ENG20170174-APPROVED PERMIT.pdfo 1t
I
121 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20170174
Permit Number: ENG20170174
Job Address: 9332 232ND ST SW,+EDMONDS
SNOHOMISH COUNTYPUD SNOHOMISH COUNTY
P.O. BOX H P,O, BOX H
EVERETT, WA 98206; EVERETT, WA 98206
(425)670-.3216
LICENSE #: EXP;
I
PUD
Expiration Date: 12/22/201.7
Location: 9332 232 ST SW
,IVALUE: $0;,00 PROPERTY AREA, 0
SLK: ( 0X0) DURATION IN MONTHS: 0 FEE: $0,00 STREET DISRUPTION; TRENCH CUT: ( 0 X 0)
IG: ( 0X0) DURATION IN MONTHS: 0 FEE: $0,00 YEAR OF OVERLAY: 0 FEE $0,00
0X0 " DURATION IN MONTHS: 0 FEE $0,00
INDEMNITY 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 may be made against the City of Edmonds or
any of ils departments or employees, including but: not limited to the defense of any legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
THECONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCE'TANCEOFTHEWORK
* 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 ofthe 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 pen -nit application.
CALL DIAL -A-DIG (1-800-424-5555)BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220'EXT. 1326
_ 24 HOUR NOTICEREOUIRED'FOR ALL INSPECTION REQUESTS
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: Thursda `June 22 <2017
oa MA CCM Qv nATC
❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
• ` 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.
• Conform to approved working drawings and Traffic Control plan.
• Verify clear bore crossings
•( Utility patch restoration to ben 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 fiontage 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 7:00amto 6:00pm on weekdays and'10:00am and 6:00pm 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 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 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.
0 E -Engineering Final
PARTIAL INSPECTION DATE: INITIAL:NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL.
-7
W PERMIT NO.: ENG -
-0 1-7
ISSUE DATE:
RIGHT-OF-WAY C+ *STI UCTION )CANNED
PERMIT APPLICATION 11AY U 3 2017
BUILCANG,CTNAME
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CONTRACTOR: Snia Qov--->
Mailing Address:
, \ Mk v
State License
............
City Business
CONTACT*
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Fax #:
Email #:
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13 Bonded
.ADDRESSOR INOF CONSTRUCTION: \A/
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
El Commercial [J—Subdivision [J - City 7Project —Traffic Control (only)
❑ Multi -Family. ❑ Single Family f—
J Other
El EUC -(PUD, VERTZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ yes, No
ANY ASSOCIATED PERMITS? BLD ENG#',
DESCRIPTION OF PROPOSED WORK (Be Specific):
............ .
❑Yean."
STREET OVERLAYED VMMN TIEIE LAST jj��-_CS) YE AIRS? YES
WAS
VAV1(',MENT CUT: E]Yeg WNo Hyes, -indicate size' of cut:, x
(30NCRETECUT: OYes [Z No Ifyes,indicate site of tuf:'- x
RIGHT-OF-WAY DURATION
CLOSURE AREA TOTAL (NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF X7LF SF
Alley 72 Hrs + LF X LF SF
Parking 72 Hrs + LF X LF SF
APPLICANT TO READ AND SIGN
.:. ... INJPiYA "^*••• CkttldklUkV{IM�V�WI'. � traC�O' MNVO�M9NN'DNO vman�NfRN�N�N�NINI i
*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) 2.96-155-305 and must have certification
verifying completion of the required training in theirpossession.
*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 may be made against the City of Edmonds or.
any of its departments or employees, including defense costs and attorney fees by reason
of granting this permit.
I have read the above statements and understand the permit requirements and acknowledge that I must
follow all regti.ia•ements in order for the permit to be valid.
SIG
NATURE DATE J
ntractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
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ROAD
:13hi"P'RR.%C7G�7N ..
AHEAD
(W30' 1) SEE OTE I
ONE 1 AtJE
ROAYY
AHEAD
(W20,-4) SEE L 1
Vj7 30
A) SEE NOTE I
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.
TAPER LENGTH
SPEED' (FT)
(MPH) CONE SPACING
H) OFFSET WIDTH ° ALONG TAPER
!0' 12'
(FT)
100 120 25
25 __
30 150 180 30
35 200 240
40 z70 4D
� 35_
45 450 540 45
N❑T :
4, FLAGGERS REQUIRED TO CONTROL
TRAFFIC WHENEVER THE CONTRACTOR
MUST INTERRUPT TRAFFIC FLOW
TO ACCESS THE WORK SITE WITH
MATERIALS OR EQUIPMENT,
LEGEND:
(ONNE E OTD C7-14) A 4)ELI ING DEVISE
4
WORK -AREA
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TRIIC { WITH
FLASHING OR WITH
BEACON
30'
TAPER LENGTH'
(TABLE A)
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