Engineering Permit FormOF WAY PERMIT
PERMIT ER
City •EdmondsRIGHT
98020 EENG2024-0061
www.edmondswa.gov i
Description: UTILITY CONNECTS & RESTORATION WITH FILL/GRADE BLD2022-0926
ISSUED: 05/23/2024
Address: 19128 94TH AVE W EDMONDS WA 98020
EXPIRES: 05/23/2026
Permit Type: RIGHT OF WAY Permit Subtype: RESIDENTIAL Parcel Number: 00434600006102
NAME TYPE NAME ADDRESS PHONE
APPLICANT JOSEPH ROWETT 24113 56TH AVE W, MOUNTLAKE TERRACE WA 98043 (425)742-2742
CONTACT LANDSVERK QUALITY HOMES, INC. 24113 56TH AVE W, MOUNTLAKE TERRACE WA 98043 (425)742-2742
CONTRACTOR LANDSVERK QUALITY HOMES INC 21118 66TH AVE W, LYNNWOOD WA 98037 (425)742-2742
OWNER LANDSVERK QUALITY HOMES INC 24113 56TH AVE W, MOUNTLAKE TERRACE WA 98043
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
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: NED DATE: 05/23/2024
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OF WAY PERMIT
PERMIT
City •EdmondsRIGHT
98020 ENG2024-0061
Ll
www.edmondswa.gov i
CONDITIONS
CONDITION TYPE
NOTES
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 7:00am to 6:00pm on
SOUND AND NOISE
weekdays and 10:00am and 6:00pm 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
NOTES
COMPLETE
A-1 TESC AND MOBILIZE
E-2 SEWER PRESSURE
E-3 STRM CONVEYANCE
E-4 ACCESS WIDTH SLOPE
E-4 STRM STUB CONNECT
E-5 DRIVEWAY SLOPE
E-7 DRY UTILITY LOCATION
E-7 DWY APPROACH
E-7 PVMT SUBGRADE
E-7 RESTOR LIMITS
E-7 SEWER MAIN
E-7 TRAFFIC CTRL
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