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ENG2021-0128 ROW PERMITOF WAY PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT 98020 1 1 www.cityofedmonds.gov Description: HWA POTHOLING FOR CITY PROJECT PHASE 12 WATER DESIGN ISSUED: 04/13/2021 Address: 121 5TH AVE N EDMONDS WA 98020 EXPIRES: 10/13/2021 Permit Type: RIGHT OF WAY Permit Subtype: RESIDENTIAL Parcel Number: 00434400100300 NAME TYPE NAME ADDRESS PHONE APPLICANT HWA Geosciences 21312 30th Dr SE, Bothell WA 98021 (425)774-0106 CONTRACTOR HWA Geosciences 21312 30th Dr SE, Bothell WA 98021 (425)774-0106 OWNER EDMONDS CITY OF 250 5TH AVENUE N, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00 ENGINEERING INSPECTION FEE $220.00 $0.00 RIGHT OF WAY STANDARD PERMIT FEE $330.00 $0.00 • REQUIREMENT TYPE NOTES TRAFFIC CONTROL 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 posession. RESTORATION 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 WARRANTY The contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the work. INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM 24 HR NOTICE REQUIRED INDEMNITY The Applicant has signed an application which states he/she holds 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 but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this permit. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW �j� Y� 4/13/2021 RELEASED BY DATE Printed: Tuesday, April 13, 2021 10:52:49 AM 1 of 2 KIRRMF WAY PERMIT City of • • • Edmonds•:• •ENG2021-0128 31 www.cityofedmonds.gov• • CONDITIONS CONDITION TYPE Easement and/or permission from adjacent property owner is required prior to entry or work within ADJACENT PROPERTY an adjacent property. It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in DAMAGE TO FRONTAGE City right of Ways or Easements to City Standards caused by or occurring during the permitted IMPROVEMENTS project. Alert affected residents and/or businesses prior to work start. Verify clear bore crossings. ENGINEERING OTHER Restore landscape to like or better conditions. Call for required inspections as noted. ESC REQ Maintain erosion and sedimentation control per City and SWMMW standard requirements. 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 HOLD HARMLESS issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance provision. Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:OOam to 6:OOpm on SOUND OR NOISE weekdays and 10:OOam and 6:OOpm 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. All utilities shall be located prior to any excavation. New locates shall be called for if at time of UTILITY LOCATES excavation, original locates are no longer identifiable. INSPECTION TYPE DATE RESULT NOTES COMPLETE E-7 RESTOR LIMITS X-2 ENGINEERING FINAL" Printed: Tuesday, April 13, 2021 10:52:49 AM 2 of 2 �V" RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal INC. I ay° Requirements outlined in If any field is not applicable to your project, write "N/A" instead of leaving blank. All fields required. Incomplete Applications will be denied. SECTION A General• Project Name C LolrvleM� — P�naSt 17— Site Address or if no s4 address use Property Address at NW corner of project area: G 0,,�,5 Associated Permits: BLD PIN I ENG Owner and Entity Name of Company Holding µ 0A ranchise Ordinance No: Point of Contact Title Address O f. 7 u i {"` /O City r State Zip Phone 2a6- 7°1-f-3174 Email m b I kWo. ca.Gd•+1 1 nown I I I I LU 0 VAGa W&A.-jai I I.., Wffl"_Kfa� Mill Name of Company Primary Name Agent Name Tide Title Mobile Address Email City State Zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: QZ (p 3-�.g Email State License No: ❑ Contractor verifies it is currently bonded C9/Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o.o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. Type of ••apply ❑ Multifamily residential ❑ Commercial r ity project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? e0ther, please specify: j f&X-Qc t_ 6" � 10­­4*��n-s- ❑ Utility Franchise Work associated with development (check one of the above boxes as weln ❑ Traffic Control Only (no associated development) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page I of 3 Updated 3/25/2021 Include an overall narrative description of the proposed work. Be specific and detailed: Describe infrastructure to be impacted, such as, poles, wires, conduit, utility mains, etc. Include whether this is construction, maintenance, or repair. Include description of proposed construction methods, (e.g., bores, trenches, overhead wires proposed, depth for underground utilities, etc.) . o a ..1 S A""'- Pasaw...r. {- Coce � •l- TL P . RIGHT-OF-WAY - CLOSURE - AREA _ - AL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF Alley 2 hours + LF x LF SF Parking 72 hours + LF x LF I SF SECTION B - If you are not a utility company performing work in the City ROW, s1d12 to SEM-ONC. Type of Utility Facilities 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details of Work to be Completed 1. Does the utility owner have existing overhead infrastructure in the area of work? Yes No 2. Will any equipment be added underground or above ground e.. pedestals, vaults etc.)? If yes, describe: 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? 4. Does the work involve rebuilding or relocating an existing aboveground utility system which connects a lot or commercial development to an existing underground common utility stem? 5. Does the work involve proPosed additions to an aboveground utility stem? If es: Are the additions for the purpose of serving new commercial development? Are the additions for the purpose of serving a single-family residential subdivision? Details of . to be Completed Does your project involve rebuilding or replacing utility equipment which currently serves more Yes No 6. than one lot or commercial development? If yes, answer the following questions related to project area, i.e. the actual area in which the ro'ect is proposed: 6a. Does your project involve wires/cables/lines? If yes: How many are existin ? I I How many are to be added? City of Edmonds ROW construction permit Application -Page 2 of 3 Updated 3/25/2021 6b. Does your project involve poles? If yes: How many poles are existing in the project area? What is the height of the existing poles? How many poles are to be removed? Are additionalpoles to be laced? How manv? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? I I What is the height of the poles after? Describe the modification rebuild: SECTION C Traffic Control and Public Safety. 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. Restoration shall 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. Insurance. The City may require the owner or contractor to provide proof of insurance acceptable to the City prior to any permit approval. Indemnification. The Applicant agrees to defend, indemnify, and hold harmless the City of Edmonds, its officials, officers, employees, and agents against any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, including defense costs and attorney fees, resulting directly or indirectly from any act or omission of the Applicant, its subcontractors, anyone directly or indirectly employed by them, and anyone for whose acts or omissions they may be liable, arising out of, related to, or by reason of the granting of this permit; and specifically including but not limited to all loss by the failure of the Applicant to fully or adequately perform, in any respect, all authorizations or obligations under the permit. These indemnification requirements shall survive the expiration, revocation, or termination of any resulting permit approval. Acceptance of terms, conditions, and requirements. Applicant accepts the terms, conditions, and requirements set forth in this Application and agrees they apply to any resulting permit and shall comply with them to the satisfaction of the City Engineer. Applicant further agrees to comply with the conditions listed on the Submittal Requirements; with all applicable city ordinances, including but not limited to ECDC Title 18; and with all applicable requirements of state and federal law. Statement of Applicant. I declare under penalty of perjury under the laws of the State of Washington that: I am a licensed and bonded contractor; the information provided herein is correct and complete; and I am authorized by owner to act on its behalf and have authority to bind the owner to this application. Fees. The Applicant is responsil APPLICANT SIGNATURE: APPLICANT PRINTED NAME: APPLICANT TITLE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 IF TWO 11' TRAVEL LANES CAN REMAIN OPEN, CONTRACTOR RESPONSIBLE FOR STREET RESTORATION. UTILIZE SHOULDER CLOSURE TCP (ATTACHED). CALL FOR INSPECTION. BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH (feet) 155 200 250 305 360 425 495 570 645 730 TABLE ATTENUATOR ROLL AHEAD DISTANCE — HOST VEHICLE 9,900 TO 22,000 lbs. HOST EIGHT > 22,000 lbs. < 45 5-55 MPH > 55 MPH < 45 MPH 45-55 MPH 1 123' 172' 74' 100' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED ONE LANE ROAD AHEAD 48" 48" W20-4 ROAD WORK AHEAD 48" W20.1 LEGEND '1(4FLAGGING STATION b TEMPORARY SIGN LOCATION D CHANNELIZING DEVICES PROTECTIVE VEHICLE BY SIGN SPACING = X (1) RURAL HIGHWAYS 60165 MPH 800, RURAL ROADS 45/55 MPH 500'i RURAL ROADS & URBAN ARTERIALS 35/40 MPH 350't RURAL ROADS, URBAN ARTERIALS, 25 / 30 MPH RESIDENTIAL & BUSINESS DISTRICTS 200't (2) URBAN STREETS 25 MPH OR LESS 100'i 2 (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERSECTIONS AND DRIVEWAYS. (2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. 50' TO 100' 6 DEVICE MIN I I R O AREA I x x x I50' TO 300' 48" • . I I of 48" I I z I 48" W20-7A � I BE y PREPARED wl z TO STOP Applicant shall repair/replace all I — I 48' damage to utilities or frontage improvements in City right-of-way W20-7B per city standards that is caused or W20.7B (OPTIONAL IF occurs during the permitted project. 40 MPH OR LESS) I OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROLAND DRAINAGE 59TO 100' 6 DEVICE W20.7B (OPTIONAL IF 40 MPH OR LESS) 48" 48' BE ROAD PREPARED WORK TO STOP AHEAD 48" 48" 48.. 48' . W20.713 ONE LANE W20.1 ROAD AHEAD 48" 48" W20-7A W20-4 ® C ENGINEERING DIVISION 48" APPROVED AS NOTED p04/13/2021 W20-7A ONE LANE ROAD A� W20-4 BE PREPARED > W20-7B IONAL IF 40 MPH OR(OPTLESS) TO STOP 48' W20-7B CHANNELIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50/65 10 TO 20 80 35/45 10 TO 20 60 25/30 10 TO 20 40 48' ROAD WORK NOTES AHEAD 48' 1. ALL SIGNS ARE BLACK ON ORANGE. ONE -LANE, TWO-WAY TRAFFIC CONTROL WITH FLAGGERS NOT TO SCALE 2. EXTENDING THE CHANNELIZING DEVICE TAPER ACROSS SHOULDER IS RECOMMENDED. 3. NIGHT WORK REQUIRES ADDITIONAL ROADWAY LIGHTING AT FLAGGING STATIONS. SEE THE STANDARD SPECIFICATIONS FOR ADDITIONAL DETAILS. 4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. City of Edmonds - Phase 12 plot Waterline Replacement Project rc�� Washington State Pavement Cores & Borings =H.E• Department of Transportation "F TRAFFIC CONTROL PLAN SIGN SPACING = X (1) RURAL ROADS & URBAN ARTERIALS 35 140 MPH 350't RURAL ROADS, URBAN ARTERIALS, 25 130 MPH 200't (2) RESIDENTIAL & BUSINESS DISTRICTS URBAN STREETS 25 MPH OR LESS 1001t (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERSECTIONS AND DRIVEWAYS. (2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. MINIMUM SHOULDER TAPER LENGTH = L/3 (feet) SHOULDER Posted Speed (mph) WIDTH (feet) 25 30 35 40 45 50 55 60 65 70 8' 40 40 60 90 - - - - - - 10' 40 60 90 90 USE A 3 DEVICES TAPER FOR SHOULDERS LESS THEN 8' BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH (feet) 155 200 250 305 360 425 495 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 lbs. HOST VEHICLE WEIGHT > 22,000 lbs. < 45 MPH 45-55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100, 123' 172' 74' 100, 150' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED CHANNELIZATION DEVICE SPACING feet MPH TAPER TANGENT 35/40 30 60 25/30 20 40 b 4 ® ® �¢ WORK AREA X X L/3 B R 50, 48' 41" ROAD WORK <WZOR ULDERAHEAD 48' W20-1 W21-5 NOTES LEGEND 1. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 20'(FT). K TEMPORARY SIGN LOCATION SHOULDER CLOSURE -LOW SPEED 2. ALL SIGNS ARE BLACK ON ORANGE. O CHANNELIZING DEVICES (40 MPH OR LESS) PROTECTIVE VEHICLE NOT TO SCALE FILE NAME S:\Desi n R P& SW-Standardsl2-Plan Sheet Libra 101-Published PSL\ TC Work Zone Traffic Control\ TC-5 Shoulder Closure - Low Speed 40 MP or Less)\TC-5.dgn Plot 1 TIME 2,59,41 PM —Tr FED.AID PROJ.NO. AmokRux Rv DATE 1/212018 Y�/� PLOTTED BY Ilddslf WAS �I/ TCS� DESIGNED BY Joe xo..ER ENTERED BY Washington State .... CHECKED BY coxTRnm x iounox "". Department of Transportation oR PROJ. ENGR. re " E TRAFFIC CONTROL PLAN REGIONAL ADM. REVISION DATE BY City of Edmonds Site 1 1-- 9 18121 8 11, a 1■■r = l i J 1,11 Q00.V M� —A.W (14 il Mounll., • Op N .— 8712 °° 1 1 Legend �� Hydrants 6 8, 8715 8711 8609 00 « Edmonds « Other PRV Valves EYi -I44 r _ OPEN 18218 ID 8 Cl � 8721 C re-� 05 LU �D > , 66�6 �1 18226 CLOSED ® Blowoffs r AirVac Fittings f 5-32A 04 8628 8616 ore-1 Edmonds Water v ■ COUPLING . BURIED VALVE �224 00 �' �■ 8770 86&i 18306 1 ' o DOMESTIC ^ OVERLAP B ALTITUDE VALVE I ( . C a _ 1823, O. J _ too °°Meter 1 o Fireline Water Mains Edmonds 18310 '/b 00 86 Private • ArcSDE.GIS.zNON CITY POINTS — — ArcSDE.GIS.zNON_CITY_LINES ArcSDE.GIS.WATER_SERVICE_BO �-1 Edmonds Water °° 18 I I Olympic View Water; Olympic View — Olympic View Water (Woodway) Legend o 0 Core-1 pavement Core Designation & Approximate Location � 1: 1,516 O Notes 0 126.30 252.6 Feet 188.1 This ma is a user generated static output from an Internet mapping site and is for 2,Z57 P� B P PP B reference only. Data layers that appear on this map may or may not be accurate, WGS_1984_Web _Mercator _Auxiliary -Sphere current, or otherwise reliable. © City of Edmonds THIS MAP IS NOT TO BE USED FOR DESIGN OR CONSTRUCTION City of Edmonds Site 2 12" DI 12" DI a /dam. n"CCl his7 ' > Legend 6 6• q Hydrants i8 ^ ,: i� �- - &i' m m m ro -. - « Edmonds C( Other PRV ■ .■ _ a = set Valves OPEN W1 V. Cl - II „ CI CLOSED - 6" CI o Blowoffs lz � Fittings Edmonds Wat eV < ■ COUPLING BURIED VALVE r • i 8" CI r 4^ e_10 ❑ DOMESTIC n OVERLAP 660 503, ' o o n c e m ALTITUDE VALVE ❑ Fireline ■� a d0 _ 6S4 fV Meter _ cc 6" CIEdmonds Water Mains 2t8" DIPrivate 3 5z5612_„ ' � ArcSDE.GIS.ZNON—CITY—POINTS — D 6t 1 0 - ArcSDE.GIS.zNON_CITY_LINES jl�"' Le got ArcSDE.GIS.WATERSERVICEBO - - Edmonds Water : - Core-3 pavement Core Designation & Approximate Location _ Olympic View Water, Olympic View Olympic View Water(Woodway) co BH-1 Borehole Designation &Approximate Location 1: 3,031O� Notes 0 252.60 505.2 Feet 4,514 376.2 This ma is a user generated static output from an Internet mapping site and is for P B P pp E; reference only. Data layers that appear on this map may or may not be accurate, WGS_1984_Web_Mercator_Auxiliary-Sphere current, or otherwise reliable. © City of Edmonds THIS MAP IS NOT TO BE USED FOR DESIGN OR CONSTRUCTION City of Edmonds WA4 . / kynmwoa 21010 cp� F6mond, 21 086 211101 21020 0 21117 21 21030 z M—Wke 21100 211 21117 Rim Legend 4,9 H 21102 Cc Hydrants 4K Edmonds 21222 121§L nv 21106 1 "DI 4K Other 12 12 or Valves 0 OPEN 212 21218 12 CLOSED 2 2 - 2 3 2 1133 212214 Es 00 21221 Blowoffs AirVac Fittings Edmonds Wa r 21 8821 21' 8440 21228 21 225 ■ COUPLING BURIED VALVE 8823 01 1� 6.7 DOMESTIC [I ore 18 21316 cc OVERLAP JE ALTITUDE VALVE 8815 r 11 ;7 2 14 1 ri Fireline Meter 1 H Water Mains ti Edmonds :'14 Private F. 2!417 LU 01 2 00 21417 • ArcSDE.GIS.zNON-CITY-POINTS ArcSDE.G IS.zNON-CITY-LI N ES > < -CA3 '05"Cl ArcSDE.GIS.WATER SERVICE BO 21421 W�. H b I 5VV Edmonds Water 121503 M Legend Olympic View Water; Olympic View Olympic View Water (Woodway) 21511 Core-1 Pavement Core Designation & Approximate Location 1:4,549 Notes 2151; 4" DI ft 0 189.52 379.0 Feet This map is a user generated static output from an Internet mapping site and is for - 573.1 reference only. Data layers that appear on this map may or may not be accurate, 1 Hydrant WGS-1984 Web Mercator Auxiliary -Sphere current, or otherwise reliable. C) City of Edmonds THIS MAP IS NOT TO BE USED FOR DESIGN OR CONSTRUCTION I 10'..' City of Edmonds Site 5 F I u2204 IV I 1� 183 5-32A � 5 32� ' I l7mnnood 7 ' 230 818" . N 00 ` 82 Mounl.r. 8720 Legend Hydrants 1 W 82 t S O O ��� - « Edmonds N T_ O 00 00 00 00 0 ^` « Other PRV 312 18306 Valves P 18310 O OPEN - — h19 834 CLOSED ® Blowoffs p AirVac O F r,� � co rn W N � N Fittings 9105 Ed onds W ter J 09; 00 00 00 Q 00 00 30 COUPLING wzoas 2 Ewzo• 2 Cl BURIED VALVE DOMESTIC DOMESTIC S _ 901 90 �q _ h h.1Q 00 - 5 27 18407 i ^ OVERLAP B ALTITUDE VALVE o Fireline 184 F 18 880811 Meter Water Mains •Edmonds . Private 9004 18417 ArcSDE.GIS.zNON_CITY_POINTS 18406 18407 O ArcSDE.GIS.zNON_CITY_LINES ArcSDE.GIS.WATER_SERVICE_BO 00 00 -14 Edmonds Water 18427 Legend 184 Olympic View Water; Olympic View Olympic View Water (Woodway) Core-1 pavement Core Designation & Approximate Location 1: 1,516 O Notes 0 126.30 252.6 Feet 2,Z57 188.1 This ma is a user generated static output from an Internet mapping site and is for P� B P PP B reference only. Data layers that appear on this map may or may not be accurate, WGS_1984_Web _Mercator _Auxiliary -Sphere current, or otherwise reliable. © City of Edmonds THIS MAP IS NOT TO BE USED FOR DESIGN OR CONSTRUCTION