Issued ROW Permit ENG20190195.pdfv � Or L�'O�N
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSiTE*
STATUS: ISSUED ENG20190195
Permit Number: ENG20190195 Expiration Date: 05/04/2020
Job Address: 21827 76TH AVE W, EDMONDS Location: 21827 76th Ave W
Multi M Contracting Multi M Contracting
C/O Mark Ledbetter C/O Mark Ledbetter
2003 Maple Valley Hwy 201 2003 Maple Valley Hwy 201
Renton, WA 98058 Renton, WA 98058
(206) 45 7-9242
LICENSE #: MULTICL945P5 EXP: 06/19/2020
Removing c/g and sidewalk, installing new c/g and sidewalkperplan on south elevation. Installing two new SD-CBs perplan. Asphalt
cut and reinstall.
DISRUPTION iNFORMATION
ASSESSED VALUE: $2,208,000.00 PROPERTY AREA: 23086.8
SIDEWALK: (5X132) DURATION IN MONTHS: I FEE: $831.22 STREET DISRUPTION TRENCH CUT: ( 0 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 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 ofEdmonds or
any ofits 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 RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR 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
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 DIAL -A -DIG (1-800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREOUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOT PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Thursday, May 16, 2019
1 S l LZ1q
RELEAS DATE
❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
ENG2O190195
• Restore ROW to City standards
• Restore Landscape to like orbetter 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'separation from City Utilities.
• 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 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 limits
of ECC 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 other times the noise originating from construction sites/activities mast 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 indenmify 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.
INS PECT1ONS
• E Traffic Control
• E- Curb Ramp & Access Width
• EPavement Subgrade
• E-Pavement Compaction Test Report
• E Curb/Gutter Pre -Pour (comm/mult)
• ESidewalk Pre -Pour (conmi/mult)
• EStormMain Installation
• E-Curb/Gutter Post-Pour(commWmult)
• E-Sidewalk Post -Pour (comm/mult)
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
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ROW PERMIT NO.: ENG ��� ���✓
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME .. �� D� CONTACT-,,
CONTRACTOR: Phone #:
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Mailing Address: 1� Kw, Fax #:
State License #: 2ta�To N � w A' . `� `-6 Email #:
L `� 5/5 2 S /7��►y �_ ; l V� 'fir -{ �1- Cavr i rG� C
City Business License #: A/ 2---7 l Z Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: Z 1 D7Z� �-? (, 44 - we, VJ
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial ❑ Subdivision ❑ City Project Traffic Control (Only)
❑ Multi -Family ❑ Single Family
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
❑ Other
❑ Yes ❑ No
ANY ASSOCIATED PERNHTS? BLD#.2oi8- o5c3 ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : /? myv le-4 e- �t
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�ew
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WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES NO Year:
PAVEMENT CUT: Yes ❑ No If yes, indicate size of cut: c2 x S-6 4-F
CONCRETE CUT: ❑ Yes 0 No If yes, indicate size of cut:' x
RIGHT-OF-WAY
DURATION
AREA
TOTAL
CLOSURE
(NUMBER OF MONTHS)
I
Sidewalk 48 Hrs + ZU LF
X
LF
(�OUj SF
l — Z
Alley 72 Hrs + LF
X
LF
SF
Parking 72 Hrs + LF
X
LF
N 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 requirements in order Ir th erm' o bey 'lid.
SIGNATURE ` DATE
Con ractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
.sivr_wnuc LA-0 L-v RHlsflD�
(-(LW S HF VZE
OTES:
1. HOURS OF OPERATION:
M-F: 7AM - 6PM, SAT. 10AM - 6PM, NO WORK ON
SUNDAYS OR HOLIDAYS.
2. IF CONSTRUCTION VEHICLE MANEUVER IS UNSAFE, FLAGGERS
ARE REQUIRED.
3. PARKING RESTRICTION SIGNAGE (IF NECESSARY) MUST BE
INSTALLED AT LEAST 48 HOURS PRIOR TO START OF
CONSTUCTION IF PARKING STALLS WILL BE BLOCKED/USED.
APPLICANT:
EVOLUTION ARCHITECTURE
6264 ELLIS AVE S,
SEATTLE, WA 98108
206.399.9467
PEDESTRIAN CONTROL PLAN
21827-76. AVE WEST
EDMONDS, WA 98026
LEGEND:
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IrlQ�l�l�!WORK AREA
N
SCALE: NTS
50' (DON'T BLOCK
PARKING SPACES)
50' (DON'T BLOCK
PARKING SPACES)
FLASHING LIGHT FOR
NIGHT TIME CLOSURE \
LWUML IU rULL YYIU I Ur
SIDEWALK
SIDEWALK CLOSURE
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Y. L`°BY'. � ENGINEERING, LLc SHEET
BY'.
LAND DEVELOPMENT & CIVIL SERVICES 1 OF 1
S 19 105 Harvard Ave E, Suite #106, Seattle WA 98102
phone 206.412.6660 email 1-DENGINEERINGLLC09mail.com
SIDEWALK SIDEWALK
BARRICADE BARRICADA
AS SHOWN AS SHOWN
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NOTES:
1. HOURS OF OPERATION:
M—F: 7AM — 6PM, SAT. 10AM — 6PM, NO WORK ON
SUNDAYS OR HOLIDAYS.
2. IF CONSTRUCTION VEHICLE MANEUVER IS UNSAFE, FLAGGERS
ARE REQUIRED.
3. PARKING RESTRICTION SIGNAGE (IF NECESSARY) MUST BE
INSTALLED AT LEAST 48 HOURS PRIOR TO START OF
CONSTUCTION IF PARKING STALLS WILL BE BLOCKED/USED.
APPLICANT:
EVOLUTION ARCHITECTURE
6264 ELLIS AVE S,
SEATTLE, WA 98108
206.399.9467
TRAFFIC CONTROL PLAN
LEGEND:
N
SCALE: NTS
FEB 19 2019
BUILDIN DEPARTMENZ
�1V EDMONDS
p FLAGGER
O
50' (DON'T BLOCK
PARKING SPACES)
O
50' (DON'T BLOCK
PARKING SPACES)
0
FLASHING LIGHT FOR
NIGHT TIME CLOSURE \
W4s71DE7WAKCL
BARRICADE LENGTH
EQUAL TO FULL WIDTH OF
SIDEWALK
SIDEWALK CLOSURE
TRAFFIC SIGNS (ARROW DIRECTION INDICATES SIGN
ORIENTATION)
■ CHANNELIZATION DEVICES (TRAFFIC CONES, DELINEATOR
POST, M DRUMS, VERTICAL PANELS, ETC)
WORK AREA
NO LDLD—, 8—, 9
s"
sm ENGINEERING, LLc SHEET
LAND DEVELOPMENT & CIVIL SERVICES 10F 1
105 Harvard Ave E, Suite #106, Seattle WA 98102
21827-76m AVE WEST
MONDS, WA 98026