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ENG2022-0447 ROW PERMITOF WAY PERMIT PERMIT ER City •EdmondsRIGHT Edmonds•:0i i www.edmondswa.gov i Description: ROW IMPROVEMENTS FOR HERZER S.P. PLN2021-0034 ISSUED: 08/01/2023 Address: 16209 74TH PL W EDMONDS WA 98026 EXPIRES: 08/01/2024 Permit Type: RIGHT OF WAY Permit Subtype: SUBDIVISION Parcel Number: 00513100006600 NAME TYPE NAME ADDRESS PHONE APPLICANT BRETT HERZER 16209 74TH PL W, EDMONDS WA 98026 (206)261-7676 CONTACT PUGET SOUND PLANNING, LLC 6100 219TH ST SW SUITE 480, MOUNTLAKE TERRACE WA (425)830-1046 98043 CONTRACTOR JB ASPHALT PAVING INC 22228 95TH PLW, EDMONDS WA 98026 (425)774-6537 OWNER BRETT H & CHERI M HERZER 16209 75TH PL W, EDMONDS WA 98026 (206)261-7676 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 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: 08/01/2023 Printed: Tuesday, August 01, 2023 5:18:38 PM 1 of 2 RIGHT OF WAY PERMIT PERMIT ' City of • • . 121 Sth Ave N, Edmonds WA 98020 i i www.edmondswa.govi 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 X-2 ENGINEERING FINAL" A-1 TESC AND MOBILIZE E-7 PVMT SUBGRADE E-7 RESTOR LIMITS E-7 TRAFFIC CTRL E-7 PAVEMENT COMPACTION TEST Compaction Test Report for Subgrade REPORT Printed: Tuesday, August 01, 2023 5:18:38 PM 2 of 2 Authentisign ID: 6124747C-402A-ED11-AE83-14CB655B2CA7 RECEIVED I 'tof EDA404,,, 1NC. 1 g90 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. Sep 02 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. General Info Project Name Herzer Short Plat Right of Way Site Address or if no site address use Property Address at NW corner of project area: 16209 74th PI W, Edmonds, WA 98026 Associated Permits: BLD PLN PLN2021-0034 FENG • • • .• .• - 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 Company1. B. Asphalt Paving, Inc. Contractor Contacts During Construction Primary Name Bret Niebruegge Agent Name Bret Niebruegge Title President Title President Mobile (206) 714-3271 Address 22228 95th PI W Email bret@jbasphalt.com City Edmonds State WA Zip 98026 Secondary Name Phone (206) 714-3271 Title Email bret@jbasphalt.com Mobile City of Edmonds Business License No: #13Ir006638 Email State License No: JBASPBA872KI ® 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 Ni 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 Authentisign ID: 6124747C-402A-ED11-AE83-14CB655B2CA7 RECEIVED ❑ Utility Franchise Work (no associated development) Sep 02 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT ProjectDescription 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.) Grading on the south side of 162nd St SW and asphalt widening to achieve an I F wide eastbound travel lane. Approximately 81 sf of new asphalt. Two foot deep cut, trenching for new water service line and installation of a new water meter. Partial eastbound lane closure for no more than 3 days. No walkways or alleys exist along the roadway. RIGHT-OF-WAY CLOSURE AREA Aone TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF JxJ LF None SF 0 Alley 72 hours + LF JxJ LF None SF 0 Parking 72 hours + LF JxJ LF None SF 0 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 CWT-WAY41i ❑ storm Details 1. of Work to be Completed Does the utility owner have existin overhead infrastructure in the area of work? Yes No 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 Authentisign ID: 6124747C-402A-ED11-AE83-14CB655B2CA7 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? 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 wjt�i e����Cq�,nditions listed on the Submittal Requirements; with all applicable city ordinances, including but not limit C 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 alilepermit fees. APPLICANT SIGNATURE: r8ret DATE: Niehrueyye 09/01/22 APPLICANT PRINTED NAME: Bret Niebruegge APPLICANT TITLE: Owner RECEIVED Sep 02 2022 NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE CITY OF E DEVELOPMENTT SERVI SERVICES DEPARTMENT City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021