Engineering Permit FormRIGHT OF WAY PERMIT
PERMIT NU BE
City of • • .
98020 ENG2023-03311
www.edmondswa.gov i
Description: RIGHT OF WAY FOR SHEN SFR BLD2023-0401 ISSUED: 10/02/2023
Address: 23310 HUMBER LN EDMONDS WA 98020-6157
EXPIRES: 09/26/2024
rmit Type: RIGHT OF WAY Permit Subtype: RESIDENTIAL Parcel Number: 00571300101000
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT JASON HOLUB 44021 SE TANNER RD STE A, NORTH BEND WA 98045 (425)985-2862
CONTACT DLH INC 44021 SE TANNER RD STE A, NORTH BEND WA 98045 (425)985-2862
CONTRACTOR D L H INC 44021 SE TANNER ROAD, STE A, NORTH BEND WA 98045 (425)888-1853
OWNER BERNARD T & FEDERMAN SHEN 417 NW 132ND ST, SEATTLE WA 98177
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENG - INSPECTIONS
$882.00 $882.00
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: NED DATE: 10/02/2023
Printed: Monday, October 02, 2023 1:07:38 PM 1 of 2
RIGHT OF WAY PERMIT
PERMIT NU BEI
City of Edmonds
98020 ENG2023-033
www.edmondswa.gov i
CONDITIONS
CONDITION TYPE
NOTES
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.
This property falls within the Olympic View Water and Sewer District. A permit from Olympic View is
OVWSD SEWER LATERAL
required for the sewer lateral installation.
POTHOLING
VERIFY CLEAR BORE CROSSINGS.
RESTORE LANDSCAPE
Restore landscape to like or better conditions
ROW COMPACTION TEST
Right of way compaction tests are required per City standards.
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
E-7 DWY APPROACH
E-7 PAVEMENT COMPACTION TEST
REPORT
E-7 RESTOR LIMITS
X-0 OVWSD APPROVAL
X-2 ENGINEERING FINAL"
A-1 TESC AND MOBILIZE
E-7 TRAFFIC CTRL
E-9 COMPOST AMEND
E-7 DRY UTILITY LOCATION
Printed: Monday, October 02, 2023 1:07:38 PM 2 of 2