ENG2019-0407 ROW PERMITRIGHT OF WAY PERMIT
PERMIT NU BE
City of Edmonds
98020 NG2019-0407q
www.edmondswa.gov i
jA am
Description: INSTALL FRONTAGE IMPROVEMENTS CONSISTENT W/ SP PLN2017-0059
ISSUED: 08/01/2023
Address: 18229 80TH AVE W EDMONDS WA 98026-5414
EXPIRES: 08/01/2024
Permit Type: RIGHT OF WAY Permit Subtype: SUBDIVISION Parcel Number: 00370800101400
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT CLEAR VISION HOMES, INC 4102 SW AUSTIN ST, SEATTLE WA 98136 (425)227-1727
CONTRACTOR CLEAR VISION HOMES INC 4102 SW AUSTIN ST, SEATTLE WA 98136 (425)277-1721
OWNER LE PHONG HUY 18229 80th Ave. W, Edmonds WA 98026
E
_JL FEINFORMATION
DESCRIPTION AMOUNT PAID
RIGHT OF WAY STANDARD PERMIT FEE $300.00 $300.00
X-TECHNOLOGY FEE $35.00 $35.00
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
INDEMNITY
RELEASED BY: MAJ DATE: 08/01/2023
Printed: Tuesday, August 01, 2023 3:47:10 PM 1 of 3
RIGHT OF WAY PERMIT
PERMIT NUMBE3
City of Edmonds
www.edmondswa.gov • •
CONDITIONS
CONDITION TYPE
Alert Affected Properties
Alert affected residents and/or businesses prior to work start.
Bore Crossings
Verify clear bore crossings
Conform to approved plans
Conform to approved working drawings and Traffic Control plan.
Damage to Frontage
Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per
Improvements
City standards that is caused by or occurs during the permitted project.
ESC Required
Maintain erosion & sedimentation control. Keep street clean.
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
Hold Harmless
agents from any and all claims for damages of whatever nature, arising directly or indirectly from the
issuance of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any
requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
Inspections
Call for required inspections as noted.
Landscape Restoration
Restore Landscape to like or better conditions.
Public Utility Separation
Public utilities maintain 5' separation from City Utilities.
ROW Restoration
Restore ROW to City standards
Sound/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
Sounds/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/activities must comply with the noise limits
of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
Traffic Control Handout
Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements.
Underground Utility Locates
Call for locates of underground utilities prior to any excavation.
Utility Patch Restoration
Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
019
INSPECTION TYPE
DATE
RESULT
NOTES
COMPLETE
X-2 ENGINEERING FINAL**
E-7 PAVEMENT COMPACTION TEST
REPORT
E-7 MAILBOX LOCATION
E-7 TRAFFIC CTRL
E-7 PVMT SUBGRADE
E-7 DWY APPROACH
E-7 CURB GUTTER
E-7 CONCRETE SIDEWALK
E-7 HYDRANT
E-7 STORM MAIN
Printed: Tuesday, August 01, 2023 3:47:10 PM 2 of 3
�i RIGHT OF WAY PERMIT
3
PERMIT NUMBE
City of Edmonds
121 5th Ave N, Edmonds WA 98020 ENG2019-0407
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www.edmondswa.gov / 425.771.0220
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A-1 ENGINEERING PRECON
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E-7 SEWER LATERAL
E-7 SEWER MANHOLE
Printed: Tuesday, August 01, 2023 3:47:10 PM 3 of 3
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 E63.
►ri rowel 111 W81MA
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
Name of Company
Clear Vision Investments Franchise Ordinance No:
Point of Contact
Terrance Wilson
Title
Attorney at Law, Wilson Law Group of Washington
Address
5663 W Tapps Highway E,
city
Bonney Lake
State WA
zip 98391
Phone
206 805-6238
Email
TWilson@WilsonLawGroupWA.com
Name of Company G LEA{L I S O1-i �kS I&JE,Primary
Name P Fr
Agent Name E
Title I�cS
Title S _ NT
Mobile A.S I , —
Address —L 3 Lr--- EVE S O
Email zON
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City lat'rrO State W k
Zip
Secondary NameAXL
Phone a � _ s .-7
Title
Email LC—9S � ok4o •��-1
Mobile
City of Edmonds Business License No:
Email ► A j
State License No:
Contractor verifies it is currently bonded
V 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)
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.)
The applicant is proposing to subdivide a 37,191 square foot parcel located at 18227 - 80th
Avenue West into two lots (Attachments 1- 3). The site is located within the Single -Family
Residential (RS-12) zone that allows lots with a minimum net area of 12,000 square feet
(Attachment 12). The proposed lot layout is shown on the preliminary short plat plans
(Attachment 2) and preliminary development plans (Attachment 3). Lot 1 will be created on the
western portion of the property where an existing residence is proposed to be retained. Lot 2
will be created on the eastern portion of the property. The existing driveway will be removed
and both lots are proposed to take access from 801h Avenue West via a new shared driveway.
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.
, The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable ❑ power ❑ gas
❑ water ❑ sewer ❑ storm
1.
Does the utilityowner have existingoverhead infrastructure in the area of work?
X
2.
Will any equipment be added underground or above ground (e. edestals, 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 system?
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?
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 X
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:
X
How many are existing? I I How many are to be added?
6b.
Does your project involve poles? If yes:
X
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:
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:
APPLICANT PRINTED NAME: P 1F C_ I—E=
APPLICANT TITLE:r�—
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021