ENG2022-0417 ROW PERMITRIGHT OF WAY MINOR PERMIT
PERMIT NUMBER
City of Edmonds
...0i 1 1
www.cityofedmonds.gov
Description: DRIVEWAY REPLACEMENT WITH PAVERS ON PRIVATE PROPERTY
ISSUED: 08/12/2022
Address: 508 2ND AVE N EDMONDS WA 98020-3106
EXPIRES: 02/08/2023
Permit Type: RIGHTOF WAY MINOR Permit Subtype: RESIDENTIAL Parcel Number: 27032400205000
NAME TYPE NAME ADDRESS PHONE
APPLICANT KEITH SINGLETON 508 SECOND AVE N, EDMONDS UN 98020 (808)652-9779
CONTACT KEITH SINGLETON 508 SECOND AVE N, EDMONDS UN 98020 (808)652-9779
CONTRACTOR RIOS BRICK PAVERS GC LLC 44834 22824 NE UNION HILL RD, REDMOND WA 98053 (425)891-4685
OWNER JANA & SINGLETON MICH 508 2ND AVE N, EDMONDS WA 98020
DOMBROWSKI
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
ENGINEERING DIVISION
���... ,�� .... "DTED
RELEASED B 0
18/12/2022 DATE
Printed: Friday, August 12, 2022 2:04:05 PM 1 of 2
WAY MINOR .UM PERMIT
PERMIT NUMBER
City of Edmonds
...• •ENG2022-0417
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: Friday, August 12, 2022 2:04:05 PM 2 of 2
Lti�y of EDA404O�
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
l'vc. Ise0 Requirements outlined in Right -of -Way permit Handout E63.
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
General•
Project Name N/A
Site Address or if no site address use Property Address at NW corner of project area: 508 2nd Ave N, Edmonds, WA 98020
Associated Permits: BLD PLN ENG
• • • .• .• -
Name of Company N/A Franchise Ordinance No:
Point of Contact Keiith/Jana Sincileton
Title Property Owner
Address 508 2nd Ave N
City Edmonds
state VVA
zip 98020
Phone 808 652 9779
Email keith singleton@msn.com
Contractor and Authorized Agent of Owner
Name of Company Rios Pavers
(see note below)
Contractor Contacts During Construction
Primary Name Mauricio Roch,
Agent Name Mauricio Rocha
Title CEO
Title CEO
Mobile 425 891 4686
Address 22824 NE Union Hill RD
Email
City Redmond I
State WA
Zip 98053
Secondary Name
Phone 425 8914685
Title
Email riosbrick
avers.mr mails
rKobile
City of Edmonds Business License No: Pending
(applied on on 8/10/
ail riosbrickpavers.mr@gmail.com
State License No: RIOSBBP830MB/UBO 604 138 780
p X Contractor verifies it is currently bonded
dC Contractor verifies it currently has general liability insurance
NOTE: ECDC 18.6o.02o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city
engineer.
❑ Multifamily residential ❑ Commercial ❑ City project
EDSingle 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 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)
Project Description
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.)
Replace broken street adjacent concrete (23 ft by 6 ft) with pavers, consistent with driveway. Replace driveway (21 ft
by 23 ft). Remove broken concrete and install replacement pavers throughout.
It is repair/replacement.
The existina savers and concrete are removed and add dirt/stone and then new savers.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
JxJ
LF
SF
N/A
Alley 72 hours +
LF
JxJ
F
SF
N/A
Parking 72 hours +
LF
JxJ
LF
I SF
N/A
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:
❑ telecommunications ❑ cable ❑ power ❑ gas
❑ water ❑ sewer ❑ storm
1.
CompletedDetails of Work to be
Does the utility owner have existin 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 • to be Completed
®i
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? 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 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? 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 applica 'on.
Fees. The Applicant is responsible for all permit fees
APPLICANT SIGNATURE: DATE: 8/11 /22
APPLICANT PRINTED NAME: Keith and Jana Singleton/Rios Brick Pavers (M. Rocha)
APPLICANT TITLE: Herneowners/Gentracter
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
s_Sal I JF I
1
REPLACING
DRIVEWAY WITH
PAVERS -
APPROX 750 SF
ENGINEERING DIVISION
SEPARATE ENCROACHMENT
" A" K10TED
Applicant shall repair/replace all
damage to frontage
PERMIT SHALL BE REQUIRED18/12/2022
utilities or
IF REPLACING APPROACH IN
- iv
improvements in City right-of-way
ROW WITH PAVERS-
MEETING OR EXCEEDING
per city standards that is caused or
2000 SF OF NEW AND/OR
occurs during the permitted project.
REPLACED IMPERVIOUS
SURFACES SHALL REQUIRE
STORMWATER
MAXIMUM DRIVEWAY SLOPE
MANAGEMENT
ALLOWED 14%
OWNER/CONTRACTOR IS RESPONSIBLE FOR OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
EROSION CONTROL AND DRAINAGE
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
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.
MINIMUM SHOULDER TAPER LENGTH = Ll3 (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'
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'
100,
150'
PROTECTIVE VEHICLE (WORK VEHICLE) = R
NO SPECIFIED DISTANCE REQUIRED
CHANNELIZATION DEVICE
SPACING feet
MPH
TAPER
TANGENT
35/40
30
60
25/30
20
40
O 9
b 4 ® ® �¢ WORK AREA
X X L/3 B R 50,
ROAD 48 41ENGINEERING DIVISION
WORK SHOULDER
AHEAD
WORK "")TED
48'
W20-1 W21-5 18/12/2022
NOTES
LEGEND
1. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 20'(FT).
K TEMPORARY SIGN LOCATION SHOULDER CLOSURE - LOW SPEED 2. ALL SIGNS ARE BLACK ON ORANGE.
O CHANNELIZING DEVICES
(40 MPH OR LESS)
PROTECTIVE VEHICLE
NOT TO SCALE
FILE NAME S:\Desi n R P& SW-SOndardsl2-Plan Sheet Libra 101-Published PSL\ TC Work Zone Traffic Control\ TC-5 Shoulder Closure - Low Speed 40 MP or Less)\TC-5.dgn Plot 1
TIME 2,59,41 PM —Tr FED.AID PROJ.NO. AmokRux Rv
DATE 1/212018 Y�/�
PLOTTED BY Ilddslf WAS �I/ TCS�
DESIGNED BY Joe xo..ER
ENTERED BY Washington State ....
CHECKED BY coxTRnm x iounox xo. Department of Transportation oR
PROJ. ENGR. re DATE TRAFFIC CONTROL PLAN
REGIONAL ADM. REVISION DATE BY