20180223090750.pdf01; LI)AI
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
C. 1
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20180079
Familly)
Permit Number: ENG20180079 Expiration Date: 02/28/2018
Job Address: 9116 188TI-I ST SW, EDMONDS Location: 9116 188th St SW
Deborah Kaplan
9116 188th St SW
Edmonds, WA 98026
Ben Hw Moving& Storage
C/O Nicole Goraly
8929 Oso Ave
Chatsworth, CA 91311
(9 9 8) 909-5 15 1
LICENSE 4: DOT2105390 EXP:
Moving vehicle to be parked within the right of way taking up east bound lane.
DISRUPTION ]INFORMATION
ASSESSED VALUE WOO PROPERTY AREA 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: 10 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
IADEAIATTY- The,4pplicant has signed an application which states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany kind or description whalsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofils departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
afforneyfees by reason ofgranting thispermil.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THE FINAL
INSPECTIO N 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 DIALA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION R-MUESTS
THIS APPLICATION IS NOTAPERMH7UNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Friday. February 23. 2019
DATE
E] FILE COPY F INSPECTOR COPY F APPLICANT COPY
STATUS: ISSUED
ENG20180079
• 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 7:00amto 6:00pm on weekdays and 10:00arn 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 fi-om any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this pen -nit 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.
0 E-Engineering Final
PARTIAL INSPECTION
PARTIAL INSPECTION
FINAL INSPECTION APPROVED
DATE: INITIAL: NOTES:
DATE: INITIAL: NOTES:
DATE: INITIAL:
of EVA40 1/
f 11�j I
-"Ivc. "�C)o
ROW PERMIT NO.: ENG ZO W,00-
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
" ks".� au*u'rl'
PROJECT NAME: CONTACT: Keylowu
CONTRACTOR: &., vVer" F-077.2y'l -,:,Zy 73
mov /IQ Uq Phone W_76q_�LXS/
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MailingAddress: (11 Fax#:
State License #: DO-7-.. 2 IOS--3,71) 91-3// Email#:
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City Business License bility Insurance L] Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: e' qll& J'SE#c S/, scj ) F"�ws
I ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: I
Commercial
F� Multi -Family
Subdivision
El Single Family
F-1 EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
City Project
F1 Other
F� Yes F-1 No
I ANY ASSOCIATED PERMITS9 I BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific):
1,0_� '76 U��
Traffic Control (Only)
[W�TREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES F1 NO F1 Year:
PAVEMENT CUT: E] Yes No If yes, indicate size of cut: x
CONCRETE CUT: 0 Yes No If yes, indicate size of cut: x
RIGHT-OF-WAY AREA
CLOSURE
TOTAL
DURATION
(NUMBER OF MONTHS)
I
Sidewalk 48 Hrs + LF
x LF1
X LF
x LF
SF
Alley 72 Hrs + LF
Parking 72 Hrs + LF
SF
SIT
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 L2 DATE d-22L3 �/
Con� r or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
December 2000
Figure 6H-18. Lane Closure on Minor Street (TA-18)
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Page 6H-41
Note: See Tables 61-1-2 and 6H-3
for the meaning of the
symbols and/or letter
codes used in this figure,
Work Vehicle (optionaD
,'Truck-Mounicati Aftenuator (optional)
Buffer Space
(optional)
30 m (100 ft) max.
A
UL
Typical Application 18
Sect. 6H.01