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APPROVED ENG2024-0096 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of • • . 98020 ENG2024-0096 NIL www.edmondswa.gov i 77 Description: OVWSD - SEWER REPAIR WITH ROW WORK AND TRAFFIC CONTROL ISSUED: 04/03/2024 Address: 23830 EDMONDS WAY EDMONDS WA 98026-9028 EXPIRES: 10/03/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00463301000302 Isle] 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 RNK EASTSIDE LLC 4580 KLAHANIE DR SE UNIT 177, ISSAQUAH WA 98029 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: 04/03/2024 Printed: Wednesday, April 03, 2024 10:30:05 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds :• • 1 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. 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: Wednesday, April 03, 2024 10:30:05 AM 2 of 2 of EC)AtD� 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 Handout E6�. 1N3 laNd34 S301AHEIS 1N3Wd0]3A3a If any field is not applicable to your project, write "N/A" ffi'E'8HdW'Feaving blank. All fields required. Incomplete Applications wi» W4N a3AI333H SECTION A General • Project Name Sewer Repair Site Address or if no site address use Property Address at NW corner of project area: 23828 Edmonds Way Associated Permits: BLD PLN ENG Owner and Entity Holding• .• 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: Ei Contractor verifies it is currently bonded Ei 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 otherivise approved by the city engineer. •• of Development — Check ALL that apply [x 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) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page i 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 is an urgent repair of a district sewer stub for units 7 & 8. All excavation with be done with a hydro excavator. We will be installing a b" cleanout at the edge of rignt Kuvv. I am submitting a TCP to utilize one lane of Edmonds Way if needed. We are hoping that we will not need to do 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 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 ❑ water [x sewer ❑ storm Details i. of Worl< to be Completed I Does the utility owner have existing overhead infrastructure in the area of work? Yes No X 2. 1 Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? X If yes, describe: cleanout cover 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 existing underground common utility stem? X 5. Does the work involve proposed additions to an aboveground utility stem? 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? x Details 6. of Work to be Completed Does your project involve rebuilding or replacing utility equipment which currently serves more Yes 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 ro'ect 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? N/A > . City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. I 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? 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: 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 I I 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. __N 13CA-90 i I 9# a16B:, g sage 1 o sass 1 I )) 8£z ! gzs£z 1 I.Il `il szo£g£z ra ? �iz8£a o 0zz8£z CD -90 Q 1 j- ---}/ l� I d. 99998 08£ <� 9098 6698 0 I r.- 6-9 6-90 --. 0l_90 c,+ 1 07- 10-1,1s... 6z98 £04£Z I ni CCn-90 92n-9 NOUVOIbal ,ZS I J c I H ,Gz98 Z t•-90 0 I ' � 6z98 j 60,G£z ZJJ u li — 0£9£9 RECEIVED F I Mar 07 2024 I f CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT I 1 ! I ! t �0 /Q S,LI�I,�lY,L?I � pss i oy R088 ! 9a88 _ i Z# V68 02'8£a of 06G8 �� 91-9(3 _' _J30 � to-90 I nCA-90 1\\, tan-90 9900Z t OOZ __.. Z 1n-90 `�n 5a I 6006 sz8sz OWNERh ` ALL ON SI' UTILI' 0 � i zci� �I oCb I,0i. � I C' co cg 9066 CT: p ` CIO OZ-90 J o — Ln-9 —9U _!zn _ &z� \ so a Wo 6a06 I 68 9006 I 8UE N i 60I I d wwW 5t-90 I 6z98 C..-1 �� 6lJ`�t E. =94 ! 1 Oar 3o1MJ3s o 9068 1 �6�£a `,D �i 381 o 9,LIS aIV 901 !co 09 �01�7d yra I �M�S �8 ZI,�Zi�M d a �...�� a! J l/� 8 dIY�I70 J £a� ! 0 90b8 £1,G8 �� ,._..-... _1... MIA aI _ _ 00 1 1006 00/ So 'o 1 6068 c i £6b8a ,1 -cp w I HNI83M3, 6148 1 v _ _ I ___--- - - - -- - - - - 1 9# W 069106 a 1 o ; i 1F;,##.- F_, 9106 1 0) 0 6a9 ' i 1 �, 1 I 6£9£a �\ :, ` zz9£z I 2'606 9606 0£48 � ` s' 9106 1 i 8l 4 8 I I oo `. So .- - -----i I i i oe I - - --I , oc, I l# 9606 1 i RESTORATION LIMITS TO BE DETERMINED ; 969£z 1 I BY CITY ENGINEERING INSPECTOR o za98 ONI I I I ON3 15v� ` - 'co I Oa06 �, I 1 1 1 IS`db „9l �� 9L NI ' i I I I I 0L6J, VLLOZZ now I I 1 i 110 I 1 1 �L�IIVOYA ocss SCHEDULE ALL INSPECTIONS THROUGH MY! I 1 9z98 6048 66�8 11 I a948 9088 t 9098 6098 8099 0698 1 ZCn-90 n - to-5d L6l -t50Z 996!-LZ OZ _ -90 - f �n-1O -baa /ni9n o „na 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) Posted Speed (mph) MINMUM SHOULDER TAPER LENGTH = 1_13 (foot) Posted Speed (mph) USE A WNRNM 3 DEVICES TAPER FOR SHOULDER LESS THEN V. ROAD WORK LEGEND C: TEMPORARY SIGN LOCATION N TRAFFIC SAFETY DRUM S-_01.19MAL ARROW SIGN 'l�✓ `Id TRANSPORTABLE_ ATTENUATOR PCFJIS PORTABLE CIIANGEABLE MESSAGE CLOSED A, HEAD, 72859 SIGN SPACING = X WAYS 55170 RURAL ROADS 45 ISS MPH SCCG RURAL ROADS E URBAN ARTIIDALS ..3S 140 MPH '--- 357s RIII:Al. ROADS 3 URBAN AR.'FRULS 25 130 MPH 2OD= (2) FIESOtNTIAL E BUSINESS DIMRICTS URBAN STRmm. 25 kWH OP. LESS 10P= M MALL SPACING MAY BE AAJUSIED TO ACCOMMODATE f4TERCHANGE RAMPS. AT -OWE INTERSECTIONS AND ORIVINAYS RI THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDRIONS. CHANNELIZATION DEVICE SPACING (feet MPH TAPER TANGENT swu 40 00 35145 30 60 25M 20 40 � L S®I Q ®®o o ® MEM —T I S S G SEE NOTE 4 ae- wkzll) 3 e, a.� T 1,"O',`s 04� BUFFER DATA LONGITUDINAL BUFF=M SPACE = B SPEED V," 25 30 35 I 40 45 50 55 60 65 70 IPNGIN (A_+ 155 2T0 = l 3CS 360 425 A95 SM 64 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9.5 o TO now Os. HOST VEHIC,a WF1OHt > 22 C00 IM_ < 45 MPH 4S.55 MPH > 55 MPH < 0 MPH 4555 MPH ( > 55 MPH tar T2s 17Z 7C 10' I ISO SINGLE -LANE CLOSURE FOR MULTI -LANE ROADWAYS NOT TO SCALE PCA7S 1 2 RIGHT 1 MLLE LAN6 ANEAO CLOSURE S.0 SEG 20 SEC FLED LOCATE 1 t= : N ADVANCE OF LANE C OSURE SIO.NLNG. NOTES 1. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. 2. EXTEND DEVICE TAPER AT'13 ACROSS SHOULDER. 3. DEVICES SHALL NOT ENCROACH INTO THE ADJACENT LANE 4. USE TRANSVERSE DEVICES IN CLOSED :ANE EVERY IOW (FT) (REDOMMENOED). S. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 27 (FT). 6. ALL SIGNS ARE BLACK ON ORANGE F.LE NAYG S n R P6 3u+9OR4n4>VAun SIm U— L Wwk N rot4W GY-TCnT WRY. Dau uvs np+uew TIDE 0.-1a:31 AY ••"I FED.lDA JD PRCJNO. AdftL Dole OGe:a •k5 � TC3 BLOTTED aY Iween DesGNEe BY ""¢ Washington State eHlTxeo >n . ,a Department of TmnspoitaGoR a ee2o� TRAFFIC CONTROL PLAN ..... Al. 01 ENGINEERING DIVISION RECEIVED APPROVED AS NOTED Mar 07 2024 CITY OF EDMONDS Jeff WhatmoreWhatmore 04/01/2024 DEVELOPMENT SERVICES .A.......____..._..._._..._.�.__...._ ._.. ..__......._........ _...................._.._.._....._..._..__.-----------._.._._.__..._ .....DEPARTMENT OLYMPIC VIEW WATER & SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 23828 Edmonds Way Scope of Work: Urgent Side sewer stub repair. Install 6" sewer cleanout. Asphalt or Concrete Cut: No Start date: ASAP 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 1N3Ni2JVd30 S3O1nN3S 1N3WdOIEIA30 SONOW03 d0 A11O VZOZ LO aeA RECEIVED Mar 07 2024 ,�';,, CITY OFEDMOND6 CITY OF EDMONDS MyBuildingPermit.com II DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1453544 - 23828 Edmonds Way 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 Behind sidewalk on Edmonds way and 238th 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: 3/6/2024 Submitted By: Marty Henninger Page 1 of 2 CITY OF EDMONDS M BuitdingPermit.com Right -of -Way Application #1453544 - 23828 Edmonds Way 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: 23828 Edmonds Way this job does not require an asphalt or concrete cut. Work will be performed behind the Description of sidewalk and on private property. we will be installing a 6" sewer cleanout behind the Work: sidewalk. All excavation will be done by hydro excavation and hand tools. Adding the TCP just in case we have to be on Edmonds Way. Probably will not have to be. This is an urgent sewer repair. Project Details Project Information Job Number 10 Page 2 of 2