ENG20160075.PDFIII I III
�y OF ED,ytO�
° CITY OF EDMONDS
121 5TH A VENUE NORTH - EDMONDS, WA 98020 6
/,I I g90 PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERNIIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20160075
RIGHT OF WAY PERM IT (1-Single Family)
1�
Permit Number: ENG20160075 Expiration Date: 03/10/2017
Job Address: 23207 75TH PL W, EDMONDS Location:
APPLICANT CONTRACTOR
CROSBY HOMES INC CROSBY HOMES INC
2905 170TH ST SW 2905 170TH ST SW
LYNNWOOD, WA LYNNWOOD, WA
(480)206-8051
LICENSE #: CROSBH1171LP EXP: 06/01/2017
Install driveway and utilities for new single family residence (BLD20151115).
DISRUPTION 1 1
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: $0.00
INDEMIWTY The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that maybe 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 ACCEPTANCEOFTHEWORK
• 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 DIALrA-DIG (1-800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NO TIC E REQ UIRED FOR ALL INSPECTION REQUESTS
APPLICATION1
THIS APPLICATION IS NOT PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Thursday, March 10, 2016
Linola-1honiquisk Alum 2 /of 2016
RELEASED BY DATE
/ FILE COPY ❑ INSPECTOR COPY ❑ APPLJCANT COPY
STATUS: ISSUED
ENG20160075
• 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.
• 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 permitted project.
• 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 6:00pm 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 from the issuance of this perntit. 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.
• 11Driveway Form & Slope Ver.
• E Berm along 75th PI W
• E Berm along east side ofdwy
• E-Engineering Final
PARTIAL INSPECTION DATE:
PARTIAL INSPECTION
FINAL INSPECTION APPROVED
INITIAL:
DATE: INITIAL:
DATE: IMTIA L:
NOTES:
NOTES: