6819 174TH ST SW.PDFiiiiiiii lill
1034
6819 174TH ST SW
Permit No:20,00-02kO
City of Edmonds
RIGHT-OF-WAY.,.C,,,,,ONSTRUCT.10N PERMIT Issue Date:
A. Address or Vicinity of Construction: 6819 174 ST.
PERMISSION REQUEST TO INSTALL A 2" PLASTIC MAIN TIE IN FROM ±9'N C/L
B. Type of Work (be specific):
OF 174 ST SW & t319'W C/L of 68 AV W, CONTINUE WEST TO THE iND OF MAIN t374"W C/L'and
±12'N C/L WITH 2 CUTS INPAVING ANTICIPATED. PER JOB #107008956
C. Contractor: PUGET SOUND ENERGY
MailingAddress: 1122 75th ST SW..�,VVC—z
` I
State License #:
D. Building Permit # (if applicable): —
Contact: DOUG USITALO
Phone: 425-356-7520
�riability Insurance:— Bond:$
Side Sewer Permit # (if applicable):
E. Commercial §ubdivision 0, City Project [] EUC (PUD, GTE, PSE, CHAMBERS, OVWD)
Multi -Family Single Family
INSPE&OR-
F. PAVEMENT: E] YES 0 1 )NO,: ) G. SIZE OF CUT 2 �X 4 H. Charge:
CONCRETE CUT: YES �E] NO . . . . .........................
APPLICANT TO READ AND SIGN
IDEMNITY. Applicant understands by hislher signature to this application helshe holds the City of Edmonds harmlessftom 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 PERIOD1OF'!ONE1 YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WOkk'!�STI_MAtED-RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, ATWHICHTIMEA DEBITOR CREDIT WILLBEPROCESSED 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
re
quired 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.
IHAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
47-HA T I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
_4 11 -
06/01/2000
(Contractor or Agent)
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
JSE ONLY
Right-of-way Fee:
Disruption Fee/Fund I I J:
Restoration Fee:
Total Fee: 75
--Receipt No:
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE.
FINAL APPROVAL OF PERMITTED WORK.
PEC 7VA TURE DATE:
For inspection requirements see Engineering Information Handout.
NO WORK SIIALL BEGIN PRIOR TO PE.RMITISSIJANCE
I
P
Le
Date:
To:
From:
Subject:
MEMORANDUM
June 9, 2000
PSE — 174th St
Maryanne Zukowski Traffic Engineer
Right of Way Permit traffic control conditions of approval
Traffic Control in the City Right-of-Wa
All signs, baff icades and related equipment and their use must be in accordance with
Part IV, "Traffic Controls for Highway Construction and Maintenance Operations," of
the Manual on Uniform Traffic Control Devices, as prepared by the National Joint
Committee on Uniform Traffic Control Devices and per the City of Edmonds
Developmental Standards. Reasonable accommodations shall be made for distance
requirements in signage for geometrical conflicts. Note the additionalflaggers may be
neededforproblems with sight distance in the area, hill and curve.
Coordination with the City Inspector prior to all work.
Particular attention should be made to the following items:
There shall be at all times reasonable pedestrian and vehicular access to and
egress from the properties adjacent to the project, so far as possible. Contact the
affected homeowners directly to prevent conflicts.
The Public Safety Department (police and fire), 771-0200 and 771-0215,
Edmonds School District Transportation Department, and the Edmonds
Public Works Department 771-0235 shall be notified 24 hours prior to the
lane shift for construction. Proper provisions shall be made for public
convenience, safety and travel.
Any asphalt concrete pavements, crushed surfacing, gravel base or water
required for maintaining traffic during the life of the project shall be placed by
the contractor immediately upon request by the engineer and/or inspector.
All unattended excavations shall be properly barricaded so as to prevent
accidents.
Construction along or across the City right-of-way shall be as per the contract
documents, City of Edmonds Standards, or as directed by the engineer and/or
inspector.
City of Edmonds
PUG ET
SOUND
ENERGY
6819 174 ST SW
Order # 107008956
Date: 6/1 /2000
4cl
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-4- H-i �-" H
GO
(9
NOTE:
1. DISTANCE BETWEEN SIGNS SHALL
BE 100' FOR RESIDENTIAL
STREETS (25 MPH)
2. FLASHING BEACON SHALL BE
INSTALLED AT EACH SIGN FOR
NIGHT—TIME USE.
3. DISTANCES MAY VARY AS APPROVED
BY THE ENGINEER.
4. FLAGGERS; REQUIRED TO CONTROL
TRAFFIC WHENEVER THE CONTRACTOR
MUST INTERRUPT TRAFFIC FLOW
TO ACCESS THE WORK SITE WITH
MATERIALS OR EQUIPMENT.
S. SIGN SIZE PER MUTCO.
LEGEND:
91 CONE OR CHANNELIZING DEVICE
(SEE SM 702)
174 ST
Lij
C.-
0
0
Z
TRAFFIC CONTROL PLAN
City of Edmonds
Submitted by:
Juliano Nguyen
Engineering Planner
425-290-7026
ci
PugeiSoundEneigy,lnc.
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Of:f� 69�f MAI N
f I 1� - I N 2" 1, 1 N6 6-r0f2f96K
9-N C� � 319-W C�
60M -/-320'W
1-74 a -r cl lAl
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I�X. 2" 15—fw—I
21 x i I G u f 6
PK019. 2" M06 I P MA I N
I 2-N
�-NO MA I N
37-1'W C�
GAS
MAIN
INSTALLATION RETIREMENT
WU
ID
SIZE
LENGTH
TYPE
MANUFACTURER
2.
55'
MP�l
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:
DESIGN:
PSIGISYS
MAOP:
PSIGI
3:
NOTES: The,..,C i ty of Edmonds
1. fll�L,9 IOGAT6 AW, UflWfI16 6)
GAI,L, 21 HOUK6 WOKO� 016,6,IN&t 1-600-121-5555
2. 6UKVI�Y 16 NOT 9lWUIKlW.
3. MAINTAIN A MINIMUM Of 5' HOKIZONTAL, ANQ 3' WKTICAL,
GL4AKANGO fROM ALA, CITY UT11,1TI66 ANO AVFUKffNANG0�6.
1. CUT 6 1 N PAV I N& AKI� 6HOWN A6
5. GUT6 I N PAV I N& ANT I G I PATIW.
6. PROJI�Gf MANAWs VOU& U61TALO 125-356-7520
ot4
'VOt for ' L'�r
Constrijctio,,
CALL1 —800-424-5555
2 BUSINESS DAYS BEFORE YOU DIG
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILTTIFS
5�
REAL ESTATE/EASEMENT
PERMIT
I�OMON06
Al
3)
FUNCTION
CONTACT
PHONE NO
DATE
2�
PROJECT MGR:
U6 1 0
025) 356 -7520
05/ 23v 00
APPROVED BY:
-p.
REV#
—!
I DATE
BY
DESCRIPTION
ENGR - GAS:
COU I NTY
6t'�IOHOM I 5H
EMER
SEC
WorK Center
N6NH&
DRAWN BY:
J. N&UYE�N
(125)290 -7026
05/23/ 00
REVISED BY:
I
1/4 SEC
5W -05-
27-
1
OP MAP
156.066
PLAT MAP
159.070
APPROVED BY:
FOREMEN #1:
U-NIIAP# (POWER)
CIR MAP#
CIRCUITst
FOREMAN 42:
MAPPING:
JOINT FACILITIES
ARRANGEMENTS
�"UT I L I T I ES
,CONTACT
PHONE4
PUGET
SOUND
ENERGY
28 MPI� 112 MAIN 6XTII�N610N
TO 66KVE�Kt
6619 171 6-f W IWIVIONIP6
INCIDENT#
DRAWING#
SAP SUPERIOR ORDER#
107006956
1 SCALE: 1 40 1
1 1 / 1
NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
to, the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
mav not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).
--CITY OF EDMONDS
Call PRospect 6-1107 when work
'IC CENTER WATER -SEWER DEPARTMENT
4WVIC C
Is ready for Inspection. (No Inspec.
tions Saturday, Sunday or holidays.)
NO
3729
'S
-1 -EWER PERMIT
S1 BE
ADDRESS ...................... 6.819 ... ..... 1.74.th ... S.tre.et .... S ...... W
.. ..... .. ....... ....
on
OWNER ........................... M ... ns ......... B ... e --- t..t.-v ...... Hin. ... t ............................. CONTRACTOR ...... �y
.�jq�?.qq�k..S.ewe.r ....................................
.. ....... ..
Perinission is granted .... W-.,w MC 2 0 .....
. .. .......... �y ........ 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 axea. 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 2o/,.
No bonds in grade sharper than 'A 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. 6—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.