109110860-746 Somerset Ln.pdf0 \:L L?,11(7.
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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109110860
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: 746 Somerset Ln
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 6' S c/I of Somerset Ln also 13' S c/I &
600' W -603' W c/1 of 9th AVE N to install gas service(1) 4x5 paving cut and (1) 3x3 paving cut anticipated
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: 1091
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 Susan S1d1Ck DATE 2/28/2018
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date
Est. Duration:
109110860
3/13/18
Edmonds
Yes
5/21 /18
1-112 Days
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
746 SOMERSET LN
EDMONDS, 98020
JEFF JOHNSON 206-678-6834
Kevin Williams 425-691-7573
Job Description / Scope of Work
Decouple twin(746) from host(760) @ PL and from main run new complete 1-1/8 PE service to
New Construction:
No
single family residence(19'
scat stub
with 66' scat extension) Set Ac-630 OR @ Inches
Construction Method
All Scat / Trenchless
PLAT Map:
161.066
t
�P
N
. . . . . . .
. . . . . .^♦.
♦
♦
5/8" PE
♦
1992
1 1/8" MPE ♦♦
2014E
749 ♦♦♦
A630 MSA 606, �O� &
5/8' PE q
88
1-1/8" PE o
1
�'�"
Mains•
W
.
We je;
760
5/8" PE
5/8" PE
1988
1994
788
Work Location
Size of Cut
Surface Type
6'
S
of CL
Somerset LN
&
600'
W
of CL
9th Ave N
U5
Asphalt
13'
S
of CL
Somerset LN
&
603'
W
of CL
9th Ave N
30
Asphalt
of CL
&
I of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Arterial:
Altered Residential Svc
EFV:
1-1/8" - 1800 - 9996741
Police #:
TCP:
Yes
vucEr
ENERGY
Meter:
A630
Speed Limit:
25
No Parks #:
6
Meter Loc:
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
2.5" # 1 1 4" # I
ADA Ramps #:1
1 Route #'s:
N
E
RESIDENT(S) WILL
INFORMED OF POc
TEMPORARY DRIV
CLOSURE
Puget Sound Ere ,y
Traffic Cortrol S pCwis
Gregory Harncod
Card No. 009997
Card Exp. 08-t3!2019
gregory.rar rood®pse.
(425)424.6425
�r M ago o�
LEGEND
®
28" TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
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
1540
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
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. First work area will be 600' WCL of 9TH AVE N & 6' SCL of SOMERSET
LN, second work area will be 603' WCL of 9TH AVE N & 13' SCL of
SOMERSET LN.
)UGET
SOUND
=NERGY
b#109110860
)MONDS, WA
arch 20, 2018
)od@pse.com
�25) 424-6425
2I12
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m
z
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
TICS CERT II: 301872
PLAN ORDER: 34855 DATE: 312012018 - JE
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