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ENG2022-0411 ROW PERMITRIGHT OF WAY EUC PERMIT PERMITNUMBER, City of Edmonds ...0i 1 1Li www.cityofedmonds.gov Description: OVWSD - INSTALL NEW 3/4 INCH WATER SERVICE ISSUED: 08/17/2022 Address: 8729 236TH ST SW EDMONDS WA 98026-8921 EXPIRES: 02/13/2023 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27043100205900 I 11-14111 a i NAME TYPE NAME ADDRESS PHONE APPLICANT MARTY HENNINGER 8128 228TH ST SW, EDMONDS WA 98026 (425)774-7769 CONTACT OLYMPIC VIEW WATER AND SEWER 8128 228TH ST SW, EDMONDS WA 98026 (425)774-7769 DISTRICT CONTRACTOR OLYMPIC VIEW WATER & SEWER 8128 228TH ST SW, EDMONDS WA 98026 (425)670-1856 DISTRICT OWNER Charles and Julie Lough 8729 236th St SW, Edmonds WA 98026 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 RIGHT OF WAY STANDARD - EUC PERMIT FEE $330.00 $330.00 • 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' 18/17/2022 DATE Printed: Wednesday, August 17, 2022 12:36:20 PM 1 of 2 -KRWOF WAY EUC PERMIT PERMITNUMBER, City of Edmonds ...• •ENG2022-0411 www.cityofedmonds. ov/425.771.0220 CONDITIONS CONDITION TYPE 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: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. INSPECTIONS INSPECTION TYPE DATE RESULT COMPLETE A-1 JOB START X-2 ENGINEERING FINAL** Printed: Wednesday, August 17, 2022 12:36:20 PM 2 of 2 RECEIVED AUG 3 2022 RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E6j. CITY OF EDMONDS DEVELOPMENT 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. M 0Ii_C1"1 • Pro ect Name 2_36)k�� Site Address or if no site address use Property Address at NW corner of project area: . 71C AA 6f Associated Permits: BLD PLN I ENG Owner and Entity Name of Company, l Holdingapplicable) u Franchise Ordinance No: Point of Contact Title i L Address to City U� State Zip 2� CYO • Phone tE -7 y - -77 (o Email 6 VLtxkr� ('om v Contractor_ • Name of Company ©V, , 1 � , J v f -L J_ � 'T During Construction Primary Name Agent Name Vic, U Title TideJLi v L-,e Mobile Address el Z6'tzbtb_ Email City I State Zipc7eezo Secondary Name Phone Z 77�(-771v T Title Email k—,GG Mobile City of Edmonds usmess License No: Email State License No: Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC18.6o.o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. Type of ••apply ❑ Multifamily residential ❑ 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 well ❑ Traffic Control Only (no associated development) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permit. Application --Page x of 3 Updated 3/25/2021 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 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, skin to SECTTONC. -Typeof 1. The work in the right of way is on or for the following type of facilities:: ❑ telecommunications ❑ cable ❑ power ❑ gas >Qwater ❑ sewer ❑ storm Details of Work to be Completed I Does the utility owner have existing overhead infrastructure in the area of work? Yes No IC x. 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults etc.)? If yes, describe: I n i e 3. Does the proposed work connect a lot o commercial development with utilities that serve more than one lot or commercial development? k 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? X S. Does the work involve proposed additions to an aboveground utility stem? 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 Does your project involve rebuilding or replacing utility equipment which currently serves more Yes No 6. than one lot or commercial development? If yes, answer the following questions related to project area, i.e. the actual area in which the project is ro osed: 6a. Does your project involve wires/cables/lines? If yes:' How many are existing? How many are to be added? City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 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? What is the height of the additional oles? 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 application. Fees. The Applicant is responsil APPLICANT SIGNATURE: APPLICANT PRINTED NAME: APPLICANT TITLE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/202-L (D00 23516 23509 8817 COD 1 4" DI BO 3 / `.23523 1 1 23520 11 D4-IN� 1 .1 1 1 - 1 t D4-14A N w D 11 8923 8821 8819 a' 8805 D4—V9 �&-A ne_v100 i I J 23519 i ! i t 8729 8713 441 D4-14 D5-V32 s )6 D5-23 s / 23601 VACANT 8810 8806 1 l`22077A-11970 1 8732 1 11 8719 10" Cl 1 76 LF 16,� QASING I i 7' DEEP Q EAST END 1 I I 23616 - ; 0 13 DEEP ® WEST EN _ N 1 1 8814 � 1 n. o ANY CUTS IN ASPHALT SHALL BE RESTORED TO CITY STANDARDS. LIMITS TO BE DETERMINED BY INSPECTOR. ADDITIONAL INSPECTION FEE(S) SHALL APPLY. 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 CONTROLAND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. 'RID 1 ; 1 8707 1 8617 1 8615 1 8613 I 23506 i 8423 1 i - - _BO _ I 1_ �.- - - so 8511 I i � �23512 8705 8619 I 8611 1 I � 1 1 8703 �6TH 20Q17-1985 23520 2" J .F la 8621 n ST LO D4-15 8609 8531 8521 8515 Co 8505 8423 D4 V15 D4 V31 DI ^D5- V33 10" D I ._ _... I 1 D5-V35 i 8704 86,26 1 I I i 1 I r 1 8620 8608 8604 8532 a5 1 i 1 if 0 8622 23614 v� cn 00 T a T ro ro o 00 N N D4-13 0 T -WV UNDER D4-V9 -,, STORM CULVERT D4- V11 10" CI 11 LIP 10" CI 22054-1970 Z7' 22054-1970 \-D5-V2 13' DEEP DEEP D 4- V10 53 LF-6" 5' DI DEEP 0 22031-1974 rn DSA n N.O. o _ 1 Go 0 T N 00 oN DETAIL ®® EDMONDS WAY AND 236A-p- H Si SWI 23605 D 5-22 1 8432 1 8426 1 84,, 23615 ENGINEERING DIVISION . 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Asphalt or Concrete Cut: Na Start date: 8/12/2022 Olympic View Water & Sewer District 8128 228th ST SW Edmonds WA. 98026 Phone Number 425 774 7769 Fax Number 425 670 1856 Contact: Marty Henninger E-mail: marty@ovwater.com Olympic View Water & Sewer District 8128 228th ST SW Edmonds WA. 98026 Phone Number 425 774 7769 Fax Number 425 670 1856 Contact: Bob Danson E-mail: Bobd@ovwater.com . Traffic control shall be in accordance with the MUTCD. . All flaggers shall be trained and certified as required by WAC 296-155-305. . Restoration shall be in accordance with City of Edmonds standards. • All asphalt or concrete cut surfaces shall be patched with City of Edmonds approved materials prior to the end of the day. WSHARETERMITS RIGHT OF WAYSIEdmonds