Engineering Permit FormRIGHT OF WAY PERMIT
PERMIT NU
'•Edmonds
City
:01 1671
www.edmondswa.gov i
Description: ROW -INSTALL FIRE + DOMESTIC LINES FOR EDWAY TAPHOUSE
ISSUED: 04/30/2024
Address: 22811 100TH AVE W EDMONDS WA 98020-5919
EXPIRES: 04/25/2025
rmit Type: RIGHTOFWAY Permit Subtype: COMMERCIAL Parcel Number: 27033600107900
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT BLAIR ROBERTS 22811 100TH AVE W, EDMONDS WA 98020 (206)999-6290
CONTACT GOLDDIGGERS, INC PO BOX 435, SNOHOMISH WA 98291 (425)348-1789
CONTRACTOR GOLDDIGGERS PO BOX 435, SNOHOMISH WA 98291- (425)348-1789
OWNER DJS PROPERTIES LLC 7F 22811 100TH AVE W, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ROW - STANDARD - 4.1.24 $396.00 $396.00
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: NED DATE: 04/30/2024
Printed: Tuesday, April 30, 2024 2:51:11 PM 1 of 2
RIGHT OF WAY PERMIT
PERMIT NU�IBE
City of Edmonds
SID
www.edmondswa.gov • •
CONDITIONS
CONDITION TYPE
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.
POTHOLING
VERIFY CLEAR BORE CROSSINGS.
ROW COMPACTION TEST
Right of way compaction tests are required per City standards.
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.
TRAFFIC CONTROLS
Traffic Control per approved plan and MUTCD. All Flaggers shall be certified.
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
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL"
E-7 CONCRETE SIDEWALK
E-7 CURB GUTTER
E-7 PAVEMENT COMPACTION TEST
REPORT
E-7 PVMT SUBGRADE
E-7 RESTOR LIMITS
E-7 STRIPING
A-1 TESC AND MOBILIZE
Printed: Tuesday, April 30, 2024 2:51:11 PM 2 of 2