ENG20160502.pdfOI !? �'
k ""ITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
12
c, P', I fi t '` PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20160502
Job Address: 560 PARADISE LN, EDMONDS
PSE/Intrasource
C/O Susan att: Sidick
1660 Park Lane
Burlington, WA 98233
C/O Susan att: Sidick
1660 Park Lane
Burlington, WA 98233
(425)457-6353
Expiration Date: 07/03/2017
Location: 560 PARADISE LANE
02/22/2017
w orK area to De iz w vii of raraalse lane ac sI: iN cii or btn rL to instau z test ieaa wires on eacn siae or the valve. 13X7 cui on
shoulder in row.
ASSESSED VALUE: ` $0,00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0,00 STREET DISRUPTION TRENCH CUT: ( 3 X 5 )
PARKING: ( OXO) DURATION IN MONTHS: 0 FEE: $0.,00 YEAR OF OVERLAY: 0 FEE:$0,00
ALLEY ( 0X0,) DURATION IN MONTHS: 0 FEE: $0,00
INDEMNITY 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 whatsoever, foreseen or unforeseen, that maybe made against the City of Edmonds or
any ofilsdepartments 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'WO'RKMANSHIP AND MATERIALS FOR A PERIOD 'OF ONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCEOFTHEW 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 DIAIrA-DIG (1-800-42 4-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
APPLICATIONAPPROVAL
THIS APPLICATION IS NOT A'PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED,
Printed: Tuesday, January 03, 2017
C'l�uL 11312-017
RELEASED BY DATE
EJ FILE COPY F-] INSPECTOR COPY E] APPLICANT COPY
•. 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.
•, 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/Noiseoriginating'fromtemporary 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:OOpm on weekdays and 10:00am and 6:OOpm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes 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.
0 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.
• E -Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES;
FINAL INSPECTION APPROVED DATE: INITIAL:
MRSZ�Vsok,
REM
RECEIVEDE-
C 13 2016
DEVELOPMENT SERVICES
ROW PERMIT NO.: ENCJ, �
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109101449
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL871 C2
City Business License #: NR -019840
CONTACT: Sue Sidick
Fax #:
Email #: Susan.Sidick@pse.com
...ww.
❑ Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 560 Paradise Lane
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial Subdivision 0 City Project Traffic Control (Only)
❑ Multi -Family ❑X Single Family
❑ 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 WORK (Be Specific) : Work area to be 12'W A of Paradise lane & 31'N cll of
6th PL S to install 2 test lead wires on each side of the valve. 1 3x5 cut on shoulder in row.
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES NO Year:109a,
PAVEMENT CUT: N Yes ❑ No If yes, indicate size of cut: x
CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: x
RIGHT-OF-WAY
AREA
TOTAL
CLOSURE
Sidewalk 48 Hrs + LF X LF
SF
.....' ......................�... _�_
LF X LF
Alley 72 Hrs +F--"'LF
SF
_....__Parking 72.......�.....................Hrs+ X LF
SF
DURATION
(NUMBER OF MONTHS)
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.
Ep
Susan SIdICk
/
SIGNATURE ar
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
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560 Paradise Lane, Edmonds
Job# 109101449/notification 11278829
Location: 560 Paradise Lane, Edmonds
Work Description: Dig up valve 12' Wcl Paradise Lane & 31' Ncl 6 PLS and install two test
lead wires on each side of valve.
Excavation : Dig/NoCut size 3'x5' depth 4' on shoulder —right of way. Dead End Lane
Lane Closure: Traffic plan provided for traffic-