108602214-1034 B Ave S.pdf0 \:L L?,11(7.
-,NC. I sc) u
ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 108602214
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: 1034 B Ave S & Fir St
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 18' E C/1 of B Ave S & 271' N C/1 of Fir St
to cut and cap gas service at main. 1 3x5 paving cut anticipated
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: 10861
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 S1d1Ck
SIGNATURE
DATE 2/13/2018
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date
Est. Duration:
108602214
2/1/18
Edmonds
Yes
3/26/18
112 Day
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
1034 B AVE S
EDMONDS, 98020
MARSHA HAWKINSON 425 582 0315
Kevin Williams 425-691-7573
Job Description / Scope of Work
At 2" PE main permanantly retire 5/8 PE service to 1034 B AVE S Edmonds
New Construction:
Construction Method
PLAT Map: 164.066
t
N
1030
327 S
332'S
1034
N
31 'N
W
Q
co
5/8" PE
M
1991
271 IN
268'N
1 1 /8" MPE
2013—E
1040
Work Location
Size of Cut
Surface Type
18'
E
of CL
B AVE S
&
271'
N
of CL
RIR ST
3x5
Asphalt
of CL
&
of CL
Of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
Flaggers #:
Arterial:
Cut & Cap
EFV:
Police #:
TCP:
PUGET
ENERGY
SOUNDDel
Meter:
Speed Limit:
No Parks #:
Meter Loc:
Trolley Lines:
Mtr Hoods #:
Press:
Traffic Signal:
Bus Stop:
Bollards:
2.5" # 4" #
ADA Ramps #:
Route #'s:
LEGEND
®
28" TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
<0V]Hb
MOM
0`dO�
W<u01
0321dd
39
R
N
O
i
1034
V38V ,nvnnv MOi
�Nl�lavd •
MATCHLINE
�
I
O
I
O
O
I
O
15
15
14
HIM
MINIMUM TAPER LENGTH = L (feet)
LANE
POSTED SPEED LIMITS
WIDTHS
20
25
30
35
40
45
10
70
105
150
205
295
475
11
1 75
115
165
225
295
495
12
1 80
125
180
245
320
540
cm <
C.0 �� - --
100'
fC:
15 I 15
• PARKING
FROO 0 0 I WORK mo N
TOWAWAYAREA
W20-1
SEE RIGHT
CHANNELIZATION
DEVICE SPACING
TANGENT
TAPER
MPH
80
40
55/70
60
30
35/45
40
20
25/30
SIGN SPACING
"X"
55 +
800
60/65
500'
45/55
350'
35/40
200'
30
100,
25
PUGET
' SOUND
ENERGY
Job#108602214
1034 B AVE S, EDMONDS, WA
February 8, 2018
Sheet 1 of 1 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.
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. Contractor shall post temp "NO PARKING" 72 hours prior to construction.
9. Work area will be 271' NCL of FIR ST & 18' ECL of B AVE S.
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
PLAN PREPARED BY:
TRAFFIC MANAGEMENT, INC.
80.763.3999
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: 33255 DATE: 21812018 - JE