ENG2022-0081 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMITNUMBER,
City of Edmonds
-0081
_7 121 5th Ave N, Edmonds WA 98020 ENG2022 Li
www.cityofedmonds.gov
Description: OVWSD-REPAIR SEWER MAIN ISSUED: 03/24/2022
Address: 24007 EDMONDS WAY EDMONDS WA 98026-9161
EXPIRES: 09/24/2022
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00463301700403
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 BOJIC PREDRAG & LJILIJANA 24007 EDMONDS WAY, EDMONDS WA 98026-9161
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00
ENGINEERING INSPECTION FEE $110.00 $110.00
RIGHT OF WAY STANDARD - EUC 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
03/24/2022
RELEASED BY
DATE
Printed: Thursday, March 24, 2022 8:43:55 AM 1 of 2
-KRWOF WAY EUC PERMIT
City of Edmonds
•:• • 1 11:
. -. ov/425.771.0220
CONDITIONS
CONDITION TYPE
ALERT RESIDENTS
ALERT AFFECTED RESIDENTS AND OR BUSINESSES PRIOR TO WORK START.
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.
MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD
ESC REQUIREMENTS
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.
SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT.
INSPECTIONS
www.mybuildingpermit.com
POTHOLING
VERIFY CLEAR BORE CROSSINGS.
RESTORE LANDSCAPE
Restore landscape to like or better conditions
Sound or 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 AND 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 and activities must comply with the noise
limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
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
INSPECTION TYPE
DATE
RESULT
COMPLETE
A-1 JOB START
X-2 ENGINEERING FINAL**
E-7 TRAFFIC CTRL
Printed: Thursday, March 24, 2022 8:43:55 AM 2 of 2
RECEIVED
,t Of EV 10
N S•
SECTION A
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
Requirements outlined in Right-4--Way pernvt handout Rb .
MAR 02 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.
sil
1111
Narne of Company ; i
_S - t
��. t
Primacy Nanne
Agent Name c
Title
Title
1liobile
Address `2 f!� Z jp- ��
J
Entail
City •' , ► V1 State CLh
Zip
Secondary Name
Phone 4 25 279 _-776
Title
Lmail tY• ar C+
hlobile
City of Edmonds BYsiness License No:
Lrmail
State License No:
p Contractor verifies it is currently bonded
Mnmc. nnnn . o Z- - ... _..i_ _ ,
Contractor verifies it currently has general liability insurance
�. L�Lti iv.�v.vcu rriluu e� cnae me'e►PPucanon ve segnea oy a tteensed and bonded conh•actor unless otherwise approved by the efty
ett�irteet•.
Rol Nis=
❑ Multifamily residential ❑ Commercial ❑ City project
❑ Single family residential subdivision ❑ Single family -other ❑ Industrial
❑ Denio and rebuild or from vacant land?
❑ Other, please specify:
In Utility Franchise Work associated i6th development check one of the above bores as well
❑ Traffic Control Only (no associated development)
Utility Franchise Work (no associated development)
City of Edmonds ROW construction permit Application --Page i of 3 Updated 3/25/2021
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
Alley 72 hours +
LF
x
I
LF
SF
Parking 72 hours +
LF
x
LF
SF
SECTION B - If you are not a utilihj company performing work in the City ROM7, skip to SECTIONC.
i. The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable ❑ power u gas
o water ''sewer ❑ storm
1. Does the utilityowner have existingoverhead infrastructure in the area of work?
7e
2. Will any equinnipnt be added under round or above ground (e.. 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?
¢.
Does the work involve rebuilding or relocating an existing aboveground utility system which
connects a lot or commercial development to an existing Underground common utili stem?
X
5.
Does the work involve proposed additions to an aboveground utility system? If yes:
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 folloi%ing 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:
How many are existing? I ii /A I How manv are to be added? I /V ........
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
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 perj4it fees. ,
APPLICANT SIGNATURE:
APPLICANT PRINTED NAME:
APPLICANT TITLE:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction pernnit Application --Page 3 of 3 Updated 3/25/2021
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I 3 2 I o ► I o' MAR 02 2022
CIT OF EDMONDS
D VELOPMENT
ERVI Q 1 00 I I I SES DEPARTMENT
?91 �n86Q3 I `� 8515 I I 8431
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►J I I I
MINIMUM LANE CLOSURE TAPER LENGTH . L (feet)
LANE
Posted Spood (mph)
WIDTH
(f..p
25
30
35
40
45
50
w
65
70
10
105
150
205
270
450
900
550
11
115
165
295
495
550
GOS
G60
-
12
125
Be1
245
320
540
me
a-
720
700
840
MINIMUM SHOULDER TAPER LENGTH = L13 (foot)
SHOULDER
Posted Speed (mph)
WIDTH
0.0
- 30
15
40 as
50
69
65
70
a'
40 40
CD
00 120
130
1 150
I 1G0
170
19D
10'
40 50
90
90 150
170
1 100
1 200
220
240
USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THEN 8'.
U
x x
48"
ROAD /
WORK (\
AHEAD
4a"
w2B-1
aa'
RIGHT ERNE
-- ---- CLOSED ,
LEGEND
N
TEMPORARY SIGN LOCATION
®
TRAFFIC SAFETY DRUM
�D
SEQUENTIAL ARROW SIGN
TRANSPORTABLE ATTENUATOR
PCMS
PORTABLE CHANGEABLE MESSAGE
wZ0-5R
SIGN SPACING M X (1)
FREEWAYS 6 EXPRESSWAYS 55 170 MPH 15D0'i
RURAL HIGHWAYS 601G5 MPH 800'i
RURAL ROADS 45 155 MPH 500'i
RURAL ROADS S URBAN ARTERIALS 35 140 MPH 150'i
RURAL ROADS 8 LRBAN ARTERIALS 2S 13D MPH 200'i (2)
RESIDENTIAL S BUSINESS DISTRICTS
URBAN STREETS 25 MPH OR LESS 100'i (2)
(1)ALL SPACINO MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE
RAMPS. AT -GRADE INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FR
ROADWAY CONDITIONS.
CHANNELIZATION DEVICE
SPACING foot
MPH TAPER TANGENT
50r70 4D BO
3514E 30 GO
2GI30 20 40
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
.,
30
35
40
45 5C
55
GO
G5
70
LENGTH ff.0
155 1
2D0
I 25D 1
305
1 360 1 425
1 495
1 570
1 145
1 730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE - R
HOST VEHICLE WEIGHT
9900 TO 22.000 lb"
HOST VEHICLE WEIGHT
> 22,0M I—
< 45 MPH
I 45-5S MPH
5 MPH
a5 MPH A5-55 MPH
55 MPH
100'
1 123'
17-
11 100' 1
110'
WORK HOURS - OFF PEAK ONLY NOTIFY WSDOT 48-72
M-F 9 AM TO 3 PM HOURS PRIOR TO START OF
NO FEDERAL HOLIDAYS. WORK. CONTACT BONIE NAU
AT 206-440-4471
® ® TID
®® I
® ® ® WORK ARCA
U3 SEE
NOTE 4
Y D R SDO' i
PCMS
t
RIOHF 1 MILE
LANE AHEAD
CLOSURC
2.0 Sre 2.o SCC
FIELD LOCATE 1 MILE i IN
ADVANCE OF LANE CLOSURE SIGNING.
°a
ENGINEERING DIVISION
RECEIVED
"OTED
Applicant shall repair/replace all
48'
damage to utilities or frontage
improvements in City right-of-way
MAR 02 2022
I 13/23/2022
w4.2(L)
per city standards that is caused or
NOTES
occurs during the permitted project.
1. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS,
2. EXTEND DEVICE TAPER AT U3 ACROSS SHOULDER.
CITY OF EDMONDS
OWNER/CONTRACTOR IS RESPONSIBLE FOR
DEVELOPMENT
3 DEVICES SHALL NOT ENCROACH IN70 THE ADJACENT LANE.
EROSION CONTROL AND DRAINAGE
SERVICES DEPARTMENT
4. E TRAN VED)E DEVICES IN CLOSED LANE EVERY 1000'(FT)
(
SINGLE -LANE CLOSURE FOR MULTI
-LANE ROADWAYS
5, 20'F;� SPACING FOR THE DOWNSTREAM TAPER SHALL BE
6. ALL SIGNS ARE BLACK ON ORANGE.
NOT TO SCALE
TIME rvnme 5:11:31 AM 1ie 1„FEO.AID PROJ.NO. � "T wi
DATE 11Y2018 `AS 7w TC3Mo
PLOTTED DY Imams
DEseNCD BY Wachington Stato '"•^
ENTERED MY
CHECKED eY oa�ti=� �-�»~ .o Dapaltmont of Trap&portation a.
PROD. ENOR. TRAFFIC CONTROL PLAN y..n
REDIDNAL ADM. REVISION DATE DY