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ENG20180162-APPROVED PERMIT.pdfO I" C"IT" "F EDM'-"'N'DS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 1�IJa PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSUE* STATUS: ISSUED ENG20180162 I RIGHT OF WAY PERMIT (3-Commerejal) Permit Number: ENG20180162 Expiration Date: 11 /29/2018 Job Address: 9227 OLYMPIC VIEW DR, EDMONDS Location: 9227 OLYMPIC VIEW DR APPLICANT CONTRACTOR AT&T- RYKA CONSULTING GENERAL DYNAMICS INFO TECH INC GO CHRISTINECONTRERAS C/0 STEPHE.N JOHNSON 5628AIRPORT WAYSOUTH SUITE 112 ATTN: MSDFENISE VERTULLO SEATTLE, WA 98108 101 STATION DRIVE 3DO5 (112950) WESTWOOD, MA 02090 (781)400-7904 LICENSE 4: GENERDI927CG EXI': 02/07/2020 ,JOB DESCRIPTION AT&T proposes to replace 2 e)dsting antennas and replace associated ancillary equipment on an e)asting wireless facility utility pole located in the ROW. ASSESSED VALUE: $0,00 PROPERTY AREA: 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0 00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 ) PARKING: ( OXO) DURATION IN MONTHS: 0 FEE: $0,00 YEAR OF OVERLAY: 0 FEE: $0.00 ALI_,EY: I OX0 1 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 attorney fees by reason ofgranting this permit. THECONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEVEAR FOLLOWING THEFINAL INSPECTION AND ACCEPTANCE OFTHEWORK 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 permit application. CALL DIALrA-DIG (l-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT.1326 24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN SPACE PROVIDED. r� M RELEASED BY Printed: Tuesday.Maay. "29. 2018 DATE FILE COPY INSPECTOR COPY APPLICANT COPY STATUS: ISSUED ENG2O18O162 • 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 repay/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 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 indeinnily defend and hold hatrrrless the Gly of Minonds, Washington, its officials, employees, and agents li°om any and all clap lbr daniages of whatever nature, arising directly or indirectly fromthe issuance of this pennit. issuance of'this permit shall not he deenwd 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. INSPECTIONS • E Traffic Control • E-Curb/Otter Pre -Pour • E-Sidewalk Pre -Pour • E-Driveway Form & Slope Ver. • &Pavement Subgrade • &Engineering Final PARTIAL INSPECTION DATE: _ INITIAL: pr _._ NOTES:—.- .....p. m_._. PARTIAL INSPECTION DATE. INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: _ ...__....� -a of EDAt,j. ROW PERMIT NO.: ENG Onl ISSUE DATE: RIGT-OF-WAY CONSTRUCTION 'Ic... 8 PERMIT APPLICATION Christine Contreras- Ryka Consulting 5628 Airport Way South Suite 112, Seattle, WA 98108 PROJECT NAME: AT&T SN77 EDMONDS BEACH LTE 3C/4eONTACT: _. ................ ....... CONTRACTOR: GENERAL DYNAMICS INFO TECH Phone #: 206-523-1941 Mailing Address:19240 Des Moines Memorial Dr Ste 300 eaTac, WA 98148 .......... State License #: GENERD1927CG City Business License #: NR-022726 Fax #: 206-260-7930 Email #: ccontreras@rykaconsulting.com x❑ Liability Insurance x❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: RIGHT OF WAY ADJACENT TO 9227 OLYMPIC VIEW DR ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: _.... .._.._.._.._. .. __._._-........... __ ..____.. . El Commercial El Subdivision ❑ City Project x J Traffic Control (Only) ❑ Multi -Family ❑ Single Family 0 EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ANY ASSOCIATED PERMITS? Other ❑ Yes ❑ No v, BLD# "f:i# 20160472 DESCRIPTION OF PROPOSED WORK (Be Specific) : AT&T PROPOSES TO REPLACE (2) EXISTING ANTENNAS AND REPLACE ASSOCIATED ANCILLARY EQUIPMENT ON AN EXISTING WIRELESS FACILITY UTILITY POLE LOCATED IN THE RIGHT OF WAY.. WAS STREET OVERLm _ .. FIVE 5 YE .................. .. ... m APED WITHIN THE LAST FI YEARS? YES NO ❑ Year: PAVEMENT CUT: ❑ Yes No If yes, indicate size of cut: x CONCRETE CUT: ❑ Yes No If yes, indicate size of cut: x RIGHT-OF-WAY DURATION CLOSURE AREA TOTAL (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF A ............... _...___ Alley 72 Hrs + LF X LF SF _Parki.... 72 Hr s rs + 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 ab vc statements and Unders n l i t. requirements and acknowledge that I must follow all i•eq in orde° ' permit to be valid. 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