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Issued ROW permit (2).pdfCif C CITY OF EDMONDS 121 5TH AVENUENORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20190270 RIGHT OF WAY PERMIT (3-Commercial) Permit Number: ENG20190270 Expiration Date: 08/20/2019 Job Address: 423 MAIN ST, EDMONDS Location: 423 Main St APPLICANT CONTRACTOR Santa Fe Mexican Grill Control Quality Painting LLC GO AVENUE SOUTH PROPERTIES L THIRD 14001 Greenwood Ave N # 1 229 3RD AVE S STE 301 Seattle, WA 98133 EDMONDS, WA 98020 (206) 330-3651 LICENSE #: CONTRQP843P7 EXP: 10/27/2020 JOB DESCRIPTION Renovate an existing Mexican restaurant exteriorby powerwashing and repainting. DISRtIPTION INFORMATION 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 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 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 permil. THE CONTRACTOR IS RESPONSIBLE FOR W0RKMANSHH' AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND AC CEPTANCE 0 F THEW ORIC • 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 DIALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT.1326 24 HOUR NOTICE REQUIRED 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 SP A CE P RO VIDED. Printed: Thursday, June 20, 201 ❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY STATUS: ISSUED ENG20190270 • Restore ROW to City standards • Restore Landscape to like or better conditions. • Alert affected residents and/or businesses priorto work start. • Conform to approved working drawings and Traffic Control plan. • 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 fromtemporary 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 6:00pm on weekdays 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 fromthe 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-Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: Of ED140�n ROW PERMIT NO.: ENG -6 F- OE^ ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION RECEIVED /'`/ . 1 sq° PERMIT APPLICATION JUN 13 2019 OEVELOPMENT SERVICES PROJECT NAME: CONTACT: ii 11 COUNTER ,AAk �L /1/ < c a fir: ( i� r D q V) CONTRACTOR: Phone #: Ro 6 `,�a 7- a 0 y 6 Mailing Address 14a h Ylk ► Fax #: State License #: CA� ; e -� Coom Email #: - City Business License #: Liability Insura ce Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: [ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial ❑ Multi -Family Subdivision ❑ Single Family ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ANY ASSOCIATED PERMITS? City Project ❑ Other ❑ Yes A No BLD# 2-0 0 -0500 ENG# Traffic Control (Only) DESCRIPTION OF PROPOSED WORK (Be Specific) : �%E1�J%°zCL �1�1LSiI t�lCj ICI �C l L,�t�1 -r 6 R-M & iJ GZCC C�4�j_ WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YESEI NO ❑ Year: PAVEMENT CUT: CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: x ❑ Yes ❑ No If yes, indicate size of cut: x RIGHT-OF-WAY AREA CLOSURE TOTAL DURATION (NUMBER OF MONTHS) Sidewalk 48 Hrs + r % LF X 8 LF Q SF Z� W Alley 72 Hrs + O LF X LF SF Parking 72..Hrs + LF X LF �(� SF 2 1 W 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 requirement ia,6rder for the permit to be valid. SIGNATURE DATE G I Zd 17 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE ACORn° > J C U 036 SSA CERTIFICATE OF LIABILITY INSURANCE I IMLT/L(r7C THI6 CERTIFICATE IS ISSUED AB A MATTER OF INFORMATION ONLY AND COWERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERT)1gCA718 DOE8 NOT APFIRMATTVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOYII TF08 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORLZEDD REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER iMPORTANT: If the cortWpto holdor Is an ADDITIONAL INSURED, tho pollcy(bs) must bo ondomed. If BUBROOATION IB WAIVED, sub)oct to the twin and ondhIons of fhe P011cy. Certain Policies may mqu&een andonwnwiL A chda Denton dit car lBemo door not dpthr r1©hts to M* cadtficate holder in Uou of such andomemo a). PABON INSURANCE AGENCY 1303D L 1nden Ave N *A Carotins Paton E 20S-7834M4 206-788.SSB5 E Seattle WA 98133-7587 S A NOCGYERAOE NAIf:Y A: Soourt(y National Insurance Company 19879 e1WRED CONTROL QUALITY PAINTING, LLC 14001 GREENVWOCO AVE N APT 1 slmnT a r wf c: PmAm o. olatraFn a SEATTLE WA 98133 eUREA nry"HUN NUMUER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTVNTHSTANOING ANY REQUIR991417, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VAT" RESpECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPEOPCNSURANCe Mumr=l KLMNUUMM LOWS A GE+ERu.uAaurn oOuFCULLCFkALturry � MS-AE�aCR�f NA117087900 1W13016 10/1307 2GENERALAOGRe"TE 1.000,00X umEXP ar 100,0000 5000 PErtsotwuaAwtwuav fsi NGOREOATE LWAPUM Foucy P LOC 21,,000000000EAC1 f PRODUCTS-ODAPIpPAG i 2,000,000 Is AUTOWOaLa UABL11Y ANYAUTO AU'OWNED SCHEOiItED AS WREDAt1T05 N0. �lfiP0S EO „� �'^' Q R � ��aa.. I CON EVE umir BOOILY INJURY Mdep""m Is 9001LY a/MY(Pacddwi) f f f ualararLLA t Ae aXCaaa LlAa AM ( ( w/ l lJ ( U _ _ L y DEP I � ! E�r'E.R�1" `C ^ hV �}t) EACH OCCURRENCE s AGGREGATE s CEO RETEIM s WR1( OERa wNUENSAna1N AmOnw AYatTUAA1uw YIN Atn' PAOPMETW WARTNERAMMCUiryE (W"RNEMNSR DCCWOEDT �N/A tl dUprlpp„,py aERA SLVw 0 s EL EACH ACCWEM f E.L 01SE"t-EA f E.L -POLICY UHR f 06CRpIION OF GP91AnONf /LOOATIONf/VBnW,fa (A whACOFW 101, ACuawt X--kr. Sc_h ,* it mcie •mow 1. rsq,fnUJ CPaTIVICe TC Unr nco STATE OF WASHINGTON aHOULD ANY OF THE ABOVE THE EXPIRATION DATE TI DEPT. OF LABOR AND INDUSTRIES ACC CE Y THE POL PO BOX 44460 OLYMPL46 WA 95504 A o t 26(2010105) ®1 010 The ACORD nmw and 1090 am rogh tared marl; Of ACORI ." E EIVE® UN 13 2019 Ir:1/f! OPIVIEN T SERVICES ('01INTER ES of oANmwm 9EF0(ta WILL BE DELIVER® IN re"mod. s o (1J--_rAiiv OPG.N IF To Do SO t_6AJt0G, y' OF !�� N� My ►� w j D't µ c--o(L l?aP G5-ralA0'7- - CONES i o %E PtAtF�b AP-Ot,&00 60"1-1JWUOOAV Z00F. .iG 0--T" /1vu & NtiilJ $-I. CS-01,& W t,.r S To A-E-PIA/N AOC SrOF_,Ot t- 'TO TLC,'\A„'J 09eO "N' ►5 C,r.ayGn. M M i Srr. lOGvJ�rl.K To R-fa-M A•lN OPCrI w t+il'r 47-1`h- M 'RAFFIC CONTROL PLAN rV1NVI~Ct 111V1� !_3l� lVib)l�j APPF `- �•CD AS NOT0-T) C, year G 7, fI C, J t WoC�K HOu2S: ?4t,\-(Pq►A N-F P e-PA \T-tl�o u o 1UL4 4'►µ . ,', � fig.:.x•�`'.,x �-: � , _ . hi :�.-.-'. f'�+_ t Ui. FPANi14 N%$ - VQ= MMCi 1 EST SIDE OF STREET- W-W x 'A' FRAME SIGN BOARD To RE "SIDE WALK CLOSED AHEAD -• 'AFIRAME WON IMARD 10 RE "SIDE WALK CLOSED" VISIBLE X: 1 PRpPERT'(LINE (ASSI�MEf� "'A_ CE r �4 F BUILDING) � _ �' �� �' �► i 'RUSTY PELICAN �Aln ,I -:. t. , r �o Al COTTAGE. wM-: CI ANliiF C Ew8 10;ILL eE PLACED AT F'R'C rr,AND RAOK l)F CaLOSED PARKING PA."' ES PTIRCOt 7:0000A to fTIL 4:01OPM npl;.I�" ON I EXE;CT D TO TAKE` 110 MORE T ONE, f�'1„P� ! DAY. ? i !,3 I ! .000 PROPOSED PROJEC LOCATION - SANTA F MEXICAN GRILL AND RECEIVED 0UNTER A' FRAME SIGN BOARD TO REA.Dlii" 'SIDE WALK CLOSED AHEAD -, CROSS VISIBLE FOR SOUTH -BOUND PMEP.TS EET M111111111M 11 . TRAFFIC CONTROL PLAN - USE FIRST (2) SPAC R 5ET - 36'.W X T-O" kA "7"`.k_FRAME SIGN BOARD TO READ "SIDEWALK CLOSED AHEAD -CROSS ER VISIBLE FOR NORTH -BOUND PED TRAFFIC SIGN BOARD TO READ:t" 5th AVEt "SIDEWALK CLOSED" VISIBLE FOR S UT"OUND o PEO TRAM APO $,,0iW4L.K AfX4 W Cf O FACEPERTY jNE (ASSUMRF BUILDINGt. �` i r 'RUSTY PELICAN CAFE =97, _LJ 'R . U', I COTTAGE Aw- NOTE: ORA HGE 0 ONES3 VUL SlE PLACED AT FRONT AND fadAC , K OF CLOSED PARKING SPACES FROlif 7:00-AM U-114TIL4:00PM DISMOM f0N IS FJwMECTEDTOTAKE, NO MORET*M ONE FJJLL DAY. o 41 PROPOSED PROJECT LOCATION - SANTA FE MFXICAN GRILL AND No 00MNA THE R �, sm 41PEN RECEIVED &I ILI q " nnlr, COUNTER FMw A'FRAME SIGN BOARD TO READ: 71w- 'SIDE WALK CLOSED AHEAD - CROSS HERE" VISIBLE FOR SOUTH -BOUND PEDESTRIAN TRAFFIC G� j t,J 51 (r 1Y P IN c, c65 To �r\j G, ROSSWALK ON GTH A P VOWU--HAU L-PAR KING - USE FIRST (2) SPACES ON :WEST SIDE OF STREET- 36'.O"X T-O"WID lvp;-- - -04 ''A' FRAME SIGN BOARD TO READ: "SIDE WALK CLOSED AHEAD -DROSS HERE" VISIBLE FOR NORTH -BOUND PED TRAFFIC ING�UIE�nFIF�(2)SPA�CE ON S E USE 3q;7W X P_o� W S F E ID 6S HERE" 7TA MIF 'A' FRAME SIGNBOARD TO READ: "SIDE WALK CLOSED" VISIBLE FOR SOUTH -BOUND PEOTRAFFIC V1�-_: -C7 -I 1 1/ ,50' AVENUEN sit CLOSED SIDEWA 7` (PROPERTY LINE (ASSUMED FACE OF BUILDING) \% RUSTY PELICAN CAFE Jo 0 W Or THAI COTTA -GE f Zo -s yAl L. NOTE: ORANGE CONES WILL BE PLACEEi AT FRONT AND BACK OF CLOSED PARKING SPACES FROM 7:OOAPA UNTIL 4:00PM OLIT ON IS EXPECTED TO TAKE NO MORE THW ONE, FULL DAY. IOPOSED PROJECT )CATION - SANTA FE EXICAN GRILL AND I NNTINA MVA� I 0") tECEIVED 1010UNTER