Najib Short Plat ROW Permit Application��.V LP,tIr-;.
ANC. 189 U
RECEIVED
MAR 24 2021
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
ROW PERMIT NO.: ENG 2020-0157
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: Najib Short Plat
CONTRACTOR: Quantum Homes, LLC
Mailing Address: 1226 169th PI SW Lynnwood, WA 98037
CONTACT: Sukhchain Sandhu
Phone #: (206) 899-8893
Fax #:
State License #: Email #:
QUANTHL806BW ken_ sandhu a�yahoo.com
City Business License #:604-423-135 ❑X Liability Insurance X❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 7901 240th ST SW
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ® 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?
ANY ASSOCIATED PERMITS?
❑ Yes ❑ No
B L D # ENG# ENG2020-0517
DESCRIPTION OF PROPOSED WORK (Be Specific) :
Proposed work includes saw cutting and removal of existing asphalt and trenching for the installation of
4 new 1 " water services lines and 1 new 6" sewer connection. Work area will be restored per city
standards.
Work also includes the widening of asphalt along the property frontage and the construction of a new 20'
wide asphalt driveway approach to provide access to the project.
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES NO X Year:
PAVEMENT CUT: ❑X Yes ❑ No If yes, indicate size of cut: 55' x 53'
CONCRETE CUT: ❑ Yes ❑X No If yes, indicate size of cut: x
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + 5' LF X 127' LF
Alley 72 Hrs + LF X LF
SF
.25
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 statements and understand the permit requirements and acknowledge that I must
follow all requirem in rder fort ie permit to be valid.
SIGNATURE DATE 1
ontraetor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Department of Labor and Industries
PO Box 44450
Olympia, WA 98504-4450
QUANTUM HOMES LLC
1226 169TH PL SW
LYNNWOOD WA 98037
A
398
QUANTUM HOMES LLC
Reg: CC QUANTHL806BW
UBI: 604-423-135
Registered as provided by Law as:
Construction Contractor
(CCO 1) - GENERAL
Effective Date: 1/16/2020
Expiration Date: 1/16/2022
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STATE OF WASHINGTON
BUSINESS LICENSING SERVICE
Thank you for filing online
Our processing time generally takes up to 10 business days. Some endorsements may take more time for state or city
approval. You will receive your business license with approved endorsements in the mail. An updated business license
will be mailed to you when additional endorsements are approved.
Confirmation Number: 0-019-233-255 Filing Date and Time: 03/23/2021 03:39:06 PM
Payment Method: Credit Card ending in 3552
There is a 2.5% credit card convenience fee charged by a third party vendor.
Business Entity Information
Entity Type:
Limited Liability Company
Name of Entity:
QUANTUM HOMES LLC
AccountlD:
604423135-001-0001
Firm Name:
QUANTUM HOMES LLC
Endorsement(s) Applied For Begin
Edmonds General Business - 03/23/2021
Non -Resident
Fee Type Begin
BLS Processing Fee 03/23/2021
Third Party Credit Card Fee
End Count Fee
03/31 /2022 1 $50.00
$50.00
End Count Fee
1 $0.00
$0.00
$1.25
Grand Total: $51.25
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