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ENG20170036.pdfo Ii tadt y/r, %i�i� f IY OF,' 121 5TH AVENUENORTH - EDMONDS, WA 98020 �� PHONE: (425) 771-0220 -'FAX: (425) 771-0221 *PERM" MUST BE POSTED ON JOBS TE* STATUS: ISSUED ENG20170036 RIGHT OF WAY PERM IT (6-Et]C) Permit Number: ENG20170036 Expiration Date: 08/08/2017 Job Address: 22509 73RD PL W, EDMONDS Location: 22509 73RD PL W APPLICANT PSF/Infrasource ('()NTRA('T0R PSE/Infrasource ... GO Susan att: Sidick C/O Susan att`.'Sidick 1660 Park Lane 1660 Park Lane Burlington, WA 98233 Burlington, WA 98233 (425)457-6353 LICENSE #:: infrasl871 c2 EXP:. 02/22/2017 Work area is approx 88'N c/1 of 225th ST anticipated and 12x4 on private property. ASSESSED VALUE: $0,00 PROPERTY A SIDEWALK: ( OXO) DURATION IN MONTHS: 0 PARKING: (,OXO,) DURATION IN MONTHS: 0 ALLEY: ( OX0 I DURATION IN MONTHS: 0 ;A FEE: $0,,00 FEE: $0;;,00 property. STREET DISRUPTION TRENCH CUT: ( 3 X 5 ) YEAR OF OVERLAY: 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 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 to the defense ofany legal proceedings including defense costs and attorney fees by reason ofgranting this permit„ TAECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FORA PERIOD OF ONEYEAR FOLLOWING THEF NAL INSPECTION AND ACCEPTANCE OF THE W ORK. r 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)BEFOREANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS SPACE PROVIDED,, ICl»y_Nimo1 j/ AID, AND RECEIPT IS Printed: Tuesday, February 07,201 A I . . ❑ FILE COPY F� 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. • Conform to approved working drawings and Traffic Control plan. • Verify clear bore crossings w 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. w 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 a result of construction activity are exempt fromthe noise limits of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pmon weekdays and 10:00am and 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. • 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 limit in any way the City's ability to enforce any ordinance provision. INS PFi(A-10NS 0 E -Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: , '°)'(:.' N 3 0 2'017 3 1) 2017 �Ai h ROW PERMIT NO.: ENG l ISSUE DATE: RIG :T -OF -WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106319879 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: 22509 73rd PL W ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial Subdivision ❑ City Project Traffic Control (Only) ❑ Multi -Family 0 Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes HE No ANY ASSOCIATED PERMITS? BLD# ENG#_ DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 88'N c/1 of 225th ST SW & 14'W c/1 of 73rd PL W Al;so 22' E c/1 of 73rd PL W Private property. 1 3x5 paving cut anticipated and 1 2x4 on private property WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO Year:106r21 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 CLOSURE AREA TOTAL (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF �. . Alley 72 Hrs + 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 order for the permit to be valid. ��. . Susan Sidick��Ad°��°� 01/30/2017 SIGNATURE ��,._� DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE PUGET SOUND ENERGY Job#106319879 22509 73rd PI W, Edmonds WA January 27, 2017 Sheet 1 of 2 ryan.honeysett@pse.com (425) 457-5381 a _.. .,.. .. .__........... _.... .... ._.__- _,—.-- - .____,m._—_ e._ 224TH ST SW Q 225TH ST SW U. 4 a- a• W20 -7A ... � LEGEND 28 -TRAFFIC CONE BORE PIT TRAFFIC FLOW WORKVEHICLE SIGN LOCATION WARNING FLAG , 4 I IANNEt IZA71ON o 3 „I„ b�4 � " kAAfTN TAPER TANGENT55170 Notes: $Ck 1. All signs and spacing to conform to the MUTCD I and City of Edmonds standards. 6Q ... __..... 2. All sidewalks, driveways, exits and egresses shall be completely clear unless otherwise indicated. 40 3. Channellzing devices are 28" traffic cones. p 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°"Ia.m. and k,,;p.m, 8. Work area will be 14' WCL of 73rd PI W & 88' SCL of 2251h ST SW. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. ... � LEGEND 28 -TRAFFIC CONE BORE PIT TRAFFIC FLOW WORKVEHICLE SIGN LOCATION WARNING FLAG , 4 I IANNEt IZA71ON o _ DEVICE $FACING � kAAfTN TAPER TANGENT55170 40 $Ck 35145 1 30 6Q ... __..... 2'5130 20 40 ... � LEGEND 28 -TRAFFIC CONE BORE PIT TRAFFIC FLOW WORKVEHICLE SIGN LOCATION WARNING FLAG PUGET SOUND ENERGY Job#106319879 22509 73rd PI W, Edmonds WA January 27, 2017 Sheet 2 of 2 ryan.honeysett@pse.com (425) 457-5361 a 224TH ST SW ME c 225THSTSW LL o� 0 W100" I J a 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' far 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 22' ECL of 73rd PI W & 88' SCL of 225th ST SW. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. -6 * L r 22509 wN C='­ ­ '�r91k"kCV n a " ► o Mme. re*p r 11 "k G .mom w 0 OHANNELIZATION � _ DEVICE SPACING L� �0PT TA_FPC " GENT a a �+1a rev 55f7040 00 A'rn 37A 30 00 n R 23f3G 20 40 „ 4WORK N tl A�IEAe LEGEND 2W TRAFFIC CONE BORE PIT TRAFFIC FLOW WORK VEHICLE SIGN LOCATION WARNING FLAG Job #: 106319879 PRE-INSPECTION REPORT 1106G, 0II No) i A''l Date: 1/21/17 Address: 22509 73rd Pl W Jurisdiction, Edmonds City / Zip: Edmonds 98026 Right of Way Permit? ❑ YES ❑ NO Customer: Maria Ramos 425-791-5979 Est. Start Date. PM / Insp; Jordan McLean 425-563-3703 Est. Duration:1 - clay WORK D SCRIPTiOR Construction Method Trenc ess From main, install approx. 67' of 1-118" PE scat svc., and set an A20 ineler. Main on Imest edge of paving. Open Trench ElNew Construct ❑ ExistingN+ n PIAT MAP. 1165� 070 ��1'"� ^� ���Ilr��.„1...�«1^"�G'L.�1• NOTE: Wt 1 i-i�i " kC Q­6,",'-,Stub: 33' Ext: 34' 22509 Power, CTV, Fiber, N all OH. Q No sidwalk ROW = 50' Wide PAV = 27' Wide I 1 � i NOTE: 5/8" PE SVC to Neighbors I I I .0/%,.... . I ._ H•... C� _.a ...•.... ..�,,.---� -. ,2"°•�W IP 14'W-6!W005 .�_ mm �., . ..M H 20 24' W WORK LOCATION Size of Cut Surface Type ,...���.. � o� C �. L 2 7.5'.........._� & 11 1 ctf CL 7 Pte' 3x5 Asphalt IMS _. _ _ _v._ S f CL � . ^2.Z.S�ZS '� _. & W of CL 73rd PL W 2x4 Private Pron. _ 'N S of CL _W ..W.__ _. _. &_ ...m 'E W of ❑ FLAGGERS # MPH ❑ TROLLY LINES ❑ BUS STOP # ❑ METER HOODS # ❑ OFFICERS # SPEED LIMIT ❑ TRAFFIC SIGNAL ❑✓ ARTERIAL ❑ NO PARKS # ❑ Commercial ❑ Altered Commercial ❑ Leak Repair Service Informatlolt ❑ Template Bar ❑� Residential ❑ Altered Residential ❑ CP Work Diameter Meter EFV Pressure ❑ Bollards 2.5" # ❑ Multi-Family ❑ Replacement Service ❑ Pothole ❑ 5/8" ❑✓ 250 ❑ 1800 6" WC ❑ ❑ New Constr. ❑ Main Maintenance F1 Extension D1-1/8"" E]425 ❑� 2600 ❑ 2# Bollards 4" # ❑ Stub ❑ Service Maintenance ❑ 1-1/4" 630 ❑ 10,000 ❑ 5## ❑ FUEL LINE PERMIT NEEDED ❑ Extension ❑ valve Maintenance ❑ 2" ❑ 1000 ❑ 775 Fuel Line Length: ❑ Compete Sery ❑ Cut & Cap Meter Loc, OLF 03 7 Fuel Line Diameter: