APPROVED ENG2024-0366 ROW PERMITRECEIVED
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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.
Jul 23 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 Info
Project Name 188th ST SW Bioswale/Raingarden Project (2024)
Site Address or if no site address use Property Address at NW corner of project area: 18725 188th ST SW
Associated Permits: BLD PLN ENG
Owner and Entity Holding Franchise (if applicable) ----
Name of Company City of Edmonds Franchise Ordinance No:
Point of Contact Patrick Johnson
Title Sr. Stormwater Eng. Technician
Address 121 5th Ave N.
City Edmonds
State WA
zip 98020
Phone425-248-7963
Email Patrick.robert.johnson@gmail.com
Contractor and Authorized Agent of •wner (see note below)•
Name of Company Snohomish Conservation District (SCD)
• • During Construction
Primary Name Unknown
Agent Name Haly Rylko
Title 360-618-1014
Title Community Conservation Project Manager
Mobile NA
Address 528 91 st Ave. NE Suite A.
Email NA
City Lake Stevens
State WA
Zip 98258
Secondary Name NA
Phone 425-335-5634
Title NA
Email hrylko@snohomishcd.com
Mobile NA
City of Edmonds Business License No: NA
Email NA
State License No: NA
Contractor verifies it is currently bonded
Contractor verifies it currently has general liability insurance
NOTE: ECDC 18.6o.02o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city
engineer.
Type of Development
❑ Multifamily residential ❑ Commercial Nv� City project
❑ Single family residential subdivision ❑ Single family -other ❑ Industrial
❑ 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.)
Turn ditchline into engineered bioswale and rain garden on City ROW. No impact to poles or structures.
shut down In the work zone to allow for loadlno of the dumotruck. rlaaQers will control the workzone accordlna to
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
JxJ
LF
SF
NA
Alley 72 hours +
LF
JxJ
F
SF
NA
Parking 72 hours +
LF
JxJ
LF
SF
NA
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 additionalpoles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
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: ;1 ' ` �� - .'z � DATE: 7/22/202,e
APPLICANT PRINTED NAME: Haly Rylko
APPLICANT TITLE: Snohomlhs Consevatlon District Project Manager
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
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18811 ST SW Raingarden Installation
The Traffic Control Plan will be based on the MUTCD used on roads and highways.
RECEIVED
Jul 17 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
25
30
35
40
45
50
55
60
65
70
LENGTH (feet)
155
200
250
305
360
425
495
570
645
730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9,900 TO 22,000 Ibs.
HOST VEHICLE WEIGHT
I > 22,000 lbs.
< 45 MPH
45-55 MPH
> 55 MPH
< 45 MPH
45-55 MPH
> 55 MPH
100,
123'
172'
74'
100,
150,
PROTECTIVE VEHICLE (WORK VEHICLE) = R
NO SPECIFIED DISTANCE REQUIRED
300'
ONE LANE .�
ROAD
AHEAD
48"
48" W20-4 48. W20-7A
ROAD BE
WORK PREPARED
AHEAD TO STOP
48" 48"
W20.1 W20-7111
W20.7B (OPTIONAL IF
40 MPH OR LESS)
LEGEND
FLAGGING STATION
b TEMPORARY SIGN LOCATION
D CHANNELIZING DEVICES
PROTECTIVE VEHICLE
SIGN SPACING = X (1)
RURAL HIGHWAYS 60 165 MPH
800't
RURAL ROADS 45/55 MPH
500'i
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'i (2)
(1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE
INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
50. TO 100'
6 DEVICE
MIN I I R
O RK
AREA
59TO 100'
6 DEVICE
W20-7A
ONE LANE
ROAD
AHEAD�
W20-4
W20_7B (OPTIONAL IF
40 MPH OR LESS)
481, 48'
BE ROAD
PREPARED WORK
To STOPrr AHEAD
48" 48" 48. 48'
Or . W20.713 ONE LANE W20.1
ROAD
AHEAD
48" 48"
W20-7A W20-4
BE
PREPARED > W20-713 IONAL IF
40 MPH OR(OPTLESS)
TO STOP
48'
W20-7B
48'
ROAD
CHANNELIZATION DEVICE
SPACING (FEET)
MPH
TAPER
TANGENT
50/65
10 TO 20
80
35/45
10 TO 20
60
25/30
1 10 TO 20
40
WORK NOTES
AHEAD
48' 1. ALL SIGNS ARE BLACK ON ORANGE.
ONE -LANE, TWO-WAY TRAFFIC CONTROL
WITH FLAGGERS
NOT TO SCALE
2. EXTENDING THE CHANNELIZING DEVICE TAPER ACROSS
SHOULDER IS RECOMMENDED.
3. NIGHT WORK REQUIRES ADDITIONAL ROADWAY LIGHTING AT
FLAGGING STATIONS. SEE THE STANDARD SPECIFICATIONS
FOR ADDITIONAL DETAILS.
4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS.
Plot 1
TIME 3:05:14 PM
s•"•s
"WAS
FED.AID PROJ.NO.
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Washington State
Department of Transportation
.ss
TC7�
DATE 1/212018
PLOTTED BY Ilddelf
DESIGNED BY
+". x... Ex
sx.E.
o.
ENTERED BY
CHECKED BY
c"x.xnm x"wnox
xo.
TRAFFIC CONTROL PLAN
PROJ. ENGR.
REGIONAL ADM.
REVISION
DATE
BY
SIGN SPACING
= X (1)
RURAL ROADS & URBAN ARTERIALS
35 140 MPH
350't
RURAL ROADS, URBAN ARTERIALS,
25 130 MPH
200't (2)
RESIDENTIAL & BUSINESS DISTRICTS
URBAN STREETS
25 MPH OR LESS
1001t (2)
(1) ALL SPACING MAY BE ADJUSTED TO
ACCOMMODATE
INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN
URBAN AREAS TO
FIT
ROADWAY CONDITIONS.
MINIMUM SHOULDER TAPER LENGTH = L/3 (feet)
SHOULDER
Posted Speed (mph)
WIDTH
(feet)
25
30
35
40
45
50
55
60
65
70
8'
40
40
60
90
-
-
-
-
-
-
10'
40
60
90
90
USE A 3 DEVICES TAPER FOR SHOULDERS LESS THEN 8'
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
25
30
35
40
45
50
55
60
65
70
LENGTH (feet)
155
200
250
305
360
425
495
570
645
730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9,900 TO 22,000 lbs.
HOST VEHICLE WEIGHT
> 22,000 lbs.
< 45 MPH
45-55 MPH
> 55 MPH
< 45 MPH
45-55 MPH
> 55 MPH
100,
123'
172'
74'
100,
150'
PROTECTIVE VEHICLE (WORK VEHICLE) = R
NO SPECIFIED DISTANCE REQUIRED
CHANNELIZATION DEVICE
SPACING feet
MPH
TAPER
TANGENT
35/40
30
60
25/30
20
40
b 4 ® ® �¢ WORK AREA
X X L/3 B R 50,
48' 41"
ROAD
WORK <WZOR
ULDERAHEAD 48'
W20-1 W21-5
NOTES
LEGEND
1. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 20'(FT).
K TEMPORARY SIGN LOCATION SHOULDER CLOSURE -LOW SPEED 2. ALL SIGNS ARE BLACK ON ORANGE.
O CHANNELIZING DEVICES
(40 MPH OR LESS)
PROTECTIVE VEHICLE
NOT TO SCALE
FILE NAME S:\Desi n R P& SW-SOndardsl2-Plan Sheet Libra 101-Published PSL\ TC Work Zone Traffic Control\ TC-5 Shoulder Closure - Low Speed 40 MP or Less)\TC-5.dgn Plot 1
TIME 2,59,41 PM —Tr FED.AID PROJ.NO. AmokRux Rv
DATE 1/212018 Y�/�
PLOTTED BY Ilddslf WAS �I/ TCS�
DESIGNED BY Joe xo..ER
ENTERED BY Washington State ....
CHECKED BY coxTRnm x iounox "". Department of Transportation oR
PROJ. ENGR. re " E TRAFFIC CONTROL PLAN
REGIONAL ADM. REVISION DATE BY
RECEIVED
CITY OF EDMONDS
Right -of -Way Application #1518791 -ROW Raingarden
Jul 17 2024
MyBuildingPermit.com CITYOFEDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Applicant
First Name Last Name Company Name
Patrick Johnson City of Edmonds
Number Street Apartment or Suite Number E-mail Address
121 5th Avenue North pat.johnson@edmondswa.gov
City State Zip Phone Number Extension
Edmonds WA 98020 (425) 248-7963
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
18725 188th ST SW
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: 7/17/2024 Submitted By: Patrick Johnson
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1518791 -ROW Raingarden
Project Contact
Company Name: City of Edmonds
Name: Patrick Johnson Email: pat.johnson@edmondswa.gov
Address: 121 5th Avenue North Phone #: (425) 248-7963
Edmonds WA 98020
Project Type Activity Type Scope of Work
Nonresidential New Excavation and Utility Work
Project Name: ROW Raingarden
Description of Work: Install Raingarden
Project Details
Project Information
Other
Impervious Surface
Adding/Replacing less than 2,000 square feet of hard
surface
Clearing and Grading Information
This is neither new development nor redevelopment.
Tree Removal
There are no significant trees being removed
Page 2 of 2