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ENG20170003.pdfO O, ry CITYOF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 Erle l rl PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMtT MUST BE POSTED ON JOBS TE* STATUS: ISSUED ENG20170003 IN Permit Number: ENG20170003 Expiration Date: 07/19/2017 Job Address: 7231 SOUNDVIEW DR, EDMONDS Location: 7231 SOUNDVIEW LANE & SOUNDVIEW DR APPLIC'ANT CONTRACTOR PSF/Infras ource P SE/I nfrasource GO Susan att Sidick CIO Susan att: Sidick 1660 Park Lane 1660 Park Lane Burlington, WA 98233 Burlington, WA 98233 (425)457-6353' LICENSE 4: infras187Ic2 EXP: 02/22/2017 Permission requested to tie into e�dsting 2" PE IP gas main located at 12'S of c/1 of Soundview Dr and 187 w`of c/l, of 72nd Ave W to e)dend 2" PE IP main north/west•to 7231 Soundview Lane. Tie in and transition from asphalt road to shoulder -(2) 3x5 half asphalt/half soft surface cuts anticipated. In pavement (2) 3x5 asphalt cuts anticipated. On shoulder, (3) 3x5 soft surface cuts anticipated. Three 2'a potholes over water/utilities anticipated. 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 stales 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 ofgranling'this permit. THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FORA PERIOD OFONEYEAR FOLLOWING THEFINAL INSPECTION AND AC CFPTANCE O F 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 24 HOUR'NOTICEREQUIRED FOR ALL INSPECTION REQUESTS TION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKN SPACE PROVIDED., RELEASED BY FILE COPY ❑ INSPECTOR COPY DATE APPLICANT COPY IN STATUS: ISSUED ENG20170003 • 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 priorto work start. • Conform to approved working drawings and Traffic Control plan. • Verify clearbore crossings • 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/Noise originating 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 7:00am to 6:00pm on weekdays and 10:00amand 6:00pm on 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 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. • 11Fngineering Final PARTIAL INSPECTION DATE: INITIAL: , _ NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: � FINAL INSPECTION APPROVED DATE: INITIAL: 0V EDX1ClrV P'so V7 ' tn� air �m �t ROW PERMIT NO.: ENG 001-7--CC03 ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 107053008 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871 C2 City Business License #: N R-019840 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax..#...�..�....� ._. Email #: Susan.Sidick@pse.com ❑ Liability Insurance Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 7231 Soundview Lane & Soundview Dr ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:. Commerciale Subd><vision��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 ❑A No ANY ASSOCIATED PERMITS? BLD#_.www ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Permission requested to its into existing 2' PE IP gas main located at 12's of CIL or Soundview Drive and 187'W of CIL of 72nd Ave W to extend 2' PE IP main norlhhvesl to 7231 Soundview Lane. Tie in and transition from asphalt road to shoulder - (2) 3X5' half asphalt/half soft surface cuts anticipated. In pavement (2) 3X5' asphalt cuts anticipated. In pavement (2) 3X5' asphalt cuts anticipated. On shoulder, (3) 3X5' soft surface cuts anticipated. Three 2'X2' potholes over water/utilities anticipa www............ WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO n Year: 1071N 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 Alley 72 Hrs + LF X LF SF Parking 72 Hrs + _ LF X LF SF *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 �.m,,, ���b. � � �u..�a�.�� 01/04/2017 SIGNATURE . WAY"�*�`"�"'w� DATE �YUYr 2�9A�.CMM'Y8 pNtlgd,&P 9' Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE M C') IFN ri Nm P 721VDA EW o p o b AOl58Rr w riz„ dry y�W'�,y p�'d \Q r i d a w O O U LL 2 Q U Y Z O O (Z_7 W � w J z Z0mc�ov oZz �¢ H aW J Z N Q a v N U O= e n o a � " A o Q C C J > N N U co Q L N C j C N CLN O C a N N N N C o0 N O V aL.+ 0) U V XN E C N [6 > O U - C C E L N C ._ V 0 y y '-' O .� .N f6 O -� (n O N� N _ C'O X� N E N C O C C O1D O O O 7 O L O E N> O N U Y O N U Mn . a Qa Y O N a d S m CLO, o c c> N I °7 3 cu m c N O a o m a) E l6 41 7 N ? co C U J [p W I6 U A N� d C OCD N �� L O dL _O7 5^N A C U ?� N C .n dFn Y Y `o N ">O N N — U oa �¢ oUin�U Z N N00 [h V O an (O I_ W o— U) QJ O a w O O U LL 2 Q U Y Z O O (Z_7 W � w J z Z0mc�ov oZz �¢ H aW J Z N Q a v N U O= e n o a � " A H 72ND AVE W �b ,OU goo^ m =_ o C w (6 U C F � cn �O J N ca r (0 U Z C N N al OC V O O) p J C N O O c�0 :E'c E ca N O N o Y E 4 X N E a' o a) c C O 01� a @ vi t E �i 0 �0 o m o Y O 3 y y E °� y o U a Y m e> c N o O 3 Z CX. o a m m N a- _ r W m . v aLFi M n w — C O N N C •N a N -E 2 [a N co o¢ �Q oU o (4 Z (0 N U M V O L6 N CD I(n O) O r-: W 0. W Mh Date of Request: 01/03/17 Job number: 107053008 Job address: 7231 Soundview Ln. City: Edmonds Zip: 98026 Project mgr: Lisa Griffith PM email: lisa.griffith@pse.com Estimated job start date: 02/27/17 Estimated job completion date: 03/03/17 Description of work to be performed: PM contact #: (425) 406-0121 »i 3Jjacated- at 19' .0, of C11 of Soundview Drive and 187'W of C/L of 72nd Ave W to extend 2" PE IP main north/west to 7231 Soundview Lane. Tie in and transition from asphalt road to shoulder - (2) 3X5' half Gk)ated-.-T4r-ee-2!X2Loot .. . Pavement cut? ✓ Yes E]No If yes, Dimensions of Cut: Length 5' Width 3' How many cuts? 7+ 3 potholes Surface Type Shoulder/Asphalt Require trenching? Eles E]No If yes, Dimensions of trench: Length, 5' Width 3- Depth 3' Method of installation: Open trench/hole hog Traffic impact: Road "yes El No closed Lane closed ✓ es 0 No How Many? 1 Direction? South Shoulder closed Dyes 11 No Sidewalk closed es ElNo Emergency Contact: Dean Latimer Cell Number.' 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