20180614084405.pdfCITY OF EDMONTDS
,?c. I
I2I 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (42s)771-0220 - FAX: (42s) 77r-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG2018 0255
RIGHT OF WAY PBRMIT -Comme
Permit Number: ENG20 I 80255
Job Address: 510 BELL ST, EDMONDS
Expiration Date : 07 I I 4 120 I 8
Location:510 BellSt.
APPLIC,{NT CONTRACTOR
TomMcDonough
510 Bell St
Edmonds, WA 98020
Ramon Bautista Painting LLC
12033 Woodinville Dr. TRLR l9
Bothell, WA 98011
(206) 920-8255 EXT:5
LICENSE #: RAMONBP33SDA EXP: 03114/2019
.IOB DESCRIPT¡ON
Repaint norlh side ofBell St. building (508 510 512514 Bell St). Willworkfromground in am. In late aftemoon use ladderwith assistant
to direct pedestrian trafüc.
INDEMMTY The Applicant has signed an application vhich stales he/she holds the City of Edmonds harmlessfrom injuries,
damages or claims of an¡t lçi¡lfl 6¡'description vthalsoe'tet',foreseen ot'unforeseen, fhal rnay be made againsÍ the City of Edtnonds or
any ofits departmenls or employees, including buÍ not limited to the defense ofany legal proceedings including defense cosÍs and
'atlorneyfees by reason ofgranting this permiÍ.
TIIECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATM,IALS FOR A PM,IOD OFONEYEAR FOLLOWING THEFINAL
INSPECTIO N AND AC C FÌTANC E O F THEWO RI'
Traffic Contlol and public safefy 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 ofthe required training in their
pos s es iorì.
Restoration is to be in accordance with City codes. All street-cut trench work shall be patched with asphalt or City approved
rnterial prior to the end of the workday- NO EXCEPTIONS.
Three sets of construction drawings of proposed work are required with the permit application.
CALL DrALA-DIG (1 -800-424-5555) BEFORE ANy D(CAVATION
CALL FOR TNSPECTTON (425) 7 7 I -0220 D(T. I 326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
DA
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a
a
BY
$O.OO PROPERTY AREA
DURATION IN MONTHS: O
DURATION lN MONTHS: 0
DURATION IN MONTHS: O
0
FEE: $0.00
FEE: $0.00
FEE: $0.00
STREET DISRUPTIONTRENCH CUT: ( O XO )
YEAR OF OVERLAY: 0 FEE: $0.00
VALUE
AI,I,EY,0x0
SIDEWALK: ( 0X0 )
PARKING: ( 0X0 )
DIS RT]PTION INFORMATION
APPLICATION IS NOTA PERMITUNTÍL SIGNED BY THE CIry ENGINEERORHIS/HERDEPUTY: AND FEES ARE PAID.AND RECEIPTIS ACKNOV/LEDGED INTHIS
Printed: Thurs June 201
SPACE PROMDED,
APPLI(]ATION APPROVAI,
Iì.lcHT OF WAY PERMIT (3-Comme rcial)
(]ONDITIONS
STATUS: ISST]ED ENG20180255
¡ Restore ROW to City standards
o Restore Lands cape to like or better conditions .¡ Alert affected residents and/or businesses prior to work staft.
¡ Conform to approved working drawings and Trafüc Control plan.
¡ 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 trafüc control requirements.. Applicant shall repair/replace all danøge to utilities or fiontage improvements in Cþ dght-oÊway per Cþ standards that is
caused by or occurs during the permitted project.. SoundÀ,loise originating fromtemporary construction sites as a result of construction activity are e)cmpt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and l0:00am and 6:00pm on Saturdays, excluding
SundaysandFederalHolidays. Atallothertimesthenoiseoriginatingfromconstructionsites/activitiesmustcomplywiththe
noise limits of Chapter 5.30, unless avanance has been $ranted pursuant to ECC 5.30.120.. Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnifr defend and hold
harmless the City of Edmonds, Washington, its offìcials, employees, and agents from any and all claims for dannges of
whatever nature, arising directþ or indirectþ 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.
a E-Engineering Final
PARTIALINSPECTION
PARTIALINSPECTION
FINAL INSPECTION APPROVED
DATE:INITIAL:NOTES:
NOTES:DATE:INITIAL:
DATE:INITIAL:
INSPEC]TIONS
6F EÞ't1
ROW PERMIT NO. : ENG ZÙIåOZ5I-
ISSUE DATE:
RIGHT-OF.\ilAY CONSTRUCTION
ATION
-
coNTACT, -/ ,n fl c
PE IC
PROJECT NAME:D"n,-1
CONTRA *'Ro-o^,Lrc Phone #:æ,c77Èffi3f
--, Mailing Fax #:7>î 77tr
State se #:ON 87 Email mc 0lva 4rn
City Bu License #:Liability Insurance
206/-tssT t/o fu1f?2",48þ îe*.ADD OR ON OF CONSTRUCTION:
ROW WORK ASSOCIATED WITH THE F'OLLOWING TYPE OF PROJECT:
Commercial Subdivision City Project
Other
Traffic Control (Only)
P.l"d¡,'" u Ç,!+,4r^r¡V- L^n\l'otn Multi-Family I Single Family
I EUC (PUD, vERrzoN, PsE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?[Yes INo
ANIY ASSOCIATED PERMITS?BLD#ENG#
DESCRIPTION OF PROPOSED \ryORK (Be Specific)&;,"tj I P"4rî
,S¿8-. /,¿lt n
&hrv
-G. /ro'urr'- k sî/^^r'//d.
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PAVEMENT CUT: T Yes
CONCRETE CUT: fl Yes
No
No
Ifyeso indicate size ofcut: x
No Xl Year:WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES
If yes, indicate size of cut:x
RIGHT-OF-WAY
CLOSURE
AREA TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs +I,F x LF'SF
Alley 72 Hrs *LF X LF'SF
Parking 72 Hrs +LF 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 sfaúes he/she hold the City of
Edmonds harmless from injuries, damages or claims of any kind or descrÍption
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 the permit to be valid.
SrcNAruRE Êo f?) ut V nt/, t/" -DArE /. -//-z¡th
Contractoffigent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
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