The URL can be used to link to this page

ENG20170009.pdfCITY OF EDMONDS 1215TH AVENUE NORTH - EDMONDS, WA 98020 4 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBS TE* STATUS: ISSUED ENG20170009 Permit Number: ENG20170009 Expiration Date: 07/18/2017` Job Address: 19311 88TH AVE W, EDMONDS Location: 19311 88TH AVE W JAPPLICANT CONTRACTOR SNOHOMISH COUNTY PUD Snohmish County PUD P.O. BOX H PO BOX 1 107 EVERETT, WA 98206 EVERETT, WA 98026 (425)783-5251 LICENSE #: UBI 313005741 EXP,,, LrB SIDEWALK: ( OXO) DURATION IN MONTHS: 0 FEE:$0.00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 ) PARKING: ( OXO) DURATION IN MONTHS: 0 FEE: $0,00 YEAR OF OVERLAY: 0 FEE: $0..00 0X0' DURATION IN MONTHS: 0 FEE $0,00 INDEMATTY The Applicant has signed an application which states he/she holds 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 ofits departments or employees, including but not limited 4o 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 ACCEPTANCE OF 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. APPLICATION IS NOTA PERMIT CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24 HOUR NOTICEREOUIRED FOR ALL INSPECTION REOUESTS UNTIL SIGNED BY THE CITY SPACE PROVIDED, RELEASED BY P W EJ FILE COPY ❑ INSPECTOR COPY 0 APPLICANT COPY 20 STATUS: ISSUED • 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. • 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 from temporary construction sites as aresult 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 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.. INSPFCTIONS • E -Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: Arc 1 $9 _ n B 100 1.1942 r, VE, ROW PERMIT NO.: ENG TACTTF. TIATF� RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: CONTRACTOR: l� nQ Mailing Address: F. a 1 c..a� � , wcr. a��q►. T WWW.... State License #: City Business License #: CONTACT: / `sz "A Phone #: LX5- - =tc; 3 ✓ d�5" 1 Fax #: Email#: MP�1�1AQ �s+�d�p�.�l, c,+v►, Liability Insurance Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION:Vs 61 uyl- ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial El Subdivision City Project Traffic Control (Only) ❑ Multi -Family ❑ Single Family nCEUC (PUD, VERIZON, PSE, CAST, OVWSD): Is this permit part of a blanket permit? ❑ Other ❑ Yes ❑ No ANY ASSOCIATED PERMITS? I BLD# ENCr#„ DESCRIPTION OF PROPOSED WORK (Be Specific) : \/)fork � L— WAS STREET OVERLAYED WITHIN THE LAST FIVES YEARS? YES NO IYear: PAVEMENT CUT: ❑ Yes No If yes, indicate size of cut: x, CONCRETE CUT: 0 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 72Hrs + LF X LF SF Parking 72 Hrs + LF X LF SF 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 oyer forffig4rapnit to be valid. SIGNATURE'6 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE -�Er, , CONSTRUCTION OPERATIONS AND ENGINEERING REQUEST 1818 Rev. 11198 TO FROM DATE KEITH F:LLISON A717 HAQ 425-783-5251 1/9/2017 ADDRESS/LOCATION/POLE NUMBER 19311 88TH AVE W, EDMONDS 98076 _.--------- — _..... _ MAP N0. WORK ORDER NO. TASK NO. 454J4 100011942 30 ASSIST CLEARWIRE IN THE REMOVAL OF ALL CLEARWIR:E OWNED EQUIPMENT EQUIPMENT INCLUDES ANTENNAS, TMA'S, STANDOFF BRACKETS, CONDUIT, FIBER, ETC ATE WITH KRIS CONAXIS 206-310-6732 - K ISTOPHERI.0 CNA ISQSi'-'RINT.COM BOLE 11EIGHT. 79' AAL. 80TH AVE ISNO4521 50-387780 37 27218 ... -_ C-115031.8 Q 1.9310 121199'' 19311 LBV6 S� 15 25..19311 ,9324i 194TH ST S E-52896 3 3FU25 19327 FU100 9311....... _ 212208 ........ 21220 NORTH 4 CLEARWIRE TO TAKE POSSESION AND DISPOSE OF ALL REMOVED EQUIPMENT For do-energizing customer service for Customer work CUSTOMER CREW HOURS r When completed call the PUD of 425-713-1000 Customer Si notureTM ,. ...e.o..e.e... a Dole or (1-877-783-1000) osk 9 for Energy Control Dispolch ji • •• • - + • • i r APPROVED BY ---COMPLETED BY DATE Distribution: White-OIment Responsible For Work -Return To Origi:otor When Completed Blue-CIS, 03, Aller Work Completion Conawry- 1ment Responsible For Work-Fie Copy Pink-Origirotor LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) W20-1 A&*K4,,) W20 -A W 2 _ (T A , C .1c r G.20 -2A __ W 3: LLJ loose jG20 2A .... ......... . ................ ......... .. ... ....... __ SIGN _. . ................ SPE t�U-FFER SPACING MMII A, 8,C FT) (m 2.5 200 55 30 . ............ LW 85 - - -- - - ---- 35 L� 120 40 350 170 45 500 220 50 500 280 55 500 335 Lo 2.5 200 55 30 . ............ 200 - - - - - 85 - - -- - - ---- 35 350 120 40 350 170 45 500 220 50 500 280 55 500 335 20-7A w. -A 4 rz W20-1 00 00 .11 O N PLACE 'ROAD WORK AFIEOD"SIGNS AT NEARBY INTERSECTING STREETS E E 0 Gl O . . ................ -- - -------------- L�s �696MISH �ouwy� D pHlU'D TRAFFIC, CONTROL PLAN 2o CLt PROJECT CI-FARWIRE BETH AVE SN0452 DECOM E lEn LOCATION 1531188THAVE W,EDMONDS 98026 or, ENGINEER AZIZZ HAQ DATE 1/9/2017ORDER 100011942 d) PHONE 425-783-5251 CELLULAR da