21507 86TH AVE W.PDF8147
21507 86TH AVE W
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NOTICE:
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The -information 'shown on the attached
map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants.
Th.e City of 'Edmonds does not. wa rra nt the
y of anything set forth on these
accurac
map(S.'). Any person or entity -requesting a
copy should conduct an independent
orm-ation shown on
inquiry regarding the inf
tFe -map(s), including, but not limited to,
'C I -er stub shown. Such
the lo' at*on of any sew
sewer stubs may or may' not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
off ice*rs *,S)-h-a-1.1 be 11a.b.-I.-e for the
emplfo*yee's of
information given on this map(s)) nor for
ov'ded based
any one representation pr I
upon said map(s).
CITY OF EDMONDS
Call FRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for inspection. (No inspec-
SIDESEWER PERMIT tions Saturday, Sunday or holidays.) N? 2729
ADDRESS---------------- 9.05 ... ..... 16.th --- Avenue ... S-out.h -----------------------------------------------------------------------------------------------------------------------
OWNER ....... S!mM1__A, ... XitchfW --------------------------------------- CONTRACTOR ----------- Owner
---------------------------------------------------------------
Perrilission is granted .......... February. ... 196-8., 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. I —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 responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. 5--It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or Its appur-
tenances except to insert the pipe into the wye.
APPLICATION
FN-F for
The City of Edmonds SIME SEWIM PFXP"r
NEW CONSTRUMON C] RKPAMS 0 (01
--- ---------------------- COISMIACTOR .............
...............
ADY....... .......... .................... LEGAL DESCRIMON: LOT No .....
NAME OF AMMON ...............
k
EASEb(ENT No.
........................... PERNaT No.
......... BLOCK No . ...................
107 1 1 r "d I
APPROVED BY PLANNING
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Sotba Actual
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%. CENTERLINE OF 86TH AVIftEST—l—�
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SEP 17 2012
HALL RESIDENCE
DEVELOPMENT SERVICES CTR.'
CITY OF EDMONDS
21507 86th "ENUE WEST; EDMONDS, WA.
PARCEL # 00561100000800 DATE: 09/15/2012
STREETRE SHEET I OF I
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NOT TO
SCALE
Pilchuck Contractors, Inc.
Job #107013775
A 31 July 02
Sheet 1 1
J. Buss
.00, National Barricade Co
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t6w-OM
Notes:
1. All signs and spacing shall conform
to the MUTCD and City of Edmonds specs.
2. Work zone is 400'slo Bowdoin WY h
& 14" e/o cA 86 AVE W
3. Flaggers will control altemating
one-way traffic.
4. Alert affected residents
5. Channelizing devices are 28" cones.
6. Tapers will be 50'- 100' and must
contain at least 6 devices.
7. All signs are 48" x 48" B/O
unless otherwise specified.
Go
216 ST SW
100Z
CKANNEUZING DEVICE SPACING (FEET)
TAPER TANGENT
20 40
IU
7A
LEGEND
DM WORK AREA
28" TRAFFIC CONE
TRAFFIC FLOW
-7
OTnl!rT r1l r
Cit, of Edmonds Permit No:
RIGHT-0 .,'WAY CONSTRUC - TION " PERMIT issue Date: 15-
A. Address or Vicinity of Construction: 21#07 AV. W-
'PERMISSION IS REQUESTED"10,10STALL 37'-OF 2",GAS MAIN 14'E OF C/L
B. T
Ongof Work (SbTescific
8 T N8
AV. W FROM 334'S AND ENDING 42 1 OF,,(;!L AJF .bUWD114 WAX
11 Jr
PER JOB #107013775
C. Contractor: PSE/PILtHUCK CONT Contact:SUE SIDIPKI 9111PPAT-TI NESS
Mailing Address: 13330 8TONE AV N Phone: 2060418=4239
PILCHCIIOIM&
State License #: Liability Insurance: Bond:
V
.D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):_
E. n ;Commercial El Subdivision' F1 City Project E] I�UC (PUD, VERIZON, PSE, AT& T, OVWD)
Multi -Family Single Family El. Other
I
Q 7 VAI
INSPECTOR:
F. =NT CUT:
TE CUT:
[-I YES ONO
0 YES 0 NO
G. SIZE OF CUT
INDEMNITY. Applicant understands by his/her signature to this application helshe 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
Edmondi -or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense
costs and.attorneyfees by reason - ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP, AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOW7NG, THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICHTIMEA DEBITOR CREDIT 97LL BE PROCESSED 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.
* 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
IHAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THA TIMUSTMAKE THE PINK COPY OF THE PERMITA VAILABLE ONSITEATALL TIMES FOR INSPECTIONS
Signature: Date:
(Contractor or Agent)
FOR CITY USE ONLY
.Approvedby: Right-of-wayFee: '110+'G'
Time Authorized: Void After- 10 14; / 02� Disruption Fee/Fund 111:
Special Conditions: RESMIeF R64) PER Restoration Fee:,
kamp,E QhMjf,�IAOWAPE Tb t4 Kt X- Total Fee: _71��
gelM M�DMI-J_S 11NER0, ED OROL All FPOVGD Receipt No:
Issued by: -110
UPONCOMPLETJON. F-Pl�4R-M-1�-Tt-TE-.D�WORK-:,,�A-N-ENGINCERING,:FlNAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODEJPhone 425-771-0,220, Ext. 1326)
FINAL APPROVAL OFPERMITTED WORK. a4,,, -,,kws job uiTrp1ckl,#( DATE: W17W07
Inspector'� Signatur� /0 -z
9/2q
Fo r inspection r equirements see Engincering'Inspection Information handout.
L------------ w.
DAMy Documents\Forms\Eng�g\ROWpermit—.doc
a 20D
C%&
TIE-IN
FUSE
334'S CL & WE CL
(— -)S CL
(—')E CL
PROPOSED 87'
2" PE IP MAIN
WE CL
(---')E CL
co
EOM
2" PE CAP
421'S CL & 14 *E CL
( --- 1)S CL
(—')E CL
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
AND GAS 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 LEAD WIRES AS REQUIRED PER PSE GAS
STANDARDS PROCEDURES P0201 AND P0303 AND PSE GAS OPERATING STANDARD
10.2. TEST LEAD 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
e I$
0150.3200 TECHNIQUES FOR TEMPORARY EROSION AND SEDIMENT CONTROL AND
%9 0 ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
do* 4rk 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.
\4) 2L
14. SYSTEM MAOP DENOTED BA SYSTEM MAO'P = 45 PSIG.]
CY,
C-*)
9
50'
R/W
FPTER (CHECK BOX IF COMPLETE)
Work area left in Clean & Safe ondition El
Complete (311 Pipe Tables and Gas Pressure Stamp 11
Fieid changes Red —Lined on as —built El
Materiial verified and Changes noted on paperwork El
All Valve & Tie—in Locations noted on as —built El
Note beginning of Main, EOM & . Line- of -Main locations
Show Rope Locations & Cul—de—sac Radius
Foreman's Signature
Company
Employee 10#
GAS MAIN INSTALLATIONIRETIREMENT
Type/Work
Pipe Size
Type
Estimated
Length
Actual
Length
Manufacturer
INSTALL
2"
PE
87'
GAS MAIN PRESSURE & TESTING
TYPE TEST
DAT E ON
TESTED BY
ToME ON
DATE OFF
TIME OFF
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF
TIME OFF
,Design Press 60
SYS MAOP 45
PROJECT PHASE
NOTIF#
ORDEIR#
(a
4
SAP Superior
Service/Meter
Service/Meter
Service/Meter
Service/Meter
Ind. Service
Ind. MSA
Dis. Reg. / FT
HP SvcfMSA
Relocate
Re irement
X203331571
107013775
X715019831
106089084
Contractor: CONSTRUCTION COST CODES:
021403-1 1 1 1
Project Manager Contact Information:
PATTI NESS
425-327-2783
REV# DATE BY DESCRIPTION
3
2
1
COUNTY EMER SECT
SNOHOMISH 6
1/4 SEC OP MAP
NW-30-27-04 164.068
Vicinity Map
Ownerl Developer Contact Info
ELIZABETH HALL
507 86 AV W
EDMONDS, WA 98026
ArFN:EUZABETH HALL 206-418-4237 office
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES
REAL ESTATEIEASEMENT PERMIT
NIA EDMONDS
FUNCTION
PROJECT MGR
ENGR-GAS
DRAWN BY
CHECKED BY_
GAS WK CTR APPROVED BY
MNSNHG FITTER #1
PLAT MAP FITTER #2
164.068 MAPPING
JOINT FACILITIES ARRANGEMENTS
UTILITIES
CONTACT
PHONE#
PUGET
SOUND
ELIZABETH HALL
ENERGY
21" PE IP MAIN EXTENSION
21507 68 " W, EDMONDS
DESIGNED BY PILCHUCK CONTRACTORS INC.
CONTACT
PHONE
DATE
P.NESS
206-418-4237
7126102
P.MCGHUEY
206-418-4214
7/26102
P.NESS
206-418-4237
P.NESS
206-418-4237
SAP Superior Order
107013775
SCALE: IPAGE
I"=50'1 Ill