APPROVED ENG2024-0380 ROW PERMITRIGHT OF WAY MINOR PERMIT
PERMIT NUMBER
City of Edmonds
..• - 1 1 :1
-. •. i
Description: ROW -DRIVEWAY REPLACEMENT WITH PAVERS WITH ENCROACHMENT
ISSUED: 09/03/2024
Address: 221 8TH AVE S EDMONDS WA 98020-3430
EXPIRES: 03/02/2025
Permit Type: RIGHTOF WAY MINOR Permit Subtype: RESIDENTIAL Parcel Number: 00434207603600
NAME TYPE NAME ADDRESS PHONE
APPLICANT KRIS WALLA 221 8TH AVE S, EDMONDS WA 98020 (206)999-3451
OWNER WHITLOCK NEAL D & LISSA 221 8TH AVE S, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
ENG - INSPECTIONS - 4.1.24 $132.00 $132.00
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: GRN DATE: 09/03/2024
Printed: Tuesday, September 03, 2024 8:55:39 AM 1 of 2
RIGHT OF WAY MINOR PERMIT
L
PERMIT NUMBE
City of Edmonds
...121
Sth Ave N, Edmonds WA 9:01 1 :1
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
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 wmDATE
RESULT
NOTES
COMPLETE
X-2 ENGINEERING FINAL"
WORK COMPLETED PRIOR TO APPLYING FOR PERMIT. NEED
RECORDED ENCROACHMENT AGREEMENT PRIOR TO FINAL
OF ROW PERMIT.
Printed: Tuesday, September 03, 2024 8:55:39 AM 2 of 2
of ED&JOpV'
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
INC. 1890 Requirements outlined in Right -of -Way permit Handout E6-,3.
If any field is not applicable to your project, write "N/A" instead of leaving blank.
All fields required. Incomplete Applications will be denied.
SECTION A
Project Name
Site Address or if no site address use Property Address at NW corner of project area:
Associated Permits: BLD PLN ENG
Holdingapplicable)
Name of Company O ems?
I- � S ��� �� �� Franchise Ordinance No:
Point of Contact
Title
Address 1
t�V f
City t) YL'aS
State 60 /-
Zip
Phone `� D (Q _ Cj CL l'L
3Y S (
Email �(�Ol.( a
t9 0 l)i "C'a
AuthorizedContractor and Agent of
Name of Company
Agent Name
below)
Primary 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:
o Contractor verifies it is currently bonded
p Contractor verifies it currently has general liability insurance
NOTE: ECDC 18.6o.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 ,EkSingle 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
o Utility Franchise Work (no associated development)
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.) /
P n I � 044 /7 S �� Vt ii /0 i4, ii[, t r-e 6" v', , _
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
Alley 72 hours +
LF
x
LF
SF
Parking 72 hours +
LF
x
LF
SF
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C.
. The work in the right of way is on or for the following type of facilities:
n telecommunications ❑ cable ❑ power ❑ gas
❑ water ❑ sewer ❑ storm
Details
i.
of Work to be Completed
Does the utility owner have existing overhead infrastructure in the area of work?
Yes
No
2.
1 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?
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? 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? 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 permit fees.
APPLICANT SIGNATURE: WJAZ�&Oea — DATE: 7 " S -20_)- Y
APPLICANT PRINTED NAME: tr'( Slit o q w a te�--
APPLICANT TITLE:-6)&04�9 6—
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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SEE ASSOCIATED
ENCROACHMENT PERMIT
ENG2024-0381
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,
40' 41"
WORK SHOULDER
WORK
AHEAD
48' 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