Loading...
ENG2021-0381 ROW PERMITRIGHT OF WAY MINOR PERMIT ELI City of Edmonds www.cityofedmonds.gov Description: REMOVE A 2 FOOT STEM WALL ON THE BACK SIDE OF THE SIDEWALK ISSUED: 09/27/2021 Address: 219 6TH AVE S EDMONDS WA 98020-3427 EXPIRES: 03/28/2022 Permit Type: RIGHTOF WAY MINOR Permit Subtype: RESIDENTIAL Parcel Number: 00434209603801 NAME TYPE NAME ADDRESS PHONE APPLICANT LMH CONSTRUCTION LLC 729 MARINE DR, MARYSVILLE WA 98271 (360)661-0666 CONTRACTOR LMH CONSTRUCTION LLC 729 MARINE DR, MARYSVILLE WA 98271 (360)661-0666 OWNER CASEY NEUMAN 2196TH AVE S, EDMONDS WA 98020 (425)350-0004 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 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. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 09/27/2021 RELEASED Y DATE Printed: Monday, September 27, 2021 10:25:31 AM 1 of 2 WAY MINOR .UM PERMIT City of • • • Edmonds•:• •ENG2021-0381 www.cityofedmonds. ov/425.771.0220 CONDITIONS CONDITION TYPE 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. 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 from the HOLD HARMLESS issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance provision. 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. 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 TESC AND MOBILIZE E-7 CONCRETE SIDEWALK X-2 ENGINEERING FINAL" Printed: Monday, September 27, 2021 10:25:31 AM 2 of 2 i)F IVAlp.A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Ri;, It -of^ _ _ __ rmit I i. Jout E61. 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 General Info Project Dante e u m p Site Address or if no site address use Property Address at NNV corner of project area: 19 C s 0 Z Associated Permits: BLD PLN ENG ()Nvner and Entity Nance of Company Holding Franchise (if applicable) Franchise Ordinance No: Point of Contact 'title Rym l+✓ Address S City E'� f state W� 7.tp O Phone — 0004+4 Email fy eon Contractor and Autlmrimd Ngent of Owner kee Name of Company LMH note below) Cimtractor Contacts Durinu Priman Name i-Ahe McRae Constructif m Agent Name Title O 'tStle owhel- Mobile '3 ` 6 1 0 Address 729 Mottipe -s, E.mail lamemc. A e . cpen City state 7rp 7/ Secondary Nana Phone 3 v — ! - 0666 Title Email &f7e A'lC a & JT yAh p. C In Mobile City of Edmonds Business license . o: Email State License No: — S'/ -. 797 KContractor verifies it is currently bonded X Contractor verifies it currently has general liability insurance NO % ES: ECDC M.6o.o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. Reg. CCLM14COMH957PF o Multifamily residential o Commercial :3 City project ❑ Single family residential subdivision Xingle family -other :) Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: ❑ Utility Franchise Work associated with development (check one of the alx)ve boxes as well n Traffic Control Only (no associated development) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page i 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.) , /on a sAe,in — RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + 6 LF x LF SF a. Alle • 72 hours + LF x LF SF Parking 72 hours + LF x 22 LF 1 734 SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. Ty�e of Utility Facilitie, 1. The wort: in the right of way is on or for the following type of facilities:: ❑ telecommunications ❑ cable ❑ power ❑ gas ❑ water o sewer o 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: 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 above round 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 6. of Work to be Completed 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 Ye-, , project is proposed: 6a. Does your project involve wires/cables/lines? If yes: x How many are existing? I IHow 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 man 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: X 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 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 pplication. Fees. The Applicant is responsible for all permit ees APPLICANT SIGNATURE:4�6DATE: - APPLICANT PRINTED NAME: APPLICANT"I'I't'I.E: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 C (osed AheaJ ja Wall be�^9 a I�e►noVGd E �Ar S��ewu�k S:dewalk Chsed Closed mciple, OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. Side wc+k Closed Ahead ENGINEERING DIVISION APPROVED AS NOTED 09/27/2021 {T (o New Gross �—' F� MAX 2-1 SLOPE BEHIND THE SIDE WALK e vial