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APPROVED ENG2024-0556 ROW PERMIT (2)RIGHT OF WAY MINOR PERMIT PERMIT NUMBER City of • • . 121 Sth Ave N, Edmonds WA 98020 ENG2024-0556 Description: ROW -CITY SOIL BORINGS FOR PERRINVILLE CREEK RECOVERY PROJECT ISSUED: 12/05/2024 Address: 121 5TH AVE N EDMONDS WA 98020 EXPIRES: 06/03/2025 Permit Type: RIGHTOF WAY MINOR Permit Subtype: CITY Parcel Number: 00434400100300 I 11-1411 a NAME TYPE NAME ADDRESS PHONE APPLICANT JENELLE HO 121 5TH AVE N, EDMONDS WA 98020 (425)725-1255 CONTACT CITY OF EDMONDS 121 5TH AVE N, EDMONDS WA 98020 (425)725-1255 CONTRACTOR SHANNON &WILSON INC 400 N 34TH STREET, SEATTLE WA 98103 (206)818-0663 OWNER EDMONDS CITY OF 250 5TH AVENUE N, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $0.00 ROW - MINOR - 4.1.24 $132.00 $0.00 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: 12/05/2024 Printed: Thursday, December 05, 2024 3:40:18 PM 1 of 2 RIGHT OF WAY MINOR PERMIT PERMIT NUMIJBE City of Edmonds :• •ENG2024-05-56556 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 X-2 ENGINEERING FINAL** Printed: Thursday, December 05, 2024 3:40:18 PM 2 of 2 RECEIVED DEC 4 2024 � of �EDA404! 4 INC. 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 E63. 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 Perri nville Creek Recovery Project Site Address or if no site address use Property Address at NW corner of project area: 8219 Talbot Road, Edmonds, WA 98026 Associated Permits: BLD PLN ENG owner and Entity Holdingapplicable) Name of Company Franchise Ordinance No: Point of Contact Title Address City State Zip Phone Email Contractor and Authorized Agent of Owner Name of Company Shannon & Wilson (see note below) Contractor Contacts During Construction Primary Name Rajan Ramya Agent Name Title Senior Geotechnical Engineer Title Mobile 6305364183 Address 400 N 34th Street, Suite 100 Email ramya.rajan@shanwil.com City Seattle State WA Zip 98103 Secondary Name Tyler Stephens Phone 2066328020 Title Vice President Email info-seattle(_shanwil.com Mobile 2068180663 City of Edmonds Business License No: NR-027016 Email tyler.stephens@shanwil.com State License No: 578058207 ❑ Contractor verifies it is currently bonded ® Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o.02o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. ❑ Multifamily residential ❑ Commercial x City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? Other, please specify: Geotechnical Soil Borings ❑ Utility Franchise Work associated with development (check one of the above boxes as well) Dq Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 ❑ Utility Franchise Work (no associated development) Project Description 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.) We will perform two soil borings in the City of Edmonds as shown in the attached Site Plan within the public right- of-way. Borings will be drilled using truck- or track -mounted drill rigs and are planned to advance around 50 eet _ _ below ground surface (bgs) using mud -rotary drilling techniques. The work zone for each boring will be —approximately 12 feet wide by 80 feet long to accommodate the truck- or track -mounted drill rig, support truck, and _ sampling equipment. The work zone will be generally centered around each boring location. Traffic control plan is _ attached for review. Utility potholing may be performed at the boring locations using vacuum excavation or airknife _ _to excavate to a depth of 8 to 10 feet to confirm absence of expected underground utilities. _ At one boring location, piezometer will be installed within the bore hole to allow for quarterly groundwater _ monitoring. The flush mount steel monument has a secured lid to allow access for subsequent site visits to collect _ _ data. Each subsequent visit will involve placing traffic control devices to safely access the steel monument for up _ to one hour. Once data collection is completed. traffic control devices will be removed. 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 JxJ LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. . The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details 1. of Work to be Completed Does the utility owner have existing overhead infrastructure in the area of work? Yes No 2. Will any equipment be added underground or above ground (e.g. 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? 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 system? 5. Does the work involve proposed additions to an aboveground utility system? If es: Are the additions for the purpose of serving new commercial development? Are the additions for the purpose of serving a single-family residential subdivision? Details of • to be Completed Yes No 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? 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 project is proposed: 6a. Does your project involve wires/cables/lines? If yes: 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? I I 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 for all permit fees. APPLICANT SIGNATURE:! APPLICANT PRINTED NAME: RAJAN RAMYA APPLICANT TITLE: _ Senior Geotechnical Engineer NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 10/31 /2024 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 Legend Proposed Soil Boring � � _ ..a+�., •. �, F, �. •a '" �' r �a\p°�� ;'ill �' v� 8120: ..'� 8200 Aff Al "�. �sAe�rinville At RECEIVED 8233 vIf CITY OF EDMONDS DEVELOPMENT '`t... :► ��r, lr�''`, ram• •\ �'•SERVICES ' EPAR WENT Google- �: yr, ',''c ,� �♦a _ �,;•,,.� , ., www.invarion.com KHAN IN UIN &- W 1LNUIN Location: B-1-24 47.841842361833336,-122.34450378033333 B-2-24 47.84189922833333,-122.3444496215 Job Description: 2 Geotechnical Borings Shoulder Closure/ Lane Closure Contact: Ramya Rajan ramya.rajan@shanwil.com Site Days/ Hours; M-F 7am-5:30pm W 20-1 SAFETY & APPAREL v J FLAGGING & EQUIPMENT j p > a o o Driveways will have full In/out access > O / \ 20-7a W 3-4 W 20-7a Job Notes * All signs and spacing shall conform to MUTCD * NOT TO SCALE * Notify all local emergency services of closure times and dates * Sign spacing may be reduced to fit roadway conditions * Alert Metro Impact 5 days in advance of any Bus stop changes 206-477-1140 * No Parking must be placed 72 hours in advance of work * No Parking signs spaced out at 40' MPH TAPER TANGENT 50/70 40 80 35/45 30 60 25/30 20 40 One Lane Two Way Taper 50'-100' Downstream Taper 50'-100' Channelization Device Spacing 20' SUGGESTED ADVANCE WARNING SIGN PLACEMENT ROAD TYPE SPEED DISTANCE A JJ 200' 350' BETWEEN SIGNS B C D UPIMV CWMM 25/30 200' 200' X UNa HicHMPH) 35/40 350' 350' X aurxnL 45/60 500' 800' 1500' 500' 500' 500' RURALMYS 60/65 800' 800' 800' exaaesswnvs 55/70 1500' 1500' 1500' Traffic Control Plan ti F s Legend 1 Cone r flagger flagger ♦ W3-4 be prepared to stop ♦ W20-1 Road Work Ahead ♦ W20-7a flagger Work Area SPEED LIMIT 25 \ \ e \ PAR T. s*ovD \ 3-4 Al RDAD WDRR \ o AHEAD W 20-1 \ Talbot Rd Jera Kane a I RECEIVED TC01268i I DEC 4 2024 Phone: 206-573-962 ci Trafficplandesigns@gm2ail.com Ex Date: 1 /31 /2025 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED DEC 4 2024 CITY OF EDMONDS MyBuildingPermit.con! CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1586225 - Perrinville Creek Recovery Project Applicant First Name Last Name Company Name Jenelle Ho City of Edmonds Number Street Apartment or Suite Number E-mail Address 121 5th Ave N jenelle.ho@edmondswa.gov City State Zip Phone Number Extension Edmonds WA 98020 (425) 725-1255 Contractor Company Name SHANNON & WILSON INC Number Street Apartment or Suite Number 400 N 34th Street City State Zip Phone Number Extension Seattle WA 98103 (206) 818-0663 State License Number License Expiration Date UBI # E-mail Address SHANNW*378N0 3/25/2026 57RnsP9n7 ramya.rajan@shanwil.com 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 8219 Talbot Road, Edmonds WA 98026 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: 12/4/2024 Submitted By: Jenelle Ho Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1586225 - Perrinville Creek Recovery Project Project Contact Company Name: City of Edmonds Name: Jenelle Ho Address: 121 5th Ave N Edmonds WA 98020 Email: jenelle.ho@edmondswa.gov Phone #: (425) 725-1255 Project Type Activity Type Scope of Work Government Capital Improvement Project Disturbance of Surface Project Perrinville Creek Recovery Project Name: We will perform two soil borings in the City of Edmonds as shown in the attached Site Plan within the public right-of-way. Borings will be drilled using truck or track- mounted drill rids and are planned to advance around 50 feet below ground surface (bgs) using mud -rotary drilling techniques. The work zone for each boring will be approximately 12 feet wide by 80 feet long to accommodate the truck- or track -mounted drill rig, support truck, and sampling equipment. The Description work zone will be generally centered around each boring location. Traffic control plan is attached of Work: for review. Utility potholing may be performed at the boring locations using vacuum excavation or airknife to excavate to a depth of 8 to 10 feet to confirm absence of expected underground utilities. At one boring location, piezometer will be installed within the bore hole to allow for quarterly groundwater monitoring. The flush mount steel monument has a secured lid to allow access for subsequent site visits to collect data. Each subsequent visit will involve placing traffic control devices to safely access the steel monument for up to one hour. Once data collection is completed, traffic control devices will be removed. Project Details Project Information Job Number c623.st.stm Page 2 of 2