ENG20150490-APPROVED PERMIT.pdf4101CCITY 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 ENG20150490
Permit Number: ENG20150490 Expiration Date: 10/30/2017
Job Address: 7529 BRAEMAR DR, EDMONDS Location: 7529 Braemar Dr
P51 /Intrasource PSE/Infrasource
C/O Susan att: Sidick C/O Susan att: Sidick
1660;Park Lane 1660 Park Lane
Burlington, WA 98233Bwl,ngton, WA 98233
(425)457-6353
LICENSE 4: infrasl871c2. EXP: 02/22/2017
.JOB DESCRIPTION
Replace 2" dupont gas main' in Braemar Dr from 76th Ave W to the end of the road at 7400. Install 1100' of 2" pe gas main from 23' east"
c/I of 76th. easterly on the north side of Braemar at approx 21' north -following the design of 109092829, transition to the south side just'
past 7515 around the road at 7404 temvnating at the cul-de-sac. extending to 7404. Replace associated service per design 109092829.°
There will be 3X5 paving cut anticipated in asphalt.
ASSESSED' VALUE: $0,00 PROPERTY AREA: 0
SIDEWALK: '0X1' DURATION IN MONTHS: 0 FEE $0,00 STREET, DISRUPTION TRENCH CUT: ( 3 X 5')
PARKING: ( 0X0) DURATION IN MONTHS: 0 FEE $0,00 YEAR OF OVERLAY: 0 FEE $0,00
ALLEY ( OX0) DURATION IN MONTHS: 0 FEE $0,00
IADEMIVITY The Applicant has signed an application which states he/she holds the City, of Edmonds harmless from injuries,
damages or claims ofany=kind or description whatsoei,er, foreseen or unforeseen, that may be made against the City of Edmonds or
any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
THE CONTRACTOR IS RESPO NS IBLE FO R WORKMANSHIP AND MATERIALS FORA PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND AC CEPTANCE O F THE W 0 R
• 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 ofthe workday -NO EXCEPTIONS.
• Three sets ofconstruction_drawings ofproposed work are, required with the pen -nit application.
CALL DIAIA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
------------
APPLICATION APPROVAL
THIS APPLICATION 1S NOTA PERMIT UNTIL SU
RELEASED Bi
FILE COPY
SPACE PRO',IDED,<
I . A, If
❑ INSPECTOR COPY`
Printed: Frith , April 28, 201
s
DATE
APPLICANT COPY
STATUS: ISSUED ENG20150490
RIGHT OF WAY PERMIT
• 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/orbus'inesses -prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• Verify clear bore crossings. City has the right to request video footage of city storm and sewer main utilitiesfor confirmation
of 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 7:00amto 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, 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.'
INSPECTIONS
• &Traffic Control
* E -Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES,
PARTIAL' INSPECTION DATE: INITIAL: ;NOTES;
FINAL INSPECTION APPROVED DATE: INITIAL:
�C SOO
[Z-111 111
( biNNED
P1' Ili x'11'1"
ROW PERMIT NO.: ENG , �.� , "
10
ISSUE DATE:
RIGIT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109092829
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 k Susan.Sidick@pse.com
WW_
Liability Insurance E] Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 7529 Braemar Rd
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial Subdivision 0 City Project E Traffic Control (Only)
❑ Multi -Family 0 Single Family Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes F*1 No
ANY ASSOCIATED PERMITS? BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Replace 2' Dupont gas main In Braemar Or from 76111 Ave W to the end of the road at 7400,
install 1100' of 2" PE gas main from 23' East CIL of 76th, easterly on the north side of Braemar at approximately 21' north following the design of 109092829,
transition to the south side just past 7515 around the road at 7404 terminating at the Cul-de-sac. Replace the associated service per design 109092829
New permit and verbage
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO Year. 109,
PAVEMENT CUT: ®Yes ❑ No If yes, indicate size of cut: 3 x 5
CONCRETE CUT: 0 Yes ❑ 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
*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 4/25/2017
SIGNATUREDATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Date of Request:
Job number:
Job address
Project mgr:
PM email:
04/24/17
109092829
7529 Braemar Drive City: Edmonds Zip: 98026
John Guay
John.Guay@pse.com
Estimated job start date: 05/10/17
Estimated job completion date: 06/20/17
Description of work to be performed:
PM contact #: (425) 505-3768
Replace " Di 1 onto, main -hi -Bra n�L�i frnr� 7 itl � edn..raf tft��aa i a .
Install 1100' of 2" PE qas main from 23' East C/L of 76th, easterly on the north side of
Braemar at approximately 21' north following the design of 108002820, transition to the
tlole �'
Pavement cut? MYes 'No
If yes, Dimensions of Cut: Length 3' Ulydth 5'
How many cuts? 34 +/-
Surface Type asphalt
Require trenching? Yes ENO
If yes, Dimensions of trench: Length Width
Method of installation: Proposed - Hog / directional drill.
Traffic impact:
Road closed Yes
' ✓ No
Lane closed ✓ es
D, No How Many?
Shoulder closed Flyes
EI No
Sidewalk closed [Tes
✓ No
Emergency Contact:
Cell Number:
Depth
Direction? west
SAP# 109092829
BYPASS MATERIALS
45
21
44
20
43
19
42
18
41
17
40
16
23
22
21
20
19
18
17
16
15
14
1
BOX COMPLETE 1" THRU 4" POLYVALVES
9996260
13
1
BOX SUPPORT 2" POLYVALVE
9996257
12
1
VALVE 2" MPE
5600259
11
10
1
10'
CAP 2" MPE
CP WIRE #10 TEST LEAD
5200649
8500930
9
3
ELL 2" X 90° MPE
6000484
8
2
CP TEST LEAD BOX COMPLETE
5000307
7
1
TRANSITION FITTING 2"
7800809
6
1
CAP 2" WELD
5200675
5
1
ELL 2" X 900 WELD
6000500
4
1
STOPPER 2" X 150 STD H-17160 B/O
7600741
3
20'
PIPE 2" MPE STRAIGHT
7000263
2
1100'
WIRE #14 TRACING
8500940
1
1100'
PIPE 2" MPE COIL
7000261
ITEM
QTY
DESCRIPTION
PART NO.
BILL OF MATERIAL
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LEGEND
28" TRAFFIC CONE
BORE PIT
b TRAFFIC FLOW
TtFLAGGER
'.. WORK VEHICLE
H SIGN LOCATION
WARNING FLAG
i
PUGET
j SOUND
ENERGY
i Job#109092829
w. 7529 Braemar Or, Edmonds, WA
r741 2October 21, 2015
Sheet h, of Sgregory.harwood@pse.com
(425) 424-6425
0 10 9 OVOV
� I ,C+ 3M1IV'T 3laO
Q �1
bIQ ¢ TYPICAL:
ti CREW WILL PLATE
I� OVER TRENCH FOR
DRIVEWAY ACCESS''
q
r
BRAEMAR DR
___.
CHANNELIZATION
DEVICE SPACING
MPH TAPER TANGENT
55170 40 80
35145 30 60
25130 20 40
_�.."Wwm,,A I4
v
ONELANE C'
ROAD N
AHEAD
ROAD
WORK
AHEAD C§
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 a.m. and &, p.m.
8. Trench will be 12' NCL of Braemar Dr from CL to
150' ECL of 76th Ave W.
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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