ENG2022-0430 ROW PERMITOF WAY PERMIT
PERMIT ER
City •EdmondsRIGHT
Edmonds98020 ENG2022-0430
www.edmondswa.gov i
Description: REMOVE 2 ROW TREES DUE TO SEWER DAMAGE- REPLANTING REQUIRED
ISSUED: 04/06/2023
Address: 18709 92ND AVE W EDMONDS WA 98020-2315
EXPIRES: 03/31/2024
Permit Type: RIGHT OF WAY Permit Subtype: RESIDENTIAL Parcel Number: 00434600003707
NAME TYPE NAME ADDRESS PHONE
APPLICANT ALLAN GOURLIE 18709 92ND AVE W, EDMONDS WA 98020 (206)484-8110
CONTACT ALLAN GOURLIE 18709 92ND AVE W, EDMONDS WA 98020 (206)484-8110
CONTRACTOR The Davey Tree Expert Company PO Box 27605, Seattle WA 98165 (206)829-8500
OWNER ALLAN GOURLIE 18709 92ND AVE W, EDMONDS WA 98020 (206)484-8110
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $40.00
ENGINEERING INSPECTION FEE
$220.00 $220.00
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: 04/06/2023
Printed: Thursday, April 06, 2023 1:49:30 PM 1 of 2
RESUB
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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.
Apr 06 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.
General•
Project Name
Site Address or if no site address use Property Address at NW corner of project area:
Associated Permits: BLD PLN ENG
• • • .• .• -
Name of Company Franchise Ordinance No:
Point of Contact
Title
Address
City
State
Zip
Phone
Email
Contractor and Authorized Agent of Owner (see note below)
Name of company The Davey Tree Expert Company
Contractor Contacts During Construction
Primary Name Jay Maize
Agent Name
Title District Manager
Title
Mobile 206-730-8596
Address PO Box 27605
Email jason.maize@davey.com
City Seattle
State WA
Zip 98165
Secondary Name
Phone 206-829-8500
Title
Email
Mobile
City of Edmonds Business License No: 602000069
Email
State License No: DAVEYTE952LO
&q 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.)
Removal of 2 redwoods in right of way along the west perimeter of the 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
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: �` " q, DATE: 04/05/23
APPLICANT PRINTED NAME: Jason Maize
APPLICANT TITLE: District Manager
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
APPROXIMATE EDGE SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
OF PAVEMENT
shed shed
11ft E
Tree TREES 1 AND 2 ONLY
1 APPROVED FOR REMOVAL
aft BASED ON PROXIMITY TO
18 ft to clog Appx sewer SIDE SEWER LINE.
Man clog
hole
�,b ENGINEERING DIVISION
9ft �, b-k . ���... ,�� "" "7TED
1/22/2022
TREES BEING
Sft ° REMOVED SHALL BE
FELL ONTO P R I VAT E Applicant shall repair/replace all
Tree PROPERTY AND NOT IN damage to utilities or frontage
improvements in City right-of-way
per city standards that is caused or
2 ASPHALT ROAD
occurs during the permitted project.
11ft E
manhole
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
Tree
3
Existing House
18709 92ND AVE W
TREE 3 SHALL BE
PRESERVED -
TREE 3 IS NOT FREPLANTED
OTAL OF 4 TREES SHALL BE
APPROVED FOR FOR REMOVAL OF TREES
REMOVAL. D 2 (2 TREES FOR EACH TREEOVED). SEE ARBORIST LIST OFROVED TREES BELOW.
CONSISTENT WITH CITY POLICY ON
TREE REMOVAL OR TRIMMING WITH
CITY RIGHTS -OF -WAY, IT HAS BEEN
DETERMINED THAT TREES 1 AND 2 MEET
THE CRITERIA FOR APPROVAL BASED
ON THE TREE ROOT SYSTEM(S)
CAUSING BLOCKAGE OF UNDERGROUND
UTILITY SYSTEMS (SANITARY SEWER
LINE ON PRIVATE PROPERTY).
SELECT 4 OF THE FOLLOWING TREES FOR REPLANTING:
- City Sprite Zelkova (Zelkova serrata'JFS-KW1') - Height 24',
Width 18'
- Parrotia persica varieties such as 'Persian Spire' 25' by 10' or
Golden Bell Tower 28' by 12'
- Lindsey's Skyward Ball cypress (Taxodium distichum
'Skyward') 25' by 10'
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BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
25
30
35
40
45
50
55
60
65
70
LENGTH (feet)
155
200
250
305
360
425
495
570
645
730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9,900 TO 22,000 lbs.
HOST VEHICLE WEIGHT
> 22,000 lbs.
< 45 MPH
45-55 MPH
> 55 MPH
< 45 MPH
45-55 MPH
> 55 MPH
100,
123'
172'
74'
100,
150,
PROTECTIVE VEHICLE (WORK VEHICLE) = R
NO SPECIFIED DISTANCE REQUIRED
4 ZIE—
SIGN SPACING = X (1)
RURAL HIGHWAYS 60 165 MPH
800't
RURAL ROADS 45/55 MPH
500'i
RURAL ROADS & URBAN ARTERIALS 35/40 MPH
350't
RURAL ROADS, URBAN ARTERIALS, 25 / 30 MPH
RESIDENTIAL & BUSINESS DISTRICTS
200't (2)
URBAN STREETS 25 MPH OR LESS
100'i (2)
(1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE
INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
50' TO 100'
59TO 100'
6 DEVICE
6 DEVICE
R B
MI
MIN.
I
AREA
//////
O
oo _
I
c
13
r
I
x x x x 50' TO
300'
48" 48"
•
ONE LANE . I
ROAD al
AHEAD of
48" 48"
zl
46" W20-4 48N W20-7A
ROAD BE w
WORK PREPARED
AHEAD TO STOP
48" 48"
W20.1 W20-7B
I
W20.7B (OPTIONAL IF I
40 MPH OR LESS
W20.7B (OPTIONAL IF
40 MPH OR LESS)
48" 48'
BE ROAD
PREPARED WORK
TO STOP AHEAD
48" 46" 48" 48'
. W20.7B ONE LANE W20.1
ROAD
AHEAD
48" 48"
W20-7A W20-4
G
x 48"
Q
x 48" 48'
4 W20-7A BE
P
48'
_ NE LANE
ROAD
AHEAD
x 48'
W20-4 ROAD
I 4 WORK NOTES
T I 48' 1. ALL SIGNS ARE BLACK ON ORANGE. a
W20.1 2. EXTENDING THE CHANNELIZING DEVICE TAPER ACROSS
LEGEND SHOULDER IS RECOMMENDED.
FLAGGING STATION 3. NIGHT WORK REQUIRES ADDITIONAL ROADWAY LIGHTING AT
b TEMPORARY SIGN LOCATION FLAGGING STATIONS. SEE THE STANDARD SPECIFICATIONS
D CHANNELIZING DEVICES WITH FLAGGERS T
® 4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS.
° PROTECTIVE VEHICLE
NOT TO SCALE
FILE NAME S:\Desi n R P& SW-Standardsl2-Plan Sheet Libra \01-Published PSL\ TC Work Zone Traffic Control\ TC-1 One Lane, Two WayTraffic Control with Flaggers\TC-l.dgn Plot 1
TIME 3,05,14 PM —E FED.AID PROJ.NO.Amok —N Nsr
DATE 1/212018 �
PLOTTED BY Ilddslf WAS �I/ TC7�
DESIGNED BY Joe N...EN
ENTERED BY Washington State sire.
CHECKED BY coxTNnm x"wn"N N". Department of Transportation or
PROJ. ENGR. re —E TRAFFIC CONTROL PLAN
REGIONAL ADM. REVISION DATE BV
PREPARED W2o-76 (OPTIONAL IF
40 MPH OR LESS)
TO STOP
48'
W20-7B
48'
CHANNELIZATION DEVICE
SPACING (FEET)
MPH
TAPER
TANGENT
50/65
10 TO 20
80
35/45
10 TO 20
60
25/30
10 TO 20
40