ENG2021-0286 APPROVED ROW PERMITOF WAY MINOR PERMIT
PERMITNUMBER,
City of Edmonds
EdmondsRIGHT
98020 1 1 ' ..
www.cityofedmonds.gov
Description: CITY'S ELM WAY PROJECT INCONJUNCTION WITH ENG2021-0259
ISSUED: 07/28/2021
Address: 121 5TH AVE N EDMONDS WA 98020
EXPIRES: 01/24/2022
Permit Type: RIGHTOF WAY MINOR Permit Subtype: CITY Parcel Number: 00434400100300
NAME TYPE NAME ADDRESS PHONE
APPLICANT HWA Geosciences 21312 30th Dr SE, Bothell WA 98021 (206)794-3120
CONTRACTOR GEOLOGIC DRILL PARTNERS, INC. PO BOX 460, FALL CITY WA 98024-9403 (425)249-6758
OWNER EDMONDS CITY OF 250 5TH AVENUE N, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $0.00
RIGHT OF WAY MINOR PERMIT FEE
$110.00 $0.00
•
REQUIREMENT TYPE NOTES
TRAFFIC CONTROL 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 posession.
RESTORATION 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
WARRANTY The contractor is responsible for workmanship and materials for a period of one year following the final
inspection and acceptance of the work.
INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM
24 HR NOTICE REQUIRED
INDEMNITY
The Applicant has signed an application which states he/she holds 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 but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of
granting this permit.
jell, W
RELEASEE19Y
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
07/28/2021
DATE
Printed: Wednesday, July 28, 2021 1:15:09 PM 1 of 2
WAY MINOR .UM PERMIT
City of • • •
www.cityofedmonds. ov/425.771.0220
CONDITIONS
CONDITION TYPE
Easement and/or permission from adjacent property owner is required prior to entry or work within
ADJACENT PROPERTY
an adjacent property.
It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in
DAMAGE TO FRONTAGE
City right of Ways or Easements to City Standards caused by or occurring during the permitted
IMPROVEMENTS
project.
ESC REQ
Maintain erosion and sedimentation control per City and SWMMW standard requirements.
Sound/Noise originating from temporary construction sites as a result of construction activity are
exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:OOam to 6:OOpm on
SOUND OR NOISE
weekdays and 10:OOam and 6:OOpm on Saturdays, 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.
TRAFFIC CONTROL
Traffic Control per approved plan and MUTCD. All Flaggers shall be certified.
All utilities shall be located prior to any excavation. New locates shall be called for if at time of
UTILITY LOCATES
excavation, original locates are no longer identifiable.
INSPECTIONS
INSPECTION TYPE DATE
RESULT
COMPLETE
X-2 ENGINEERING FINAL"
Printed: Wednesday, July 28, 2021 1:15:09 PM 2 of 2
ENG2021-0286
QF E D404.A�
RIGHT OF WAY CONSTRUCTION RECEIVED
PERMIT APPLICATION
Jul 28 2021
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
'Nc. is4O Requirements outlined in Right -of -Way rmit Handout Eb-1. DEVELOPMENTSERVICESCES
�l g X,Pe DEPARTMENT
If any field is not applicable to your project, write "N/A" instead of leaving blank.
All fields required. Incomplete Applications will be denied.
SECTION A
Project Name Elm Way Walkway Project- City of Edmonds
Site Address or if no site address use Property Addre-cs at NW corner of project area: City ROW -various locations, see attachments
Associated Permits: BL) P ENG
NameofCompany HWA Geo-Sciences Inc. NA
Point of Contact Ahmed Mahmoud, Seth Pemble
Title
Geotechnical Engineer
Address
31312 30th Dr. SE, Suite 110
city
Bothell state WA zip 98021
Phone
206-794-3120, 206 9943126
Email
AMAHMOUD HWAGEO.COM
Name of Company .� ` `
u �v�+t '1✓ ✓� L
Primary Name Blaine Gbsan
TitlePresident
Mobile 425-249-4755
Email BGiBSON.GEOLOGICDRILLPARTNERS@GMAIL.COM
Seconc—r
Agent Name ` -
Cl V�•t. -q
Titler rL% e� ii-
Address V C•)c te &
City ( C ` State1 Zip
Phone Z ��)
Title
Email 66r i
Mobile
City of EdmozT& Business L&nse Nbof.
Email
State License No:
Contractor 'fies it is tly bonded
Contractor verifies it currently has habili Z ce 1
r
NOTE: ECDC r8.6o.o2o requires th t the App&cation be signed by a licensed and bonded contractor unless othertvi approved by edty
ci
engineer.
❑ Multifamily residential ❑ Commercial VCity project
❑ Single family residential subdivision ❑ Single family -other ❑ Industrial
o Demo and rebuild or from vacant land?
a! Other, please specify: Traffic control and geotechnical borings 15 to 17 feet deep.
❑ Utility Franchise Work associated with development (check one of the above boxes as weln
❑ Traffic Control Only (no associated development)
❑ Utility Franchise Work (no associated development)
City of Edmonds ROW construction permit Application —Page t of 3 Updated 3/25/2021
'A" 1
Include an overall narrative description of the proposed work. Be specific and detailed:
Describe infrastructure to be impacted, such as, poles, wires, conduit, utility mains, etc.
Include whether this is construction, maintenance, or repair.
Include description of proposed construction methods, (e.g., bores, trenches, overhead wires proposed, depth for
underground utilities, etc.)
Two Geotechnical borings will be drilled on the south side of Elm way to determine soil and groundwater conditions in support
of new sidewalk design and construction, . Utility locates will be called prior to drilling to avoid impacting utilities. Upon
completion the holes will be backfilled and the ground restored to pre -drilled condition. Pavement will be restored with
compacted quap a or concrete whichever is pre ere .
Traffic control to consist of flag g e rs/traffic cones and signs.
Traffic control supervisor from TCS will be on site during lane closures and will manage the traffic control signs and cones as
drilling moves from one location tot the other.
All HVVA explorations will need a lane closure and flaggers to control e tratric.
Please see attachments for borinq locations and TCP.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
I x
LF
SF
Alley 72 hours +
LF
Ix
I LF
SF
Parking 72 hours +
LF
Ix
I LF
SF
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C.
1. The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable ❑ power ❑ gas
❑ water ❑ sewer ❑ storm
Details of Work to be Completed
1. Does the utility owner have existing overhead infrastructure in the area of work?
Yes
No
2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)?
If yes, describe:
3.
Does the proposed work connect a lot or commercial development with utilities that serve more
than one lot or commercial development?
4.
Does the work involve rebuilding or relocating an existing aboveground utility system which
connects a lot or commercial development to an existing underground common utility stem?
5.
Does the work involve proposed additions to an aboveground utility stem? If es:
Are the additions for the purpose of serving new commercial development?
Are the additions for the purpose of serving a single-family residential subdivision?
Details
of Work to be Completed
Yes
No
6.
Does your project involve rebuilding or replacing utility equipment which currently serves more
than one lot or commercial development?
If yes, answer the following questions related to project area, i.e. the actual area in which the
project is proposed:
6a.
Does your project involve wires/cables/lines? If yes:
How many are existing? I I How many are to be added?
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
6b.
Does your project involve poles? If yes:
How many poles are existing in the project area?
What is the height of the existing poles?
How many poles are to be removed?
Are additional poles to be laced?
How many? I I What is the height of the additionalpoles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
How many? I I What is the height of the poles after?
Describe the modification rebuild:
SECTION C
Traffic Control and Public Safety. 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. Restoration shall 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.
Insurance. The City may require the owner or contractor to provide proof of insurance acceptable to the City prior to
any permit approval.
Indemnification. The Applicant agrees to defend, indemnify, and hold harmless the City of Edmonds, its officials,
officers, employees, and agents against any injuries, damages, or claims of any kind or description whatsoever,
foreseen or unforeseen, including defense costs and attorney fees, resulting directly or indirectly from any act or
omission of the Applicant, its subcontractors, anyone directly or indirectly employed by them, and anyone for whose
acts or omissions they may be liable, arising out of, related to, or by reason of the granting of this permit; and
specifically including but not limited to all loss by the failure of the Applicant to fully or adequately perform, in any
respect, all authorizations or obligations under the permit. These indemnification requirements shall survive the
expiration, revocation, or termination of any resulting permit approval.
Acceptance of terms, conditions, and requirements. Applicant accepts the terms, conditions, and
requirements set forth in this Application and agrees they apply to any resulting permit and shall comply with them to
the satisfaction of the City Engineer. Applicant further agrees to comply with the conditions listed on the Submittal
Requirements; with all applicable city ordinances, including but not limited to ECDC Title 18; and with all applicable
requirements of state and federal law.
Statement of Applicant. I declare under penalty of perjury under the laws of the State of Washington that: I am a
licensed and bonded contractor; the information provided herein is correct and complete; and I am authorized by
owner to act on its behalf and have authority to bind the owner to this application.
Fees. The Applicant is responsible for all permit fees.
APPLICANT SIGNATURE: o4laned dtaAmud DATE: 07/28/2021
APPLICANT PRINTED NAME: acne ubson
APPLICANT TITLE: Geotechnical engineer resl en eo ogic Drill Partners
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
25
30
1 35 1
40
1 45
1 50
1 55
1 60
65
70
LENGTH (feet)
155
200
1 250 1
305
1 360
1 425
1 495
1 570
645
730
TABLE ATTENUATOR ROLL AHEAD DISTANC —
HOST VEHICLE
9,900 TO 22,000 lbs.
HOST EIGHT
> 22,000 lbs.
< 45 5-55 MPH > 55 MPH
< 45 MPH
45-55 MPH
1
123'
172'
74'
100'
PROTECTIVE VEHICLE (WORK VEHICLE) = R
NO SPECIFIED DISTANCE REQUIRED
ONE LANE .
ROAD
AHEAD
48" 48"
48" W20-4 48x W20-7A
ROAD
WORK ARED
AHEAD TO STOP
48" 48"
LEGEND
I� FLAGGING STATION
b TEMPORARY SIGN LOCATION
D CHANNELIZING DEVICES
PROTECTIVE VEHICLE
300'
W20-7B
W20.7B (OPTIONAL IF
40 MPH OR LESS)
RECEIVED
Jul 28 2021
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
SIGN SPACING = X (1)
RURAL HIGHWAYS 60 165 MPH
800't
RURAL ROADS 45/55 MPH
500't
RURAL ROADS & URBAN ARTERIALS 35/40 MPH
350't
RURAL ROADS, URBAN ARTERIALS, 25 / 30 MPH
RESIDENTIAL & BUSINESS DISTRICTS
200't (2)
URBAN STREETS 25 MPH OR LESS
100't 2
(1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE
INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
50' TO 100'
59TO 100'
6 DEVICE
6 DEVICE
MINR B
MIN.
AREA
O
C
13
W20.7B (OPTIONAL IF
40 MPH OR LESS)
48'
B ROAD
ED WORK
TO STOP AHEAD
48" 48" 48' 48'
. W20.7B ONE LANE W20.1
ROAD
AHEAD
48" 48"
W20-7A W20-4
615RED W20-7B (OPTIONAL IF
0 MPH OR LESS)
TO STOP
48'
W20-7B
\\ 48'
ONE -LANE, TWO-WAY TRAFFIC CONTROL
WITH FLAGGERS
NOT TO SCALE
D BY +oe xuxeeN
BY
1 BY CON—T NO. —0. N0.
GR. T.
L ADM. REVISION DATE I BY
CHANNELIZATION DEVICE
SPACING (FEET)
MPH
TAPER
TANGENT
50/65
10 TO 20
80
35/45
10 TO 20
60
25130
1 10 TO 20
40
NOTES
//48 1. ALL SIGNS ARE BLACK ON ORANGE.
2. EXTENDING THE CHANNELIZING DEVICE TAPER ACROSS
SHOULDER IS RECOMMENDED.
3. NIGHT WORK REQUIRES ADDITIONAL ROADWAY LIGHTING AT
FLAGGING STATIONS. SEE THE STANDARD SPECIFICATIONS
FOR ADDITIONAL DETAILS.
4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS.
Amokplot I
MAP
uffd�o�ds Ne�Er�6"�a TC1�
Washington State V
Department of Transportation
TRAFFIC CONTROL PLAN "N
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