4476_001.pdfC,V. Eb
CITY OF EDMONDS
PHONE: (425) 771-0220 - FAX: (425) 771-0221
121 5TH AVENUE NORTH - EDMONDS, WA 98020
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*PERMIT MUST BE POSTED ON JOBSITE*
STATIJS: ISSUED ENG20180415
RIGHT OF WAY PERMIT (I -Single Family)
Permit Number: ENG20180415 Expiration Date: 11/09/2019
Job Address: 10610 240TH PL SW. EDMONDS Location: Addition/remodel on 240th P1 SW & 106th P1
W
APPLICANT CONTRACTOR
Chris Lyon
10610 240th PI SW
Edmonds, WA 98020 LICENSE #: EXP:
JOB DESCRIPTION
Work associated with remodeVaddition to include e)dsting driveway removal on 240th P1 SW, and side sewer and potentially OVSWD
lateral sewer work in ROW on 106th PI W
DISRUPTION INFORMATION
ASSESSED VALUE: $0.00 PROPERTY AREA: 0
SIDEWALK: OXO) DURATION IN MONTHS: 0 FEE: $0.00 ST REET DI SRUP T I ON T RENCH 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
I"EAINITY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany kind or description whatsoever, 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
atforneyfees by reason ofgranting this permit.
TEECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THEIV ORK.
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.
CALLDIAL-A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HO UR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACEPROVIDED.
Printed: Friday. November 09. 201
EASED BY
)� FILECOPY F� INSPECTOR COPY [—] APPLICANT COPY
STATUS: ISSUED
ENG20180415
Restore ROW to City standards
Restore Landscape to like or better conditions.
Call for locates of underground utilities prior to any excavation.
Alen affected residents and/or businesses prior to work start.
Conforrn to approved working drawings and Traffic Control plan.
Public utilities maintain 5' separation from City Utilities.
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 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 fromthe noise limits
of ECC Cbapter 5.330 only during the hours of 7:00am to 6:00prn on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Hohdays. At all other times the noise originating fi-om 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
hanuless 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 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-Erosion Control/Mobilization
E-Driveway Form & Slope Ver.
E-Fngincering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: