ENG20170042-APPROVED PERMIT.pdfov,
ttATY OF EDMONDS
121 5TH AVENUE NORTH - EDM ONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20170042
RIGHT OF WAY PERMIT (6-EUC)
Permit Number: ENG20170042 Expiration Date: 07/12/2018
Job Address: 15605 75TH PL W, EDMONDS Location: 15605 75TH PL W
COMCA ST
410 VALLEYAVENW SUITE 12 BLD C
ATT: RHONDA RESNIK
PUYALLUYP, WA 98371
FULL BORE INC
C/O ANABEL REYE;S
1546 NW 56TH S`I'
SEAT" ➢'LE, WA 98107
(206) 259 -041.5
INCENSE #: FUL,LB131954DI ExP: 04/30/2019
Starting fromNW side of property of 15605 we will bore 57 s then bore 126' s across driveway of 15615 then bore 3' SEto vault. All
boring will be done away from all storm lines in ROW. No cuts in the asphalt street.
ASSESSED VALUE,: $0,00 FROPI_;RT'Y AREA: 0
SIDEWA:LK: ( Ox0) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION `TRENCH CUT: Q 0 X 0 )
PARKING ( Ox0) DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0 00
ALLEY: tl Ox0 I DURATION IN MONTHS: 0 FEE; SI:D,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 of Edmonds or
any ofils 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 CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE O F THE W ORK
• 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
possesion.
• 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.
• Three sets of construction drawings of proposed work are required with the permit application.
CALL DIALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICA"HON IS NOTA PERMITUNTIL SIGNED BY TFIE CITY ENGINEER OR FIISMER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
r_06�� 1 2-1��
RELEASED BY
Printed: Fridav, January 12, 201
DATE
FILE COPY INSPECTOR COPY APPLICANT COPY
STATUS: ISSUED
ENG2O17OO42
• 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.
• Verify clear bore crossings
• 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 fi•ontage 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 from the noise limits
ofECC Chapter 5.30 only during the hours of 7:00am to 6:OOpm on weekdays and 10:00am and 6:OOpm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 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 from the issuance ofthis pen -At. 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-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
mam
ROW PERMIT NO.: ENGO�G11—
ISSUE DATE:
RIGHT—OF—WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: Q....__ CONTACT: ��,... ...._
CONTRACTOR: 1 r r Phone #: U-) - U-) 4k l
.
Mailing Address- � �16
�..
State License #:
City Business License
Email
Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: lsVl®--Z; ! 04'OL t
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial subdivision .-"'LT"City Project --......' Traffic Control (Only) ..._.. r .._1Y)
❑ Multi -Family Single Family
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
6:1 Other
❑ Yes ❑ No
ANY ASSOCIATED PERMITS BLD# .._ ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) :
` c)(—c l "
WAS STREET OVERLAYED WITHIN THE LAST FIVr,, 5 YEARS? YES NO Year:
PAVEMENT CUT: ❑ Yes No If yes, indicate size of cut: _x
CONCRETE CUT: [ Yes x
�fNo If yes, indicate size of cut:
RIGHT-OF-WAY DURATION
AREA TOTAL
CLOSURE (NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF X LF SF
w. ..........�m......
Alle
y 72Hrs + LF X LF SF
—_..
Parking 72 Hrs + LF X LF SF
APPLICANT TO READ AND SIGN
*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 is to 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.
Indemnity; The Applicant has signed an application which states he/she hold 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 defense costs and attorney fees by reason
of granting this permit.
I have read the above, eats and under, Tthe permit requirements and acknowledge that I must
follow all naclu' 'I V in cler forl� nif to be valid.
SIGNA' : A DATE
' ntractor r Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
2009 Edition
Page 652
Notes for Figure 6H-10-1]ypical Application 10
Lane Closure on a Two -Lane Road Using Flaggers
Option:
1. For low -volume situations with short work zones on straight roadways where the flagger is visible to road
users approaching from both directions, a single flagger, positioned to be visible to road users approaching
from both directions, may be used (see Chapter 6E).
2. The ROAD WORK AHEAD and the END ROAD WORK signs may be omitted for short -duration
operations.
3. Flashing warning lights and/or flags may be used to call attention to the advance warning signs.
A BE PREPARED TO STOP sign may be added to the sign series.
Guidance:
4. The buffer space should be extended so that the two-way traffic taper is placed before a horizontal
(or crest vertical) curve to provide adequate sight distance for the flagger and a queue of stopped
vehicles.
Standard:
5. At night, flagger stations shall be illuminated, except in emergencies.
Guidance:
6. When used, the BE PREPARED TO STOP sign should be located between the Flagger sign and the
ONE LANE ROAD sign.
7. When a grade crossing exists within or upstream of the transition area and it is anticipated that queues
resulting from the lane closure might extend through the grade crossing, the TTC zone should be extended
so that the transition area precedes the grade crossing.
8. When a grade crossing equipped with active warning devices exists within the activity area, provisions
should be made for keeping flaggers informed as to the activation status of these warning devices.
9. When a grade crossing exists within the activity area, drivers operating on the left-hand side of the
normal center line should be provided with comparable warning devices as for drivers operating on the
right-hand side of the normal center line.
10. Early coordination with the railroad company or light rail transit agency should occur before work
starts.
Option:
11. A flagger or a uniformed law enforcement officer may be used at the grade crossing to minimize the
probability that vehicles are stopped within 15 feet of the grade crossing, measured from both sides of the
outside rails.
Sect. 6H.01 December 2009
2009 Edition
Page 653
Figure 61-1-10. Lane Closure on a Two -Lane Road Using Flaggers (TA-10)
Note: See Tables 6H-2 and 6H-3
for the meaning of the
symbols and/or letter
codes used in this figure.
1�
optional)
50 to 100 ft
Typical Application 10
50 to 100 ft
21
December 2009 Sect. 6H.01
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1 — 2" BRASS 90' BEND
1 — 2" BRASS 90' ST ELL
4"x4" CONCRETE MARKER POST
PAINTED KELLY MOORE (1700-63 SUNBURST YELLOW)
OR APPROVED EQUAL WITH BLACK STENCILED
DISTANCE AND DIRECTION TO VALVE
3/8" STEEL DIAMOND PLATE COVER
FOG—TITE METER SEAL CO. NO. 2
FINAL GRADE n
f
TWO 17"x28" CONCRETE METER
BOXES STACKED ON EACH OTHER
2" FIPxFIP RSGV
2" TYPE 'K' COPPER PIPE
PROVIDE CONTINUOUS UPWARD
SLOPE FROM MAIN TO AIR —VAC
% 2" BRASS 90' ST ELL
r / 2" BRASS 90' ELL
2" BRASS-
UNION
2"x4" BRASS
NIPPLE
2" BRASS 90'
ST. ELL
2" BRASS
BEEHIVE
STRAINER
OrGROUND
PIPE ABOVE
KELLY
R N (1700-63
RST YELLOVIPROVED EQI
ao 2" BRASS PIPE
(FIELD LOCATE)
1"'INEXT TO EXIST
4 : I PROPERTY LINE
.2" BRASS
90' ELL
2" BRASS
90' ST ELL
2" COMBINATION AIR/VAC
VALVE CRISPIN UL20 OR
5MAIN
APPROVED EQUAL
MIPxCTS GRIP3 8CLEAN GRAVEL
MIP BALL COR/RD FB 500-7 RPROVED EQ2" BRASS
90' ST. ELL
WATE
2" IP TAP DOUBLE 2"x6" BRASS
STRAP SERVICE NIPPLE
SADDLE ROMAC 202S
OR APPROVED EQUAL 4"x4"x8"
CONCRETE BRICKS
TO BEARING SOIL
Est. 1$�3-
REVISION DATE
APRIL 2017
CITY OF EDMONDS ARV ASSEMBLY
PUBLIC WORKS STANDARD
DEPARTMENT DETAIL
APPROVED BY: R. ENGLISH WA— 2O