ENG20170255-APPROVED PERMIT.pdfr�4
CITY OF, EDMONDS,
121 5TH AVENUE NORTH - EDMONDS WA 98020'
o PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBS*
STATUS: ISSUED ENG2017025!
Permit Number: ENG20170255 Expiration Date:'04/27/2018
Job Address: 16115 75TH PL W, EDMONDS Location: 16115 75T 4 PL W
APPLICANT CONTRACTOR
FRONTIER PACIFIC, CABLE
C/O TIMOTHY JONES
PO BOX 573
WOODINVILLE, WA '98072
(425);348-7735
LICENSE #: PACIFCC954PJ EXP10/18/2017
JOB DBCRIPTION
Will bore total of 280ft in the ROW:
A "i1.,$SEM VALUE: $0,00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0FEE. $0,00' STREET' DISRUPTION TRENCH CUT: ('0 x 0 )'
PARKING ( OXO) DURATION IN MONTHS 0' FEE $0,00 YEAR OF OVERLAY: 0 FEE $0,00
ALLEY OXO'l DURATION IN MONTHS: 0' FEE. $t( 00
INDEMNITY The Applicant has signed an application which slates he7she 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 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 CONTRACTOR IS RESPO NSIBLE FOR WORKMANSHIP AND MATERIALS FOR A`PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND AC CEPTANCE 0 F THEW 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 ofthe required' training in their
posseson.
• 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 endlofthe workday -NO EXCEPTIONS.
• Three sets of construction drawings ofproposed work are required with the permit application.
CALL DIAL-A=DIG (1-800-424-5555) iBEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
APPLICATION APPROVAL
THIS APPLICATION'IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER ORHISMERDEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACEPROVIDED.;
Printed: Friday. October 27, 2017
❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
• 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 frontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
• Sound/Noise originating, from temporary construction sites as aresult of construction activity are exempt 'from the noise limits
ofECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and '10:00am 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 530, 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 permit. Issuance ofthis ,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 Traffic"Control
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE. INITIAL:
, Of EDkin.
//V , 1,890
RECEIVED SCMPIEE)
I G �! 21'
JUN 3 o 2017 ROW PERMIT NO.: ENG r0;BUILDING �
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: Frontier
CONTRACTOR:CtELC..QAB_LE_Q0NST.RIJC-TJO
Mailing Addressp0 BOX 573 WOODINVILLE WA 98072
State License #:PACIFCC954PJ
City Business License #: NR-019694
CONTACT: Kellean Piller
Phone #: 425-353-2078
q _
Fax #: 425-353-3879
Email #: kellean@paccab.com
Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 16115 75th PL W
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial 0 Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ® Single Family ❑ Other
EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes ® No
ANY ASSOCIATED PERNIITS? BLD# ,......�_ _....._. ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Will bore a total of 280ft in the ROW.
...........
N
WAS STREET OVERLAYED WITHIN THE _.. ...............
LAST FIDE (5) YEARS? YES O Year:
PAVEMENT CUT: 0 Yes F No If yes, indicate size of cut: x
CONCRETE CUT: Q Yes F] No If yes, indicate size of cut: x,
RIGHT-OF-WAY DURATION
AREA TOTAL
CLOSURE (NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF X LF SF
- - -- - — .__._..
Alley 72 Hrs + LF X LF SF
Parking w 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 statements and understand the permit requirements and acknowledge that I must
follow all requirements in order for the permit to be valid.
SIGNATURE 114&04' DATE 6/30/17
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
2003 Edition
Page 6H-25
Note: See Tables 6H-2 and 6H-3
for the meaning of the
symbols and/or letter
codes used in this figure.
Note: 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. N
*1%4QV4EA%'7,,W,Q, ONIMS
APPF"40 E"D AS t
V,
I/
(100 f
MAX
One Lane Two -Way Traffic Taper p
30 m (1100 ft) MAX
Typical Application 10
Page 6H-24
2003 Edition
Notes for Figure 6H-10—Typical Application 10
Lane Closure on 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, nagger 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 highway -rail 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 highway -rail grade crossing, the
TTC zone should be extended so that the transition area precedes the highway -rail grade crossing.
8. When a highway -rail 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 highway -rail grade crossing exists within the activity area, drivers operating on the left side of
the normal centerline should be provided with comparable warning devices as for drivers operating on
the right side of the normal centerline.
10. Early coordination with the railroad company should occur before work starts.
Option:
11. A flagger or a uniformed law enforcement officer may be used at the highway -rail grade crossing to
minimize the probability that vehicles are stopped within 4.6 in (15 ft) of the highway -rail grade
crossing, measured from both sides of the outside rails.
2003 Edition
Page 6H-25
Figure 6H-10. Lane Closure on 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.
Note: 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. y
I�
30 m
(100 ft)
MAX
One Lane Two -Way Traffic Taper
30 m (100 ft) MAX
Typical Application 10
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NO EXCISE
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RETURN ADDRESS:
Thomas F. McDonough
510 Bell Street
Edmonds, WA 98020
IYW �VIYV WW N1V��II�IWUN �IIdIN
10111017 9:29am FABS-00
DOCUMENT TITLE:
REFERENCE/RECORDING NUMBERS OF
DOCUMENTS ASSIGNED OR RELEASED:
(if applicable)
NAMES OF GRANTORS:
AND GRANTEE:
PAGES WHERE ADDITIONAL
NAMES ARE LOCATED:
Easement for Underground Cabling
THOMAS F. McDONOUGH and
MONICA M. McDONOUGH, husband and
wife; and
BRIAN BROCE and LISA BROCE,
husband and wife
FRONTIER COMMUNICATIONS
N/A
ABBREVIATED LEGAL DESCRIPTION W 5 ft. of:
(Additional legal is on page 1 of the document.) (1) Ptn Lot 8, Lots 9, 10, Blk 58,
Meadowdale Beach, Vol. 5 p. 38; and
(2) Ptn Lot 11, Blk 58, Meadowdale Beach,
Vol. 5 p. 38
ASSESSOR'S PROPERTY TAX PARCEL 005131-058-008-01
NUMBER OR ACCOUNT NUMBER: 005131-058-009-00
005131-058-011-00
Lots 8, 9 and 10, Black 58, Plat of Meadowdale leach, according
to the plat thereof recorded in Volume 5 of Plats, page 38, records
of Snohomish County, Washington;
Except the north half of said Lot 8; and
Except that portion conveyed to City of Edmonds for 751h Place
West by deed recorded under Auditor's File No. 90101 10126;
Together with the westerly one-half of vacated 74`h Place West,
which would attach by operation of law pursuant to City of
Edmonds Ordinance No. 2797 recorded under Auditor's File
No. 90101 10127;
Together with the westerly 11.0 feet of the easterly one-half of
vacated 74'h Place West in the City of Edmonds, Washington,
between the northerly boundary, as extended easterly, of the south
half of Lot 8, Block 58, and the southerly boundary as extended
easterly of Lot 10, Block 58, said plat of Meadowdale Beach; and
Together with an easement for ingress and egress as granted by
quit claim deed and easement recorded under recording number
9010120365, records of Snohomish County, Washington;
Situate in the County of Snohomish, State of Washington.
Tax Account No. 005 13 1-058-008-01
005131-058-009-00
The Broce property is located at 16131 75`' Place West, Edmonds, Washington
98026, legally described as follows:
Lot 11 in Block 58 of Meadowdale Beach, according to plat
recorded in Volume 5 of Plats at page(s) 38, in Snohomish County,
Washington.
Together with that portion of vacated 74th Place West adjoining or
abutting thereon, which upon vacation, attached to said premises
by operation of law, pursuant to City of Edmonds Ordinance
No. 2797 recorded under recording No. 90101 10127.
Except any portion of subject property lying within as built 75th
Place West as deeded to the City of Edmonds by document
recorded under recording No. 90101 10125.
10. Notices. Any notices or demands permitted or required hereunder shall be in
writing and delivered either personally or by certified or registered mail addressed to the address
set forth on the signature page or such other address as the parties may designate in writing. All
notices shall be deemed received on the date the postmarked is affixed by the United States
Postal Service.
DATLD this _ `day of A41��4'x-
THOMAS F. MO )
MONICA M. McDONOUGH
Address 16115 75"' Place West
Edmonds, Washington 98026
S'1'ATE OI' WASHINGTON )
) ss„
COUNTY OF SNOHOMISI-{ )
, 2017.
BRIAN BROCE
LISA BROCEITITIT
Address: 16131 75`h Place West
Edmonds, WA 98026
On this day personally appeared before me THOMAS F. McDONOUGH and
MONICA M. McDONOUGH, to me known to be the individuals described in and who executed
the within and foregoing instrument, and acknowledged that they signed the same as their free
and voluntary act and deed, for the LISCS and purl.11oses ther "in mentioned
������ w
�!�+Mler my hand andrI"deil seal tls . . w„ clay �aI 2017.
be 01 A,t y. ✓IFS' AMA, AYPM
LLIC
i`lO 1fginand
� for the State of Washington, s sidin at
0 F
R-`&4l.... My Appointment F,xpires: l
' 7IINGTON )
) ss.
COUNTY OF SNOHOMISH )
On this day personally appeared before me BRIAN BROCE and LISA BROCE, to me
known to be the individuals described in and who executed the within and foregoing instrument,
and ack � they signed the same as their free and voluntary act and deed, for the uses
and l� ,f
w t icaned.
,�
� 1 1 and and official seal tha w" _ day of mm 20I T
00
sea 11 � mm! J ,' l for the 'tale of Washington, residing at
WA S"V 1 I I 13 1� in and My Appointment Expires: ,
4
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