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ENG20170209-APPROVED PERMIT.pdf
/- CITY OF EDMONDS 121 5TH AVENUE NORTH -EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-.0221 *PERMIT"MUST BE POSTED ON JOBSJTE* STATUS: ISSUED ENG: Permit Number: ENG20170209 Expiration Date: 11 /27/2017 Job Address: 9621 240TH PL SW, EDMONDS Location: 9621 240TH PL W OLYMPIC VIEW WATER& SEWER DISTRICT OLYMPIC VIEW WATER & SEWER DISTRICT ATTN: LYNNE DANIELSON ATTN: LYNNE DANIELSON 8128 228th St SW 8128228th St SW EDMONDS, WA 98026 EDMONDS, WA 98026 (425)774-7769 iair water service ASSESSED VALUE: $0,;00 PROPERTY AREA: 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0,00 STREET DISRUPTION TRENCH CUT: ( O X 0 ) PARKING: ( OXO) DURATION IN MONTHS: 0 FEE: $0;00 YEAR OF OVERLAY: 0 FEE: $0,00 ALLEY: ( OXO) DURATION IN MONTHS: 0 FEE: $0,00 INDEMNITY The Applicant has signed anapplication 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 ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and attorney fees by reason ofgranling this permit. T14ECONTRACTOR IS'RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A`PERIOD OF ONEYEAR FOLLOWING THEFINAL 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 flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required training in their posses ion. • 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. THIS APPLICATION IS N CALL DLAL—A-DIG (1-800.424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24 HOUR.NOTICEREQUIRED FOR ALL INSPECTION REQUESTS VED BY THE CITY ENGINEER OR HIS/HER DEPU' SPACE PROVIDED, AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED It Printed: Friday. Mav 26, 20 ,/2©/7 E] FILE COPY F INSPECTOR COPY EJ APPLICANT COPY STATUS: ISSUED ENG20170209 RIGHT OF WA17PERMIT (6 -EVC) CONDITIONS • 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. • Verify clear bore crossings • Utility patch restoration to be in accordance with Edmonds Standard detail E2.3 • Maintain erosion & sedimentation control Keep street clean: • Call for requiredinspections 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 fromthe 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 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 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. Igo NON • E -Engineering Final' PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE:W µ �W INITIAL: NOTES:y µ 4 FINAL INSPECTION APPROVED DATE: INITIAL: RECEIVED,f MAY 2 3 2017 BUILDft OLYMPIC VIE CATER & SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION 9621240"' PL W Edmonds, WA 98020 Repair water service leak 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 5/23/17 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. o 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.