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ENG2022-0428 ROW PERMITOF WAY PERMIT PERMIT ER City •EdmondsRIGHT :004 www.edmondswa.gov i Description: RELOCATE ASPHALT DRIVEWAY ISSUED: 11/08/2022 Address: 18403 HIGH ST EDMONDS WA 98020 EXPIRES: 11/03/2023 Permit Type: RIGHT OF WAY Permit Subtype: RESIDENTIAL Parcel Number: 00565600101805 NAME TYPE NAME ADDRESS PHONE APPLICANT WHITNEY COOLEY 18403 HIGH ST, EDMONDS WA 98020 (206)898-6429 CONTACT WHITNEY COOLEY 18403 HIGH ST, EDMONDS WA 98020 (206)898-6429 CONTRACTOR CONTRACTOR UNKNOWN OWNER CHRISTOPHER F & WHITN COOLEY 18403 HIGH ST, EDMONDS WA 98020 (206)898-6429 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $110.00 $110.00 RIGHT OF WAY STANDARD PERMIT FEE $330.00 $330.00 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 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. RELEASED BY: GRN DATE: 11/08/2022 ENGINEERING DIVISION "OTED 1 /08/2022 Printed: Tuesday, November 08, 2022 1:16:38 PM 1 of 2 RIGHT OF WAY PERMIT PERMIT NU �!B E City of Edmonds SID www.edmondswa.gov • • 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. • IN17SPECTION TYPE DATE RESULT NOTES COMPLETE X-2 ENGINEERING FINAL** E-5 DRIVEWAY SLOPE A-1 ENGINEERING PRECON Printed: Tuesday, November 08, 2022 1:16:38 PM 2 of 2 RECEIVED NEED CONTRACTOR SIGNATURE RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way permit Handout E63. Aug 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 Cooley driveway plan Site Address or if no site address use Property Address at NW corner of project area: 18403 High Street, Edmonds WA 98020 Associated Permits: BLD PLN ENG X Owner and Entity Holding•• .• - Name of Company Chris & Whitney Cooley Franchise Ordinance No: N/A Point of Contact Chris & Whitney Cooley Title Owner Address 18403 High Street City Edmonds State WA Zip 98020 Phone2068986429 Email kiserw@gmail.com Contractor and Authorized Agent of Owner (see note below) Name of Company David's General Contracting LLC Contractor Contacts During Construction Primary Name David Sarmlento Agent Name David Sarmiento Title Owner Title Owner Mobile 206-412-7240 Address 11204 12th Ave SW Emaildavidsarmiento2l@gmail.com CitySeattle IState WA Zip 98146 Secondary Name N/A Phone 206-412-7240 Title N/A Emaildavidsarmiento2l@gmail.com Mobile N/A City of Edmonds Business License No: Email N/A State License No: 604593141 N/A 16 Contractor verifies it is currently bonded 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 ❑ 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) 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.) Plan to move our driveway from the middle of our property to the Southeast side of our property. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF JxJ LF SF Alley 72 hours + LF JxJ F SF Parking 72 hours + LF JxJ LF SF day 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 application. Fees. The Applicant is responsible for all permit fees. APPLICANT SIGNATURE: Whitney R Cooley DATE: 8/8/2022 Contractor Signature - David Sarmiento APPLICANT PRINTED NAME: Whitney R Copley APPLICANT TITLE: Own I S NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 i J-2222AAARI�'. -'.�.�rl�. 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. INSPECTION REQUIRED PRIOR TO PAVING TO VERIFY 35' FROM INTERSECTION. SCHEDULE PRE -CON INSPECTION ON MBP. ,•ir f•. � � , LLl 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. ENGINEERING DIVISION .... )TED 0/13/2022 COOLEY 18403 HIGH ST TRAFFIC CONTROL PLAN Jv r.� A � ROAD WORK AHEAD r DEAD END .9 1 f 9 S WA VIM 184 18431 MAINTAIN TWO 11' TRAVEL LANES. IF REDUCING TO LESS THAN TWO LANES, FLAGGERS REQUIRED PER MUTCD STANDARDS. 913 co 11 929 ENGINEERING DIVISION I--- - A . -DTED p(� v 0/13/2022 RECEIVED Aug 22 2022 Cl- OF MONDS DEVELOPMENT SERVICES DEPARTMENT