7111 MEADOWDALE BEACH RD.PDFIIIIIIIIIIIIII
12310
7111 MEADOWDALE
BEACH RD
t City of Edmonds a I nCc i rUPermifTTo 7
RIGHT-OF-�VAYt CONSTRUCTION PERMIT Issue Date: 'Za -03
f
A. Address or Vicinityof Construction: 7111 Meadowdale Beach Road
B. Type of Work (be specific): Rembve f and replace apiprox. 18 . feet of asphalt
to dig and intercept existing.ronduit and open trench for approx.
1-feet from existinq pedestal to existira cor..duit .
Comcaslt of .California/Colorad / ;Td:6ane Sholund
C. Contractor: Taxx=g, JZ�h�nst9n, ZRL-. Contact:
Mailing Address:410 Valley Ave. NW 0 2-Bld'Phd(ne: 206-396-7288
Puyyali,pp WA 98371
State License#: 578065�1811 I Liability Insurance: Bond: $
r
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision ❑ CityProject ❑ EUC (PUD, VERIZON, PSE, AT& T; OVWD)
❑ Multi -Family Single Family ®C Other —cable
INSPECTOR ,LL L
F. PAVEMENT CUT: YES El NO G. SIZE OF CUT ' X
t CONCRETE CUT: YES ❑ NO
INDEMNITY. Applicant understands by his/her signature to this application he/she holds the City of .Edmonds harmless from
' injuries, damages or claims of any, kind or description whatsoever, foreseen or unforeseen, that maybe 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 attorney -fees by reason ofgranting? thispermit.`
THE CONTRACTOR IS RESPONSIBLEFOR 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 WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
♦ 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.
♦ 7Ktree sets of construction drawings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1-800424-5555) PRIOR TO BEGINNING WORK
I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THAT I MUST MAKE THE PINK C PY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS
Signature: i% Date: V �-0U�
(Contractor or Agent)
FOR CITY USE ONLY
Approved by: MtrAhw,::�-_
Time Authorized: Void After (o / -
Special Conditions: Ahwrdw 1- ufmy:,
A � *Imrf=tl
Right -of -Way Fee:*, `i" J
Disruption Fee/Fund 111:
Restoration Fee:
Total Fee:Cs'`�"
Receipt No:
Issued by:
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.60 OF THE EDMONDS
'COMMUNITY DEVELOPMENT CODE (Phone 425-771-0220, Ext..1326)
FINAL APPROVAL OF PERMITTED WORK: DATE:
r Inspector's Signature �.
For inspection requirements see Engineering Inspection Information handout.
NO NVORK SI-IALL 13EGIN I'RIOR TO I'ERMIT ISSUANCE
I
t ommst of Califomia/Colorado/Texas/Washington, Inc.
•110 galley Ave. NW
Suite 12 - Building C
Puyallup, WA 98371
Contact: Jocane Shulund - 206-396-7288
JS/Gary Cook - 206-510-1337
Node EW05- City of I"Edmonds
Job Number: 1513
Address: 7111 Meadowdale Beach Road
Work Details:
Remove and replace approx. 18 feet of asphalt to dig and intercept existing conduit and open trench
for approx.. 4 feet from Comeast existing Pedestal to CM V to install 1-2" conduit.
Install 1-2" conduit at 36" in depth.
All disturbed areas will be restored to existing or better conditions.
Backfill material will be mechanically compacted to 9556 of maximum density as specified by the City
of Edmonds.
In tight corridors hand trenching will be utilized to ensure protection of other utilites.
Contractors must locate all existing utilities impacted by this project.
1?rosion 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 spoils from the
work site. Streets and roads will be cleaned and swepth both during and after installation of work.
North to scale
Remove and replace appr m 1 S feet
_ of aWtM to dig mW i &ffc t MsbV
c je it aced open trenctf for aMm-4-
feet from Cancast Ems" Pedestal
to CAN Install 1 Y coodul.
For this project the
dash-Unes is the
proposed work area
-------------- ------
c
L
7120
sphak dram barrier
Seam diem i # Lf
SIj. `o j
T
•
Power conduits
&A
c _
•
a , �•.6
Carncast ;
�•.•�� Pedestal
EjdstiM
CAW-1111il —'' i
conduit
a cunOPem aeu,ead
9'
gas
asphalt
Private driveway
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 to
7:00 PM or as specified by the City of Edmonds 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 Traffic 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 traffic 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 traffic control
set-up the solution will be determined in the field with the Comcast
Construction Rep. and the City of Edmonds Inspector.
Traffic control setup for minor encroachment
FLAGGER STATION
Truck Mounted
Attenuator
(optional)
Traffic control setup for road closure with flaggers
Erosion�Control Rules #1 K
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 sandbags will placed within the
gutter upstream of the catchbasin.
lace
FLAGGER STATION