APPROVED ENG2024-0212 ROW PERMITRIGHT OF WAY MINOR PERMIT
PERMIT IM '
City of • • .
98020 ENG2024021
www.edmondswa.gov i
Description: ROW - TRAFFIC CONTROL ONLY FOR DEMO ISSUED: 05/06/2024
Address: 22224 76TH AVE W - ESPERANCE EDMONDS WA 98026
EXPIRES: 11/02/2024
rmit Type: RIGHTOF WAY MINOR Permit Subtype: RESIDENTIAL Parcel Number: 00501100001200
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT TAGE NICKERSON 13805 SMOKEY POINT BLVD 102, MARYSVILLE WA 98271 (425)508-3317
CONTACT KEYSTONE LAND LLC 13805 SMOKEY POINT BLVD 102, MARYSVILLE WA 98271 (425)508-3317
CONTRACTOR KEYSTONE LAND LLC 13805 SMOKEY POINT BLVD, MARYSVILLE WA 98271 (360)659-9444
OWNER TAGE KEYSTONE LAND LLC 13805 SMOKEY POINT BLVD, MARYSVILLE WA 98271 (425)508-3317
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ROW - MINOR - 4.1.24 $132.00 $132.00
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: WHJ DATE: 05/06/2024
Printed: Monday, May 06, 2024 3:13:03 PM 1 of 2
RIGHT OF WAY MINOR PERMIT
L
City of • •
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.
Pre -inspection required. Street to be cleaned of debris. Side sewer must be capped at property line.
DEMOLITION REQUIREMENTS
Water Service must be disconnected from Water Meter and or hose bib with AVB installed. Dump at
approved dump site only.
MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD
ESC REQUIREMENTS
REQUIREMENTS.
SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT.
INSPECTIONS
www.mybuildingpermit.com
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.
NSPECTION TYPE
I:
7LT
DATE RES0 0 NOTES
11W
COMPLETE
X-2 ENGINEERING FINAL**
E-7 PARKING OPEN -CLOSED
E-7 TRAFFIC CTRL
Printed: Monday, May 06, 2024 3:13:03 PM 2 of 2
Lti�y of EpiyO�o�
ANC. 1 g90
SECTION A
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
Requirements outlined in Right -of -Way permit Handout E63.
RECEIVED
May 06 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
If any field is not applicable to your project, write "N/A" instead of leaving blank.
All fields required. Incomplete Applications will be denied.
General•
Project Name Hillside Townhomes
Site Address or if no site address use Property Address at NW corner of project area: 22224 7 6 t h Ave W
Associated Permits: BLD PLN ENG
Owner and Entity
Name of Company
Holdingapplicable)
Keystone Land L L C Franchise Ordinance No:
Point of Contact
Tage Nickerson
Title
D PM
Address
13805 SAmokey Pt Blvd #102
city
Marysville
State WA
Zip 98271
Phone
425.508.3317
Email
tage@keystoneland.com
Contractor and Authorized Agent of Owner (see note below)
Name of Company Same as above
Contractor Contacts During Construction
Primary Name Same as above
Agent Name
Title
Title
Mobile
Address
Email
City
State Zip
Secondary Name
Phone
Title
Email
Mobile
City of Edmonds Business License No:
Email
State License No: KEYSTLL9430H
ly Contractor verifies it is currently bonded
Contractor verifies it currently has general liability insurance
N01h: 1 CDC 18.60.020 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
a 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.)
Temporary closure of sidewalk, street parking and single lane closure (76th Ave W)
along property frontage to facilitate trucks and equipment during demolition of
existing home.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
5 LF
JxJ
60 LF
300 SF
01
Alley 72 hours +
LF
JxJ
LF
SF
Parking 72 hours +
8 LF
JxJ
6 0 LF
480 SF
01
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
1.
CompletedDetails of Work to be
Does the utility owner have existin overhead infrastructure in the area of work?
•
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
project is proposed:
6a.
Does your project involve wires/cables/lines? If yes:
How many are existing? 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 poles are to be removed?
Are additional poles to be laced?
How many? I I What is the height of the additional oles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
How many? I I 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 peyxiit fees.
APPLICANT SIGNATURE: DATE: 5/ 1/ 2 0 2 4
APPLICANT PRINTED NAME: Tage Nickerson
APPLICANT TITLE: DPM
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
VVVVVV. II I VQI lul I. UU111
TCP: 22224 761h AVE W
CHANNELIZING DEVICE SPACING (FEET)
MPH
TAPER
TANGENT
50/70
40
80
35/45
30
60
25/30
20
40
SIGN SPACING=X (FEET) (1)
FREEWAYS 6 EXPRESSWAYS 55170 MPH
1500f(ORAS
PER MUTCD)
RURAL HIGHWAYS 60/65 MPH
8001±
RURAL ROADS 45/55 MPH
5001±
RURAL ROADS S URBAN ARTERIALS 35/40 MPH
350'i
RURAL ROADS, URBAN ARTERIALS RESIDENTIAL 6 BUSINESS DISTRICTS 25/30 MPH
200'f (2 )
URBAN STREETS 25 MPH OR LESS
100'± (2)
ALL SIGNS ARE 48" X 48" BLACK ON ORANGE UNLESS OTHERWISE
DESIGNATED.
(1) All spacing may De adjusts to accommodate Interchange ramps,
at -grade intersections, and driveways.
(2) The spacing may be reduced in urban areas to fit roadway conditions
MINIMUM TAPER LENGTH (L) IN FEET
Lane
Width
Feet
Posted Speed (mph)
25 30 35 40 45 50 55 60 65 70
10
105
150
205
270
50 4
500
550
17
115
165
225
295
495
550
605
660
12
125
180
245
320
540
600
660
720
780
840
4/30/2024
WASHINGTON STATETRAFFIC CONTROL'
SUPERVISOR
Nsm Anthony R. Stordahl Valid
LDf;" �-� 71053B With
012539 phDtD
�r�/112;024 ID I
� LA-4 N �
Insmrcwrr sumasurc TCS's sitvlure
Date: 4130/2024 Author: Anthony Stordahl, TCS #012539 Exp 7131/2024 Phone: (206)372-1452
Email: antstordahl@yahoo.com Anthony Stordahl Consulting, LLC: .
Comments:
i
Work Hours:
e
Type of Work:: Sewer tie in to main, water services, storm outfall
connection and new curb & gutter and asphalt repair.
All Signs & Spacing to conform to the MUTCD
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
Contact info:
Nate Perkl
425-626-5353
TRAFFIC CONTROL INSPECTION SHALL BE
REQUIRED WHENEVER WORK ZONE IS SET UP
RECEIVED
May 06 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
01
SPEED
LIMIT
30 "
Scale:
�-100 ft--�
Legend
® Work Area
Class B Sign
Cone
T flagger
- T-39 No Park
Manifest
18 x Cone
6 x W20-1 road work ahead
2 x W20-4 one lane road ahead
2 x W20-71b be prepared to stop
3 x W20-7a flagger
1 x R9-11(L) Sidewalk Closed Ahead, Cross Here R9-11(L)
1 x R9-11(R) Sidewalk Closed Ahead, Cross Here R9-11(R)
1 x Sidewalk Closed Ahead
1 x N4-91b Detour for Peds R
2 x R9-9 Sidewalk Closed
6 x T-39 No Park
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.
ENGINEERING DIVISION
APPROVED AS NOTED -
Jell(,�/Q.i.,7H,,,n� 05/06/2024 BARRICADE CO.
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1481006 - Hillside Townhomes
Project Contact
Company Name: Keystone Land LLC
Name: Tage Nickerson Email: tage@keystoneland.com
Address: 13805 Smokey Point Blvd 102 Phone #: (425) 508-3317
Marysville WA 98271
Project Type Activity Type Scope of Work
Single Family Residential Modification Temporary Traffic Control Only
Project Name: Hillside Townhomes
Description of Temporary closure of sidewalk, street parking and single lane closure (76th Ave W) along
Work: property frontage to facilitate trucks and equipment during demolition of existing home.
Project Details
Project Start
Proposed start date 5/10/2024
Project End
Proposed end date 6/7/2024
Page 2 of 2