ENG2021-0063 ROW PERMITRIGHT OF WAY MINOR PERMIT
PERMITNUMBER,
City of Edmonds
-0063
www.cityofedmonds.gov
Description: ESPE REPLACE DRIVEWAY WITH ENCROACHMENT
ISSUED: 03/04/2021
Address: 23405 HUMBER LN EDMONDS WA 98020-6158
EXPIRES: 09/03/2021
rmit Type: RIGHTOF WAY MINOR Permit Subtype: RESIDENTIAL Parcel Number: 00571300201100
i
NAME TYPE NAME ADDRESS
PHONE
APPLICANT XAVIER, JOSE DARCIMAR 416 WEST MAPLE ST, MONROE WA 98272 (425)449-3696
CONTRACTOR XAVIER, JOSE DARCIMAR XAVIER PAVERS, MONROE WA 98272
(425)449-3696
OWNER ESPE JOHN & ROSEMARY 23405 NUMBER LN, EDMONDS WA 98020
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
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
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RELEASED BY DATE
Printed: Thursday, March 04, 2021 2:27:16 PM 1 of 2
WAY MINOR .UM PERMIT
City of • • •
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.
Restore landscape to like or better conditions.
ENGINEERING OTHER
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.
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.
INSPECTION TYPE DATE
RESULT
NOTES
COMPLETE
X-2 ENGINEERING FINAL"
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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: Espe Residence
CONTRACTOR: Xavier Pavers
Mailing Address: 416 West Maple St., Monroe, WA 98272
State License #: CCXAVIEP871JT UBI:603-206-108
City Business License #:
CONTACT: John Espe
Phone #: (425) 449-3696
Fax #:
Email #: xavierpavers@hotmail.com
® Liability Insurance ® Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 23405 Humber lane, Edmonds, WA 98020
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ® Single Family
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit9
ANY ASSOCIATED PERMITS?
❑ Other
❑ Yes ® No
BLD# N/A ENG# N/A
DESCRIPTION OF PROPOSED WORK (Be Specific) : Removing old asphalt driveway and
replacing with sand set pavers. Approximate area is 1,170 Sq. Ft. including extending into the
right of way. Pavers will extend into the right of way except for the last 2'-0" where the
street paving flares into the width of the driveway. See attached sketch
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ® Year:
PAVEMENT CUT: ® Yes ❑ No
CONCRETE CUT: ❑ Yes ❑ No
If yes, indicate size of cut: 17'-6" W x 16-0" D
If yes, indicate size of cut: x
RIGHT-OF-WAY
DURATION
AREA
TOTAL
CLOSURE
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF
X
LF
SF
N/A no sidewalk
I
Alley 72 Hrs + LF
X
LF
SF
N/A no alley
Parking 72 Hrs + LF
X
LF
SF
N/A no parking
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 requirements in order for the permit to be valid.
SIGNATURE DATE V &_5/2 1
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
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PROVIDE INLET PROTECTION FOR CATCH BASIN DURING CONSTRUCTION. DO NOT ALLOW
CONSTRUCTION DEBRIS INTO CULVERT ON NORTH SIDE OF DRIVEWAY. SEE ATTACHED
STANDARD DETAIL FOR INLET PROTECTION.
LOCATE OLYMPIC VIEW WATER SEWER DISTRICT UTILITIES PRIOR TO START OF WORK.
PURPLE LINE AND CIRCLE - OVWSD WATER MAIN AND HYDRANT.
ENCROACHMENT AGREEMENT SHALL BE SIGNED BY OWNER, NOTARIZED, AND
REVIEWED AND APPROVED BY CITY. THEN ENCROACHMENT AGREEMENT SHALL BE
RECORDED WITH SNOHOMISH COUNTY. RETURN TO CITY PRIOR TO FINAL OF ROW
PERMIT.
Applicant shall repair/replace all
damage to utilities or frontage
improvements in City right-of-way
per city standards that is caused or
occurs during the permitted project.
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
APPROVED AS NOTED
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NOTES:
CATCH BASIN
1. CONTRACTOR/DEVELOPER SHALL MAINTAIN
THIS APPLICATION AT ALL TIMES DURING
CONSTRUCTION PERIOD.
2. ANY SEDIMENT IN CATCH BASIN INSERT
SHALL BE REMOVED WHEN INSERT IS
ONE—THIRD FULL.
3. CITY INSPECTION REQUIRED ON ALL
EROSION CONTROL METHODS BEFORE
OTHER WORK CAN BEGIN.
REVISION DATE
CITY OF EDMONDS TEMPORARY JANUARY 2018
SEDIMENT TRAP
PUBLIC WORKS FOR CATCH BASINS STANDARD
DEPARTMENT DETAIL
APPROVED BY: R. ENGLISH E R- 9 0 2