2547_001.pdf0 E 0 4,1
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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: ISSUIED ENG20190417
i
R I G "T 0 F WAV PER M IT (2-M ulti-Family)
Permit Number: ENG20190417 Expiration Date: 10/08/2020
Job Address: 121 SUNSET AVE N, EDMONDS Location: 121 Sunset Ave
APPLICANT CONTRACTOR
DAVISON CUSTOM CONCRETE, INC DAVISON CUSTOM CONCRETE, INC
C/O JIM DAVISON C/O JIM DAVISON
PO BOX 13258 PO BOX 13258
MILL CREEK, WA 98082 MILL CREEK, WA 98082
(425) 269-0630
LICENSE#: DAVIS* 985M5 EXP:
Install new concrete walk/ramp to building as per building pen -nit.
DISIMPTION INFORMATION
ASSESSED VALUE: $7,004,200 00 PROPERTY AREA: 6099 4
SIDEWALK: (50XIO) DURATION IN MONTHS: 0.36667 FEE:$2,30566 STREET DISRUPTION TRENCH CUT: 0 x 0
PARKING: (5OX8 DURATION IN MONTHS: 036667 FEE:$1,88453 YEAROFOVERLAY: 0 FEE: $0 00
ALLEY: ( OX0 ) DURATION IN MONTHS: 0 FEE: $0 00
IADEMNITY- The Applicant has signed an application ivhich states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany kind or description ivhalsoeverforeseen 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
atiorneyfees by reason ofgranting thispermil.
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 permit application.
CALL DIALA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICE REOUIRED FOR ALL INSPEC'IION REQ UM IN
APPLICATION APPROVAI,
THIS APPLICATION IS NOT A PERMITUNTTL SIGNED BY THE CITY ENGINEER OR HISIHER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACEPROVIDED
Printed: Tuesday, October 08, 2019
z_:)a4'e� 10/8/19
RE -EASED BY
DATE
FILECOPY F-] INSPECTOR COPY E] APPLICANT COPY
STATUS: ISSUED
ENG20190417
• 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.
• Veri6, 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 frontage improvements in City right-of-way per City standards that is
caused by or occurs during the pen-nitted 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 7:00amto 6:00prn on weekdays and 10:00am and 6:00prn 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, aris ing 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-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
'CA
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of EDA404"
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. JS90
ROW PERMIT NO.: ENG AM 6�&7
ISSUE DATE:
RIGHT—O&WAY CONSTRUCTION RESUB
PERMIT APPLICATION AUG 0 6 2019
t4r, DEPARTMFENT
PROJECT NAME: O-)Ot-k&n- CONTACT:
CONTRACT011:71)MI(SotA Phone#:
COKC
MailingAddress: Fax #:
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State License #: Email#:
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City Business License #: Liability Insurance
A,DDRESS OR INTERSECTION OF CONSTRUCTION:
I ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: I
Commercial
19 Multi -Family
Subdivision
[:] Single Family
n EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
City Project
F-1 Other
[] Yes [D No
Traffic Control (Only)
I ANY ASSOCIATED PEFIVIITS? I BLD# ENG# I
DESCRIPTION OF PROPOSED WORK (Be Specific): JL� �7k_�L— NF-,UA. QZACA*_1K7C-_
. 'P'6-RJ--N' (
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YESE] NO [] Year: I
PAVEMENT CUT:
CONCRETE CUT:
[I Yes El No If yes, indicate size of cut: X
El Yes El No If yes, indicate size of cut: x
I
RIGHT-OF-WAY
AREA
CLOSURE
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + 0 LF
X
LF
SF
Alley 72 Hirs +
x
LF
SF
Parking 72 Hrs + LF
x
LF
SF.
76fD t-F
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 requirei ent, r or t e permit to be valid.
SIGNATUR DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE