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ENG20170095.pdfSTATUS: ISSUED U ""ITY OF EDMONDS 1215TH AVENUENORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 77.1=0221 *PERMIT MUST BE POSTED ON JOBSTE Permit Number: ENG20170095 Job Address: 406 2ND AVE N, EDMONDS eNtimtrasource C/O Susan att: Sidick 1660 Park'I-an e Burlington, WA 98233' ENG20170095 Expiration Date: 09/25/2017 Location: 406 2ND AVE N & EDMONDS ST P SE/In fraso urce CIO Susan att: Sidick 1,660 Park Lane Burlington, WA 98233 (425)457-6353 LICENSE 4: infrasl871' Work area is approx 425'N c/1 of Edmonds St and 17W c/1 of 2nd Ave N. 1 3x'concrete `cut anticipated. To install gas service, DISRUPTION INFORMATION ASSESSED VALUE: $0,00 PROPERTY AREA: 0 SIDEWALK: ( OXO) DURATION IN MONTHS: 0 FEE: WOO STREET DISRUPTION TRENCH CUT: ( 3 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 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. THECONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEF NAL 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) 296-155-3305 and must have certification verifying completion of the required training in their posseson • 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 HO UR NO TICE REQ UIRED FOR ALL INSPEC TIO N;REQ UESTS THIS APPLICATION IS NOTA PERMITUNTTL SIGNED BY THE`CITY ENGINEER OR HIS/HER SPACE PROVIDED,, 1 RELEASED BY FILE COPY INSPECTOR COPY FEES ARE PAII DATE ; PT IS ACKNOWLEDGED IN Friday, March 24,.2017 ❑ APPLICANT COPY STATUS: ISSUED I ENG20170095 • Restore ROW to City standards • Restore Landscape to like or better conditions. • Call for locates of underground utilities prior to any excavation, e 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 • 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. w 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 from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm 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, unles s 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. INSPECTIONS • ------------- E-Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: of ELM 10 RECEIVED 02,M7 2017 BUR—DING�7-0005 ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106322188 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871 C2 City Business License #: NR -023614 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax #: Email #: Susan. Sid ick@pse.com Liability Insurance Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 406 2nd AVE N & Edmonds St ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: EJ 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 © No ANY ASSOCIATED PERMITS? BLD#y n_ ENG#_ DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 425' N c/1 of Edmonds St And 17'W c/I of 2nd AVE N 1 3x5 concrete cut anticipated. To install gas service WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO n Year: 106h 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' TOTAL (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X JLF SF ...w.................Alley72 Hrs + F �X SF Parking 72 Hrs + LF X 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. SIGNATURE Susan Sldlck w��= „�`�� ��"�� �s-5 °� w r�a�rA DATE 3/17/2017 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Job #: 106322188 Date: 3/8/17 Jurisdiction: Edmonds Right of Way Permit? 2] YES ❑ NO Est. Start Date: Est. Duration: I day VVQRK UESQ131REQN; PRE -INSPECTION REPORT P0'6't:� _V)UND fALYGY Address: 406 2nd Ave N City / Zip: Edmonds 98020 Customer: John 206-235-5056 CUM PHONE NUMBER PM/Insp: A.BaUn.sqard425-495-4465 PRONE RUMBER Construction Method Open Trench ❑ Install 5'scat 1-118 stub and 60' Scat 1-118 Extension. Set a 250 meter. Trenchless E] PLAT MAP: I, C 0 Lo 01 fL uj 1,4 6 %X L'Ar ri 00 5 5, of Scat Kx,, 1-1/8" PE V`0L,oTiC�4Arc U.1 in jQ0 N A250 MSA 406 LU 60' scat extension 1-1/8" PE z Edmonds St M Work Location Size of Cut Surface Tyne 2i_!�_ _�Eo_nqrete 'N S of CL . .......... 'E W of CL FLAGGERS # 1 25 MPH FTROLLY LINES F BUS STOP # ❑ METER HOODS # ❑ OFFICERS # SPEED LIMIT ❑ TRAFFIC SIGNAL ❑ ARTERIAL ❑ NO PARKS # ❑ Commercial ❑ Altered Commercial F] Leak Repair Service 1nLnrmat1on E] Template Bar ❑ Residential ❑ Altered Residential ❑ CP Work Diameter Meter EFV ❑ Bollards 2.5" # El Multi -Family ❑ Replacement service ❑ Pothole 5/8" El 250 El 1800 ❑ Bollards 4" # f-1 New Constr. ❑ Main Maintenance ❑ Extension 11/8" ❑ 425 2600 Stub ❑ service maintenance E-] 11/411 ❑ 630 ❑ 10,000 ❑ FUEL LINE PERMIT NEEDED Extension ❑ valve maintenance [:] 2" El 1000 Fuel Line Length: 0 Compete Sery ❑ Cut & Cap Mtr Loc: - Fuel Line Diameter: M f ,FrF y.,�px i x,I°Y ✓ ,Yd% ����*Y'n dxA KVYa YAr"r dNjl f Y #406 Nll�r Ivy Notes: "1 18 1. All signs and spacing to conform to the MUTCD and City of Edmonds standards. / y 2. All sidewalks, driveways, exits and egresses shall be completely clear unless otherwise indicated. ; 3. Channelizing devices are 28" traffic cones. f 4. Sign size can be a minimum of 48" x 48" and shall not '1/6 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 a.m. and (ep.m. 8. 17' ECL of 2nd Ave at 425' NCL of Edmonds St. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. 40. ° r J LEGEND 28' TRAFFIC CONE M BORE PIT I W19 * r � � TRAFFIC FLOW CHANNELIZATION � �,,,� WORK VEHICLE DEVICE SPACING - MPH TAPER TANGENT I I SIGN LOCATION 55/70 40 80 WARNING FLAG 35/45 30 60 26130 20 40 ........�- Date of Request: Job number Job address Project mgr: PM email: 03/17/17 106322188 406 2nd Ave N City: Edmonds Zip: 98020 Andrew Baunsgard andrew.baunsgard@pse.com Estimated job start date: Estimated job completion date: Description of work to be performed: C�mn..Lu. l— ii4 nng r�nnr�ro�o. -I d 04/17/17 04/28/17 Pavement cut? Fl/�Y'es ONO If yes, Dimensions of Cut: Length 3 Width 5 How many cuts? 1 Surface Type concrete PM contact #: (425) 495-4465 Require trenching? 0Yes ONO If yes, Dimensions of trench: Length 3 Widths Method of installation: Hole hog Traffic impact: Road closed []Yes ✓ No Lane closed ✓ es 11 No Shoulder closed ✓ es ® No Sidewalk closed ✓ "Yes I No Emergency Contact: Andrew Baunsgard Cell Number (425) 495-4465 Depth 36 How Many? alt Direction? North