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ENG2023-0511 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of • • . 98020 ENG2023-0511 www.edmondswa.gov i Description: OVWSD - INSTALL NEW METER AND SERVICE FOR ADU BLD2021-1346 ISSUED: 11/28/2023 Address: 22629 96TH AVE W EDMONDS WA 98020-4573 EXPIRES: 05/28/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00544300009700 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 TAMARA\PHILLIP LESSLEY 22629 96TH AVE W, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $378.00 $378.00 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: 11/28/2023 Printed: Tuesday, November 28, 2023 10:31:12 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE City of Edmonds :• •ENG2023-0511 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:OOam to 6:OOpm on SOUND AND NOISE weekdays and 10:OOam and 6:OOpm 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 E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL** E-7 RESTOR LIMITS Printed: Tuesday, November 28, 2023 10:31:12 AM 2 of 2 RECEIVED of EDA.t0 INC. ioo SECTION A 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. OCT 11 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. General Info Project Name 22629 96th Ave W Site Address or if no site address use Property Address at NW corner of project area: 22629 96th Ave W Associated Permits: BLD PLN ENG Owner • Entity Holdingapplicable) Name of Company Olympic View Water and Sewer District Franchise Ordinance No: Point of contact Marty Henninger Title Lead Utility Worker Address 8128 228th St SW city Edmonds State Wa zip 98026 Phone (425)&&4-7769 Email marty@ovwater.com Contractor and Authorized Agent of Owner (see note below) Name of Company Olympic View Water and Sewer District ContractorContacts Primary Name Agent Name Marty Henninger Title Title Lead Utility Worker Mobile Address8128 228th St SW Email city Edmonds IState Wa. Zip 98026 Secondary Name Plione(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: ECDCi8.6o.02o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. Jype4 Development -'-Cheek.,ALL that, apply., ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision 9 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 tvell) ❑ Traffic Control Only (no associated development) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page r of 3 Updated 3/25/2021 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.) We are going to install a new 3/4" water service for an ADU at this address. Will possibly be upgrading old water service also. All excavations will be hvdro excavated. We will be using a hole hoci to qet the service services across the road. uire a road cut on one 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 + I LF x LF SF SECTION B - If you are not a utility company peiforming work in the City ROW, skip to SECTIONC. Type of Utility Facilities 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power ❑ gas m water ❑ sewer ❑ storm Details of Work to -be Completed i. Does the utility owner have existing overhead infrastructure in the area of work? Yes No x 2. Will any equipment be added underground or above ground (e.g. pedestals,vaults etc.)? x If yes, describe ;`.t.`:t:.,• 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 existingunderground common utilitystem? x 5. Does the work involve proposed additions to an aboveground utility system? If es: x Are the additions for the purpose of sei ving new commercial development? x Are the additions for the purpose of serving a single-family residential subdivision? CompletedDetails of Work to be Does your project involve rebuilding or replacing utility equipment which currently serves more 6. 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 existing? I I 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 oles 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? 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 terns, 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 respons: APPLICANT SIGNATURE: APPLICANT PRINTED NAME: APPLICANT TITLE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction perrnit Application --Page 3 of 3 Updated 3/25/2021 9619 96Q11 9521 I nc 1 1 -V21 I 9517 1 9513 1 9501 22327 9331 j 9, )IPI H �.._.. ....... Cl-V17 C1-V2 r1P ST _.._. _.. 8 D1 c1-v18 c1.-v1s __ .. 20024-1 84 p U-V13 _...._ _.. C1-V33 g pl.... NC C2 V14 _ 00, NC Cl-V32 22407 �r �1 ( 22406 9514 9512 9510 i 9502 i 22405 9402 93 -SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM 414- rn ,ZZ414 � ,6 22405 22410 22408CO I � 409 22 0 22421 -- 22422 N W. Io -- --- - _ �' 22415 22417 22412 oN I 22413 RECEIVED 28 r " 122427 zz4z8 1-6- _ _ ► _ OCT 11 2023 - - 22421 I 22420 CITY OF EDMONDS 30 22503 I 22509 I ! 2292i DEVELOPMENT - j SERVICES DEPARTMENT - 22429 22506 � I I 22507 22506 RESTORATION LIMITS TO BE DETERMINED -�---- �I BY CITY ENGINEERING INSPECTOR 1 L >r _ 22511 1_ 1 22600 _ - - - - - - --f-- - - iii fi i0 c2- 22515 22514 22515 -I rl� . 6 , 00 - 7-,22519Utility patches shall be combined and full width or half 225 width overlay will be required depending on the extent —of disturbance. Where utility patches fall entirely within 1 one travel lane, the overlay shall extend to the I 9625 I 22605 centerline of roadway. Where utility patches extend into ( I 9621 i 22606 225 both travel lanes then a full width overlay is required. 22607 - - a)22605 '6TH 1 W -IX5 22615 22606 22608 - - 22609 9628 _ j I 22618 —1--- - - - - - - - - 93 N 22627 22623 22612 22613 W-------1--- -- '� -- I 1723 9721 I 22628 > G 22629 I - 22I62-0 22-6-19 09 9713 22710 0 1 22711 2270522706 - - 00 22708 o22E 6" CI c,5 22719 0r970 I` 11022 1971 _ ( 22716 CN 22715 9705 _ - 1Ei I I I I _ I 22721 9513 1 9509 9505 °' 22723 1 ! 9401 I 9317 `` 22720 j 122726 � / .2 8 rH S T .... -- ... . ..... C2-V16A LUUif 5-198 S OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ® r ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY D07-19 22805 ,2,2803 � � I UTILITIES MAY REQUIRE A SEPERATE PERMIT. _t I I 22807 + O\ � I I I C3—V40—� ` 7 X ^rz_�in z 0 I I OWNER/CONTRACTOR IS RESPONSIBLE FOR BO 4" DI N n� EROSION CONTROL AND DRAINAGE 22809 0 ( I 0 _ C3-v44 0 _ 8„ C3-31 _ D/ Applicant shall repair/replace all ENGINEERING DIVISION 22804 1 9514 damage to utilities or frontage I improvements in City right-of-way APPROVED AS NOTED per city standards that is caused or 1 n' occurs during the permitted project. Jeff 1111 hatjj ore 11/09/2023 C%CIc 11rT w 11 w SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP MINIMUM LANE CLOSURE TAPER LENGTH = L (feet) tAr-- Posted Speed (mph) WM V.-I)I 23 30 35 a0 45 50 55 EO 45 70 10 105 I IW 203 270 450 500 i 550 11 NS 165 225 295 AS$ SSC 605 "0 12 125 1 WO 145 1 320 540 6W SW 7YJ I 7W 040 MINIMUM SHOULDER TAPER LENGTH = LJ3 (foot) SHOULDER 11OTH �Tey Posted Speed (mph) 25 1 30 1 31 1 <A i a5 A SS I 60 65 70 S 40 I G I e0 90 I 120 130 150 1 160 in ISO 10, 4C 1 60 1 W 90 1 150 17D 190 = 220 24D USE A MPZMUM 3 DEVICES TAPER FOR SHOULDER LESS THEN E. I SIGN SPACING = X (t) FRE2NlaYS A fl[PRF_SSNAYS 55 r70 MPH t� URBAN STRESS 25 MPH OR LE55 100- T2} (1)ALL SPACING MAY BE ADAL IED TO ACCOAAODATE IYf?RCHAHGE RAMPS.AT-GRADE INTERSECTIONS AMC, DRIVEMAYS, O THIS SPACING MAY BE REDUCED IN UREAN AREAS TO PIT ROADWAY CONDMON'S. CHANNELIZATION DEVICE SPACING fae! L0'NI TAPER I TANGE"lT 50/70 40 00 3Y45 >D 60 25W 20 SD RECEIVED OCT 11 2023 CITY OF EDMONDS ART RVICES DE RTMENT BUFFER DATA SE LONGITUDINAL BUFFER SPALC _ C SPEED W,-M) 25 30 35 1 a 45 50 55 60 65 7G IENGTH (stag 155 200 I 3C5 360 I 425 a95 S!0 415 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE - R MOST VEHCLE NEJGh7 9.900 TO 22000 IEE. HOST VEHICLE VlEtGMT M 0n. < 45 MPH 45.55 MPH > 55 NPH < 43 .H 45.% NPH ? > 55 MPH 107 12S 17Z 7C 100E 150 ALL SIGNS SHALL BE INSTALLED ON BOTH SIDES OF THE WORK ZONE i �l PChiS ®,p 0. � AHEao ¢®e 0. a a a ® e r� I '�, SEE I ]2 SEC 20 SEC Ui I I f=n NOTE 4 FIELD LOCATE 1 Ml1F t Oi ADVANCE CP LANE CLOSURE StGNLVG. S X I X L B I y nJ 1 I T072 49' 41r FLAGGER SHALL BE ROAD REQUIRED woRlc I N 4 AHEAD 46 I%20.1M2(L) NOTES 4\4r ADD W20-7 1, SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. FLAGGER AHEADLEGEND 2 FX—..ND DEVIL-c TAPER kT L3 A^ROSS SHOULDER, 3. DEVICES SHALL NOT ENCROACH INTO THE ADJACENT LANE 7. TEMPORARY SIGN LOCATION NRBSR 4, USE TRANSVERSE DEVICES Ut CLOSED LANE EVERY 1000 (FTr 0 TRAFFIC SAFETY DRUM (RECOMMENDED). ppp sEoueTIA ARROW SIGN SINGLE -LANE CLOSURE FOR MULTI -LANE ROADWAYS DEVICE SPACING FOR THE DCYJNSTREAM TAPER SHALL BE Y®.vl:l2 TRANSPORTABLE A'TrENUATOR SIGN[ 6. AL SIGNS ARE BLACK ON ORANGE PCtA$ PORTABLE CHANGEABLE MESSAGE NOT TO SCALE nett 41 NAY! 71GE i n R PL SY+9Ln4va.VA a.'+s31 AH n Stwe[LID� L weA p mulFem' Ct-TU WIfIH Au u0b •"" TW FED.AID P=_NO. ., -,. � Washin&n State DoportmoM of Toltsportahon na..4. 7C3,4 uTE v]aa:e 101TETJ eY eA4.N ,. E,... CSIGNED BY '°'°` X=eo nY . Eo TRAFFIC CONTROL PLAN RDJ. Molt HIGIONAG A% RLVGION DATE BY ENGINEERING DIVISION APPROVED AS NOTED Jeff Whatmore 11/09/2023 OLYMPIC VIEW WATER & SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 22629 96"' Ave W Scope of Work: Install new water service for ADU. Asphalt or Concrete Cut: Yes Start date: 10/23/2023 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. O:\SHARE\PERMITS RIGHT OF WAYS\Edmonds RECEIVED OCT 11 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED OCT 11 2023 CITY OF EDMONDS Right -of -Way Application #1387275 - 22629 96th Ave MyBuildingPermit.com 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 22629 96TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00544300009700 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Tamara\phillip Lessley Number Street Apartment or Suite Number 22629 96TH AVE W City State Zip EDMONDS WA 98020 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: 10/9/2023 Submitted By: Marty Henninger Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Right -of -Way Application #1387275 - 22629 96th Ave 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: 22629 96th Ave Description of Work: Install new water service for an ADU. Possibly upgrading existing water service depending on location of new water service. Project Details Project Information Job Number 13 Page 2 of 2