The URL can be used to link to this page

ENG20170005.pdfSTATUS: ISSUED llill 01111111: 121 5TH AVENUE NORTH - EDMONDS WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSITE* NG2017000 Permit Number: ENG20170005 Expiration Date: 08/07/2017 Job Address: 620 GLEN ST, EDMONDS Location: 620 GLEN ST NT CONTRACTOR PSE/Infras ouroe P SE/Infrasource GO Susan att: Sidick CIO Susanatt: Sidick 1660'Park Lane 1660 Park Lane Burlington, WA 98233 Burlington; WA 98233 (425)457-6353 ASSESSED VALUE: $0,00 PROPERTY A SIDEWALK: ( OXO) DURATION IN MONTHS: 0 PARKING: ( 0X0) DURATION IN MONTHS: 0 ALLEY: ( 0X0) DURATION IN MONTHS: 0 cut anticipated,_ FEE $0,00 STREET' DISRUPTION TRENCH CUT: (3 X 5 ) FEE: $0:00 ' YEAR OF OVERLAY: 0 FEE: $0,00 FEE $0,00 INDEMNITY The Applicant has signed an application which states he/she holds the City ofEdmonds 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 ils departments 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 RESPONSIBLE'FOR WORKMANSHIP AND MATERIALS FOR A PERIOD ,OF ONEYEAR FOLLOWING THEFINAL INSPECTION AND ACCEPTANCE OF THE W O RR 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. 0, 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 (1-80 0-424-5555)' BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS SPACE PROVIDED of 217/20/7 E] FILE COPY F-1 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. Verify clear bore crossings Utility patch restoration to be in accordance with Edmonds Standard detail E2.3 r 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:OOpm 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 pemvt.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. • &Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES FINAL INSPECTION APPROVED DATE: INITIAL: -4 of EDnf; , ammo OC) ROW PERMIT NO.: ENG Q f 1 C' ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106319388 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 96233 State License #: INFRASL871 C2 City Business License #: NR -019840 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax #: Email #: Susan.Sidick@pse.com —11 Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 620 Glen St ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial Subdivision 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 ❑Q No ANY ASSOCIATED PERMITS? BLD#—... ENG#— —______ -- DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 20'S c/I of Glen St & 300' E c/I of 6th AVEN to install gas service 1 3x5 paving cut anticipated WAS STREET OVERLAYED WITHIN THE LAST FIVE YEARS? YES N:0:rLVear: 106 PAVEMENT CUT: ® Yes ❑ No CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: 3 x 5 If yes, indicate size of cut: x RIGHT-OF-WAY DURATION AREA TOTAL CLOSURE (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF _..... ...... ................ Alley72.e........._... Hrs + LF X LF SF Parking 72 Hrs + LF X LF SF Ap PLICAP T T 0 SEA@ A N ' *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 "°""° " " "�" —ous DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 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 [raveling lane width. 6. Alert affected residents and businesses. 7. Work to lake place between"?-a.m. andtap.m.j,-, 8. Work area will be 20' SCL of GLEN ST & approximate ly_300' E OF THE C/L OF 6TH AVE N. j 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. ` ® 28TRAFFIC CONE LEGEN BORE PIT TRAFFIC FLOW WORK VEHICLE SIGN LOCATION WARNING FLAG S- 100' 100` ... ....... _ ._ .. ,.,,,.... - �: C�D Yp GLEN ST keep /W ops RESIDENT(S)WILL BEINFORMED Y,tti 620 OF POSSIBLE TEMPORARY w UNIT DRIVEWAYCLOSURE W21.7WJ21-5 201 202 301 302 12 12 4 & �a ALLEY PUGET SOUND ENERGY Job#10631938 620 GLEN ST EDMONDS, WA DECEMBER 30, 2016 Sheet 1 of 1 sally.bergman@pse.com (425) 398-6003 CHANNELIZATION DEVICE SPACING WYPt T�9TE6d GA4NOENf 55(70 40 e0 35/45 30 60 w Al�)MftE=D AS f"Ic , " PLAT tA�1101, 0 '4 s - 1, 81, C11 2" MPE IP 20'S CL 107027326-2006 Glen ST III 10' Scat 1-1/4 PE STUB III 50' Scat 1-1/4 PE Extension ° ' Min, from 15"Te%ItA 620 waterservice Wm-fKjd UNIT 201 202 301 4-250 Manifold PRE -INSPECTION REPORT 40 ['UGET501JNDENERLY Job #: 106319388 Size of Cut Surface Type Date: 1/25/17 Address: 620 Glen ST Jurisdiction: Edmonds City / Zip: Edmonds 98020 3x5 .................................... . . ............ .. . . Right of Way Permit? E] YES Ej NO Customer: Rob 206-930-2445 Est. Start Date: 02/20/17 PIM / Insp: A. Baunsgard 425-495-4465 Est. Duration:. ........ 'N S of CL PHONE NUMBER WORK DESCRIPTION: & 'E W of CL . .... . . . . . ................... Construction Method Install 10' SCA TI -114 Stub And 50'1-114 Scat Extension Set 4 250 meters on a manifold MPH Open Trench ❑ Maintain 5'separatlon from new water service and meter. F-1 BUS STOP # Trenchless PLAT tA�1101, 0 '4 s - 1, 81, C11 2" MPE IP 20'S CL 107027326-2006 Glen ST III 10' Scat 1-1/4 PE STUB III 50' Scat 1-1/4 PE Extension ° ' Min, from 15"Te%ItA 620 waterservice Wm-fKjd UNIT 201 202 301 4-250 Manifold Work Location Size of Cut Surface Type "JOS o' e n -j- — — — ------------- - 3x5 .................................... . . ............ .. . . Asphal ...... . ...... .. - — ---- 'N S of CL 'E W of CL ........ 'N S of CL & 'E W of CL . .... . . . . . ................... ......... ... F-_/1 FLAGGERS # 25 MPH ❑ TROLLY LINES F-1 BUS STOP # ❑ METER HOODS # n OFFICERS # SPEED LIMIT Ej TRAFFIC SIGNAL [-I ARTERIAL ❑ NO PARKS # n Commercial E] Altered Commercial F] Leak Repair Service information ❑ Template Bar f -I Residential 0 Altered Residential CP Work Diameter Meter EFV ❑ Bollards 2.5" # F4_1 Multi -Family E] Replacement Service ❑ Pothole E] 5/8" F] 250 0 1800 E] Bollards 4" # n New Constr. ❑ Main Maintenance ❑ Extension ❑ 11/8" E] 425 0 2600 F-1 Stub F-1 Service Maintenance 11/4" 0 630❑ 10,000 0 FUEL LINE PERMIT NEEDED ❑ Extension F-1 Valve Maintenance ❑ 2" El 1000 Fuel Line Length: ❑ Compete Sery n Cut & Cap Mtr Loc: Fuel Line Diameter: NW 114, SEC 24 Y O'Kawls GAS MAIN ,,,.,.- M aMY? AF WATER ER ALLED )'GAS KC" OMOM AV � S,A7 0) r aAv AM