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ENG2022-0181 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT •:• • 1 1 ' www.cityofedmonds.gov• • Description: PAINE - TRENCH FOR UNDERGROUND POWER TO EXISTING SFR ISSUED: 05/16/2022 Address: 9523 190TH PL SW EDMONDS WA 98020 EXPIRES: 11/16/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434600007801 i NAME TYPE NAME ADDRESS PHONE APPLICANT OKSANA BARBIN 8311 74TH DR NE, MARYSVILLE WA 98270 (425)672-4811 CONTACT ACES FOUR ENTERPRISES LLC 8311 74TH DR NE, MARYSVILLE WA 98270 (425)672-4811 CONTRACTOR ACES FOUR 18008 BELLFLOWER RD, BOTHELL WA 98012 (206)622-8337 OWNER SUSAN PAINE 9523 190TH PL SW, EDMONDS WA 98020 (206)371-5148 FEE INFORMATION =don&= DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 RIGHT OF WAY STANDARD - EUC PERMIT FEE $330.00 $330.00 • 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 05/16/2022 RELEASED BY DATE Printed: Monday, May 16, 2022 1:35:36 PM 1 of 2 -KRWOF WAY EUC PERMIT City of Edmonds Edmonds•:• •ENG2022-01811 . -. 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** Printed: Monday, May 16, 2022 1:35:36 PM 2 of 2 RECEIVED RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way uermit Handout E6 . APR 26 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. SECTION A Project Name C1 g:x) ('10 4—b P L Site Address or if no site address use Property Address at NW corner of project area: piss 3 5V_1 Associated Permits: IBLD I PLN ENG Name of Company Franchise Ordinance No: Point of Contact Title Address City State 'Lip Phone Email Name of Company S , Lbc' Contractor Colitm-l" Dilrill,., Construction PrimaryNa" Agent Name O VS JRi r�., x Title, Title is Mobile io Address �1 1 Email City y e State Zip Secondary Name Phone 1>S_ 19 _ L.f P H Title Email 4 Q Mobile City of Edmonds Business License No: (0 0 3QL( tLt3T Email State License No: E �� Contractor verifies it is currently bondea ontractor verifies it currently has general liability insurance NOTE: E D .18.60.020 requires that the Appiecation 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 a Demo and rebuild or from vacant land? ❑ Other, please specify: ❑ Utility Franchise Work associated with development (check Qne of the above boxes as well) ❑ Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page i of 3 Updated 3/25/2021 ❑ Utility Franchise Work (no associated development) 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 Parking 72 hours + LF x LF SF SECTION B -1, f you are not a utility company per forming 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.: a telecommunications ❑ cable 911power ❑ gas a water ❑ sewer ❑ storm Does the utilityowner have existingoverhead infrastructure in the area of work? 2. Will aEy equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? 73.1. 7,/ If yes, describe: il 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? 76.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 ro osed: 6a. Does your project involve wires/cables/lines? If yes: How many are existin ? How many are to be added? 6b. Does your project involve poles? If yes: How many poles are existing in the pEoject 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? A t r 6c. Are any poles to be modified/rebuilt/replaced? If yes: x How many? What is the hei ht 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 r ll permit f S. rr� APPLICANT SIGNATURE:DATE:a� APPLICANT PRINTED NAME: APPLICANT TITLE:�y - NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 90U1 P1 S Y OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. - ENGINEERING DIVISION Applicant shall repair/replace all APPROVED AS NOTED damage to utilities or frontage improvements in City right-of-way Jell (A/O✓.;t.$..,,,z 05/16/2022 Per city standards that is caused or occurs during the permitted project. VV RECEIVED APR 26 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT J 100 Z � f� Y a 19Oth PI SW RECEIVED APR 26 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED APR 26 2022 CITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS Right -of -Way Application #1127235 - Installing electrical conduit DEVELOPMENT g y pp g SERVICES DEPARTMENT Applicant First Name Last Name Company Name Oksana Barbin Aces Four Enterprises LLC Number Street Apartment or Suite Number E-mail Address 8311 74th Dr NE office@acesfour.com City State Zip Phone Number Extension Marysville WA 98270 (425)672-4811 Contractor Company Name ACES FOUR ENTERPRISES LLC Number Street Apartment or Suite Number 74TH DR NE City State Zip Phone Number Extension MARYSVILLE WA 98270 (425) 672-4811 (206) 622-8337 State License Number License Expiration Date UBI # E-mail Address ACESFFE807R4 12/18/2022 FD467.1g84 office@acesfour.com Project Location Number Street Floor Number Suite or Room Number 9523 190TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00434600007801 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 Susan Paine Number Street Apartment or Suite Number 9523 190TH PL SW City State Zip EDMONDS WA 98020 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: 4/25/2022 Submitted By: Oksana Barbin Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1127235 - Installing electrical conduit Project Contact Company Name: Aces Four Enterprises LLC Name: Oksana Barbin Email: office@acesfour.com Address: 8311 74th Dr NE Phone #: (425)672-4811 Marysville WA 98270 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: Installing electrical conduit Description of we will be excavating in the ditch along road side next to electrical pole approx 70' for Work: owner to later hire electrician to install electrical conduit to run to house. We will not be blocking or impacting right of way. No road closure. Project Details Project Information Job Number 9523 190th PI SW Page 2 of 2