ENG20170533-APPROVED PERMIT.pdfr t. Epp
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121 5TH AVENUE NORTH - EDMONDS, WA 98020
c X r t PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20170533
•-Single
Permit Number: ENG20170533 Expiration Date: 08/16/2018
Job Address: 19223 OLYMPIC VIEW DR, EDMONDS Location: 19223 OLYMPIC VIEW DR
CONTRACTORAPPLICANT
MICHAEL & BETH YOUNG MICHAEL & III:`(SI YOUNG
19223 OLYMPIC VIEW DR I" 223 OLYMPICVIEW DR
EDMONDS, WA 98020 EDMONDS, W.A 98020
(206)84I-3633
_1 DESCRIPTION
(Grading of land in ROW, 74'xl 1'. Leveling and covering with crushed rock.
A Styr:'UD VAI.I..JE: $0 00 11ROPER`I'h' ARIA: 0
tiTDEVVALKI (OXO) EIIJIATION IN MON`I'1IS: 0 EF.E: $I1.00 STRI 1.. 1T DISRUPT' (.)N TRENCH CUT" � X 0 �
I®ARKING4 ( OXO DURA`I"ION IN MINT III: 0 N '1,: ,$0 00 XI AR tOE IOVE'RLAY� 0 FIE:.$0,00
ALLEY 1, OXO'I DURA''H ON IN MON`ll'IO r: O FEE, '$0 00
INDEMNITY The Applicant has signed an application ivhich states he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany kind or description ialhatsoever, 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 ofgranling this permil.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCEOFTHEW'ORK.
• 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.
CALL DLALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
1111�,Ak'I'LIGA'➢ONI0NO' APETtM["I'➢J7°IU,SIGN�-IPIIY'NiESIIYI:N(ilNkL',ROIP .III.,l6IERDEP'..J'TY AND ➢'IEInARE PAID, AND PLIrC ➢i'lISA:➢iNOWII.D I,DIN
SPACE PROVIDED
RELEASED BY
Printed: l~riday.February 1 .201
DATE
❑ FILE COPY ❑ INSPECTOR COPY L__I APPLICANT COPY
STATUS: ISSUED
ENG2O17O533
• 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 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 from the noise limits
ofECC Chapter 5.30 only during the hours of 7:00am to 6:OOpm on weekdays and 10:00am and 6:OOpm 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.
• E Traffic Control
• E Pavement Subgrade
• E-Engineering Final
PARTIAL INSPECTION DATE: INlTl A U NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE:, . .......� INITIAL:
December 2000 Page 6H-25
Figure 6H-10. Lane Closure on Two -Lane Road Using Flaggers (TA-io)
Note: See Tables 61-1,2 and 6H-3
for the meaning of the, ; C
symbols and/or letter apilanal
codes used in this figure.
C11~iptlanal �
T
W1
30 m
(100 it)
MAXIMUM
One Lane Two -Way Traffic Taper
30 m (100 it) MAXIMUM
A
H� OR � ,
v Moto
(optional) (opiionaq
t(Nr,LA QIf A l
ORa°.
E h
COR
VIM 1111
tROiD-
Typical Application 10
Sect. 6H.01
December 2000
Table 6H-3. Meaning of Letter Codes on
Typical Application Diagrams
Page 6H-5
* Speed category to be determined by highway agency
Distances are shown in meters (feet). The column headings A, B, and C are the dimensions
shown in Figures 6H-1 through 6H-46. The A dimension is the distance from the transition or
point of restriction to the first sign. The B dimension is the distance between the first and second
signs. The C dimension is the distance between the second and third signs. (The third sign is the
first one in a three -sign series encountered by a driver approaching a temporary traffic control
zone.)
Formulas for L are as follows:
For speed limits of 60 km/h (40 mph) or less:
L 552 (L= WS2)
For speed limits of 70 kmlh (45 mph) or greater.
L = W6S (L = WS)
1.
Where: L = taper length in meters (feet)
W = width of offset in meters (feet)
S = posted speed limit, or off-peak
85th-percenfile speed prior to work starting,
or the anticipated operating speed in km/h (mph)
Sect. 6H.01
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ROW PERMIT NO.:
ENC
ISSUE DATE:.._.
I � Y C . NS"'F . UC "ION
PERMIT APPLICATION
PROJECT NAME:
CONTRACTOR: )a) he r
Mailing Address:10 ZZ'-; e11 yu� 9it. Vt eu,,, D�
State License #:
City Business License #: - —
CONTACT
Phone #:
Fax #:
Email #: rt� lk C %Y� jIlAa t �.(e �-
Liability In �Bonaeav
ADDRESS OR INTERSECTION OF CONSTRUCTION: j jZZ.3; 4-1 JyW pjt' k1j1eW 0G
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
E Commercial � Subdivision — City Project..�_.. Traffic Control (0..�..
n ( (Only)
❑ Multi -Family ❑ Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes A No
. . .............. .
ATED PERMITS?] BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific)041
e
.. .
WAS.
STREET OVERLAYED WITHIN THE LAST FIVE„(5) YEARS? YES NO,�i Year:
. �....... �,....m__..
PAVEMENT CUT: ❑ Yes No
CONCRETE CUT: ❑ Yes No
If yes, indicate size of cut:.. _ pX w__
If yes, indicate size of cut: x
DURATIO RIGHT-O&WAY I
AREA k TOTAL
CLOSURE (NUMBER OF MONTHS)
. . . . . . . . . . . . . . . . . . . . . .
M —Mt L-
Sidewalk 48 Hrs
................. 11,111,111,1111, ........................... ... ........................ ...........
Alley 72 Hrs + LF�j
Parkinu 72 Hrs +
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.
)Kozo
ItT:7-1
of granting ihis permit
I have read the above statements and understand the permit requirements and acknowledge that I must
follow all requirements in order for the permit to be valid.
SIGNATURE 41;1��1111,1"/, "'741-11 DATE -j"-7K, 1
Contractor at""Agel t
FEB15 1,2.0119
"' ' M, s *'
Ca G,�PCC) V
PROJECT NAME:
ROW PERMIT NO.: ENC2? ` ;
ISSUE DATE:
RIGIT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
CONTRACTOR "
Mailing Address:
State License #:
City Business License #:
CONTACT: n4 lt,�el
Phone #:
Fax #:
Email #: -W 11 C , i fed �,
Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: I'MI.9 G't'j/i+,r plee k ew' &'V, ��Ir<a� 0,
ROW WORK ASSOCIATED WITH THE FO L(
Commercial 0 Subdivision City Project
❑ Multi -Family ❑ Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is thiF permit part of a blanket permit? ❑ Yes No
G TYPE OF PROJECT
Traffic Control (Only)
ANY ASSOCIATED PERMITS? BLD# _ ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : 6 �40. t� o
wv-
WAS STREET OVERLAYED WITHIN �"HE LAST FIVE S YEARS? YES NO Year:
PAVEMENT CUT: ❑ Yes 14 No If yes, indicate size of cut:
CONCRETE CUT: ❑ Yes 50 No if yes, indicate size of cut:
RTGHT-OF-WAY DURATION
AREA TOTAL
CLOSURE (NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF LF SF
V w_- LF X ._.._... ..
Alley 72 Hrs + F SF
Parkins 72,, Hrs + LF X LF 5F
APPLICANT TO TREAD 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) 29-1 -30 and trust 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 helshe 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 pen -nit requirements and acknowledge that I must
follow all requirements in order for the permit to be valid.
r
SIGNATURE(; DATELz Vq
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE