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ENG2023-0459 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds - N, Edmonds WA •: • www -. •. i Description: OVWSD-RESTORATION FOR EMERGENCY WATER LINE REPAIR ISSUED: 10/19/2023 Address: 23812 107TH PL W EDMONDS WA 98020-5239 EXPIRES: 04/19/2024 Permit rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00689500003000 i 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 SMITH SCHUYLER J & KIMBERLY A 23812 107TH PL W, EDMONDS WA 98020-5239 FEE INFORMATION 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 9:17:46 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE City of Edmonds ....121 Sth Ave -. •.v / 425.771.0220 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 9:17:46 AM 2 of 2 c��� pF �z7tirQti��e C. 1 sq4 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 E&I. RECEIVED Sep 08 2023 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. Project Name 23812 107th PL W Site Address or if no site address use Property Address at NW comer of project area: 23812 107th PI W Associated Permits: BLD PIN ENG applicable)Oivncr and Entity Holding Franchise (if Name of Company Olympic VIEW Water and Sewer District Franchise Ordinance No: PointofContact Marty Henninger 'nfie Utility Lead Address 8128 228th St SW city Edmonds state Wa Zip 98026 Phone (425)774-7769 Email marty@ovwater.com Primary Name Name of Company Olympic View Water and Sewer District Agent Name Marty Henninger Title Title Utility Lead Mobile Mdreis-8TM 228tht SVV Email City Edmonds I State Wa Zip 98026 SecondaryName 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 p Contractor verifies it currently has general liability insurance NOTE: ECDC i8.6o. ozo 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 o f the above boxes as weln ❑ Traffic Control Only (no associated development) rs Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application —Page i 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 repair. It required an asphalt cut in two locations. The water service will require replacement in the near future. Please include this in the permit. It was hydro excavated. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 2- hours + LF x LF SF Alley 72 hours + LF x LF SF Parldng 72. hours + LF x LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. 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 beCompleted i. I Does the utilityowner 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 es, 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 eodsting underground common utility stem? 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? x Are the additions for the purpose of serving a singje-family residential subdivision? x. Details 6. of Worl, to be Completed Does your project involve rebuilding or replacing utility equipment which currently serves more Yes , than one lot or commercial development? If yes, answer the following questions related to project area, i.e. the actual area in which the x project is proposed: 6a. Does your project involve wires/cables/lines? If yes: x How many are a dstin ? How many 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 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? 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 296-155-3o5 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 8" DI 23914 8" DI 23918 A5—V37 0 x \\ �f 23910 M N O rn d- o o / N / 2390 23922 \\ A5—V44 A5—V45 ! \ — — �m 23614 5-14 23902 23620 23926 \ 23921 23913 — — — - - - BO 1 23628 23903 23930 23909 23702 23929 I ! m 23708 of 23934 A5-15 23712 23933 I �� 23718 23938 W 23937 23722 Cb 23942 — — — — f 23726 I 23941 ! ' ---- 23946 A5-16 > do 20009, 2t� 23945 1 o 8" DI 1403 23730 -'' j 12" REPAIR BAND �^� 2410 p, c IQ 2— — B5- 0 0 4" HOLE IN 9 � --- fil -- � -- 23812 21 23950 24103 23951 A5-12 23824 2 — — 24105 o 23954 — — � � I 23910 cfl I — — i 24107 I `: A5-17 f — — 23924 BO 2,' '.L 23958 i E j 23928 \ A5-13 24109 A5— ( \\ � 24112 —1 A5—V41 — A5—V42 's 1 24111 24114 \ 23962 i >n71 m C� C/) �O z 00 zz mr m� cn ^Z !� ^ U J z0 ma (-) 0 --jm O---1 �m z m 0 DO r C 0 z izm r co x :::i :::i-0 m ccnCZ K�� r ��n mccn0 m m0-u D n0 m�� m O o0 Z r m m -n m<O acoX M0r �ZO �O� Dz OZ O mZ Xm 0— Wn o0 D 0O c o o fl A OLYMPIC VIEW WATER & SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 23812 1071h pl W Scope of Work: Emergency leak repair. Service to be upgraded after permit approval 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. 0:1SHAREIPERMITS RIGHT OF WAYS1Edmonds RECEIVED Sep 08 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT MINIMUM LANE CLOSURE TAPER LENGTH = L (feat) I'm Posted Speed (mph) Y (1-* 25 30 1 35 1 40 1 45 50 SS 60 6S M 10 105 ,SO 205 27O 4SO we $50 II 11S 165 1 225 1 295 1495 SSD 50.5 WD - - 12 125 Ito 245 1 MO 1 $40 600 SAC i 720 700 W MINIMUM SHOULDER TAPER LENGTH = i (foot) Posted Speed (mph)2-1 I )D 35 40 df So R 60 65 'a47 EWXTXER I 40 I so 9D t2o IV ,SO 160 17D 19040 60 90 90 ,SD 170 to 200 220 T40 USE A MTDMUM 3 DEVICES TAPER FOR SHOULDER LESS THIN X. SIGN SPACING = X WAYS SS 170 RURAL ROADS & CRBAN ARTERIALS 25 130 ;,PH 2O I (2) RESIDENTIAL L BUSINESS O,STRi= UR9AN STREE7S 25 MPH OR LESS 10C- (1)ALL SPACINC MAY BE ADJUSTED TO ACCO.WKIOATE 102 RAMPS.ATGRADE INTERSECTIONS AND DRIVEWAYS. M THIS SPADING MAY BE REDi> = IN URBAN AREAS TO FIT ROADWAY CONDITIONS, CHANNELIZATION DEVICE SPACING fee LWN -rA PM TANGENT SOND 0 6D 35N5 30 60 25/30 2D 40 �Av IWL USE FLAGGERS IF LESS THAN TWO 11' TRAVEL LANES (SEE ATTACHED TCP) BUFFER DATA LONGITUDINAL BUFFER SPACE = 8 :PEED (MPp 25 31 35 40 45 50 SS I W 65 70 LENGTH (1ea0 155 20D 250 345 760 425 495 S7C 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VDf=- WEIGHT 91 TO 2ZOOD be HOST VEHICLE WEG)IT a ZLOW Lt < 45 MPH 45.5$ LIPN a SS MPH < 45 1.!i+H 45.ss NPH a 55 Y.PH t0a ,ZY 177 74 I= 1W ENGINEERING DIVISION A r-.r, r„-.. ,� r . — L "DTED 10 G1__ 2V 0/13/2023 PCMs RIGHT WORK ARE ® IANS 1 ueL 1 ARPAD 00049 IO M M 6 6 I In •� 6EE 2.c SEC 2A SC-C N�7E 4 R.1D LOANS , c : R! X 1 X % L B R 10p'L ADVANCE OF LANE CLOSURE Si I Applicant shall repair/replace all 4r 6V damage to utilities or frontage ROAD OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING improvements in City right-of-way a per city standards that is caused or WORK E ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY occurs during the permitted project. AHEAD e UTILITIES MAY REQUIRE A SEPERATE PERMIT. W20-1 w4.2(L} ES RIBHT LANE L v 1.) SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS CLOSED 2=JCTEND DEVICE TAPER AT 113 ACROSS SHOULDER. LEGEND lAHEAD 46' OWNER/CONTRACTOR IS RESPONSIBLE FOR 3. DEVICES Si NOT ENCROACH INTO THE ADJACENT LANE Di TEMPORARY SIGN LOCATION EROSION CONTROL AND DRAINAGE WZOSR d. USE TRANSVERSE DEVICES IN CLOSED LANE EVERY TOCO'(FT] Q TRAFFIC SAFETY DRUM (RECOMMENDED). Go> SECUEh.J+t ARROW SIGN SINGLE -LANE CLOSURE FOR MULTI -LANE ROADWAYS �'27 SPACING FOR THE DCm sraEArr. TAPER sHat! BE t• TRANSPORTABLE ATTENUATOR 6. ALL SIGNS ARE RUCK ON ORANGE PCMS PORTABLE CHANGEABLE MESSAGE SIGN NOT TO SCALE FILE tattle Sme�l R PS si � Us,W+n Strout A2.16L Work M MY,Ti iM�Due ebb n T AWOL PW I Twe 9.1e71 AM 1PROUNO. ^"-` DATE 11=9 � WAS UP LOTTED BE601t Y 1 DESIGNED BY .a MFdShin9ton SUf6 •NIL ENTERED -..T' w D Department of TraTlsportatfoD CMCK TRAFFIC CONTROL PLAN .«•. REGIONAL POLL REVISION DATE BT RECEIVED Sep 08 2023 CITY OF EDMONDS "—DEVELOPMENT SERVICES DEPARTMENT 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 CITY OF EDMONDS Right -of -Way Application #1372090 - 23812 107th PI W M BuildingPermit.com Sep 08 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 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 23812 107th PI W 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 M BuitdingPermit.com Right -of -Way Application #1372090 - 23812 107th PI W 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: 23812 107th PI W Description of Work: Emergency repair of water service. Replace existing poly water service. Project Details Project Information Job Number 14 Page 2 of 2