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APPROVED ENG2024-0353 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NU �!B E City of Edmonds 98020 ENG2024-03531 www.edmondswa.gov i Description: OVWSD - INSTALL NEW WATER SERVICE FOR NEW SFR ISSUED: 08/14/2024 Address: 10429 240TH PL SW EDMONDS WA 98020-5742 EXPIRES: 02/14/2025 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00564900100500 Permit i NAME TYPE NAME ADDRESS PHONE APPLICANT MARTY HENNINGER 8128 228TH ST SW, EDMONDS WA 98026 (425)774-7769 CONTACT OLYMPIC VIEW WATER AND SEWER 8128 228TH ST SW, EDMONDS WA 98026 (425)774-7769 DISTRICT CONTRACTOR OLYMPIC VIEW WATER & SEWER 8128 228TH ST SW, EDMONDS WA 98026 (425)670-1856 DISTRICT OWNER KNIGHT PAMELA J 10429 240TH PL SW, EDMONDS WA 98020 FEE INFORMATIO!,AL_ DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $264.00 $264.00 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: MAJ DATE: 08/14/2024 Printed: Wednesday, August 14, 2024 9:58:35 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 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 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: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 A-1 JOB START X-2 ENGINEERING FINAL** E-7 RESTOR LIMITS Printed: Wednesday, August 14, 2024 9:58:35 AM 2 of 2 RECEIVED I� OF EPAtPyOs fNc. V1890 SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E6:1. J U L 12 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 Select Home SFR Site Address or if no site address use Property Address at NW corner of project area: 10429 240th PI SW Associated Permits: BLD PLN ENG Owner and Entity Holdingapplicable) Name of Company Olympic View Water and Sewer District Franchise Ordinance No: Point of Contact Marty Henninger Title Lead Utility Worker Address 8128 228th St SW city Edmonds State Wa zip 98026 Phone (425)&&4-7769 Email marty@ovwater.com Contractor and Authorized Agent of Owner (see note below) Name of Company Olympic View Water and Sewer District Contractor Contacts During Construction Primary Name Agent Name Marty Henninger Title Title Lead Utility Worker Mobile Address8128 228th St SW Email city Edmonds IState Wa. zip 98026 Secondary Name Phone(425)774-7769 Title Email marty@ovwater.com Mobile City of Edmonds Business License No: Email State License No: Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDCi8.6o.o2o requires that the Application be signed by a licensed and bonded conh•actor unless otherwise approved by the city engineer. Type of ••apply ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision XSingle family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: XUtility Franchise Work associated with development (check one of the above boxes as well ❑ Traffic Control Only (no associated development) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page i of 3 Updated 3/25/2021 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.) We will be deleting the existing 3/4" water service e are then relocating an insta mg a new copper water service, water meter setter, water meter an water meter box. Al work will be done by hydraulic excavation. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF xJ LF SF Alley 72 hours + LF x LF SF Parking 72 hours + LF x1 LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. Type of UtilitT Facilities 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power ❑ gas tXwater ❑ sewer ❑ storm Yes Details of Worl< to be Completed overhead infraructure in the area of work? I Does the utili owner have existingst X' i. 2. 1 Will any equipment be added underground or above ground (e.. pedestals, vaults etc.)? If yes, describe: 3. Does the proposed work connect a lot or commercial development with utilities that serve more X than one lot or commercial development? 4. Does the work involve rebuilding or relocating an existing aboveground utility system which X connects a lot or commercial development to an existing under round common utility stem? Does the work involve proposed additions to an aboveground utili s stem? If es: X Are the additions for the u rpurpose of sevin new commercial development? X Are the additions for the purpose of servinga single-family residential subdivision? X Yes N , Details of Work to be Completed Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? If yes, answer the following questions related to project area, i.e. the actual area in which the project is proposed: X 6. 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? I N/A I How many are to be added? N/A City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. Does your project involve poles? If yes: X 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: X How many? What is the height of the poles after? Describe the modification rebuild: SECTION C Traffic Control and Public Safety. Traffic 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 permiyt�fees. T APPLICANT SIGNATURE: APPLICANT PRINTED NAME: APPLICANT TITLE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 61801 .'- y 91901 00 ICIP", 1W19 9ZA- 62'0P'9 D 91.001 �, I ka'Eol 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. E 00 .Vea, ZA-98 -A M, Z-- - -.:-. I -,—. its Si�;tu 0 01 (0 00 00 11000 ,1-ZA-98 2ZA-98 .... ... ... ZZA-98 Q Q 610P'9 ..&=•P. F K, 01 0 C9 w 111E01 Pago/ 80aw aoan, 6-98 oa ka, 6116a' 7 Elike /1009 01 1 8a601 ao9ot I. 01.901 of ... ...... . OZA-90 ......... . K] .9 LZA-98 , , I(] J 266 Utilit widtl of di 91 one cent both 9 U-3-1 = -IV 9-98 Ea601 16z601 180901 1 60901 I 61-901 1 ge.901 aw Z a 6Ea ZLA-90 01 1N3A1kVd30 S301A2J3S kA SONOACIA �O A110 p D �, D �, RESTORATION LIMITS TO BE BY CITY ENGINEERING INSPI 58 Ir/ a3AGOMHE MINIMUM LANE CLOSURE TAPER LENGTH = L (feet) LAYS Posted Speed (mph) WOTH dn7 E I 7C 35 <D <5 SJ 55 64 1 G$ 70 10 I 105 I 1w a> 27 <p SCO I >50 it 115 ti5 s5 Z95 a3s SSC 505 6GD - - 12 I= RO I T� 3a 5<C COD me 7- TG SS MIMMU67 SHOULDER TAPER LENGTH = LB (fo.Q SHOWER Posted Speed (mph) V.17TH Tee:: 75 I le I 35 e0 I t5 A 55 60 G5 0 P a0 .0 I 07 I GO i 1:D in 160 170 :SO 1C <0 ED I 9D 9> 150 In SO I '-'DO I 3'1i :<0 USE A L'D VJ'JM 3 DEACES TAPER FCR SFGIA. C> S THE.'' F. LEGEND L{ 7 .'.7ORARY SIGN LCG10N A TRAFFIC SAFETY ORU14 D.>> S=_LUW ,A.' ARI C SIGH > o TRAYSPCRTABLE AT17SNUATOR PCTAS PcFrwaL- CHAYG::ASLE MESSAGE SIGN SPACING = X (1) Fes'-1'KYS 6 J(P'FSS::AYS 55 17D V1PH 15C0'= RURAL K.SM'L.YS GO M MPH E=t RURAL ROADS Z IS5 ups SCA RORAL ROADS d URBAN ARTERALS 75 /<C MPH CSC= R11RA• ROADS & UR3AN I.RTEDALS Z• /a ?rPF1 2x= r Fu.SOSNN'1 LAL L EUSV_C5w CUTi. CT5 URBAN STRESS 35 UPH OR LPSS 10C=M (1)A1 SPAC140 LLtY M ADAIsM TO ACCOI.LMOCAIE nn7OVHGE RAM>S.AT-GRADE INIF.RSEC ot0 S AND DFL'VEt'L' Y.. Q)THS SPACWs NAY RE RcEJU'T..-D 21 Lmki AREAS TO FR ROADWAY CONOMOr5. ayp %q_. 5W CHANNEL)-chTION DEVICE SPACING(fee) 4.P11I TAPER I 7ANOaCT M L.,o0 ]S'e5 � GO _smm a <D SUFFu—t DATA LONGTTUDtRAL SUFFER SPACE = B SPEED (WH) 25 ?D 75 I CD SO S W - 7C L"IGTN (f-- R5 1 SRI 1 G<5 1 T7C TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R t:OS VOOC-E laGHT S.S00 1D "CDC 2z. ttOST VEJ!IC= V�`GM >C5z5 < <S IRIi I <5.55 LPH ( > 55 Lmlt < cS L9F{ I MPH > 55 MPH lec. :zx I T=—� I 1Dr 1;7 SINGLE —LANE CLOSURE FOR MULTI —LANE ROADWAYS NOT TO SCALE PCTt15 I t ry`�T t L'iLL 1 lJ<� ANPAD CLOSLRE 1l SEC 20 SEC FGSD LOCATE 1 ruF = IN ADVANCE CP LAW CLOSURE SIC=C- NOTES 1. SE< SPECtAL PROVISICNS FOR WORK HOUR RESTRICT 10NS 2 EX —END DEVICE TAPER AT V3 A -"BOSS SHOULDF-- 3. DEVICES uYAtl NOT ENCROACH INTO THE ADJACENT LANE. G USE TPAr.'SVERSE DEVICES IN COS= hYE EVERY 1DCO(FTi (RECOMMENDED'. S. DEVICE SPAONG FOR THE DCVJNSfRFJ7d TAPER SFw1 BE =(FT. 6. ALL SIGNS ARE SDK ON ORANGE. TCT� 1FWashm9lon Stdi Department of TnasPDmGon TRAFFIC COMROI. RECEIVED ENGINEERING DIVISION APPROVED AS NOTED JUL 12 2024 ,Jeff Whatmnre 08/06/2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT OLYMPIC VIEW WATER & SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 10429 240" PI SW Scope of Work: Install new 1" copper water service, 1" meter setter, and 1" water meter and box. Asphalt or Concrete Cut: No Start date: 7/22/2024 Olympic View Water & Sewer District Olympic View Water & Sewer District 8128 228th ST SW 8128 228th ST SW Edmonds WA. 98026 Edmonds WA. 98026 Phone Number 425 774 7769 Phone Number 425 774 7769 Fax Number 425 670 1856 Fax Number 425 670 1856 Contact: Marty Henninger Contact: Billy Ward E-mail: marty@ovwater.com . E-mail: Billyw@ovwater.com • Traffic control shall be in accordance with the MUTCD. • All flaggers shall be trained and certified as required by WAC 296-155-305. • Restoration shall be in accordance with City of Edmonds standards. • All asphalt or concrete cut surfaces shall be patched with City of Edmonds approved materials prior to the end of the day. RECEIVED JUL 12 2024 O:\SHARE\PERMITS RIGHT OF WAYS\Edmonds CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED J U L 12 2024 CITY OF EDMONDS Right -of -Way Application #1515197 - Select Homes MyBui ldi ngPermi t. com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Marty Henninger Olympic View Water and Sewer District Number Street Apartment or Suite Number E-mail Address 8128 228th St SW marty@ovwater.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 774-7769 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 10429 240th PI 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: 7/10/2024 Submitted By: Marty Henninger Page 1 of 2 CITY OF EDMONDS M BuildingPermit.com Right -of -Way Application #1515197 - Select Homes Project Contact Company Name: Olympic View Water and Sewer District Name: Marty Henninger Email: marty@ovwater.com Address: 8128 228th St SW Phone #: (425) 774-7769 Edmonds WA 98026 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: Select Homes Description of Work: Delete existing 3/4" water service. Install new 1" water service, water meter setter, and water meter and water meter box. All work will be done with hydro excavation. Project Details Project Information Job Number 16 Page 2 of 2