1486_001.pdfCITY OF EDMONDS
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I2I 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425)771-0220 - FAX: (425)771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG2019 0126
RIGHT OF WAY PERMIT (l-Single Family)
Permit Number: ENG2OI 90126
Job Address:713 SPRUCE ST' EDMONDS
Expiration Date: 06 /20 12020
Location:
APPLIC,{NT CONTRACTOR
SELECT HOMES INC.
C/OKAYI-A CLARK
16531 13TH AVEV/ STIITEA IO7
LY\INWOOD, WA 98036-
SELECT HOMES INC.
C/O RANDY & ruDY CLARK
I653I I3TH AVE Vl/ SUITE A107
LYNNWOOD, WA 98036-
(206) 963-378'l
LICENSE #: SELECHIl 10KN EXP 12131/2019
.IOB DESCRIPTION
ASSESSED VALUE:
SIDEWALK: ( 0X0 )
PARKING: ( 0X0 )
ALLEY: ( 0X0 )
$O.OO PROPERTY AREA
DURATION IN MONTHS: O
DURATION IN MONTHS: O
DURATION IN MONTHS: O
0
FEE: $0.00
FEE: $0.00
FEE: $0.00
STREET DISRUPTIONTRENCHCUT: ( 0 X0 )
YEAR OF OVERLAY: 0 FEE: $0.00
DISRT IPTION INFORMATION
DRIVEWAYACCESS AND UTILITY CONNECTIONS.
SEWER I-ATERAL MAYNEED REPLACEMENT DEPENDENT ON CONDITION
INDEMMTY: The Applicant has signed an applicationwhich sÍates he/she holds the City of Edmonds harmlessfrominjuries,
damages or claims ofany kind or description u,hatsoeyer, foreseen or unforeseen, thal may be made againsÍ the City ofEdntonds or
any ofits deparîmenÍs or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorneyfees by reason ofgranÍing lhis permil.
TTIECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PIRIOD OFONEYEAR FOLLO\ilING THEFINAL
INSPEC TIO N AND AC C PTANC E O F TIIE W O RIC
Traffìc Control and public safety shall be in accordance with City regulations as required by the Cþ Engineer. Every flagger must
be trained as required by (WAC) 296-155-305 and must have ceÍification verifying completion ofthe 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
nraterial prior to the end of the workday- NO Ð(CEPTIONS.
Three sets of construction drawings of proposed work are required with the permit application.
CALL DIALA-DIG (1 -800 -424-5555) BU'OnB AWv Ð(CAVATTON
CALL FOR INSPECTION (425) 7 7 t-0220 D(T. I 326
24 HOTTR NOÏCEREQTIIRU) FOR ALL INSPECTION REQf]ESTS
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THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDEI)
Printed:'Wednes June I 2019
{PPLIC-,{TION APPROVAL
RELEASED BY DATE
w"COPY f] nsnncroRcoPY ÀPPLICANTCOPY
RI(;HT ()F WAY l'ElìMIT (l-Singlc Farnily)
(]ONDITIONS
STATUS: ISSUED 8NG20190126
¡ Restore ROW to City standards
o Restore Landscape to like or better conditions.. Call for locates ofunderground utilities priorto any ercavation.r Alert affected residents and/orbusinesses priorto workstart.¡ Conformto approved working drawings and Tlaffic Control plan.
¡ Public utilities maintain 5' separation from City Utilities.. Veriû clear bore crossings. Utillty patch restoration to be in accordance with Edmonds Standard detail E2.3. Maintain erosion & sedimentation control. Keep street clean.o Call for required inspections as noted.. Traffic Control per approved plan and MUTCD. Refer to City of klmonds traffic control requftements.. Applicant shall repair/replace all damage to utilities or frontage improvements in City right-oÊway per Cify standards that is
caused by oroccurs during the permitted project.r SoundÀtroise originating ÍÌomtemporary construction sites as a result ofconstruction activity are e)cmpt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and l0:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities nmst comply with the
noise limits of ChapÍer 5.30, unless a variance has been granted pursuant to ECC 5.30.i20.. Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City ofRlmonds, Vy'ashington, its ofücials, employees, and agents from any and all claims for damages of
whatever nature, arising directty or indirectþ from the issuance of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any tequirements of any Cþ oldinance not limit in any way the City's ability to enforce any ordinance
provision.
¡ ÞDriveway Approach¡ ËSewer lateral Installation
¡ BSewer l¿teral Pressure Testo BROV/ Restoration
¡ BEngineering Final
PARTIALINSPECTION
PARTIALINSPECTION
FINAL INSPECTION A PPROVED
DATE:INITIAL:
INITIA
INITIAL:
NOTES:_
NOTES:DATE:
DATE:
tNSPtr-iloNs
ROW PERMIT NO. : ENG 7IIT1 OT Ab
9O
PROJECT NAME:
ISSUE DATE:
RIGHT.OF-\ryAY C ONSTRUC TION
PERMIT APPLICATION
CONTACT:
Phone #:CONTRACTOR:ó
Mailing fiflfl¡ss5; rø6ãt
luvl St . nþt Fax #:4zç. ltz .Çc>(ZtlPL¡.)t.t\la.t11D21t
State License #:SÉ tJf '14Rr.¿L)
City Business License #:ñ?-. ô1-b3"il
Email #:
Liability Bonded
ô
ADDRESS OR INTERSECTION OF CONSTRUCTIONT 1
RO\ry \MORK ASSOCIATED WITH THE FOLLO\ryING TYPE OF PROJECT:
Commercial Subdivision City Project
Other
TraffÏc Control (OnÐ
t] Mutti-Family ffi singte Famity n
T EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?Ives f]No
BLD# %tq ow Þ ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) :
ANY ASSOCIATED PERMITS?
q,,,
NO lX Year:\ilAS STREET OVERLAYED WITHIN THE LAST FIVE (5)YEARS? YES
PAVEMENT CUT:
CONCRETE CUT:
n yes
! Yes
nNo
[]No
If yeso indicate size of cut:
If yes, indicate size of cut:
x
x
RIGHT-OF'-WAY
CLOSURE
AREA TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs +LF X LF SF'
Alley 72Hrs+LF x LF'SF'
Parking 72Hrs +LF'X LF'SF
APPLICANIT 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
verifring 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 sfafes 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 cosfs 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 in order for to be valid
SIGNATURE DATE
or Agent
I
NO WORI( SHALL BEGIN PRIOR TO PERMIT ISSUANCE