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ENG2022-0049 ROW PERMITOF EI�� RIGHT OFPERMIT City of Edmonds PERMIT NUMBE Edmonds WA 98020 • �1 i gad • - • • • • • 425.771.0220 Description: BORE UNDERGROUND CONDUIT FOR WSDOT ISSUED: 06/13/2022 Address: 107 BELL ST 102 EDMONDS WA 98020 EXPIRES: 12/13/2023 Permit Type: RIGHT OF WAY Permit Subtype: CITY Parcel Number: 00793700010200 CONTACTS M NAME TYPE NAME ADDRESS PHONE APPLICANT LISA WILLIAMS PO BOX 550, RAINIER WA 98576-0550 (360)446-2549 CONTACT RAINIER VALLEY CONSTRUCT PO BOX 550, RAINIER WA 98576-0550 (360)446-2549 CONTRACTOR RAINIER VALLEY CONSTRUCTION, PO BOX 550, RAINIER WA 98576 (360)446-2549 INC. OWNER BAILLET MICHELLE/FINEOUT GUY W 107 BELL ST UNIT 102, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $220.00 $220.00 RIGHT OF WAY STANDARD 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. 7- INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM 24 HR NOTICE REQUIRED r 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 06/13/2022 RELEASED BY DATE Printed: Monday, June 13, 2022 11:07:07 AM 1 of 2 RIGHT OF WAY PERMIT City of Edmonds PERMIT NUMBER, www.cityofedmonds.gov / 425i CONDITIONS CONDITION TYPE NOTES 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 7:00am to 6:00pm on SOUND AND NOISE weekdays and 10:00am and 6:00pm 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 NOTES COMPLETE X-2 ENGINEERING FINAL" A-1 JOB START E-7 CONCRETE SIDEWALK E-7 RESTOR LIMITS E-7 TRAFFIC CTRL Printed: Monday, June 13, 2022 11:07:07 AM 2 of 2 RECEIVED �� FEB 09 2022 RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION CITY OF EDMONDS Complete and submit this Application in accordance with the Submittal DEVELOPMENT ANC. 1S913 Requirements outlined in Right -of -Way permit Handout E6`3. 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 Site Address or if no site address use Property Address atNW corner of project area: \ Associated Permits: BLD N 1 PLN ENG Name of Company 1 Franchise Ordinance No: Point of Contact Title \. Address - City State Zip C Phone ._ Email 1 Name of Company '` \ ^ Primary Name Agent Name Tide 1 Title 1 Mobile \ Address Email City C State Zip Second ame Phone Title Email ; Mobile City of Edmonds Bu iness License Nu: \ Email State License No: �7 _ Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance ao.ov.uwu requires roar the nppucanon De signed by a licensed and bonded contractor unless otherwise approved by the city enoineer. Multifamily residential n Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? 1J/Other, please specify: ❑ Utility Franchise Work associated with development (check one of the above boxes as weln ❑ Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page i of 3 Updated 3/25/2021 k .rpm ❑ 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 xj 100LF po SF 1 j r!i e V- Alley 2 hours + IVA LF x LF N k SF Parking 72 hours + I OL O LF x i 0 LF or~) SF (w f f K SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C. . The work in the right of way is on or for the following type of facilities:: Atelecommunications o cable ❑ power Li gas ❑ water ❑ sewer ❑ storm Details of Work to be Completed 1. 1 Does the utility owner have existing overhead infrastructure in the area of work? No ✓ 2. 1 Will any equipment be added underground or above ground (e.g. pedestals, vaults etc.)? If yes, describe: 3. Does the proposed work conn ct a lot or commercial development with utilities that serve more than one lot or commercial development? / V/ 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 stem? ✓ 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? Demils of Work lo be Completed Yes 0 6. 1Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial develo ment? 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 goles 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? I I What is the height of the poles after? Describe the modification rebuild: SEc"PION C Traffic F Ll 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 AppHeant. 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. 1� APPLICANT SIGNATURE: L. Gz YYv� DATE: a� APPLICANT PRINTED APPLICANT TITLE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 Place Type II handhole at corner. Place Type II handhole at corner. e N " • Install 2" conduit by directional bore A �� for approximately 422' from existing �. ~• Type I handhole to new handhole. �• -� • �' �'- + ! ,. 'mil � - /`� Install 2" conduit by directional bore for approximately 250' from Utilize existing conduit path new handhole to new handhole. f ti to tie into system in Ferry � -. � 57 Terminal transit entrance. SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM Abiff 71 5� Install 2" conduit by directional bore for approximately 200' from new handhole to pole. r OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING T ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY %� /; • UTILITIES MAY REQUIRE A SEPERATE PERMIT. • OWNER/CONTRACTOR IS RESPONSIBLE FOR /• " Install 2" conduit by pot and EROSION CONTROL AND DRAINAGE / 1f�/ -> approximately 60'. bore for approxi, . R _ RECEIVED • / - ra'a Applicant shall repair/replace all ENGINEERING DIVISION v ? dam age to utilities or frontage APPROVED AS NOTED, Jun 012022 RESTORATION LIMITS TO BE DETERMINED mprovementsinCity right-of-way per city standards that is caused or CITY OF EDMONDS / BY CITY ENGINEERING INSPECTOR 06/10/2022 DEVELOPMENT SERViCEs� occurs during the permitted project. DEPARTMENT / / . /• I 1 01 Proposed installation path marked in red with bore profile of 10' of depth. �.• At . w ALL UTILITIES THAT THE BORE PATH 12" Sewer Main - 5' depth of flow line. CROSSES SHALL BE POTHOLED J ' INCLUDING WATER, SEWER, AND i *�` STORM. ' r , .^ w •� : 12" Storm Line 3'6" depth of flow line. ja 1 , Proposed installation path marked in red with bore profile of 2' of depth. ► 1 Vactor pothole H2O line in planter. ems._ ..- • � • . �� .. � �.: �... ALL UTILITIES THAT THE BORE PATH _ \ CROSSES SHALL BE POTHOLED \ �P• INCLUDING WATER, SEWER, AND Vactor pothole H2O line and hydrant in planter. STORM. f► n Vactor pothole gas line in planter. . • r�.:,k`` Vactor pothole gas line in planter. !� ' Vactor pothole H2O line in planter. V Vactor pothole gas line in pavement. j O Proposed installation path marked in red dash with bore profile of 10' of depth. 0 � r Proposed installation path marked in red dash with bore profile of 10' of depth. //h •� , /,f4 • , � �• t 48 dept . � � 1 � �� •' /��ry Koff �� , ewe - `Q 44, �^ �// Vactor pothole H2O line in planter. 72 Sege • \a r � t ash '" /� .i toy th °� Vactor pothole gas line in planter. ��e,g 1/Ow/fin 2a Vactor pothole H2O line in planter. ♦,� <w Vactor pothole gas line in planter.. .� ALL UTILITIES THAT THE BORE PATH 1 CROSSES SHALL BE POTHOLED ° INCLUDING WATER, SEWER, AND 0 ` STORM. Vactor pothole H2O line in planter. ' C/)zC�D T� o r �S E:CC�/)��'co <; ►.. , m r s 4m Aj ;D' L i m� C/) ,. m _ 0 m m r ;u 00 r� > m m n�o/troth% . eAth f I / 606. °to�e�e 1 � °w � /� St°�� ` 3 � VaQtor• 0°t h/ OeAth of�owb , �° e9ds i J ne nA/aster %A r d°tor j AOth% y2o \ a VdCtO /% ih N I yr rAot Adze hOte / r- �j • a44r�"'"'�� f I gas /in ••�� V �_ . lidotOr r \ ooth0/0 CD C a cb �nA/d m a (TMD { 0 e o oo 5' vertical sepa F M � .. ram Bore profile north to south from Bell St to Main St. Approximate 10' of depth to have 5'+ of vertical clearance under utilities. s a a� Distance Jun 01 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT ii:::iEi�iiii�� i�ii moose logo now iiiiii� now iiii� Y1111�111111��.'.:i�1i NONE 10-0-0-0. om INSINIEFEN w 1 0 offiloml Jo -BMA.-- Monosson= Hanson now Wman imago monom 0101101001100111 OEM ON U1111millnim UNEEM 11 "MMOMMMENNNE OEM MEMNON ON mm�� I!" oiiiiiwiiiiiiiiiiiiiiiiiiEii MEN MONSON MEMO OMENS ON NEON on smanom on No q NO I SEEN MEMNON owns manommimmus MIN Masai No was -000 on ONE Comm NUNN Nor" NOON NONNI no& momollow a Is Nunn olwom Emus ME ago mass NUNN Imml III r NONE No sommm mom mom now Mimi imom iiiiiiiii� i=iiii ,1 , O� r Pot and Bore installation in planter with left lane closure of Ferry Terminal loading zone. Work areas for potholing and directional drilling along planter will _' take place in parking stalls with No Parking and Sidewalk Closure. �• . d ,,�� rr LO-A 4, Work areas for potholing and directional drilling along planter will take place in parking stalls with No Parking and Sidewalk 0 S�OEWALF / / CLOSED i ti i t• If, Work areas for potholing and directional drill along planter will take place in parking stalls with No Parking and Sidewalk Closure. 7 Directional drill set up and operation behind walk and within No Parking area of shoulder closure. Aff %r I • • • Work areas for potholing and directional drill along planter will take place in parking stalls with No Parking and Sidewalk Closure. FS.• 3D RECEIVED FEB 09 2022 CITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS Right -of -Way Application #1084591 - Edmonds Ferry Project SERVICESLOPMENT DEPARTMENT Applicant First Name Last Name Company Name Lisa Williams Rainier Valley Construct Number Street Apartment or Suite Number E-mail Address PO Box 550 lisa@rainiervalleyinc.com City State Zip Phone Number Extension Rainier WA 98576-0550 (360)446-2549 Contractor Company Name RAINIER VALLEY CONST INC Number Street Apartment or Suite Number PO BOX 550 City State Zip Phone Number Extension RAINIER WA 98576 (360)446-2549 (360)791-3957 State License Number License Expiration Date UBI # E-mail Address RAINIVC991 PD 10/4/2023 FD91 _s9in_5 lisa@rainiervalleyinc.com Project Location Number Street Floor Number Suite or Room Number City Zip Code County Parcel Number Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Bell St and Sunset Ave N Property Owner First Name Last Name or Company Name Number Street Apartment or Suite Number City State Zip 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: 2/9/2022 Submitted By: Lisa Williams Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1084591 - Edmonds Ferry Project Project Contact Company Name: Rainier Valley Construct Name: Lisa Williams Email: lisa@rainiervalleyinc.com Address: PO Box 550 Phone #: (360)446-2549 Rainier WA 98576-0550 Project Type Activity Type Government Capital Improvement Project Scope of Work Disturbance of Surface Project Name: Edmonds Ferry Project Description of Work: Directional Drill 1-2" conduit approximately 830ft from existing conduit path to new handhole. Set 2 type 2 handholes Project Details Project Information Job Number 200392 Page 2 of 2