APPROVED ENG2024-0514 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of • • .
Edmonds•:0
edmondswa.govi
Description: OVWSD - EMERGENCY WATER MAIN REPAIR RESTORATION ONLY ISSUED: 11/26/2024
Address: 9510 EDMONDS WAY EDMONDS WA 98020-5936
EXPIRES: 05/25/2025
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27033600101000
i
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 RENFRO ROBERT A & STACY A 9510 EDMONDS WAY, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
ENG - INSPECTIONS - 4.1.24 $396.00 $396.00
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: 11/26/2024
Printed: Tuesday, November 26, 2024 4:22:10 PM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUMBER
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: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
DATE
RESULT
COMPLETE
A-1 JOB START
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL**
E-7 RESTOR LIMITS
Printed: Tuesday, November 26, 2024 4:22:10 PM 2 of 2
RECEIVED
pF EDM�
C, J`
"VC. 1890
SECTION A
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
Requirements outlined in Right -of -Way permit Handout E6�.
NOV 01 2024
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
If any field is not applicable to your project, write "N/A" instead of leaving blank.
All fields required. Incomplete Applications will be denied.
General•
Project Name Emergency Water main Repair
Site Address or if no site address use Property Address at NW corner of project area: 95th & Edmonds Way
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
11636n, Imme 1PRIFT11111161• •-•
Name of company Olympic View Water and Sewer District
•
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:
Contractor verifies it is currently bonded
Contractor verifies it currently has general liability insurance
NOTE: ECDCi8.6o.o2o requires that the Application be signed by a licensed and bonded conb•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
Demo and rebuild or from vacant land?
❑ Other, please specify:
a 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.)
This was an emergency water main repair. All work was hydro excavated. Traffic control was set up to standard.
All work took place in the sidewalk and no road cuts were made. The repair was completed on Oct,29,2024
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
Alley 72 hours +
LF
x
I
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.
.• of
1. The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable ❑ power ❑ gas
Xwater ❑ sewer ❑ storm
Details
of Work to be CompletedNo
Does the utility owner have existing overhead infrastructure in the -area of work?
X
1.
2.
Will any equipment be added underground or above ground e.. 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?
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 seivin new commercial develo ment? .
X
Are the additions for the purpose of serving a single-family residential subdivision?
Details
of • to be • • •
Does your project involve rebuilding or replacing utility equipment which currently serves more
Yes
No
6.
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:
X
How many are existing? I N/A How many are to be added? N/A
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
6b.
I 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? 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:
APPLICANT PRINTED NAME:
APPLICANT TITLE:
c DATE: /d /�IO / 2ooq
Ma Ader
ea ti ity Worker
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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RESTORATION LIMITS TO BE DETERMINED
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3-MILE QUEUE
WARNING
SYSTEM
MESSAGES
TRAFFIC SENSORS
PCMS
2
PCMS
1
B
A
1
2
1
2
IGGER
SPEEC
2.0 SEC
2.0 SEC
2.0 SEC
2.0 SEC
35+
35+
•
RIGHT
1S
MPH
MPH
(Blank)
LANE
MILES
• •
CLOSURE
AHEAD
3S+
� 35
LANE
TRAFFIC
SLOW OR
NEXT
MPH
MPH
CLOSURE
BACKUPS
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15
3 MILES
PRESENT
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MILES
< 35
< 35
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NEXT
USE
TAKE
MPH
MPH
STOPPED
3
ALL
TURNS AT
TRAFFIC
MILES
LANES
MERGE
I EXISTING I EXISTING I EXISTING I EXISTING I
RECOMMENDED SIGN SPACING = X (1)
STATIONARY TRANSPORTABLE ATTENUATOR
ROLL AHEAD DISTANCE = R
SHOULDER LANE LANE SHOULDER
LANE OPEN 4•BIKE WORK AREA
TO TRAFFIC SEE
NOTE
13(F)
RURAL HIGHWAYS 60-65 MPH 800't
HOST VEHICLE WEIGHT
LESS THAN 22,000 IDS.
HOST VEHICLE WEIGHT
22,00D, IDS.
RURAL ROADS 45-55 MPH 500't
(1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE
INTERCHANGE RAMPS, ATGRADE INTERSECTIONS AND DRIVEWAYS.
45-55 MPH
60+ MPH
45.55 MPH
60+ MPH
In
123'
172'
100'
150'
v I ! v
SECTION (A -A SEE NOTE 8
SEE QUEUE WARNING SYSTEM SPECIAL PROVISION OR RFP FOR DETAILS.
LOCATE PCMS. PER STD. SPEC 1-10.3 3 C WHEN PCMSv7RAFFIC SENSORS PLACEO
BEHIND BARRIEPJGUARDRAILTRANSVE��E TRAFFIC DRUMS ARE NOT REQUIRED.
ADJUST OWS COMPONENTS AS NEEDED TO AVOID CONFLICTS WITH
AVOID THIS
CVOiSIBiLOIlYDOFI SEDUEN7ROW RROW DSIGN. INTERSECTIONS. OR TO
CONFIGURATIONAT
■
MAINTAIN
INTERSECTIONS & RAMPS.
IN THE EVENT OF A SYSTEM FAILURE SEE SPECIAL PROVISIONS OR RFP
"QUEUE WARNING SYSTEM FAILURE PROTOCOL".
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JL
LANE CLOSURE TAPER LENGTH = L
SPEED (MPH)
45
50
55
60
65
LONGITUDINAL BUFFER SPACE = B
12'
L (feet)
540
600
680
720
800
45
50
1 55
60
65
Avold
redutln9 lane tlosure
length
on 45+
mph
roadways.
�-D(MPH)
et)
360
425
1 495
570645ce
may fie adjusted (:) bawd .. Few condaion..
(OPT36 NAL)
INOTICEI
urn
DOUBLE �.•
m
120-301 (Brno W20-1
�I
MAXIMUM CHANNELQATION
DEVICE SPACING (feet)
MPH
TAPER
TANGENT
5
_a
ACTUAL NUMBER OF 1
LANES MAY VARY
ON THIS SIDE.
A "
B
VARIES, SEE NOTE 3 I-
���• 4-MIN BI LANE �— o
120' ®® 40'MAX �o'y�a NR3-17 .WORK •�'y�F
SEE NOTE 1
td ®a•�e�• \ 63.^ AREA
A x SEE 1O.N.
1 IIINN —.— • —� • NOTE 4 SPACING
R (OPTIONAL) 160' BIKE
SEE NOTE 5
48•'
;�µ��`
48•• . TRAFFIC CONTROL INSPECTION SHALL BE
W2o_7 120-301 (BWi
OPTIONAL
W20-5R W4.2R REQUIRED WHENEVER WORK ZONE IS SET UP
NOTES:
11.ADD W21-30SERIES SIGNS (48'x48", FHEIGHT) SOO't PRIOR TO FREQUENT
LEGEND:
CONSTRUCTION VEHICLES INGRESS/EGRESS INTO THE OPEN LANE(S).
N
TEMPORARY SIGN LOCATION (1-MIN HEIGHT)
1. FULL-SIZE PCMS (11'x 6' DISPLAY) MAY BE USED IN LIEU OF mPCMS.
PCMS MESSAGES MAY BE MODIFIED.
72. PEDESTRIAN ACCOMMODATIONS, WHERE FACILITY OPEN TO PEDESTRIANS:
0
TEMPORARY SIGN LOCATION (5'MIN HEIGHT)
6.IF USED, DOWNSTREAM TAPER DEVICE SPACING IS 20.
21F FEASIBLE, AVOID PLACING LANE CLOSURE OR LANE SHIFT TAPERS
(A) KEEP ADJACENT SIDEWALK OR PATHWAY OPEN.
B)CLOSE ADJACENT SIDEWALK OR PATHWAY. PROVIDE PEDESTRIAN DETOUR,
S
TRAFFIC SAFETY DRUM
WITHIN OR IMMEDIATELY FOLLOWING HORIZONTAL CURVES. 7. 28" TRAFFIC CONES, J6' TRAFFIC CONES, 42" TALL CHANNEUZING
ALTERNATE ROUTE, OR FREE SHUTTLE (WORK TRUCK VAN, OR BUS OKI.
(C) STOP WORK OPS. B ESCORT PEDESTRIANS THROUGH WORK AREA.
■
CHANNELIZING DEVICE (SEE NOTE 7)
DEVICES, OR TRAFFIC SAFETY DRUMS ALSO OK
3. DISTANCE INCREASES AS WORK AREA MOVES DOWNSTREAM.
(D) ENGINEER TO ACCEPT ANY ALTERNATIVE STRATEGIES.
PORTABLE TUBULAR MARKER (SEE NOTE B)
S. 28" TRAFFIC CONE, 36" TRAFFIC CONE, 42" TALL CHANNELIIKE DEVICE
4. REDANHITE OR BLACKIYELLOW CHEVRON PATTERN OK. ADDITIONAL OKDEVICE MAY SHIFT LATERALLY TO PROVIDE VMIN BIKE LANE.
13. BICYCLIST ACCOMMODATIONS, WHERE FACILITY OPEN TO BICYCLES:
I
TRANSPORTABLE ATTENUATORS MAY BE ADDED BEHIND EACH WORK CREW.
(F)pROVIOE TEMP. 4'MIN BIKE LANE THROUGH LANE CLOSURE ADJACENT TO
,i,
OWS TRAFFIC SENSOR
9. SIGNS ARE BLACK ON ORANGE UNLESS OTHERWISE INDICATED.
VEHICLE TRAFFIC.
yyy
SEQUENTIAL ARROW SIGN
S. IF USED, PLACE DEVICES TRANSVERSELY ACROSS CLOSED LANES AT 45't
AND VSPACING AT STRATEGIC LOCATIONS. 10. PLAN IS APPLICABLE TO LANE CLOSURES OF 7 DAYS OR LESS.
TRANSPORTABLE ATTENUATOR (TL-3)
4—LANE DIVIDED HIGHWAYS: SINGLE RIGHT LANE CLOSURE
miniNRTABLE CHANGEABLE MESSAGE SIGN
(PCMS OK, SEE NOTE 1)
-
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NOT TO SCALE
FILE NAME CAU,cmUU ,ftFAOn DrNe -Wxhln
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Zone TCP.1361
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RECEIVED
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NOV 01 2024
Plet 22
TIME 10:36A0 AM
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FED -All PROJ.NO.
TC361
DATE 9/24/2024
10 AS
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CHECKED BY
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TYPICAL TRAFFIC CONTROL PLAN:i
PROJ. ENGR.
REGIONAL ADM.
REVISION
DATE
BY
LIGHTED ARROW BOARD REQUIRED ON SR-104. ENGINEERING DIVISION CITY
DEVELOPMEONT S
APPROVED AS NOTED
SERVICES DEPARTMENT
Jeff11 /22/2024
OLYMPIC VIEW WATER & SEWER DISTRICT
EDMONDS BLANKET PERMIT BEGINNING
NOTIFICATION
Site Address: 951" & Edmonds Way
Scope of Work: Emergency water main repair. Repair was performed and completed on
10/29/2024. All work took pace in the asphalt sidewalk. Excavation is cold patched.
Asphalt or Concrete Cut: Yes Start date: 10/29/2024
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.
RECEIVED
NOV 01 2024
O:\SHARE\PERMITS RIGHT OF WAYS\Edmonds CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
RECEIVED
NOV 01 2024
CITY OF EDMONDS M BuildingPermit.com
CITY OF EDMONDS
DEVELOPMENT
Rig ht:-fWK`Afiimkation #1569569 - Emergency watermain repair
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
95th & Edmonds Way
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: 10/30/2024 Submitted By: Marty Henninger
Page 1 of 2
CITY OF EDMONDS M BuildingPermit.com
Right -of -Way Application #1569569 - Emergency watermain repair
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: Emergency watermain repair
Description of We made an emergency watermain repair. Repair has been completed. We had to cut the
Work: asphalt sidewalk. No road cuts were made. all excavation was hydro excavated.
excavation is cold patched awaiting paving.
Project Details
Project Information
Job Number
18
Page 2 of 2