Engineering Permit Form ENG2022-0459RIGHT OF WAY PERMIT
PERMIT NUMBER
City of Edmonds
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www.cityofedmonds.gov• •
Description: ROW IMPROVEMENTS FOR PAWLING SFR BLD2021-1667
ISSUED: 10/04/2022
Address: 755 DALEY ST EDMONDS WA 98020-3025
EXPIRES: 10/04/2023
rmit Type: RIGHT OF WAY Permit Subtype: RESIDENTIAL Parcel Number: 00434208302500
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NAME TYPE NAME ADDRESS PHONE
APPLICANT GRETCHEN PAWLING 755 DALEY ST, EDMONDS WA 98020 (206)719-0793
CONTACT PUGET SOUND PLANNING, LLC 6100 219TH ST SW, MOUNTLAKE TERRACE WA 98043 (425)830-1046
CONTRACTOR COMPLETE EXCAVATING LLC PO BOX 1275, LAKE STEVENS WA 98258 (425)346-7562
OWNER GRETCHEN G PAWLING 755 DALEY ST, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $40.00
ENGINEERING INSPECTION FEE
$770.00 $770.00
RIGHT OF WAY STANDARD PERMIT FEE
$330.00 $330.00
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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
C h rEst�n2 g2 KSC)n 10/- /2022
RELEASED BY
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KIRRMF WAY PERMIT
City of Edmonds
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www.cityofedmonds.gov• •
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.
INSP PRIOR TO BACKFILL
Call for all required inspections. All work shall be inspected prior to backfill.
SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT.
INSPECTIONS
www.mybuildingpermit.com
POTHOLING
VERIFY CLEAR BORE CROSSINGS.
Electronic civil asbuilt shall be submitted to the City prior to final project acceptance. Asbuilt shall be
PROJECT CIVIL ASBUILT
submitted to Engineeringpermits@edmondswa.gov.
ROW COMPACTION TEST
Right of way compaction tests are required per City standards.
SEWER AND WATER
MAINTAIN 10 FEET OF SEPARATION BETWEEN THE SANITARY SIDE SEWER AND THE WATER SERVICE
SEPARATION
LINE.
PLEASE REFER TO STANDARD DETAILS SS-200, SS-201 AND, SS-202. STANDARD DETAILS CAN BE
FOUND ON THE CITY OF EDMONDS WEBSITE. SDR35 WITH GASKETED FITTINGS IS REQUIRED FOR ALL
SEWER REPAIRS. FOR ANY REPAIRS WHERE THERE IS MORE THAN ONE STICK OF PIPE, A PRESSURE
SEWER REQUIREMENTS
TEST IS REQUIRED. WHERE LINING OR PIPE BURSTING WATER AND TV TEST IS REQUIRED. IF THE 4-6
TRANSITION IS ENCOUNTERED, A 6" CLEANOUT IS REQUIRED AT THE PROPERTY LINE. THE 6"
CLEANOUT SHALL HAVE A 12" CAST IRON LAMPHOLE COVER WITH 1/2 HEX BOLTS, GRIPPER TWIST
PLUG, AND A 24" CONCRETE COLLAR. AN AS BUILT IS REQUIRED PRIOR TO FINAL OF THE PERMIT.
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.
TRAFFIC CONTROLS
Traffic Control per approved plan and MUTCD. All Flaggers shall be certified.
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.
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INSPECTION TYPE
DATE
RESULT
NOTES
COMPLETE
X 2 ENGINEERING FINAL"
E-7 TRENCH COMPACTION TEST
REPORT
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F WAY PERMIT
PERMIT NUMBER
City of Edmonds
121 5th Ave N, Edmonds WA 98020 ENG2022-0459
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www.cityofedmonds.gov / 425.771.0220
MOBILIZEA-1 TES C AND
APPROACH
E-7 SEWER LATERAL
E-7 STORM MAIN
DRY UTILITY LOCATION
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