ENG2023-0458 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NU BE
City of • • .
98020 ENG2023-04581
www.edmondswa.gov i
Description: OVWSD-RESTORATION FOR EMERGENCY WATER LINE REPAIR
ISSUED: 10/19/2023
Address: 8609 MADRONA LN EDMONDS WA 98026-8652
EXPIRES: 04/19/2024
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00504700100900
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 SUGIYAMA RICHARD M & STEADMAN 8609 MADRONA LN, EDMONDS WA 98026-8652
JAN E
FEE INFORMAj��.
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: 10/19/2023
Printed: Thursday, October 19, 2023 9:16:06 AM 1 of 2
OF WAY EUC PERMIT
PERMIT NUMBE
City of Edmonds
,...
- •:� 1 1RIGHT
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 7:00am 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
COMPLETE
A-1 JOB START
X-2 ENGINEERING FINAL**
E-7 RESTOR LIMITS
Printed: Thursday, October 19, 2023 9:16:06 AM 2 of 2
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
Requirements outlined in Right-of-Wgy permit Handout E6S.
RECEIVED
Sep 08 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
If any field is not applicable to your project, write'W/A' instead of leaving blank.
All fields required. Incomplete Applications will be denied.
SECTION A
General • Project Name 8609 Madrona Lane
Site Address or if no site address use Property Address at NW comer of project area: 8609 Madrona Lane
Associated Permits: BLD PLN ENG
Owner
Name of Company Olympic View Water and Sewer District Franchise Ordinance No:
Pointofcontact Marty Henninger
Title Utility Lead
Address 8128 228th St SW
city Edmonds state Wa zip 98026
Phone (425)774-7769
Email marty@ovwater.com
below)Contractor and Authorized Agent of Owner (see note
NameofCompany Olympic View Water and Sewer District
Primary Name
Agent Name Marty Henninger
Title
Title Utility Lead
Mobile
Address 812n28th St SW
Email
City Edmonds
State 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: ECDCs8.6o.o2o 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 a 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)
ci Utility Franchise Work (no associated development)
City of Edmonds ROW construction permit Application --Page a of 3 Updated 3/25/2021
Project Description
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.)
This was an emergency water service replacement. All work was hydro excavated. Work has been completed.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
Alley 72 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 SECTIONC.
Type of UtiliN Facilities
1. The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable ❑ power ❑ gas
* water ❑ sewer ❑ storm
Details of Work to. -.
a. Does the utility owner have existing overhead infrastructure in the area of work?
Yes
No
x
2. 1 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 existing under ound common utility stem?
x
5.
Does the work involve proposed additions to an aboveground utility stern? If�es;
x
Are the additions for the pui pose of sei ving new commercial development?
x
Are the additions for the purpose of serving a single-family residential subdivision?
x.
Details
of Work to be Completed
Yes
No
6.
Does your project involve rebuilding or replacing utility equipment which currently serves more
than one lot or commercial development?
x
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? Howmany are to be added?
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
6b. Does your project involve poles? If yes: X
How mainy poles are existing in the project area?
What is the height of the existing poles?
How many pojes are to be removed?
Are additional poles to be laced?
How many.? What is the height of the additionalpoles?
......:.....:......................:
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 296-155-305 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:
APPLICANT PRINTED NAME:
APPLICANT TITLE:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
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WNER/CONTRACTOR IS RESPONSIBLE FOR
�-
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY � \
UTILITIES MAY REQUIRE A SEPERATE PERMIT. EROSION CONTROLAND DRAINAGE --1S1 '' £069 \
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damage to utilities or frontage I Q9
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RESTORATION LIMITS TO BE per city standards that' caused or a
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OLYMPIC VIEW WATER & SEWER DISTRICT
EDMONDS BLANKET PERMIT BEGINNING
NOTIFICATION
Site Address: 8609 Madrona Lane
Scope of Work: Emergency water service replacement
Asphalt or Concrete Cut: Yes Start date: 8/30/2023
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.
RECEIVED
Sep 08 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
O:ISHAREIPERMITS RIGHT OF WAYSIEdmonds DEPARTMENT
MINIMUM LANE CLOSURE TAPER LENGTH = L (feel)
LANE
Posted Speed (mph)
(rpD
25
3p
1 35
40
45
M
55 m
65
TO
10
105
,50
1 205
270
450
S00
$50
11
i15
165
225
295
495
550
605 6W
-
-
12
125
IsI
245
22D
540
6W
660 { 720
7W
aW
MINIMUM SHOULDER TAPER LENGTH = L13 (foot)
SHOULDER
Posted Speed (mph)
WIDTH
Ow
25 I 30 35
40
4S
50
55
W
65
;b
B
40 I 40 I 60
90
120
I IV
150
160
170
190
1C
40 6a 90
90
,so
TTG
t90
200
MD
240
USE A IKMM'UM 3 DEVICES TAPER FOR SMULDER LESS THEN r,
48'
Applicant shall repair/replace all ROAD
damage to utilities or frontage WORN
improvements in City right-of-way
per city standards that is caused or AHEAD
occurs during the permitted project. 48'
W20-i
LEGEND
N
TEAMRARY SIGN _OCATION
W
TRAFFIC SAFETY DRUM
�D
SECUEN71AL ARROW SIGN
TRANSPORTABLE ATTENUATOR
f PCMS
PORTABLE CHANGEABLE MESSAGE
CLOSED
ARM
W20SR
SIGN SPACING = X (1)
FREEWAYS 6 EXPRESSWAYS 55 l70 MPH 15W'=
RURAL MGHWAYS --- -- 6D ISS MPH BO It
RURAL ROADS 45 f55 MPH 500=
R:IRAL ROADS a LRSAN ARTERIALS 3514C MPH 35G2
RURAL ROADS S UFMAN ARTERIALS 25130 MPH =rt C2)
RESID Mkl L BUSINESS 3=r-TS
URBAN STREETS 25 MPH CR LESS 10C=
(i)ALL SPACING MAY RE ADJUSTED TO ACCOVAC ATE INTERCHANOEE
RAMPS.AT.GRADE INTERSECTIONS AND DRIVEWAYS.
aI TMIS SPACING MAY BE REDUCED IN URBAN AREAS TO PIT
ROADWAY CONDmON3.
W4.21L)
CHANNELIZATION DEVICE
SPACING fee
MPH
TAPER TANGENT
s 70
1 40 11 1
35145
1 30 1 50
25/3(1
1 20 1 40
USE FLAGGERS IF
LESS THAN TWO 11" nt'�
TRAVEL LANES (SEE `V
ATTACHED TCP)
me I
SEE
NOTE 4
BUFFER DATA
LONGITUDINAL BUFFER SPACE B
SPEED (YPH) 25 30
1 35 1 40
45
1 56
55 1 60
I 65
70
LENGTH (fm0 155 2W
250 305
]5C
d25
4% SIC
6c5
730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
H057 VEHiC1E WEK1,T
9.9W TD 22W0 Dw11
HOST VEHICLE VTGHT
> 22.000 IOc
< 45 YPH 4555 MPH > 55 MPH
< 45 MPN 4555 MPH 55 MPH
107 ,ZY 177
T. I 1W 150'
ENGINEERING DIVISION
A 1-M-1A � A"0TED
OWN
0/13/2022
PCMS
2
RIFT , uLE
uNs ,�D
cLD6vaE
zc sec 2D sEc
RL3D LOCATE / MILE ' IN
ADVANCE CF LANE COSLA2E SLGNING.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROLAND DRAINAGE
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
SINGLE -LANE CLOSURE FOR MULTI -LANE ROADWAYS
NOT TO SCALE
NOTES
I. SEE SPECIAL PROMSICNS FOR WORK HOUR RESTRICTIONS.
2. EXTEND DEVICE TAPER AT US ACROSS SHOULDER.
3. DEVICES SHALL NOT ENCROACH INTO THE ADJACENT LANE
4. USE TRANSVERSE DEVICES M CLOSED (AYE EVERY 1000(F1')
(RECOMMENDED).
5. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE
2r7 (FF 7).
6. ALL SIGNS ARE SLACK ON ORANGE
snE. YAYG �A
1NE A 671 AY "-"I FED.AID PROJUt0. ^"""
DATE I=eI. WAS � TC3tl
PLOTTED BY WOelf
DESIGNED DY .,w INaStdr[9ton State
WrERED BY Department ofTransportaft— a
TRAFFIC CONTROL PLAN .�.
RECADNAL ADN REVISION DATE BY
RECEIVED
Sep 08 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
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 Ibs.
HOST VEHICLE WEIGHT
I > 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
300'
ONE LANE .�
ROAD
AHEAD
48"
48" W20-4 48. W20-7A
ROAD BE
WORK PREPARED
AHEAD TO STOP
48" 48"
W20.1 W20-7111
W20.7B (OPTIONAL IF
40 MPH OR LESS)
LEGEND
FLAGGING STATION
b TEMPORARY SIGN LOCATION
D CHANNELIZING DEVICES
PROTECTIVE VEHICLE
SIGN SPACING = X (1)
RURAL HIGHWAYS 60 165 MPH
800't
RURAL ROADS 45/55 MPH
500'i
RURAL ROADS & URBAN ARTERIALS 35/40 MPH
350't
RURAL ROADS, URBAN ARTERIALS, 25 / 30 MPH
RESIDENTIAL & BUSINESS DISTRICTS
200't (2)
URBAN STREETS 25 MPH OR LESS
100'i (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.
50. TO 100'
6 DEVICE
MIN I I R
O RK
AREA
59TO 100'
6 DEVICE
W20-7A
ONE LANE
ROAD
AHEAD�
W20-4
W20_7B (OPTIONAL IF
40 MPH OR LESS)
481, 48'
BE ROAD
PREPARED WORK
To STOPrr AHEAD
48" 48" 48. 48'
Or . W20.713 ONE LANE W20.1
ROAD
AHEAD
48" 48"
W20-7A W20-4
BE
PREPARED > W20-713 IONAL IF
40 MPH OR(OPTLESS)
TO STOP
48'
W20-7B
48'
ROAD
CHANNELIZATION DEVICE
SPACING (FEET)
MPH
TAPER
TANGENT
50/65
10 TO 20
80
35/45
10 TO 20
60
25/30
1 10 TO 20
40
WORK NOTES
AHEAD
48' 1. ALL SIGNS ARE BLACK ON ORANGE.
ONE -LANE, TWO-WAY TRAFFIC CONTROL
WITH FLAGGERS
NOT TO SCALE
2. EXTENDING THE CHANNELIZING DEVICE TAPER ACROSS
SHOULDER IS RECOMMENDED.
3. NIGHT WORK REQUIRES ADDITIONAL ROADWAY LIGHTING AT
FLAGGING STATIONS. SEE THE STANDARD SPECIFICATIONS
FOR ADDITIONAL DETAILS.
4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS.
Plot 1
TIME 3:05:14 PM
s•"•s
"WAS
FED.AID PROJ.NO.
.e
" E
Amokxnx
�
�I/
Washington State
Department of Transportation
.ss
TC7�
DATE 1/212018
PLOTTED BY Ilddelf
DESIGNED BY
+". x... Ex
sx.E.
o.
ENTERED BY
CHECKED BY
c"x.xnm x"wnox
xo.
TRAFFIC CONTROL PLAN
PROJ. ENGR.
REGIONAL ADM.
REVISION
DATE
BY
RECEIVED
M BuildingPermit.com Sep 08 2023
CITY OF EDMONDS CITY OFEDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Right -of -Way Application #1372083 - 8609 Madrona Lane
Applicant
First Name Last Name Company Name
Marty Henninger Olympic View Water and Sewer District
Number Street Apartment or Suite Number E-mail Address
8128 228th St SW marty@ovwater.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 774-7769
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
City Zip Code County Parcel Number
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
8609 Madrona Lane
Property Owner
First Name Last Name or Company Name
Number Street Apartment or Suite Number
City State Zip
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 9/6/2023 Submitted By: Marty Henninger
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1372083 - 8609 Madrona Lane
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: 8609 Madrona Lane
Description of Work: Emergency water service replacement.
Project Details
Project Information
Job Number
13
Page 2 of 2