3203_001.pdfRIGHT OF WAY MINOR PERMIT
PERMIT NUMBER
City of Edmonds
121 5th Ave N, Edmonds WA 98020 ENG2019-0350
_�y��Axityofedmonds.gov / 425.771.0220
Description: Set up mobile crane on 2nd Ave to the south of Main ST for p ISSUED: 12/23/2019
Address: 100 2ND AVE S EDMONDS WA 98020-8443 EXPIRES: 06/20/2020
PermitType: RIGHTOFWAYMINOR PermitSubtype: COMMERCIAL Parcel Number: 00454800200901
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT Western Crane, Inc. PO Box 68068, SeaTac WA 98168 (206)242-9900
CONTRACTOR Western Crane, Inc. PO Box 68068, SeaTac WA 98168 (206)242-9900
OWNER LLC HASSHB 3727 S 194TH ST, SEATACWA 98188
FEE INFORMATION
DESCRIPTION AMOUNT PAID
ENGINEERING INSPECTION FEE $100.00
RIGHT OF WAY MINOR - EUC PERMIT FEE $100.00
X-TECHNOLOGY FEE $35.00 1
REQUIREMENTS
REQUIREMENT TYPE
NOTES
TRAFFIC CONTROL 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 posession.
RESTORATION 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
WARRANTY The contractor is responsible for workmanship and materials for a period of one year following
Ithe final inspection and acceptance of the work.
INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM
24 HR NOTICE REQUIRED
INDEMNITY
The Applicant has signed an application which states helshe holds 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 but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of
granting this permit.
RELEASED BY
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENG IN EER OR HIS/HER DEPUTY HAS SIGNED BELOW
DATE
Printed: Monday, December 23, 2019 11:25:04 AM I of 2
RIGHT OF WAY MINOR PERMIT
PERMIT NUMBER
City of Edmonds
121 Sth Ave N, Edmonds WA 98020 ENG2019-0350
www.cityofedmonds.gov / 42S.771.0220 Ali
CONDITIONS
CONDITION TYPE
NOTES
Alert Affected Properties
Alert affected residents and/or businesses prior to work start.
Bore Crossings
Verify clear bore crossings
Conform to approved plans
Conform to approved working drawings and Traffic Control plan.
Damage to Frontage
Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per
Improvements
City standards that is caused by or occurs during the permitted project.
ESC Required
Maintain erosion & sedimentation control. Keep street clean.
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
Hold Harmless
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.
Inspections
Call for required inspections as noted.
Landscape Restoration
Restore Landscape to like or better conditions.
ROW Restoration
Restore ROW to City standards
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 7:00am to 6:00prn on
Sounds/Noise
weekdays and 10:00am and 6:00pm 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.
Traffic Control Handout
Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements.
Underground Utility Locates
Call for locates of underground utilities prior to any excavation.
Utility Patch Restoration Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
INSPECTIONS
INSPECTION TYPE DATE RESULT NOTES
COMPLETE
ROW TRAFFIC CTRL
ENGINEERING FINAL
Printed: Monday, December 23, 2019 11:25:04 AM 2 of 2
RECEIVED
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JUL 2 2 2019
ENGINEERING DIVISION ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
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PROJECT NAME: Q5 1EVM0 �i P51, CONTACT:
CONTRACTOR: Phone#:
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Mailing Address: T Fax 1:
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StateLicense#:
Email
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City Business License #:
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ADDRESS OR INTERSECTION OF CONSTRUCTION: 1002/-L-�
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ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
F] Commercial E] Subdivision El City Project Ll Traffic Control (only)
F] Mufti -Family
[] Single Family
Z Other
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F� EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? E] Yes [)d No
ANY ASSOCIATED PERMITS? [BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific): L(42 POLL
[WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES El NOE] Year:
PAVEMENT CUT:
CONCRETE CUT:
El Yes No
0 Yes No
If yes, indicate size of cut: X.
If yes, indicate size of cut: x
RIGHT-OF-WAY AREA
CLOSURE
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF
_[�::[ LF
Alley'�2 Hrs +
X
LF
SF
SF
X LF
Parking 72 Hrs + LF � X LF
L�
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 DATE
.."Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE