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