eng20160056 - ROW permit.pdfof CITY OF EDMONDS
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121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSrrE*
STATUS: ISSUED ENG20160056
RIGHT OF WAY PERMIT (4 -Subdivision)
Permit Number: ENG20160056 Expiration Date: 04/01/2017
Job Address: 8712 196T14 ST SW, EDMONDS
ROMAN & SIMONOVA KATERINA ZAREI'SKI LAND DESIGN: SCOTT HELM
8712 196TH ST SW 17906 12TH AVE NW
EDMONDS, WA 98026-6324 ARLINGTON, WA 98223
(425)220-5341
LICENSE 4: LANDD**011BL EXP: 03/16/2018
Install Improvements including utilities, ROW restoration frontage improvements as approved for Short Plat PLN20150011
Location:
DISRUPTION INFORMATION
ASSESSED VALUE: $0 00 PROPERTY AREA: 0
SIDEWALK: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
PARKING: ( OXO) DURATION IN MONTHS: 0 FEE $0.,00 YEAR OF OVERLAY: 0 FEE: $0,00
ALLEY: ( OXO) DURATION IN MONTHS: 0 FEE: $000
INDEMNITY The Applicant has signed an application which states he/she 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 ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OFTHEWORK.
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 DIAL -A -DIG (1-800-424-5555) BEFORE ANYEXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICERFQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED,
BY
FILE COPY
❑ INSPECTOR COPY
Monday. Aurll25..2016
TE
APPLICANT COPY
STATUS: ISSUED
ENG20160056
• 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.
• Public utilities maintain 5' separation from City Utilities.
• 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.
• Condition of the e)asting lateral to be verified by the City Public Works Dept. to obtain approval for reuse. Contact Edmonds
Sewer Division at 425-771-0235.
• 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 permitted 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 6:00pm on 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.
• 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, arising directly or indirectly fromthe issuance ofthis 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
• B -Traffic Control
• E-Curb/Otter Pre -Pour
• E -Sidewalk Pre -Pour
• B -Driveway Form & Slope Ver.
• E -Pavement Subgrade
• E -Pavement Compaction Test Report
• E Pavement Striping
• &Sewer MH Channeling
• B -Sewer Lateral Installation
• E -Sewer Lateral Pressure Test
• E -Engineering Final
• E -Storm CB in Curbline
• B -Storm Stub to Property Line
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL: