22311 93RD PL W.PDF111111111
9120
22311 93RD PL W
ADDRESS: PL 9 11� .317
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: ds:-� E] Study RequiredXWaiver
DETERMINATION: [-]Conditional Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DST's\Forms\Street File Checklist.doc
#P20
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location:
2. Property Tax Account Number: Cj 1Z) Q C� 0 b C) %z--,
3. Approximate Site Size (acres or square feet): . 4--? C)L-c-�ks--%
CA File No: o5-4
4. Is this site currently developed? Zyes; no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet
over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site. (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: E) Approx. Depth:
7. Site contains _' areas of seasonal standing water: ;Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain '\"�C) of a water course.
9. Site contains a creek or an area where water flows across the grounds surface,?, Flows are year-round?
Flows are seasonal? \Q)-g�, (VVh'at time of year?
10. Site is primarily: forested meadow ;shrubs n-dxed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site:
For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned? e, — 4f-
3. SCS mapped soil type(s)? LT-:::- V9,5 LtAD CK"r0c 1-6 4- .8
4. Critical Areas inventory or C.A. map indicates Critical Area on site? -0
5. Site within designated earth subsidence landslide hazard area?
DETERMINATION
STUDY REQUIRED —WAIVER
Reviewedby. Date: 57 1 dq I. CD g-
Critical Areas Checklist/3.25.2004
V ED #P20
0 -Af
40LCity of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
.qC3 Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received: 'I I
City Receipt #:
Critical Areas File #:
Critical Areas Checklist Fee: $135.00
Date Mailed to ADDlicant:
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it
to the City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
,.studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agre . es
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete. information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and corTect to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPMANVAGENTAL.A�- DATE
Property Owner's Authorizatr6n
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application. 31
SIGNATURE OF OWNER Zgc-,�- Q, DATE
I /,Of
Owner/Applicant:
bi-0111- -�.
Name
A3i-29 LO
Street Address
I i-7 &"1-,, 9
City State Zip
Telephone: 2-0 � c - ��] t - ��q -19,
Email address (optional): \c
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email Address (optional):
0
0�
U)
U)
w
_1 () F E-D,&-_
GARAGE
GARAGE
N
CITY OF EDMONDS WATERLINE AS -BUILT
ADDRESSi PERMIT
tA 22311 93RD PL W NO - BLD20051039i
CONTRACTORi HOMEOWNERt SCALEi
xxxxxx I NALUND & ASSOCIATES I NTS
DATE INSPECTEI)i INSPECTED BYi DATE DRAWNi DRAWN BYi
09-06-2006 JH 1 08-08-07 1 J.TRIEU
I- -f
\ 1 t City of Edmonds t
RIGHT-OF-WAW CONSTRUCTION PERMIT
A. Address or Vicinity of
B. Type of Work (be
4, 1 q 3'Al
PL
L i3V LJ
3
PermitNo: 0?0a-0010
Issue Date:ca/d// O'�
C. Contractor: Q, r)8LkC_y\ etinl Contact: SV-a Si I'Di Ck
Mailing Address: 1,351 S60- Phone:
State License Lo' �0_ J-5 16 1 M Liability Insurance: Bond:$
City Business License #:
plicable):
D. Building Permit (i ap Side Sewer Permit # (if applicable):
E. F_� Commercial F] Subdivision F] Cityproject E] EUC (PUD, VERIZON, PSE, COMCAST, OVWSD)
F� Multi -Family Single Family F-1 Other
INSPECTOR:
F. PAVEMENT CUT: VrYES NO G. SIZE OF CUT X
CONCRETE CUT: F1 YES El NO %
G. F-1 Mail Approved Permit F� 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 WHICHTIMEA DEBITOR CREDITWILL BE PROCESSED FOR ISSUANCE 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 w rkday - NO EXCEPTIONS.
10
* 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 HA VE READ THE ABOVE STA TEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THA TI MUST MAKE THE PINK COPY OF THE PERMITA VALLABLE ON SITE A TALL TIMES FOR INSPECTIONS
Signature:
(Contractor or Agent)
Date: 0 1- 113-0(_0
Approved by: Jaime Hawkins Right-of-way Fee: S160.00+%15�00
Time Authorized: Void After April / /7th / 2006 Disruption Fee/Fund 111: $0.0
Special Conditions: Restore ROW to like and/or better condition. Maintain 5' Inspection Fee: 2 @ $50 ea = $100.0
Min. separation from City utilities. Verify clear bore crossings. Call for locates of U/G Total Fee: $275.00
utilities prior to any excavation. Alert affected residents and/or business. Conform to the Receipt No:
approved working drawings and Traffic Control Plan. Please refer to Edmonds Std, Issued by:.
detail E2.3 for utility patch restoration requirements. Work hrs. are from 7am-6pm M-F, and I Oam-6pm Sat. NO SUNDAY OR FEDERAL
HOLIDAY. Please call the number below to schedule the required inspection(s).
REQUIRED INSPECTIONS:
Call 425-771-0220, Ext. 1326for a 24-hour voice -recorded inspection request line.
FINAL APPROVAL OF PERMITTED WORK:
DATE:
NO WORK SHAI.L BEGIN PRIOR TO PERMIT ISSUANCE
CADocurnents and Settings\Cunis\MyDocuments\FonTis\Engnmg\ROWpermit doc Revised 10/01/03
Pilchuck Contractors, InC4
I
Job # 107025727
Dafi�,Jan 5. 2006
Sheetlofl
WORK AREA BE A -
SERIES OF TX 5'
HOLES FROM 193'
N OF C/L TO 303'
N OF C/L
CMHV
MHOM
OVOM
�aw
OwH 5
ivni 3NO N
plo
01.
0
224th ST SW
CHANNELIZOON DEVICE SPACING
MPH
TAPER
TANGENT
50/70
40
80
36/46
30
60
25/30
20
40
Notes:
1. All signs and spacing to conform
to MUTCD & City of Edmonds Traffic
Control specs.
2. Channelizing devices are 28"
traffic cones.
3. All signs are 48" x 48" B/O unless
otherwise specified.
4. Alert affected residents.
5. Work to take place between 9 a.m.
And 4 p.m.
6. Two Flaggers will control alternating
one lane traffic.
7. Work area will be I VE of CA of
93 PI W & run from 193' N of C/L to 303'
N of CA of 224 St SW.
11PPROVED AS NOTED
BY ENGINEERING
r
Date:
N E REG.
CT
24 HR. NO ICE REG'
M ION
FOR ASP=ECT
200'
4=
=1
ONE LANE
ROAD
AHEAD
ROAD
WORK
MEAD
jig
0
28" TRAFFIC CONE
WORK AREA
TRAFFIC FLOW
rrFLAGGER
WORK VEHICLE
SIGN LOCATION
6�
0 0
CITY OF EDMONDS
121 5T H AVENUE NORTH - EDMONDSWA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20060379
RIGHT OF WAY PERMIT (7-EUC Standard)
Pennit Number: ENG20060379 Expiation Date: 11/6/2006
Job Address: 22311 93RD PL W, EDMONDS
'APPLICANT CONTRACTOR
PILCHUCK CONTRACTORS INC PILCHUCK CONTRACTORS INC
13330 STONE AVE N 13330 STONE AVE N
SEATTLE, WA 98133 SEATTLE, WA 98133
206-418-4239
LICENSE #: PILCHCIIOIMA EXP: 2/20/2007
JOB DW-CIMPTPON
To install 2-inch main on 93rd PL W. From 303-ft North to 193-ft North center line of 224th ST SW perjob# 107025727
DISRUPTION INFORNIATION
ASSESSED VALUE: $0.00 PROPERTY AREA: 0
SIDEWALK. (OXO) DURATION IN MONTHS * 0 FEE: $0.00 ST REET DISRUPTION TRENCH CUT: (OXO)
PARKING: (OXO DURATION IN MONTHS: 0 FEE- $0 00 YEAROFOVERLAY- 0 FEE- $0 00
ALLEY: ( OX0 DURATION IN MONTHS: 0 FEE: $0.00
INDEMNITY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
altorneyfees by reason ofgranting this permit.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATMIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCEOFTHEWORK
• 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
possesion.
• 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 DIALA-DIG (1-800424-5555) BEFOREANY EXCAVATION
CALL FOR INS PECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THISAPPLICATION IS NOT A PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID. AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
,2006
Printed: Tuesday, September 0
'�2— S- —d e�n
BY
DATE
F� FILECOPY K INSPECTORCOPY F_� APPLICANT COPY
Ll
H
STATUS: ISSUED
ENG20060379
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates of underground utilities prior to any excavation.
• Alert affected residents and/or businesses prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• Public utilities maintain 5'separation from City Utilities.
• Verify clear bore crossings
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control. Keep street clean.
• Construction hours are Monday -Friday 7am-6pm and Saturdays 10am-6pn-L No work on Sundays or Federal Holidays.
• Call for required inspections as noted.
I INSPECTIONS
0 E�Engineering Final
PARTIAL INSPEC71ON DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
OV E1)41
too
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
sc)' PHONE: (425) 771-0220 - FAX: (425) 771-0221
PERMIT FEES/ RECEIPT
DATE: Tuesday, SepteniberO5,2006
PERMIT #: ENG20060379
PROJECT ADDRESS: 22311 93RD PL W, EDMONDS
PROP OWNER: LUNSFORD BILLIE J
22311 93RD PLACE WEST
EDMONDS, WA 98020
*FEESUMMARY-
on
Fee Amouni---
Paid
Balance D6e
X-Permit Surcharge Fee
$15.00
$0.00
$15.00
E-Right of Way Permit Fee
$160.00
$0.00
$160.00
E-Engineering Inspection Fee
$50.00
$0.00
$50.00
Total Due:
$225.00
$0.00
$225.00
*FEESARE ESTIMATED BASED ONINFOPMATIONPROVIDED ATSU&VITTAL-SUBJECT TO CHANGE
PAYMENT TRANSACTIONS:
ful
TO BE BWD WARTERLY
Pilch, Contractors, Inc.
Job A 07625727
Date 1,12,2006
Sheet if
MIN
Nvom
OWN
avov
unn 3N
WORK AREA BE A
SERIES OF 3' X 5'
HOLES FROM 193'
1 N OF CA TO 303'
N OF C/L
Z
224th ST SW
CHANNEUZOON DEVICE SPACING
MPH
1APER
IANGENT_
50170
40
80
35/45
30
60
:25/30.
*-20
40"
3:
-j
0.
P.
III
0.
4
I t
Notes:
1. All signs and spacing to conform
to MUTCD & City of Edmonds Traffic
Control specs.
2. Channelizinq..devices are 28"
traffic cones.
3. All signs are 48" x 48" B/O unless
otherwise specified.
4. Alert affected residents.
5. Work to take place between 9 a.m.
And 4 p.m.
6. Two Flaggers will control alternating
one lane traffic.
7. Work area will be I I' E of C/L of
93 PI W & run from 193'N of C/L to 303'
N of C/L of 224 St SW.
APPROVED AS NOTED
BY ENGINEERING
ate;
24 HR. NOTICE A90
FOR INSPECTION ]
200'
4m
-F11E CFf
q. ao
ROAD
WORK
AUEAn
28'!�IFR; CONE
WORK AREA
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
W
M I
6
SCALIEs IN - 501
_j
CL
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0)
V_
CL
LO
W, In
0.
1.0
o 5/8" 306'N V
1985
V
FUSE TIE—IN 5/8' 307'N
L4
303'N. 11 'E CA 1990
'N, —'E CA
MW
PROPOSED 2" MPE-IP MAIN
11-E CA
15' ESM'T
5/8"
(A
-CAP
E.O.M. - 2" MPE RAV
193'N, 1 VE CA V
ON, 'E CA LOT I
NTS
224 ST SW
60'
R/W
I. IF THE TRENCH BOTTOM CONTAINS ANY SHARP OR UNUSUALLY
ROUGH SURFACES, A MINIMUM OF 30 OF INITIAL BACKFILL MATERIAL
IS REQUIRED TO BED THE PIPE, UNLESS THE CARRIER PIPE IS
ENCASED OR WRAPPED WITH AN APPROVED ROCK SHIELD MATERIAL.
2. INITIAL BACKFILL SHALL BE SAND, NATIVE SOIL, OR SOIL -BASED SELECT
MATERIAL THAT DOES NOT CONTAIN ANY SHARP ROCKS OR ROCKS
LARGER THAN 1/2N DIAMETER. SEE PSE SPECIFICATION 1275-1380,
mSAND BACKFILL FOR GAS PIPE9 ELECTRICAL CONDUIT9 AND CABLE.
3. A MINIMUM OF 6' OF INITIAL BACKFILL SHALL BE PLACED OVER THE GAS
PIPE. IF THE NATIVE SOIL CONTAINS ROCKS LARGER THAN 6" DIAMETER,
THEN A TOTAL OF 12N OF INITIAL BACKFILL SHALL BE PLACED OVER
THE GAS PIPE.
4. IF THE CARRIER PIPE IS ENCASED, INITIAL BACKFILL IS NOT REQUIRED -
THE BACKFILL MATERIAL SHALL MEET FINAL BACKFILL MATERIAL
REQUIREMENTS. WHERE THE CARIER PIPE ENTERS AND EXITS THE CASING9
THE INITAL BACKFILL AND BEDDING REQUIREMENTS APPLY.
5. FINAL BACKFILL MAY BE SOIL -BASED SELECT MATERIAL OR NATIVE SOILO
BUT SHALL BE FREE OF CONSTRUCTION DEBRIS AND SHALL NOT CONTAIN
ROCKS LARGER THAN 10' DIAMETER TO PREVENT IMPEDANCE OF
GAS SYSTEM MAINTENANCE.
INSTALL 1 1/8- SERVICE
CUSTOMER WLL PROVIDE TRENCH &
BACKFILL FOR SERVICE
LOT 2
FITTER (Check Box if Complete)
• WORK AREA LEFT IN CLEANISAFE CONDITION.
• COMPLETE ALL PIPE TABLES ANDGAS PRESSURE STAMP. El
• FIELD CHANGES RED -LINED ON AS-BUILTS. ID
MATERIAL VERIFIED AND CHANGESNOTED ON PAPERWORK. Ll
ALL VALVE AND TIE-IN LOCA71ONS NOTED ON AS -BUILT. ID
• NOTE BEGINNING OF MAIN,EOMA LINE OF MAIN LOCATIONS. n
• SHOW ROPE LOCATIONS & CUL-DE-SAC RADIUS El
Fitter's Signature
Company - PILCHUCK DATE
STANDARD GAS CONSTRUCTION NOTES:
1. FIELD LOCATE ALL UNDERGROUND UTILITIES. EXCAVATOR TO CALL "ONE-CALLm TWO WORKING DAYS PRIOR TO
TO CONSTRUCTION* IN WESTERN WASHINGTON CALL: 1-800-424-5555. IN KITTITAS COUNTY CALL: 1-800-553-4344
2. NOTIFY APPROPRIATE PERMITTING AGENCY PRIOR TO JOB START (SEE PERMIT REQUIRMENTS).
3. ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES.
4. 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.
5. NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYS
PRIOR TO BEGINNING CONSTRUCTION. USE ISI TO DISTRIBUTE FLYERS IF JOB IS LARGE. OTHERWISE HAND
DELIVER FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT
THE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED
PER GAS OPERATING STANDARD 2550.1600. ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE.
6. ANY CHANGE IN ROUTEs PIPE SIZE/TYPE* TIE-IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY
THE APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
7. COMPLETE "PIPE CONDITION REPORTN ON ALL METALIC PSE FACILITIES. CHECK BOX ON REPORT FOR WIRE
BOX (TEST LEAD) INSTALLATION.
8. PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS
OPERATING STANDARD 2525.2500.
9. INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY
THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525-2600 FOR ALL HP VALVES IF THE LOCATION IS
NOT READILY ACCESSIBLE, AND FOR ALL VALVES WHERE PERSISTANT SNOWFALL MAY OBSCURE THE VALVE BOX.
10. TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS
SHOWN ON THIS DESIGN UNLESS APPROVED BY APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
11. SYSTEM MAOP DENOTED BY: !SYSTEM MAOP = 4E- PSIGI
12. GAUGE AND MONITOR USE OF ALL STOPPERS TO ENSURE ADEQUATE FEED.
13. RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL OR BETTER CONDITION.
14. PURGE POINTS AND PRESSURE TAPS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525-33009 AND 1 2525.1200.
15- MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3SOO AND 2525.3400.
16. IF METALLIC OIPE IS INVOLVED. COORDINATE INSTALLATION WITH CP TECH.
N/A ....................... 0 PHONE-M& -----------
IT- NOTE ALL ACTUAL FOOTAGE, LOCATION AND MATERIAL CHANGES ON THE AS -BUILT IN RED- DENOTES
FOOTAGE BETWEEN FITTINGS.
GAS MAIN INSTALLATION/RETIREMENT
Type/Vo�K
Pipe
S.i ze
Type
Estimated
Length
Actual
Length
Aanufacturei
INSTALL
MPE
110,
GAS
MAIN PRESSURE & TEST-ING
TYPE TEST
PRESSURE
BY
DATE ON
--TESTED
TIME ON
DATE OFF
TIME OFF
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF I
ITIME OFF
Design P ess 60
ISYS MAOP 45
PROJECT PHASE
NOTIF#
ORDER#
SAPSuperior
Service/Meter
Service/Meter
Service/Meter
Service/Meter
Ind. Service
Ind. MSA
Dis. Reg./FT
HP Svc/MSA
Relocate
Retirement
X216210682
107025727
X216211616
106166951
X216216390
Vicinity Map/ —WORK SITE
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228TF ST
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Owner Developer ContGct Info
BILLIE LUNSFORD
22311 93 PIL W.
EDMONDS, WA 98026 office
ATTN: BILLIE I HM,,'Pnpn qnA-171l_rA71Q
I Contractor CONSTRUCTION COST CODES:
[051-103-11 1
Project Manager Contact Information: CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DW
DOUG USITALO
CELL: 425-327-3451 THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILIT!�$
doug.usitaloapse.00m REAL ESTATE/EASEMENT PERMIT
N/A EDMONDS
REV!# DATE BY DESCRIPTION FUNCTION CONTACT PHONE DATE''
3 PROJECT MGR DOUG USITALO 206-418-4236 B-6-051
2 ENGR - GAS
DRAWN BY PHUONG DAO 206-418-4218 12-9-05
CHECKED BY J-SNYDER 206-418-4220 1-2-12-05
COUNTY EMER SECT GAS WK CTR APPROVED By DOUG USITAL L?06-418 4236
SNOHO. 5 MCNSEG CP APPROVAL
1/4 SEC OP MAP PLAT MAP
SE-25-27-03 1 164-062 1 165-067 IMAPPIN
JOINT FACILITIES ARRANGEMENTS
UTILITIESI I
CONTACTI J
PHONE#1 I
d: illliliil��-.. SAP Superior Order
PUGET
107025727
LUNSFORD SHORT PLAT 2 LOTS
0:
SOUND Drawing Number
ENERGY
-IP MAIN EXT.
21' MPE
WA
DESIGNED BY PILCHUCK CONTRACTORS INC. 22311 93 PL W.. EDMONDS, WA 98020 SCALE: AGE:
'Omni
J
0,
W
M411111 i
SCALEs IN - 50'
_j V
co I
o 5/8* 306'N V
1985 C-4
V
FUSE TIE-IN 5/8* 307'N
(A
V 1990 0
303-N, I I -E CA 1.00,
IN, 'E CA L
Al 11 F_ 15' ESM'T
PROPOSED 2" MPE-IP MAIN -" _r - — — —
I VE CA I �l k �5/8-
E.O.M. - 2",._MPE_CAP---
193-N. WE CA
'N. _'E CA
0"
GAS PIPE DIRECT BURY (SERVICE)
CUSTOMER PROVIDED TRENCH
NTS
60' (-A
R/W
LOT 1
224 ST SW
60'
R/W
INSTALL 1 1/8- SERVICE
CUSTOMER WILL PROVIDE TRENCH &
BACKFILL FOR SERVICE
11. IF THE TRENCH BOTTOM CONTAINS ANY SHARP OR UNUSUALLY
ROUGH SURFACESs A MINIMUM OF 30 OF INITIAL BACKFILL MATERIAL
IS REQUIRED TO BED THE PIPEv UNLESS THE CARRIER PIPE IS
ENCASED OR WRAPPED WITH AN APPROVED ROCK SHIELD MATERIAL.
2. INITIAL BACKFILL SHALL BE SAND, NATIVE SOIL, OR SOIL -BASED SELECT
MATERIAL THAT DOES NOT CONTAIN ANY SHARP ROCKS OR ROCKS
LARGER THAN 1/2' DIAMETER. SEE PSE SPECIFICATION 1275-1380,
OSAND BACKFILL FOR GAS PIPE9 ELECTRICAL CONDUIT9 AND CABLE.
3. A MINIMUM OF 6N OF INITIAL BACKFILL SHALL BE PLACED OVER THE.GAS
PIPE. IF THE NATIVE SOIL CONTAINS ROCKS LARGER THAN 6' DIAMETER.
THEN A TOTAL OF 120 OF INITIAL BACKFILL SHALL BE PLACED OVER
THE GAS PIPE.
4. IF THE CARRIER PIPE IS ENCASED, INITIAL BACKFILL IS NOT REQUIRED.
THE BACKFILL MATERIAL SHALL MEET FINAL BACKFILL MATERIAL
REQUIREMENTS. WHERE THE CARIER PIPE ENTERS AND EXITS THE CASING9
THE INITAL BACKFILL AND BEDDING REQUIREMENTS APPLY.
5. FINAL BACKFILL MAY BE SOIL -BASED SELECT MATERIAL OR NATIVE SOIL,
BUT SHALL BE FREE OF CONSTRUCTION DEBRIS AND SHALL NOT CONTAIN
ROCKS LARGER THAN ION DIAMETER TO PREVENT IMPEDANCE OF
GAS SYSTEM MAINTENANCE.
LOT 2
FITTER (Check Box if Complete)
• WORK AREA LEFT IN CLEANISAFE CONDITION.
• COMPLETE ALL PIPE TABLES AND GAS PRESSURE STAMP. El
• FIELD CHANGES RED-UNED ON AS-BUILTS. 1:1
• MATERIAL VERIFIED AND CHANGES NOTED ON PAPERWORK. El
• ALL VALVE AND TIE-IN LOCATRWS NOTED ON AS -BUILT. El
• NOTE BEGINNING OF MAIN,EOM,& LINE OF MAIN LOCATIONS. El
• SHOW ROPE LOCAPONS & CUL--DE-SAC RADIUS
Fitter's Signature
Company PILCHUCK DATE
STANDARD GAS CONSTRUCTION NOTES:
I. FIELD LOCATE ALL UNDERGROUND UTILITIES. EXCAVATOR TO CALL "ONE-CALLN TWO WORKING DAYS PRIOR TO
TO CONSTRUCTION9 IN WESTERN WASHINGTON CALL: 1-800-424-5555. IN KITTITAS COUNTYCALL: 1-800-553-4344
2. NOTIFY APPROPRIATE PERMITTING AGENCY PRIOR TO JOB START (SEE PERMIT REQUIRMENTS).
3. ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES.
4. 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.
5. NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYS
PRIOR TO BEGINNING CONSTRUCTION. USE ISI TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HAND
DELIVER FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT
THE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED
PER GA§.OPERATING STANDARD 2550.1600- ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE.
6. ANY CHANGE IN ROUTEv PIPE SIZE/TYPE, TIE-IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY
THE APPROPR.NATE PSE ENGINEER OR PSE REPRESENTATIVE.
7. COMPLETE uPIPE CONDITION REPORTN ON ALL METALIC PSE FACILITIES. CHECK'BOX ON REPORT FOR WIRE
BOX (TEST LEAD) INSTALLATION.
8-1 PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS
OPERATING STANDARD. 2525-2500.
9. INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY
THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525.2600 FOR ALL HP VALVES IF THE LOCATION IS
NOT READILY ACCESSIBLE, AND FOR ALL.VALVES WHERE PERSISTANT SNOWFALL MAY OBSCURE THE VALVE BOX.
10. TO -PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS
SHOWN ON THIS DESIGN UNLESS APPROVED BY APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
11. SYSTEM MAOP DENOTED BY: ISYSTEM MAOP = Aa- PSI-G]
12- GAUGE AND MONITOR USE OF ALL STOPPERS TO ENSURE ADEQUATE FEED.
13- RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL OR BETTER CONDITION.
14- PURGE POINTS AND PRESSURE TAPS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525-3300, AND 2525.1200,
15. MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300 AND 2525-3400*
16. IF METALLIC OIPE IS INVOLVEDs COORDINATE INSTALLATION WITH CP TECH.
Jk& ------------------------ PHONE-10AL ----------
17- NOTE ALL ACTUAL FOOTAGE, LOCATION AND MATERIAL CHANGES ON THE AS -BUILT IN RED. DENOTES
FOOTAGE BETWEEN FITTINGS.
GAS MAIN INSTALLATION/RETIREMENT
Type/Work
Pipe
Size
Type
Esti mated
Length
Actual
Length
Manuf act urei
INSTALL
2"
MPE
110,
GAS MAIN PRESSURE & I ES 1 111G
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF
TIME OFF
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TI ME ON
DATE OFF
IT] ME OFF
Design Press 60
ISYS MAOP 45
1
PROJECT PHASE
NOTIF#
ORDER#
V)
CD
SAPSuperior
Service/Meter
Service/Meter
Service/Meter—
Service/Meter
Ind. Service
Ind. MSA
Dis. Reg./FT
HP Svc/MSA
Relocate
Retirement
X216210682
107025727
X216211616
106166951
X216216390
F--
-It
F- co
Ln
228T CD
00 r.s�T 4
_r-_j
Owner / Developer Contact Info
BILLIE LUNSFORD
22311 93 PIL W.
EDMONDS, WA 98026 office
ATTN: OT11
ar unu Luo—i 1 1 __J4 10
contractor CONSTRUCTION COST CODES: -------- j
1051-103-11
Project Manager Contact Information: CALL (800) 424-5555
DOUG USITALO 2 BUSINESS DAYS BEFORE YOU DIG
.1
CELL: 425-327-3451 THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES
doug.usltaloepse.com REAL ESTATE/EASEMENT PERMIT
N/A EDMONDS
REV# . i,. DATE BY DESCRIPTION FUNCTION CONTACT PHONE DATE'
PROJECT MGR DOUG USITALO 206-418-4236 B-6-05
2 ENGR - GAS
DRAWN BY PHUONG DAD 206-418-4218 12-9-05
CHECKED BY J-SNYDER 206-418-4220 12-12-05
COUNTY EMER SECT GAS INK CTR APPROVED By DOUG U aO6-418-4236 11.114
SNDHO. 5 MCNSEG CP APPROVAL
1/4 SEC OP MAP PLAT MAP
SE-25-27-03 164-062 165-067 IMAPPING
JOINT FACILITIES ARRANGEMENTS
LUNSFORD SHORT PLAT 2 LOTS
2" MPE-IP MAIN EXT.
22311 93 PL W.. EDMONDS, WA 98020
SAP Superior Order
107026727
Drawing Number.
WA
SCALE:
I"= 50' 1/1
0%
04
E