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
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OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROLAND DRAINAGE
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/////--
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MINIMUM LANE CLOSURE TAPER LENGTH = L (feet)
LANE
Posted Speed (mph)
W 0TH
(ke0
25 1 30 1
35 1
40
45
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60
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10
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S5D I 605
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600 560
720
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MIMMUM SHOULDER TAPER LENGTH = LT3 (fool)
SHOULDER
Posted Speed (mph)
WIDTH
Bm0
25
30
351
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50
55
60
65
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40
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90 { 40
130
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USE A OMMUM 3 OEVICES TAPER FOR SHCJIDER LESS THEN 0:
LEGEND
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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.
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CHANNELIZATION DEVICE
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TANGENT
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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
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1 200
1 = 1 W5
1 360 L42S
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TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
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HOST VEHICLE Wawa
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RIGHT 1 NICE
CLOSURE
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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
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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