22703 78TH AVE W.PDF111111111111
6671
22703 78TH AVE W
FILE 0-
01illf1pic Ne W§7 ricl N�� Board of Comrnksioners
(A Municipal Corporation)
23725 Edmonds Way
Edmonds, Washington 98020
Office Hours
8:00 to 5:00
Pholle
774-7769
January 20, 1981
Mr. Fred Herzb erg
-Director '6'f Public Works
200 Dayton Street
Edmonds, WA 98020
Re: Transfer of accounts
Annexed area
Dear Fred,
..................... . ....
J. RobLrt Win(jUiSt
John M, Fischer
Patricia Meeker
1,9 6, 1
Mr. ot Public WorU
In connection with your letter of December 31, 1980
regarding the newly annexed area in the vicinity of 227th
and 80th Avenue, we have transferred the area customers to
the city's account. The list of affected accounts is en-
closed.
CWJ: ws
Enclosure: 1
Sincerely,
OLYMPIC VIEW WATER DISTRICT
Wj
C. Wayne Jones, Superintnendent
.41
0111olpir
New Watcr Dislricl
M�
Board
of Commissioners
(A Municipal Corporation)
........
I ................ . ......
23725 Ednionds Way
J.
Robert V%linquist
.Edmonds, Washington 98020
John M. Fischer
Patricia Meeker
Office Hours
pholle
8:00 to 5:00
774-7769-
ACCOUNT-#
NAME
ADDRESS
READ
3941-3
Paul Schiltz
22725-78th
Ave. W.
105
3941-4
L.L. Jones
22717-78th
Ave.W.
010
3941-5
Harry Borylla
22711-78th
Ave.W
742
3941-6
Tom Mindt Jr.
22703-78th
Ave.W.
201
3941-7.
Vernon Elder Jr.
22701-78th
T,
873
3941-8
Clarence Moen
7928-�27th
Pl. SW
09-1
3941-9
Raymond Lentz
7920-227th
PI.SW
356
3941-10
Sharon Sanderman
7914-227th
Pl. SW
336
3941-1 . 1
Alfred C. Joyce
7904-227th
Pl.SW
037
3941-12
Don Leland
7830-227th
Pl.SW
966
3941-13
Patricia Whitis
22702-78th
Ave.W.
700
3941-14
John R. Marquart
22708-78th
Ave. W.
139
3941-15
D.F. Bowen
22716-78th
Ave,W.
0558
3941-16
Lois M. Hutchinson
7819-228th
SW
300
3941-17
Judy Wither
7831- 228th
St. SW
495
3941-18
R. Renrod
7901- 228th
St. sw
705
3941-19
Floyd Yargus
7915-228th
St. Sw
511
3941-20
Harold S. Taylor
7921-228th
St. Sw
629
3941-21
William Pope
7927- 228th
St. SW
619
/Pilchuck Contractors, Inc
Job # 107022658
January 20, 2005
Sheet 1/1 Rob Ingl1s;0
=MOM"
1 100' 1 100'
4. � t
04
CHANNELIZATION DEVICE SPACING
MPH
TAPER
TANGENT
50/70
40
80
35/45
30
60
25/30
20
40
� 0 0
LU
Notes:
1. All signs and spacing to conform
to the 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.
NOT 4. Alert affected residents.
TO 5. Work to take place between 9 a.m.
SCALE And 4 p.m.
6. Maintain two 11' lanes.
m7 W-1, -.-- -:11 t-- IWO e -9 -n -a
ON 7 x x
RIGHT WORK AREA 3'x 5'
SHOULDER\L
rinsm IN GRASS SHOULDER
WORK
AHEAD
LEGEND
28" TRAFFIC CONE
WORK AREA
TRAFFIC FLOW
WORK VEHICLE
SIGN LOCATION
.1, it) Permit N&�?605- W2 Z
City of Edmonds
1iI%,WT-0E-WAY C(YNSTRUCTION PERMIT' Issue Date:
A. Address or Vicinity of Construction: a -7 0 L) C,
B. Type f Work (bespeci'fic): TC) L-)a `7 8 P
�,T) C) n s k0 13 L- 0) 02-L4 RL 5UJ
C.
4
C�, I (_v-, L, 0') �,
MailingAddress: � :3�
30 -ro-W-1-AVEN
State License#: P I L-CW T I Q I 1AA 9)�
D. Building P'pFm* it # (.i,f applicable):
E E 'Commercial
E]'�-,,Multi-Family
Contact: C�,t C K
Phone:
Liability Instirance: Bond: S
7
Side Sewer P ermit # (if applicable):______.,
El Subdivision,,---"- El City Project El EUC.(PUD,
Single Family F� Other
fNSPECTOR:
F. PAVEMENTCUT: RLYES' El NO G. SIZE OF, CUT x
CONCRETE CUT: [I YES El. NO
�AT& T, OVWD)
INDEMNITY. Applicant understands by his/her signature to this application helshe holds the City of Edmodds harmless from
injuries, damages or claims of any. kind -or. description whatsoever, foreseen or unforeseen, - that. may be made a4g0ainst 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 TIME A DEBIT OR CREDIT W/LL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
* Traffic control and public safety shall be in accordance with City regulation's as required by the City Engineer. Every
flagger must be trained as required by (WAC) 296-155�305 and must have certiflicatiofi'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.
C.ALL.DIAL-A-DIG (1-800424-5555) PRIOR TO BEGINNING WORK
IHAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THA TI MUST MAKE THE PINK COPY OF THE PERMITA VAILABLE ON SITE A TALL TIMES FOR INSPECTIONS
- Signature:
(Contractor orAgent)
FOR CITY USE ONLY
Appro ved by: 1 .0
- M9 - ! 't V I V -
Time Authorized: Void ter
Special Conditions: MaWmffi 5l,-Sft#y_ft
114�1-Pk?S Wif-A-A 111MA J 61RIV trVAIV
Date: -r)u _G�r
Right-of-way Fee: + I so-6--c-
Disruption Fee/Fund I I I:
Restoration Fee:
Total. Fee:.
iteceipt No:., 1"2
Issued'bv--
,�r )C4_�
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE (Pho-ge 425-771-0220, Ext. 1326)
FINALAPPROVAI,OFPERHITTED� WORK. 011:::- DATE:
A�ector's Signature
For inspection requiremefits see Engineering Inspection Information handout.
L
DAMy Documents\Forms\Engnmg\ROWpermit doc
6
SCALEI 11" 50,
60'
R/W
7815
C*4
C3
227 PL SW
11' PAVING
t_111 P_AVIN�G 200
32V
2" MPE TEE D_
13'E, 20'S CA 10
A
::E
14-
PROPOSED 2" MPE—IP MAIN
13'E CA
E.O.M.
2" MPE CAP
13-W, 125-S CA 50'
R/W
[L
co CL
0 0
a.
0
;: I E I
CROSS SECTION A -A
NOT TO SCALE
50' R/W
25' 25'
GRASS 10, 1 0' GRASS
PAVING PAVING]
EX. WATIfR
PROPOSED 2" GAS MAIN
1 SE C /L
000,
S
ow
-A
0
(A
STANDARD GAS CONSTRUCTION NOTES:
I. FIELD LOCATE ALL UNDERGROUND UTILITIES. EXCAVATOR TO CALL 'ONE—CALLO 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 ROUTE, PIPE SIZE/TYPEs 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:JSYSTEM MADIP - 4E_ PSIG!
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 2525.1200..
15- MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300 AND 2525.3400.'�
16. IF METALLIC PIPE IS INVOLVED# COORDINATE INSTALLATION WITH CIP TECH.
Jia ------------------------ PHONE—JIM& ----------
IT- NOTE ALL ACTUAL FOOTAGE# LOCATION AND MATERIAL CHANGES ON THE AS —BUILT IN RED. DENOTES
FOOTAGE BETWEEN FITTINGS.
FITTER (Check Box if Complete)
• WORK AREA LEFT IN CLEANISAFE CONDITION. El
• COMPLETE ALL PIPE TABLES AND GAS PRESSURE STAMP. El
• FIELD CHANGES RED —LINED ON AS—BUILTS. El
MATERIAL VERIFIED AND CHANGES NOTED ON PAPERWORK. El
ALL VALVE AND TIE—IN LOCATIONS NOTED ON AS —BUILT. 0
NOTE BEGINNING OF MAIN, EOM,& LINE OF MAIN LOCATIONS. El
SHOW ROPE LOCA71ONS & CUL—DE—SAC RADIUS El
Fitter's Signature
Company
DATE
GAS MAIN INSTALLATION/RETIREMENT
TypeANbrk
PI
S 1pzee
Type
Estimated
Length
Actual
Length
Manufacturer
INSTALL
241
MPE
105'
CAS MAIN PFZESZUrE:,
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF
TIME OFF
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF
TIME OFF
iDesign Press 60
SYS MAOP 45
PROJECT PHASE
NOTIF#
ORDER#
SAP Superior
Service/Meter
Service/Meter
Service/Meter
Service/Meter
Ind. Service
Ind. MSA
Dis. Reg./FT
HP Svc/MSA
Relocate
lRetireffent
X183173613
107022658
X183178941
106145769
I
Contractor CONSTRUCTION COST CODES:
051-103.1 1 1 1
Project Manager Contact Information:
KIM GRAY
CELL: 425-290-2678
k1m.graympse-com
REV# DATE BY DESCRIPTION
3
2
1
Vicinity Map
00
228T
W
to
r,
I
LTITL9110 2C71 III I
Owner / Developer Contact Info
LYNDA MCMAHON
22703 78 AVE W.
EDMONDS, WA 98026
ATTN: LYNDA MCMAHON 425-744-2321 ofilice
to
M&
0
4
0
0)
01
00
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
NOT REQUIRED
PERMIT
EDMONDS
FUNCTION
CONTACT
PHONE
DATE
PROJECT MGR
KJM GRAY
206418-4234
1-18-05
ENGR - GAS
DRAWN BY
PHUONG DAO
2064184218
1 -�2005
CHECKED BY
W KIM GRAY
2064184234
1
19UD51
COUNTY EMER SECT GAS WK CTR APPROVED By KIM GRAY 206418,4234
SNOIHO. 5 IVICNSEG CP APPROVAL
1 /4 SEC OP MAP PLAT MAP
SE-30-27-04 164-068 165-069 MAPPING
JOINT FACILITIES ARRANGEMENTS
UTILITIES
CONTACT
PHONE#
PUGET
/gjf
SOUND
*:0Z.V,
ENERGY
DESIGNED BY PILCHUCK CONTRACTORS INC.
(LYNDA MCMAHON)
2" MPE-IP MAIN EXT.
22703 78 AVE W. EDMONDS, WA 98026
SAP Superior Order
107022658
SCALE: AGE:
V=50' r 1/1
U-0.
Z-4
0�11
CA W