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ENG2022-0337 ROW PERMITRIGHT OF WAY MINOR PERMIT PERMIT NUMBER City of • • • Edmonds•:• •ENG2022-0337 www.cityofedmonds.gov• • Description: REPLACEMENT OF CONCRETE DRIVEWAY LIKE FOR LIKE ISSUED: 07/13/2022 Address: 507 6TH AVE S EDMONDS WA 98020-3457 EXPIRES: 01/09/2023 rmit Type: RIGHTOF WAY MINOR Permit Subtype: RESIDENTIAL Parcel Number: 27032500211800 i NAME TYPE NAME ADDRESS PHONE APPLICANT GERARDO ULLOA 18018 64 TH AVE W, LYNNWOOD WA 98037 (425)409-8110 CONTACT NW CASCADES CONCRETE LLC 18018 64 TH AVE W, LYNNWOOD WA 98037 (425)409-8110 CONTRACTOR NW CASCADES CONCRETE LLC 18018 64TH AVE W, LYNNWOOD WA 98037 (425)409-8110 OWNER SONIA N GILMAN 507 6TH AVE S, EDM0NDS 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 1111 • 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 ENGINEERING DIVISION ...,7TED RELEASED BY 17/13/2022 DATE Printed: Wednesday, July 13, 2022 8:31:47 AM 1 of 2 WAY MINOR .UM PERMIT PERMIT NUMBER City of • • • •:• •ENG2022-0337 www.cityofedmonds. ov/425.771.0220 CONDITIONS CONDITION TYPE 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 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. INSPECTION TYPE DATE RESULT NOTES COMPLETE E-5 DRIVEWAY SLOPE X-2 ENGINEERING FINAL" Printed: Wednesday, July 13, 2022 8:31:47 AM 2 of 2 pF E0A.10 41, RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal INC. 1$90 Requirements outlined in Right -of -Way permit Handout E6�. 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 Driveway at 507 6th Ave S. Site Address or if no site address use Property Address at NW corner of project area: 507 6th Ave S., Edmonds, WA 98020 Associated Permits: BLD N/A PLN N/A ENG N/A pp Name of Company N/A Franchise Ordinance No: N/A Point of Contact Sonia Gilman Title Homeowner Address 507 6th Ave S city Edmonds State WA Zip 98020 Phone 425.870.7103 Email sonia.gilman@gmail.com C,liitractor and Authorized Agent of Owner (see note below) Name of Company NW Cascades Concrete LLC Contmctiw During Construction Primary Name Gerardo Ulloa Marquez Agent Name Gerardo Ulloa Marquez Title Contractor Title Owner Mobile 425.409.8no Address 18o18 64th Ave W Email nwcascasdesconerete@gmail.com City Lynnwood State WA Zip 98037 Secondary Name N/A Phone 425.409.8110 Title Email nwcascadesconcrete@gmail.com Mobile City of Edmonds Business License No: 604-755-257 Email State License No: 604-755-257 N Contractor verifies it is currently bonded �Fj Contractor verifies it currently has general liability insurance NOTE: ECDCi8.6o.020 requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. apply ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision K 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 well) ❑ Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 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.) Demolition and removal of old driveway. Pouring a new concrete driveway in the same location of existing driveway. This project will take 3 days and will not require closure of sidewalk, alley or parking for more than 72 hours. 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 - If you are not a utility company performing work in the City ROW, skip to SECTION C. i. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details of Work to . 1. Does the utility owner have existing overhead infrastructure in the area of work? 2. Will any equipment be added underground or above ground (e.g. 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? 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? Details of Work to be Completed Yes No 6. 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 proposed: 6a. Does your project involve wires/cables/lines? If yes: How many are existing ? 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 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? I I 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 aalll permit fees. �.{A/yk 6/22/22 APPLICANT SIGNATURE: Gerardo uuoa marquez (ton 22, 202209.00 POT) DATE: APPLICANT PRINTED NAME: Gerardo Ulloa Marquez APPLICANT TITLE: Contractor NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 71L (at ENGINEERING DIVISION ""7TED OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING .U.1P. ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. ' 17/13/2022 NO STORMWATER MANAGEMENT SYSTEM REQUIRED AT THIS TIME. IF NEW AND/OR OWNER/CONTRACTOR IS RESPONSIBLE FOR—" REPLACED IMPERVIOUS SURFACE EQUALS EROSION CONTROL AND DRAINAGE414 ►t f# 12000SQFT OR GREATER, A STORMWATER ' :. i MANAGMEMENT SYSTEM MAY BE REQUIRED PER CITY CODES AND STANDARDS 1 Applicant shall repair/replace all - p damage to utilities or frontage S improvements in City right-of-way t per cijy standards that is caused or • " occurs dufing the permitted project. t M 444 kw 123i5' A AVD4, t' 1113.0 r , ........ _..m .. ki:. C" ) , 1 '3 - G� � -- ,_ �: � �,___.._ �� f . � RECEIVED .- '% .lam Jun 27 2022 # AID *ti CITY OF EDMONDS DEVELOPMENT SERVICES No_ DEPARTMENT ''"% . j C tof J7 (1 SIGN SPACING = X (1) RURAL ROADS & URBAN ARTERIALS 35 140 MPH 350't RURAL ROADS, URBAN ARTERIALS, 25 130 MPH 200't (2) RESIDENTIAL & BUSINESS DISTRICTS URBAN STREETS 25 MPH OR LESS 1001t (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERSECTIONS AND DRIVEWAYS. (2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. 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. LEGEND K TEMPORARY SIGN LOCATION O CHANNELIZING DEVICES PROTECTIVE VEHICLE BY MINIMUM SHOULDER TAPER LENGTH = L13 (feet) SHOULDER Posted Speed (mph) WIDTH (feet) 25 30 35 40 45 50 55 60 65 70 8' 40 40 60 90 - - - - - - 10' 40 60 90 90 USE A 3 DEVICES TAPER FOR SHOULDERS LESS THEN 8' OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROLAND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH (feet) 155 200 250 305 360 425 495 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 lbs. HOST VEHICLE WEIGHT > 22,000 lbs. < 45 MPH 45-55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100, 123' 172' 74' 1 100' 1 150, PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED >�� f _ _ _ _ _ ' _ O 9 b 4 ® ® �¢ WORK AREA X X L/3 B R 50, CHANNELIZATION DEVICE SPACING feet MPH TAPER TANGENT 35/40 30 60 25/30 20 40 48' 41" ROAD WORK SHOULDER AHEAD WORK 48' 48" W20_1 W21-5 RECEIVED SHOULDER CLOSURE -LOW SPEED (40 MPH OR LESS) NOT TO SCALE ure - Low Soeed (40 MPHI or Less)WTC-5.dan Jun 27 2022 CITY OF EDMONDS DEVELOPMENT SERVICES NOTES DEPARTMENT 1. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 20'(FT). 2. ALL SIGNS ARE BLACK ON ORANGE. Amok MAR x x vxv TCS� Washington State .... Department of Transportation or TRAFFIC CONTROL PLAN x