ENG20170116-ISSUED.pdf121 5TH AVENUE NORTH - EDMONDS, WA 98020
wloPHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBS E*
STATUS: ISSUED ENG20170116
RIGHT OF WAY •
Permit Number: ENG20170116 Expiration Date: 10/11/2017
Job Address: 523 PARADISE LN, EDMONDS Location: 523 PARADISE LANE
APPLICANT CONTRACTOR
OLYMPIC VIEW WATER & SEWER DISTRICT OLYMPIC VIEW WATER & SEWER DISTRICT
ATTN: LYNNE DANIELSON ATTN LYNNE DANIELSON
8128 228th St SW 8128 228th St SW"
EDMONDS, WA 98026 EDMONDS, WA 98026
(425)774-7769
LICENSE #: EXP
JOB DLNCRIPTION
Upgrade water sevice
DISRUPTION
ASSESSED VALUE: $0.00 PROPERTT AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE $0,00 STREET DISRUPTION TRENCH CUT ( 0 X 0 )
PARKING. ( 0X0) DURATION IN MONTHS: 0 FEE $0„00 YEAR OF OVERLAY: 0 FEE $0 00
ALLEY° ( 0X0 ') DURATION IN MONTHS 0 FEE $600
INDEMNITY The Applicant has signed an application ivhich states he/she holds the City ofEdmonds harmless from injuries,
damages or claims ofany kind or description Nlhatsoevw; 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 thispermit.
THE CONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR PERIOD OFONEYEAR FOLLOWING THEFINAL
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.
CALLDIALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION 1116)IUESTS
APPLICATION APPROVAL
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED, >
Printed: Tuesday, A aril 11 2017
,
RELEASED BY V DATE
FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
STATUS ISSUED
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates of underground utilitiesprior to any excavation.
• Alert affected residents and/or businesses prior to work start.
ENG20170116
Verify clear bore crossings
w
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 fi•ontage 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 fromthe 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 avariance 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 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 -'Engineering Final
PARTIAL INSPECTION DATE:INITIAL: NOTES;
PARTIAL INSPECTION DATE: INITIAL: NOTES:mm�
FINAL INSPECTION APPROVED DATE: INITIAL:
RECEIVED
APR 10 2017
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EDMONDS BLANKET PERMIT BEGINNING
NOTIFICATION
523 Paradise Lane Edmonds, Wa.
Upgrade water service
Asphalt or Concrete Cut: Yes Start date 4/13/17
Olympic View Water & Sewer District
8128 228th st sw
Edmonds Wa 98026
Phone Number 425 774 7769
Fax Number 425 670 1856
Contact: Scott Dunn
E-mail: scottd@ovwater.com@ovwater.com
Olympic View Water & Sewer District
8128 228th st sw
Edmonds Wa 98026
Phone Number 425 774 7769
Fax Number 425 670 1856
Contact: Dustin Ensminger
E-mail: dustinm@ovwater.com
Traffic control shall be in accordance with the MUTCD.
• All flaggers shall be trained and certified as required by WAC 296-155-305.
9 Restoration shall be in accordance with City of Edmonds standards.
All asphalt or concrete cut surfaces shall be patched with City of Edmonds
approved materials prior to the end of the day.