ENG20150523OF E MOAN
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
�n� 1 g90 PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSHE*
STATUS: ISSUED ENG20150523
RIGHT OF WAY PEIVVI IT (6-EtC)
Permit Number: ENG20150523 Expiration Date: 07/29/2016
Job Address: 8718 218TH ST SW, EDMONDS Location: 8718 218th St SW
COMCAST OF WA, LLC
FULL BORE, INC.
1525 75TH AVE SW, #200
1546 NW 56TH ST
Attn: Mike Fontenot
SEATTLE, WA 98107
EVEREfT, WA 98203
(425) 259-9131
LICENSE #!: FULLBBT954DI EXP: 04/30/2017
starting at PED located S of the above address. We will ne trenching north approx47 feet at the depth to provide 36" cover before
boring driveway approx 191then continue trenching N approx 1 ft. We will be placing a 2" PVC conduit in trench.
DISRUPTION INFORNIATION
ASSESSED VALUE: $0.00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: (0 X 0 )
PARKING: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
ALLEY: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00
INDEMNITY The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
THECONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FORA PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THE W ORK
• 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
possesion.
• 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.
• Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1-800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
BY
Printed: Friday. January 29.20
Z4
kTE
VOLE COPY INSPECTOR COPY APPLICANT COPY
A
STATUS: ISSUED
ENG2O15O523
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates of underground utilities prior to any excavation.
• Alert affected residents and/or businesses prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• Verify clear bore crossings
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control. Keep street clean.
• Call for required inspections as noted.
• Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
• 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:OOpm on weekdays and 10:00am and 6:O0pm 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.
• 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 issuance of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
of EDA,10
1�VC. 1394
.ROW PERMIT NO.: ENGG?Q/,j o5ea3
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICA
PROJECT NAME:
CONTRACTOR: -T;�l T�� J
Mailing Address: I �1 r ('0 n i Vd� {yh
State License #: -5U L1, �b n) 9 5 L)
City Business License #: 3 - ®a-t ( G( q
TION I CS I (bs
CONTACT: Y &�_qy" Cam- Cam w
Phone #:
Fax #: lld:
Email #: 61 AM 1'/) e4 R "b �+
Ll Liability Insurance Bonded (! Qlrn
ADDRESS OR INTERSECTION OF CONSTRUCTION: ���-►� 5 VJ
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision H City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family ❑ Other r
EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD): �..
Is this permit part of a blanket permit? ❑ Yes ONo
ANY ASSOCIATED PERMITS? BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific): 5fav-4�n/Aa 4- D I
A �1 1 I O" it k I A 1. I
1 h _ -t ++'-C^ CA-11 .
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES NO Year:
PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut:
CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut:
x
x
FGHT-OF-WAY
CLOSURE AREA
TOTAL
DURATION
(NUMBER OF MONTHS)
idewalk 48 Hrs + LF
X
LF
SF
Alley 72 Hrs + LF
X
LF
SF
Parking 72 Hrs + LF
X
LF
SF
APPLICANT TO READ AND SIGN
*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 is to 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.
Indemnity: The Applicant has signed an application which states he/she hold 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 defense costs and attorney fees by reason
of granting this permit.
I have read the above statements and understand the permit requirements and acknowledge that I must
follow all requiregients in order for the permit to be valid. l
SIGNATUREVICLU_�oNffia�DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
F
SIGN SPACING = X (ti M19IIMUM SHOULDER TAPER LENGTH = UI (fecU CHANNELVATION DEVICE
SPACING lest
RURAL ROAD `+ a UR 1UW A0.TERWt.S TS ]°0 WH I50'r SHOULDERXN
Posted Speed (mph). MPH TAPER TANGENT
RURAL ROADS' VRLNH D.RTE.w S 25 I )0 MPH 200'i 121 WIDTH )YAO ')0 60
RESIDENnAL A BUSINESS OtSTRICTS (p.eQ 2°0 °S 50 55 60 65 ]0 ,yam STREETS 25 MPH OR LESS 100_ !21 q, °SPACING BEADJUSTEO TO ACCOMMODATEMTERSEGTIONSADDRrvEN'AYS.10' A(2)WTE SDAGwG MAY BE REDUCED IH UROAN AREA^. TO FITTHISY C0IJOITK)NS UTAPER FOR SHOVLDERS LESS THEN C
ROADWA
_ ... � _�. � �., �'- j; .>-.���t3 ).. . n) � to (- .� :•�:.
LEGEND
q TE;APORART SIGN LOCATION
O CluNHEu2riG DEVICES
® PROTECTIVE VEMCLE
BUFFER DATA
LONGITUOINAL BUFFER SPACE B
SPEED IMPry 25 XI )5 °0 °S 50 55 w 65 ]O
LENGTH Ueeq I55 XO 250 XIS
BUFFER VEHICLE ROLL AHEAD DISTANCE = R
TRANSPORTABLE ATTEMHTOA 30 FEET MIN.
MBNWLW HOST VEMCLE WEIGHT 15.000 LBS. THE NAAWUM TO
WEIGHT SHALL BE W ACCORDANCE WTH THE MAM)FAGTURERS IflO FEET MAX.
RECOMMENDATION; '
PROTECTIVE VEMCIF .0 UFECIFIED
MAY BE A WORK VEHICLE Si^r.AT'c GiC%.LLT L0.ASHIELD ms TANCETE0 TO pEOlANEO
THE rVORK AREn
-_
O O O
p q O T Woaic AaEA ° o
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x x Ln B R ( sa• I
<ROA>D ar
QED AS NOW
SHOULDER CLOSURE - LOW SPEED
(40 MPH OR LESS)
NOT TO SCALE
!._ r- L=.r S°ee° 1°P M N er Le°°PTC-Se9° I
FEOAIO PROJ.NO.
NOTES:
1. DEVICE SPACING FOR THE DOP STREMn TAPER SHALL BE 20'(FT).
2. ALL SIGNS ARE BUCK DN ORAHGE.
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Department of Transportation
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