21820 98TH AVE W.PDFiiiiii iiiiii
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21820 98TH AVE W
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STREET FILF City of Edmonds P
RIGHT-OF-WAY CONSTRUCTION
(Y 9 0 . 1 9 9 —
r][24MV11 JL Permit Number: 4YA — 1-5—'9
Issue Date:
A. Address or Vicinity of Construction: 21820 98 Avenue West
B. Type of Work (be specific): Install New Service
C. Contractor: -Washington Natural Gas Company
MailingAddress: 815 Mercer Street,
State License #: Seattle, WA 98111
D. Building Permit # (if applicable):
Contact: Frank Swan
Phone: 224-2278
Liability Insurance:
Bond: $
Side Sewer Permit # (if applicable):
E. Commercial [] Subdivision [:1 City Project ZX Utility (PUD, GTE, VYING, CABLE, WATER)
Multi -Family El Single Family F1 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut 0 Yes MNo G. Size of Cut: x H.' Charge $
APPLICANT TO READ AND�/s IT
INDEMNITY. Applicant understands and by his signature to this application, agrees 6,Aold"ihe City of Fdmond§ harmless from injuries, damages, or
be made f
claims of any jUnd or description whatsoever, foreseen or unforeen, that may against,,the City of Edmonds, or any of itsdrpartmenis or employ-
fense of any legal proceedings including defe
ees, including or not limited to the de 7i costs, a'hd auoi�ieyfees by reason ofgrad;�-� 10i
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TERIALS FOR AjPERIOD OF ONE YEAR FOLLOWING 7HE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA TED RESTORA77ON FEES WILL BE HELD &A�71 THE FINAL STREET PA T6fl 1S1C6MXETED BY
CITY FORCES, AT WHICH 7TME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202.
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City r6gtiNtions as required by the CityEngineir.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be available
on site at all timesfor inspection purposes.
Signature: MeMA"A., Date: May 27, 1992
(Contractor or Agent)
CALL DIAIA-DIG PRIOR TO BEGINNING WORK
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LoIR-14
R TO PERMIT
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund I I I - Ro'ute copy to Street Dep
Comments:
I Diagrarn:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved'By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. Ju
SAM
?-1620 C% #,� L/\)
Addendum- to: City, or Edmandst
Right:,. of way
Permit�Application
Submitted.by:. ;KArz*, wa-16 f_v_o,izP Wj,k�Alco
Engineering Aide -
Washington Natural Gas,
622.-6767 x2761
pager
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Z%fty
-w-. water -
Water main:.depth
urJmown-. -g- gas
-ss-sewer
gas. main
water hydrant�
815 M=a St. (RO. Box 1869),, Scanic.. WA 98111 (206) 622-6767,
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City of Edmonds.. Permit No:2225_-0/Z
RIGHT-OFrWAY CONSTRUCTION PERMIT Issue Date: _5 A0
A. Address or Vicinity of Co nstruction:
B. Type of Work (be specific): Ae4_0_C�5-1' .5; 02xec&-)
0./ _P
b
ycw -4- /OP�e -Z/9"Z6
C. Contract6 . 0A r ce-'s 4- L, L L Contact:
0
Mailing Address: 1_4�r2 5" 1541)" 5 W Phone:— 41 27 5G Z
24x)
State License #: U 09 Liability Insurance: Bond: $
&0 57 2-7 4
City Business License'#:.,-
bl Side SeWer Permit # (ifapplicable):'�
D. Building Perimift # (if�pplic_a;e
-E. F� Commercial El Subdivision F1 City Project X EUC (PUD, VERIZON, PSE, COMCAST, OVWSD)
F-1 Multi -Family Single Family F-1 Other
INSPECTOR: RALAJK i N Z A-Kc C-0 /"t F1
F. PAVEMENT CUT: YES NO G. SIZE OF CUT x
CONCRETE CUT: El YES NO
G. X Mail Approved Permit Call for Pickup
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands by hislher 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
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 reason ofgranting 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
COMPLETED BY CITY FORCES, AT WHICH TIMEA 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.
* 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) PR1'0R TO BEgINNING WORK
I HA VE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THATIMUST MAKE THE PINK COPY OF THE PERMITA VAILABLE ON SITE ATALL TIMES FOR INSPECTIONS
Signat. L/' Date:
F 0
CITYYUSE� ONLY
-Right &Wwf6e,
Approvedby �o
Time Authorized: Void After :�tjv DisrupoQii-.FO�IFiiii-d-�:1--i-'I'�-
Special, Conditions: RQLd"i= -grw, b7 'Atk /Z.-I )—lusptctio . n F ee,:-26 Xm r?a7i) -r*C'C
2 ;ZT.'
1A A k, .J v-Pf j��S,Totgl. Fee -
IC
F CV
44' YC�eceipt No
"n Issued,by: 4f a,,
-I- A
REQUIRED INSPECTIONS:
Call 425- 771-0220, Ext. 1326for a 24-hour
FINAL APPROVAL OF PERMITTED WORK:
plild'ed inspection request lin
DATE
Is Signature I
CADocuments and SettingsTurtis\My Documents\Fonns\Engnmg\ROWpermit_.doc Revised 10/01/03
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Comcast of Washington, LLC
1525 75th Street SW
Suite 200
Everett, WA 98203
Contact: Kermit Benson 425-263-5362
North Drop
40'
W
(D
E�
P Set
arson
Open trench in shoulder
of ROW for approx 17 ft,
bore sidewalk surfaces
for 10 ft, bore roadway
for 40 ft and set carson
to extend and bury
CATV service
APPROVED AS NOTED
BY ENGINEERING
61
Date:
S
E -A rl� -
q T P- W
N
NORTH NOT TO
SCALE
Node:
21820 98th Ave W - City of Edmonds
Work Details
Open trench in shoulder of ROW for approx 17 feet (m/1), bore sidewalk approx. 6 feet, bore roadway approx 40 feet (m/1)
and set carson to extend and bury CATV service drop to 21820 98th Ave W. Install cable at 36" depth.
All disturbed areas will be restored to existing or better conditions.
Backfill material will be mechanically compacted to 95% of maximum density as specified by the City of Edmonds. In tight
corridors hand trenching will be utilized to ensure protection of other utilities. Contractor must locate all existing utilities
impacted by this project. Please see attached plans for restoration, erosion control and traffic control. Erosion control will
consist of placing filter fabric fence and/or sandbags along curbs and catch basins where necessary. Keep drainage system
clean and functioning. Remove all debris from the work site. Streets and roads will be cleaned both during and after
installation of work.
ccomcast
PROJECT'S TIMELINE AND PROPOSED HOURS OF OPERATION:
Timeline - Up to 30-days past the issue date.
Work Hours -The entire project area will be conducted from 7:00 AM t 0 PM or
as specified by the Inspector.
Traffic Control Plans
1. The standards and guides of the latest version of the MUTCD or as set-up per
Code shall be followed at all times.
2. A copy of the Permit and Traff ic Control Plan shall be on -site with all
contractors during the project.
3. All contractors will avoid parking on sidewalks and shoulders and will take the
lane and follow the proper traffic control set-up for the given situation.
4. Pedestrian access shall be maintained through or detoured around all work
sites.
5. Please find attached the traffic control plans for the various types of work
sites that will be encountered during our project.
6. Flaggers will be used only when all other methods of traff ic control are
inadequate to warn and direct drivers. Only licensed flaggers will be used on
the project.
7. If situations occur when questions arise about proper traff ic control set-up the
solution will be determined in the field with the Comcast Construction Rep.
and the Inspector.
Er-o' si 6 h - Q 6- i i t rb
tiles
If curb and gutters in project area:
• Filter bags will be placed in catchbasins
downstream of work site, and
• Small check dams of pea gravel filled sandba,s will placed within the
.Utter upstream of the catchbasin.
Traffic control set-up for minor encroachment
Traffic control set-up for lane closure
space I � *:
1A
MIA
100,
space
0
Ne.,
1.111�'_"J. '. �"' I �� :;
Cl
RUC7: T
Depth, Cleaning, Containment,
Compaction, and Restoration
J41
T.1 1 .9�
-C
AT A. P o':.'..'
Depth =
36-inch minimum
-Compatible w/
other utilities
Shoring required
at 4-ft +
Pavement Cuts
1+
T-cut 1 -ft wider
than.trench
Neat -line saw -cut
or jack hammered
edge
co M,
All trench backfill shall be mechanically
compacted to 95 percent of maximum density
usin g 1-ft loose lifts with whacker or 2-ft loose
lift with a hoe pack.
If proper compaction cannot be achieved with the
native material, new import -material is required at
the 95 percent rate.
As an alternative, CDF can be used in a design
mixture approved by the Engineer.
I
Ccomcast
t
'04 hm
CLEANING: All Streets and roads are required to
be cleaned and swept both during and after the
installation work.
* Mechanical Vacuum is preferred method
CONTAINMENT: All un-restored shoulders or
material storage areas are required to be contained
with reflective barricades.
All disturbed areas shall be restored to
existing or better conditions
Trench parallel to road:
Shoulder - Match existing surface conditions
Pavement - 6 1/2 inches of crushed surfacing material
and asphalt concrete Class B at 2- inches minimum or
same thickness if greater..
Trench across road (immediate cold mix patch):
Asphalt - Permanent hot mix patch at same thickness
or 2-inches and sealed within 30 days.
Concrete - saw cut and pored with mastic joints, eight -
sack mix, either type II of III cement, within 30 days.
t
STREET FILE
CITY OF EDMONDS
PUBLIC WORIM — EWMEERING,
ACTION REPORT
N9 1684
SUSPENSE DATE:--- )-4�
Date: —Time:—A/9 File #
Attachments
SUBJECT:
REQUESTOR: NAME: /11?/",
ADDRESS:
PHONE:
REQUEST RECEIVED BY:
TEIEPHCNE
CONTACT IN OFFICE
OTHER:_
RECEIVED BY
PNITF Tn-
=Yes
=No
.
NMI
rM,
�
BE
MM
ACTION:
All Concerned Notified
Action Completed/File
( '0'r EET FILE
" Q,R
CITY OF EDMONDS
PUBIJC VCRKS — EMINEERING
ACTION REPORT
N9 1610 -
SUSPENSE DATE:
V
5 41
Date: Time: File #
Attachments: =Yes
SUBJECT: ('k-,
REQUESTOR: NAME:
ADDRESS:
PHONE:
REQUEST RECEIVED BY:
TELEPHCNE E�
CONTACT IN OFFICE
OTHER:
RECEIVED BY
P011TI: Tn
Ulm
IMMIam
MEM
4e46111—c All Concerned Notified
Action Completed/File
APPLICATION
for
The City of Edinnonds aL
SIDE SEWER PERMIT
NEW CONSTRUCTION E) REPAIRS 0 EASEMENT No . ..........................................
109-01900
owNER ............ Ra..r.b.a.r.a ... V.a.d-e.rs ................ ............ ....................... ....... CONTRACTOR ......
............... ........... PERMIT No ...............
ADDRESS ........ 2.1.82a....-gla"th . ............................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ..................................
NAME OF ADDITION -.. .................................
Dye Tested On Sevier 1972
Approved:
DATE................................................ By ......................................................................