eng20170010-approved permit.pdf0
CITY OF EDMONDS
121 5TH AVINUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMff NWST BE POSTED ON,JOBS*
STATUS: ISSUED ENG20170010
RIGHT OF WAYPERMIT (I -Single Family)
Permit Number: ENG20170010 Expiration Date: 06/19/2017
Job Address: 9925 227TH PL W, EDMONDS Location:
A D D I 11- A APT
J B APHALT PAVINGINC
C/O BRET NIEBRUEGGE
22301 95TH PL W
EDMONDS, WA 98020
PAVINGASPHALT'APRON TO CONNECT CONE
SIDEWALK: (OXO) DURATION IN MONTHS: 0
PARKING: (OXO) DURATION IN MONTHS: 0
ALLEY: ( 0X0 ); DURATION IN MONTHS: 0
J B APHALT PAVING INC
CIO BRET NIEBRUEGGE
22301 95TH PL W
EDMONDS, WA 98020'
(206) 714-3271
Y
FEE: $0„00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
FEE: $0.00;
INDEMNITY The Applicant has signed an application -which states he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City'ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
THE C O NTRAC TO R IS RES PO NS IB LE FO R WORKMANSHIP AND MATERIALS FOR A PERIODOF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND AC C EPTANCE O F THE W O RK.
•' 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 mast have certification verifying completion of the required training in their
possesion.
4, 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.
r Three sets of construction drawings of proposed work are required with the perrnit application.
CALL DIAIrA-DIG (1-800424-55 55) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HO UR NO TIC E REQUIRED FOR ALL INS PEC TIO N REQ UES TS
APPLICA'"ON APPROVAL
THIS APPLICATION IS NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Tue5da Janua 10 2017
RELEASED BY BATE
❑ FILE COPY E INSPECTOR COPY A4PPL1CANT COPY
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates of underground utilities prior to any excavation.
• Alert affected residents and/or businesses, prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• Public utilities maintain 5'separation from City Utilities.
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control. Keep street clean.
• Call for required inspections as noted.
• Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
•; ,Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 0:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuanttoECC 5.30.120.
• 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 fromthe.issuance of thispemrit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
• E -Erosion Control/Mobilization
• E -Pavement Subgrade
• E -Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL. NOTES.
FINAL INSPECTION APPROVED DATE. INITIAL: