Binder1.pdfEDMONDS
r
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMITMUST BE POSTED ON JOBST'E*
STATUS: ISSUED ENG20170131
RIGAT OF IL. .
Permit Number: ENG20170131 Expiration Date: 12/13/2017
Job Address: 1045 2ND AVE S, EDMONDS Location: 1045 2ND AVE S
APPLICANT CONTRACTOR
PSF/Infras ource P SE/Infrasource
C/O Susan att: Sidick C/O Susan att: Sidick
1660 Park Lane 1660 Park Lane
Burlington, WA 98233 Bulington, WA 98233
(425)457-6353
LICENSE #: infras1871 c2 EXP: 02/22/2019
1 i
DESCRIPTION
Work area is approx 18'W c/I of 2nd Ave S & approx 260-401'S c/I ofPlne St. (4) 2x5 paving cuts anticipated.
ASSESSED VALUE: $0,00 PROPERTY AREA 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0 00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
PARKING: ( 0X0 ) DURATION IN MONTHS: 0 FEE: $0 00 YEAR OF OVERLAY: 0 FEE: $0,00
ALLEY f 0X0 'k DURATION IN MONTHS: 0 FEE: $0,00
INDEMNITY The Applicant has signed an application ivhich states he/she holds the City ofEdmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, 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
attorney fees by reason ofgranting this permit.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OFTHEWORK.
• 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 ofthe 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 DIALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION RWIJESTS
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED
Printed: Tuesday, June 13, 2017
BY
❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED ENG20170131
• 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.
• 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 limits
of ECC Chapter 5.30 only during the hours of 7:00am to 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, assigns, 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 from the issuance of this 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.
• E -Engineering Final
PARTIAL INSPECTION DATE:INITIAL: NOTES:
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PARTIAL INSPECTION DATE:INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: .....................�.�.�.�.�....�.�....�.�......� INITIAL:........................�.�.....�.�.�.._
Of E VA,I0
APR 19 , A f'R Z 0'� 2017
BUILDING
ROW PERMIT NO.: ENG c2
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 107053987
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL871 C2
City Business License #: NR -023614
CONTACT: Sue Sidick
Phone #: 425-457-6353
Fax #:
Email #: Susan.Sidick@pse.com
Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 1045 2nd AVE S
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: _
El Commercial Subdivision City Project ❑ Traffic Control (Only)
❑ Multi -Family 0 Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, 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 18'W c/I of 2nd AVE S &
approx 260-401'S C/1 of Pine St. (4) 2x5 paving cuts anticipated,
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES NO 11 Year:107@J
PAVEMENT CUT: N Yes [ No If yes, indicate size of cut: 2 x 5
CONCRETE CUT: E Yes 0 No If yes, indicate size of cut: x_
RIGHT-OF-WAY DURATION
AREA TOTAL
CLOSURE (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
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*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
04/18/2017SIGNATu 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)424-647w
PINE ST
100'
PUGET
SOUND
ENERGY
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a N
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100' �4
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o 4
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W20-1
1t 111
3
BORE
/�
PATH
UTILITY „
POTHOLES "
AS NEEDED
CHANNELIZATION
DEVICE SPACING
MPH
PER TANGENT
55!70 40 80
35!45 30 60
25130 20 mmm'n, 40
U) Notes:
w 1. All signs and spacing to conform to the MUTCD
and City of Edmonds standards.
0 2. All sidewalks, driveways, exits and egresses shall be
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cli 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"l a.m. and p.m.
8. Work area will be 18' WCL of 2ND AVE S &
approximately 260'-401' SCL of PINE ST.
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
PRIVATE DRIVE
SPOTTERlFLAGGER
AVAILABLE FOR PEDS AND TRAFFIC
PF �9t" JP li St
1045
LEGEND
28" TRAFFIC CONE
® BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
PINE ST
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. D81113/201 9
gregory.harwood@pse.com
(425)424-6425
/A h" --.,W
PUGET
SOUND
ENERGY
UTILITY
POTHOLES
AS NEEDED
1031
SPOTTERIFLAGGER
AVAILABLE
�
FOR PEDS AND TRAFFIC
FCHAN NELIZXF16N --
DEVICE SPACING
MPF" TAPER TANGENT
551710 40 80
-�3�5�-14 ; 5 ----
25130 20 40
1 .— —.,—
LEGEND
6 28" TRAFFIC CONE
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
V)
Notes:
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1. All signs and spacing to conform to the MUTCD
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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
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obstruct pedestrian access.
5. Crew is required to leave a minimum of 1 Vfor traveling
lane width.
6. Alert affected residents and businesses.
7. Work to take place between"; a.m. and 06P.M.
8. Work area will be T-31' ECL of 2ND AVE S &
approximately 354'-401'SCL of PINE ST.
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
L',,F`R[VATE
DRIVE
UTILITY
POTHOLES
AS NEEDED
1031
SPOTTERIFLAGGER
AVAILABLE
�
FOR PEDS AND TRAFFIC
FCHAN NELIZXF16N --
DEVICE SPACING
MPF" TAPER TANGENT
551710 40 80
-�3�5�-14 ; 5 ----
25130 20 40
1 .— —.,—
LEGEND
6 28" TRAFFIC CONE
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
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