106339014-1135 Viewland Way permit request.pdf0 \:L L?,11(7.
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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106339014
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: 1135 Viewland Way
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 1' N c/1 of Viewland Way
& 110' E c/I of 11th PL NE to install gas service (1) 3x5 paving / grass cut 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: 3
If yes, indicate size of cut: —
x5
x
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.
Susan-1 1 - DI911e1�➢sl".S,dp.d by Sks P,1111 5/7/2018
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SIGNATURE D1b.201805��7124n=5 0700=e�nm �-Ds DATE
Deie: 2018.05 0� 12:47 25-0�'00'
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
100' 100' 100'
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A
W20-
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W20-4
PSE
Traffic Control Supervisor:
Eduard Volianskyi
Card No. 010041
Card Exp. 11/30/2019
Eduard.Volianskyi@pse.com
(425) 4246428
Resident(s) will be informed
of temporary driveway
closure
Emergency vehicles will be
allowed to pass
construction zone.
1135
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100' 100' 100
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PRINT ON
11X17" SHEETS ONLY
PUGET
SOUND
ENERGY
Job#106339014
1135 VIEWLAND WAY, EDMONDS, WA
5/3/2018
Sheet 1 of 1 Eduard.Volianskiy@pse.com
(425) 4246428
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 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.
8. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
LEGEND I
®
28" TRAFFIC CONE
®
BORE PIT
=>
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW ROW
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date
Est. Duration:
106339014
4/27/18
EDMONDS
Yes
7/2/18
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
1135 VIEWLAND WAY
EDMONDS, 98020
BOB WALTZ 425-501-4520
Kevin Williams 425-691-7573
Job Description / Scope of Work
From 2" main run new complete 1-1/8 PE service to single family residence (20' scat stub with
New Construction:
No
35' plat extension)
Set AL-425 meter
OR @ Inches
Construction Method
Scat ROW / Plat Property
PLAT Map:
162.067
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Fire Hydrant
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_ _ _ _ _ _ _ _
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_ — — — — _ _ — — — — — � P/L — . Water
I Overhead
Power
= — — — — — — — — — — — — — — — — Sewer
2" PE Main V WN PAV 853167
----------------------------------------------------------------------
View Land WAY
P/L
Work Location
Size of Cut
Surface Type
1'
N-N
PAV
Viewl-and WAY
&
110'
E
of CL
11th PL N
3x5
Asphalt/Grass
of CL
&
of CL
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
PUCEr
FNERGY
SOUNDDel
Meter:
A425
Speed Limit:
No Parks #:
Meter Loc:
08 - OR
Trolley Lines:
Mtr Hoods #:
Press:
6" W.C.
Traffic Signal:
Bus Stop:
,
Bollards:
2.5" # 4" #
ADA Ramps #:I
I Route #'s: