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ENG20170004.pdf>L CITY O�F EDMONDS 121 5TH A VENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSTE* STATUS: ISSUED ENG20170004 RIGHT OF WAN" PERM IT (6-Et]C) Permit Number: ENG20170004 Expiration Date: 07/13/2017 Job Address: 22220 97TH AVE W, EDMONDS Location: 22220 97TH AVE W APPLICANT PSEInfras ource ('()NTRA('TOR P SE/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 #: infrasl87l c2 EXP: 02/22/2017 ork area is approx 434'N c/1 of 224th st sw & 17 E c/1 of 97th ave w. To install gas service 13x5 paving cut 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: ( OXO.) 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 this permit. THECONTRACTORIS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FORA PERIOD OFONEYEAR FOLLOWING THEFINAL INSPECTION AND ACCEPTANCE OF THE W O RK 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. war Three sets of construction drawings of proposed work are required with the permit application. IS CALL DIALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24. HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS SPACE PROVIDED;, rftelna Wada 111312,017 RELEASED BY DATE FILE COPY INSPECTOR COPY ❑ 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. •s Conform to approved working drawings and Traffic Control plan. • Verify clear bore 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 7:00amto 6:00pm on weekdays and 10:00am and 6:OOpm 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 from the issuance of this pen -nit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance not lint in any way the City's ability to enforce any ordinance provision. • B-Fngineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: of EOAI() ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY �T-OF-WAY CONST RUCTION PERMIT APPLICATION PROJECT NAME: 109101633 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 0 Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 22220 97th AVE W ........ ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: -i Subd..""��. � .., City ...... Commercial ivision Ci Project LJ Traffic Control (Only) ❑ Multi -Family M 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) : Work area is approx 434' N C/1 of 224th ST SW & 17' E c/1 of 97th AVE W. To install gas service 1 3x5 paving cut anticipated _...._.....__ WAS STRE............. ET OVERLAYED WITHIN THE LAST FIVE (5) YEARS. YES NO I Year: 109h PAVEMENT CUT: M 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 CLOSURE AREA TOTAL (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF �_._.... _........_ ...._...mm.._...,.. _ .......... a ....._ —....m.. Alley 72 Hrs + LF X LF SF Parking 72 Hrs + LF X LF SF APVL!i�ANT TO Rt Ab AND S IGN *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 01/04/2017 SIGNATURE �" ""'"'��" DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE LEGEND 28' TRAFFIC CONE BORE PIT TRAFFIC FLOW WORK VEHICLE SIGN LOCATION WARNING FLAG RESIDENT(S) WILL BE INFORMED OF POSSIBLE TEMPORARY DRIVEWAY CLOSURE PLACE NO PARK SIGNS AROUND CUL-DE-SAC "gra PUGET • SOUND ENERGY Job#109101633 22220 97th Ave W Edmonds, WA January 4th, 2017 Sheet 1 of 1 mitchell.peterson@pse.com 425-398-6071 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. 8. Work area will be 17' WCL of 97th Ave W & 434' NCL of 224th St SW. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. 601 1. 1' "Ill alts APPI"Xi'VVED AS NM CHANNELIZATIbR _ DEVICE SPACING MPH TAPER 224th St SW TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 PLAT MAP: 165067 A630 IVISA 22220 New SCAT 49'1-1/8" PE EXTENSION EXISTING SERVICE New SCAT 45'1-2/8" PE STUB iz 2" STW IP IP 17'W CL 3524-1962 224th ST SW PRE -INSPECTION REPORT Job #: 109101633 Date: 12/28/16 Address: 2222O97fhAve VV &—Jz— Jurisdiction: E6mon6y City /Zip: tdmonds98020 Right ofWay Permit? R) vs» [] NO Customer: 206 IIN Est. Start Date: PM/|nap: ABaunsgard *�o*xn*W Est. Duration: PHONE NUMBER WORK DESCRIPTION: Coll _thod Construct install a new 100' Scat rnmnlptp service and s nn A630 meter C,C New Existing P)eisitina 5/8 service # 11OR9952R2 Pernrive A250 meter # 1220783 Open Trench F1 OFFICERS # SPEED LIMIT Trenchless PLAT MAP: 165067 A630 IVISA 22220 New SCAT 49'1-1/8" PE EXTENSION EXISTING SERVICE New SCAT 45'1-2/8" PE STUB iz 2" STW IP IP 17'W CL 3524-1962 224th ST SW Surface Type [] METER HOODS # [] woPARKS # UTemplate Ba, F-1 Residential Altered Residential Main Extension Diameter Meter EFV Pressure LJ Bollards z.5^#___ E] Multi -Family Replacement Service F] Pothole 0 5/8" 0 250 0 775 M 6"wc n New Constr. F] main maintenance F1 Bollards E] 11/8" 0 425 C] 1800 E] 2# LJ Bollards 4^# Stub service maintenance 0 11/4" E] 630 M 2600 E]? 5# LJ FUEL LINE PERMIT NEED Extension valve Maintenance E] 2" 1000 0 10,Ooo Fuel Line Length: ___ Work Location SIZI Is of CIL 224th ST SW &—Jz— F1 OFFICERS # SPEED LIMIT TRAFFIC SIGNAL ARTERIAL )commercial Altered commercial Manifold Servige Information Surface Type [] METER HOODS # [] woPARKS # UTemplate Ba, F-1 Residential Altered Residential Main Extension Diameter Meter EFV Pressure LJ Bollards z.5^#___ E] Multi -Family Replacement Service F] Pothole 0 5/8" 0 250 0 775 M 6"wc n New Constr. F] main maintenance F1 Bollards E] 11/8" 0 425 C] 1800 E] 2# LJ Bollards 4^# Stub service maintenance 0 11/4" E] 630 M 2600 E]? 5# LJ FUEL LINE PERMIT NEED Extension valve Maintenance E] 2" 1000 0 10,Ooo Fuel Line Length: ___