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ENG2021-0235 ROW PERMITOF WAY PERMIT PERMIT NUMBER City of Edmonds AveRIGHT 9801 1 C www.cityofedmonds.gov Description: PAINTING EXTERIOR OF BUILDING CLOSING SIDEWALK AND PARKING ISSUED: 08/19/2021 Address: 100 2ND AVE S EDMONDS WA 98020-8443 EXPIRES: 02/19/2022 rmit Type: RIGHTOFWAY Permit Subtype: COMMERCIAL Parcel Number: 00454800200901 i NAME TYPE NAME ADDRESS PHONE APPLICANT MERCY PAINTING LLC SEATTLE WA 98108-4768 (206)436-9192 CONTRACTOR MERCY PAINTING LLC SEATTLE WA 98108-4768 (206)436-9192 OWNER HASSHB LLC 3727 S 194TH ST, SEATAC WA 98188 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 RIGHT OF WAY MINOR PERMIT FEE $110.00 $110.00 RIGHT OF WAY STANDARD PERMIT FEE $220.00 $220.00 • 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. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 08/19/2021 :»•>/F9:1H ]1 DATE Printed: Thursday, August 19, 2021 2:56:30 PM 1 of 2 KIRRMF WAY PERMIT City of • • • •:• •ENG2021-0235 www.cityofedmonds.gov• • 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. 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. LIMM411 • INSPECTION TYPE DATE RESULT NOTES COMPLETE E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL" Printed: Thursday, August 19, 2021 2:56:30 PM 2 of 2 ENG2021-0235 of E DIy�+ R E S U B RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION AUG 09 2021 Svc W'0aComplete and submit this Application in accordance with the Submittal CITY E OPMENDS DEVELOPMENT Requirements outlined in Right -of -Way permit Handout EQi. SERVICES 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: Exterior Painting on Harbor Building Site Address or if no site address use Property Address at NW corner of project area:100 end ave. S Edmonds Associated Permits: BLD PLN ENG Name of Company: Hass HB LLC. Franchise Ordinance No: Point of Contact: Rick Hassen Title: Owner Address: 3727 S 194th St City: Seatac State WA Zip98188 Phone: (425) 269 - 5213 Email: Hassenpro@comcast.net on • Name of Company: Mercy Painting LLC. Primary Name: MAnuel Sermeno Agent Name N/A Title: Owner Title: Owner Mobile: 2o6-436-9192 Address 1012 S Henderson St Apt A Email: Mercypainting@gmail.com City: Seattle State: WA Zip: 981o8 Secondary Name: Manuel V. Sermeno Phone: 2o6-436-9192 Title: Co -Owner Email: Mercypainting@gmail.com Mobile: 2o6-98i-8236 City of Edmonds Business License No: 604-728-167 Email:manuelsermen0396@gmail.com State License No: MercyPL79IKS ❑ Contractor verifies it is currently bonded ❑ Contractor verifies it currently has general liability insurance Yes currently bonded Yes currently have liability insurance NOTE: ECDC 18.6o.02o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: We will be washing and painting the exterior of the building only. ❑ Utility Franchise Work associated with development (check one of the above boxes as w_aM ❑ Traffic Control Only (no associated development) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 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.) We will be painting and pressure washing the harbor building as soon as the permit gets approved. We will be taking the 3 parking spots closest to the building on Main st. We would close off the parking spots and sidewalk on that side for 2 days(8 hours each day, from 8am-4pm). i day to wash that side of the building and i day to prep and paint. No parking signs would be placed in those 3 parking slots for that time and then removed at the end of the end day. The length of Harbor building along Main st would also be closed off to pedestrians. They would be redirected to cross the street to the north side of Main St. Cones and signs would be placed at 8am both days and removed at 4pm the end day. Road work ahead and sidewalk closed signs will be placed in designated areas shown on the maps attached. For end Ave. S we wish to block off one parking stall the one closest south for 2 days. A no parking sign will be placed at the start of 8am both days and removed at 4pm both days. We would also like to close the sidewalk from 8AM to 4PM (sidewalk closed signs will also be placed). The handicap parking stall will be left open and so will the street with the yellow curb. The main entrance to the building will not be blocked off. Cones will be placed around the one parking stall on end ave so pedestrians can keep a safe distance. end ave and Main st. will not be closed the same 2 days. After we are done working on Main st. then we will continue working on end ave. We don't plan on obstructing the traffic but we will have traffic control on stand by just in case. Duration of Closure for each street - one street at a time Main Street: Sidewalk - 2 days - daytime only Parking - 3 stalls for 2 days - daytime only 2nd Ave S: Sidewalk - 1 day - daytime only - main entrance to remain open Parking - 1 stall for 2 days - daytime only, ADA stall to remain open See notes previous page. This permit does not permit closure on any given street/sidewalk beyond 72hrs. RIGHT-OF-WAY CLOSURE AREA TO DURATION (Number of Months) Sidewalk 72 hours + LF looft x LF 8 SF 800ft 32 hours Alley 72 hours + LF NA x LF NA SF NA NA Parking 72 hours + LF 47.5 ft x LF 8ft SF 38oft 96 hours SECTION B - If you are not a utility company er ormin work in the City ROW, skip to SECTI N 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 1. Does the utility owner have existing overhead infrastructure in the area of work? no 2 Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? no 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? no 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 system? no 5. Does the work involve proposed additions to an aboveground utility system? If yes: no Are the additions for the purpose of serving new commercial development? Are the additions for the purpose of serving a single-family residential subdivision? 6 Does your project involve rebuilding or replacing utility equipment which currently serves no 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: no How many are existing? How many are to be added? City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 2 2021 6b. Does your project involve poles? If yes: no 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 placed? How many? What is the height of the additional poles? Are any poles to be modified/rebuilt/replaced? If yes: no How many? What is the height of the poles after? Describe the modification/rebuild: SECTION C erms 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. Refer to original application for APPLICANT SIGNATURE: Manuel Sermeno signature DATE: o8/09/21 APPLICANT PRINTED NAME: Manuel Sermeno APPLICANT TITLE: Company owner NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 Sri I f IL iis. i�►t �1, � i L —AL f'L1ml�• 4L 17r'a1 �i — as SCHEDULE TRAFFIC CONTROL INSPECTIONS WHENEVER PARKING IS CLOSED. MYBUILDINGPERMITS.COM ESUB .� -meUG (M 2021-. ADD SIGN PEDESTRIANS CROSS HERE AT SUNSET 10d .A - AVE AND MAIN ST CITY OF15qMONDS �.,� ; DEVELOf7N1ENT ,� ✓+��. .� �s /' ;� s • �t�_ �1 s� './ SER ES DEPART = . 104 r ,� - - • i ' •, j e --• co SIDEWALK CLOSED SIGN (TYP) AT EACH END OF CLOSURE AREA ADD SIGN PEDESTRIANS CROSS HERE 2ND AVE S AND JAMES ST i '' 1 tea, sn� MAIN STREET AND 2NDJAVECLOSURES SHALL NOT OCCUR AT THE SAME TCLOSURE FOR EACH LI TO DURATION NOTED WITHIN 6 PERMIT. of EpM04O� /'V.isa° SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E6�. If any field is not applicable to your project, write "N/A' instead of leaving blank. All fields required. Incomplete Applications will be denied. CONTRACTOR SIGNATURE ON THIS APPLICATION. REFER TO NEW APPLICATION FOR PROJECT DESCRIPTION General • Project Name Site Address or if no site address use Property Address at NW corner of project area: Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company Franchise Ordinance No: Point of Contact Title Address City State Zip Phone Email Contractor and Authorized Agent of Owner Name of Company (see note below) Contractor Contacts During Construction Primary Name Agent Name Title Title Mobile Address Email City State Zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: Email State License No: ❑ Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o. o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: ❑ Utility Franchise Work associated with development (check one of the above boxes as welt ❑ Traffic Control Only (no associated development) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 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 RIGHT-OF-WAY AREA TOTAL DURATION CLOSURE (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: APPLICANT PRINTED NAME: APPLICANT TITLE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021