108605323 144 Railroad Ave.pdf()F E c,'tlo 'v
jNC. 1890
ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 108605323
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL871 C2
City Business License #: NR-023614
CONTACT: Sue Sidick
Phone #: 425-457-6353
Fax #:
Email #: Susan.Sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 144 Railroad Ave
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑X Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit9
ANY ASSOCIATED PERMITS?
❑ Yes ® No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : To cut &cap gas service at approx 882' N c/I
of Dayton St & 17' W c/I of railroad Ave 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.
SIGNATURE
DATE 2/28/2018
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Date of Request
Job number
Job address
Project mgr:
PM email:
PERMIT REQUEST FORM
06/06/18
108605323
144 Railroad Ave
Gayle Plaisance
gayle.plaisance@pse.com
Estimated job start date:
Estimated job completion date:
07/27/18
Description of work to be performed:
Dayton St, please see pre -inspect for details
City: Edmonds Zip. 98020
Pavement cut? FYes FNo
If yes, Dimensions of Cut: Length 3 Width 5
How many cuts? 1
Surface Type asphalt
PM contact #: (253) 617-6013
Require trenching? Des FNo
If yes, Dimensions of trench: Length Width Depth
Method of installation:
Traffic impact:
Road closed
❑Yes
�✓ No
Lane closed
Eyes
❑ No How Many? Direction? West
Shoulder closed
FlYes
® No
Sidewalk closed
FYes
❑ No
Emergency Contact:
Cell Number:
0
No electric grid information available
S 160062, Q 163065
05-30-2018
The into on the attached maps is subject to change without notice. Puget Sound Energy akes no —ants, expressed or implied. concemtng
the suitgbility of thu Information for any purpose. R-iple t agrees to not disclo» this conrdentwl information to any other parson or entity,
unhss authorked In wTitirp by Puget Sound Energy. This map is not to be used for detennlning the actual location of any PSE lacliltles (call 811
1 1 /8" WE
2016-E
Scale 1:900
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No electric grid information available Scale 1:900
S 160062, Q 163065
05-30-2018 Lat\Long=47.81 15,-122.3834
The Infoanafion on the atfoehaa Taps Is wbiacf to change without notice. Puget Sound Energy kes no wananfy, evn,"ed or ITplietl. conceTlnq
the suitability of this information for any purpose. Recipient agrees to not disclose this conHden'd information to any other parson or entity
unless outhori:ad in writing by Puget Sound Energy. This nap rs not to be used for determining the actual location of any PSE facilities Ico1181 i:'
Job #/: 108605323
Date: 00 -05 — I
Jurisdiction: fZtnonds
Right of Way Permit? YES ❑ NO
Est. Start Date:
Est. Duration:
PRE -INSPECTION REPORT
Address: 144 Railroad Ave
City / Zip: Edmonds
Customer:
PM / Insp: CUST PHONE NUMBER
PHONE NUMBER
WORK DESCRIPTION: t, Construction Method
�erl-`� jz.J�. t % � S t T', vi S�"J rS
Open Trench e
I �� Trenchless ❑
PLAT MAP: O(o 5-
GA
I
�L
J �
I
Work Location Size of Cut Surface TVpe
S of CL Td r & f CL r ?S ,ASPI AtT
'N S of CL _ _ & 'E of CL _
'NSofCL & 'EWofCL
FLAGGERS # a MPH ❑ TROLLY LINES ❑ S STOP # ❑ METER HOODS #
❑ OF RS # SPEED LIMIT ❑ TRAFFIC SIGNAL eTERIAL
❑ NO PARKS #
Commercial ❑ Altered Commercial ❑ Leak Repair Service Information ❑ Template Bar
❑ Residential ❑ Altered Residential ❑ CP Work Diameter Meter EFV
❑ Multi -Family El Replacement Service ❑ Pothole ❑ 5/8" ❑ 250 ❑ 1800 ❑ Bollards 2,5" #
❑ New constr. ❑ Main Maintenance ❑ Extension ❑ 11/8" ❑ 425 ❑ 2600 ❑ Bollards 4" #
❑ Stub ❑ Servi Maintenance El11/4" ❑ 630 El10,000 ❑ FUEL LINE PERMIT NEEDED
❑ Extension ❑ ve Maintenance ❑ 2" ❑ 1000 Fuel Line Length:
❑ Compete Sery Gut & Cap Mtr Loc; 0 RL Fuel Line Diameter:
a
OP 7, /
tl /72 00
/ z
LEGEND
® 28'TRAFFICCONE
® BORE PIT
TRAFFIC FLOW
- 7r�0/%,
*��"
I t 1-..ERks�
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
0q/41
s1>.
7 /
9 CC
/
/
/
/
J�
P
144 Railroad Avenue
I
y,
Sri ,
EdmondsE]
i%
Edmonds Kingston 4' Ferry Toll Booth + j
w Dayton Sr (Dayton St
m
VICINITY MAP
CHANNELIZATI ON
DEVICE SPACING
MPH
TAPER
I TANGENT
55/701
40
1 80
35/451
30
1 60
25/30
20
40
PUGET
• SOUND
ENERGY
Job#108605323
144 Railroad Ave, Edmonds, WA
May 31, 2018
Sheet 1 of 1 gregory.harwood@pse.com
(425) 424-6425
MINIMUM TAPER LENGTH = L (feet)
POSTED SPEED LIMITS
K
20
25
30
35
40
45
70
105
150
205
295
475
75
115
165
225
BO
125
160
245
320
540
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08113/2019
gregory.harvood@pse.com
(425)324E4225
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 I T 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 5' WCL of Railroad Ave &
885' NCL of W DAYTON ST.
PLAN PREPARED BY:
TRAFFIC MANAGEMENT, INC.
.763.999 www.traffiemanagament.com www.trafficmanagement.com
r
Trolfic Controlnos-$N0r0I5
TM,
Permib&Consultig-FnAinooring-TroininB%
I
C31 # 785804
�
TMI CONTACT PERSON: Michael Fl—Um
TCS CERT Y: 301872
PLAN ORDER: 37701
DATE: 5131118
p 0.25 0.5
1:
I I Imifes
tIn. in. = 1900 ft.
SEE
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