Loading...
ENG20170078.pdf4 CITY OF EDMONDS, 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220'- FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSI'"TE* STATUS: ISSUED ENG20170078 RIGHT OF WAY PERM IT (6-EUC) Permit Number: ENG20170078 Expiration Date: 09/18/2017 Job Address: 857 WALNUT ST, EDMONDS Location: 857 WALNUT PSF/Infras ource CONTRACTORAPPLICANT PSE/In frasource 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#; infrasI871c2 EXP: 02/22/2017'' Work area is approx 35''N c/I of Walnut St & 20'W c/1 of 9th Ave'S 1 5x5 paving cut anticipated. To investigate and repair leak on gas mainline. ASSESSED VALUE: $0,,00PROPERTY AREA: 0 SIDEWALK: ( OXO) DURATION IN MONTHS: 0 FEE $0,00 STREET DISRUPTION TRENCH CUT: ( 5 X 5 PARKING: ( 0X0) 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 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 of its 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 RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL INSPECTION AND ACCEPTANCEOFTHEWORK. • 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) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771.0220 EXT. 1326 24 HOUR NOTICEREQLIIRED FOR ALL INSPECTION REQUESTS APPLICATION APPROVAL "THIS APPLICATION ISNOTA PERMITUNTTL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACEPROVIDED, Printed: Friday, March 17, 2017 17 RELEASED BY DATE El 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. • Utility patch restoration to be in accordance with Edmonds Standard detail E2.3. Additional fees will be applied for cuts into surfaces paved within the last 5 years. 0 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 fiontage 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 from the noise limits of ECC Chapter 5.30 only during the hours of 7:00amto 6:OOpm on weekdays and 10:00am and 6:00pm 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 avariance 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 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. INSPECTIONS • E -Traffic Control • E -Engineering Final PARTIAL INSPECTION DATE: INITIAL: - NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES:' FINAL INSPECTION APPROVED I DATE: ' INITIAL: FARM'51f,4 RIGHT-OF-WAY T -OF -WAY CONST CTION PERMIT APPLICATION PROJECT NAME: 887033636 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 El Liability Insurance Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 857 Walnut ST ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: 11 Commercial Subdivision 0 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 ❑*_ No ANY ASSOCIATED PERMITS? BLD# ENG#w________ DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 35'N C/1 of Walnut ST & 20' W c/I of 9th AVE S 1 5x5 paving cut anticipated To investigate and repair leak on gas mainline . WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO Year: 887ii PAVEMENT CUT: N Yes ❑ No If yes, indicate size of cut: 5 x 5 CONCRETE CUT: 0 Yes ❑ No If yes, indicate size of cut: x 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. SIGNATURE Susan S1d1Ck �`� ��m"�` w K °� Ve -�°�`°� DATE , . , � 0 3/2/2017 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 1; At 3 1 6; will 1 Ld ,v UW mN �r �3o F ��wi'a ' o .." No CC, .< < NJ A Mai ug)"vipp"; a V, .......... . 11,11110 �,J-i J jr/RIF", am ji", 0. �jw wr-4911,1,�-, or`/i C2 I IV!! m ON �!X 'No z 09, Ir. . . . . . . . . . om Lij Zl LN :Rl S 91), _0 25/ Fla I r v g�e V/ MEN I 'Ej R ff Alm, LU AN R B/ 4 A— DO W aw, 'IMF 10,11 flo . . . . . . . . . . . . ir,", le v, v, om v, v, om" v, om" v, m mws a cI Street, + mr (�xi,' I,^ Wye Closure rit Urban lar� o se: bnl I °p'obte i�m°tarrTa st«ara L anat�arnnraskr ��- for tlr �9' Sao Talala 2 favr SI n r aria �) r ffi �"�1�thala rAm 'io r+ry Y 6d� j er1 i r r fr h ! i k Ffr rel/kr t rir i r r,i.:' i �� %",,, r r r, /r>��� it/✓^�U'��'�1�4� a�Jrr. ?r;, ,,,. „t� ,r i Jc ?� i r riw {v. t'� l 7rr / , it ry�t�i kp //�r N, ,m-.,. ✓ ,;�' ry`f,�r, i � b r. , I r,,/� � � � r ��+� l�,f�r r, � yy. JSP Id � y r r /l /n y��� �� ,Y .t�s4a'.;' %W.Fcb-Al,ccar oteff live�ysalirgol e,crone ar two Ilegga�r,s shal be tisRd las imstraled In IAD -5 ov T, -14� i`, .. 4 Fil laoo i wloarurlo l hip^ �andior N May frost usdad k�' call Iraartl � � �l�i , r - /,� � g � wr , 'r le the dao l am° m amrzlhg signs, , l'r1r leW vaaMurva e,fu ur1� lrtl Shari worVc olras els atcat ht _ I -"(ice lrrrun3 un ell, 1. This I t C shall be used for lorry -speed fac'Ifmties, ttnwing tow rondwant' +w para the lagrgeo 4s Visible to ropd oscrr, ra arox@ching � a a"ratnimurnuwhdtl 'IrcmIM1 bolh dint :loons, a single flag, r, gcs4Viorra¢1Ie laa'wislta0a 10 �.-' eN the a7lEaerYagt�.1 tragic volumes. uoaci user; front bots dre,ttons, may 110a Used arastr,ldeedge arofl g. Mmse Work srmoe is short, whve road user., can sera Wre' � a, to tri the rt, t°oet ay^ beyond, and where voltorrrtr is s'au +w rlwurro W �rvc g. `%'t night, ltagger etartloils sl`oall bet JiluNninaie „ ev="Ilrok'lrl etnergend a may be self-regulating. See TAD -4, ` , a khan ure warn .,.,, kftp advance �w an K D EE L_O AL Wt..GU1AM ✓' Y ; ,` §"AY 016-,RY © CogjAgni'�07 InCom, Inc, All rights reserved. #PP.G3A Publ. 1107 Page 28 �� � v Co I L ^._,..,G -ra+ q, Stopping Sight Dlsfarac 4 I uaa�ctlsarw aaf Sgaaad Sar µ .sted A e Warning Sign Spacing. gg dtranc Wdetlnae Distancasfor. Loor)huctin of t"Suffer.lpzxr e, Advance Warning Sign SpaOnq can vary from stste to slauc ar r FWdgger »fat° iorlt, and l"faaad User V¢,Awlhy n,49 nCy 10 agr,rnar y. 1 toese distances can pass frorn 4 to 12 tones SPE° -MPH DISTANCE -FEET CHANNELIZER-QTY. yaurl cr,Aregtrisatloo nsforgufdel'oneq djapanding anroeciww Aa'onditions Ctrawcl< ED ` 20 115 6• 25 155 7 ROAD TYPE DISTANCE BETWEEN SIGNS 30 200 7 A" 35 250 8 Urban 100 40 505 8 (Low Speed)30m 45 360 g Speed*)(30m) Urban 350' 50 425 9 (High Speed}) (100m) ' 55 495 9` 60 570 10 � 500' 65 645 10 Rural (150m ) 70 730 11 I �� re-cs��19 � 1t5®0' e , ' .. 5G 820 11 (300m) (450m) (800rn) Posted speed, off -Peak 85th arc w rl lla speed prior to', p category to b w' r� ewa g P . " Speed cane o e determined by highway agency, work starting, r,wr the, '1ratlriLpsrOaeM „peed in mph. �'.. NO YL:, t..C3C4\L. REGLH ; PtttAN "UANkY ©Copyright 2007 InCom, Inc. All rights reserved, #PRG3A Publ„ 1107 Page 46 4a ''?1'ar, t"ar 7�®' Men. ane r Quantity Index - (Feet and MPH) ��E - 100° Max.lS®° Min. __. u99ested TapeP Length and Channelizea �� wl- Shift Taper °1/2 L°' Shoulder Taper -'°113 AM6erge Taper m °else SPE WIDTH' h:AI�� ILF�NE OFF SET WIDTH OF LANE OFFSET WIDTH OF LANE OFFSET 1 MPH -12' S° 1 1�0' 1 12° ,,. 8.„. 8^Due to Work bone t=r4n 04'orurr� Lazrrro WndCke Daae tuap'arcxraroar°y From Normal Lane Width Due •o Work Zone From Normal Lane Width1p "9 R TAPER moo -. A.°. 3O O V 1.°. (5) 2a7S° 245' nD• 0) 85) 905, _.12°5° 30)' 45' S5... (��....., ( I .nary lda).1 60' 90' 120' 150' 080 30` 45' 60' r5' 90' 20' 3D' QD' S0' 60 LENGTH 3 ". 80' 125' 165' 70 85 t�Pr.Rty' 35 (4 .a) (�) (7) (la p, y;s) 4fiF 105,.. 160' 215' 27gp' 320 55• 8D' 110° 135' 160• 35' 65° 75' 90' 110, P `.... (`G) (5) (9) (3) (4) 05) 05J (3) Asa' (3) (4) (4) TAPER „J." 270` 360' 450` .540' 90' 135' 18G' 225' 270' li 60' 90' 120' 150' 180' FORMULAS 9 $5 �o a 3Go 70' 1Do' 13) 200- (7) 52- - 200' 300' 4OD' SG S' Da• fro • t6D � D' (1) 30 f7) (,0J' 3 r�1 (7A (9) rrr) (�) O ("�� O 5' 1f0' 200' L=W,aSxS _. . .m.. � S,ro .1 p.5 220' 275' 1330 i5 � 1180' 15 O O (rS ( �O Rte) 6,13) (a) 01) (5) «= a=te 220' 330' a J 10 O' 1&x°5' ...220 60 r 0t 4 6 d'"w0 600 m�- k1w �., � 1"P,...,,. �4ro" d n J1 d (ui r °`r °..2 . 40 X50 660 ' � t 4 u 0 7'�0' 02C 180' 240 3001 r"-.rP'u 80 120 160' 2610 240- 60•• 240' 36C 520 6Dn°� 780' 13 Ce" 195' 280` 325' 390' 9�ad J fl F L=T MIN. e r ). (ua (�) tta a 260' .3'90',7 .'" 65o' 13D' 175' 220' 260 LENGTH (FT) a 280' 1aND" 56D pti. O) (•) ) °�'Py a'°r (5P B } W= WIDTH OF �a 840 � -paa0' OFFSET (FT) d r 9 r r r a d >r' Q d (dJ 1 .�., 5 140 190' 236 �2D.',, g - SPEED i I _ ONO n a to er should not exceed 1�t1me_ the speed limit mph (0,2 timers the ) (MPH) Jf 210 2�aD 350 420 9 a r The naxomum distance Irr ie t .meters beaween. c�vlces 1 p , p e speed limit in Imlh). �f ) ©Copyright 2007 InCom, Inc, All rights reserved. tfPP,G37, Publ. 1/07 Page G7 •. �7rNWd'WJ'NH xntiwn���w 4,_1r�tt�Oa, aJ�r� 9G3' ',�"•1�3 esas. �=s.r o. .—____ ""'_ _—_ % STREET USE PERMIT REQUEST OR Date of Request: Job number.- Job umber:Job address: Project mgr: PM email: 03/01/17 887033636 857 Walnut St City: Edmonds Zip: 98020 Veronica Paulson veronica.paulson@pse.com Estimated job start date: 04/05/17 Estimated job completion date: 04/05/17 PM contact #: (253) 617-6023 Description of work to be performed: Jnvestigate & reppir Je' l:i te%y-3" Nit I Wz1lr u Ave S. Pavement cut? 'Yes No If yes, Dimensions of Cut: Length 5 How many cuts? one Surface Type asphalt Require trenching? Fes ENo If yes, Dimensions of trench: Length_ Method of installation: Traffic impact: Road closed Yes ✓ No Lane closed ✓les 11 No Shoulder closed 'es 0 No Sidewalk closed F 'es No Emergency Contact: Mike Blood Cell Number: (425) 864-6154 Width 5 Width Depth How Many? one Direction? south Job #: r\lc) Date: Jurisdiction: Right of Way Permit? h9- YES F] NO Est. Start Date: Est. Duration: WORK DE'SCRw,rloN-,, PLAT MAP: gS 07M PRE -INSPECTION REPORT Address: gsl W,2,(Vlof IST City / Zip: -aam"aluk Customer: PM / Insp: VAT PRI PHONE NUMBER Construction Method Open Trench E] Trenchless E] ->T-f fit s Tow, V) E6 0 CA) i;, 9 E, 1181k 11 �O(L Cqxb iwo V­Nwop, U 1- VVQrK 620=10", Size of Cut Surface Type of 07M PRE -INSPECTION REPORT Address: gsl W,2,(Vlof IST City / Zip: -aam"aluk Customer: PM / Insp: VAT PRI PHONE NUMBER Construction Method Open Trench E] Trenchless E] ->T-f fit s Tow, V) E6 0 CA) i;, 9 E, 1181k 11 �O(L Cqxb iwo V­Nwop, U 1- VVQrK 620=10", Size of Cut Surface Type of CL & _�r 'E(§),oi CL.- fik -- ----- 'N'S- of CIL & 'E W of CL k S of'CL 'EW'_ EW of CL, FLAGGERS # MPH ❑ TROLLY LINES ❑ BUS STOP # El METER HOODS # ❑ OFFICERS # SPEED LIMIT ❑ TRAFFIC SIGNAL ❑ ARTERIAL NO PARKS # F-1 Commercial ❑ Altered Commercial Leak Repair Service Information F1 Template Bar F] Residential F-1 Altered Residential F] CP Work Diameter Meter EFV E] Bollards 2,5" # F-1 Multi -Family [:) Replacement Service Pothole E] 5/8" 0 250 1800 Ej Bollards F] New Constr. Ej Main Maintenance ❑ Extension 0 11/8" E] 425 4" # ❑ 2600 ❑ Stub M Service Maintenance D 11/4" 0 630 ❑ 10,000 [_1 FUEL LINE PERMIT NEEDED ❑ Extension F-1 valve maintenance E] 2" El 1000 Fuel Line Length: Fj Compete Sery ❑ Cut& Cap Mtr Loc: - Fuel Line Diameter C C14 0- wg 63 o LO CL 0- 0 - ON N C-04 0 0 0- �7 L961-C9OC M. IZ dl MIS ,Z C) LO co LO C) co LO 00 t LU a',n 00 00 id 00 LO (Y) C, 00 w C:, C) k� 00 1 U-3 co C) co (DO co rN C, CN 04 co 0 - ON N C-04 �U m 0 E 0 [:,o %0 00 M 0)�2 (),0 uc,40 ,o C14 og, 0004 04 �2 L6 Z C/) o 0 0 0- �U m 0 E 0 [:,o %0 00 M 0)�2 (),0 uc,40 ,o C14 og, 0004 04 �2 L6 Z C/) o