APPROVED ENG2024-0458 ROW PERMITRIGHT OF WAY MINOR PERMIT
PERMIT NUMBER
City of Edmonds
IL
- N, Edmonds WA 9:01 14 •
-. •. i
Description: ROW -DRIVEWAY REPLACEMENT ISSUED: 10/03/2024
Address: 21915 96TH AVE W EDMONDS WA 98020-3920
EXPIRES: 04/01/2025
Permit Type: RIGHTOF WAY MINOR Permit Subtype: RESIDENTIAL Parcel Number: 00373600700905
NAME TYPE NAME ADDRESS PHONE
APPLICANT KELLY NOLAN 21915 96TH AVE W, EDMONDS WA 98020
(425)678-8999
CONTACT KELLY NOLAN 21915 96TH AVE W, EDMONDS WA 98020
(425)678-8999
CONTRACTOR ALL PUGET SOUND ASPHALT PAVING 8909 E SUNNYSIDE SCHOOL RD, MARYSVILLE WA 98270-
(425)350-0380
CORP SEAL
OWNER j NOLAN RONALD L & KELLY J 21915 96TH AVE W, EDMONDS WA 98020-3920
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: 10/03/2024
Printed: Thursday, October 03, 2024 10:08:49 AM 1 of 2
RIGHT OF WAY MINOR PERMIT
L
PERMIT NUMBE
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
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
X-2 ENGINEERING FINAL"
NOTE TO INSPECTOR: CONFIRM UNDER 2000 SF
Printed: Thursday, October 03, 2024 10:08:49 AM 2 of 2
RECEIVED
_j Of EDAfoynr
C. 1390
SECTION A
SEPT 18 2024
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION CITY OF EDMONDS
DEVELOPMENT
Complete and submit this Application in accordance with the SubmitTalRVICES DEPARTMENT
Requirements outlined in Right -of -Way permit Handout E6i.
If any field is not applicable to your project, write "N/A" instead of leaving blank
All fields required. Incomplete Applications will be denied.
Project Name777
Site Address or if no site address use Property Address at NW corner of project area: Z (q1 C16-rh y
Associated Permits: BLD P ENG
Name of Company Franchise Ordinance No:
Point of Contact .{ <eaf ^ tC
v
INC,
Title
Address Z, i t JCTq J- G J
e ty tr Yvt C N l
State
Zip C. 0 ,
Phone 2
Email C
Name of Company" v e i �.� _
Primary Name S
Agent Name
Title
Title Cc�-�
Cy
L S- U
MobileAddres§
s `t o ap1 � v
Email
City State
Zip
Secondary Name
Phone Ll� y-u- O
Title
Email
Mobile
City of Edmonds Business License No:
Email
State •cense No• IUL-
Contractor verifies is currently bonded
Contractor verifies it currently has general liability insurance
-•.....,......�........«. , cyua, — — ua 1c APPLU uln — wynea by a acensea and oonaea contractor unless otherwise approved by the city
engineer.
❑ Multifamily residential ❑ Commercial o City project
❑ Single family residential subdivision o 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 t of 3 Updated 3/25/2021
❑ 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.)
1�ve t, $,hies �.��T, W "th Z'�
ted-
RIGHT-OF-WAY AREA TOTAL DURATION
CLOSURE
(Number of Months)
ewalk 2 hours + LF x LF SF
2 hours + LF x LF SF
kin 2 hours + IF x LF SF , i_ 1_. ,c
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C.
I. The work in the right of way is on or for the following type of facilities::
❑ telecommunications ❑ cable ❑ power ❑ as
❑ water ❑ sewer ❑ storm g
1. Does the Ohly owner have existing overhead infrastructure in the area of work?
2• Will any quipment be added erground or above ground (e.. pedestals vaults etc. ? v
If es describe:
3. Does the proposed work connect a lot or commercial development with utilities that serve more
than one lot or commercial develo merit?
4. Does the work involve rebuilding or relocating an existing aboveground utility system w=m?
connects a lot or commercial development to an existin underground common utility
Does the work involve proposed additions to an aboveground utili emsyst? If es:
Are the additions for the Rurpose of serving new commercial development?
Are the additions for the purpose of serving a single-family residential subdivision?
6. 1 Does your project involve rebuilding or replacing utility equipment which currently serves more
than one lot or commercial develonment?
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
ro'ect is proposed:
t..0
6a.
Does your project involve wires/cables/lines? If yes:
l� J
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? 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 fo" -permit fees.
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
�63 Pt.
;q@
lueoilddV
LIMITS OF NEW ASPHALT WILL BE MEASURED AT FINAL TO ENSURE
PROJECT DID NOT MEET OR EXCEED 2,000 SF OF NEW AND/OR
REPLACED IMPERVIOUS AREA.
OR
�\ ROW
6� s ds am onomw 40.
0321 A` IA S3111-ilin
'S3111lI1n 311S NO -nV
2JOlO`d J-LNOO/2J31NMO
C-
Na��tiS
p (C1 cS c�6-r-L) W
'D I -r
NEW DIRT AREAS SHALL BE
COMPOST AMENDED, LANDSCAPED,
AND STABILIZED PRIOR TO FINAL
40M * s (m
vzoz40/0
�% 031C,.
y,A,AI$hV&J3gg9N3
nveanniNi c nniW c�nn-i x i i1 >a�.a
a3bino3i J 39 A.VIN W31SAS 1N31/3lN0VNVIN
Hi llvmmois V'b31VAHE) HO l-�OS000Z
S�VnO3 3OVdbnS SnOlAb3dWl a30V�d3b
b0/aNVM3N dl '3W11 SIH11V a3bin03b
V0iSAS 1N3W 9VNVW 2:GiVMWbOlS ON
R PLAcrNG- A50HRtl
D(ZtQi'WR`( lifOg ciCNiSi I1
2tG tfT CC-- Lv-m ,
(,-, tof- S fi mt .
1553 + 437 = 1990 SF
RECEIVED
SEPT 18 2024
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
ow 4=1 41c 4m � 40M
SIGN SPACING a X (1)
RURAL ROADS at URBAN ARTERIALS 35 140 MPH
150't
RURAL ROADS, URBAN ARTERWA. 25130 MPH
RESIDENTIAL 6 BUSINESS DISTRICTS
2wt M
URBAN STREET$ 25 MPH OR LESS
1W!
(1)ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE
INTERSECTIONS AND DRIVEVMYS.
(?17H18 BMICYNO MAY BE REDUCED IN URBAN ARFJIB TO
FIT
ROADWAY CONOIITION$.
r n
1 i 1 1
n
MINIMUM SHOULDER TAPER LENGTH ■ U3 (I•w
1HOULDER
py�0
P-W SpMd (Rnph)
25
30
35
40
45
50
551
W
55
TO
S
40
1 40
50
1 W
1O
40
1 W
20
1 90
USE A 3 DEVICES TAPER FOR SHOULDERS LESS THEN R
t-,,c96> r - - - - - - - - - - - - - - -
LEGEND
m TEMPORARY SIGN LOCATION
a CHA NNELIZING DEVICES
® PROTECTIVE VEHICLE
MC:
RSAD I
SHOULDER
WDRK WON
AHEAD �
4C 4P
W20.1 W214
BUFFER DATA
LONGITUDINAL BUFFER SPACE B
SPEED % P►) 25 W 35 40 45 50 ig 60 65 70
LENGTH (" 155 2W 250 305 360 425 1 495 1. 570 1 645 1 730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE ■ R
HOST VEHICLE WEIGHT HOST VEHICLE WEIGHT
9900 TO 22.0m 6u I > 2ZOOD ft
< 45 MPH 45-55 MPH > 55 MPH < 45 MPH 45.55 MPH > 55 MPH
100 123 177 7,V 100' 150'
PROTECTIVE VEHICLE (WORK VEHRx E) a R
NO SPECIFIED DISTANCE REOLRRED ffeab
—J
TIL
� �
IRaIIK Al1SA ° O
0 N
W
' N
W �
Lu a
I.L U)
SHOULDER CLOSURE -LOW SPEED
�j (40 MPH OR LESS)
NOT TO SCALE
CHANME9.V�TN3N DEVICE
SPACING
MPH
TAPER
TANGENT
35N0
30
W
27130
20
40
z
u) w
0��
Z Z
w
Q
oaW
woo
0 w w
F p �
U �
U
1. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 217".
2. ALL SIGNS ARE BLACK ON ORANGE.
�
�.A
FID PROU.NO.
Amok
.w ■
wn 4IL1n14
PLOTTED My MOIR
SIGN SPACING - 3( (1)
RURAL ROADS & URBAN ARTERIALS 35140 MPH 356=
RURAL ROADS, URBAN ARTERIALS, 25 130 MPH 2071 (2)
RESIDENTIAL 6 BUSINESS DISTRICTS
URBAN STREETS 25 MPH OR LESS 1002 2
(1)ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE
INTERSECTIONS AND DRIVEWAYS.
(21 THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
0 N ~
Z
W 0 0w
N z �
MINIMUM SHOULDER TAPER LENGTH - U3 (feet)
SHOULDER
WIDTH
Posted Speed (mph)
(10.0
25
1 30
1 35
40
45
50
1 55
N
65
70
B
40
1 40
1 60
1 90
1 -
-
-
-
-
-
lD
4D
60
90
90
-
USE A 3 DEVICES TAPER FOR SHOULDERS LESS THEN B'
M o w Q
Lupo
W r j
U
W
a
w
W
> W
w U
�o;
cn
w
19,
SHOULDER CLOSURE -LOW SPEED
(40 MPH OR LESS)
NOT TO SCALE
BUFFER DATA
LONGITUDINAL BUFFER SPACE = 8
SPEED (MPH)
25
30
1 35 1
40
1
5055
60
65
70
LENGTH (feet)
155
200
250
305
�4�
425
495
570
645
730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE - R
HOST VEHICLE WEIGHT
9,900 TO 22,000 lbs.
HOST VEHICLE WEIGHT
I > 2ZWO 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
NOTES
1. DEVICE SPACING FOR THE
2. ALL SIGNS ARE BLACK ON
CHANNEttZATION DEVICE
SPACING fast
MPH
TAPER
I TANGENT
35140
30
60
23I30
1 20
40
EAM TAPER SHALL BE W(FT).
C�
2:5&-41 rM FED.AID PROU.NO.
Met I/Nlefe —
LOTtaO sY NBd4N AS TC
selaNeo Illy b..� .
NrallID my Washington Stall .�
*Isom By Department of Transportation
IIW. ENOR
MIONAL ADK REVISION Darn RV _. _._ � ^ __ _.._ ___ °"" TRAFFIC CONTROL PLAN .�
RECEIVED
SEPT 18 2024
CITY OF EDMONDS M BuildingPermit.com
CITY OF EDMONDS
DEVELOPMENT
Right -of -Way Application #1548147 - Nolan replacement driveway SERVICES DEPARTMENT
Applicant
First Name Last Name Company Name
Kelly Nolan
Number Street Apartment or Suite Number E-mail Address
21915 96th Ave W kelly.nolan66@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 (425) 678-8999
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
corner of 96th ave w and 220th ave
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: 9/16/2024 Submitted By: Kelly Nolan
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1548147 - Nolan replacement driveway
Project Contact
Company Name:
Name:
Address:
Kelly Nolan
21915 96th Ave W
Edmonds WA 98020
Email: kelly.nolan66@gmail.com
Phone #: (425) 678-8999
Project Type Activity Type Scope of Work
Single Family Residential Modification Temporary Traffic Control Only
Project Name: Nolan replacement driveway
Description of Work: Remove and replace asphalt driveway and right of way
Project Details
Project Start
Proposed start date 9/30/2024
Project End
Proposed end date 10/2/2024
Page 2 of 2