20170908085223.pdfov EL)AI
CITY OF EDMONDS
PHONE: (425) 771-0220 - FAX: (425) 771-0221
121 5TH AVENUE NORTH -EDMONDS, WA 98020
C. 1 %C)13
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20170343
R R; "T OF WAY PERM IT (I -Single Family)
Permit Number: ENG20170343 Expiration Date: 11 /08/2017
Job Address: 8802 201 ST PL SW, EDMONDS Location: 8802 201 ST PL SW
Al"I"Ll[CANT CONTRACTOR
RICK JONES CPM CONSTRUCTION
PO BOX 37 C/O RICK JONES
EDMONDS, WA 98020 PO BOX 37
EDMONDS, WA 98020
(408) 930-0764
LICENSE 4: CPMCOCL854C7 EXP: 02/28/2019
Replace 20'of sidewalk adjacent to driveway. Sidewalk is 4'wide. Also replace private driveway.
DISIOTTION INFORMATION
ASSESSED VALUE: $0.00 PROPERTY AREA 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: 4 X 20
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 which states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany kind or description whatsoever, foreseen 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
attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THE FINAL
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 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 pen -nit application.
CALL DIAL -A -DIG (1-800-424-5555) BEFOREANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTAPERMITUNT7L SIGNED BY TIJECfTY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACEPROVIDED
Printed: Friday. St,21��Ier 08 201
REL
F-1 FILE COPY F-] INS PECTOR COPY F-1 APPLICANT COPY
of 'EVA40 �v
-IA�c. 1 s9O
SCANNED
AUG 31 ID17
CITY COPY
ROW PERMIT NO.: ENGC�CO_03 I
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: Gr ('tt'
CONTRACTOR:( ___j-nm�o Dn /'6�vo
F)AA
Mailing Address: V7. 0
StateLicense#: ,-?M&0C_L_
City Business License #: —a) I
CONTACT: F-1, I' dZ_ -, 10 V, _e 5
Phone #: Z5
Fax #:
Email #: r'
I &_9
iability Insuran& Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: -:-2;- f?t
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: I
F] Commercial 0 Subdivision [:] City Project 0 Traffic Control (Only)
F� Multi -Family IdSingleFamily F� Other
F] EUC (PUD, VERIZON, PSE,
CONICAST, OVWSD):
Is this permit part of a blanket permit? F� Yes Ef No
I ANY ASSOCIATED PERMITS? I I BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific):
�bi V-A.
rA
I WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES [I NO [I Year: J
PAVEMENT CUT: [:]Yes No If yes, indicate size of cut- x
CONCRETE CUT: Ef 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
S F
Alley 72 Hrs + LF
Parking 72 Hrs + LF
X
LF
SF
I X
LF
SF
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 helshe 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 in order for the permit to be valid.
SIGNATURE &--- - 1, -\ DATE 22 b
ContractKor Agent
L,mt ro ( Aet &,-..
cf/A4 (oy, -,h
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Page 6H- 16
Notes for Figure 6H-6—Typical Application 6
Shoulder Work with Minor Encroachment
Guidance:
2003 Edition
I . All lanes should be a minimum of 3 in (10 ft) in width as measured to the near face of the channelizing
devices.
2. The treatment shown should be used on a minor road having low speeds. For higher -speed traffic
conditions, a lane closure should be used.
Option:
3. For short-term use on low -volume, low -speed roadways with vehicular traffic that does not include
longer and wider heavy commercial vehicles, a minimum lane width of 2.7 in (9 ft) may be used.
4. Where the opposite shoulder is suitable for carrying vehicular traffic and of adequate width, lanes may
be shifted by use of closely spaced channelizing devices, provided that the minimum lane width of 3 in
(10 ft) is maintained.
5. Additional advance warning may be appropriate, such as a ROAD NARROWS sign.
6. Temporary traffic barriers may be used along the work space.
7. The shadow vehicle may be omitted if a taper and channelizing devices are used.
8. A truck -mounted attenuator may be used on the shadow vehicle.
9. For short -duration work, the taper and channelizing devices may be omitted if a shadow vehicle with
activated high -intensity rotating, flashing, oscillating, or strobe lights is used.
10. Vehicle hazard warning signals may be used to supplement high -intensity rotating, flashing, oscillating,
or strobe lights.
Standard:
11. Vehicle hazard warning signals shall not be used instead of the vehicle's high -intensity rotating,
flashing, oscillating, or strobe lights.
IN(304EEf Wvj D(VIS"
APPFIQVED AS NOTEQ
wa f—
XPvA"5 tOAPAXOG :SI&O&C-r- S& &MC-P
A te" Le jq 6 *1" A*,**- ", i �* 0- 00uP, " A 00 U4 IM
f,A)LL"D 19,4pr-IL.
2003 Edition
Figure 6H-6. Shoulder Work with Minor Encroachment (TA-6)
I <OVIHV
�80M
ov0d
A
F CIN3
�80,lm Gv08
I t
Typical Application 6
Note: See Tables 6H-2 and
6H-3 for the meaning
of the symbols and/or
letter codes used in
this figure.
Truck -Mounted
Attenuator
(optional)
Bufferspace
(optional)
1/3 L
L
A
ROAD
WORKEL
AHEAD
�,L<_*>
Page 6H-17
2003 Edition
Figure 6H-10. Lane Closure on Two -Lane Road Using Flaggers (TA-10)
Note: See Tables 6H-2 and 6H-3
for the meaning of the
symbols and/or letter
codes used in this figure.
Note: The buffer space should be
extended so that the two-way
traffic taper is placed before
a horizontal (or crest vertical)
curve to provide adequate
sight distance for the
flagger and a queue of
stopped vehicles. \
IN 3
'I'M IV,,
I t
EOR
REEC
optional)
B
0 (optional)
A
oleo
0 1 ,
30 m
(100 ft)
MAX
One Lane Two -Way Traffic Taper
30 m (100 ft) MAX
A
F _XX7 OR F _Xx_�
LE�� bE�g
(optional) (optional)
ONE LA NE LANE
ROW OR < ROAD
EL XX XX M
C ROAD, ROAD
WORK OR WORK
XX M
XX FT
Typical Application 10
Page 6H-25
CPM Construction, LLC
PO Box 0037
Licensed, Bonded & Insured
Street View
Edmonds, WA 98020-0037
425.712.7171
License: CPMCOCL854C7
Ift SiGlrWA4--W- -re U- GajU%-r(tvC--WD PNZ 5z,'PWP.+" DAT.4,kt. f-'Z.G.
CPM Construction, LLC
PO Box 0037 Edmonds, WA 98020-0037 425.712.7171
Licensed, Bonded & Insured License: CPMCOCL854C7
236 Gjernso Driveway Site Plan
Address: 8802 201st Place SW Edmonds WA 98026
Scope of Work: Replace 420' section of concrete sidewalk to match existing. Area highlighted in
yellow.
Aerial View