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ENG2022-0583 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT o f EdmondsCity of Edmonds PERMIT NU M 98020 1 1 ww w.edmondswa.govi Description: OVWSD-RESTORATION ON 238TH FOR EMERGENCY WATER MAIN REPAIR ISSUED: 01/03/2023 Address: 8723 238TH ST SW C-1 EDMONDS WA 98026-8982 EXPIRES: 07/03/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00688700300100 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 MORGAN EAMON 8723 238TH ST SW UNIT C-1, EDMONDS WA 98026-8982 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 STREET OVERLAY CUT PENALTY FEE $750.00 $750.00 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. 14 RELEASED BY: MAJ DATE: 01/03/2023 Printed: Tuesday, January 03, 2023 11:13:17 AM I oF2 RIGHT OF WAY EUC PERMIT s C ` City of • • • 98020 1 1 www.edmondswa.gov / 425.771i 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 12/28/2022 PARTIAL measuring t-cut (ng) 12:00:00 AM APPROVAL E-7 RESTOR LIMITS Printed: Tuesday, January 03, 2023 11:13:17 AM 2 of 2 RECEIVED of EDA10 C. 1 2,90 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. Dec 05 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. Name of Company + 1 11 �� ��` Primary Name Agent Name Title Title ckol�_ O f- Q� Mobile Address Email City Statej�. Zip �� SecondayName Phone Z 7 — 7 0 Title Email Mobile City of Edmonds Bu mess License No: Email State License No: El Contractor verifies it is currently bonded © Contractor verifies it currently has general liability insurance NOTE: ECDC 28.6o.oao requires that theApplication be signed by a licensed and bonded contractor unless otherwise approved by the city engineer, a Multifamily residential o Commercial ❑ City project ❑ Single family residential subdivision o Single family -other ❑ Industrial o Demo and rebuild or from vacant land? o Other, please specify: o Utility Franchise Work associated with development (check one of the above boxes as well) o Traffic Control Only (no associated development) 'Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 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.) 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 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 N( Details of AVork to be Completed 1. I Does the utility owner have existing overhead infrastructure in the area of work? Yes 2. 1 Will any equipment be added underground or above ground (e.. 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 system? Ik 5. Does the work involve proposed additions to an aboveground utilis stem? If yes: Arethe additions for the u ose of servin new commercial develo ment? Ei Are the additions forthe ur ose of servin a sin le-famil residential subdivision? Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? If yes, answer the following questions related to project area, i.e. the actual area in which the nroiect is monosed: 6a. I Does your project involve wires/cables/lines? If yes: x' How manv are existing? A) YA How manv are to be added? T N City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. I 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? F� Are additional poles to be laced? How many? What is the height of the additional 6c. Are any poles to be modified/rebuilt/replaced? If yes: iC 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 1.8; and with all applicable requirements of state and federal law. Statement of Applicant. I declare under penalty of peiyury 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: 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 D. :: .80 ; I I j 8531 8521 r 85; -.._.._ _ ...._ _ _ _. Mz SITE PLAN;::S,° D5[ —.Z � I9006 � N NGD5-23 2360VACANT 881 22077A-i 8704 8626 I8620 8608604'9114 1 9020 11970 1 o11 8532 10" CI 1 76 LF 16" CASING I I I I ENGINEERING DIVISION r, a t1 u'7' DEEP © EAST END 1 ^ ^^^^ r^ ^ ^ � OTED _ W - - — 23616 p 13' DEEP WEST EN ai rn ^i 9016 #1 I �,o N i 8814 2/29/20223614 9_0_-16 _ - #-29108c;;ooc) 9��� BO � 8730 8718 c9 238TH OVERLAID IN 2018. �!i 9016 #123622 o 236-2_• 2_ 4 i 23631 If STREET CUT FEES ► -.. cc 9016 #5 I I I SHALL APPLY. 9102 9010 23700 9016 #6 8624 �� MINIMUM T-CUTS AND SH INTO SEWER MH 20-FT GRIND AND 23630 _ _ _ _ _ I (�- — _ — ' "�;, M I OVERLAY. I D5-11 23702 23703 8909 1 p 0)-1 23713 ,.I .' I o � °�` 1 RESTORATION LIMITS TO ,., I 9001 1 p� 1 BE DETERMINED BY CITY j _�i� 23704 23 _ I00 '� _ _ — INSPECTOR. 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