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20180524114702.pdfCITY OF EDMONDS 1215THAVENUENORTH- EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20180173 &]GAT 41F 11TATPERTT1 IT (5-Cit� � Proj Pennit Number: ENG20180173 Expiration Date: 11/24/2 018 Job Address: 121 5TH AVE N, EDMONDS Location: EDMONDS WAY - 240TH TO SH99 APPLICANT CONTRACTOR PM Ryan Hague CITY OF EDMONDS PUBLIC WORKS CREW, CITY OF EDMONDS 250 5TH AVENIJEN 250 5TH AVENUE N EDMONDS, WA 98020 EDMONDS, WA 98020 LICENSE 4 EXP: JOB DESCRIPTION Project will add a 2" layer of asphalt to e)dsting sidewalk DISRUPTION INFORMATION ASS I �SS 1: 1) VA L U E: $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 INDEAfNITY- TheApplicant 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 ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and allorneyfees by reason ofgranting 1hispermit. THE CONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEFINAL INSPECTION AND ACCEPTANCEOFTHEWORK. • 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 (WAQ 296-155-305 and must have certification 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 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 REQUESTS THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACEPROVIDED. Printed: Thursday, May 24, 201 E] FILE COPY E] INS PECTOR COPY F� APPLICANT COPY STATUS: ISSUED ENG20180173 • 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. • Conforin to approved working drawings and Traffic Control plan. • Public utifities maintain Tseparation fi-om City Utilities. • 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 permitted project. • Sound[Noise originating fromtemporary 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 10:00am 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-Traffic Control • E-Pavement Subgrade • E-Engineering Final PARTIAL INSPEC71ON PARTIAL INSPECTION FINAL INSPECTION APPROVED DATE: INITIAL: DATE: INITIAL: DATE: INITIAL: NOTES: NOTES: City of Edmonds !�-)LVELOAL-r, OtSfY? 57, ' AHf-AID A-f 241 SI'Vt'SW ipl� LU R 00 241 24111 LLI clo S 242ND ST S 00 P ANF� IF601 �W CL 8605 00 Map Title A. 2"14 21 1 Fix Z40TH-ST-SW=- P A r 65 /Y/ C� h- 0 0 -11 z -99 -n OP E -242ND=sm�w= -99 x S"'(;'"WAY 99 OF . FRAMP ONR.4A4P 9 00� -14< x, 1:4,514 -!�144P -LAKE 9AJ elAlf-- ol—t-11 /AITV 0 188.08 376.2 Feet This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate WGS-1984 — Web —Mercator —Auxiliary —Sphere current, or otherwise reliable @ City of Edmonds THIS MAP IS NOT TO BE USED FOR DESIGN OR CONSTRUCTION L Legend CIP ;: :5 1 &AJ Notes 0M IL CL < ()v r-JOA40 1&�—s . J.'90 W;Fcelvev ROW PERMIT NO.: ENG 2,5 2018 ISSUE DATE: RIGHiA& M-Ak CONSTRUCTION PERMIT APPLICATION PROJECT NAME: Edmonds Way Walkway CONTRACTOR: Nys Enterprises Mailing Address: 425-355-2474 State License #: NYSENI-107136 City Business License #: NR-025719 CONTACT: Ryan Hague Phone #: 425-275-4808 Fax #: 425-672-5750 Email #: ryan.hague@edmondswa.gov [j] Liability Insurance E] Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: Edmonds Way - 240th to SH99 ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: F1 Commercial El Subdivision El City Project Ej Traffic Control (Only) FI Multi -Family El Single Family Fj EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this pennit part of a blanket permit? I ANY ASSOCIATED PERMITS? I F� Other 0 Yes 0 No BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific): Project will add a 2" layer of asphalt to existing sidewalk I WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO 2 Year: I PAVEMENT CUT: CE Yes El No If yes, indicate size of cut: 5 X 5 CONCRETE CUT: 0 Yes FX-1 No If yes, indicate size of cut: X_ DURATION AREA TOTAL !RIG:HT-OF-WAY CLOSURE (NUMBER OF MONTHS) Sidewalk 48 Hrs + 0 LF X 0 LF SF1 Alley 72 Hrs + o LF X o LF SF Parking 72 Hrs + 0 LF I X .L 0 LFJ 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 state7m�n I and understand the perrnit requirements and acknowledge that I must Tiderlsl r�� r� follow all requirements in or er e ennit to be valid�. SIGNATURE DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE