ENG20170021.pdfu"'ITY OF EDMONDS
1121 5TH A VENUE NORTH - EDMONDS, WA98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBS' TE*
Job Address: 541 3RD AVE N, EDMONDS
Location: 541 3RD AVE N
EVERETT, WA 98206' EVERETT, WA 98206
(425)670-3216
LICENSE #: UBiL, 313 005.741 EXP!
Install UGsec riser ped assy for new res building. ;Riser install on existing pole- 51' of sec in road bored 3" PVC. Ped placement at NE'
corner of 541 3rd Ave N.
DISRt,[PTION INFORMATION
ASSESSED VALUE: $0,00 PROPERTY AREA'. 0
SIDEWALK ( OXO) DURATION IN MONTHS: 0 FEE: $0,00 STREET DISRUPTION TRENCH CUT: ( O X 0 )
PARKING: ( 0X0) DURATION IN MONTHS:: 0 FEE $0.00 YEAR OF OVERLAY: 0 FEE. $0,00
ALLEY. t OXO'.) DURATION IN MONTHS:. 0 FEE: $0,00
INDEMNITY The Applicant has signed an application which states he/she holds the Cily of Edmonds harmless from injuries,
damages or claims ofany 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 FO R,W0RKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE0FTHEVI'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.
CALL DIALrA-DIG(1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION,, (425) 771-0220 EXT. ;1326
24 HOUR NOTTCEREQUIRED FOR ALL INSPECTION REQUESTS
APPLICATION APPROVAL
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 ..
Printed: Tuesday , .Febrlllt 21z20171
RELEASED BY ffATE
E] FILE COPY F' INSPECTOR COPY'
F-]' APPLICANT COPY
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Callfor 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.
• Verify clear bore crossings
0, Utility patch restoration to be in accordance with Edmonds Standard detail E23
0, 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 fi•ontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
0 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 7:00amto 6:OOpm on weekdays and 10:00am and 6:OOpm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes 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 ofhis 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
whatevernature, arising directly or indirectly fromthe issuance ofthis permit. Issuance ofthis 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.
0 &Traffic Control
0, 1rEngineering Final
PARTIAL INSPECTION DATE: IMTIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: __ NOTES:,
FINAL INSPECTION APPROVED DATE: INITIAL:
901MM
-ROW PERMIT NO.: ENG " 4-0 t
�IE DATE:
RICA T -IT -OF -WAY C(*STRTJCTION
PERMIT APPLICATION
U 2017
PROJECTNAME: E101VEERING DIVIS101V
CONTACT:
CONMi-C-T-40--R: neiv.
. . . . ....... .
Mailing Address:
Mk
State License — i-.-:
-i-v -UA SIT a��o AZ.Gck
Business License #: & ve-
-01—ty - Liability
bonded—
Liability- 1nsurance
ADDRESS OR INTERSECTION OF CONSTRUCTION:
ROW WORK b
TEDWJrrPO
LLWING TYPE OF PROJECT7 Com�irD Sdfv—isjo�—r
�citt�roject�------R -Traffic Control (6-nly)
El multi -Family 0 Single Family ❑ Other
El EUC (PUD, VEPJZON, PSE,
COMCAST, OVWSD):
Is.this p6rmit part of a blanket permit? ❑ Yes. No
F ' FNG#AN�ASSOCIATEDPERMITS? BLj#'
Ei 5 cizwrm OF PROP isEI) WO RK. (B e 8 1) ifte)
t
-2
VC
06
SS IrlTOVERL Vk�
AXED NnTMN THt LAST Fr
-PAVEAMNT CUT: El Yes 14 No
CONCRETE CUT: El Yes No
If yes, indicate size of cut:.
Uy,es, indicate size of euf:*- x
9
RIGHT-OF-WAX
CLOSURE AREA TOTAL
..W
Sidewalk 48 Hrs + LF. I X LF. SF
Alley 7?. Hrs + LF XLF'`, SF
ParLF 'rihl 72 Hrs + �..— , ,
X LF'J. SF
DURATION
(NUMBER OF MONTHS)
APPLICANT TO READ AND SIGN
*Traffic control and public safety shall be in accordance with City regulations as required by the City
E'ngilicer. Every flagger must be trained as required bq (WAC) 296-15-55-305 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 he/she hold the City of
Edmonds harmless from injuries, damages or claims of any kind or description
whatsoever, foreseen or unforeseen, that maybe, mWe'gainst the CityofEdmonds or.
any of its departmOnts or employees, ineludinJ g defense costs and attortley fees by reason
'm ofgrarrtng 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_
SI'G. ATORE . DATE .-6
itractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Page 644
2009 Edition
Notes for Figure 6H-6—Typical Application 6
Shoulder Work with Minor Encroachment
Guidance:
1. All lanes should be a minimum of 10 feet in width as measured to the near face of the channelizing
devices.
2. The treatment shown should be used on a minor road having low speeds. For higher -speed traffic
conditions, a lane closure should be used.
Option:
3. For short-term use on low-volume, low -speed roadways with vehicular traffic that does not include longer
and wider heavy commercial vehicles, a minimum lane width of 9 feet may be used.
4. Where the opposite shoulder is suitable for carrying vehicular traffic and of adequate width, lanes may be
shifted by use of closely -spaced channelizing devices, provided that the minimum lane width of 10 feet is
maintained.
5. Additional advance warning may be appropriate, such as a ROAD NARROWS sign.
6. Temporary traffic barriers may be used along the work space.
7. The shadow vehicle may be omitted if a taper and channelizing devices are used.
8. A truck -mounted attenuator may be used on the shadow vehicle.
9. For short -duration work, the taper and channelizing devices may be omitted if a shadow vehicle with
activated high-intensity rotating, flashing, oscillating, or strobe lights is used.
10. Vehicle hazard warning signals may be used to supplement high-intensity rotating, flashing, oscillating, or
strobe lights.
Standard:
11. Vehicle -mounted signs shall be mounted in a manner such that they are not obscured by equipment
or supplies. Sign legends on vehicle -mounted signs shall be covered or turned from view when work
is not in progress.
12. Shadow and work vehicles shall display high-intensity rotating, flashing, oscillating, or strobe lights.
13. Vehicle hazard warning signals shall not be used instead of the vehicle's high-intensity rotating,
flashing, oscillating, or strobe lights.
CY
APPF�X-,)V I I im I
KI Y 7I
Sect. 6H.01 December 2009
2009 Edition
Figure 6H-6. Shoulder Work with Minor Encroachment (TA -6)
A
Note: See Tables 6H-2 and
6H-3 for the meaning
of the symbols and/or
letter codes used in
this figure.
Work vehicle
Truck -mounted
attenuator
(optional)
Bufferspace
(optional)
Typical Application 6
Page 645
December 2009 Sect. 6H.01
A) SEE MOTE 1.
-� TW
TABLE A
TAPER LENGTH
ROAD
SPEED
MUS'TRUC CIO N
AHEAD
(W30 1)
TOTE
OFFSET
SEEI
TAPER
ONE LANE
ROAD
AHEAD
12
(W20;4)
SEE 0'r E I
100 j
120
A) SEE MOTE 1.
-� TW
TABLE A
1, DISTANCE BETWEEN SIGNS SHALL
BE 100' FOR RESIDENTIAL
STREETS (25 MPH), AND
200' FOR •ARTERIAL ROADWAYS
2, FLASHING BEACON SHALL BE
INSTALLED AT EACH SIGN FOR
NIGHT-TIME USE.
3, DISTANCES MAY VARY AS APPROVED
BY THE ENGINEER.
4, FLAGGERS REQUIRED TO CONTROL
TRAFFIC WHENEVER THE CONTRACTOR
MUST INTERRUPT TRAFFIC FLOW
TO ACCESS THE WORK SITE WITH
MATERIALS OR EQUIPMENT.
'LEGEND,
Qo CONE OR CHANNELIZING DEVICE
(SEE STD 7-14)
s °
TRUCK WITH
FLASHING OR WITH
BEA CON
30'
OD T
TAPER LENGTH'
(TABLE A.)
ISEE NOTE I
I
SEE NOTE 1
I
(W20-7 A)
30'
amE LAN?(W20-4) ROAD
AHEAD
. 30'
*(W20 -1)
D
30'
TAPER LENGTH
SPEED
CFT)
CONE SPACING
(MPH)
OFFSET
WIDTH „ALONG
TAPER
(FT)
10,
12
25
100 j
120
25
30 -
150
120
30
35
2D0
240
35
40
270
320
40
w_.
45
450
540
45
NOTE:
1, DISTANCE BETWEEN SIGNS SHALL
BE 100' FOR RESIDENTIAL
STREETS (25 MPH), AND
200' FOR •ARTERIAL ROADWAYS
2, FLASHING BEACON SHALL BE
INSTALLED AT EACH SIGN FOR
NIGHT-TIME USE.
3, DISTANCES MAY VARY AS APPROVED
BY THE ENGINEER.
4, FLAGGERS REQUIRED TO CONTROL
TRAFFIC WHENEVER THE CONTRACTOR
MUST INTERRUPT TRAFFIC FLOW
TO ACCESS THE WORK SITE WITH
MATERIALS OR EQUIPMENT.
'LEGEND,
Qo CONE OR CHANNELIZING DEVICE
(SEE STD 7-14)
s °
TRUCK WITH
FLASHING OR WITH
BEA CON
30'
OD T
TAPER LENGTH'
(TABLE A.)
ISEE NOTE I
I
SEE NOTE 1
I
(W20-7 A)
30'
amE LAN?(W20-4) ROAD
AHEAD
. 30'
*(W20 -1)
D
30'
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