19900 89TH PL W (2).PDF111.111111111
8596
19900 89TH PL W
APPLICATION
for
Tho City of Umonds tE Sll1)Z SEWER M&BUT EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS 0
......... ------ 4. P . R M IT
OWNER .. ... A/1 ....... ................................ CONTRACTOR 4.�-4.W.W . . .. ..... . S.L.
ga, .f LEGAL DESCRIPTION: LOT No . ..... Lp ..... ..........................
ADDRESS �t .......... f .... ..... .... .. ....... ....... �l � ........... ... q 17 BLOCK No . ............................................
NAME OFADDITION ME ... 1� . ............................
I A-1
"til
-z
-/.r,'--4
APPROVED
MAY 12 1970
Approved:
DATE47z�r-�� .... ...... ..... . . .. 094 ----
NOTICE:
.-ranty ... 0 T Uk, U. -F
'0 w*a r
the attached
The -information shown on
map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants.
Th,.e City of *Edrn.onds does - not * warrant the
accuracy of anything set for * th on these
m a p (�). A n . y person or entity 'requesting a
copy should conduct an independent
orm - ation shown, or
Inquiry regarding the inf*
t-He -Map(s), including, but not limited to,
-er stub shown. Sud
the location of any sew
sewer stubs may or may-. not e.xist and may
or may not exist at the location shown.
Neither the City of EdmoinClis nor its
tomp-1-o-yee's o*r offi-ce-rs -sh-a-1.1 be 1--ia-b-11'.e for the
information given' on this map(5), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT - Call PROSPect 6-1107 when work
:s ready for Inspection. (No Inspec.
SIDE SEWER PERMIT tons Saturday, Sunday or holldays.) N? 3713
ADDRESS ............................... 1 90
OWNER ----------------------- �Kr,. -9 ...... Q ......... 89-th --- Ual;* --- we�st ............................ . .............................................................................
_jjCFcjdden
............. ........................ CONTRACTOR .......... Jy
.=.WQQd ... S.Pwer..
Permission is granted ........ May.--.0 ......... ........... 197Q ... for ........ .................
...... days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not Cover any Portion of sewer before it has been inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when You get permit.
NOTE No. 3—Top of side sewer must have at least 30 Inches coverage at property line and 12 Inches Inside property line; minimum grade of 2%.
No bends in grade sharper than % will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be sponsible for
failure due to Improper work which may develop within one year Of completion. re
NOTE No. 5--It is unlawful to alter or do any other work than Is provided for In the permJt, or to do any work on the main sewer or its appur-
tenances except to Insert the pipe Into the wye.
CITY OF EDMONDS
PUBLIC WCPJM — EMINEERIM
ACTION REPORT
STREET FILE
01
SUSPENSE DATE:
Date:_.. Time: File #
Attachments:
SUBJECT:.
N? 1946-
=Yes
j2fgNo
REQUESTOR: AM.:
ADDRESS:
PHONE:
REQUEST RECEIVED BY: N,�
TELEPHONE / /T�
CONTACT IN OFFICE Z�j 1_2
OTHER: &
RECEIVED BY:
Pni[TP Trl-
MM
MM
All Concerned Notified
Action Completed/File Die.
'I
0 35-7
City of Edmonds Permit No: Mcz�kn
RI�HT-OF-WAY CONSTRUCTION PERMIT Issue Date:
A. Address 01 Vicillity of Construction: 19900 89 PL W
fic):
B. Type of Work'(be speci . PERMISSION IS REQUESTED TO INSTALL A L-1/4"PLASTIGMAIN TIE IN FROM.
±27'N C/L OF 200 ST SW AND ±16'W C/L,OF�89 PL W*"'CONTINUE'NORTRITO THE ENB OF
MAIN AT t311'N`C/L.' TO'SERVE'TARGET-19900 89 PL W
PUGET SOUND-ENRRGY
C. Contractor: -L
Mailing Address: 1122 75th ST SW
State License #:
D. Building Permit # (if applicable):
,� I—
E. n Commercial
F] Multi -Family
INSPECTOR
e
F. TANENItNT:1
CONCRETE CC
YE!J
El
Subdivision
NO
N6'
Contact:-. DOUG USITALO
Phone: 425-356-7520
Liability Insurance: Bond:
Side Sewer�Permit # (if applicable):
City Project EJ EUC (PUD, GTE, PSE, CHAMBERS, OVWD)
G. SIZE OF CUT x H. Charge: $
IDEMNITY. Applicant -understands by'ffi�IhJ signature to this application helshe hold�. the City of Edmonds harmlessfrom injuries,
—di;�nages 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
attorneyfees by rSason ofgranting this permit.,
THE- �ONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERJALS 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
COMPLETE DBYCITYFORCES, AT WHICHTIMEA DEBITOR CREDIT WILL BEPROCESSED FORISSUANCE TO THEAPPLICANT,
+ 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.
# Restora tion 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.
IHAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THATIMUSTMAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS
Date:
(Contractor or Agent)
CALL DIAL-A-,DIG.,(1r800-424'5555) PRIOR TO BEGINNING WORK
C ITY USE ONLY
Jilffik
Approve r orn Vl\ Right-of-wayFee:
'o 4zed: Voi Jifter JU 00
Time Autho Disruption Fee/Fund I 11:
cial CQn'ditio6i': Nkfcwrtfnt-� 5� CL!e Lftk,�Restoration Fee:
�-Tlm arn�m LX7, Wrr5-_-& TotalFee: ::Z� 5
c— nx,00L Receipt
�Vlovl .6.4 _01� I (MJ Issued
h Z
smy.
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONA;S,
U4.,.
COMMUNITY DEVELOPMENT CODE.
A
FINAL 9PBRO VAL OF PERMITTED WORK:
INSPECTOR'S & IRE DATk:
For inspection requirements see Engineering Information Handout.
I
NO WORK SI-IAIA, REGIN I"RIOR 1'0 PERNIIT ISSUANCE
PUG ET
SOUND
ENERGY
19900 - 89 PL W
Order # 107009861
Date: 9/20/2000
N
I
WorK to begin +/-271'N c/l
of 200 ST SW & +/-16'W c/1
of 89 PL W. continue North
to +/-311'N c/l
Signs & cones to be moved
per progress.
200 FT
<R> <0>
125 FT
TRUCK WITH
FLASHING 0 WITH
TABLE A BEACON Rt <S>
SPEET
(MPH)
TAPER LENGTH
(FT)
CONE SPACING
ALONG TAPER
(FT)
OFFSET WIDTH_
10,
12'
25
105
125
25
30
150
180
30
35
205
245
35
40
270
320
40
45
450
540
45
NOTE:
1. FLASHING BEACON SHALL BE
INSTALLED AT EACH SIGN FOR
NIGHT-TIME USE.
2. DISTANCES MAY VARY AS APPROVED
BY THE ENGINEER.
3. FLAGGERS REQUIRED TO CONTROL
TRAFFIC WHENEVER THE CONTRACTOR
MUST INTERRUPT TRAFFIC FLOW.
4. SIGN SIZE PER MUTCD.
WORK AREA
3:
0
TRAFFIC CONTROL PLAN
City of Edmond
Submitted by:
Juliano Nguyen
Engineering Planner
425-290-7026
007FT
2+00FT
ONE LANE
ROAD
AHEAD
200 FT
ROM
ONSTRUCTI
AHEAD
F 9
LEGEND:
0 CONE OR CHANNELIZING DEVICE
(SEE STD 702)
501
PKOP. 5/6" F2�- 6
i
6NO MA I N
31 I'N
MP�- 119 MAIN
I 6'W
/ill 66KV I G6 f E�E�
27 1 'N'
I 6'W C�,
60M -�-272-1\1
5
1200 6w
NOTES: The City of Edmonds
fl6l,�O tOGAfl� ALA, UfILIfIf6)
GALA, 24 HOURO WOR6 0166INbs 1-600-421-5555
2. 6URV6Y 16 NOf R60UIR60.
3. MA I Nf A I N A M I N I MUM Of 5' HOR I ZONTAL, ANO 3' VORf I GAL,
GL,6ARANG6 f ROM A1,11, 0 1 f Y Uf I L, I f 166 ANO AFFURf ONANG6
4. GUfS IN PAVIN& AR6 6HOWN A6 0
5. 0 GUf 6, 1 N FAV I N6, ANf 10 1 FAT60.
6. FROJ60f MANAbORt VOU6, U6IfA1,O 425-356-7520
GAS
MAIN
INSTALLATION RETIREMENT
WLI
ID
SIZE
LENGTH
TYPE
MANUFACTURER'
W26
GAS MAIN PRESSURE &TESTING
TYPE
TEST:
PRESSURE;
TESTED —BY:
DATE
ON:
/ /
TIME ON:
DATE OFF: / /
TIME OFF:
DATE
ON:
/ /
T I ME ON:
DATE OFF: / /
TIME OFF:
DES I GN:
PSIGISYS
MAOP:
PSIG,
CALL 1-800-424-5555
2 BUSINESS DAYS BEFORE YOU DIG
TWIc, 4Z,1(r7Trw KInT Tn DC DCl T[7n 11-1 - --
REAL ESTATE/EASEMENT
PERMIT
60MON06
4
3
FUNCTION
CONTACT
PHONE NO
DATE
2
PROJECT MGR:
0. U6 I rAL-0
025) 356 —7520
09/ 1 �5, OC
1
APPROVED BY:
REV#
DATE
BY
DESCRIPTION
ENGR — GAS:
COUNTY
15NOHOM16H
7-MER SEC
WorK Center
N6NH&
DRAWN BY:
J. N&UY6N
K25)290 —7026
09/16/ 00
REVISED BY:
1/4 SEC
NW — 19— 27— 1
OP MAP
160.066
PLAT MAP
162.066
APPROVED BY:
V
FOREMEN stl :
U—MAP4 (POWER)
C I R MAPtt
CIRCUIT#
FOREMAN *t2:
MAPP I NG:
JOINT FACILITIES ARRANGEMENTS
UTILITIES
CONTACT
PHONE#
PUGET M170 112 MA I IN WONS I ON
SOUND fo 61�Kvo:
ENERGY 19900 - 89 17t, w
INCIDENT#
DRAWING#
SAP SUPERIOff- —ORDER#
107009861
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