ENG2021-0346 ROW PERMITOF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
EdmondsRIGHT
•:• • ENG2021-0346
www.cityofedmonds.gov• •
Description: OVWSD-INSTALL TWO NEW 1" WATER SERVICES TO SHORT PLAT
ISSUED: 09/08/2021
Address: 10727 226TH ST SW EDMONDS WA 98020-6132
EXPIRES: 03/08/2022
Permit
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27032500310300
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT
OLYMPIC VIEW WATER & SEWER
EDMONDS WA 98026
(425)774-7769
DISTRICT
CONTRACTOR
OLYMPIC VIEW WATER & SEWER
EDMONDS WA 98026
(425)774-7769
DISTRICT
OWNER JOHANNESSEN JOHN M CREDIT 10727 226TH ST SW, EDMONDS WA 98020-6132
TRUST
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00
RIGHT OF WAY STANDARD - EUC PERMIT FEE $330.00 $0.00
REQUIREMENTS
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.
ED BY
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
09/08/2021
DATE
Printed: Wednesday, September 08, 2021 11:47:55 AM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
980201 1 .
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.
Alert affected residents and/or businesses prior to work start.
Verify clear bore crossings.
ENGINEERING OTHER
Restore landscape to like or better conditions.
Call for required inspections as noted.
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
A-1 JOB START
X-2 ENGINEERING FINAL"
E-7 RESTOR LIMITS
Printed: Wednesday, September 08, 2021 11:47:55 AM 2 of 2
ENG2021-0346
RECEIVED
,�
`�� AUG 30 2021
RIGHT OF WAY CONSTRUCTION
°L PERMIT APPLICATION
CITY OF EDMONDS
Complete and submit this Application in accordance with the Submittal DEVELOPMENT
Requilements outlined in Right-of-Wav permit Handout E65. 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
Primary Name
Name of Company . ,
Agent Name IM L�1> A�('
Title
'title U
Mobile
Address ' , Z2P3 }xz 5.. SW
Entail
City �a ��cJ State
Zip cleoi
Secondary Name
Phone CqZ5'-7_7 -f — -760
Title
Email �.� , .� C. L
Mobile
City of Ldmonds Bush ess License No:
Email
State License No:
D Contractor verifies it is currently bonded
p Contractor verifies it currently has general liability insurance
A'OTC: TsCDCiB.6o.o2o requires that tlreApplicatiorr besigrted by u licensed and bonded contractor urdess otherwise approved by the city
engineer.
•E
❑ Multifamily residential ❑ Commercial ❑ City project
❑ Single family residential subdivision ❑ Single family -other ❑ Industrial
❑ Demo and rebuild or from vacant land?
o Other, please specify:
,Utility Franchise Work associated with development (check one of the above boxes as well)
❑ 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
Project Description
Include ail overall narrative description of the proposed Nvork. 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.)
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SR
Alley 2 hours +
LF
x
LF
SF
-Parking 72 hours +
LF
x
LF
SF
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC.
1. The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable ❑ polver o gas
'-)(►vater ❑ sewer ❑ storm
® •.
1. Does the utility owner have existing overhead infrastructure in the area of work?
2.
Will any equipment be added underground or above ground e.. pedestals, vaults etc.)?
If yes, describe -02 :'-CW'e-rs A, IA4e4-e,- r, 'a-5
.............
3.
Does the proposed work connect a lot or commercial development with utilities that serve more
than one lot or commercial development?
X
4.
Does the work involve rebuilding or relocating au existing aboveground utility system which
connects a lot or commercial development to an existing underground common utility system?
X
5.
Does the work involve proposed additions to an aboveground utility system? If yes:'
Are the additions for the. purpose of serving new commercial development?
Are the additions for the purpose of serving a single-family residential subdivision?
X
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 X
Droicet is proposed:
6a. ! Does your project involve wires/cables/lines? If yes:
How manv are existing? I I How manv are to be added?
City of Bdnronds ROW construction permit Application --Page 2 of 3 Updated 3/25/202 r
6h.
I 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 placed?
How many? What is the height of the additionalpoles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
k
How many? 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 AVAC 296-155-305 and must have
certification verifying completion of the required training in their possession.
Restoration. Restoration shall be in accordance,%%ith 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 Iltle 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
LYMPIC VIEW WATER & SEWER DISTRICT
NOTIFICATION
Site Address: 10727 226`' St SW
Scope of Work: Install (2) new P water services
Asphalt or Concrete Cut: Yes Start date: 9/8/2021
Olympic View Water & Sewer District
8128 228th ST SW
Edmonds WA. 98026
Phone Number 425 774 7769
Fax Number 425 670 1856
Contact: Marty Henninger
E-mail: marty@ovwater.com
Olympic View Water & Sewer District
8128 228th ST SW
Edmonds WA. 98026
Phone Number 425 774 7769
Fax Number 425 670 1856
Contact: Dave Barnes
E-mail: Daveb@ovwater.com
® Traffic control shall be in accordance with the MUTCD.
® All flaggers shall be trained and certified as required by WAC 296-155-305.
® Restoration shall be in accordance with City of Edmonds standards.
® All asphalt or concrete out surfaces shall be patched with City of Edmonds
approved materials prior to the end of the day.
RECEIVED
AUG 30 2021
0:1SHAREIPERMITS RIGHT OF WAYSIEdmonds CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
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RECEIVED
BUFFER DATA
LONGITUDINAL BUFFER SPACE - S
SPEED (MPH)
25 1
30 1 35 1
40
45 1
50
1 55
60
65
70
LENGTH (foot)
155
200 259
305
360
425
495
$70
645
730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9.900 TO 22.000 IDS.
HOST VEHICLE WEIGHT
> 22.000 lbs.
< 45 MPH
4555 MPH
> 55 MPH
< 45 MPH
4555 MPH
> 55 MPH
100'
123'
172'
74'
100'
150'
PROTECTIVE VEHICLE (WORK VEHICLE) = R
NO SPECIFIED DISTANCE REQUIRED
_ SIGN SPACING a X 11)
RURAL HIGHWAYS 60 165 MPH 800't
RURAL ROADS 45 155 MPH 500'i
RURAL ROADS 8 URBAN ARTERBILS 35141) MPH 150'1
RURAL ROADS. URBAN ARTERIALC. 25 130 MPH 200'i (2)
RESIDENTIAL L BUSINESS DISTRICTS
URBAN STREETS 25 MPH OR LESS 10Ci r'1
I1)ALL SPACINO MAY BE ADJUSTED TO ACCOMMODATE
INTERSECTIONS AND DRIVEWAYQ
12) THIS SPACING MAY O. REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
W20-78 (OPTIONAL IF
40 MPH OR LESS)
48'
BE
PREPAIiEO
m STOP
48- 4I
W20-76
W20-70 (OPTIONAL IF
40 MPH OR LESS)
NOTES
AUG 30 2021
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
48"
RQAD
WORK
AHEAO
W20-1
iELIZATION DEVICE
(ACING FEET
TAPIR
TANGENT
0 70 26
So
10 TO ^0
fA
10 TO 20 1
40
1. ALL SIGNS ARE BLACK ON ORANGE-.
LEGEND
2. EXTENDINGDEVICE TAPER ACROSS
ENGINEERING DIVISION
SHOULDEIS RECOMMENDED.G
d '/®y
FLAGGING STATION
APPROVED AS NOTED
-
3. NIGHT WORK REQUIRES ADDITIONAL ROADWAY LIGHTING AT
14
TEMPORARY SIGN LOCATION
ONE -LANE, TWO-WAY TRAFFIC
/� A� FLAGGING STATIONS. SEE THE STANDARD SPECIFICATIONS
CONTROL FOR ADDITIONAL
CHANNELD DEVICES 1O�
� ���'�'��� 09/08/2021
WITH FLAGGERS
DETAILS.
PROTECTIVE VEHICLE ^"
PROTECTIVE
`�
4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS.
vv
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-
TRAFFIC CONTROL PLAN
REGIONAL ADM.
REVISION
DATE
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