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ENG2023-0572 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBE City of • • 98020 ENG2023-057 www.edmondswa.gov i Description: OVWSD - INSTALL A NEW FIRE HYDRANT ISSUED: 12/04/2023 Address: 24011 FIRDALE AVE EDMONDS WA 98020-7532 EXPIRES: 06/04/2024 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27033600400800 I 11-1411 a i 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 WRIGLEY THOMAS J 24011 FIRDALE AVE, EDMONDS, WA 98020 FEE 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 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: 12/04/2023 Printed: Monday, December 04, 2023 3:40:15 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUM11BE City of Edmonds 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 X-2 ENGINEERING FINAL** Printed: Monday, December 04, 2023 3:40:15 PM 2 of 2 RECEIVED I� of EOAtOyOs ANC, 1890 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 E6�. NOV 07 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 Project Name Fire Hydrant Replacement Site Address or if no site address use Property Address at NW corner of project area: 9918 240St SW, On 100th Associated Permits: BLD PLN ENG Owner and 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 Contractor Contacts During Construction Primary Name Agent Name Marty Henninger Title Title Lead Utility Worker Mobile Address8128 228th 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: O Contractor verifies it is currently bonded 0 Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o. 020 requires that the Application be signed by a licensed and bonded contractor unless othertvise approved by the city engineer. Type of •apply ❑ 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 of the above boxes as well ❑ Traffic Control Only (no associated development) rt(Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 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 replacing a fire hydrant that was hit by a car. This an emergency replacement. All excavation will be done with a hydro excavator 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 performing work in the City ROW, skip to SECTION C. 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 rX water ❑ sewer ❑ storm D• • • • • r. • Does the utility owner have existing overhead infrastructure in the area of work? • x 2. 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 existingunderground common utilitysystem? x Does the work involve proposed additions to an aboveground utility stem? If es: x Are the additions for the purpose of serving new commercial development? x Are the additions for the purpose of serving a single-family residential subdivision? x Details 6. of • to be Completed Does your project involve rebuilding or replacing utility equipment which currently serves more 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? IWhat 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: DATE: APPLICANT PRINTED NAME: 44 f 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 A3 00166 \// ��, 802'b2' 91001 QT �� 6066 / c� E2 0( £zzbz — — l 8861 0"1003 /O _ •.8 z6,G 6 / 662 b2 �, +Q� �,� '_I %t-._�� 1 �/ \ �9 s0 y III 6661-�800Z --- -- -- _ 6696 I 6196 I .` 602'b2' \ -Iu i 96 K] 8 co N < �Ib13a `� a7 (: y (�:'• l ._E; fi J \ • (A 33S ANd I co 1 92'<b2' 8 6� I86 otn-sa 60 6696�-! I kg, 96.;' E11,6 021,6 0E116 b086 U`I90 b66b2 \\ I x 01, -90 CIO` 1 N \Iq «8 6 l C600Z ---11, --` 26 `D Lb�-PAB. 62/ -8-861 O-b00.Z. -- 8.8.6.1....0-V,00Z..... 1Yl 1 1,186 V `'' -� - - - - �0 966b2' 0 1196 1 1996 i 6296 I E01,6 1 61,6t� '77' 7E2�6 6086 r: 6086 906 bzLo -90 JJ �olbz Eolka o£obz \ \b696 9'296 OE96 001,6 1 2'6166Z 861,6 1 92� 6 2'£G 6 1 90i86 b686 22'86 82'86 I�6 b066 iv9210b`2HLL _ _ G2 Ob2 ......... . ._ _ ozo — — — — — �IlS - �1S _ ... ' I'6ob bz rnl 6-90 !�� rttirZ 960b2' cn l 62'96 1 62 96d2` '`�' t ' 6G6!� `-- Y� I ..a ; -� I i" 1 ,ClG6 1 SZG6 (' <£Z6 I 9086 1 6s: j 6686 5286 6066 160bz v •, tM o60bz �n-P,O 9 LA_-9 1I I''�-� _ _ 2'00 660bz _ ...__ -- -- - - _ _ _. _.._........_ .. _.._ _ _......._.--10....-«g._.._..- LA-9 — LA-90 Z#ss 8Ll-VCO l 10 ZI, 22'86 066 I 9666 0) ��n_ - - --- - -- 9z6£2 11-50 1� 92'6Ez 9086 11860 { , Aks Ali S HZ Q 2 1 _ o OEM' I 92`6E2'E _ of 8166 Ln -. -.. C �/'�J 1 D D ENIE�%N!��EVISION Applicant shall repair/replace all 7TED damage to utilities or frontage OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING improvements in City right-of-way — I 1 /30/2023 !v ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PEfVER/CONTRACTOR IS R R�1r^^^ ^^ ^^^ T^^ ^ ^ per city standards that is caused or occurs Burin the ermitted project- PONSIBL� F�R .' 1N3Ai2NdEG S301A2JES 1N3Ad0l3A30 SaNOAt73 d0 A110 oz6£z EZOZ 10 /SON C13AI333U OLYMPIC VIEW WATER & SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 9918 240"' St SW Scope of Work: Emergency replacement of fire hydrant hit by a drunk driver. The fire hydrant is actually on 100"' Ave W Asphalt or Concrete Cut: No Start date: 11 /13/2023 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 NOV 07 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT MINIMUM LANE CLOSURE TAPER LENGTH = L (feet) LANE Posted Speed (mph) VOOTH ff_. 25 30 35 40 AS 1 50 I 55 1 60 1 GS 70 10 105 Im = = 450 `,AO 550 11 115 153 225 295 195 1 S50 i 60 660 1 - - 12 125 Ia0 245 320 W I 600 I SW 72DJ 703 I W MINIMUM SHOULDER 'TAPER LENGTH = U3 (foot) SHOULDER Posted Speed (mph) WIDTH Vw 25 1 30 1 35 1 40 a5 S.T SS e0 6S 70 r 40 40 Go 9O 1 120 130 150 160 I7O 19O IC 40 60 9O 90 1 ISO In 190 200 1 220 240 USE A 7Q = 3 DEVICES TAPER FOR SHOULDER LESS TKEN >r. SIGN SPACING = X WAYS SS 170 GD 165 RURAL ROADS 45 f55 MPH SOD. RURAL ROADS S URBAN ARTERWS 35140 MPH 35C= RURAL ROADS S URBAN ARTERIALS 25 130 MPH 2010'= (2) RESOENTIAL S. BUS WSS DISTRICTS URBAN STREETS 25 MPH OR LESS 1W= (21 (I)ALLIM'JiOHANOc RAM>S. AT -GRADE IN-MMM nONS AND DRSVCMYS (2) THIS SPACNG MAY BE REDUCED IN URBAN AREAS TO FIT ROADNAY CONDITIONS. CHANNELJZATION DEVICE SPACING fee! I4PH TAPER TANGENT 50'70 40 BO 3L<S ]0 60 2600 2O 4D BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED Wx" 25 30 35 I 40 1 5 SO V. 60 CS 7C LFNSTM (ae0 1 155 1 = I 250 13C5 1 360 425 495 Sm I LL5 i30 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE - R HOST VEHICLE WEGHT SHOD 70 22000 R HOST VEHICLE VEJGW > 22,0D) r- < b MPH 15.55 WPH > 55 TAPII < <S N9H <S55 NPH > 55 T4PH IOT I2T I7Z 7c tar i IW TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP 7— ®o° : /}';owc // urn p L SEE NOT. 4 WORK�ROAD ) I ' :,> OWNER/CONTRACTOR IS RESPONSIBLE FOR AHEWEROSION CONTROL AND DRAINAGE W20-1 W48(L) Iucxrcaae OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING cLosm ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY T.-7.tPORARY 5GN LOCATION LEGEND I� 4B. UTILITIES MAY REQUIRE A SEPERATE PERMIT. U Y1265R W TRAFFIC SAFETY DRUM DDD. SEQUENTIAL ARROW SIGN SINGLE -LANE CLOSURE FOR MULTI -LANE ROADWAYS > TRANSPORTABLE ATTENUATOR I ( PCfAS PORTABLE CHANGEABLE MESSAGE SIGN: NOT TO SCALE ENGINEERING DIVISION ...,7TED p(� 1 /30/2023 PCRtS 1 z RICHr 16nLe LANE ,wPyO closvae 2.0 SEC 2.0 6EC FniLD LOCATE 1 MOLE '_ IN ADVANCE OF LANE CLOSURE 5IGN NG. Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. NOTES 1, SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS 2. E TEND DEVICE TAPER AT U3 ACROSS SHOULDER. 3. DEVICES SYJLLL NOT ENCROACH INTO THE ADJACENT LANE 4, USE TRANSVERSE DEVICES IN CLOSO LAVE EVERY 1000'(FIT (RECOMMENDED:. S. DEVICE SPACING FOR Mr.. DCVMSTREAW TAPER SHALL BE 27 (FT). 6. ALL SIGNS ARE BLACK ON ORANGE fN2 I A Ie S R P. 9YSOn<»4.V.P,sn S 41. VSL W w q_w. G4TG1 -Dan Aill AM Av 7HE A'13?I — •"" FED.AID PROJ.NO. DATE v3De:e r DEDGNED By Washington State MIMED Sy Dopwtment of Transportation » cHcaeo T Y ReGbNAL ADY RLVGIDV DATE DY TRAFFIC CONTROL P'\rAr�\ • rcr—L.r—i V ED NOV 07 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED NOV 07 2023 CITY OF EDMONDS M BuildingPermit.com I� CITY OF EDMONDS Right -of -Way Application #1400655 - Fire Hydrant Replacement SERVICESLOPMENT 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 240th Block of 100th Ave 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: 11/6/2023 Submitted By: Marty Henninger Page 1 of 2 CITY OF EDMONDS M BuitdingPermit.com Right -of -Way Application #1400655 - Fire Hydrant Replacement 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: Fire Hydrant Replacement Description of Work: Emergency replacement of fire hydrant that was hit by a drunk driver. The job will be hydro excavated. Project Details Project Information Job Number 14 Page 2 of 2