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1.2.18 - ISSUED PERMIT ENG20170508.pdfy Og I:U,41� CITY OF EDMONDS 121 5TH A VENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20170508 RIGHT OF WAY PERMIT (]-Single Family) I Permit Number: ENG20170508 Expiration Date: 06/29/2018 Job Address: 19903 82ND PL W, EDMONDS Location: 19903 82nd Pl. W. O. THOMAS L HARPER Bear Creek Tree Service 19903 82ND PL W C/O Ray Kastelitz EDMONDS, WA 98020 PO Box 201 Woodinville, WA 98072 (425) 483-25 36 LICENSE 4: BEARCCT955KR EXP: 04/06/201 8 One tree removed from the city right of way (undeveloped alley) and three trees proposed for removal. DISRUPTION INFORMATION ASSESSED VALUE: $0.00 PROPERTY AREA: 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 ) PARKING: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00 ALLEY: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00 INDEMNITY- The.9pplicani has signed an application which states he/she holds the City of Edmonds harmless from injuries, damages or claims ofany kind or description iI halsoever, 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 ofany legal proceedings including defense costs and attorney fees by reason ofgranting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OFTHEWORK • 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 possesion. • 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 DIALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT.1326 24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED. Printed: Tuesday, January 02, 201 BY FILE COPY Q9 INSPECTOR COPY ❑ APPLICANT COPY STATUS: ISSUED ENG20170508 • Restore ROW to City standards • Restore Landscape to like or better conditions. • Alert affected residents and/or businesses prior to work start. • Conform to approved working drawings and Traffic Control plan. • Stump removal, only stump grinding approved. • Maintain erosion & sedimentation control. Keep street clean. • Call for required inspections as noted. • Applicant shall repair/replace all damage to utilities or fi•ontage improvements in City right-of-way per City standards that is caused by or occurs during the permitted project. • Sound/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 7:00amto 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all othertimes the noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. • 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 issuance of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance provision. • E-Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: Of ECaAiO+O� NC. 139 ROW PERMIT NO.: ENG Zp170 ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION�� PERMIT APPLICATION EEC 08 2olr PROJECT NAME: S' CONTRACTOR: G. Z Mailing Address: 90 �c 701 W `��211 t. ��D71 State License #: .&AL-gyp`&S', Pica K. q Jb1, 0EVEt0P,19E,v1E CONTACT: ��IJN7'FRFc1q�� Phone #: Fax #: �—�— Email #: City Business License #: ❑ Liability Insurance Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: laag)3 % Z.� p 1, w ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project Traffic Control (Only) ❑ Multi -Family ❑ Single Family ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? [� Other -- //r s��S ❑ Yes ❑ No ANY ASSOCIATED PERMITS? BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: ❑ Yes No If yes, indicate size of cut: CONCRETE CUT: ❑ Yes No If yes, indicate size of cut: x RIGHT-OF-WAY AREA CLOSURE TOTAL DURATION (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF Alley 72 Hrs + LF X LF SF hAr Parking 72 Hrs + LF X LF SF A.%� APPLICANT TO READ AND SIGN *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 and Standards. All street -cut trench work shall be patched with asphalt or City approved material prior to the end of the workday — NO EXCEPTIONS. Indemnity. The Applicant has signed an application which states he/she hold 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 defense costs and attorney fees by reason of granting this permit. I have read the above statements and understand the permit requirements and acknowledge that I must follow all requirements ii er f the permit to alid SIGNATURE ZContractopdr Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 577 JI 'eiv 112 dd1w NNGR4EVW40 DN16" APPROVED AS NOTED E71) 0 lui-A z P 9 ig0 OA M • Fr- � �.I it !� .•' �/ •�� / 1 � Y 'tv 1 • rti�dr