ROW PERMIT.pdfOy 1 I t 4r(
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CITY OF EDMONDS
121 5TH AVENUE NORTH -EDMONDS, WA 98020
r� PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT IT MUST BE POSTED ON JOBSI.TEE*
STATUS: ISSUED ENG20170254
RIGHT OF WAY PERMIT (]-,Single FarnikV)
Permit Number: ENG20170254 Expiration Date: 07/28/2017
Job Address: 609 5TH AVE S, EDMONDS Location:
APPLICANT CONTRACTOR
MIKE'S PLUMBING MIKE'S PLUMBING
2219 97TH AVE W 2219 97TH AVE W
EDMONDS, WA 98026 EDMONDS, WA 98026
(425)775-0201
LICENSE 4: MIKESPX99OKM EXP 12/30/2017
JOB DESCRIPTION
REPAIR WATER LIN E TO METER IN ROW. REPAIR SIDEWALK PER EDMONDS STANDARDS
A..",wSESSi;:ti') VALUE:
SIDEWALK: (OXO)
PARKING: ( 0X0 )
ALTA"Y i 0X0 "I
$0 00 PROPERTY AREA: 0
DURATION IN MONTHS: 0 FEE $0.00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
DURATION IN MONTHS: 0 FEE $0 00 YEAR OF OVERLAY: 0 FEE: $0 00
DURATION IN MONTHS: 0 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 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 ofgranting this permit.
THECONTRACTOR IS RFSPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE O FTHE 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 DIALGA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICE RIS OUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATTON IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED,.
BY
Printed: Wednesday. June 28. 201
DATE
❑ FILE COPY 0 INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
ENG20170254
• 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.
• 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 a result of construction activity are exempt fi•omthe noise limits
of ECC 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 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 of this pen -nit. 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.
INSPECTIONS
-------------
• E Traffic Control
• E -Sidewalk Pre -Pour
• E WATER SERVICE
• E -Engineering Final
PARTIAL INSPECTION DATE: INITIAL:NOTES:
PARTIAL INSPECTION DATE: INITIAL:.... ..................
NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
...______W ..............._.._
CITY INSPECTI❑N REQUIRED ON FORM
WORK PRI❑R TO POUR
EXPANSI❑N J❑INT
10' DUMMY J❑INT
d ° w v . d'' , +'
.r .. ., q4,
A
�2' MIN, u
10' D.C. 5' ❑.0
SAW CUT ACP A MIN.
OF 2' FROM EDGE OF
PLAN GUTTER,
FULL DEPTH 1/2' EXPANSION
J❑INT MATERIAL--\
5' TO 10'
-IIq— 2
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0 A , ,., d
IL
411
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" 9
UNDISTURBED EARTH OR
SECTION COMPACTED NATIVE MATERIAL
2' MIN. UNLESS OTHERWISE SPECIFIE
SAW CUT BY ENGINEER
2'— 5/8' MINUS CSTC
NOTE:
1. CONCRETE SHALL BE CLASS 3— 3000PSI
2. CONCRETE SHALL BE BROOM FINISHED
3. SIDEWALK THICKNESS SHALL BE 5-1/2'.
4. SIDEWALK THICKNESS AT DRIVEWAYS SHALL BE 6' THICK.
5. CURB AND GUTTER SHALL BE POURED SEPARATELY FROM SIDEWALK
6. CONCRETE SHALL BE SPRAYED WITH CLEAR CURING COMPOUND
OR SHALL BE COVERED AND KEPT M❑IST FOR 72 HOURS,
7. SAW CUT AND REMOVE ACP PAVEMENT A MIN, OF 2' FROM GUTTER
FACE TO INSURE ADEQUATE COMPACTION OF ACP AND GUTTER SUBGRADE
F. .. :. . •- N
REVISIONS STANDARD DETAIL
AF I'VtD BY DATE
[D.GEBERT 4/27/05 t CRETE SIDEWALK
GEBERT 04/2/07 IAT E SCALE two No.
Asa Cl 7/24/01 NTS E2.13