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APPROVED ENG2024-0144 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT City •EdmondsjJ Edmonds•: i www.edmondswa.gov i Description: OVWSD-EMERGENCY WATER REPAIR & 2 NEW SERVICES; 2022 OVERLAY ISSUED: 10/10/2024 Address: 9911 226TH PL SW EDMONDS WA 98020-5926 EXPIRES: 04/10/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00540900000700 Isle] 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 MARULITUA TRACY R & GATOT 9911 226TH PL SW, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $378.00 $378.00 RIGHT-OF-WAY PERMIT - STANDARD $378.00 $378.00 STREET OVERLAY CUT - PENALTY FEE $3,064.00 $3,064.00 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: 10/10/2024 Printed: Thursday, October 10, 2024 11:15:11 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUM11BE 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 7:00am 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 COMPLETE X-2 ENGINEERING FINAL** A-1 JOB START 10/8/2024 APPROVED 12:00:00 AM E-7 RESTOR LIMITS Printed: Thursday, October 10, 2024 11:15:11 AM 2 of 2 of EOtif0L RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION lowComplete and submit this Application in accordance with the Submittal 'Nc, i se° Requirements outlined in Right -of -Way permit Handout l 11Vd.0 S301na3S 1N3WdM3n30 "N/A' ,$aNOW03 A If any field is not applicable to your project, write N/A mstea o eaving blank. All fields required. Incomplete Applications C13AI303H SECTION A General • Project Name 9909 & 9911 226th PI W Site Address or if no site address use Property Address at NW corner of project area: 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: ECDC 18.6o.020 requires that the Application be signed by a licensed and bonded conh•actor unless otherwise approved by the city engineer. Type of D• •apply ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial o 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) ac Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 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.) This was an emergency water service repair for 9911 226th PI W. We are going to need to upgrade the water Services for 9909 & 9911 226thPI W. All excavation will be nyaro excavatea. We will be replacing the 1" poly water services with 1" copper water services. No traffic control will be necessary. Just signage. Submitting a TCP because MBP requires me too. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF 72 hours + LF x LF SF -Alley -Parking 72 hours + LF x LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. Type of Utility Facilities 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power ❑ gas ❑,water ❑ sewer ❑ storm Details of • to be CompletedNo Does the utility owner have existing overhead infrastructure in the area of work? I x 1. 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults etc.)? x 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? h 4. Does the work involve rebuilding or relocating an existing aboveground utility system which connects a lot or commercial development to an existingunderground common utilitystem? X _ 5. Does the work involve proposed additions to an above round utility system? If es: x Are the additions for the purpose of sei ving new commercial development? x 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? 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 N/A I How many are to be added? I 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 hei ht of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: X 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: DATE: Z APPLICANT PRINTED NAME: M in er APPLICANTTITLE: Lead Ut ' Worker NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 . vv,LVIVC Of—V41A ;. Cl—V12 �' r -V43 $ DI .40 ZONENO 200201 84 62-14 B1—V42 SEE GRID C ; : __._ C1 1401 nczn C2-4 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM 9808 1417 22415 I _ TEE CUTS REQUIRED ON ALL PATCHES THEN A FULL CUL-DE-SAC GRIND AND OVERLAY 22416 ROAD WAS OVERLAYED IN 2022. OVERLAY CUT PENALTY FEES SHALL BE PAID SEE 11433 1439 � I 81 1445 NI j 1449 v \ 1457 I01 LO r - - - - �rt 6" CI 505 ZONE —� _ 72 t r � DETAIL B VELL 022427 22924 I 22425 I _ Z_22425 W 22429 22427 1 22432 22431 22432 9925 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING 22504� ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. 9924 9905 9835 L,,'22506 9916 I 9825 f _...._ 22524 W � T 9909 to .; ,,q�� 0o PAR 11' � 9916 °' F-' 9908 9914 22s 9916��1E, 19990800 o � ev 22615 22706 i 2 c eV RESTORATION LIMITS TO BE DETERMINED BY CITY ENGINEERING INSPECTOR rl I °pI� I � Cl t m T I, i 9903 1 9827 A<,§ i IER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROLAND DRAINAGE 63-15 '804 FIRE 824 LINE RECEIVED Apr 03 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 22526 C2-5A 22606 L STD C AHH D 10/12 16 c C2— V10 O 22618 N 22706 22704 - �I 22702 0 0 0 '805 1L.FLITSM FH`''�I'NTO " I SS MANHOLE ----,,,I 9821 , 9813 I 411 ` 0 m — — — — ---- — — --- 9829 BO 1 I 20002 197 r15 I — — _......4» DI _ _ I 9828 Utility patches shall be combined and full width or half 22710 i 22712 o o N -- fl 0 o. 22714 N' 0rw ENGINEERING DIVISION APPROVED AS NOTED %1/ WY..1004,g 10/08/2024 VV 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. width overlay will be required depending on the extent of disturbance. Where utility patches fall entirely within one travel lane, the overlay shall extend to the centerline of roadway. Where utility patches extend into E both travel lanes then a full width overlay is required. DEPARTMENT .%X U/bg j 10/08/2024 9 vt 99 Q G Is I OLYMPIC VIEW WATER & SEWER DISTRICT EDMONDS BLANKET PERMIT BEGINNING NOTIFICATION Site Address: 9909 & 9911 226"' Pl W Scope of Work: Emergency water service leak repair. Service upgrades for 9909 & 9911 226"' PI W Asphalt or Concrete Cut: Yes Start date: 4/8/2024 Olympic View Water & Sewer District 8128 228th ST SW Edmonds WA. 98026 Phone Number 425 774 7769 Fax Number 425 670 1856 Contact: Marty Henninger E-mail: marty@ovwater.com Olympic View Water & Sewer District 8128 228th ST SW Edmonds WA. 98026 Phone Number 425 774 7769 Fax Number 425 670 1856 Contact: Bob Danson E-mail: Bobd@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. O:\SHARE\PERMITS RIGHT OF WAYS\Edmonds 1N3Ni2lVd30 S301AHEIS 1N3Wd013n3O SONOW03 30.1110 fi7n7 Pn adH RECEIVED Apr 03 2024 CITY OFDEVELOPMENT ETSERVI CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1465956 - 9911 226th PI W 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 (99th and 226th pl, top of cul-de-sac 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: 3/29/2024 Submitted By: Marty Henninger Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1465956 - 9911 226th PI W 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 Disturbance of Surface Project Name: 9911 226th PI W Description of Work: This was an emergency water service repair. We are going to need to upgrade the service line for 9911 and 9909 due to both poly water services sharing the same trench. Project Details Project Information Job Number 12 Page 2 of 2