p . ,y,..R:-...-PAVEMENT CUT: -1 YES EINO
CONCRETE CUT: ❑ YES O
G. ❑ ,Mail Approved Permit ❑ Call for Pickup
G. SIZE OF CUT X
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�riot 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 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 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 E+RCEPTIONS.
♦ 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
' 1
I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THAT I MUST KE THE PINK G PY THE PERMIT AVAILABLE ON SITE AT ALL TIMES OR INSJqqECT10NS
Signature: Date: 1D
(Contractor or Agent)
FO =CITY USE ONLY
Approved"by::way Feell /5
Time Authorized:. Void
. After D_0I _ l ' �°`- I.,; Disruptio,,n Fee7,Fund 114:�.
Special Conditions:- �ayu To. Lt. :. Nam/ ,e Inspectlon. Fee
lZ^_P- i=C" le At- EEL FU RFG OF N rs , A{k rAIN Recetpt.No..,J- �.
Issil&b
r ri A S E tor La S ro:*zAl t- .-'° A.2 ra c _ lArc-RE&I
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b w F •r-o t ArspFc Tt O /ter . e Al . BF FfaeF 7,`CV o r► t `4-Htr .t7A v t'?F. T NF 1 NSr4fxeN'
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L:rfvLJr-cr:jr Ar.i IKar-PtF-r v %>. ThI E' AFr;., N I At C AKIN EN n �F f�,2nTF rT•
REQUIRED INSPECTIONS: (1) TC P rti
0
Call 425-771-0220, Ext. 1326 for a 24-hour voice- co d inspection request line. %
• Ors `� �/ °5
FINAL APPROVAL OF PERMITTED WORK: C DAT
Ins ector's Signature
NO WORK PRIOR
Ct\Documents and Settings\CurtisNy Documents\Forms\Engnmg\ROWpermit_ doc Revised 10/01/03
15810
Open trench in ROW approx.
40-feet m/1
drive - -
Comcast of Washington, LLC
1525 75t' Street SW
Suite 200
Everett, WA 98203
Contact: Gary Clawson 425-263-5412
North Drop
Node: EM05
15810 68t' AVE W - City of Edmonds
N
W E
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NORTH NOT TO
SCALE
15808
m
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16-foot
d/w
bore
68th AVE W
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Work Details
Open trench in shoulder of ROW approx. 40-feet m/I and bore driveway approx. 16-feet m/I to extend and bury CAN service
drop to 15810 68t' AVE W.
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.
Ccomc`a's' t
PROJECT'S TIMELIlVE AND PROPOSED HOURS OF OPERATION:
® Timeline — Up to 30-days past the issue date.
— --- e Work Hours —The entire project area will be conducted from 7:00 AM to 600 PM or
as specified by the Inspector.
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.�Ec-y
5. Please find attached the traffic control plans for the various types of work
sites that will be encountered during our project.
6. Faaggers 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 f
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.
1
Traffic control set-up for minor encroachment
911;
loptionall
Truck Mounted
Attenuator
toptionall
Traffic control set-up for lane closure
FLAGGEa STATION O
t �, � tr r. T ., ,,{ 's1. J t y :t•, ( ><Ta1 -�}r k`,,,�,�1�, d � a k 1� : �,1 l v
C'O N�JS�F R�ry, rr M ;I O N' 'S 4fy ';'ktN D{eA RD S:
t l.t•
Depth, Cleaning,, Containment,
Compaction, and Restoration
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
edge
:Compaction*y,; ,ti
e
♦ 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.
} re learilig & .6Atainm
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.
r; ,
All disturbed areas shall be restored to
existing or better conditions ! ! ! ! ! ! !
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.
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