20170327143007.pdfA Ov.
1P CITY OF EDMONDS
PHONE: (425) 771-0220 - FAX: (425) 771-0221
121 5TH AVENUE NORTH - EDMONDS, WA 98020
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20160450
RIGHT OF WAN" PERMIT (6-RIC)
Permit Number: ENG20160450 Expiration Date: 06/14/2017
Job Address: 8424 BOWDOIN WAY, EDMONDS Location: 8424 Bowdoin Way
APPLICANT CONTRACTOR
PSE/Infrasource PSE/Infrasource
C/O Susan att: Sidick CIO Susan att: Sidick
1660 Park Lane 1660 Park Lane
Burlington, WA 98233 Burlington, WA 98233
(425) 457-6353
LICENSE 4: infras1871c2 EXP:02/22/2017
Work area is approx 270'W c/l of 84th Ave W On Bowdoin way. I 3X5 paving cut anticipated. Please rush remove 5/8 pe gas s ervice
from storm drain and repair.
9_6_01S-400 : Q64,t4tl '90 1W.40a INt CAVILe, - (CAWS& gzgr, Q.FPMA�.
ASSE'SSED VALUE: $0.00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0 00 STREET DISRUPTION TRENCH CUT: (3X5)
PARKING: OXO DURATION IN MONTHS: 0 FEE: $0 00 YEAR OF OVERLAY: 0 FEE: $0 00
ALLEY: OX0 DURATION IN MONTHS: 0 FEE: $0 00
I"EMNITY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany kind or description whalsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
atiorneyfees by reason ofgranting thispermil.
THE CONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEF]INAL
INSPEC71ON AND ACCEPTANCEOFTHEWORK.
• 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
possesion.
• Restoration is to be in accordance with City codes. All street -cut trench work shall be patchedwith asphalt or City approved
material prior to the end of the workday- NO EXCEPTIONS.
• Three sets of construction drawings of proposed work are required with the permit application.
CALL DIALA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FDR ALL INSPECTION REQUESTS
XPPLICATIONAPPROVAL
THIS APPLICATION IS NOTAPERMTUNTTL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED -
Printed: Wednesday, December 14,2016
12111J.I? 16
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RELEASED BY DATE
E] FILE COPY INSPECTOR COPY EJ APPLICANT COPY
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STATUS: ISSUED
ENG20160450
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates of underground utilities prior to any excavation.
• Alert affected residents and/or businesses prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control. Keep street clean.
• Call for required inspections as noted.
• Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the pennitted project.
• Sound/Noise originating fromteniporary construction sites as a result of construction activity are exempt from the noise lirnits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, ass igns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly fromthe issuance of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not lirnit in any way the City's abifity to enforce any ordinance
provision.
• B-Traffic Control
• B- Repair on storm main I 5vo-obold
• E-Bigineering Final
6 0-- 0-0p"jL oi,,j C- A40 -
PARTIAL INSPECTION DATE:
PARTIAL INSPECTION DATE:
FINAL INSPECTION APPROVED DATE:
INITIAL: NOTES:
INITIAL: NOTES:
INITIAL:
LEGM
507EFIT
=> IWFFW RIM
Tt --
VMWV91CLE
M4 LGC&TPM
+ WAFINVIGRAG
CHANNELIZATION
DEVICE SPACING
MPH I TAPER
TANGENT
117 '0
so
0
r"40
3 45 TO
25WI 20
—
1109
RESI D ENT(S) WILL B E WFORME D
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
PUGET
L SOUND
ENERG)
Job#892043917
24 Elowdoin Way Edmonds, WA
October 24,2016
1 of 1 stephen.gadke@pse.com
(425) 424-643'
MON-4EOW" ""
APP
rVED A81 NO!
Notes:
1. AD signs and spacing to conform to the MUTCD
and City of Edmonds standards.
2. All sidewalks, driveways, eAds and egresses shah be
completely clear unless othenvise indicated.
3. Channelizing devices are 28* traffic cones.
4. Sign stze can be a minimum of 48' x 48' and shall not
obstruct pedestrian access.
5. Crew is required to leave a minimum of I Vtor traveling
lane vAdth.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m.
B. Work area %W1 be 270'WCL of 84th Av W
& appro)dmately 2(Y SCL of Bwdoln Way,
9. 11 used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
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Storm Single Work Order
Structure ID: 13-618 13-63 Work Order Number 4240
Address Number 8424 BOWDOIN WAY Confined Space No
Date Reported 1/29/2016 Flaggers No
Issue Storm -Illegal Boring Vactor No
Activity Remove Boring
Location
Details Gas line bored through the storm pipe. 87' NE of 13-63.
13-537
.13- 62 8.507
13-5400 8509 13-53913-60
VATEW
'ANK M
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/21228
Notes:
Crew:
Total Work Orders
Friday, September 23, 2016
CP
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03
13-61' 13-617
* 13-619
13.6
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Date:
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TRAFFIC FLOW
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SIGN LOCATION
WARNING FLAG
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Job#109101486
1143 C Av S Edmonds, WA
March 1, 2017
Sheet 1 of 1 stephen.gadke@pse.com
(425) 424-6431
V4GW'&eP*%'G D(V16PN
APP ED AS NOTF-Q
RAI: 6:q '7
i7/1
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
I TANGENT
55/70
40
)o
�
25/30
20
40
Notes:
1 All ci no nnei
�1 V.-.V" 1111 V V1V1U1%'Lj
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 1 1'for traveling
lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m.8. Work
area will be 185, & 220'ECL of 8th Av S
& approximately 5' SCL of C Av S .
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
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PUGET SOUND ENERG Y
PSE Web Map
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0 0005 001 0.02
Mies A
rmation on the attached map is subject to change
W"teho'uftoncrice. Puget Sound Energy makes no representation or
varranty of suitab Ifity ofthis information for arty purpose.
This map.. is not to be used for
determ the actual location ofarry PSEfacilkies,
Copyrig 12. All rights reserved
Property of Puget Sound Energy
Maps. Records and Technology
355 1 10th AVE N E, B ELLEVU E, WP, 98004
NA D-1 983—State Plan e—Wash ington—N orth—FlP S 4601_R
Date: 312r2017 Reference Scale: 1:0
Storm Sinale Work Order
Structure ID: 12-279 Work Order Number 4241
12-282
Address Number 1143 C AVE S Confined Space No
Date Reported 3/4/2015 Flaggers No
Issue Storm -Illegal Boring Vactor No
Activity Remove Boring
Location
Details Gas line bored through the storm pipe. 27' NE of 12-279.
N 00
TIM cNit
1122 T"
12-282
12-267
1126
1133
V
C* (11 1132 1131
1132
LU
1134 12-1168 1150 1140 (A
- -0 12-271 79 1141
1136 12-27 2-28?
j12-273
152 U2 - 8 9 11 5�
Z
759-j
1160
2-648
ELM ST
Notes:
Crew: Date:
Total Work Orders 1
Friday, September 23, 2016
)f 3/4,12015 1:04:43 P %I
0 v E E) A,
IIVC— 90
ROW PERMIT NO.: ENG
ISSUE DATE:
RIGUIT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROX EXT NAME: 892044169
CONTRACTOR: PSE/infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
StateLicense#: INFRASL87IC2
City Business License #: N R-0 19840
CONTACT: Sue Sidick
Phone #: 425-457-6353
Fax #:
Email#: Susan.Sidick@pse.com
D Liability Insurance E] Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 1143 C Ave S
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
F] Commercial F1 Subdivision 0 City Project Ll Traffic Control (Only)
F� Multi -Family Z SingleFamily F1 Other
F-1 EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? Yes No
ANY ASSOCIATED PERIMTS9 BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Emergency gas leak repair follow up permit
work area 185'E C/1 of 8th AVE S & &S C/l of C Ave S. 1 2x4 & 1 6x8 paving cut work has been completed
I WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES 0 NOE] Year: 892b
PAVEMENT CUT: X Yes F-1 No If Yes, indicate size of cut: 6 x 8
CONCRETE CUT: E] Yes F-1 No If yes, indicate size of cut: X_
RIGHT-OF-WAY
AREA
CLOSURE
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF
X
X
LF1
LF
SIP
SF
Alley 72 Hrs + LF
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 helshe 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.
DU S S�PV.e r— E S��l Uw
Susan Sidick 3/2/2017
SIGNATURE DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE