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ENG2023-0610 ROW PERMITRIGHT OF WAY MINOR PERMIT PERMIT NU BE City of Edmonds 121 - •:� 1 1. 1 ww.edmon dswa.govi Description: NEW ASPHALT DRIVEWAY APPROACH REMOVE GRAVEL DRIVEWAY ISSUED: 11/29/2023 Address: 9127 218TH ST SW EDMONDS WA 98026-7865 EXPIRES: 05/27/2024 Permit Type: RIGHTOF WAY MINOR Permit Subtype: CITY Parcel Number: 27043000206200 NAME TYPE NAME ADDRESS PHONE APPLICANT ALL PUGET SOUND ASPHALT PAVING 8909 E SUNNYSIDE SCHOOL RD, MARYSVILLE WA 98270- (425)350-0380 CORP SEAL CONTRACTOR ALL PUGET SOUND ASPHALT PAVING 8909 E SUNNYSIDE SCHOOL RD, MARYSVILLE WA 98270- (425)350-0380 CORP SEAL OWNER TYREE LANE & BEATRICE 9127 218TH ST SW, EDMONDS WA 98026-7865 A FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 RIGHT-OF-WAY PERMIT - MINOR $126.00 $126.00 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: WHJ DATE: 11/29/2023 Printed: Wednesday, November 29, 2023 3:42:32 PM 1 of 2 RIGHT OF WAY MINOR PERMIT L PERMIT NUMBE City of Edmonds ...121 Sth Ave N, Edmonds WA 9:01 1. 1 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. 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: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 TESC AND MOBILIZE E-7 DWY APPROACH E-9 COMPOST AMEND X-2 ENGINEERING FINAL" Printed: Wednesday, November 29, 2023 3:42:32 PM 2 of 2 of EV&,Q� RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal 'NC, t3ao Requirements outlined in RiJhi-of-Wadpermit llandoia E&;. 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. Project Name New driveway and remove gravel parking strip and second driveway Site Address or if no site address use Property Address at NW corner of project area: Associated Permits: I BLD I PT ENG Name of Company franchise Ordinance No: Point of Contact Lane Tyree Title Address 9127 218th St SW City Edmonds State WA Zip 98026 Phone Email bktyree@gmail.com I Name of Company All Puget Sound Asphalt Paving Corp. Primary Name E7_ Agent Name Jesse Medina 'title Title Mobile Address 8909 E Sunnyside School Rd Email City Marysville State WA Zip 98270 Secondary Name Phone 425-350-0380 Title Email jessemedina.asphalt@yahoo.com Mobile City of Edmonds Business License No: Email State License No: ALLPUSA987NH x Contractor verifies it is currently bonded x Contractor verifies it currently has general liability insurance NOTE: ECDC 18.fto2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. ❑ Mullafamily residential ❑ Commercial ❑ City project o Single family residential subdivision XSingle family -other a Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: o Utility Franchise Work associated with development (check one of the above boxes as well) ❑ Traffic Control Only (no associated development) City of i.dmonds ROW construction permit Application --Page 1 of 3 Updated 3/a5/aom If yes, answer the following questions related to project area, i.e. the actual area in which the project is ro osed: 6a. Does your project involve wires/cables/lines? If yes: How many are existing? How many are to be added? 6b. Does your project involve poles? If yes: How many poles are existing in the project area? What is the height of the existing poles? Idow many poles are to be removed? Are additional poles to be laced? How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: 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 pen -nit 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: DATE: 1 `� APPLICANT PRINTED NAME:. M&A ylr-4 1 Ce' . c�c'✓►T APPLICANT TITLE: rrZL -1d- ► - NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page a of 3 Updated 3/25/2021 ,= City of Edmonds SITE PLAN Legend Arcs DE.G IS.STREET CENTERLINE; <all other values, 1 2 514 9;71;7;8 Edmonds Boundary ArcSDE.GIS.PROPERTY_BUILDIN( ArcSDE.GIS.STREET CENTERLINE; State Highways <all other values> 0 1 2 County Boundary Parks ArcSDE.G IS. PROPERTY_WASH I NI ArcSDE.G IS. PROPERTY_CITI ES ArcSDE.G IS. PROPERTY_CITI ES City of Edmonds City of Lynnwood City of Mountlake Terrace Unincorporated King Co; Unincorpc City of Woodway City of Arlington; City of Bothell; Cit City of Gold Bar; City of Granite Fal Citv of Marysville: Citv of Mill Creek Notes 0 15.79 31.6 Feet 282 23.5 This map is a user generated static output from an Internet mapping site and is for reference only. Data layers that appear on this map may or may not be accurate, WGS_1984_Web_Mercator_Auxiliary_Sphere current, or otherwise reliable. © City of Edmonds THIS MAP IS NOT TO BE USED FOR DESIGN OR CONSTRUCTION