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ENG2022-0470 ROW PERMITOF WAY EUC PERMIT PERMIT NU City of Edmonds AveRIGHT •:0i 1 1 1 . -. •. i �� Description: OVWSD-EXCAVATION IN ROW TO REPAIR TO CLOGGED SEWER MAIN ISSUED: 10/18/2022 STUB Address: 9106 238TH ST SW EDMONDS WA 98026-8945 EXPIRES: 04/18/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00713900000800 CONTACTS 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 CORDELL A & ENGEN NAN HAUGLIE 9106 238TH ST SW, EDMONDS WA 98026-8945 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $220.00 $220.00 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. .7 IRM-34:1.1--yo THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW DATE Printed: Tuesday, October 18, 2022 8:31:29 AM 1 of 2 oe e n,y RIGHT OF WAY EUC PERMIT PERMIT NU�M City of Edmonds EdmondsAd 98020 ENG2022-041 www.cityofedmonds.gov / i CONDITIONS CONDITION TYPE NOTES 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 7:00am 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. 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 NOTES COMPLETE A-1 JOB START E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL" E-7 RESTOR LIMITS Printed: Tuesday, October 18, 2022 8:31:29 AM 2 of 2 RECEIVED RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way permit Handout EQi. SEP 22 2022 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. SECTION A General Info Project Name Site Address or• if no site address use Property Address at NW corner of project area: 41all 236+_'D� _ S Associated Permits: BLD PLN ENG Owner and Entity Holdingapplicable) Name of Company i C= LJ �� �� Franchise Ordinance No: Point of Contact ec J, o n "', 'er Title Lx rL4C'A Address 8 (2�b a ;z6{' oS 1" City -1 t' State Zip Phone QL12Z ) -7714 _`7`7Uel Email4 Contractor and Authorizedof Name of Company t 1C Vi • •w) " Contractor ContactsDuring Construction Primary Name Agent Name { t Title Title Mobile Address 1 2-0 S+ i� Email City ? d State Zip 9 e)Z � Secondary Name Phone '7% ,7 & Title Email WLt _ 1Qr, COO-\ Mobile City of Edmonds Bu •ness License No: Email State License No: C) Contractor verifies it is currently bonded a Contractor verifies it currently has general liability insurance NOTE: ECDCi8.6o.o2o requires that the Application be signed by a Iicensed and bonded conh•actor unless otherwise approved by the city engineer. ❑ Multifamily residential ❑ Commercial o City project o Single family residential subdivision ❑ Single family -other ❑ Industrial o Demo and rebuild or from vacant land? o 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 i of 3 Updated 3/25/202-L 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.) Ro_no:� r c "Uecl sewat- m n k --hob s Block�� e +s dw0_ +6 doa -,a(4,al 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 SECTIONC. Type of Utility Facilities 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power a gas a water Asewer ❑ storm Details of • to be Completed 1. Does the utility owner have existingoverhead infrastiucture in the area of work? Yes No 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? 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 stem? k 5. Does the work involve proposed additions to an aboveground utility stem? If es: I x Are the additions for the purpose of sei ving new commercial development? I x Are the additions for the purpose of serving a single-family residential subdivision? I X Details of • be Does your project involve rebuilding or replacing utility equipment which currently serves more 6. than one lot or commercial development? X 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? 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 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 application. Fees. The Applicant is responsible for all permit fges. r n 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 3/25/2021 ?Z SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM OLYMPIC VIEW WATER & SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 9106 238"' St SW Scope of Work: Emergency repair of sewer stub. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE Asphalt or Concrete Cut: Yes Start date: 9/15/2022 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. RESTORATION LIMITS TO BE DETERMINED OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING BY CITY ENGINEERING INSPECTOR ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. O:ISHAREIPERMITS RIGHT OF WAYS1Edmonds Utility patches shall be combined and full width or half width overlay will be required depending on the extent of disturbance. Where utility patches fall entirely within one travel lane, the overlay shall extend to the centerline of roadway. Where utility patches extend into both travel lanes then a full width overlay is required. RECEIVED SEP 22 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT do M LANE CLOSURE TAPER LENGTH = L (feet) LANE Posted Speed (mph) WIDTH (feet) 25 1 30 1 35 40 45 50 55 50 1 65 70 10 1D5 150 205 270 450 500 55D iI NS 111 225 295 495 550 6D5 66a 12 125 1 180 245 320 540 600 66D 720 7B0 f340 MINIMUM SHOULDER TAPER LENGTH = LJ3 (feet) SHOULDER Posted Speed (mph) MOTH (Feet) 25 36 35 40 45 1 5 1 55 60 1 65 70 a, 40 40 60 90 1 120 1 130 1. 1. 170 190 10, 40 SO 90 90 1 ISO 1 170 190 200 220 240 USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THEN T. S SI �INOZ Al JC 3 T]VHS NOU0 48" RDAO WORK SIGN SPACING = X (t) FREEWAYS & EXPRESSWAYS 55 I7D MPH 0't RURAL HIGHWAYS BD 165 MPH D't RURAL ROADS 45 /55 MPH D'x I RURAL ROADS & URBAN ARTERIALS 35 140 MPH 7t RURAL ROADS & URBAN ARTERIALS 25 (3D MPH RESIDENTIAL & BUSINESS DISTRICTS 207t (2) URBAN STREETS 25 MPH OR LESS IOD't (2) (1)ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE RAMPS,AT-GRADE INTERSECTIONS AND DRIVEWAYS. (2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. 1 /48" ..,. W4.2(L) CHANNELIZATION DEVICE SPACING feet MPH I TAPER I TANGENT 5a?D 40 SO 35l45 30 1 60 25130 zo 1 40 BUFFER DATA LONGITUDINAL BUFFER SPACE = B. SPEED (MPH) 25 30 1 35 1 40 45 SD 55 60 65 70 LENGTH (feet) 155 200 250 3D5 360 1 425 1 495 1 570 1 645 1 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGH! 9,900 TO 22,000 ros. HOST VEHICLE WEIGHT > 22.000 ft. < 45 MPH 45.55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 10V 123' 17Z 74' 100' 150' z ® ® ® ® �'-deco WORK AREA � NOTE 4 X L 6 R RECEIVED SEP 22 2022 KLANELOSED LEGEND viF'D CITY OF EDMONDS G TEMPORARY SIGN LOCATION 48, DEVELOPMENT w20-511 SERVICES DEPARTMENT ® TRAFFIC SAFETY DRUM �D SEQUENTIAL ARROW SIGN ZZOZ/ �/0 � NGLE-LANE CLOSURE FOR MULTI -LANE ROADWAYS TRANSPORTABLE ATTENUATOR FP—C—M—sl PORTABLE CHANGEABLE MESSAGE SIG1d lON Sad 43AOJddV NOT TO SCALE PCMS 1 2 RIGHT 1 MILE LANE AHEAD CLOSURE 20 SEC 20 SEC FIELD LOCATE 1 MILE t IN ADVANCE OF LANE CLOSURE SIGNING. NOTES 1. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. 2. EXTEND DEVICE TAPER AT U3 ACROSS SHOULDER. 3. DEVICES SHALL NOT ENCROACH INTO THE ADJACENT LANE, 4. USE TRANSVERSE DEVICES IN CLOSED LANE EVERY 1000-FO (RECOMMENDED). 5, DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 20' (FT). 6. ALL SIGNS ARE BLACK ON ORANGE. TIME S:SB!31 AM arn.c -- FD EA DATE V=018 ID PROJ.NO. e� ruM w PLOTTED BY Ildd.tf TC3po DESIGNED BY +w weau ENTERED BY Washington State �xmr CHECKED BY can..cr eu.ax ,a Department of Transportation G, REGIONAL Ere TRAFFIC CONTROL PLAN REGIONALIONAL ADM. REVISION GATE BY mr. �016 RECEIVED SEP 22 2022 CITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS Right -of -Way Application #1203288 - 9106 238th St E-Repair SS DEVELOPMENT SERVICESDEPARTMENT Applicant First Name Last Name Company Name Marty Henninger Olympic View Water and Sewer District Number Street Apartment or Suite Number E-mail Address 8128 228th St SW marty@ovwater.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 774-7769 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 9106 238TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00713900000800 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Cordell A & Engen Nancy J Hauglie Number Street Apartment or Suite Number 9106 238TH ST SW City State Zip EDMONDS WA 98026-8945 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 9/16/2022 Submitted By: Marty Henninger Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1203288 - 9106 238th St E-Repair SS Project Contact Company Name: Olympic View Water and Sewer District Name: Marty Henninger Email: marty@ovwater.com Address: 8128 228th St SW Phone #: (425) 774-7769 Edmonds WA 98026 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: 9106 238th St E-Repair SS Description of Work: Repair clogged sewer main stub. Blockage is due to damaged pipe. Excavation will be hydro -excavated. Project Details Project Information Job Number Page 2 of 2