POE New Admin-Maint Bldg. - ROW Permit Appof EV kloi/,_�
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
''vc. isa° Requirements outlined in Right-of-Wa\- permit Handout E6�.
If any field is not applicable to your project, N%Tite "N/A" instead of leaving blank.
All fields required. Incomplete Applications will be denied.
SECTION A
General Info
Project Name port of Edmonds
Site Address or if no site address use Property Address at NW corner of project area:
Associated Permits: IBLD 2 0 21-13 8 5 1 PLN ENG
•applicable)
Name of Company port of Edmonds Franchise Ordinance No:
PointofContact Chris Osterman
Title PA
Address 471 Admiral Way
city Edmonds
state WA
Zip 98020
Phone 425-673-2008
Email ap@portofedmonds.org
OwnerContractor and Authorized Agent of
Name of Company S ee West Construction Co.
PrimaryName Ben Henderson
Agent Name Doug Spee
Title PM
Title President
Mobile 425-252-1500
Address 307 Bell St., Suite 101
Email bhenderson@speewest.com
city Edmonds
I State WA
Zip 98020
Secondary Name Mike Linn
Phone 206-284-7733
Title Superintendent
Email dspee@speewest.com
Mobile 206-719-8097
City of Edmonds Business License No: BL-004298
Email mlinn@speewest.com
state License No: SPEEWCC101MF
x Contractor verifies it is currently bonded
x Contractor verifies it currently has general liability insurance
NOTE: ECDC t8.6o.o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city
engineer.
DevelopmentType of
❑ Multifamily residential X 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 weln
❑ 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.)
Construction of a new retail, office & maintenance shop within a building footprint of 6,650 SF.
Revisions to existinq parking, relocation o an new par mg lot ig tinq, new landscaping,
ROW r : Street tie-ins to sewer. water. and storm main lines
Curb and au er
Sidewalk
Street trees
Asphalt patch and overlay
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
5 LF
x
180 LF
900 SF
10
Alley 2 hours +
LF
x
LF
SF
Parking 72 hours +
LF
x
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:
X telecommunications X cable X power ❑ gas
X water cx sewer X storm
Details N'Vorj� be
of to Compictcd
1. 1 Does the utility owner have existing overhead infrastructure in the area of work?
Yes
No
X
2. 1 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?
X
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?
X
5.
Does the work involve proposed additions to an aboveground utility system? If es:
X
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 Work to be Completed Yes IN, o
6. 1Does your project involve rebuilding or replacing utility equipment which currently serves more
than one lot or commercial development? I X
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
ro'ect is ro osed:
X
6a.
Does your project involve wires/cables/lines? If yes: New bored power, fiber, cable
How many are existing? I I How many are to be added?
6b.
Does your project involve poles? If yes:
X
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:
X
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
licensed and bonded contractor; the information prow
owner to act on its behalf and have aut
Fees. The Applicant is responsible for
APPLICANT SIGNATURE:
der the laws of the State of Washington that: I am a
in ' correct and complete; and I am authorized by
to t application.
DATE: 6/24/22
APPLICANT PRINTED NAME:
APPLICANT TITLE:
Douglas K. Spee
President
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021