The URL can be used to link to this page

eng20140166-Halvorson ROW permit.pdfSTATUS: ISSUED E1 X166 I Permit Niumber� ENG20140166 Expiratlan Date: 04/07/2015 Job Addr-ess: 1562072ND AVE W, EDMONDS Locatioti: � HALVORSON CONS] RUCTION GROUP 12515 WILLOWS RD NE SUIFF. 220 1 15 15 WILLOWS RD Nl.,'SUITE 220i Utility Connections, fi-ontage unprovement revisions and new driveway. ASSESSED VALUFMOO PROPERTY AREA: 0 SIDEWALK(OXO) DURATION IN MONTHS: 0 FEE: $0.00 STRELT DISRUPTION TRENCH CUT: x PARKINGi (()X()) DURATION IN MONTHS.` 0 I"I"IF: $0.04) YEAR OF OVFRLAY0 FEE: $0,00 ALLEY: (OX()) DURATION IN MONTH& FEL: $0.00 INDEMNITY, Thr Aplilicaw hos sig ne(I an alqVication which states helshe holds the 0tv oj'Edinonds harinkssfi-orn by"1111i's, clainages or clahns ofan), kind or description whalsoeverfiweseen or unlbreseen, that lnu)� be made against the City qfEdinonfIv oi- any of its del.,artments or eml-)1Qvees, including but not limited to the de f6ise qj'an.tl legalproceedings including defense costs and attorney /ees by reason ofgranfing this perivit. THE CON]"RACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF' THE WORK * Traffic Control and public safety shall be in accordance with City regulations as required by the City Engineer, Every flagger InLISt be trained as required by (WAC) 296-155-305 and niust have certification verifying completion ofthe required training in their possesion, * Restoration is to be in accordance with City codes. All street -cat 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 DIAL -A -DIG (1 -80TH -424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0221) EXT, 1326 24 HOUR NOTICE REQUIRED FOR ALL INSPECTION THIS APPLICA110N iSNOT A PERMIT UNTIL, SIGNED BY THE CITY ENGINEER OR HIS/111711 SPACE PROVIDED, DATE HIPT TS ACKNOWLEDGED IN Monday, April 29, 2014 "T"ZI FRIE, COWY iminx"I'm col'v Al'I'LICANTCOM' STATUS: ISSUED ENG20140166 * Restore ROW to City standards * Restore Landscape to like Or b0t(Cf conditions, * Call for locates ofundCrgrMnid kitilitics prior to any excavation. * Alert affected residents and/or businesses prior to work start. * Conform to approved working drawings and Traffic Control plan, * PLibfic utilities maintain 5' separation trona 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, 0 Call for required inspections as noted, M 'traffic Control per approved plan and MUTCD, Refer to City of Edmonds traffic control 1-C(jUi1-Cr-1cr1tS. 0 Applicant shall repairlreplace all damage to utilities or frontage improvements in City right-of-way per City staiidards that is caused by or occurs during the permitted project. a Sound/Noise originating ftoni temporary COYISITUCtiOn sites as a result ofconstrUction activity are exempt Bonn the noise limits of'ECC Chapter 5,30 only during the hours, of'7Marn to 6:00pm on weekdays and I ()Marn and 6:00pin on SWL[rdayS, exclLiding Sundays and Federal holidays, At all other times the noise originating from construction SiteS/aCtiVitieS 111LISt comply with the noise limits of Chapter 5JO, unless a variance has been granted pursuant to ECC 5.30.120. 0 Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City ofEdnionds, Washington, its officials, employees, and agents from any and all claims for darnagcs of whatever naWre, arising directly ot• indirectly frorn 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 -Erosion Control/Mobilization M E -'Traffic Control 0 F -Asphalt Thickened Edge 0 E -Pavement Sabgq-ade a E-Naveniew Compaction Test Report 0 E -Sewer M14 Channeling F -Sewer Lateral Installation E-CLIt & Cap Fxist Water Service 0 E-Engincering Final PARTIAL INSPECTION DAM Td 6bi 1AL NOTES: PARTIAL INSPECTION DAM INITIAL:----- NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: 6-� E D 00 MA� )111 ISSIJE DAT'J1Z,- �� @�.,� ..d. _ ^•i�."��...,". OJEC'"I° T I E k e ' PRONT, ', p �iR.J'�' ,. t� 0 au...,�u< rail a •:.,a I� ,,, i +..�„ CON T c ._.... ��" W...�' � 1 8' Fi � � } PF` VI/ '^ " : u �l b�6 (d ��. d tl Ip �''a: n V rF � g q✓/,� �. P F „� I* '� ,�V �f"�' .4'� F?IJ j�; id 4" D Mailing Address: Fax Ph Ar Stets License thEmail t'm .. ._ .__._...__._- ADDRESS R INTER EC710N Off' CONTRU°TIO ROWASSOCIAT _ Subdivision,__ .._-] Cwniner4 Multi.-Faudly Single Family Ll EUC (PUD, MUZON, PSE, COMCAST, )n is this permitper o4 a Rant gtmi`:Yes�. _.1 l DESCRIPTION OF'PROPOSED WORK (Be Specific) �_.. n.._�. L. EDIT SII THE . �+'V1 " + NQ _...__ _ m.. _.._.. _,._....... ..., w•._ _•.... _ _ ._ ...M. VEMEN1+. cur: " I.. No indicate ^, � m� APP1,1CANT'll 0 READ AND SIGN ........... - 1. *Traffic control and PUblic safi2,iy shall be in accordance with City regulations as reqUired by dl e City Engineer. Every flagger rnust be trained as, required by (WAC) 296-155-305 and 1.nUSt have CcrtifiCatiOrl verifying completion of the required training in their possession. 'JlRestoration is to be iri accordance with City codes and Standards. All street -cut treach work shall be patched with asphalt or City al)l)roved material prior to the end of the workday .- NO EXCEPTIONS. Indemnity: The Applicant, has signed an application which states he/she hold the City of Edmonds harinless from injuries, damages or clahns of any kind or description whatsoever, foreseen, or unforeseen, that may be tade against the City of Edmonds or any of its departments or employees, including defense costs and 11 nn fees by roason of granting this permit. I have read the above statements and understand the permit requirernents and acknowledge that I must Follow all requirements h order ei tie permit to be valid, SIGNATURE Con tractor or Agent ArltWORK SHALL BE('�IIN PRIOR TO PERMIT ISSIJANiC.1i" U, SUN RIGHT'-Of%MAY DURATION AREA, wi,r'AL CLOSURE (NUMBER OF" MONTHS) Sidewalk 4,8 Mrs -F REEMMOMMEM LIF 11111111111111111MI x 111111M�Jww LL F AMOMMMMIMIUMMU Sia' ...... .. ... . . . . . .... . ............. . . .... . Alley 72 Mrs +L - -- ----- ---- - - ------ X LST SF 41 1411 ........ . . . . ......... . ......... . . . Parking"72 Hirs + LF X LF SF A I APP1,1CANT'll 0 READ AND SIGN ........... - 1. *Traffic control and PUblic safi2,iy shall be in accordance with City regulations as reqUired by dl e City Engineer. Every flagger rnust be trained as, required by (WAC) 296-155-305 and 1.nUSt have CcrtifiCatiOrl verifying completion of the required training in their possession. 'JlRestoration is to be iri accordance with City codes and Standards. All street -cut treach work shall be patched with asphalt or City al)l)roved material prior to the end of the workday .- NO EXCEPTIONS. Indemnity: The Applicant, has signed an application which states he/she hold the City of Edmonds harinless from injuries, damages or clahns of any kind or description whatsoever, foreseen, or unforeseen, that may be tade against the City of Edmonds or any of its departments or employees, including defense costs and 11 nn fees by roason of granting this permit. I have read the above statements and understand the permit requirernents and acknowledge that I must Follow all requirements h order ei tie permit to be valid, SIGNATURE Con tractor or Agent ArltWORK SHALL BE('�IIN PRIOR TO PERMIT ISSIJANiC.1i"