ENG2021-0366 ROW PERMITRIGHT OF WAY
MINOR PERMIT
PERMIT NUMBER
City of
Edmonds
121 5th Ave N,
-0366
Edmonds WA 98020 ENG2021 il
www.cityofedmonds.gov
Description: TRAFFIC CONTROL FOR WORK PERMITTED UNDER BLD2020-0779
ISSUED: 10/14/2021
Address: 410 MAIN ST EDMONDS WA 98020-3138
EXPIRES: 04/12/2022
rmit Type: RIGHTOF WAY MINOR Permit Subtype: COMMERCIAL Parcel Number: 00434401500700
i
NAME TYPE NAME
ADDRESS PHONE
APPLICANT TAYLOR MADE WEATHER SEALANTS
23322 11TH AVE W, BOTHELL WA 98021-9718
(206)200-9732
& WATERPROOFING LLC
CONTRACTOR TAYLOR MADE WEATHER SEALANTS
23322 11TH AVE W, BOTHELL WA 98021-9718
(206)200-9732
& WATERPROOFING LLC
OWNER BEESON PARTNERS THE
C/O D L FOOTH, SEATTLE WA 98121
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
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
MY LV 10/14/2021
BY DATE
Printed: Thursday, October 14, 2021 3:49:47 PM 1 of 2
WAY MINOR .UM PERMIT
PERMIT NUMBER
City of • • •
•:• • 1 1 ..
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.
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 7:00am to 6:00pm on
SOUND OR NOISE
weekdays and 10:00am and 6:00pm 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.
• •
INSPECTION TYPE
DATE
RESULT
NOTES
COMPLETE
E-7 TRAFFIC CT E-77T
X-2 ENGINEERING FINAL"
A-1 JOB START
Printed: Thursday, October 14, 2021 3:49:47 PM 2 of 2
IL>tir ENG2021-0366
C)4
" RIGHT OF WAY CONSTRUCTION RECEIVED
+
PERMIT APPLICATION SEP 13 2021
Complete and submit this Application in accordance with the Submittal
"^JC, ;.39•' Requirements outlined in Right -of -Way permit Handout E63.. CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
If any field is not applicable to your project, write "N/A" instead of leaving f lank.
All fields required. Incomplete Applications will be denied.
SECTION A
Project Name
Site Address or if no site address use Property Address at NW corner of project area:
Associated Permits: BLD p�
oZo 179i ENG
Name of Company Primary Name
TG e v
Agent Name Title
Title
C9 K/ aQf/` Mobile
Address `7
Cu—e u1 Email
City eC State Zip cr O Secondary Name
Phone
City of Edmonds Business icense No: -a-(
State License No: Email a Wpn z- g L O per' Contractor verifies it is currently bonded ®/ Contractor verifies it currently has general liability insurance
NOTE: ECDCi8.6o.02o requires that theApplication 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?
010ther, please specify: —Cob
❑ Utility Franchise Work associated with development (check one of the above boxes as well)
raffic Control Only (no associated development)
❑ Utility Franchise Work (no associated development)
City of Edmonds ROW construction permit Application --Page 1 of 3 Updated P 3/25/2021
incivae 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.)
RIGHT-OF-WAY
AREA
TOTAL
CLOSURE
Sidewalk 72 hours +
LF
x
LF
SF
-Alley 72 hours +
LF
x
LF
SF
LParking 72 hours +
LF
x
LF I
SF
DURATION
(Number of Months)
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C.
1. he work in the right of way is on or for the following type of facilities:
rb telecommunications ❑ cable ❑ power ❑ gas
❑ water ❑ 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.g. 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?
n. Does the work involve rebuilding or relocating an existing aboveground utility system which
c - -sects a lot or commercial development to an existing underground common utility stem?
5. Do,, s the work involve proposed additions to an aboveground utility stem? If es:
'.e additions for the purpose of serving new commercial development?
1-L: 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 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
roject is ro osed:
6a. Does your project involve wires/cables/lines? If yes:
How many are existing? I How many are to be added?
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
6b. 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 mny poles are to be removed?
Are additional I to be placed9
How many? What is the hei ht of the additional
6c. Are any poles to be modified/rebuilt/replaced? If yes:
How in ? What is the hei-aht of the nolPc afrPr?
SECTION C
i ramc 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
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
-APPROVAL INCLUDES 1 PARKING
STALL ON MAIN STAND 2 PARKING
STALLS ON 4TH AVE S.
- NO FLAGGERS ARE REQUIRED.
- IF LIFT IS STORED OVERNIGHT IT
SHALL BE STORED ON 4TH AVE S
ENGINEERING DIVISION
APPROVED AS NOTED
Balm
10/14/2021
Vill
! Applicant shall repair/replace all
Pia lift A,ccnss area. y. ,a�.. ,, �.� damage to utilities or frontage
°• ' ,,�. ,.. ? �`�'- ' + improvements in City right-of-way
per city standards that is caused or
• 4�'�y -" occurs during the permitted project.
'° ti �'' `'• � � rye � . e . ,,,� •�. '
Antenna Sectors ~ �`
We need to get access to (3) total sectors
j and install (3) mounts on the side of the
" roof. A man lift will be needed on 4th Ave S
r - and Main St to complete this work. 1st day
h;►"� r, �r with manlift will be about 6 hours to remove
existing stuff and place studs and epoxy in
wall. 2nd day will be 8 hours to install (3)
antenna mounts, (3) pipes, (3) antennas.
0
TRAFFIC CONTROL PLAN
Permit# EDMONDS, WA
S ^ t
Typical Parking Area Closure LIMIT
INR I\`J'
This is a genera7 a7ace- 25
ment plan only and will NOTTO
require field adjustments SCALE
to fit site conditions.
LEGEND
�111 ProRIAREA
p TRAFFIC COME
-► BBSR1161RNf&i100
SIGN LOCATION
Fate
Cantraaor
Taylor Made
Supe sor
Pmjea Number
Bobby Taylor
Phone Number (office)
ProJect Location
206-200-9732
406 Main St
ML
_
One
Bobbytaylor777@gmail.com 10-14-21
Preperea By
-..--
Matt Wright
NATIONAL BARRICADE CA. LLC
Phone Number
"Iwo mN Ini
206.523.4045
I
SIGN SPACING - X (feat!
RLlr of HlanwayS
60/65 MPH
1000—
RuralRoatls
45/55 MPH
500--
R-01 ROads & Urban ArtO ials
35/40 MPH
350'+-
RuralROOCIS.Urban St.00Ys
R-10an1I01 & Bu sin OSS GI$YriC YS
25/30 MPH
200'�-
Urban SYreaYs
25 MHIi - LESS
too —
ALL SIGNS • 4m"BLACK 01 ORaNOE
m L[SS OT RvtS! D[S[GR�Tl
D.
GENERAL NOTES
1. ALL SIGNS AND SPACING SHALL CONFORM TO THE MUTCD
AND CITY OF EDMONDS SPECS.
2. PRIORITY PASSAGE THROUGH WORK AREA FOR EMERGENCY
VEHICLES SHALL BE PROVIDED AT ALL TIMES.
3. ALERT METRO TRANSIT 5 DAYS IN ADVANCE (IF APPLICABLE).
4. PROTECTIVE VEHICLE RECOMMENDED -MAY BE A WORK VEHICLE.
5. DEVICES SHALL NOT ENCROACH INTO ADJACENT LANES.
6. ALL SIGNS min 36" x "36" B/O UNLESS OTHERWISE SPECIFIED
7.CHANNELIZATION DEVICES ARE 28 INCH REFL CONES.
(see TABLE 1 for spacing distances).
8. ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE AT GRADE
INTERSECTIONS AND/OR DRIVEWAYS.
All Signs & Spacing to conform to the MUTCID & The City of Edmonds Specs
-APPROVAL INCLUDES 1 PARKING STALL ON MAIN STAND
2 PARKING STALLS ON 4TH AVE S.
- NO FLAGGERS ARE REQUIRED
- SIDEWALK SHALL REMAIN OPEN.