ENG2023-0533 APPROVED ROW PERMITRIGHT OF WAY MINOR PERMIT
PERMIT NUMBER
City of Edmonds
IL
- N, Edmonds WA 98020 ENG2023-0533
ww.edmondswa.govi
Description: REPLACE 720 SF DRIVEWAY LIKE FOR LIKE ISSUED: 04/03/2024
Address: 23424 100TH AVE W EDMONDS WA 98020-5626
EXPIRES: 10/03/2024
Permit Type: RIGHTOF WAY MINOR Permit Subtype: RESIDENTIAL Parcel Number: 00554800100201
NAME TYPE NAME ADDRESS PHONE
APPLICANT OSMAR GASPAR MENDEZ 14933 14933 180TH AVE SE, MONROE WA 98272 (425)923-0686
CONTACT IKER CONSTRUCTION LLC 14933 180TH AVE SE, MONROE WA 98272 (425)923-0686
CONTRACTOR IKER CONSTRUCTION LLC 14933 180TH AVE SE, MONROE WA 98272 (425)923-0686
OWNER JOHN & HARIYANTI BROCKMAN 23424 100TH AVE W, EDMONDS WA 98020-5626
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENG - INSPECTIONS
$252.00 $252.00
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: MAJ DATE: 04/03/2024
Printed: Wednesday, April 03, 2024 2:00:30 PM 1 of 2
RIGHT OF WAY MINOR PERMIT
L
PERMIT NUMBE
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
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
X-2 ENGINEERING FINAL**
E-5 DRIVEWAY SLOPE
E-7 TRAFFIC CTRL
Printed: Wednesday, April 03, 2024 2:00:30 PM 2 of 2
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
Requirements outlined in Itib} l2ermit I landuut E0.1.
RECEIVED
Oct 19 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
If any field is not applicable to yotir project, write "N/A" instead of leaving blank.
All fields required. Incomplete Applications will be denied.
Sh.CTION A
I'mjcct NAniv
Site Address or if no site oddness use 1'ruperty Addevss at MY corner of project urea: 0
Associated Permits: nLD PLN FNti 77
Namc of Company Franehlsc Onllnanoe No:
1'oint of Contact
'Title
Address
City
State
Zip
Phone
Email
Nome of Company t Y
primary Name r
(gent Name
Title ,
•Title
Mobile'
:lddetss
Email
City
State
zip
Sendary \ame
co
Phone o6 e co
Title
Ismail
Mobile
City of I-Amonds Business License No:
(:mail
State license No:
N
CuntrnMor c enfi«: it i. curnrnt y wndc
t'ontmctor verirk% it currently has general liability insunhnce
\'077:: EC7K' 18.60.02o requires that the application besigned by a licensed tired bonded contractor unless otherivise upprowd by the city
engineer.
n Multifamilyresidential
n Single family residential subdivision
zi Demo and rebuild or from vacant land?
In Commercial n City project
❑ Single family -other ❑ Industrial
p Other, please specify: Pvt0 Go►re-W4e dvl"V W"yI rep(.,cr✓
❑ Utility Franchise Work associated with development (check one Qfthe abo x, ),r s w nadl]
o Traffic Control Only (no associated development)
City of I-Antcmcls ROW cot4+ttvclion txnuit Application --fake I of;t Ulxl:tt-A 3/25/2021
l'tiht. Franchise Work (no associated development)
Include an overall narrativv 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.)
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
010 LF
x
LF
o SF
(Z
Alley 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 0tij ROW, skip to SECT/0NC.
i. 'The work in the right of way is on or for the following type of facilities::
o telecommunications o cable o power o gas
n water o sewer o storm
7=►. Does the utili owner have existing overhead infrastnucture in the area of work?
Will any equipment be added underground or above ground e.. pedestals, vaults etc.)?
If ves. describe:
3.
Does the proposed work connect a lot or commercial development with utilities that senv more
than one lot or commercial development?
4.
Does the work imnl%v rebuilding or relocating an existing aboveground utility system which
connects a lot or commercial development to an existing underground common utilit3, system?
5.
Does the work iulnl%r rox)sed additions to an aboveground utility systenu? if ves:
Are the additions for the purpose of serving new commercial development?
Are the additions for the purpose of sening a sin le-famil v residential subdi%ision?
G. 1 Does your project involve rebuilding or
equipment
serves more
Otyof Edmonds ROW construction permit Applicalion--PagC 2 of:J Updated 3/25/2021
if yes, answer the following questions related to project area, i.e. the actual area in which Ilse
project isproposed:
6a.
Does your project involve v+ires/cables/lines? If yes:
How many are existin ? I I 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 voles are to be removed?
Are additional p2les to be laced?
How man\-? I I What is the height of the additiona)poles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
How manv? I I What is the height of the poles after?
Describe the modification rebuild:
SECTION C
"rrattic control anca rubtie batety. -rrattrc control ana puunc satety snau ue in accoraance wtur arty regmanons 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 t he 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 tinder 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 v+ith 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: �� 3
APPLICANT PRINTED NAME: ��RY
APPLiCANTTITLE:
NO WORK SHALL BRGIN PRIOR TO PERMIT ISSUANCE
City of IAlmonds ROW constniction permit Application--Pagc 3 of 3 11pdated 3/25/2021
ENGINEERING DIVISION
.��� .,�� • .,7TED
1 /13/2023
NO STO/R'MWATvE"R MANAGEMENT SYSTEM
REQUIRED AT THIS TIME. IF NEW AND/OR
REPLACED IMPERVIOUS SURFACE EQUALS
2000SQFT OR GREATER, A STORMWATER
MANAGMEMENT SYSTEM MAY BE REQUIRED
PER CITY CODES AND STANDARDS
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
Applicant shall itiesorepair/replace
ontage OWNER/CONTRACTOR IS RESPONSIBLE FOR \
damage to utilities or frontage
improvements in City right-of-way EROSION CONTROLAND DRAINAGE
per city standards that is caused or
occurs during the permitted project.
1
M 1.
0 0 CIM rnb
Q�
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W�MN
Oct 19 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Re: ROW Permit to Replace Driveway at 23424 100th Ave W
Osmar Gaspar <ikerconstruction20@gmail.com>
Tc Griggs, Natalie
(� Follow up. Start by Wednesday, October 18, 2023. Due by Wednesday, October 18, 2023.
If there are problems with how this message is displayed, click here to view it in a web browser.
On Wed, Oct 18, 2023 at 4:40 PM Griggs, Natalie <Natalie.Griggs@edmondswa.gov> wrote:
Osmar,
I see that you did not include a site plan but drew it on the traffic control plan.
What's the approximate square footage of concrete that you are proposing to replace?
Natalie Griggs (she/her)
Engineering Technician
City of Edmonds
121 5th Avenue N Edmonds WA 98020
natalie.erigE:s@edmondsv,,a&ov
MINIMUM LANE CLOSURE TAPER LENGTH = L (feet)
LANE
Posted Speed (mph)
WIDTH
(feet)
25E�2'45'1
40
45
50
55
60
65
70
10
105
270
450
500
550
11
115
295
495
550
605
660
-
-
12
125
320
540
600
660
720
780
840
MINIMUM SHOULDER TAPER LENGTH = L/3 (feet)
SHOULDER
Posted Speed (mph)
WIDTH
(feet)
25
30
35
40
45
50
55
60
65
70
81
40
40
60
90
120
130
150
160
170
190
10,
40
60
90
90
150
170
190
200
220
240
USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THEN 8'.
LEGEND
N TEMPORARY SIGN LOCATION
® TRAFFIC SAFETY DRUM
�D SEQUENTIAL ARROW SIGN
TRANSPORTABLE ATTENUATOR
PCMS PORTABLE CHANGEABLE MESSAGE
SIGN SPACING = X (1)
FREEWAYS & EXPRESSWAYS 55 /70 MPH
1500't
RURAL HIGHWAYS 60 /65 MPH
800't
RURAL ROADS 45 /55 MPH
500't
RURAL ROADS & URBAN ARTERIALS 35 /40 MPH
350't
RURAL ROADS & URBAN ARTERIALS 25 / 30 MPH
RESIDENTIAL & BUSINESS DISTRICTS
200't (2)
URBAN STREETS 25 MPH OR LESS
100'! (2)
(1)ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE
RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
CHANNELIZATION DEVICE
SPACING (feet)
TAPER
TANGENT
480
IMPHJ
30
60
20
40
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
25
30
35
40
45
50
55
60
65
70
LENGTH (feet)
155 1
200
1 250 1
305
360
425
495
1 570
1 645
1 730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9,900 TO 22,000 lbs.
HICLE WEIGHT
,000 lbs.
< 45 MPH
45-55 MPH
> 55 MPHL2T.,
55 MPH
> 55 MPH
100,
123'
172'
150'
7r— 0 0 . . 7— 0 —
Z
® ® T
O G ® ® ¢ WORK AREA
b b b
L/3 SEE
NOTE 4
X X X L B R
48" 41"
ROAD
WORK
AHEAD III Applicant shall repair/replace all
qg" 48" damage to utilities or frontage
improvements in City right-of-way
W20-1 W4-2%) per city standards that is caused or
48• occurs during the permitted project.
RIGHT LANE
CLOSED OWNER/CONTRACTOR IS RESPONSIBLE FOR
AHEAD
48 EROSION CONTROLAND DRAINAGE
W20-5R
SINGLE -LANE CLOSURE FOR MULTI -LANE ROADWAYS
NOT TO SCALE
PCMS
1 2
RIGHT 1 MILE
LANE AHEAD
CLOSURE
2.0 SEC 2.0 SEC
FIELD LOCATE 1 MILE i IN
ADVANCE OF LANE CLOSURE SIGNING.
ENGINEERING DIVISION
r,r,r,,..,r,-r, A,..r7TED
16G---WU � 1/13/2023
NOTES /
1. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS.
2. EXTEND DEVICE TAPER AT L/3 ACROSS SHOULDER.
3. DEVICES SHALL NOT ENCROACH INTO THE ADJACENT LANE.
4. USE TRANSVERSE DEVICES IN CLOSED LANE EVERY 1000'(FT)
(RECOMMENDED).
5. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE
20' (FT).
6. ALL SIGNS ARE BLACK ON ORANGE.
TIME 8:18:31 AM —WAS
FED.AID PROJ.NO. AmokRux Rv
DATE 1/312018 �
PLOTTED BY Ilddelf "WAS �I/ TC3�
DESIGNED BY +". xu..ER
ENTERED BY Washington State .HEFT
CHECKED BY coxTRnm x i—T— Department of Transportation oR
PROJ. ENGR. rz " E TRAFFIC CONTROL PLAN ...�.
REGIONAL ADM. REVISION DATE BY
RESUB
Nov 07 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Additional File Submittal
Permit Number: ENG2023-0533
Project Name: Brockman Driveway
bmission Date & Time: 11/6/2023 3:12:24 PM
Reason for Submittal: Response to Reviewer Comments
Brief Description of Changes: The sidewalk will not be closed. We will have c
hose that is detachable that will be along the sidewalk for about 30 minutes, and
when a pedestrian needs to cross, an individual wearing a vest will be able to
the pedestrian. This will only be one day, concrete day.
Name of Jurisdiction Contact(s):
Uploaded Files: 1392030_Application _Oct_18_2023_4_30PM (1).pdf(Traffic
Control Plan)
eCitvGov Alliance, P.O. Box 90012, Bellevue, Washington 98009-9012
RESUB
Nov 07 2023
CITY OF EDMONDS MyBuildingPermit.com CITYOFEDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Right -of -Way Application #1392030 - Brockman Driveway
Applicant
First Name Last Name Company Name
Osmar Gaspar Mendez IKER CONSTRUCTION LLC
Number Street Apartment or Suite Number E-mail Address
14933 14933 180th Ave SE ikerconstruction20@gmail.com
City State Zip Phone Number Extension
Monroe WA 98272 (425) 923-0686
Contractor
Company Name
IKER CONSTRUCTION LLC
Number Street Apartment or Suite Number
14933 180TH AVE SE
City State Zip Phone Number Extension
MONROE WA 98272 (425) 923-0686
State License Number License Expiration Date UBI # E-mail Address
IKERCCL792JN 4/15/2025 F;u7DFR53 ikerconstruction20@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
23424 100TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00554800100201
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
John & Hariyanti Brockman
Number Street Apartment or Suite Number
23424 100TH AVE W
City State Zip
EDMONDS WA 98020-5626
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: 10/18/2023 Submitted By: Osmar Gaspar Mendez
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1392030 - Brockman Driveway
Project Contact
Company Name: IKER CONSTRUCTION LLC
Name: Osmar Gaspar Mendez Email: ikerconstruction20@gmaii.com
Address: 14933 14933 180th Ave SE Phone #: (425) 923-0686
Monroe WA 98272
Project Type Activity Type Scope of Work
Single Family Residential Modification Temporary Traffic Control Only
Project Name: Brockman Driveway
Description of Work: Remove and replace part of a driveway, 18ft x 40ft with concrete.
Project Details
Project Start
Proposed start date 11/1/2023
Project End
Proposed end date 11/6/2023
Page 2 of 2