3.12.18 - Issued permit eng20180048.pdfof D'V
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20180048
RIGHT OF WAY PERMIT (6-EUC)
Permit Number: ENG20180048 Expiration Date: 09/12/2018
Job Address: 7510 21 OTH ST SW, EDMONDS Location: 7510 21 OTH ST SW
PSE/Infirasource
PSE/Infrasource
C/O Susan att: Sidick
CIO Susan att Sidick
1660 Park Lane
1660 Park Lane
Burlington, WA 98233
Burlington, WA 98233
(425) 45 7-63 5 3
LICENSE#: infrasl871 c2 EXP 02/22/2019
Work area is approx 19'S c/I of 210th St W & 451'W c/I of 74th Ave W to install gas main e3d and service to 7508 & 7510 210th St SW.
I 3x5 concrete cut anticipated.
DISWIPTION INFORMATION
ASSESSED VALUE- $0-00 PROPERTY AREA 0
SIDEWALK: (OXO) DURATION IN MONTHS 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: 13 X 5
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
INDEMNITY- The Applicant has signed an application lvhich states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany kind or description 14,halsoeverforeseen 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
afforneyfees by reason ofgranting this permit.
TEE CONTRACTOR IS RESPONSIBLE FOR WORKNIANSUIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THEW ORK
• 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 patched with 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 DIAI-A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 7711-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
MS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HERDEPUTY- AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Monday. M
TE
E] FILE COPY [—] INS PECTOR COPY F1 APPLICANT COPY
STATUS: ISSUED
ENG20180048
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates ofunderground utilities priorto any excavation.
• Alert affected residents and/or businesses priorto work start.
• Conform to approved working drawings and Traffic Control plan.
• Verify clear bore crossings
• 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 permitted project.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise lintits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00arn 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, assigns, and successors in interests, agrees to indemnify defend and hold
han-niess the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance ofthis permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
I INS PECTIONS
0 E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
GET
SPUOUND
ENERGY
Job#`107055620
7610 210TH ST SW, EDMONDS. WA
January 31, 2018
Sheet I of I gragory.harwood@pse.rom
(425) 424-6425
9-2m I. -OW
C.W 11�. ODM?
-------------------- ----------------- ------ —4 1---
- — — — — — — — — — — — — — — — — — — — — — — —
0, fo, 210THSTSW
W20-1 W21-5 [ 0
I IMP"
�hcfto`
W=:
CHANNELIZAYION
DEVICE SPACING
TAUqEq4 TAtEft.1 MPH
7i--
_400,
SI_2� SPACING
I
61
5
4
10 1
20
70
2F
1 1 5
0q5
30
r
,0
1,35;
0
1 40
M
1 45
35"40
30
11 1
75
1 1151
155
1 225
1 205
1475
495'
;46�t
3514
2513
12 1
60
1 1251
t80
1245
1 320
$40
Applicant shall repair/replace, all d=,tage to
Utilities or frontage improvements in City
right-of-way per Cfty standards that is caused
oi- occurs durIng the permitted project.
OWN'_"TCONTRACT OR IS REZ)PONSIBL1 FOR
Alkl') ElPhNIAGIE
Notes:
1. All signs and spacing to oonform to the MUTCO and City of EDMONDS
BIB clards.
2. All :ldowalks, driveways, exile and egresses shall be completely clear
uAlost olhonvIto Wicled.
3' Channelizing devices are 21i'trallic, cones,
FLUIPAIPASIX19Y.
4. Sign size can be a minimum of 48'x 48" end shell not obstruct pedestrian
TRAFFIC MANAGEMFNT,
INC.
access.
S. Crew Is rocluled to leave a minimum of 11'for traveling lone width.
800.763.3999
^q
6. Alert atfocloo tatkItnts and butinet&Ps.
7. Work to take place between 9 a.m. and 4 p.m.
TMI
Conlr clor shall post temp'NO PARKING' 72 hours prior to cons! clion.
SuCl.
C31 # 705804
wwr_
Work'a'rea will be 376'14W/425P/460'WCL of 74TH AVE W & 1. of
ICIII-Iry-01
210TH ST SW.
11"CADCU351)
VNG1f*_"NXJ_ L_AVR3t0`N
APPRQVED AS NC)TEQ
--- -, I X__- _Nft:4Ik1/t
Job #:
Date:
Jurisdiction:
ROW Permit:
Est, Start Date:
Est. Duration:
107056629
1126118
Edmonds
Yes
6/11/18
3-112 Days
Puget Sound Energy Gas Pre -inspect Form
Address: 7508 & 7610 210th St SW
City / Zip: Edmonds, 98026
Customer: Brooks Josephsop 206-419-7396
PM / inspector: Jordan Cooper 426-623-5302
Job Description / Scope of Work
From 2 " PE IP 19's Main (9421774-1994) Run New Scat 2" PE Main Extension 100'. Run Two
ew Construction:
New Scat PE 11/8 Services 70' (16' Stub &
66' Ext) and Set Two, 2 Meter Manifolds on 7508 and
construction method
7610 with A4215s. 60' ROW
All Scat Trenchless
PLAT Map: 162067
t
N
EXISTING Water 8"
- - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
-
- - - - - - - - - - - - - - - - -
8" EXISTING Stom
- - -- - - - -
210th St SW
1EXISTING Sewer
Tle In
- - - - - - - - - -
- -
—1 -- — — — — — — — — —
-
2"PEMo1nEKtJ00'
2 "EXISTING GAS MAIN 19'S
9421774
P/L
P/L
1-1/8" PE
1-1/8" PE
Service
Service
7510 7508
-Work Area Note -
End Of Main 451V
74th Ave W
Work Area Will Be From End
Of Main to 501'W of 74th
Ave W
i5' fj0j2j"A^+C 2x4 cuts every 20-30' Unless
Crew Decides To Drill III
Q 15,0-11 CA L, �A*AaAvo&I FaOtA C1111 Main
%mk C"WAP&S-
Work Location
Size of Cut
Surface Type
19,
of CL
210th St Sw
451'
1 W
I ofCL
174thAveW
3x5
C
Of CL
of CL
I
I of CL
Service Information
Street information
Job Type
Diameter!
1-1/8" PE
Flaggers III:
y
Arterial:
N
New Residential Main & Svc
EFV:
1- 1/8" - 2600 - 9999144
Police #:
N
TCP:
y
I
I
PUCA I
SOUND
____j
Meter: _7���A425
A425
Speed Limit:
25
No Parks #:
y
Meter Loc:
01 - OFR
Trolley Lines:
N
Mtr Hoods #:
N
'Del Press:
6" W.C.
Traffic Signal:
N
Bus Stop:
N
Pollards:
2.S" # 4" #
ADA Ramps M,
N
Route ff's:
N
of EVA40
1� �
INC. I. sq')
ROW PERMIT NO.: ENG 201&2Q�g
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 107055629
CONTRACTOR: PSE/infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
StateLicense#: INFRASL871C2
City Business License 4: N R-023614
CONTACT: Sue Sidick
Phone #: 425-457-6353
Fax #:
Em"' #: Susan. Sid ick@pse.com
Ll Liability Insurance El Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 7510 21 Oth ST SW
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
r I Commercial LJ Subdivision Ll City Project E7 —Traffie Control (Only)
F] Multi -Family Z Single Family F-1 Other
F-1 EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit pat it of a blanket permit? Yes F* No
I ANY ASSOCIATED PERNUTS? BLD# ENG#—
DESCRIPTION OF PROPOSED WORK (Be Specific): Work area Is approx 19'S 0 of 2101h STW & 451' Wc/1 of 741h AVE W
210th STW& 451'Wc/1 of 74th AVE Wto install gas main ext and service to 7508&7510210thSTSW
1 3x5 concrete cut anticipated
I WAS STREET OVERLAYED WITHIN THE LAST FIVE, (5) YEARS? YES [I NO F1 Year: 107&
PAVEMENT CUT: Yes No
CONCRETE CUT: Yes No
If yes, indicate size of cut: x
If yes, indicate size of cut: 3 x 5
RIGHT-OF-WAY
AREA
CLOSURE
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF
X
L
SF
Alley 72 Hrs + LF
X
LF
SIP
Parking 72 Hrs + LF
X
LF1
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.
Susan Sidick 2/2/2018
SIGNATURE DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE