Engineering Permit FormOF WAY PERMIT
PERMIT NUMBE
City of Edmonds
EdmondsRIGHT
hL121 Sth Ave N, •:0
www.edmondswa.gov i
Description: ROW - IMPROVEMENTS AND RESTORATION FOR NEW SFR BLD2024-0257
ISSUED: 01/08/2025
Address: 1520 10TH PL N EDMONDS WA 98020-2630
EXPIRES:01/03/2026
Permit Type: RIGHT OF WAY Permit Subtype: RESIDENTIAL Parcel Number: 27031300409000
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT DAN BOCKRETSION 22422 46TH AVENUE SE, BOTHELL WA 98020 (425)669-4882
CONTACT BOTHELL MANOR LLC 22422 46TH AVENUE SE, BOTHELL WA 98020 (425)669-4882
CONTRACTOR WE BUILD BUSINESS CONSULTING 23005 76TH AVE W, EDMONDS WA 98026 (206)795-4032
GROUP LLC
OWNER BOTHELL MANOR LLC 22422 97TH AVE W, EDMONDS WA 98020 (206)669-4882
JL FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
ENG - INSPECTIONS - 4.1.24 $660.00 $660.00
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: NED DATE: 01/08/2025
Printed: Wednesday, January 08, 2025 12:15:37 PM 1 of 2
RIGHT OF WAY PERMIT
PERMIT NUMBE3
City of Edmonds
....121
Sth Ave
-. •.v / 425.771.0220
CONDITIONS
CONDITION TYPE
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
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: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.
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.
INSPECTION TYPE DATE
RESULT
NOTES
COMPLETE
X-2 ENGINEERING FINAL"
A-1 TESC AND MOBILIZE
E-7 DRY UTILITY LOCATION
E-7 DWY APPROACH
E-7 MAILBOX LOCATION
E-7 PUBLIC ROAD
E-7 RESTOR LIMITS
E-7 SEWER LATERAL
Printed: Wednesday, January 08, 2025 12:15:37 PM 2 of 2