Engineering Permit FormOF WAY PERMIT
PERMIT ER
City •EdmondsRIGHT
98020 ENG2024-0125
www.edmondswa.gov i
Description: ROW - NEW SFR ISSUED: 12/09/2024
Address: 8503 200TH ST SW EDMONDS WA 98026-6627
EXPIRES: 12/04/2025
rmit Type: RIGHT OF WAY Permit Subtype: RESIDENTIAL Parcel Number: 27041900202900
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT
AUSTIN ANDERSON
19020 33RD AVE W 450, LYNNWOOD WA 98036
(425)678-1465
CONTACT
VILLAGE LIFE
19020 33RD AVE W 450, LYNNWOOD WA 98036
(425)678-1465
CONTRACTOR
SIGNATURE HOMES BY VILLAGE LIFE,
19020 33rd Ave West #450, LYNNWOOD WA 98036
(425)778-4111
LLC
OWNER SIGNATURE HOMES BY VILLAGE LIFE 8503 200TH ST SW, EDMONDS WA 98026
LLC j
FEE INFORM���
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
ENG - INSPECTIONS $630.00 $630.00
RIGHT-OF-WAY PERMIT - STANDARD $378.00 $378.00
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: NED DATE: 12/09/2024
Printed: Monday, December 09, 2024 6:03:44 PM 1 of 2
OF WAY PERMIT
PERMIT ER
City •EdmondsRIGHT
98020 ENG2024-0125
www.edmondswa.gov i
CONDITIONS
CONDITION TYPE
NOTES
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.
INSP PRIOR TO BACKFILL
Call for all required inspections. All work shall be inspected prior to backfill.
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
ROW COMPACTION TEST
Right of way compaction tests are required per City standards.
SEWER AND WATER
MAINTAIN 10 FEET OF SEPARATION BETWEEN THE SANITARY SIDE SEWER AND THE WATER SERVICE
SEPARATION
LINE.
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.
TRAFFIC CONTROLS
Traffic Control per approved plan and MUTCD. All Flaggers shall be certified.
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
NOTES
COMPLETE
X-2 ENGINEERING FINAL"
A-1 TESC AND MOBILIZE
E-7 PVMT SUBGRADE
E-7 RESTOR LIMITS
E-7 SEWER LATERAL
E-7 STORM CB
E-7 STRIPING
E-7 TRAFFIC CTRL
E-7 TRENCH COMPACTION TEST
REPORT
E-2 SEWER PRESSURE
Printed: Monday, December 09, 2024 6:03:44 PM 2 of 2