ENG2023-0456 ROW PERMITRIGHT OF WAY PERMIT
PERMIT NUMBE3
City of Edmonds
98020 ENG2023-14
www.edmondswa.gov i
Description: ROW -REQUEST TO REMOVE 1 ROW TREE WITH REPLANTING
ISSUED: 10/06/2023
Address: 8307 214TH PL SW EDMONDS WA 98026-7457
EXPIRES: 04/05/2024
Permit Type: RIGHT OF WAY Permit Subtype: RESIDENTIAL Parcel Number: 00467400001202
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT MATHEW BRENAN 318 SE EVERETT MALL WAY, EVERETT WA 98208
(425)248-5765
CONTACT WESTERN HEMLOCK TREE & STUMP 318 SE EVERETT MALL WAY, EVERETT WA 98208
(425)248-5765
SERVICE
CONTRACTOR WESTERN HEMLOCK TREE/STMP SRV 318 SE EVERETT MALL WAY, EVERETT WA 98208-3258
(425)362-8284
OWNER BONNYJ KINGEN 8307 214TH PLSW, EDMONDS WA 98026-7457
INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
ENG - INSPECTIONS $126.00 $126.00
RIGHT-OF-WAY PERMIT - STANDARD $378.00 $378.00
REQUIREMENTS
AL
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: 10/06/2023
Printed: Friday, October 06, 2023 3:21:33 PM 1 of 2
RIGHT OF WAY PERMIT
PERMIT NU �!B E
City of Edmonds
SID
www.edmondswa.gov • •
CONDITIONS
CONDITION TYPE
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
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.
•
PECTION TYPE DATE
7TESC
RESULT
NOTES
17
COMPLETE
MOBILIZE
X-2 ENGINEERING FINAL"
Printed: Friday, October 06, 2023 3:21:33 PM 2 of 2
RECEIVED
Sep 13 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance -Mth the Submittal
Re-quirements outlined in Right -of -Way permit Handout E6;1.
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
O61dppli,
Name of Company- 6 � �� A, Franchise Ordinance No:
Point of Contact
Title [� �_
Address 3u 7 �-� 1 00
City
State Zip g z-
Phone -� L/1 7 " 3 it y
Email J2 G �n�f i�/ry ! 0 A. I C rrrv�
Contractor and Authorized Agent of Owner , -.
Name of Company L- 5 7_,E-1Z4V 1y//11C �L �Jt�� r`S�Uh!
W
During
' I ame )1 Ltyi
_&gent Name /���( —w f -28 "A -A /
Title
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Mobile L•
Address ? G ✓ L� /t BI%�let- l�i/l
Email
City t
State
Zip 2-b6
Secondary Name
Phone 22 3 Z _
7�
Title
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Email !�T/ 14,V e WL,� 14,� Z 5
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mail
State License No: 1, /t/ 6 Tr-, h �- 77 a i z_
qX Contractor verifies it is currently bonded I
Contractor verifies it currently has general liability insurance
NOTE: ECDC18:6o.o2o requires that
7thheeApplicationt,(tAsagned by a licensed and bonded contractor unless otherwise approved by the city
engineer. of 0 —97J ' 2i��77S-9/
Type of „apply
Multifamily residential o Commercial ❑ City project
9 TSingle family residential subdivision
❑ Demo and rebuild or from vacant land?
a Other, please specify:
o Single family -other ❑ industrial
o Utility Franchise Work .associated with development (check one of the above boxes as well)
❑ Traffic Control Only (no associated development)
Cty of Edmonds R011 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, uvires, 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,)
FIGHT -OF -WAY
CLOSURE
AREA
TOTAL
DURATION
(.Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
!
Allen 72 hours +
LF
x
LF
SF
Parldng 72 hours +
LF
X1
LF
SF
SECTION B - If you are not a utility company pet forming zvork in the City ROW, skip to SECTION G
WL" 11-t� /tIvf-A UrIt t4 (` , f
1. The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable ❑ power ❑ gas
a water ❑ sewer ❑ storm
Details of Work to be Completed
i. i Does the utility owner have existing overhead infrastructure in the area of work?
2, i Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)?
If Yes, describe:
S.
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?
b. ` 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 Work- o be Completed Yes No
b, i Does your project involve rebuilding or replacing utility equipment which currently serves more
than one lot or commercial development?
City of Edmonds ROW construction permitApplication—Page 2 of 3 Updated 3/25/2o21
If yes, answer the fofloiAng questions related to project area, i.e. the actual area in which the
roiect is proposed:
6a.
Does your project involve wiresleables/lines?i Ifyes: j
I
!
How many are existing? Howmany are to be added?
6b. , Does your project involve poles? If yes: {
How many poles are existing in the project area?
What is the beigbt of the existing poles?
How many poles are to be removed? t
Are additional Kles to be laced?
How manor? I I What is the height of the additionalpoles?
6c,
Are any poles to be modified/rebuilt/replaced? If yes: s
How mane? 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 verif iug 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 Iand 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 i� itb them to
the satisfaction of the City Engineer. Applicant further agrees to comply »pith 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.
Pees, The Al
APPLICAN1 T
apPLICA:'TPRI?N'TED ',,.: ! ' A--rU `CPV P—Xeq AYi' % -}
APPLICANT TITLE: K
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3J26/2021
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ENGINEERING DIVISION
"'DTED
_ pI� 0/05/2
repair/replace all
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
lities or frontage
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
i City right-of-way
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
Is that is caused or
_
� permitted project.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROLAND DRAINAGE
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SIGN SPACING
= X (1)
RURAL ROADS & URBAN ARTERIALS
35 140 MPH
350't
RURAL ROADS, URBAN ARTERIALS,
25 130 MPH
200't (2)
RESIDENTIAL & BUSINESS DISTRICTS
URBAN STREETS
25 MPH OR LESS
1001t (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.
MINIMUM SHOULDER TAPER LENGTH = Ll3 (feet)
SHOULDER
Posted Speed (mph)
WIDTH
(feet)
25
30
35
40
45
50
55
60
65
70
8'
40
40
60
90
-
-
-
-
-
-
10'
40
60
90
90
USE A 3 DEVICES TAPER FOR SHOULDERS LESS THEN 8'
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
CHANNELIZATION DEVICE
SPACING feet
MPH
TAPER
TANGENT
35/40
30
60
25/30
20
40
O 9
b 4 ® ® �¢ WORK AREA
X X L/3 B R 50,
48' 41"
ROAD
WORK SHOULDER
AHEAD WORK
48' 4s" ENGINEERING DIVISION
W20-1 W21-5 )TED
0/05/2023
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.
O CHANNELIZING DEVICES
(40 MPH OR LESS)
PROTECTIVE VEHICLE
NOT TO SCALE
FILE NAME S:\Desi n R P& SW-SOndardsl2-Plan Sheet Libra 101-Published PSL\ TC Work Zone Traffic Control\ TC-5 Shoulder Closure - Low Speed 40 MP or Less)\TC-5.dgn Plot 1
TIME 2,59,41 PM s Tr FED.AID PROJ.NO. AmokRux Rv
DATE 1/212018 Y�/�
PLOTTED BY Ilddslf WAS �I/ TCS�
DESIGNED BY Joe xo..ER
ENTERED BY Washington State ....
CHECKED BY coxTRnm x iounox "". Department of Transportation oR
PROJ. ENGR. re " E TRAFFIC CONTROL PLAN
REGIONAL ADM. REVISION DATE BY