REVIEWED BLD2021-1482+ROW APP+2.21.2022_12.54.49_PM+2693051RESUB BLD2021-1482
Feb 22 2022
of EDMC) CITY OF EDMONDS
DEVELOPMENT SERVICES
s DEPARTMENT RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
'VC. 1890 Requirements outlined in Right -of -Way permit Handout E63.
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
General•
Project Name Burdett- Single Family Residence
Site Address or if no site address use Property Address at NW corner of project area: 332 Sunset Ave. N.
Associated Permits: BLD 2021-1482 PLN ENG
• • • .• .• -
Name of Company Franchise Ordinance No:
Point of Contact Chris & Lisa Burdett
Title
Address 332 Sunset Ave. N.
City Edmonds
state WA
Zip 98020
Phone 206-715-9910
Email chris.burdett@cbre.com
Contractor and Authorized Agent of Owner (see note below)
Name of Company Ron Colwill Construction Inc.
Contractor Contacts During Construction
Primary Name TBD
Agent Name Ron Colwill
Title
Title Owner
Mobile
Address 22224 98th Ave. W
Email
City Edmonds
State WA
Zip 98020
Secondary Name TBD
Phone 206-795-3784
Title
Email ronwcolwill@gmail.com
Mobile
City of Edmonds Business License No: 604424301-001-0001
Email
State License No: CC RONCOCC815JS
pf Contractor verifies it is currently bonded
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 otherwise approved by the city
engineer.
❑ Multifamily residential ❑ Commercial ❑ City project
❑ Single family residential subdivision ❑ Single family -other ❑ Industrial
s(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)
City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021
❑ Utility Franchise Work (no associated development)
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.)
The project proposes to demo the existing single family residence and construct a new 2-story single family
residence and attached qaraqe. The primary vehicle access will be from the alley, while a sinqle on -site parkinq
Stall wiii oe trom the existing driveway cut In Sunset Ave. N. AaalTlOnmy, tnere wiii oe access from zna Ave N. for
emergency only. Typical urban Landscaping and screening is proposed. Work in the ROW at Sunset Ave N. will
consist of frontage improvements including replacement of sidewalk and proposed driveway cut. The existing
sewer line from Sunset will be capped at the property line and the proposed water service will be connected to the
existing water meter within the sidewalk. Work within the connection to the alley consists of installing a proposed 6"
side sewer clean out within the alley near the property line. There will be roughly a 5' trench dug to install the clean
out and the side sewer connecting to the SFR. The asphalt surrounding the clean out will be repaired or replaced.
Lastly, within the ROW at the proposed emergency access connecting to 2nd Ave, a concrete driveway entrance
and the beainnina of the drive. up to the orooertv line will be constructed.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
62 LF
x
6 LF
372 SF
1 month for Sunset Ave. N.
Alley 72 hours +
6 LF
x
3 LF
18 SF
1 month
Parking 72 hours +
26 LF
x
13 LF
338 SF
1 month for 2nd Ave. N.
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C.
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
1.
of Work to be Completed
Does the utility owner have existing overhead infrastructure in the area of work?
Yes
No
2.
Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)?
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?
4.
Does the work involve rebuilding or relocating an existing aboveground utility system which
connects a lot or commercial development to an existing underground common utility system?
5.
Does the work involve proposed additions to an aboveground utility system? If es:
Are the additions for the purpose of serving new commercial development?
Are the additions for the purpose of serving a single-family residential subdivision?
Details of • to be Completed
®i
6. Does your project involve rebuilding or replacing utility equipment which currently serves more
than one lot or commercial development?
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
If yes, answer the following questions related to project area, i.e. the actual area in which the
ro'ect is Pro 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?
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:
How man ? 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. , d s
APPLICANT SIGNATURE:
VAm
APPLICANT PRINTED NAME:
APPLICANT TITLE: e i-,J ` i
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021