ENG2021-0452 ROW PERMITRIGHT OF WAY EUC
PERMIT
...0iENG2021-045
www.cityofedmonds.gov
Description: OVWSD-REPLACE EXIST WATER SERVICES FOR 22605 & 22607 95TH
ISSUED: 12/09/2021
Address: 22607 95TH PL W EDMONDS WA 98020-4524
EXPIRES: 06/07/2022
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR
Permit
Parcel Number: 00544300006902
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 NGUYEN THIEN P & MINHLOI T 22220 98TH AVE W, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION
AMOUNT
PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00
$0.00
RIGHT OF WAY MINOR - EUC PERMIT FEE
$110.00
$0.00
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
ENGINEERING DIVISION
APPROVED AS NOTED
RELEASED BY 12/09/2021 DATE
Printed: Thursday, December 09, 2021 2:12:45 PM 1 of 2
-KRWOF WAY EUC PERMIT
City of Edmonds
...• • 1 14
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.
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
RESULT
INSPECTION MEN
A-1 JOB START
X-2 ENGINEERING FINAL"
Printed: Thursday, December 09, 2021 2:12:45 PM 2 of 2
ENG2021-0452
pF CDAIUy r
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
"VC. is') Requirements outlined in Right-of-Wadpermit Handout E6a.
1N3VMJVd30
If any field is not applicable to your project, write `A1�i�ofleaving blank.
All fields required. Incomplete Applications Nv°i ' e"denied.
�ZOZ ZZ AON
SECTION A a3AI333N
Project Name
Site Address or if no site address use PropertyAddress at NW corner of project area: 401 n r_ 0 _ DWI 5
Associated Permits: 1 BLD1
PLN ENG
Owner and E ntity Holding Franchise (if applicable)
Name of Company �l L- Franchise Ordinance No:
Point of ContactMA
11ile V,.e-ma"
Address (a }
city State �D_ , Zip D2, 40
Phone Cq2S— 7
EmailwAaH7!A0-'Qt . cow)
v
Name of Company l t�
S f
Primary Name
Agent Name �^
'Etle
Title >�W14
Mobile
Address 812b
Email
CityI State
Zip98621,
Secondary Name
Phone 425 77 u "-2 `) eP 9
Title
Email Oli 44r ��,1
Mobile
City of Edmonds Bu iness License No:
Email
State License No:
p Contractor verifies it is currently bonded
❑ Contractor verifies it currently has general liability insurance
NOTE: ECDC18.6o.o2o requires that theApplication be signed oy a aceiisea ana oonaea colzn•acror umess urrierwwe uppruvcci uI y
engineer.
Type of Development — Check ALL that apply I
❑ Multifamily residential ❑ Commercial ❑ City project
❑ Single family residential subdivision
a Demo and rebuild or from vacant land?
❑ Other, please specify:
❑ Single family -other ❑ Industrial
❑ 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 constriction 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.)
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
72 hours +
LF
x
Ix
LF
SF
-Alley
-Parking 72 hours +
LF
LF
SF
SECTION B -If you are not a utility company pe7forming work in the City ROW, skip to SECTIONC.
Type of Utility Facilities
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 Work to be Completed
Yes
,
of —
i. I Does the utility owner have 'existing overhead infrastructure in the area of work?
2. 1 Will any equipment be added under round or above ground (e.g. pedestals,vaults, etc.)?
X
If yes, describe: /VP,J t" CopoL sex-o: � 2
3.
Does the proposed work tonne t 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 CompIcted
Does your project involve rebuilding or replacing utility equipment which currently serves more
Yes
No
6.
than one lot or commercial development?
x
If yes, answer the following questions related to project area, i.e. the actual area in which the
ro'ectis 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: x
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? What is the height of the additionalpoles?
6c. Are any poles to be modified/rebuilt/replaced? If yes:
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 bold 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 terns, 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. J
APPLICANT SIGNATURE: _ - DATE:
APPLICANT PRINTED NAME:
APPLICANT TITLE:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW constriction permit Application --Page 3 of 3 Updated 3/25/2021
OLYMPIC VIEW WATER. & SEWERI T I T
DMONDS BLANKET PERMIT BEGINNING
NOTIFICATION
Site Address: 22605/22607 95"' PL W
Scope of Work: Replace (2) Poly water services due to leaks.
-Both services share the same ditch,
Asphalt or Concrete Cut: No Start date: 12/7/2021
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: Bob Danson
E-mail: Bobd@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 cut surfaces shall be patched with City of Edmonds
approved materials prior to the end of the day.
O:ISHAREIPERMITS RIGHT OF WAYS1Edmonds
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22503 I 22504 - -- - - - - - - - - -- - -- - ., - - -- - - - N ' N r t
I Utility patches shall be combined and full width or half
- __— width overlay will be required depending on the extent
�I 22429 22506 Lo 22507 22506B 22506A C 22' IS of disturbance. Where utility patches fall entirely within -
one travel lane, the overlay shall extend to the
- _ _ �- �c1��_9s�s - - - --�— - - - - -� -- centerline of roadway. Where utility patches extend into 51
O� both travel lanes then a full width overlay is required.
22511 22510 22511 22510 E0 22� •• 1 1 1 11 1
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
- - - - —.- - --I - - - - -- - - - - o - - - - - ---�-- - - — - - ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
)0 UTILITIES MAY REQUIRE A SEPERATE PERMIT.
22515 22514 22515 22514 22615.-,
C2-6 C2-8 C2-1C� OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROLAND DRAINAGE
t-J
00
cr' 22519 22520 22518 00 22519 22516 22517
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Applicant shall repair/replace all [1
damage to utilities or frontage J
�l -- I - I improvements in City right-of-way 226C
r N 0 — per city standards that is caused or
19— 22605 0 22604 22605 occurs during the permitted project.
I 9621 122606 22522 , 22604
I 22607
22605 I - - -- _ _ �.— -- - - - U 2261
-- — - I --- �----- o
- - � - a� ENGINEERING DIVISION
t9625'E APPROVED AS NOTED
Tf �] 9 01 22615 22606 22608 22608 00 22609 0
g�28 n - 22609 � 12/08/2021 U
24 5 9 _- 1982431 5 _ _ - ._ JX i�l�✓..�u..�� _ 226;
1982431�5IT
22618EIVED
----
' 22627 22623 22612 22613 22612 22613 22612
RE
�N --- -- IF PAVEMENT IS CUT ADDITIONAL FEE SHALL BE REQUIRED. - No�222021 _ -� N I)
- - -- -----Ii----- -I— o`y 22619-- - -C-IY-� E-EDMONDS
EVELTOMNTSERVICEs 2-27-04 -- In
226L(
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>
BUFFER DATA
LONGITUDINAL BUFFER SPACE - B
SPEED (MPH)
25 1
30 1 35 1
40
45 1
50
1 55
GO
65
70
LENGTH (foot)
155
200 259
305
360
425
495
$70
645
730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9.900 TO 22.000 IDS.
HOST VEHICLE WEIGHT
> 22.000 lbs.
< 45 MPH
4555 MPH
> 55 MPH
< 45 MPH
45-55 MPH
> 55 MPH
100'
12Y
172'
74'
100'
150'
PROTECTIVE VEHICLE (WORK VEHICLE) = R
NO SPECIFIED DISTANCE REQUIRED
_ SIGN SPACING a X 11)
RURAL HIGHWAYS 60 165 MPH 800't
RURAL ROADS 45 155 MPH 500'i
RURAL ROADS 8 URBAN ARTERHILS 35141) MPH 150'1
RURAL ROADS. URBAN ARTERIALC, 25 130 MPH 200'i (2)
RESIDENTIAL L OUSINESS DISTRICTS
URBAN STRCETS 25 MPH OR LESS 10Ci r'1
11)ALL SPACINO MAY BE ADJUSTED TO ACCOMMODATE
INTERSECTIONS AND DRIVEWAYS,
12) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
W20-78 (OPTIONAL IF
40 MPH OR LESS)
48' 48"
BE ROAD
PREPARED WORK
TO =? AHEAD
48• 48• 40"
W20-76 W20-1
u
N4MPH OR LESS) APPROVED (OPTIONAL IF APPROVED A$ NOTED
40 M
NOTES
iELIZATiON DEVICE
(ACING FEET
TAPIR
TANGENT
10 70 26
00
t0 TO ^0
fA
10 TO 2Q
j 40
de/l 12/08/2021 1. ALL SIGNS ARE BLACK ON ORANGE-.
LEGEND vv 2. ERTENDING THE CHANNEUZiNG DEVICE TAPER ACROSS
SHOULDER IS RECOMMENDED.
FLAGGING STATION 3. NIGHT WORK REQUIRES ADDITIONAL ROADWAY LIGHTING AT
14 TEMPORARY SIGN LOCATION 1LtC ! A p�C /� A� FLAGGING STATIONS. SEE THE STANDARD SPECIFICATIONS
CHANNELIS ONE-LANE,TWO-WAY TRAFFIC CONTROL FOR ADDITIONAL DETAILS.
PROTECTIVE
DEVICES WITH FLAGGERS
4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS.
° PROTECTIVE VEHICLE
NOT TO SCALE
FILE NAME S:ID--I n R Pa Bu.DyD4-nl-U.PI-n Shoot Llbn 101•PNDIIehM PSLIITC Wely :nn- T.V1, Co t,WKTC-1 Ono Lne TWo WA Tf-Mc Cnnlwl Wln FNG94 %Tr l.4Yn Ptn11
TIMC ):D'.:le FECAID PROJ.NO.
DAm 1l2R010
PL0=0 BY nee-H WAS 7 7C1.-
DESIONEO BY
CNTCRCD BY Washington State +awl
CHCCKED BY ,.-..a — Dopartment of Transportation
PROJ. ENOR.
REGIONAL ADM. REVISION DATE PY - -"• TRAFFIC CONTROL PLAN •"•I'