ENG20170177-APPROVED PERMIT.pdfSTATUS: ISSUED
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITr4 *
Permit Number: ENG20170177 Expiration Date: 11/08/2017
Job Address: 9327 232ND ST SW, EDMONDS Location: 9327 232ND ST SW
APPLICANT (.'ONTRACTOR
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:
services;
IASSESSED VALUE: $0 00 PROPERTY AREA: 0
SIDEWALK ( OXO) DURATION IN MONTHS: 0 FEE; $0,,00 STREETDISRUPTION TRENCH CUT: ( 0 X 0
PARKING: ( OXO') DURATION IN MONTHS: 0 PEE, $0„00 YEAR OF OVERLAY 0' FEE: $0;;00
ALLEY: ( 0X0) DURATION IN MONTHS:` 0 FEE $0,00
INDEMNITY- The Applicant has signed an application which slates helshe 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 ofils 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 OF ONE YEAR FOLLOWING THE FINAL
INSPECTIO N AND AC CEPTANCE O F THEW O RIC
• 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 ofthe workday -NO EXCEPTIONS.
• Three sets ofconstruction drawings ofproposed work are required with the pennit application.
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANYEXCAVATION
CALL FOR INSPECTION ,(425) 771-0220 EXT. 1326
24 HOUR NOTICEREOUIRED.FOR ALL INSPECTION REQUESTS
TION IS NOTA PERMITUNTIL
EASES BY
THE CITY ENGINEER OR HIS/HER I
SPACE PROVIDED,.
5�8�2t>/7
Printed: Mon dLv, May 08, 2017'
❑ FILE COPY INSPECTOR COPY r__' APPLICANT COPY
STATUS: ISSUED ENG20170177
• 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 stait.
• Conform to approved working drawings and Traffic Control plan.
• Verify clear borecrossings
• 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 Emits
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 from the issuance of this permit. Issuance of this permit shall not be deemed to
modify, waive orreduce 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:
FINAL INSPECTION APPROVED DATE: IMTIAL:
eNG a'? _d1 ?
OLYMPIC VIEW WATER & SEWER DISTRICT"
EDMONDS BLANKET PERMIT BEGINNING
NOTIFICATION
9327232 n1 ST SW Edmonds, WA 98026
Repair and upgrade water services
Asphalt or Concrete Cut: Yes
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
Start date 5/10/17
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.
• 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.