106336160-1020 Bell St.pdf61_t of E VA,10
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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106336160
CONTRACTOR: PSE/Infrasource
CONTACT: Sue Sidick
Phone #: 425-457-6353
Mailing Address: 1660 Park Lane, Burlington, WA 98233 Fax #:
State License #: INFRASL871C2
City Business License #: NR-023614
Email11: Susan.Sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 1020 Bell St
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family N Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes No
ANY ASSOCIATED PERMITS? BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 5' S - 15' S c/1 of Bell St &
465' W & 441' W c/I of Olympic Ave to install gas service 1 3x5 asphalt/ grass anticipated and 1 3x4 dirt cut anticipated.
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:1062i
PAVEMENT CUT: ® Yes ❑ No If yes, indicate size of cut: 3 x 5
CONCRETE CUT: 0 Yes ❑ No If yes, indicate size of cut: x
RIGHT-OF-WAY
CLOSURE AREA
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF
X
LF
SF
Alley 72 Hrs +
LF
SF
LLFX
Parking 72 Hrs +
X
LF
SF
APPLICANT TO READ AND SIGN
*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 and Standards. All street -cut trench work shall be
patched with asphalt or City approved material prior to the end of the workday — NO EXCEPTIONS.
Indemnity: The Applicant has signed an application which states he/she hold 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 defense costs and attorney fees by reason
of granting this permit.
I have read the above statements and understand the permit requirements and acknowledge that I must
follow all requirements in order for the permit to be
vrkalid.
s
Susan Sidick
2/28/2018
SIGNATURE Dace: soco.oeao o�s�ao-0roo•
DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
106336160
2/16/18
Edmonds
Yes
4/23/18
Puget Sound Energy Gas Pre -Inspect Form
Address: 1020 bell st
City / Zip: EDMONDS, 98020
Customer: Kell! Gaenz 425-478-6068
PM / Inspector: Kevin Williams 425-691-7573
From 1-1/4 PE main run new complete 1-1/8 PE service to single family residence( 25' scat stub New r onscructlon:
with 35' plat extension) set AC-630 OR @ Inches. Also C&C 1/2 STW stub @ Main. Yes
Construction Method
Scat ROW / Plat Provert
PLAT Map: 163,067
N
_
} Fire Hydrant
Water
1-1/4 PE in V 5 CL20
®
®! ® m- Sewer ..,®
W
u
20 STW Main 1NS _
5
P/L, :
1I
.,. I12°STW
,
;.._.
II
11
11
I1
Stub
i
I
II
0Z01
P/L
PIL
_
Work Location
Size of Cut
Surface Type
5'
S
of CL
Bell ST
&
465' 1
W
I of CL
10lyMpiCAVE
3x5
Asphalt/ Grass
15'
S
of CL
Bell ST
&
441'
W
of CL
Olympic AVE
3x4
Dirt
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Arterial:
New Residential Svc
EFV:
1-1/8" - 2600 - 9999144
Police #:
TCP:
Yes
PUGE7
ENERcov
Meter:
A630
Speed Limit:
25
No Parks #:
6
Meter Loc:
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
2.5" # 1 1 4" # I
ADA Ramps #:
Route #'s:
1�
RESIDENTfS) WILL BE
INFORMEDOFPOSSIBLE
TEMPORARYDRIVEWAY
CLOSURE
LEGEND
® 18�TRtfFlC C0.;E
® eo W
� Tac�Ttcaov
Tt w m
Twaact4tar:
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MINIMUM TAPER LENGTH= L ftel)
WaE
�41OTM
POSTED SPEED DMfTS
_ 20 25 30 35 40 45
10
70
WE
150
205
295
475
11
75
115
185
225
295
495
12
80
125
180
245
320
540
PUGET
SOUND
ENERGY
Job#106336160
1020 BELL ST, EDMONDS, WA
February 28, 2018
Sheet 1 of 1 gregory.harwood@pse.com
(425) 424-6425
Roll St
1020 Bell Street
Nellle Einin
VICINITY MAP
Notes:
1.
All signs and spacing to conform to the MUTCD and City of EDMONDS
standards.
2.
All sidewalks, driveways, exits and egresses shall be completely clear
unless otherwise Indicated.
3.
ChannelizIng devices are 28'traffic cones.
4.
Sign size can be a minimum of 48' x 48' and shall not obstruct pedestrian
5.
access.
Crew is required to leave a minimum of 11' for traveling lane width.
CHANNELIZATION
SIGN SPACING
6.
Alert affected residents and businesses.
DEVICE SPACING
'x'
55+
7.
Work to take place between 9 a.m, and 4 p.m.
TANGENT TAPER MPH
eoo
so155
B.
Contractor shall post temp'NO PARKING' 72 hours prior to constmed
8D 40 55f7O
500'
mY
45/55
3W40
9.
Work areas will be 465' WCL of OLYMPIC AVE & 5' SCL of BELL ST, and
60 30 35/45
2W
30
441'WCL of OLYMPIC AVE& 1& SCL of BELL ST.
40 1 20 125130
1W
25
PLAN PREPARED BY:
TRAFFIC MANAGEMENT, INC.
809.763.3999
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PLAN ORDER: 33985 DATE Waaoie-RN