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ENG2023-0615 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NU of EdmondsBE City Edmonds WA 980201 C 1.151 www.edmondswa.gov i Description: OVWSD - EMERGENCY WATERMAIN REPAIR WITH PAVEMENT CUTS ISSUED: 01/02/2024 Address: 10510 231ST ST SW EDMONDS WA 98020-5106 EXPIRES: 07/02/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00426100001300 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 MACMILLAN EDWARD G & DEANDRA 10510 231ST ST SW, EDMONDS WA 98020-5106 L 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 1 $378.00 STREET OVERLAY CUT - PENALTY FEE $500.00 $500.00 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: 01/02/2024 Printed: Tuesday, January 02, 2024 11:47:23 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 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 7:00am 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: Tuesday, January 02, 2024 11:47:23 AM 2 of 2 of EVkt()4' RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal INC. 1890 Requirements outlined in Right -of -Way permit HanslQul N Wdo,3n3a SONOW03 30.LLIO If any field is not applicable to your project, write "N, s og�eaving blank. All fields required. Incomplete Applications wi a eme a3AI333H SECTION A General • Project Name Emergency Watermain Repair Site Address or if no site address use Property Address at NW corner of project area: 10510 231 st St SW 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: ❑ Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC18.6o.020 requires that the Application be signed by a licensed and bonded contractor unless otherwise 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: o Utility Franchise Work associated with development (check one of the above boxes as well ❑ Traffic Control Only (no associated development) 9 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.) This was an emergency watermain repair. Excavation was performed with a hydro excavator. No other utilities were impacted. epair is complete and excavation is cold patched. 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 Utility Facilities 1. The work in the right of way is on or for the following type of facilities: o telecommunications ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details 1. of Worl� to be Completed 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: 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 above round utility stem? If es: x Are the additions for the purpose of sel ving new commercial development? X Are the additions for the purpose of serving a single-family residential subdivision? X Details 6. of Work to be Completed Yes Does your project involve rebuilding or replacing utility equipment which currently serves more No 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 N/A I How many are to be added? NZA 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? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? I N/4 What is the height of the poles after? N/A 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 231Jv4 I — — FLUSH' INTO MH BO 23003 23022 --- R3-8A 0 1 — — --1 10603 co 10605 B3-8 , 3026 10601 63-7 K;tS T T -W 1'7= -� 2 10608 10606 10604 23104 1 I 10603 I 10705 10627 1 10617 I 1 1 1 1 AR m R4—VI RESTORATION LIMITS TO BE DETERMINED BY CITY ENGINEERING INSPECTOR TEE CUT REQUIRED THEN A MINIMUM FULL LANE 20 FOOT GRIND AND OVERLAY SHALL BE REQUIRED DUE TO THE FACT THAT THE ROAD WAS OVERLAYED IN 2022. 83-4 JN B3-5 7 10527 1 10519 1 10511 1 1050., I I `tom ' t C..._:.._., 1_i 231'ST T S W 10429 10423 4008, 1970..._...., 10419 M 10iq.26 1051� f. 10510 m ti 105Q;2 63-9 10430 ... j tl j t I co I i i u7 10406 BO 10410 —Ao — 23024 I 23032 i 23028 1 23026 L gROA -On4_ — — j-: n 23030 23104 Fr^ �1 N123102 1 , C 23106 23108 I 23110 1 231; 1 23116 1 23120 I J 10425 � I / \ 10411 1 10523 I 10509 00' SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM 1 23124 23126 I1 23011 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. UNRI ENGINEERING DIVISION APPROVED AS NOTED oll 12/22/2023 Vill OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROLAND DRAINAGE RECEIVED Nov 30 2023 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING CITY OFEDMONDS ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY DEVELOPMDEPARRTMENTTMENTVICES UTILITIES MAY REQUIRE A SEPERATE PERMIT. �T - WATER t:lIY�) l t1N1 MINIMUM LANE CLOSURE TAPER LENGTH = L (feet) LANE Posted Speed (mph) W$m-0 25 j 3C 33 40 AS 50 j 55 ED 65 70 10 105 t53 2m 270 450 500 i S50 11 115 165 22S 295 495 550 i ;-, 66D - - 12 127 I 1E0 ZZ 3N 540 600 660 = :!Li 040 MI MUM SHOULDER TAPER LENGTH = U3 (foot) SHOUw=R Posted Speed (mph) V47fH soar ZS 'a 35 4p i a5 SL7 zs 60 6s :D p 40 40 fiO 43 i :20 t30 i5O 163 170 t90 1C 4C 60 9O 9D ISO 170 190 1 20D 7N 240 USE A MtwNUM 3 DEVICES TAPER FOR SHOULDER LESS THEN E. LEGEND N T-EMPORARY SIGN LOCATION w -,-A*-MC SAFETY DRUM I>D> SEQUENTIAL ARROW SIGN 'l= TRANSPORTABLE ATT NUATOR PCfAS PORTABLE CHANGEABLE MESSAGE CHANNELIZATION DEVICE SPACING feet MPN TAPER I TANGENT S= 40 1 6o 3SI45 30 1 6o 25/SD 2O 4D BUFFER DATA LONGITUDINAL BUFFER: SPACE = B SPEED (4?M 2.5 30 35 I 40 45 SD 55 60 65 7c uN.sn"i (F-;I ISS 200 = 305 1 MO I C6 I A95 I S1C I S45 7!0 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VDOCLE WEIGHT S.40O TO ILC. HOST VEHICL WEGHT > 22000 1oz. < 45 MPR 45•Si LIPH > 55 MPH < 43 MPH 4S% MPH i > A I®H 10P IZT 172 7e tar 10C SIGN SPACING = I RURAL RDA= L URBAN AR7ERL1tS 25 130 MPH 23C: (Z} I I RESIDENTIAL L BUSINESS DISRCTS URBAN S1REMS 25 MPH CR LESS 700'=m (1)ALL SPACING LAW BE ADJUSTED TO ACCOMMODATE rRMCHANGE RAMRS.AT-GRADE INTERSECTIONS AND DRIVE%NAM m THIS SPACING MAY BE REDUCED !N URBAN AREAS TO FIT ROADWAY OONDITIONS. o231 s,- 5LI-) SINGLE —LANE CLOSURE FOR MULTI —LANE ROADWAYS NOT TO SCALE PCWIS 1 t RIGHT 1 M0S LANE AHEAD CLOSURE 2A SEC 20 SEC REED LOCATE 1 MA£ . IN ADVANCE OF LANE CLOSURE SWUNG. NOTES 1. SEE. SPECIAL PROVISIONS FOR WORK YOUR RESTRICTIONS. 2_ EXTEND DEVICE TAPER AT 1/3 ACROSS SHOULDER. 3. DEVICES SHALL NOT ENCROACH INTO THE ADJACENT LANE. A. USE TRANSVERSE DEVICES IN CLOSED LANE EVERY 1000(HZ) (RECOMMENDED). E. DEVICE SPACING FOR THE DCVMSTREAM TAPER SHALL BE 27 (F). 6. ALL SIGNS ARE BLACK ON ORANGE_ I l9mL u..A i CUP TC3 Washington State Doputmontof Transportation TRAFFIC CONTROL PLAN ENGINEERING DIVISION RECEIVED APPROVED AS NOTED Nov 30 2023 Jill tVQA,,,j,,,,44z 12/22/2023 CITY OF EDMONDS VV DEVELOPMENT SERVICES - . ........... ...... .._.._ ...._........---- - - DEPARTMENT OLYMPIC VIEW WATER & SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 10510 231 sc St SW Scope of Work: Emergency watermain repair. Excavation was hydro excavated. Excavation is cold patched. Asphalt or Concrete Cut: Yes Start date: 11/25/2023 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 1N3NiHVd30 S3O1A213S 1N3WdM3A30 SONOWO3 JO A11O £ZOZ 0£ AoN .-01 . 01A1\ 0 RECEIVED Nov 30 2023 CITY ECITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1410804 - Emergency watermain repair 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 10510 231 st St SW 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: 11/30/2023 Submitted By: Marty Henninger Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1410804 - Emergency watermain repair 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: Emergency watermain repair Description of Work: This was an emergency watermain repair that was made in front of 10510 231 st St SW. The repair is completed and the excavation temporarily cold patched. Project Details Project Information Job Number 14 Page 2 of 2