ENG20150100.PDFor En,y
CITY OF EDMONDS
121 5TH A VENUE NORTH -EDMONDS, WA 98020
�n'c 1 K90 PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20150100
RIGHT OF WAY PERM IT (6-EUC)
Permit Ntunber: ENG20150100 Expiration Date: 09/30/2015
Job Address: 9221 OLYMPIC VIEW DR, EDMONDS Location: 9221 Olympic View Dr
Infrasource
C/O Julie Simmons
13330 Stone Ave N
Seattle, wa
Infrasource
C/O Julie Simmons
13330 Stone Ave N
Seattle, wa
LICENSE #: INFRASL871C2 EXP: 02/22/2017
JOB DDSCRIPTION
occupying the south bound lane of Olympic View Drive to install 1-1/4" MPE into a)dsting 2" PE IP at 26' north c/I of Olympic View Dr
and 35' west of c/I of 181st St SW 5'X3'X4' trench anticipated in soft surface
DISRUPTION INIOWMA`HON
ASSESSED VALUE: $0.00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
PARKING: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
ALLEY: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00
INDEAfAUK The Applicant has signed an application which states he/she holds the City of Edmonds harmlessfrom injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds 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 OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCEOFTHEWORKC
• 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 DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTIC E REQ UIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOT PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
/"
c
BY
Printed: Monday, March 30, 2015
DA
UF[LECOPY INSPECTORCOPY ❑ APPLICANT COPY
0
A
STATUS: ISSUED
ENG20150100
• 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.
• Public utilities maintain 5' separation from City Utilities.
• 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 fromtemporary construction sites as a result ofconstruction activity are exempt fromthe 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 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 limit in any way the City's ability to enforce any ordinance
provision.
• &Traffic Control
• &Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
f'VC. 1$gu
ROW PERMIT NO.: ENG' 10 15 - D 100
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 1030Lit 2$3 CONTACT: J L4i'e S:,nwrCyrs
CONTRACTOR: Phnnea 4-
I ✓1 &&1Saarr4 Sr-
1--Mailing Address:
1 53L-2 Slr.,r five- Al
State License #:
IA1FRa S LS-4-i cZ
City Business License #: 9,_ 0 9 q 0
206 - 9YR - 58Y,6
Fax #:
Email #:
5�Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION:
Q221 OINm 0 iG View Dr.
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: �
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family
R EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
❑ Other
❑ Yes ❑ No
ANY ASSOCIATED PERMITS? BLD# ENG#
DESCRIPTION OF PROPOSED WORD (Be Specific)
nl u non: r_ V, P i A -Or- f-o 11 I - YN " MPE i &0 eli-S -rna Z" P6 I P al- Z(,' /1 QA
c4L &yniniG View pr and 35' weSL CA_ r- 18-15 St Sw.
Irenr om c : n A I-Cd in SO Pi -
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: ❑ Yes ® No If yes, indicate size of cut: x
CONCRETE CUT: ❑ Yes N No If yes, indicate size of cut: X.
I
RIGHT -OF -WAX DURATION
CLOSURE AREA TOTAL (NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF X LF SF
Alley 72 Hrs + LF X LF SF
Parking 72 )Firs + 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 DATE 3
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
OWNERICONTRAUOR IS RESPONSIBLE FOR �
EROSION CONTROL AND DRAINAGE �
� o
/Ch
F
LEGEND
® 28' TRAFFIC CONE
® BORE PIT
b TRAFFIC FLOW
TtFLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
InfraSource°
A QUANTA SERVICES COMPANY
1.
Job#107048283
9221 Olympic View Dr, Edmonds, WA
March 16, 2015
Sheet 1 of 1 greg.harwood@pse.com
(206) 418-4253
W T� 'd O � �dp� b•
4�
o°
o°
00
Applicant shaA repair/rWac® all danmage to
Utilities or frontage dnprovemenb in aty
right-of-way per C4 standards that is
or occurs during th® PffyWed project
too, e���A.�°
05
ENGINEERING DIVISION
A ' ' , VED AS NOTEQ
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 26' NCL of Olympic View Dr at
35' WCL of 181 st St SW (Kairez Dr).
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
. 30
60
25/30
20
40
RETURN ADDRESS:
Puget Sound Energy, Inc.
Attn: ROW Department
1660 Park Lane
Burlington, WA 98233
`? PUGET SOUND ENERGY
SNOHOMISH IM/2'0"1010:47amciw�ituiran�
EASEMENT
GRANTOR (Owner): JANETTE R. RONQUILLO, LLC
GRANTEE (PSE): PUGET SOUND ENERGY, INC.
SHORT LEGAL: LOT 12 VISTA DEL MAR IN 13-27-3E AND 18-27-4E
ASSESSOR'S PROPERTY TAX PARCEL: 00914200001200
NO EXCISE TAA
RE®UIRED
MAR 0 4 2015
KIRKE SIEVERS, Snohomish County Treasul
By KIRKE SIEVERS
For and in consideration of good and valuable consideration, the receipt and sufficiency of which are acknowledged,
JANETTE R. RONQUILLO, LLC, a Washington limited liability company ("Owner" herein), hereby grants and
conveys to PUGET SOUND ENERGY, INC., a Washington corporation ("PSE" herein), for the purposes
described below, a nonexclusive perpetual easement over, under, along across and through the following described
real property (the "Property" herein) in SNOHOMISH County, Washington:
Lot 12, VISTA DEL MAR, according to the plat thereof recorded under Snohomish County
Recording No. 200010195002, records of Snohomish County, Washington.
Situated in Snohomish County, Washington.
1. Purpose. PSE shall have the right to use the Easement Area to construct, operate, maintain, repair,
replace, improve, remove, upgrade and extend one or more utility systems for purposes of transmission, distribution
and sale of gas. Such systems may include, but are not limited to:
Underground facilities. Conduits, vaults; pipes, pipelines, mains, laterals, conduits, regulators, gauges
and rectifiers for gas; fiber optic. cable and other lines, cables and facilities for communications; semi -buried
or ground -mounted facilities and pads, manholes, meters, fixtures, attachments and any and all other
facilities or appurtenances necessary or convenient to any or all of the foregoing.
Following the initial construction of all or a portion of its systems, PSE may, from time to time, construct such
additional facilities as it may require for such systems. PSE shall have the right of access to the Easement Area over
and across the Property to enable PSE to exercise its rights granted in this easement.
2. Easement Area Clearing and Maintenance. PSE shall have the right, but not the obligation to cut,
remove and dispose of any and all brush, trees or other vegetation in the Easement Area. PSE shall also have the
right, but not the obligation, to control, on a continuing basis and by any prudent and reasonable means, the
establishment and growth of brush, trees or other vegetation in the Easement Area.
3. Restoration. Following initial installation, repair or extension of its facilities, PSE shall, to the extent
reasonably practicable, restore landscaping and surfaces and portions of the Property affected by PSE's worts to the
condition existing immediately prior to such work. PSE shall use good faith efforts to perform its restoration
obligations under this paragraph as soon as reasonably possible after the completion of PSE's work.
4. Owner's Use of Easement Area. Owner reserves the right to use the Easement Area for any purpose
not inconsistent with the rights herein granted, provided, however, Owner shall not excavate within or otherwise
Gas Easement 10/2013
107048283/ RW-087450
160.067
Catae va —LeeAauwoms 93096 NOlONIHSVM 'SaNOWa3 $�a
zol 3M 3H 31Hla IUSI CULL UV W -13a V1SIA 'U 10l
Us I 1 1M O13IN O 3AIWO 23HIVN L0081 a� Q
tl3ll3M '0 131NV0 'ONI 'Nouond1SNOO 1103SNOd
�s' S VIM
v
UA
ID
107048283
5s
r�
U � T
� 4 �
5_§
m9flH
J,j� J
�dW
i
,�
_.........
.
OdOa 3lbnlad
3nia0 zaaivN
\moo o�c
.CS s st �o
x
t k
S i t
g
! ��.. . � � ii�' ^ b•�;` � O la's .�`.
< e
n ;.d
r t.,
DES air "cid ' t t
a
g@ 8� s_ f1 G ¢ 0 dd �E 4 V4
g� peg ���Y$@ '3 0
m gig
: C�iY d2 a RY8 rG3 pit A9� «2 X1 LS r � �$ � �Jg ao: !!
aw R
L_ ��y(
so
12
al
Lu
� Q
as
a 3 m
a
gg Q
01
egg$
a �
L F2 d
.: �\r�\�"•;;a� � $tl z � � ash �� �� •
LJ
Lt `lKw\L
—•J J
III•-__ � _
,,/u
�a
z r
U s�
o � xo
_4
ILI
O
a
a-ecezarocor•m\utts-w�a•ea\ewn\�.�o�osae.\..ew:\....n\o W.me - aoz n wn