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ENG2022-0585 ROW PERMITRIGHT OF WAY PERMIT PERMIT NU BE City of • • . 98020 ENG2022-05851 www.edmondswa.gov i Description: RIGHT OF WAY - REPLACE 4 STREET TREES ISSUED: 01/05/2023 Address: 155 3RD AVE S EDMONDS WA 98020-3555 EXPIRES: 03/06/2023 it Type: RIGHT OF WAY Permit Subtype: MIXED USE Parcel Number: 27032300405600 W NAME TYPE NAME ADDRESS PHONE APPLICANT ELLIOT SHAW 5326 156TH ST SE, BOTHELL WA 98012-4727 (425)224-0067 CONTACT ELLIOT SHAW 5326 156TH ST SE, BOTHELL WA 98012-4727 (425)224-0067 CONTRACTOR SHAW ELEVATOR COMPANY 5326 156TH ST SE, BOTHELL WA 98012- (425)471-1997 OWNER SHAW ELLIOT & SONYA/SHAW JOSH 5326 156TH ST SE, BOTHELL WA 98012-4727 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $330.00 $330.00 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: MAJ DATE: 01/05/2023 Printed: Thursday, January 05, 2023 11:01:36 AM 1 of 2 RIGHT OF WAY PERMIT PERMIT NUMBE3 City of Edmonds 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. INSP PRIOR TO BACKFILL Call for all required inspections. All work shall be inspected prior to backfill. 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. TRAFFIC CONTROLS Traffic Control per approved plan and MUTCD. All Flaggers shall be certified. 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 COMPLETE X-2 ENGINEERING FINAL** A-1 TESC AND MOBILIZE E-7 CONCRETE SIDEWALK E-7 SIDEWALK OPEN -CLOSED E-7 TRAFFIC CTRL E-7 TREE GRATE Printed: Thursday, January 05, 2023 11:01:36 AM 2 of 2 � k ECsAj0 RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal "VC. tS913 Requirements outlined in R ht-of-Way permit Handout E63. 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 Mimi, Ilia Project Name Site Address or if no site address use Property Address at NW corner of project area: S Associated Permits: BLD PLN ENG • Name of Company 1� ry/ Franchise Ordinance No: Point of Contact Title Address S-SZ4 City Phone 0 , ell State �� ?a D®(� �' Email ` iMIMI Name of Company /r� CJ�!//� i/_ , (s�/ Primary Name Name Agent N�' Title Title Mobile Address Email City �� State Zip �/ Secondary Name Phone Title Emai �Q6ywek';a e /y ,�,,,, &�f 17 C� �� Mobile City of Edmonds Business License No: Email State License No:74- Contractor verifies it is currently bonded TR NnF•F!71(',A-n a2 — e__i, z_ `� Contractor verifies it currently has general liability insurance J� -�•�u•�� engineer. -yuL' eS —aL Meriyyucuecuii ue siyneu by a acensea and bonaea contractor unless otherwise approved by the city Type of Development — Check ALL that apply ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial o Demo and rebuild or from vacant and? O-Other, please specify: �,QEC ❑ Utility Franchise Work associated with development (check one of the above boxes as weld ❑ Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page i of 3 Updated 3/25/2021 ❑ Utility Franchise Work (no associated development) 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. T�9)e of Utility Facilities J Z. The work in the right of way is on or for the following type of facilities: o telecommunications ❑ cable ❑ power o gas o water ❑ sewer ❑ storm Details of Work to be Completed �. Does the utility owner have existing overhead infrastructure in the area of work? Yes No 2. WiII an a ui ment be added underground or above ground (e.. pedestals, vaults etc.)? If es, 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 stem? 5. Does the work involve proposed additions to an abov ound 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? 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 ro'ect is proposed: 6a. Does your project involve wires/cables/lines? If yes: How many are existing ? 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 marry.poles are to be removed? Are additional poles to be laced? How man ? What is the height of the additional poles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How man ? 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: 2'�/ �' DATE:IM - a/ - ZU�/I/ APPLICANT PRINTED NAME: ell/ -a i�7ff APPLICANT TITLE: D/ NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 ep 2 s s : /�" �vllJ�v� o SCHEDULE ALL INSPECTIONS THROUGH MYBUILD/NGPERMIT.COM CITY ARBORIST SHALL INSPECT THE ROOTBALLS OF ALL 4 TREES PRIOR TO PLANTING. 48 HOUR ADVANCED NOTICE REQUIRED TO SCHEDULE ROOT BALL INSPECTION. EMAIL ENGINEERINGPERMITS@EDMONDSWA.GOV TO SCHEDULE ROOTBALL INSPECTION. ALL OTHER INSPECTIONS CAN BE SCHEDULED THROUGH MBP. ENTIRE ROOTBALL OF EXISTING TREES SHALL BE REMOVED. IF THE SIDEWALK IS UNDERMINED DURING THE REMOVAL FO THE ROOTBALL THAN FULL SIDEWALK PANEL REPLACEMENT PER CITY STANDARD DETAIL TR-531 SHALL BE REQUIRED. RESTORATION LIMITS TO BE DETERMINED BY CITY ENGINEERING INSPECTOR REPLACE WITH CAPITAL PEAR Try � REPLACE WITH ACER SACCHARM "SUGAR CONE" N � REPLACE WITH ACER SACCHARM "SUGAR CONE" OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING REPLACE WITH ACER ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY SACCHARM "SUGAR CONE" s UTILITIES MAY REQUIRE A SEPERATE PERMIT. REMOVE TREE GRATE FROM PLANTER STRIP 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. ENGINEERING DIVISION APPROVED AS NOTED JX W411,,44,g 12/29/2022 SCHEDULE ALL INSPECTIONSTHROUGHMYBUILDINGPERMIT.COM TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP CLOSURE IS FOR SIDEWALK ONLY, NO STREET CLOSURES ARE ALLOWED N ALVER M 'd��s� �sr� � w.�c! q ��kfF✓�. ENGINEERING DIVISION APPROVED AS NOTED Jill WQ✓..yu.nnp 12/29/2022 A _ 4Li 3RD AVE S PEDESTRIAN DETOUR ROUTE ST -� Qo �\ DETOUR ` ♦F DETOUR.. ,. SIDEWALKCLOSED 1J �1 X ENGINEERING DIVISION APPROVED AS NOTED 1 _JQI/ iU a 12/29/2022 200 . TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP CONSTRUCTION I AHEAD 146 WORKZONE CONSTRUCTION /145 AHEAD - 140 O N ♦ ♦ /�J♦ / SIDEWALK CLOSED DETOUR DETOUR DAYTON ST ♦ AHHEADRUCTM CONSTRUCTION ♦ AHEAD SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP CLOSURE IS FOR SIDEWALK ONLY, NO STREET CLOSURES ARE ALLOWED ,�. rl 4'( DALEY ST !RrA 11 AtVr.R sT -= N ENGINEERING DIVISION APPROVED AS NOTED fill W4ZO,04Q 12/29/2022 146pr CONSTRUCTION AHEAD Cv ` Ln -11 / rs DAYTON ST PEDESTRIAN DETOUR ROUTE TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP 145 140 � 155 l SIDEWALK CLOSED -� ♦ - DETOUR -� ♦E� CONSTRUCTION w ♦1- DETOUR WORK ZONE z AHEAD Q - N � ^^ 203 CONSTRUCTION AHEAD � 2®� 1 w Q N CONSTRUCTION AHEAD e JIUEWALK ULUSt ♦ E� DETOUR DAYTON ST i ♦�D T UR o ENGINEERING DIVISION O O APPROVED AS NOTED C %4 M ^1Q1l Uio..10.44z 12/29/2022 rv� M VV /ll`i 2009 Edition Page 633 Fable 6H-2. Meaning of Symbols on Typical Application Diagrams ® Arrow board � Shadow vehicle 000 Arrow board support or trailer (shown facing down) Sign (shown facing left) I—j Changeable message sign or support trailer ® Surveyor Channelizing device Temporary barrier Crash cushion ® Temporary barrier with warning light Direction of temporary traffic detour Traffic or pedestrian signal I> Direction of traffic ® Truck -mounted attenuator Fla er g9 0 Type 3 barricade High-level warning device (Flag tree) Warning light Longitudinal channelizing device Work space �— Luminaire 1 a Pavement markings that should bedmv_ removed for a long-term «� Work vehicle project Table 6H-3. Meaning of Letter Codes on Typical Application (Diagrams Road Type Speed /1► 13 C Urban (Low Speed) 25/30 mph 100 feet 100 feet 100 feet Urban (High Speed) 35/40 mph 350 feet 350 feet 350 feet Rural/State Roads 45 mph 500fcct 500 lecl 5001cet (1) All spacing may be adjusted to accommodate at -grade intersections and driveways (2) The spacing may be reduced in urban areas to lit roadway conditions Table 6H-4. Formulas for Determining Taper Length Speed (S) Taper Length (L) in feet WS2 40 mph or less L = 60 45 mph or more L = WS Where: L = laper length in feel W = width of offset in feet S = posted speed limit, or off-peak 851h-percentile speed prior to work starling, or the anticipated operating speed in mph December 2009 Scu. 611.01 CITY OF EDMONDS M BuildingPermit.com Right -of -Way Application #1239293 - 4 Trees Applicant First Name Last Name Company Name Elliot SHAW Number Street Apartment or Suite Number E-mail Address 5326 156th St SE SHAWELEVATOR@COMCAST.NET City State Zip Phone Number Extension Bothell WA 98012-4727 (425) 224-0067 Contractor Company Name Owner 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 City Zip Code County Parcel Number Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Third and Dayton Property Owner First Name Last Name or Company Name Number Street Apartment or Suite Number City State Zip 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: 12/7/2022 Submitted By: Elliot SHAW Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1239293 - 4 Trees Project Contact Company Name: Name: Elliot SHAW Email: SHAWELEVATOR@COMCAST. NET Address: 5326 156th St SE Phone #: (425) 224-0067 Bothell WA 98012-4727 Project Type Activity Type Scope of Work Mixed Use Modification Landscaping Maintenance Project Name: 4 Trees Description of Work: Removal of 4 small trees. Installation of 4 small trees. Project Details Tree Removal There are five or less significant trees to be removed Page 2 of 2