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ENG20170002.pdfCITY OF EDMONDS 121' 5TH AVENUE NORTH - EDMONDS, WA 98020 ret PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSTE* STATUS: ISSUED ENG20170002 I I RIGHT OF WAY PERM IT (6 -ELIC) Permit Number: ENG20170002 Expiration Date: 07/13/2017 Job Address: 18620 88TH AVE W EDMONDS Location: 18620 88TH AVE W APmic� PSF/Infrasource CONTRACTOR PSE/Infrasource C/O Susan att: Sidick C/O Susan'att: Sidick 1660 Park Lane 1660 Park Lane Burlington, WA 98233 Burlington, WA 98233 (425)457-6353 LICENSE #' infrasl871c2EXP: 02/22/2017 To install gas service at 18620 88th Ave W approx 8's c/l of 187th P1 SW & 17 E c/Iof 88th ` Ave W. and also I F w c/1 of 88th Ave W. 2 3)6 paving cuts anticipated. DISRUPTION INFORMATION ASSESSED VALUE: $04,00 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 ALLI; Y" (' 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 may be 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 ofgranting thispermit. THECONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING`THEFINAL INSPECTION AND ACCEPTANCE OFTHE W ORK • Traffic Control and public safety shall be in accordance with City regulations, as; requiredby 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) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 , THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, SPACE PROVIDED, RELEASED BY DATE E] FILE COPY ❑ INS PECTOR COPY [__]', APPLICANT COPY ENG20170002 • Restore ROW to City standards a RestoreLandscape 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. • Conformto approved working drawings and Traffic Control plan. Verify clear bore crossings .' Utility patch restoration to be in accordance with Edmonds Standard detail E2.3 0; Maintain erosion '& sedimentation` control. Keep street clean. 0. Call forrequired. inspections as noted. MW''.. 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 aresult of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of7:00amto 6:00pmon weekdays and 10:00amand '6:00pmon 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. w 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 pen -nit 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 -Traffic Control •' E -Engineering Final; PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: Of E M10, ROW PERMIT NO.: ENG dot 000a ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106319202 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871 C2 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: 18620 88th AVE W ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial ubdivision City Project Traffic Control (Only) ❑ Multi -Family ❑X Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes © No ANY ASSOCIATED PERMITS? BLD#_ ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : To install gas service at 18620 88th AVE W approx 8's c/I of 187th PL SW & 17'E c/I of 88th AVE W and also 11' w c/I of 88th AVE W. 2 3x5 paving cuts anticipated.. WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES NO _D Year: 106h PAVEMENT CUT: ® Yes ❑ No If yes, indicate size of cut: 3 x 5 CONCRETE CUT: ❑ 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 Alae 72 Hrs _ �..____...__...�-_---�,....... . Alley + LF X SF Parking 72 Hrs + LF X SF APPIACANT TO RE AD AND *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 �"�'��� 01/02/2017 SIGNATURE °'°"" ° ""' �'� `05 DATE mm: zoie w3ooitT�o mao• Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE �t/ RECENING PIT 18620 CHANNEUZATICIN DEVICE SPACING MPH I TAPER I TANGENT SWO 1 40 11S0 33I4"aD 80 2WO L 20 40 Q X co PUGET SOUND ENERGY 1 VL IT 100'Jo 100,14, 100 a 187TH PL SW IMAD Nates: AJ 1. All signs and spacing to conform to the MUTCD and City of Edmonds standards. o 2. All sidewalks, driveways, exits and egresses shall be completely clear unless otherwise indicated. 3. Channelizing devices are 28" traffic cones. G0 N10 4. Sign size can be a minimum of 48" x 48" and shall not obstruct pedestrian access. ' ��" "�j�� 5. Crew is required to leave a minimum of 11' for traveling lane width. IN 6. Alert affected residents and businesses, A�e,u 7. Work to take place between 9 a.m. and 4 p.m. 8. Work area will be 17' ECL of 88th Ave W & 8' SCL of tl 187th PI SW. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. N f IMAD AJ sN o LEGEND 28' TRAFFIC CONE BORE PIT TRAFFIC FLOW FLAGGER WORK VEHICLE SIGN LOCATION WARNING FLAG PUGET SOUND ENERGY Job#106319202 18620 88th Ave W, Edmonds WA December 28, 2016 Sheet 2 of 2 ryan.honeysell@pse.com (425) 457-5381 004V � rArrs� � 10,10 IZ— VP M VOZAA RESIDENT(S) WILL BE INFORMED OF POSSIBLE TEMPORARY DRIVEWAY CLOSURE 107 100" 100' 18620 CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55x70 40 80 3W45 30 60 25/30 20 IT 40 187TH PL SW b LEGEND a 28' TRAFFIC CONE BORE PIT TRAFFIC FLOW TtFLAGGER WORK VEHICLE 1+ SIGN LOCATION WARNING FLAG 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. +� B. Work area will be 11' WCL of 88th Ave W & 8' SCL of 187th PI SW. t") 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. LEGEND a 28' TRAFFIC CONE BORE PIT TRAFFIC FLOW TtFLAGGER WORK VEHICLE 1+ SIGN LOCATION WARNING FLAG PUGET SOUND ENERGY PRE -INSPECTION REPORT Job #: 106319202 Address: 18620 88th AVE W 8 S of GL Date: 12/20/16 City / Zip: Edmonds ,98026 MPH Jurisdiction: Edmonds Customer: Wendy Simpson 425-269-0796 ❑ Right of Way Permit? FZ] YES E] NO email office@estafetteservices.com Residential Est. Start Date: 02/27/17 PM Insp: Keith Zornes 425-418-7070 Est. Duration: 6 hours New Constr. E) PHONENUMBER WORK DESCRIPTION:.. . . ........ .. .......... [] ..... .... ... ...... gonstruption Method Install 37' _4,'qcqt extra, 1 /8" service with., A,25,0 -meter at inches.,and _2600 EFF. New Construction ❑ Compete Sery E] Cut & Cap Existing Plat 160.068 18610 �iO4L,li(N-I. GV4-,PAwcV cjV L 4 It'i dl. - 18620 P L W II S of C, __18-7tb��—S! METER HOODS # 8 S of GL 187th PI S1 ❑ FLAGGERS # MPH ❑ OFFICERS # ❑ BUS STOP # SPEED LIMIT ❑ commercial ❑ Altered Commercial Fil Residential ❑ Altered Residential ❑ Multi -Family ❑ Replacement Service ❑ New Constr. E) Main Maintenance ❑ Stub [] qervlce Maintenance F-1 Extension F] Valve maintenance F1 Compete Sery E] Cut & Cap W II Mtr Loc: 18625 LU Size of Cut � Surface Type & 17 E of CIL —lath -AME METER HOODS # 11 W of CIL 88th AVE Ej NO PARKS # ❑ TROLLY LINES ❑ BUS STOP # F] TRAFFIC SIGNAL E] ARTERIAL E) Manifold Service Informati( El Main Extension Diameter Meter 0 Pothole E] 5/8" R] 250 El Bollards 2] 11/8" 0 425 E] 11/4" E] 630 E] 2" El 1000 Mtr Loc: 18625 LU Size of Cut � Surface Type [j METER HOODS # Ej NO PARKS # ❑ Template Bar EFV ❑ Bollards 2.5" # 0 775 El 1800 ❑ Bollards 4" # 0 2600 F] FUEL LINE PERMIT NEEDED E] 10,000 Fuel Line Length: