106340810-23730 104 AVE W.pdf0 \:L L?,11(7.
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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106340810
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: 23730 104th AVE W
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 280' E c/1 of 104th AVE W
& 21' S c/1 of 237th PL SW 1 3x5 concrete 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 - Digiie signed ,d Suse ,1111 /� /LO
I d I cK DN at=Susan Sidi[k o=Pennitlin DepaNnUS ou=Muniapal
SIGNATURE Re1a��nn=emn��-=��=an=�d�0700 �nm�-Ds DATE
Deia: 2018.0613 0]:2712-0�'00'
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date
Est. Duration:
106340810
5/29/18
Edmonds
Yes
7/16/18
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
23730 104TH AVE W
Edmonds, 98020
GARY KILCK 206-730-0670
Jordan Cooper 425-623-5302
Job Description / Scope of Work
From 2 " PE IP 21'S (892936-1989) Run New Plat (conduit) 1 1/8 PE Commerical Service 30' (10'
New Construction:
Stub & 20 Ext) and Set A250 Meter OR. 50' ROW
Construction Method
Plat (Conduit)
PLAT Map: 167066
EXISTING Water
...............
------------------------------- -- •II
..........
N
...................................
EXISTING Sewer
237th PL SW
""""
._ ..
�!—..T.._.._..—..—.._..—..—..—
EXISTING stormwater ......
..........:.......
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.... .......�...
CYICTIAIr rAQ nnnInI 9T C rll R090QR
P/L I I P/L
1-118" PE I I
.........
;.........
. ........:......
23730 104th
.....................................
..........,........ .......... i...................
.....................................
......... _.........
.................. ..
A250 MSA
........ ...................
—
................... ¢........
..........}................. i.........:..........
.......... ..........................
... _ ..
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.................:..................
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3
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Work Location
Size of Cut
Surface Type
280'
E
of CL 1104th
Ave W
&
21'
S
of CL
237th PL SW
3x5
C
of CL
&
of CL
Of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
y
Arterial:
n
New Commercial Svc
EFV:
1-1/8" - 2600 - 9999144
Police #:
n
TCP:
y
vuCEr
SOUND
FNERGY
Meter:
A250
Speed Limit:
25
No Parks #:
y
Meter Loc:
08 - OR
Trolley Lines:
n
Mtr Hoods #:
n
Del Press:
6" W.C.
Traffic Signal:
n
Bus Stop:
n
Bollards:
2.5" # 1 4" # I
ADA Ramps #:I
n
I Route #'s:
I n
'�'a
O
LEGEND
® 28" TRAFFIC CONE
® BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
5
�
/
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041,
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Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-644225
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
�r a
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00' w I
z
_'
23730 �
I—
W20-7A
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 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 280' ECL of 104th Ave W & 21' SCL of
237TH PL SW.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
CHANNELIZATION
DEVICE SPACING
TANGENT
TAPER
MPH
80
40
55/70
60
30
35/45
40
20
25/30
SIGN SPACING
"V
55 +
800
60/65
500,
45/55
350'
35/40
200'
30
100,
25
`dL-OEM
100'
V-0ZM
100'
N 4`d3Hb
O >ibOM
aval
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Ol
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38
PUGET
SOUND
ENERGY
Job#106340810
23730 104th Ave W, EDMONDS, WA
June 4, 2018
Sheet 1 of 1 gregory.harwood@pse.com
(425) 424-6425
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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: 37745 DATE: 614118