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1505 8TH PL S.PDF1505 8TH PL S --:'� WATER-`SEW+EFLDEPA•RTM'ENT PEfR1VI�IT Cali:776 2628,• for side, sewer.,,inspecttons, IIFFORE covering any , portions of,. the 'construction:,), ors'=aftqustOan or'holey inapectiosi�Inspetionr wiii,be ' ' cADDRESS LUCATIQN •OF CONSTRUCT%ON ..... -1-!� : -^j. ........... "�-.......................EA ..::...? ......:�.� .. ......... ... PROPERTY,.LEGAL.IDESCRYP,.TLON.:,.. ;....,._. ..!..a 5 ��•- ... OWNER''AN'D/OR BUILDER ...........�..�..... l .1..... a - ...... ................................. x . g - r--.. QONTRA&OWS NAIVIE ;& "DRESS''............:....:.: -•-c'" � ;.. Permission, is granted L�t +1 �� for repair and/or connection -of a side sewerto the city sanitary` sewer , t. t s In accordance with City of Edmonds ordinances. • 1 A�NTION:I$ CALLED TO�•THE FOLLOWING:, 1 - NOTE No: 1—The owners,'of -the :pi operty- ;may, obtain. a' permit tc -construct', sewer inslde' property line:.,A <Ucensed Side=Sewer Contractor must'be,:employed 10 ,construct, - 'stdc aewer•In,*reet area. Do not cover, any portion, :of. --sewer before'it"has been, Inspected 'NOTE No., 2—All �4ork performed `in'rclty,riglit-of-way-requlres,ian Invasionjrof R.�ght,=of-W.ay`Permit,,otifainable from the City, Engi'neer'sr�office •NOTE^No': 3=Obtain'fulll',lnformationT regarding,•Ordinance- 11-18'.030 tandl �Regiilationsr !governing,aide•:sewers ,vihen;,you; get .permIC. NOTE No::4—Top .of aide` sewer muaf 'have at least .30; inches ,coverage ,at<property;; dine% and,'12,1nches. inslde,)property'%line;; minimum..grade' oP :2 / . , No bepds:'im, grade ;sharper than 'A will tbe, permitted'.. NOTE No. 5--,Trenches, in' street mu`sf .be wefer,settled, and surface•:of :street, restoredi..fo;•orlginali�condition. .Contractors 'shall lb 4responsIbI6 for failure due ,toi•improper. • ," work•'which may develop withimone year of �completlon. ;.. ,NOTE No. B=It his uNawfull to alter or -do. any :other .work tnan'ia provided,,for im`•thel•permit,-,or'..to'do-.any work ow'the maln: sewer, or.its:appurtenances except .tooin-:-, sort` the' pipe intmahewye.. ' DISAPPROVED ;p� atey Date s By, Date By 41� 0 ;APPROVED rate...... Cf//....: By ••-,......• ..................... . .. Remarks.........................................j. . ... . . BOTH+ Perinit`Coples:MUST-Be ;.Sighed By. Qwnen,ofsFirm' 'Performing Construction PRIOR To R,equ'est For Inspection I' �• .....:.:. hereby -certify that the side sew.'er Installation constructed un'd'er th>s permit (O er of Contracting •Firm .erfcrming onatructfonp installed in' accordance -with a7l,goyerning ordinahces,of',the City, of'Ed'monds.. ; Datedi'this.......... :::aayF.of ..... ......... ,`.:19i...:...• Check.BEFORE you dig fora Water • Gas4 Teiephone .`Power Sewer 0 O,ther �r -,1,/ • a The City of Edmonds APPLICATION for SIDE SEWER PERMIT EASEMENT NO. ____........................................ NEW CONSTRUCTION REPAIRS ❑ LID �NO- ---`ECG---ASMT. NO___________________ OWNER .__ PH_11_....... ---------------------------------------- CONTRACTOR --?. -----. M---- C 1J-T iz.-,G.TUI�S PERMIT JOB ADDRESS _ 1SOS — 8PLL,CE SOUTH LEGAL DESCRIPTION: LOT NO. _______�__ g__________________ BLOCK NO. _.___-_.._._-___.__________._.._.._. AT A LdC !lC A T1T%TTTf'%WT T t ------------------------------------------------------------------------------------------------------------------- .-oved: APPLICATION for The City of Edmonds SIDE SEWER PERMIT NEW CONSTRUCTION 0 REPAIRS 0 --FtASEMFNT No . ..................... ................ OWNER--- Y ...... ........................................... CONTRACTOR ....... 0-t M-1 ................................ ......................... - PERMIT No. ADDRESS .... ..... .... ................ LEGAL DESCRIPTION: LOT No..- ----•---•----•---•-- ....... BLOCK No - -------------------------------------------- NAME OF ADDITION ---- I a MAY Pubk Works DaX a m 0/ Approved: DATE........... .................................... By — .................................................... City of Edmonds Permit No•:2 RIGHT-OF-WAY CONSTRUCTION.. PERMIT Issue Date:11-19-02-- A. Address or Vicinity of Construction: 1505 8 PL S B. T e of Work (bbe.�pecific)): PERMISSION 1S 'REQUESTED TO INSTALL NEW 2" P.E IP MAIN PROM 15 ST SW SOUTH TO 100 TO S .5 CONT C. Contractor: Mailing Address: 4 State License #: SUE SIDICK. Contact: Phone: 206-418-4239 Liability Insurance: Bond: $ . R. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision"" ❑ City Project ❑ EUC (PUD, VERIZON, PSE, AT& T, OYV VD) ❑ Multi -Family ❑ ' Single Family ❑ Other INSPECTOR: -•- .�`• F. PAVEMENT CUT: YES ❑ NO G. SIZE OF CUT X CONCRETE CUT: AYES ❑ NO INDEMNITY: Applicant understands by his/her signature to this application he/she holds the City of Edmonds harmless from injuries, damages or,rclaims of any kind or description whatsoever, for 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: THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL �. INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS b _ COMPLETED BY CITY_ FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. = i Traffic contr6F,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. 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 DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE THAT I MUST MAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS Signature: . /�.�-- `� Date: l O —y 1 ` D Z_ 3 (Contractor or Agent) Approved by: FOR CITY USE ONLY. �1 )� J W - eG i.0 Right-of-way Fee: Time Authorized: Void --After D / 0 / Disruption Fee/Fund 111: Special Conditions: G ` Restoration. Fe'e: Total Fee: ""'.o ` , tN05,13 ,�tL 1AftA�-'t �G,t W _l+l: to:,,•_Receipt No:.,.1. Issued by ' t(St21✓ 1�(lttil 10fG2 .n Ct ' iR l�S . ' 'l i SC "71 ' C A(G . ne. �nnnfi�rttdt�S. ��� C'��-�r���. �1,R• �A��,'�'cn . UPON COMPLETION OF PERMITTED WORK, AN. ENGINEERING FINAL, :. INSPECTION- IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS 1" COMMUNITY DEVELOPMENT CODE, (Phone 425-771-0220,'Ext. 1326) FINAL APPROVAL OFPERMITTED WORK: ' I of t- cx DATE: 10L'"a7 ,Inspector's Signature c1o1/ii�5 For inspection requirements see Engineering Inspection Information handout. DAMy Documents\Forms\Engnmg\ROWpermit_ doc N TIE—IN SVC TEE 201'ECL, 14'SCL __'ECL, ___'SCL 15 ST SW ll° CA 5 LLDW 2" STW IP 14-S (CP) T-- —6 61Er---- �I uIt .1 no u) b08 PROP 2" PE IP MAIN 20'ECL _—'ECL 2" PE CAPIE OM — .t20'ECL, *I 14-SCL 'ECL, 'SCL 50' R/W C0 R/W W i�-`co �100 uti e- 808 2" TRANS FITTING & TEST LEADS a 20t'ECL, 15'SCL __'ECL, __'SCL — PL 0 7 I PL PL 0 FITTER (CHECK BOX IF COMPLETE) STANDARD NCC GAS CONSTRUCTION NOTES: 1. FIELD LOCATE ALL UNDERGROUND UTILITIES. CALL "ONE— CALL" TWO WORKING DAYS PRIOR TO CONSTRUCTION, 1-800-424-5555. 2. ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AN^ CAS STANDARDS PROCEDURES MANUAL. 3. INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. 4. ANY CHANGE IN ROUTE, TIE—IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY PROJECT MANAGER. 5. COMPLETE "PIPE CONDITION REPORT" ON ALL EXPOSED EXISTING PSE FACILITIES. CHECK BOX ON REPORT FOR WIRE BOX (TEST LEAD) INSTALLATION. 6. INSTALL ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE. INSTALL ANODE AND TEST LEAD WIRES PER PSE GAS OPERATING STANDARDS 14.2 AND 14.5. 7. MAINTAIN CATHODIC PROTECTION FOR STEEL MAINS BY THE USE OF CONTINUITY BONDS OR OTHER MEANS DETERMINED BY THE PSE CORROSION ENGINEER PER PSE GAS .OPERATING STANDARDS 10.3 8. INSTALL ANODES AND TEST IFAD WIRES AS REQUIRED PER PSE GAS STANDARDS PROCEDURES P0201 AND P0303 AND PSE GAS OPERATING STANDARD 10.2. TEST IFAD WIRES ARE REQUIRED ON ALL TRANSITION FITTINGS. 9. REFER TO PSE GAS OPERATING STANDARD 6.8 FOR MAIN AND SERVICE COVER REQUIREMENTS. 10. MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 6.14, 6.17 AND 14.2 AND PSE GAS FIELD PROCEDURE P0816. 11. CUSTOMER PROVIDED TRENCHES ON PRIVATE PROPERTY SHALL CONFORM TO PSE STANDARDS. 12. EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPORARY EROSION AND SEDIMENT CONTROL AND ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS. 13. TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEM, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS SHOWN ON THIS DESIGN UNLESS APPROVED BY A PSE REPRESENTATIVE. 14. SYSTEM MAOP DENOTED B SYSTEM MAOP =45 PSIG. 15. COORDINATE INSTALLATION WITH CORROSION CONTROL: ED VOOGT 206-396-2799 GAS MAIN INSTALLA710NIRETIREMENT Type/Work Pipe Size Type Estimated Length Actual Length Manufacturer INSTALL 2" PE 100, _ _ GAS MAIN PRESSURE 4 TESTING _ TYPE TEST PRESSURE TESTED BY DATE ON TIME ON DATE OFF TIME OFF TYPE TEST PRESSURE TESTED BY DATE ON TIME ON DATE OFF ISYE TIME OFF Design Press 60 MAOP �'S PROJECT PHASE NOTIF# ORDER# a O SAP Superior Service/Meter Service/Meter Service/Meter Service/Meter Ind. Service Ind. MSA Dis. Reg. / FT HP Svc/MSA Relocate Retirement X496885421 107014517 I Contractor. CONSTRUCTION COST CODES: ( 021-163-1 I 1 r _1 REV# 3 2 1 DATE I BY I DESCRIPTION COUNTY EMER SECT Work area left in Clean & Safe condition ❑ SNO 5 Complete all Pipe Tables and Gas PressureStamp ❑ 1/4 SEC OP MAP Field changes Red —Lined on as —built ❑ SW 25-27-3 164.062 Material verified and Changes noted on paperwork ❑ All Valve & Tie—in Locations noted on cis —built ❑ Note beginning of Main, EOM & Line of Main locations ❑ UTILITIES CONTACT Show Rope Locations & Cul—de—sac Radius ❑ Foreman s Signature PHONE# ', ' PUGET SOUND I �ti��_. �`' Fl`` ENERGY Company Employee ID# Owner / Developer Contact Info VIRGINIA HOLLOWAY 15058PLS EDMONDS, WA 98020 OFFICE 425-775.3992 CALL (800) 424-5555 2 BUSINESS DAYS BEFORE YOU DIG THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES REAL ESTATE/EASEMENT PERMIT N/A EDMONDS FUNCTION CONTACT PHONE I DATE PROJECT MGR DOUG USITALO 206.418-4236 9.30-02 ENGR-GAS DRAWN BY PEGGY SHULL CHECKED BY DOUG USITALO !AS WK CTR APPROVED BY DOUG USITALO MCNSEG FITTER #1 LAT MAP FITTER #2 165.066 MAPPING JOINT FACILITIES ARRANGEMENTS DESIGNED BY PILCHUCK CONTRACTORS INC. VIRGINIA HOLLOWAY 2" PE IP MAIN EXTN 1505 8 PL S, EDMONDS 206-418-4253 9-30-02 206-418-4236 Na 206-418.4236 P Superior Order: 107014517 SCALE: IPAGE 1" = 50' 1 1/1