Loading...
ENG20160407.pdfA Notes: ltv- 1. All signs and spacing to conform to the MUTCD and City of Edmonds standards, Fust sound Fnergy 2. All sidewalks, driveways, exits and egresses lresses shall be Traffic 00rltrd Supervisor: completely clear unless otherwise indicated. Gregory Harwood Card No� 008991 3. Channelizing devices are 28" traffic cones. Card Exp, 08113120119 4, Sign size can be a minimum of 48" x 48" and shall not gregory.harwood&SeXoril obstruct pedestrian access, (425)424-6425 5. Crew is required to leave a minin)LIM Of 11' for traveling t dry err lane width, 6. Alert affected residents and businesses, 7. Work to take place between lain. and 6 p.m. 8. Work area will be 11' NCL of ROBIN HOOD LN & APPROX. 245' WCL of 106TI-I AVE W. 9. If Used, place NO. PARK signs 72 hours in advance 10627 of the day that the work is to be done. W", ROBIN HOOD OR W W20-1 W20 -7A qV420' 1 `';'()UND F-NERGY Job#108314912 10627 ROBIN HOOD LN EDMONDS, WA Sf--PTF".Mf3ER 12, 2016 Sheet I of I sally.bergrnan@pse.com (425) 398-6003 2X-7 v til 11 > fl 0?,AA I-OUA too, 100 ( ifill, 1 _LCGEND Bmii Pi I T�WFJGFLOW F AG(iLi-4 WORK VEWLE SiGN'LOcATION WARNING FLAG APPMINED AS MCI. --j Y CHANNELIZATION VICE SPACING -FA 151 H -1-A-PER TAN.G,.'ENT- 55x0 40 6O 35145 60 i _30 W 25/16- 2.0- 40 s :17 1 `';'()UND F-NERGY Job#108314912 10627 ROBIN HOOD LN EDMONDS, WA Sf--PTF".Mf3ER 12, 2016 Sheet I of I sally.bergrnan@pse.com (425) 398-6003 2X-7 v til 11 > fl 0?,AA I-OUA too, 100 ( ifill, 1 _LCGEND Bmii Pi I T�WFJGFLOW F AG(iLi-4 WORK VEWLE SiGN'LOcATION WARNING FLAG APPMINED AS MCI. --j Y Puget Sound Energy Gas Pre -Inspect Form Job #: 106314912 Work Location Date: 9/2/16 Address: 10627 Robin Hood Dr of CL Robin Hood Dr Jurisdiction: Edmonds City / Zip: Edmonds, 98020 ROW Permit: Yes Customer: Michael Marquardt 253-329-4286 Est. Start Date: 10/31/16 PM / Inspector: Erik BiTstacl 425-213-4286 Est. Duration: 112 Day of CL Job Description / Scope of Work of CL Install 70' 1 -1/8" PE seat svc. 20' 1 -1/8" PE scat stub and 501-1/8" PE scat ext. Set A250 OR. New Construction: Service Information No Job Type Diameter: Construction Method 71aggers 0. 41\104V-4 UFAV� All Scat t Trenchless PLAT Map: 166.066 %%t6Lf- 5 t) WACjVV-MjA) AL^Qt a Police #: TCP: Yes stx- oF- "-r .. 3: N A250 > NX CA -V -'C -M?- CA-Tlr-'"C 20 No Parks #: 11UGE'l MAw-i"AW A. mv imom or- s' > Trolley Lines: No Mtr Hoods #: SOUNO Del Press: Ott 1 A 1, Signal: I No I Bus Stop: I No 10627 Bollards: 1­27v—#T-1-4�1# I ADA -i I--- Route #'s: 2" PE 1P 11' N 912342 60' ROW 4OProposed gas service PL-- — PL Sewer . ..... Gas RobinHood Dr ----------------------------------------------------- 11 Storm Water 0 4N F/H 200' from tie in Work Location Size of Cut Surface Type 11' North of CL Robin Hood Dr & 245' West Of CL 106th Ave W 3X5 Grass of CL & of CL of CL 7T of CL Service Information Street Information Job Type Diameter: 1-118" PE 71aggers 0. �rtedal. No New Residential Svc EFV: 1-1/£3"/ 2600 9996743 Police #: TCP: Yes Meter: A250 Speed Limit: 20 No Parks #: 11UGE'l Meter Loc: Trolley Lines: No Mtr Hoods #: SOUNO Del Press: 1 6" W.C.ITraffic Signal: I No I Bus Stop: I No Bollards: 1­27v—#T-1-4�1# I ADA -i I--- Route #'s: 4 U. 5/8"119'W 2006 LN 0 5/8.99'W 0 0 a Ir w u' z� -2 1865487 cn cn �m C r0S7s iD m 5/8"108'E I m cl (, ~ 2005 z zSZZrcZ n0, 1661_ x,111 015 NZ 20csz mLn in 4 5/8"119'W 2006 0 5/8.99'W 0 0 2002 2"MPE IP u' z� 1865487 r0S7s I m � ov n0, 9 mLn in 199i jam" �IQL'W 4 N 6 6 fi 1992 o Aj , f 01 z 9q S p w Z7 m'r`o I w _ N � � � � O Sg6! 6 F \60, ° m Ili vi N O u' jam" �IQL'W 5A� IO E O O I i 9 �n Nt S/8" 104F_aV fl 1993 W 0 o Z 1991 N t O 5�dy 60 E 0 5/8"249-W 2002 r� 4f Q C) C7 Q 6 - E 1991 F 92'W� N86'W-*— O 6' 4 © D �$w N 6 6 fi 1992 o Aj , f 01 z 9q S p w Z7 m'r`o I w _ N � � � � O Sg6! 6 F \60, ° m Ili vi N O r", 0 SEP 2 9 2016 D VL101,,"ML`N1' SUIVICE3 ROW PERMITNO.: ENG 00 /0'7 ISSUE DATE: RIG -Irk-„ F- CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106314912 CONTRACTOR: PSE /Infrasource Mailing Addi-ess: 1660 Park Lane, BUrlington, WA 98233 State "'Ce"se fl: I N F RASL871 C2 City 11usilless J,iccllsc fl: NR -019840 CONTACT: Sue Sidick P1101"' #: 425-457-6353 Fax 4. - .mail #: Susan,Sidici<@pse.com [_] I�ialrility Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CON STR U CTION: 10627 Robin Flood Lane Dr [jMW WORK ASSOCIATED WIT14TUE FOLLOWING TYPE 0F.PROJECT: ❑ ...... .... ..... .. .. Commei-cial L-1 Subdivision city P1-o,icct L] .rraftic Control (Only) E] N11 ulti-Family Single Family F I Other El EU('(PUD, VERIZON, PSE, COMCAST, OVWSI)): Is this permit part of blanket permit? E] Yes [*1 No -------- --- LAN /- ASSOCIATED PERIAt'l, LL -D 11 -- EN G# -- -------- S DESCIZ11"TION OF PROPOSED WORK (Be Specific): Permission requested to install new 1-1/8" PE gas service at approx 11 ` N c/I of Robin Hood Dr & 246W c/I of 106th AVE W 1 3x5 CLIt in grass anticipated T LASTFIVE YEAR�S? YES [75W) 0 Year- 106:6 -'�--s-'-fizxrr UVER-1-, A -y HE PAVEMENT CUT: f , Yes X No [f yes, indicate size of cut: X CONCRETE CUT: F-1 Yes Ll No If' yes, indicate size of cut: x n� ay.�onvar RIGHT -OF -WAS' DURATION AREA TOTAL CLOSURE (NUMBER OF MONTHS) Sidewalk 48 Firs + LI+ X IX SF — .-------- Alley —--.L-...._ _ _ .._.... Alley 72 Ilrs + LF X LSF SF EE -.-.........___._.._—___.__....____ . Pm -king 72 Hrs + LFX LF SF ' LQ�/l/skZR�d///l9 APPLICANT TO READ AND SIGN *Traffic control acid public safety shall be in accordailee with City regulations as required by the City Engineer, Every flagger Haas[ be trained as required by (WAC) 296-155-305 and nnist have certification verifying completion of the required training in their possession. *Restoration is to be in accordance Nvith City codes and Standards. All street -cut trench work shall be patched with asphalt or City approved material prior to the end of the worWay —NO EXCEI'TIONS. Indemnity: The Applicant has signed an application which states helshe 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. 1 have read the above statements and understand the permit requirements asci acknowledge that I must follow all requirements in order for the permit to be valid. SIGNATURE., � �` � DA L 09/29/2016 Cmitmetor or Agent NO WORD SHALL BEGIN PRIOR TO PERMIT ISSUANCE