20170705122938186.pdf�Wc. I S'90
PROJECT NAME: 106325174
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL87IC2
City Business License #: N R-023614
ROW PERMIT NO.: ENG
ISSUE DATE:
CONTACT: Sue Sidick
Phone #: 425-457-6353
Fax #:
Email #: Susan.Sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 18816 Olympic View Dr
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family N Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
CONICAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes ❑ No
� ANY ASSOCIATED PERMITS? BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific): Work area is approx 12' E C/l of Olympic
view Dr & 58' S c/1 of Wharf St to install gas 1 3x5 paving cut anticipated
I WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO ❑ Year: 1066
PAVEMENT CUT: X1 Yes ❑ No If yes, indicate size of cut: -3 x 5
CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: x
RIGHT-OF-WAY DURATION
CLOSURE AREA TOTAL (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 Sidick�°w� se9=�°5.5""°�
SIGNATURE
7/5/2017
oae=o,s��o,5,�-0T�.
DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
18816
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
PUGET
UND
I
/ Job#106325174
/ 18816 OLYMPIC VIEW DR, EDMONDS, WA
Date, 2017
/ Sheet 1 of 2 yuriy.bashtovoy@pse.com
(425) 398-6193
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I' Notes:
o�
of I 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
2 1 lane width.
b i 6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m.
8. Work area will be 12' ECL of Olympic View Dr & 58' SCL
® of Wharf St.
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
I �
i
I
I
0
N
0
yN
LEGEND
28' TRAFFIC CONE
®
BORE PIT
r =,7
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425 -
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
UG E T
SS UN w
IE e .
Job#106325174
18816 OLYMPIC VIEW DR, EDMONDS, WA
Date, 2017
Sheet 2 of 2 yuriy.bashtovoy@pse.com
(425) 398-6193
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. Work area will be 12' WCL of Olympic View Dr & 58' SCL
of Wharf St.
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
LEGEND
28" TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
Fr
FLAGGER
WORK VEHICLE
1+
SIGN LOCATION
WARNING FLAG