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APPROVED ENG2024-0461 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NU BEq City of Edmonds . •:� 1 1 . www.edmondswa.gov i Description: OVWSD - EMERGENCY WATER LINE REPAIR ISSUED: 10/31/2024 Address: 24314 87TH PL W EDMONDS WA 98026-9005 EXPIRES: 04/30/2025 it Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00665900000300 I 11-14111 a i W 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 NAKATA DAVID R & NICHELLE L 8600 194TH PL SW, EDMONDS WA 98026 FEE INFORMATION 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: 10/31/2024 Printed: Thursday, October 31, 2024 9:30:03 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 7:00am 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 A-1 JOB START X-2 ENGINEERING FINAL** E-7 RESTOR LIMITS Printed: Thursday, October 31, 2024 9:30:03 AM 2 of 2 of Eoti10�v 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�. 1N3A1HVd3❑ S30In �S 1N3Ad �3 0 If any field is not applicable to your project, write "N/A eaving blank. All fields required. Incomplete Applications � M, d - SECTION A General • Project Name Water Service Leak Repair Site Address or if no site address use Property Address at NW corner of project area: 24314 87th PI W Associated Permits: BLD PLN ENG Owner and Entity Holding•• •- 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 State 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: O 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 contractor unless otherivise approved by the city engineer. Type of Development — Check ALL that apply I ❑ Multifamily residential ❑ Commercial ❑ 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) XUtility 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.) 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 SECTIONC. V�y_pe -of Utility Rie_il!46�' 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power ❑ gas Nwater ❑ sewer ❑ storm Details of Work to be Completed 1. Does the utility owner have existing overhead infrastructure in the area of work? Yes No X 2. 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 than one lot or commercial development? X 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 stem? X 5. Does the work involve proposed additions to an aboveground utility stem? If es: Are the additions for the purpose of sel ving new commercial development? Are the additions for the purpose of serving a single-family residential subdivision? Details of Work to be CompletedNo 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? X 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: N/A 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? 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 pernytfe4s . 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 'Y N \o ON NN L LA -ON r 22A-50 R—cm-177 N 0 0 00 -P I co I la „0 L 9L-93 1 9 LA-5a `966 L-20 L0Z i�ndA NI 08 „Z L0� IHSnl3/M A2Jd „9 6ZA-90 KJ71 0 0 —w . v-v..v., — I ____._ --- ...y ..-- r........ .,_ r..,.,.... � OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. 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J 1 oco 'N '—SCHEDULE ALL INSPECTIONS THROUGH M Q1 �- -� 0 olzt, MINIMUM LANE CLOSURE TAPER LENGTH = L (feet) LANE Posted Speed (mph) W 0TH (ke0 25 1 30 1 35 1 40 45 1 50 5$ 60 6S 70 10 105 I IM 2D5 I 270 450 We 550 11 115 155 225 295 495 S5D I 605 660 - - 12 123 1!0 245 320 S4C 600 560 720 I 700 SW MIMMUM SHOULDER TAPER LENGTH = LT3 (fool) SHOULDER Posted Speed (mph) WIDTH Bm0 25 30 351 40 } a5 50 55 60 65 7D g 40 40 e0 90 { 40 130 150 160 1T0 1C <D 60 w 90 150 1T0 190 200 - IA - USE A OMMUM 3 OEVICES TAPER FOR SHCJIDER LESS THEN 0: LEGEND CI TEMPORARY SIGN LOCATION W TRAFFIC SAFETY DRUM �D S-_QUENT1AL ARROW SIGN P TRANSPORTABLE ATTENUATOR PCTAS PORTABLE CHANGEABLE MESSAGE SIGN SPACING = X 150Cz RURAL R IL URBAN ARiFRNMP LS 25130 H 20 a BUSINESS DISTRICTS U Sm c-,s 25 MPH OP. LESS '(I) ALL SPAGNG MAY BE ADJUSTED TO ACCOMMODATE IN rE CHANGE RAMPS.AT.GRAD£ INTERSECTIONS AND DNVEVAYS (2) THIS SPACING MAY BE REDUCED W URBAN AREAS TO FT ROAD•NAY CONDITIONS. ^� )� 1/TJ�(/. 8 / L 1 CHANNELIZATION DEVICE SPACING fec qPH TAPER TANGENT 50rT0 40 so 3SMS 30 60 2V10 20 1 40 BUFFER DATA LONGITUDINAL BUFFER SPACE = 8 SPEED (MM I 2S 1 30 1 35 1 40j 45 1 50 55 1 60 1 65 1 70 LSNs.TH (k v I s5s 1 200 1 = 1 W5 1 360 L42S I A95 I Sit 1 64 1 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 990D TO zLom 6z. HOST VEHICLE Wawa > 22 C00 f_ < 45 MPH 45 55 MPH > 55 MDR < 45 MPH 4545 MPH i > A MPH 10V t2T 17Z 7C 10: 150, \t w rCQ3o a:Yd ® I I q 0 t{ L SEE NOTE 4 { No ok� 44t;,re6 SINGLE -LANE CLOSURE FOR MULTI -LANE ROADWAYS NOT TO SCALE PCMS 1 2 RIGHT 1 NICE CLOSURE iC SEC 20 SEC FIELD LOCATE 1 NnY . IN ADVANCE OF LANE CLOSURE VCNLVG. NOTES 1. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. 2 EX. -END DEVICE TAPER AT La ACROSS SHCULDEP. 3. DEVICES SHALL NOT FNCROACH INTO THE ADJACENT VANE. 4. USE TRANSVERSE DEMCSS IN CLOSED LANE EVERY 1000'(FT) (RECOMMENDED). S. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 27'F'T)• 6. ALL SIGNS ARE SLACK ON ORANGE Tm am..34 I,••"I FEDAID PROJ.NO. DATE 10001e 7C3� PLo1TED HY 1144NH VOW DESMEC ay Washington State "� ENTERED DY �� � ., ,,,.,,,,,., DopgrtmoMofTnnsporfltioR w CREC._DR TRAFFIC CONTROL PLAN �.. REGIONAL ADM. RNGgN DATE ff( NEERING APPROVED SDNOT NOTED RECEIVED JA 10/21/2024 Sep 24 2024 — .___. - _.. _�_�__._---__. __^ ._._.._.__.._.. _. .-'-._--.__._. .._--- • _ CITY OF EDMONDS .... DEVELOPMENT SERVICES DEPARTMENT OLYMPIC VIEW WATER & SEWER DISTRICT 1N3WlaVd34 EDMONDS BLANKET PERMIT BLGIM3° NOTIFICATION t7zoz t7z daS Site Address: 24314 87" PI W Scope of Work: Emergency water service repair/Replacement Asphalt or Concrete Cut: Yes Start date: 9/19/2024 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: Billy Ward 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. O:\SHARE\PERMITS RIGHT OF WAYS\Edmonds RECEIVED Sep 24 2024 CITY OFEDMONDS CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1550228 - 24314 87th 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 24314 87th PI W 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: 9/19/2024 Submitted By: Marty Henninger Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1550228 - 24314 87th 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: 24314 87th PI W Description of Work: We did an emergency repair on the water service. We are going to upgrade the water service from poly to 1" type "K" copper. Project Details Project Information Job Number 17 Page 2 of 2