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ENG2021-0527 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT 98020 1 1 www.cityofedmonds.gov Description: OVWSD WATER MAIN REPAIR WITH PAVEMENT CUT ISSUED: 02/15/2022 Address: 22423 100TH AVE W EDMONDS WA 98020-5911 EXPIRES: 08/14/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00450700500014 i NAME TYPE NAME ADDRESS PHONE APPLICANT MARTY HENNINGER 8128 228TH ST SW, EDMONDS WA 98026 (425)774-7769 CONTACT OLYMPIC VIEW WATER AND SEWER 8128 228TH ST SW, EDMONDS WA 98026 (425)774-7769 DISTRICT CONTRACTOR OLYMPIC VIEW WATER & SEWER EDMONDS WA 98026 (425)774-7769 DISTRICT OWNER TOMKINS RICHARD A & CYNTHIA A 211 5TH AVE N, EDMONDS WA 98020-3146 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $220.00 $220.00 RIGHT OF WAY STANDARD PERMIT FEE $330.00 $330.00 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 02/15/2022 RELEASED BY DATE Printed: Tuesday, February 15, 2022 7:37:45 AM 1 of 2 -KRWOF WAY EUC PERMIT PERMIT NUMBER City of • • • •:• •ENG2021-0527 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. 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. 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. L 11111 0 INSPECTION TYPE DATE RESULT NOTES COMPLETE E-7 RESTOR LIMITS E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL" Printed: Tuesday, February 15, 2022 7:37:45 AM 2 of 2 ENG2021-0527 Of FDA10+' J' RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION : Complete and submit this Application in accordance with the Submittal I'VC. is,)", Requirements outlined in Right -of -Way Hermit 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. SECTION A Project Name 2Aq 23 lop Aue- Ld (gyp,. 4—bF 1/% -11 bm-O K Site Address or if no site address use Property Address at NAV corner of project area. 2,2 (42,5 1 WW Q. W Associated Permits BLD PLN ENG Name of CompanyQ l - , y t I �r G IF Ordinance No: Point of ContactJAICZx-(" 1Ytle Address di 2 City ✓�C1 . State W X Zip 8O Z& Phone y 7- _'7 % Email (foy - l Name of CompanyC>t •; v ; U- Primary Name vti Agent Name 4 Ae. ' is r 11t1e Title J Q Mobile Address 2 P-5 z }�5&J Email city State Zip Secondary Name iNr Phone z , -71(P Email L , I/1�ln Mob ile Mob City of Edmonds Bust ess License No: Email State License No: Contractor verifies it is currently bonded p Contractor verifies it currently has general liability insurance ❑ rro 1 t1 uise a red hrf the eihl ATOTE: ECDC i8.6o.ozo i•egttires that the Application be signed by a Itceitsed and bonded coati actor tilt ess o ter t pp 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 Nvith 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 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 Alley 2 hours + LF x LF SF Parkin 72 hours + LF x 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 n gas water ❑ sewer ❑ storm 1. Does the utility owner have existing overhead infrastructure in the area of work? 2. an equipment be added underground or above round (e. pedestals, vaults etc.)? _. If es, describe: 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? X rg.Will 4. Does the work involve rebuilding or relocating an existing aboveground utility system which connects a lot or commercial development to an existingunder round common utilitys stem? X Does the work involve proposed additions to an aboveground utility system? 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? 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 project is proposed: - 6a. Does your project involve wires/cables/lines? If yes: X How man are existin ? How man are tv 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 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 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. In APPLICANT SIGNATURE: APPLICANT PRINTED NAME: APPLICANT TITLE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW constr►retion perinit Application --Page 3 of 3 Updated 3/25/202 a O ,YID IC VIEW WATER SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 22423 100"' Ave W Scope of Work: Emergency «rater main repair. Repair has been made. Trench has been cold patched. Asphalt or Concrete Cut: Yes Start date: 12/16/2021 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 SIGN SPACING - X (1) RURAL ROADS S URBAN ARTERIALS 35 /40 MPH 157s RURAL ROADS. URBAN ARTERIALS. 25 / 30 MPH 2001s (2) RESIDENTIAL E BUSINESS DISTRICTS URBAN STREETS 25 MPH OR LESS 100's (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERSECTIONS AND DRIVEWAYS. (2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS, MINIMUM SHOULDER TAPER LENGTH m 113 (foot) SHOULDER WIDTH POstod Spood (Mph) 1 25 30 35 40 45 50 55ZEZ 65 70 Ir 40 40 60 1 90 - - - - - la 40 60 00 90 _ USE A 3 DEVICES TAPER FOR SHOULDERS LESS THEN s' MAINTAIN TWO 11t TRAVEL LANES, OTHERWISE UTILIZE FLAGGERS. BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH (feet) 155 200 250 305 360 425 495 570 1 645 1 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22.000 IDS. HOST VEHICLE WEIGHT > 22.000 Ib5. < 45 MPH 45.55 MPH > 55 MPH < 45 MPH 45.55 MPH > 55 MPH 100' 123' 172' 74' 100, 150' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED - - - - - - - - - - - - - - I b � — o o WORK AREA O O K,�/�� X X LJ3 B R 50' CHANNELIZATION DEVICE SPACING foot MPH TAPER TANGENT 35140 30 60 25/30 20 40 4E+ 4" ROAD 2 WORK SHUULDER�<� AHEAD WORK ENGINEERING DIVISION 48' 41- Applicant shall repair/replace all NOTED damage to utilities or frontage W20.1 W21.5 improvements in City right-of-way '�-�{�n// per city standards that is caused or occurs during the permitted project. ((vl �I �'f/•l f1/�'f o�'f �I OWNER/CONTRACTOR IS RESPONSIBLE FOR I G G7 L G I EROSION CONTROL AND DRAINAGE NOTES LEGEND 1. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 20'(FT). 10 TEMPORARY SIGN LOCATION SHOULDER CLOSURE - LOW SPEED 2. ALL SIGNS ARE BLACK ON ORANGE. O CHANNELIZING DEVICES (40 MPH OR LESS) PROTECTIVE VEHICLE NOT TO SCALE FILL NAME S:IDosl n H P6 SWSunos Nal:-Plan Skoet 40rarv101•Po0lNkod P5L1 TC Work 2ano TnRlc ContMR(( G5 SlquWor Closure -Low 5 d 40 MP er.—ffC-5.dgn PIM1 TIML 2:50:at PM •r. �. DATE t/212Dt5 FEDAID PR NO. � PLOTTED BY Illwas �// TC5 DESIGNED BY CNTERED BY Washington Stato +++^ CHECKED BY Dopartmont of Transportation a PROJ. ENCR. �e TRAFFIC CONTROL PLAN REGIONAL ADM. REVISION DATE DY ""'� ""� V809 821 1 831 i 843 I 851 859 .0 B1-V41- V40A 8" DI 20037 1988 8" DI 505 ZONE B7-V41A s&E32-130 1T B2-14 1405 ' WELL 830 I 8401401 860 j 810 - 1407 I 820 1410 ai- 1417 1411 821 i 819 i 9496 Q- 1423 1422 1423 817 I-jZ 1433 0 9923 I0 I� 1-V --`�-----I N0 814 o) 8 �, 814 1434 1439 Q rnl tTH ac-WYI'_ E -- LI 1445 813 I 1440 .> CI I � r 1449 1435 I 805 \\ 891 1448 oI o� l 1452 \ �� 1439 i 807 809 I / 1457 Cl 15TH ' ST, sw (oo `9-V43 8" DI 540 ZC - V42 C2-4 22407 I 95 CN 22415 z o N O w N O N 22423 w 22427 Iw 22425 - iw 22429 9925 j 9915 22 '2-V1 \00 9924 _.®• 9916 '1�'4 i 9912 *62_V27------------------4 c� 6» CI ---- 62-V33 . 6" . CI 505 ZONE i B2-V31 22075-1972 ?4 B2-808 22603�� 9915 - —� z C2-2 1505. rn " I � o Lo 9920 � `" � � 1509 j U '900 � r , -9916 � 1511 9914: -. 4508 �/ 1515 \ 9916 / \ i Ln I.. 22615 0 U 9925 I 9917 .9 o��> 22"�THI WELL N ® C2- 6" nil_ 11 C2-V5 CIS 9926 .1 9918 ro rcI �`_ 'S I I. o 63-15 0119 I 10117 22804 FIRE o 22805 I I 22824 LINE v 22811 r� V