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ENG2021-0424 ROW PERMITHT F WAY PERMIT PERMIT NU M City of Edmonds AveRI N, Edmonds WA •:0i www.cityofedmonds.gov Description: MURESAN: CIVIL IMPROVEMENTS APPROVED WITH PLN2019-0041 ISSUED: 09/21/2022 Address: 15809 70TH AVE W EDMONDS WA 98026-4510 EXPIRES: 09/21/2023 Permit Type: RIGHT OF WAY Permit Subtype: SUBDIVISION Parcel Number: 00513100003717 NAME TYPE NAME ADDRESS PHONE CONTRACTOR M3 DESIGN BUILD LLC PO BOX 429, EDMONDS WA 98020 (425)443-6576 OWNER DAVID MURESAN 15809 70TH AVE W, EDMONDS WA 98026-4510 (425)443-6576 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 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 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 09/21 /2022 RELEASED BY DATE Printed: Wednesday, September 21, 2022 11:21:27 AM 1 of 3 OF WAY PERMIT PERMIT NUM L"v City of Edmonds AveRIGHT N, Edmonds WA •:0i www.cityofedmonds.gov CONDITIONS CONDITION TYPE NOT S 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. ESC REQ Maintain erosion and sedimentation control per City and SWMMW standard 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. 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. Sound/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 OR 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/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. UNDERGROUND WIRING All new, extended, rebuilt, or relocated electrical utility and/or service shall be placed underground. 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 ENGINEERING PRECON A-1 TESC AND MOBILIZE E-7 DRY UTILITY LOCATION E-7 DWY APPROACH E-7 MAILBOX LOCATION E-7 PAVEMENT COMPACTION TEST REPORT E-7 PUBLIC ROAD E-7 PVMT SUBGRADE E-7 RESTOR LIMITS E-7 SEWER LATERAL E-7 STORM CB E-7 STORM MAIN E-7 STREET LIGHTS Printed: Wednesday, September 21, 2022 11:21:27 AM 2 of 3 Printed: Wednesday, September 21, 2022 11:21:27 AM 3 of 3 RECEIVED Lti�y of ED%�O� ANC. 1 g90 SECTION A 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. FEB 23 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. GeneralInfo Project Name MURESAN 3-LOT SHORT PLAT Site Address or if no site address use Property Address at NW corner of project area: Associated Permits: BLD PLN PLN2019-0041 ENG ENG2021-0424 Owner and Entity Holding Franchise (if applicable) Name of Company M3 Design Build LLC Franchise Ordinance No: Point of Contact David Muresan Title Owner Address P.O. BOX 429 City Edmonds State WA Zip 98020 Phone 425-443-6576 Email m3buildco@gmail.com Contractor and Authorized Agent of Owner Name of CompanyM3 Design Build LLC (see note below) Contractor Contacts During Construction Primary Name David Muresan Agent Name David Muresan Title Owner Title Owner Mobile 425-443-6576 Address P.O. BOX 429 Email m3buildco@gmail.com City Edmonds State WA Zip 98020 Secondary Name Phone 425-443-6576 Title Emailm3buildco@gmaiI.com Mobile City of Edmonds Business License No: Have Email State License No: M3DESDB799BR 91 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 VSingle family residential subdivision v(Single family -other ❑ Industrial V 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.) New construction that will consist of building 3 new SFR on newly completed short plat. New sanitary connections will be made, underground electrical, gas lines and mains, poly water lines and new meters will be installed by various agencies in accordance with City of Emdonds form E63 and E82 highlighting depths and distances between all utilities. Trenching will most likely satisfy the constructing method for this project and will most likely have temporary power pole and temporary water for the beginning of construction. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF JxJ LF SF Alley 72 hours + LF JxJ LF SF Parking 72 hours + LF JxJ LF I SF 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: Lam/ " DATE: 2-23-2022 APPLICANT PRINTED NAME: David Muresan APPLICANT TITLE: owner NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021