ENG20150490-REVISED APPLICATION.pdf" Is
ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109092829
CONTRACTOR: PSE/Infrasource
g Park
1660 L
Mailin Address:ane, Burlington, WA 98233
State License #: INFRASL871C2
City Business License #: NR -019840
CONTACT: Sue Sidick
Phone #: 425-457-6353
Fax #:
Email#: Susan.Sidick@pse.com
❑ Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 7529 Braemar Drive
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE O a PROJECT:
Project
I Com '
(Only)
❑ Multi -Family ❑ Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes 0 No
ANY ASSOCIATED PERMITS? BLD#_ __ ENG#IT
DESCRIPTION OF PROPOSED WORK (Be Specific) : Permission requested to replace 2" dupont
gas main in Braemar Drive from 76th Ave W to the end of the road at 7400. Install 1 100'of 2" pe gas main from
15' west of 76th, easterly on the norht side of Braemar transition to the south side just passed 7515 around the
rd at 7404 terminating at the cul-de-sac. Replace the associated service per design. There will be 34+ 3x5 paving cuts anticipated in asphalt,
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO X Year:
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
RIG748Hrs
DURATION
CAREA TOTAL (NUMBER OF MONTHS)
SidLF X LF SF�F.._.XLF SF
...-......._ Pa...............�_... ......�.—�_
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 ` _"('N �m R �f� .ww� . r? DATE 2IO2/1 5
Contractor or Agent wm.
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Date of Request
Job number:
Job address:
Project mgr:
PM email:
w
12/01/15
109092829
7529 Braemar Drive
John Guay
John.Guay@pse.com
Estimated job start date:
Estimated job completion date,
Description of work to be performed,
04/15/16
05/26/16
Citv: Edmonds Zio., 98026
PM contact #: (425) 505-3768
Reollare 2" Di pont g ref"
Install 11 00'of 2" PE gas main from 15' west of 76th, easterly on the north side of Braemar,
transition to the south side just past 7515 around the road at 7404 terminating at the
cul-de-sac. Replace the assacjatied-s-e� per design 10909282
Pavement cut?
Yes
No
If yes, Dimensions of Cut:
Length 3' Width 5'
How many cuts? 34 +/-
Surface Type asphalt
Require trenching?
DYes
ZNo
If yes, Dimensions of trench:
Length Width
Method of installation:
Proposed - Hog / directional drilla
Traffic impact:
Road closed
Yes
No
Lane closed
✓ es
No How Many?
Shoulder closed
✓ es
El No
Sidewalk closed
'es
✓ No
Emergency Contact.:
Cell Number.'
Depth
Direction? West
AREA PLAN
CP APPROVAL i
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APPROVED FOR CONSTRUCTION
CITY OF EDMONDS
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---------------
LEGEND
2F TRAFFIC CONE
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
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CHANNE_LIZATION
DEVICE SPACING
i I TAPER 11 TANGENT a
0'20L,
80 ...... 4
560
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i
RAEMAR DR1 G
I
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' far traveling
lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m.
8. Trench will be from 20' to 8' NCL of Braemar Dr at
15' to 17' WCL of 76th Ave W then proceeding East to CL
of 76' Ave W at 12' NCL of Braemar Dr.
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
N
O
D
173RD ST SW
WHOM
inm
W201 W20 A
LEGEND
2B- TRAFFIC CONE
BORE PIT
TRAFFIC FLOW
FLAGGER
WORKVEHICLE
N SIGN LOCATION
WARNING FLAG
III
1
PVT RD p
100' "
d
1
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CHANNELIZATION
DEVICE SPACING
H TAPER TANGENT
'0 1 40 86'_"""
..
PUGET
SOUND
ENERGY
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TYPICAL:
CREW WILL PLATE
OVER TRENCH FOR
DRIVEWAY ACCESS
BRAEMAR DR R y
) e i � \,,.
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. 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.
0
7529 Braemar Dr, Edmonds, WA
October 21, 2015
Sheet 3 of 6 gregory,harwood@pse.com
(425) 424-6425
Notes:
1. All signs and spacing to conform to the MUTCD
and City of Edmonds standards.
Z 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 1 Vfor traveling
lane width.
6, Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m.
8, Sub -surface Directional Drill will be from 150' to 496'
ECL of 76th Ave W crossing under roadway to 20'SCL
Braemar Dr.
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done,
-------- LEGEND
29" FMAk 'IIC CONE
BOU. Pir
TRAY r IC r LOW
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•
Job#109092829
7529 Braemar Dr, Edmonds, WA
October 21, 2015
Sheet 4 orb gregory harwood@pse corn
(426) 424-6425
Notes:
1. AM 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 40` 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. Sub -surface Directional Drill will be on South side of
roadway on Braemar Or from 496' to 733' ECL of
761h Ave W.
9. It used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done,
U6756
[M 2.8' TRAFFIC CONE
BOREMT
rPAFircuow
T HAMER
-11KVI.H.L.
MN O.
NWoN
+ " " , ..... , - ",
_gLIZATION
_t7;�N
DEVICE SPACING
zfAE
0
7529 Braemar Or, Edmonds, WA
October 21, 2015
Sheet 5 of 6 gregary herwood@pse com
(425) 424-6425
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" [raffle 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. Sub -surface Directional Drill will be on South and West
side of roadway on Braemar Dr from 733' to 888' 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,
LEGEND
2F I RAF HG G(Ak
HDRI. r�lr
MAMC ROW
(((I 11AMIR
VV...
V1.1-11
'DCA"ON
-MMI I I.A.
CtIANNELIZATION
DEVICE SPACING
EE "' J, E LL K if
r14
60
Al. 211-1 ..................... !a
Job#109092829
7529 Braemar Dr, Edmonds, WA
October 21, 2015
Sheet 6 of 6 gregory harwood@pse,com
(425) 424-6425
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 1 11or traveling
lane width.
G. Alert affected residents and businesses.
7. Work to lake place between 9 a.m. and 4 p.m.
0. Hole hog bore pits will be at 26' Radius of Cul De Sac
from 888'to 954' ECL of 7611h Ave W.
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
_.LFAi616' "
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APPROVED FOR CONSTRUCTION
CITY OF EDMONDS
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...........................
J N SAP# 109092829
BYPASS MATERIALS
45
44
22
43
21
42
20
41
19
40
18
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
1
CAP 2" MPE
5200649
10
10'
CP WIRE #10 TEST LEAD
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 90° 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