ENG20160230.pdfo�" rpt EDMONDS
Q,, 4
1215TH AVENUE NORTH -EDMONDS, WA 98020
ync l s� PHONE: (425) 771-0220- FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20160230
RIGHT OF WAY PERMIT (6-EIIC)
Permit Number: ENG20160230 Expiration Date: 02/15/2017
Job Address: 21130 78TH AVE W, EDMONDS Location: 21130 78th Ave_ W
PSE/Infrasource PSE/Infrasource
GO Susan att: Sidick C/O Susan att Sidick
1660 Park Lane 1 660 Park Lane
Burlington, WA 98233 Burlington, WA 98233
(425)457-6353
LICENSE #: infrasl871c2 EXP: 02/22/2017
Investigate/repair leak on main at or near above address. Work area is approx 24'S c/1 of 212th ST SW and 29 w c/1 of 78th Ave W. 1
3X5 concrete cut anticipated. Coordinate with the city prior to construction.
ASSESSED VALUE: $0.00 PROPERTY AREA: 0
SIDEWALK:` (OXO) 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: ( 0X0 11 DURATION IN MONTHS: 0 FEE: $0,00
INDEMMTY The Applicant has signed an application which slates he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may 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 ofgranling this permit.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP. AND MATERIALS FOR PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THE W 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 DIAL -A -DIG (1-800-424-5555) BEFOREANYEXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326,
D FILE COPY ❑ INSPECTOR COPY APPLICANT COPY'
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
s 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.
• 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.
•
Pre -construction meeting to be scheduled to discuss PSE/Infrasource's proposalof approach of the gas' leak repair and
maintaining existing electrical conduit for lighted crosswalk.
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 of7:O0amto 6:00pmon weekdays and ''10:00amand 6:OOpmon"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 ofthis permit. Issuance ofthis pemut 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.
• 11Pre-Con
11Traffic Control'1
• E -Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL' INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
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Right of Way Permit? F'ly�s NO
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Est, Start Date:
Diameter Meter
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PM /Ins
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PHOME NUMBER
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❑Bollards I" #
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❑ 10,000 ❑ FUEL LINE PERMIT NEEDED
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❑ Extension
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F-1 2,, 01000
Fuel Line Length:
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EFV
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❑Bollards I" #
El 2600
❑ New Constr.
R Main maintenance
❑ Extension
R 11/4" [1630
❑ 10,000 ❑ FUEL LINE PERMIT NEEDED
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❑ Extension
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R Valve maintenance
F-1 2,, 01000
Fuel Line Length:
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Mtr Loc:
Fuel Line Diameter:
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