ENG2022-0100 ROW PERMITRIGHT OF WAY MINOR PERMIT
PERMIT NUMBER
City of Edmonds
-0100
www.cityofedmonds.gov• •
Description: USING CRANE IN ROW ON A AVE TO HOIST BEAMS FOR BLD2021-1610
ISSUED: 03/15/2022
Address: 638 PINE ST EDMONDS WA 98020-4071
EXPIRES: 09/15/2022
rmit Type: RIGHT OF WAY MINOR Permit Subtype: RESIDENTIAL Parcel Number: 00619400501001
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT SCOT- BULLINGTON 333 RONLEE LANE NW, OLYMPIA WA 98502
(360)867-0198
CONTACT SNELL CRANE SERVICE INC 333 RONLEE LANE NW, OLYMPIA WA 98502
(360)867-0198
CONTRACTOR SNELL CRANE SERVICE INC 333 RONLEE LANE NW, OLYMPIA WA 98502
(360)867-0198
OWNER WARD S FORREST 638 PINE ST, EDMONDS WA 98020-4071
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
1111
•
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
03/15/2022
RELEASED BY
DATE
Printed: Tuesday, March 15, 2022 9:45:10 AM 1 of 2
WAY MINOR .UM PERMIT
City of • • •
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: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.
•Lei
0
INSPECTION TYPE DATE RESULT
COMPLETE
X-2 ENGINEERING FINAL**
E-7 TRAFFIC CTRL
Printed: Tuesday, March 15, 2022 9:45:10 AM 2 of 2
RECEIVED
Lti�y Of ED%�O�
ANC. 1 g90
SECTION A
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
Requirements outlined in Right -of -Way permit Handout E63.
Mar 09 2022
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
If any field is not applicable to your project, write "N/A" instead of leaving blank.
All fields required. Incomplete Applications will be denied.
General-
Project Name
Swankie
Site Address or if no site address use Property Address at NW corner of project area: 638 Pine St
Associated Permits: BLD PLN ENG
Owner and Entity Holding Franchise (if applicable)
Name of Company Snell Crane Service Franchise Ordinance No:
Point of Contact Scott Bullington
Title Dispatcher
Address333 Ronlee In NW
CityOlympia
State WA
Zip 98502
Phone 360.239.1217
Email scott@snellcrane.com
Contractor and Authorized Agent of Owner
Name of Company Snell Crane Service
(see note below)
Contractor Contacts During Construction
Primary Name Scott
Agent Name Scott
Title Disptacher
Title Dispatcher
Mobile 360.239.1217
Address333 Ronlee Ln NW
Emailscott@snellcrane.com
City Olympia
I State WA
Zip98502
Secondary Name
Phone 360.239.1217
Title
Email scott@snellcrane.com
Mobile 360.239.1217
City of Edmonds Business License No: 601626799
Email scott@snellcrane.com
State License No: SNELLCS982JE
56 Contractor verifies it is currently bonded
Contractor verifies it currently has general liability insurance
NOTE: ECDC 18.6o.02o requires that the Application 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?
❑ Other, please specify:
❑ Utility Franchise Work associated with development (check one of the above boxes as well)
❑ Traffic Control Only (no associated development)
City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021
❑ Utility Franchise Work (no associated development)
Project Description
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.)
We will be staging a mobile crane on west side of 638 Pine St to hoist beams into place
RIGHT-OF-WAY
CLOSURE
AREA
1500
TOTAL
1500
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
JxJ
LF
SF
Alley 72 hours +
LF
JxJ
F
SF
Parking 72 hours +
LF
JxJ
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 ❑ gas
❑ water ❑ sewer ❑ storm
1.
CompletedDetails of Work to be
Does the utility owner have existin overhead infrastructure in the area of work?
•
x
2.
Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)?
x
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 system?
5.
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?
Details of • to be Completed
®i
6. Does your project involve rebuilding or replacing utility equipment which currently serves more
than one lot or commercial development?
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
If yes, answer the following questions related to project area, i.e. the actual area in which the
project is proposed:
6a.
Does your project involve wires/cables/lines? If yes:
How many are existing? I I How many are to be added?
6b.
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? I I 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.
APPLICANT SIGNATURE: �cd�GG�I� DATE: 3/9/22
APPLICANT PRINTED NAME: Scott Bullington
APPLICANT TITLE: Dispatcher
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
www.invarion.com
2 Hours of work in
Legend ROW for crane work f —' Permlt #edestrian control Plan
SIGN SPACING•% jFEET) (t) -
LHIGIV—S 60165 MPH 800'} _
RURALROADS 4W0MPH 500-f Pedestrian Pathway "il' RIP Work order
S 3WOMPH S50•: Work Hours
RURAL
UURBAN
a AIIRu�s Work Area ..
RESDENTALS Su3M5aS DISTR GTs zsflO MPH 20a:l2l l'` 4; ,i c -. 638 Pine ST
URBAN STREETS z5MPH ORLESS OTRWI100'xlzl Edmonds, WA98020
ALL`GNSARE W XM BUCK ON ORANGE UNLESS HESE 1
-
Snell Crane Service
DE
(1)All.Pa-g Ay be adju.Wd to acc=mm=date Rte.=baRye .amP., , " ' ' " ' Project Manager: Scott Bullington
at-e.aa=im=..=a,ON....dar y,. a_ N a, i Office360.867.0198
jzl Tbi..P.=IDR may ba.aducad I. NmaR —A. t0 m roadway by Cell 360.239.1217
=Nanl=N.. rk zone email scoff@snellcrane.com
-, Wo�r
_ ,f a'i
approximatly ROAD - ROAD
CHANNELING VICET ` 1 L AHEAD I]MCR 75' Xp 35' CLOSED y. WORK `
w.f0 W ,R r Z5 F AHEAD;_".. AHEAD i"
_ 1 �
' MPx TAPE
ENT W20 3 'ir;W20-1 _
M4 9L r S5� Gflrt»:. I
10
fM00 z0 a0 — SV DETOUR '
_ ROAD
DETOUR ROAD ,..
WORK CLOSED -� D 4
AHEAD AHEAD
Manifest -' x
g ll .t
Gya F
6 x R7-T39 R7-T39 M4-9 W20-1 W20-3 cose0 ` o-
6 x W20-1 road work ahead
r 5 x W20-3 road closed ahead 5 • R7 T39
Notes:
4 x M4-9 detour (L) ! Pedestrian path ` 1. Plan is representative may be adjusted for site conditions
4 x M4-9 detour (R) i PEED N jr `�S.' and work zone needs.
" ' 2. There are no sidewalks or dedicated pedestrian pathways
3 x Barrier 20 -
2 x R crier Street Closed to Thru Traffic through work zone. Pedestrians will have a 4 foot wide access
- through parking area n witch to pass. Spotters
1 x R11-2 road closed R11-2 ## NT. rs will assist.follow
r '�: - 3. Bicycles will eitherdetouras traffic or dismount anddfollow
Y
j - - pedestrian path.
s 4. There are no known bus/transit routes on AAVE. .
�# t #^ R s ► 5. No parking signs shall be posted 72 hours prior to implementing plan.
o, / j' ` 6. Use additional cautionary signs where known hazards exist.
y + 7. If plan is used during hours of darkness additional lighting
Afili
Ilk
ROAD' 1
O - _ i— - CLOSED
Nn0130 %.: G � .� • AHEAD AHEAD tlD013G •+1a'�T�RJ�-• � i_. ` -
.L '7
M0,19 W20-3 ,: 114 9
ROAD ROAD *�W
iar 09 2022•
. • WORK CLOSED O
V. ti 1,71
AHEAD i-.. AHEAD V .'� A li CITY OF. ' QS'��
.tf L P V&S
- 20-1 r _ y - .bEP, F
7 ROAD
CLOSED _
AHEAD
This plan is not executable without approval of
the responsible public authority or official having Applicant shall repair/replace all W20- r
urisdiction over the road or public right away as per damage to utilities or frontage ENGINEERING DIVISION
MUTCD (MUTCD 6A-01(10)) improvements in City right-of-way ROAD APPROVED AS NOTED Julie Nelson -Ray
per city standards that is caused or woRK
occurs duringthe permitted project. AHEAD TCS # 012531
p p , ' ,,, ,; ; • 03/15/2022
Edmonds, WA 98020VIV Expires 07/31/2024
Cell 360-451-0820
CITY OF EDMONDS M BuildingPermit.com
Right -of -Way Application #1104863 - Swankie
Applicant
First Name Last Name Company Name
Scott Bullington SNELL CRANE SERVICE INC
Number Street Apartment or Suite Number E-mail Address
333 Ronlee Lane NW scott@snellcrane.com
City State Zip Phone Number Extension
Olympia WA 98502 3608670198
Contractor
Company Name
SNELL CRANE SERVICE INC
Number Street Apartment or Suite Number
333 RON LEE LANE NW
City State Zip Phone Number Extension
OLYMPIA WA 98502 (360)867-0198
State License Number License Expiration Date UBI # E-mail Address
SNELLCS982JE 4/23/2022 FD1 B9B7gq Scott@snellcrane.com
Project Location
Number Street Floor Number Suite or Room Number
638 PINE ST
City Zip Code County Parcel Number
EDMONDS 98020 00619400501001
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Ward S Forrest
Number Street Apartment or Suite Number
638 PINE ST
City State Zip
EDMONDS WA 98020-4071
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 3/9/2022 Submitted By: Scott Bullington
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1104863 - Swankie
Project Contact
Company Name: SNELL CRANE SERVICE INC
Name: Scott Bullington Email: scott@snellcrane.com
Address: 333 Ronlee Lane NW Phone #: 3608670198
Olympia WA 98502
Project Type Activity Type Scope of Work
Single Family Residential Modification Temporary Traffic Control Only
Project Name: Swankie
Description of Work: Stage mobile crane for 3 hours on west side of 638 Pine St on 3/17/2022 from
9:00am to 12:00pm
Project Details
Customer Feedback
No, I am not willing to share my feedback through an
online survey
Page 2 of 2