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ENG2023-0118 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT o f EdmondsCity of Edmonds PERMIT NU M 98020 1 1 • www.edmondswa.gov i Description: OVWSD- ASPHALT RESTORATION FOR WATER SERVICE REPAIR ISSUED: 03/27/2023 Address: 23808 90TH PL W EDMONDS WA 98026-9015 EXPIRES:09/27/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00713900000700 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 HEADLEE MICHAEL TRUST 23808 90TH PL W, EDMONDS WA 98026-9015 A 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 - EUC 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: 03/27/2023 Printed: Monday, March 27, 2023 1:44:19 PM 1 of 2 RIGHT PERMIT PERMIT NUM City of Edmonds Edmonds WA 98020 • www.edmondswa.gov / 425.1 1 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 X-2 ENGINEERING FINAL" E-7 RESTOR LIMITS Printed: Monday, March 27, 2023 1:44:19 PM 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 E6�. Mar 02 2023 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 Owner and EntitN, Holding Franchise (if applicable) Name of Company sU1 �N C ' . � SLl J L rranchise Ordinance No: Point of Contact &)rl'F vN (? Title Ica �. LJqr-Kd"- Address P31 ��j .iC City ^ State Q. Zip O Z , Phone Z, - 7 n (;tU � 1 Email hA 6V I.LtA(.rCo 011 Contractor -,in • •w) Name of Company O� !C 1 &� we ockf- S �i �T Contractor Contacts Primary Name Agent Name P-N,,l (hc ef— Title Title �_Qckc �� $ � Mobile Address I .2-b 2�� 5 + see Email City n State g� Zip U Secondary Name __72 ( Phone l k-2,Y) 7-7 q Title Email 6 d J r-Loth Mobile City of Edmonds Bus ness License No: Email State License No: Contractor verifies it is currently bonded Contractor verifies it currently hag general liability insurance NOYE: LCDC18.6o.o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer-, o Multifamily residential ❑ Commercial o City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: ❑ Utility Franchise Worlc 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) Sidewalks 2- hours + LF x LF SF Alley 72 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, sk'p to SECTIONC. 1. The work in the right of way is on or for the following type of facilities: o telecommunications ❑ cable ❑ power ❑ gas "water ❑ sewer ❑ storm Yes No Details i. of Work to be Cow pleted Does the u owner have existing overhead infrastructure in the area of work? 2. 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 stem? 5. Does the work involve ro osed additions to an aboveground utility system? If es: Are the additions for the purpose of sel ving new commercial development? �C Are the additions for the purpose of serving a single-family residential subdivision? YCS No Detail 6. , of Work to be C.0111 pleLed Does your project involve rebuilding or replacing utility equipment which currently serves more 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: X' How many are existing? I WA I How many are to be added? City of Edmonds ROW construction peiznit 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 man?I What is the height of the additionalpoles? ELL 6c. Are any poles to be modified/rebuilt/replaced? If yes: X' How many? I I 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: DATE: � l 2-i ! 202,3 APPLICANT PRINTED NAME: 1 APPLICANT TITLE: i NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 T v w�sra n�i��i�m z !;�.D4_V8 �I C4-V42 r) 350' 6" CI 24028-1962 )0 236TH � VAULT C5-18 U OI O M N O rn C ST CS D5-V32 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING 9006 23601 VACANT 8810 8806 8732 I I I C5-19 ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY I D5-23 22077A-11970 1 j 1 1-1 1 UTILITIES MAY REQUIRE A SEPERATE PERMIT. I I I 10" CI 1176 LF 16 CASING I I o I 1 1 co� ` cpt 7' DEEP @ EAST END i I 23616 `� `'; 0 13DEEP @ WEST EN 8814 j __ I OWNER/CONTRACTOR IS RESPONSIBLE FOR 1 9016 #1 ( �� N 1 - I I_ 8„ c) EROSION CONTROLAND DRAINAGE 1 9016 #2 I L O 1- 8730 C5-V28 p�" 9016 #3 9012 0 \ ' 8 9016 #4 i 23622 23631 23 69� .-. ( 1 9016 #5 m T 23627! 9102 9016 #6 9010 23700 0O o i FLUSH INTO SEWER IMH I 0 t=;� PO �t ��, 23713 Ln o 3704 23702 23703 8909 o O� t I 8719 M. I 00 23705 1 9001 I - (r~' `. _ _ r -,- - ----1 I _ �• OLYMPIC VIEW 8723 B10 U D5-24 `'o WATER & SEWE t_:.: •, �• (0 n ��> 1.05 AC SITEfy_ I !I l \�•--ff (.! :::.7 I ("''`'�123717 1 23725 Q 8905 0 FIRE j 1 237208833 SERVICE 23716 N D5�, g. r.: 6-31_ I FL cn 4- I 1 1 ! 3710 1 23728 Uj 1 9005 1 8901 2 D5-15 ,,) 0) M r) 06ici419R T 9117 i . nn nn N—.-r N foromm E TE�Pov hL�IM�h S ThO�BE DETE MINEp � � CI ��t1=-Kl IN��and furlwidth or halfowider ay w1 I e required depending on the extent �28 of disturbance. Where utility patches fall entirely within D5-V12 n5-V25. . D5 one travel lane, the overlay shall extend to the 8 DI ,, centerline of roadway. Where utility patches extend into J1117 both travel lanes then a full width overlay is required. 9004 ND-V11 D5-A V1 OFF- fr' 9116 1 9106 9130 i co n o n.�t 8912 #1 I 1 8826 i 1 1 1 co W I co !-...- i I i 0 1 ?� 8912 1 RECEIVE[ I NC i ►` I _ _ _ o: -' �~a 8826 112 Mar 02 2023 0 ! NI 00 CITY OF EDMONDS ' '-' — -'': D5-19 i••�^'•r� DEVELOPMENT SERVICES DEPARTMENT ( i O U 23815 .li 8912 r-�� 1 I 1 9112 I I t#. ; D5-V29 D5-V31 D5-V30 S� �9 • 9� 00 I I APARTMENTS 8912 f#4, r i 11 23830 iC9 8828 C 8828 B I _ _ r• / I 1 i'00 l °� 1 VACANT, I'::i ; if `�.: �`...1 -... ; -8912 #6 ............. I 23824 - 23828 SCHEDULE ALL INSPECTIONS TH I FREMONT ZONE I 1 T I i 9009 8923 I I 8823 1 8801 8729 1. rn l VAr.ANT 9105 1 1 1 1 a f I MINIMUM LANE CLOSURE TAPER LENGTH = L (f o LANE Posibd Speed (mph) N N-0 aS 30 35 dO 45 50 55 50 bS 70 10 105 150 265 ZT0 450 500 950 11 115 165 7a5 205 495 Sw 63 060 12 125 -W aA5 0a0 — 500 wo 720 700 w WNIdUM SHOULDER TAPER LENGTH = LJ3 (feat) SWULAFR W00TH *14 PoaLed Speed (mph) a5 30 3S 40 AS 50 SS 60 65 70 w G 40 b0 90 TZ1 1m tw I60 170 1so %, 40 6C 90 90 1 150 I 1T0 1 1901.a00 - au USE A MDOMLW. 3 DEVI, ES TAPER FOR SHOULDER LESS THEN V. L.EG'M DI TWPORARY SIGN LOCATION TRAFFIC SAFETY CRUM SEQUENTIAL ARROW SIGN TRANSPORTABLE ATTENUATOR PCMS PORTABLE CHANGEASL'c W.SSAG—c SIGN SPACING - X swt RURAL ROADS 1. URSAN ARTEMIALS 25 : 30 MPH a00'2 (7) FMOENML A BUSINESS Olum TS URSAM STREETS 25 MP}1 OR LESS IX(D in ALL SPACING MAY BE ADAWED, TO A=WMODnTE KrEAGi WW RAMPS.AT•GRADE UriERSECiIONS AND DRIVEWAYS M THIS SPACMG MAY BE RMUCEO 1.14 URBAN AREAS tb Frf ROADWAY CONDITIONS. CHANXMJZATION DEVICE SPACING e MPH TAPER TANGENT Saco 4o w 35N5 00 s0 2w0 t to f s0 SUFFER DATA LONGITUDINAL SUFFER SPACE = 8 SPEfA pLPH} 7.5 3D 35 s0 E 50 55 50 SS 7G LENGTFI tke0 TSS 20D ZqF m5 m say ,95 sm w no TRANSPORTABLE ATTENUATOR ROLL AHFJW DISTANCE = R. HOST VEH;cLE VarI T 9.90C TO aa.000 0w OS", H0.r, YFJfIC[E N2Gff < 4S MPH d535 61PH > 54 IRON < o MPH MPH > 33 MPH T R3' T72' 1 74' 10C IM SINGLE -LANE CLOSURE FOR MULTI -LANE ROADWAYS NOT TO SCALE PCMS 1 2 L 7 6aLE 1.iNf1E A}mA0 CLOSVRE zo SEC zo SEC I FIELD LOCATE T 60Le S IN AOYANM OF LANE CLLIIIIRE St(: IMG, NOTES 1. SEE SPECIAL PROVISIONS FOR WORK HOUR RESLRICTIONS, 2. 807T D OEMC£ TAPER AT L73 ACROSS SHOULDER. 3. DEVICES SHALL NOT ENCROACH. INTO THE ADJACENT LANE 4- USE 7RAf*MUr SE DEVLCES IN BASED IRVE IVOMY 10OT(M vzsco R4acw). 5, VEtlICE SPACING FOR THE DOWNSTREAM TAPER SHALL 8E 20'(FT), B. ALL SIGNS ARE BLACK ON ORANGE TFKE &�aa1 AM FEDAIC PRO tNC. M. m DATE 10GV1e Plarrm by 1,"" OR I DESK*= Dr ENTEICD er WuhalgWO StUe *** cwtom sr <><>,a a ,o Aaparh0fertt of TranspocSaiion T�� — TRAFFIC CONTROL PLAN REGXM DM AREYFSfDN DATE F1Y ENGINEERING DIVISION RECEIVED //A//P,,P,,IIROVED AS NOTEQ Mar 02 2023 ONDS J.-I tV1,g j, $,o4p 03/23/2023 CITY M E T SERVICES DEVELOPMENT SERVICES vv DEPARTMENT RECEIVED Mar 02 2023 CITY OF EDMONDS OLYMPIC VIEW WATER & SEWER DISTRICT DEVE OPARfTMENTVICES EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 23808 901' pl W Scope of Work: Emergency water service repair, Repair has been completed. Asphalt or Concrete Cut: Yes Start date: 2/21 /2023 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. O:ISHAREIPERMITS RIGHT OF WAYS1Edmonds RECEIVED CITY OF EDMONDS M BuildingPermit.com Mar 02 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1275606 - 23808 90th PI W 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 City Zip Code County Parcel Number Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location 23808 90th PI W, on East side of 90th PI W 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: 2/28/2023 Submitted By: Marty Henninger Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1275606 - 23808 90th PI W 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: 23808 90th PI W Description of Work: Emergency water service repair on 90th PI W. Repair has been completed. Project Details Project Information Job Number E Page 2 of 2