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CITY OF EDMONDS
1215THAVENUENORTH- EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20170219
R I G RT OF WAY PERM IT (I -Single Fandly) I
Permit Number: ENG20170219 Expiration Date: 09/05/2017
Job Address: 18922 SOUNDVIEW PL, EDMONDS
OLYMPIC PA VrNG; INC.
CJO JACK SHULL
PO BOX 438
LYNNWOOD, WA 980460438
OLYMPIC PAVING, INC.
CIO JACK SHULL
PO BOX 438
LYNNWOOD, WA 980460438
(425) 778-3 126
LICENSE #: OLYMPPI077LD EXP: 05/31/2019
Location:
RE,PAVE EXISTING DRIVEWAY IN SAME FOOTPRINT. BERM AT TRANSITION TO CITY STREET WILL BE MADE MORE
PROMINENT TO KEEP STREET RUNOFF FROM FLOWING DOWN DRIVE.
DISR(irriON INFORMATION
ASSFSSED VALUE. $0.00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0 00 STREET DISRUPTION TRENCH CUT: 0 x 0
PARKING: OX0 DURATION IN MONTHS: 0 FEE: $0 00 YEAR OF OVERLAY 0 FEE: $0.00
ALLEY OX0 DURATION IN MONTHS: 0 FEE: $0 00
INDEMNITY- The Applicant has signed an application lvhich states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany kind or description ivizalsoeverforeseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
afforneyfees by reason ofgy-anting this permit.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THEWORK
• 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 cornpletion 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
material prior to the end of the workday- NO EXCEPTIONS.
• Three sets of construction drawings of proposed work are required with the pennit application.
CALL DIAL -A -DIG (1 -800-424-5555) BEFORE ANYEXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTTCEREQUIRED FOR ALL INSPECTION REQUESTS
THIS AP PLICATTON IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED
Printed: Monday, June 5, 20171
k Z � 267,4_0 Z 2
'RELEk�ED BY DATE
E] FILE COPY INSPECTOR COPY PPLICANT COPY
J9
STATUS: ISSUED
ENG20170219
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates of underground utilities prior to any excavation,
• Alert affected residents and/or businesses prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• Verify clear bore crossings
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control. Keep street clean.
• Call for required inspections as noted.
• Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements.
• 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 pen-nitted 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 7:00am to 6:00pm on weekdays and 10:00arn and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times 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 ofthis 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.
9 E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: