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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106338871
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL871 C2
City Business License #: N R-023614
CONTACT: Sue Sidick
Phone #: 425-457-6353
Fax #:
Email #: Susan.Sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 18015 Homeview Dr
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑iC Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
❑ Yes ® No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx & 108' S C/I of 180th ST SW &
& 14' E - 14' E c/I of Homeview Dr To Install gas service 2 3x5 concrete cuts anticipated.
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: 1063;
PAVEMENT CUT:
CONCRETE CUT:
❑ Yes ❑ No
❑ Yes ❑ No
If yes, indicate size of cut: _
If yes, indicate size of cut: 3
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF
X
LF
SF
Alley 72 Hrs + LF
X
LF
SF
Parking 72 Hrs + LF
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 valid.
SIGNATURE
DATE 4/30/2018
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Puget Sound Energy Gas Pre -Inspect Form
Job #:
106338871
Date:
4/18/18
Address:
18015 HOMEVIEW DR
Jurisdiction:
Edmonds
City / zip:
Edmonds, 98026
ROW Permit:
Customer:
IAN WATSON 425-760-9248
Est. Start Date:
7/16/18
PM / Inspector:
Jordan Cooper 425-623-5302
Est. Duration:
1-112 Days
Job Description / Scope of Work
From 2" STW IP 14' W Main (3704-1962) Run New Scat 1 1/8 PE Service To Single Family Home New Construction:
75' and Set A425 OL (40' Stub 35' Ext) 60' ROW. Please See Attached City Of Edmonds GIS No
Map For All Utilites. Construction Method
All Scat / Trenchless
PLAT Map: 160070
€ i................ I.... i..........
;.....
€.......-.........€.... ......... .....€..... ....s........................
180th St Sw
EXISTING Storm Water
12" Concrete
EXISTING Water
8 ............
P/L ........i..
1 118" PE
® A425 MSA
18015 Homeview DR
106338871
P/L
EXISTING Communication
Sewer
Work Location
Size of Cut
Surface Type
108'
S
of CL
1180TH ST SW
&
14'
W
of CL
HOMEVIEW DR
3X5
C
108'
S
of CL
1180TH ST SW
&
14'
E
of CL
HOMEVIEW DR
3X5
C
Of CL
I
&
I of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Y
Arterial:
N
EFV:
1-1/8" - 2600 - 9999144
Police #:
N
TCP:
Y
PUGET
SOUND
Meter:
A425
Speed Limit:
25
No Parks #:
Y
Meter Loc:
03 - OL
Trolley Lines:
N
Mtr Hoods #:
N
Del Press:
6" W.C.
Traffic Signal:
N
Bus Stop:
N
Bollards:
2.5" # 4" #
ADA Ramps #:I
N
I Route #'s:
I
N
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
LEGEND
®
28" TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
MINIMUM TAPER LENGTH = L (feet)
LANE
POSTED SPEED LIMITS
WIDTHS
20
25
30
35
40
45
10
70
105
150
205
295
475
11
75
115
165
225
295
495
12
80
125
180
245
320
540
N y��OM
dO1S
of
W Q3�dd3�d
� 38
180TH ST SW
CHANNELIZATION
DEVICE SPACING
TANGENT
TAPER
MPH
80
40
55/70
60
30
35/45
40
20
25/30
W-OW
�-OZM
Y
0
100'+ 100'
o a ao
o � �o
200'
30
100'
25
180TH ST SW
18015
a
4
�
)10�
BE
PREPARED M
CD
TO
STOP
ROAD o
WORK N
AHEAD
PUGET
' SOUND
ENERGY
Job#106338871
18015 Homeview Dr, Edmonds, WA
October 20, 2017
Sheet 1 of 2 gregory.harwood@pse.com
(425) 424-6425
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.
Use traffic drums (barrels) with steady burning
Type C lights on all State State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" and
shall not obstruct pedestrian access.
5. Crew is required to leave a minimum of 11' for
traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m.
8. Work area will be 14' WCL of Homeview Dr &
108' SCL of 180TH ST SW.
PLAN PREPARED BY:
TRAFFIC MANAGEMENT, INC.
80.7633999
www.trafficmanagement.com
Traffic Control Services - Sales &Rentals �TMI
Permits &Consulting - Engineering - Training
C31 # 785804
TMI CONTACT PERSON: Michael Flanagan
TCS CERT #: 301872
PLAN ORDER: 36169 DATE: 1012012017
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
LEGEND
®
28" TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
MINIMUM TAPER LENGTH = L (feet)
LANE
POSTED SPEED LIMITS
WIDTHS
20
25
30
35
40
45
10
70
105
150
205
295
475
11
75
115
165
225
295
495
12
80
125
180
245
320
540
°d3Hd
CD y0� 10I10
° o b�4
d01S
01 I
W a3�ldd3�d �
38 O I
O
2-1 O
P o
180TH ST SW
CHANNELIZATION
DEVICE SPACING
TANGENT
TAPER
MPH
80
40
55/70
60
30
35/45
40
20
25/30
CD a
200'
30
100'
25
`d L-NM
�-OZM
=
Q�w
G
a
m
I
100' 100'
ao
�o
180TH ST SW
4
010
n
18015
RESIDENT(S) WILL BE
INFORMED OF POSSIBLE
TEMPORARY DRIVEWAY
CLOSURE
O
O
Q
CD
• r
O �■
r
14
BE
PREPARED
O TO
STOP
ROAD o
WORK cv
AHEAD
PUGET
' SOUND
ENERGY
Job#106338871
18015 Homeview Dr, Edmonds, WA
October 20, 2017
Sheet 2 of 2 gregory.harwood@pse.com
(425) 424-6425
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.
Use traffic drums (barrels) with steady burning
Type C lights on all State State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" and
shall not obstruct pedestrian access.
5. Crew is required to leave a minimum of 11' for
traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m.
8. Work area will be 14' ECL of Homeview Dr &
108' SCL of 180TH ST SW.
PLAN PREPARED BY:
TRAFFIC MANAGEMENT, INC.
800.763.3999
www.trafficmanagement.com
Traffic Control Services - Sales & Rentals �TMI
Permits &Consulting - Engineering - Training
C31 # 785804
TMI CONTACT PERSON: Michael Flanagan
TCS CERT #: 301872
PLAN ORDER: 36169 DATE: 1012012017