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ENG2021-0160 ROW PERMITRIGHT OF WAY MINOR PERMIT PERMIT NUMBER City of Edmonds www.cityofedmonds.gov Description: REPLACING ASPHALT DRIVEWAY STORMWATER MANAGEMENT NOT ISSUED: 05/07/2021 REQD Address: 21719 97TH AVE W EDMONDS WA 98020-3955 EXPIRES: 11/05/2021 Permit Type: RIGHTOF WAY MINOR Permit Subtype: RESIDENTIAL Parcel Number: 00559700300500 NAME TYPE NAME ADDRESS PHONE APPLICANT JB ASPHALT PAVING INC 22228 95TH PLW, EDMONDS WA 98026 (425)774-6537 CONTRACTOR JB ASPHALT PAVING INC 22228 95TH PLW, EDMONDS WA 98026 (425)774-6537 OWNER ROWE HELEN J 21719 97TH AVE W, EDMONDS WA 98020-3955 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 RIGHT OF WAY MINOR PERMIT FEE $110.00 $110.00 REQUIREMENTS 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. RELEASED BY THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 5/7/2021 DATE Printed: Friday, May 07, 2021 4:24:19 PM 1 of 2 WAY MINOR .UM PERMIT City of • • • www.cityofedmonds. ov/425.771.0220 CONDITIONS CONDITION TYPE 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. 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. INSPECTIONS INSPECTION TYPE DATE RESULT COMPLETE X-2 ENGINEERING FINAL" Printed: Friday, May 07, 2021 4:24:19 PM 2 of 2 ROW PERMIT NO.: ENG ISSUE DATE: k� RIGHT-OF-WAY CONSTRUCTION cx PERMIT APPLICATION PROJECT NAME: Private CONTRACTOR: JB Asphalt Paving Mailing Address: 22228 95th P1 W, Edmonds 98020 State License #: City Business License CONTACT: Gage Heng Phone #: 509-860-4213 Fax #: Entail #: gage@J-0casphalt.com ❑ Liability Insurance rx-1 Bonded I ADDRESS OR INTERSECTION OF CONSTRUCTION: ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ -1 City Project Commercial D Subdivision F 0 Traffic Control (Only) ❑ "--f Multi -Family L!�J\ Single Family 7 RUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? I ANY ASSOCIATED PERMITS? El Other 7 Yes 7 No BLD9 ENG# A DESCRIPTION OF PROPOSED WORK (Be Specific): Acee­ )5 . &)'L' �" , - ! WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO ❑ Year:_= PAVEMENT CUT: 0 Yes ❑ No CONCRETE CUT: El Yes [I No If yes, indicate size of cut: X If yes, indicate size of cut: X rRIG=HT-OF-WAY CLOSURE AREA TOTAL DURATION (NUMBER OF MONTHS) idewalk 48 Hrs + LF X LF SF Alley 72 Hrs + 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 statements and understand the permit requirements and acknowledge that I must follow all requirements in order for the permit to be valid. SIGNATURE Cage Henry Contractor or Agent DATE 4/10/2021 NO WORD SHALL BEGIN PRIOR TO PERMIT ISSUANCE ENGINEERING DIVISION APPROVED AS NOTED Zoe� 05/07/2021 MEETING OR EXCEEDING 2,000 SF NEW/REPLACED IMPERVIOUS AREA SHALL TRIGGER STORMWATER MANAGEMENT. Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. MAXIMUM DRIVEWAY SLOPE ALLOWED 1'+0 /o OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO AMA - - UTILITIES MAY REQUIRE A SEPERATE PERMIT. r L Pc a �e DRIVEWAY APPROACH SHALL NOT EXCEED 24' WIDE AT STREET. ONCE 5' IN FRONT EDGE OF ROAD, CAN TAPER OUT.