109109193-835 Maple St.pdf0 \:L L?,11(7.
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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109109193
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: 835 Maple 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 17' N c/1 of Maple St
& 264' W c/I of 9th AVE S 1 3x5 paving cut anticipated to replace gas service
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: 1091 I
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 1 /13/2018
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
PRE -INSPECTION REPORT
Job M 109109193
Date: 1/2/18 Address:
Jurisdiction: E ponds City/Zip:
Right of Way Permit? Yes ❑ No Customer:
Est, Start Date: PM / Insp:
Est. Duration:
835 Maple St
Edmonds
PHONE NUMBER
WORK DESCRIPTION:
Rp— [_ e. I I'l ' i S +r; [.
Construction Method
Open Trench ❑
Trenchless 20
1
PLAT MAP:
N
1
1.�
Work Location
Size of Cut
Surface Type
1 N of CL
& 'E f CL 97
3
T
S of CL
& 'E W of CL
'NSofCL
& 'EWofCL
'FLAGGERS # Ig
MPH ❑ TROLLY LINES ❑
BUS STOP # El METER HOODS #
FFICER5 #h•—
SPEED LIMIT ❑ TRAFFIC SIGNAL ❑
ARTERIAL NO PARKS # 3
I Iummerclal U Altered Commercial L_j Leak Repair service inrormazlo ❑ Template Bar
Residential ❑ Altered Residential ❑ CP Work Diameter Met EFV ❑ Bollards 2.5" #
❑ Multi -Family Replacement Service ❑ Pothole ❑ 5/8" 250 ❑ 00 ❑ Bollards 4" #
❑ New Constr. ❑ Main Maintenance ❑ Extension li/8" ❑ 425 2600
❑ Stub ❑ Service Maintenance ❑ 11/4" ❑ 630 ❑ 10,000 ❑ FUEL LINE PERMIT NEEDED
❑ Extension ❑ Valve Maintenance ❑ 2" ❑ 1000 Fuel Line Length:
0 Compete Sery QrCut & Cap Mtr LOc: Fuel Line Diameter
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
W20-1
LEGEND
®
28" TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
me
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
N
CID
835 5- � ZM
z r RESIDENTS) WILL BE pOf
Y
a INFORMED OF POSSIBLE o
0 0 TEMPORARY DRIVEWAY j CLOSURE
CHANNELIZATION
DEVICE SPACING
TANGENT
TAPER
MPH
80
40
55/70
60
30
35/45
40
20
25/30
MAPLE ST
SIGN SPACING
"X"
55 +
800
60/65
500'
45/55
350'
35/40
200'
30
100,
25
100'
I
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I
OV3HV
Adorn ,
4V02� I
O
O�
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141 14
PUGET
' SOUND
ENERGY
Job#109109193
835 MAPLE ST, EDMONDS, WA
January 9, 2018
Sheet 1 of 1 gregory.harwood@pse.com
(425) 424-6425
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100'
---------------- ----
o e e o
L — — — — — — — — — -
o o e o
N o e N
i---------------- I--
-I MAPLE ST
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14 14 BOO
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WORK o
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AHEAD
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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 264' WCL of 9TH AVE S & 17' NCL of MAPLE ST.
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: 32274 DATE: 11912018 - JE
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