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ENG2023-0265 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of • • . 98020 ENG2023-0265 www.edmondswa.gov i Description: OVWSD - HYDRANT AND MAIN REPAIR ISSUED: 07/06/2023 Address: 8319 238TH ST SW A EDMONDS WA 98026-9268 EXPIRES: 01/06/2024 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00934131900100 I 11-1411 a i 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 ALISA NA LLC 22727 HWY 99 STE 101, EDMONDS WA 98026 (425)344-2742 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $252.00 $252.00 RIGHT-OF-WAY PERMIT - STANDARD $378.00 $378.00 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: 07/06/2023 Printed: Thursday, July 06, 2023 1:00:20 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds :• •ENG2023-0265 www.edmondswa.gov • • CONDITIONS CONDITION TYPE 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: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. 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 A-1 JOB START E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL** Printed: Thursday, July 06, 2023 1:00:20 PM 2 of 2 RECEIVED C`�� DF EO,ItD�O� "NC. 1 ago 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 E6�. J U N 01 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 Info Project Name Emergency Water Main/Hydrant Repair Site Address or if no site address use Property Address at NW corner of project area: Associated Permits: BLD PLN ENG Owner and Entity Holdingapplicable) Name of Company Olympic View Water and Sewer District Franchise Ordinance No: Point of contact Marty Henninger Title Lead Utility Worker Address 8128 228th St SW city Edmonds Stataa zip 98026 Phone (425) 774-7769 Email marty@ovwater.com Name of Company Olympic View Water and Sewer District Primary Name Agent Name Marty Henninger Title Title Lead Utility Worker Mobile Address 8128 228th St SW Email City Edmonds IState Wa zip 98026 Secondary Name Phone (425) 774-7769 Title Email marty@ovwater.com Mobile City of Edmonds Business License No: Email State License No: ❑ Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o.020 requires that the Application be signed by a licensed and bonded conh•actor unless otherioise approved by the city engineer. PH IS • fT • • ^f a a_� � — — -- - o 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) ix Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page i 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.) Emergency repair of water main and existing fire hydrant. All work was hydro excavated. —Work is complete. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF 72 hours + LF x LF SF -Alley -Parking 72 hours + LF x LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. -Type of Utility Facilities 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power ❑ gas p water ❑ sewer ❑ storm Details of Work to be Completed i. Does the utility owner have existing overhead infrastructure in the area of work? Yes No x 2. Will any equipment be added underground or above ground e.. pedestals, vaults etc.)? x 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 existingunderground common utilitystem? x 5. Does the work involve proposed additions to an aboveground utility system? If es: x Are the additions for the purpose of serving new commercial development? x Are the additions for the purpose of serving a single-family residential subdivision? x Details 6. of Work to be Conipleted Does your project involve rebuilding or replacing utility equipment which currently serves more Yes No than one lot or commercial development? If yes, answer the following questions related to project area, i.e. the actual area in which the x project is proposed: 6a. Does your project involve wires/cables/lines? If yes: x How many are existing? I N/A I How many are to be added? N/A City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. I Does your project involve poles? If yes: X How many poles are existing in the project area? •. ice:"'::' What is the height of the existing poles? How many poles are to be removed? Are additional oles to be laced? How man ? What is the height of the additionalpoles? F 6c. Are any poles to be modified/rebuilt/replaced? If yes: X 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 296-155-3o5 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 i8; 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: APPLICANT PRINTED NAME: APPLICANT TITLE: NO WORIz SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 8420 ( 8414 1 8408 1 23619C 23619A rn DE I rn L E4-V11 I ( SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM SERVICE NC 24C 23622 c 23624 23626 23706 I 1 COPPER I �C I 2372 cc T8415 I 123727 I ?1 165 LF - � 2" STEEL IN 16" CASING--, 8'' Di__ 23808 2 LO 0 I 23814 123820 23828> I 23904 I ?3914 23912E---, I 23920_ '42I 23926 H S S T- 7. D6-V36 12" Cl rn D6-20 t` rn 79 8410.0 N c` Q Lo W841413 N Qn'QA RECEIVED J U N 01 2023 64 I I� I ILL " N Ut tV C� 'Drrn 0I �t 0 N�N E5-V15 1 N 23619D 23619B I I I 23625 D)�) — -" E5-7 23709 I� I 23711 I E5-13 N SAFEWAY 23632 / /O 23713 FIRE DETECTOR I / VAULT of //�s ( cI o 23715 - NIA 23721 I �\-23721-19841 0i iN23725 8319 `� 38THwST SW w > E5 �8 LO _._ .. . 8" DI 24034-1990 8" DI - 2-1 COPPER E5-V9 E5-V10 / �� 20035-1986_ 8„ DI E5-V6 E5-3 f LLI oN 23830 h� &3821 Q / i o -- 23827 J! 4 FIRE DETECTOR VAULT /� E5-5 23830 23921 1 1 E5-2 VILLAGE f 23904 / TRANSMISSION TACO TIME / 12" IS 25.5' FROM CURB GOLDEN WEST 23916 MOTEL / E5-V12 23930 /o E5-1 / ------ 10" DI 20024-1-985 E5- V14 \' OWWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY %, UTILITIES MAY REQUIRE A SEPERATE PERMIT. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE LO 2" BI E4-6AK --L- 10" DI / 236TH 3 ENGINEERING DIVISION APPROVED AS NOTED CITY OF EDMONDS DEVELOPMENT 1—tl percity standards that iscaused or OQ w occurs during the permitted project. Ipff �h�tmnrP 06/26/2023 SERVICES DEPARTMENT �. Je SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM SIGN SPACING = X (1) RURAL ROADS & URBAN ARTERIALS 35140 MPH 350'3 RURAL ROADS, URBAN ARTERIALS, 25 110 MPH 200't (2) RESIDENTIAL S BUSINESS DISTRICTS URBAN STREETS 25 MPH OR LESS =0 {2) tl) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERSECTIONS AND DRIVEWAYS. 12) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS, MINIMUM SHOULDER TAPER LENGTH = LI3 (feet) SHOULDER Posted Speed (mph) WIDTH ft-o 25 30 35 40 45 50 55 60 65 70 B' 40 40 60 90 19 40 60 90 90 USE A 3 DEVICES TAPER FOR SHOULDERS LESS THEN V TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 1 30 1 35 40 1 45 SD 1 55 1 EO 1 fF LENGTH (feet) 155 200 250 305 360 425 495 570 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 MPW > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100, 123' 1 172' 74 100' 150, PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED ..-.+� f I f I �- q x I x CHANNELIZATION DEVICE SPACING feet MPH TAPER TANGENT 15140 1 30 6D 25130 20 4D O<AHEAD ' ] RECEIVED SHOULDER WORKJUN 01 2023 48° ENGINEERING DIVISION W20.1 W21.5 �``�"' APPROVED AS NOTED CITY OF EDMONDS Jeff WhatmorP 06/26/2023 DEVELOPMENT SERVICES DEPARTMENT NOTES LEGEND 1. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 20'(FT). K TEMPORARY SIGN LOCATION SHOULDER CLOSURE - LOW SPEED 2. ALL SIGNS ARE BLACK ON ORANGE. 10 CHANNEUZING DEVICES (40 MPH OR LESS) ...�° PROTECTIVE VEHICLE NOT TO SCALE FILE NAME S."Desl n R PA 6L"tantlartlsl2•Plan Sheet Llbm I01-Publiehetl PSLl C Work Zone TmtCc ConVo C•5 Shoulder Closure •Low Speed 40 MP or Lesc)ITC-S.tlgn Plot T1ME 2:54:41 PM °T"'r FEDJIID PROJ.NO. m DATE 11212D13 w7w PLOTTED BY IltltleH AS �I� TC( DESIGNED BY ENTERED BY Washington State .nQ, CHECKED BY Department of Transportation PRDJ_ENGR _- ^^ ^_ _ _' _ wm a.,a TRAFFIC CONTROL PLAN .�+ RECEIVED OLYMPIC VIEW WATER & SEWER DISTRICT JUN 01 2023 EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 23632 HWY99 Scope of Work: Emergency water main/fire hydrant repair. Job is complete due to it being an emergency Asphalt or Concrete Cut: No Start date: 5/30/2023 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. 0:1SHAREIPERMITS RIGHT OF WAYSIEdmonds CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1326023 - Hydrant/Water Main Repair 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: Hydrant/Water Main Repair Description of Work: This was an emergency water main and fire hydrant repair. All work has been completed. Project Details Project Information Job Number 11 Page 2 of 2