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ENG20170191-APPROVED PERMIT.pdfAl CITY OF EDMONDS 121 5TH AVENUENORTH - EDMONDS, WA 98020 enc. t' PHONE: (425) 771 -0220 -'FAX: (425) 771-0221 *PERMIT, MUST BE POSTED ON JOBSUP STATUS: ISSUED ENG20170191 Permit Number: ENG2017019I` Expiration Date: 06/05/2018 Job Address` 19205 OLYMPIC VIEW DR, EDMONDS; Location: CONTRACTORAPPLICANT ALBERT COHEhTPETERSON CUSTOM HOMES INC " 330 DAYTON ST STE6; 2114 120TH PL SW #B EDMONDS, WA 98020 EVERETT, WA 98204 LICENSE 4: PETERCH968JH EXP: 04/08/2018 Iveway an a ;uttuty t-onnectton s ,per Hpprovea t✓Ivu rtan s un aer t5Lu2u I0UVU2. ASSESSED VALUE: $0,,00 PROPERTY 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: $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 ofils departments or employees, including but not limited to the defense ofany legal proceedings including` defense costs and attorneyfees by reason ofgranting lhispermit. THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF'ONEVEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE W O RK. • Traffic Control and public safety shall be in accordance; with City regulations as required by the City Engineer. Every flaggermust 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 thepemvt application. CALL DIAL -A -DIG (1=800424=5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326' 24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS _ THIS APPLICATION IS NOTA SPACE PROVIDED;; /, Y: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN Printed: Monday, June 05, 2017 S 2_©17__ DATE I E COPY F-] INSPECTOR COPY APPLICANT COPY • 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's eparation from City Utilities. Verify clearbore 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 fromtemporary 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 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 Sewer Lateral Installation • E -Sewer Lateral Pressure Test • E -Engineering Final • 11Storm Stub to Property Line PARTIAL INSPECTION DATE:INITIAL: NOTES: . PARTIAL INSPECTION DATE: _m 'INITIAL: NOTES, FINAL INSPECTION APPROVED DATE: INITIAL: /ASC' 1. S90 ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: CONTACT: m „ ._ W __........_..�.�... �� .,,�� _._� �_. Uma ��_. � !! r CONTRACTOR: ONTACT- CONTRACTOR: Phone #: " . ......... _.�. ................ Mailing Address: Fax #: State License 14 City Business License Email if: Insurance jz Insur'�i 'Liability ance Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 0 ' ROW WORK ASSOCIATED WITH T [Ili, FOLLOWING TYPE OF PROJECT: Commercial ❑ Multi -Family Subdivision [Er Single Family F-1 EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? [ANY ASSOCIATED P�El LS?J City Project F-1 Other El Yes Fj No Traffic Control (Only) 131,13#11 . . ... . . . . ................ ENG#11 ', 111-111111 - DESCRIPTION OF PROPOSED WORK (Be Specific): r) r\ C A t\ ........... WAS STREET OVERLAYE.D WITHIN THE LAST PAVEMENT CUT: CONCRETE CUT: El Yes E- -1 - No F1 Yes n, -'-No If yes, indicate size of cut: If yes, indicate size of cut: x M7 RIGH77Hrs+ DURATION CAREA TOTAL (NUMBER OF MONTHS) SideLF Og"X LF SF LF X LF SF Parking 72 Hrs + LF X LF SF APPLICANT TO READ AND SIGN *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 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 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 re(luj'=;2zzLLL '*valid 1SIGNATURE�� eDATE _ .L :..Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE