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ENG20170103-APPROVED PERMIT.pdf1 ° t�ti4t' C"ITY OFEDMONDS9 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221' "h *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20170103 Permit Number: ENG20170103 Expiration Date: l`1 /13/2017 Job Address: 9803 EDMONDS WAY, EDMONDS Location: 9803 EDMONDS WAY APPLICANT CONTRACTOR PSF/Infras ource P SE/In frasowce GO Susan att: Sid ick C/O Susan att: Sidick 1660 Park Lane 1660 Park Lane Burlington'; WA 98233 Burlington, WA 98233 (425)457-6353 LICENSE#:'infrasl87'1 c2 EXP; 02/22/2019 JOB DLSCRIPTION Permission requested to tie into existing 4" MPE IP gas main located at 25'W of CIL of 100th Ave W and 440'N of CIL of Edmonds Way to extend 2" PE 1P replacement service to PCC. Service to be hole hogged with one open cut 3x5 asphalt one 3x5 asphalt cut to pothole over water main and one exit pit in 5x5 concrete sidewalk, ASSESSED VALUE` $0,00 PROPERTY AREA: 0 SIDEWALK: ( OXO') DURATION IN MONTHS: 0 FEE: $0„00 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 Tn,hatsoever; 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 OFONEYEAR FOLLOWING THEFINAL INSPECTION AND ACCEPTANCE OFTHEWORIC • 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 ofthe ,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 NOTICEREQUIRED FOR ALL INSPECTION REQUESTS IS NOTA'PERMITUNTIL SIGNED BY IT Y ENGINEER OR HTS/HERDEPUTY: AND FEE SPACE PROVIDED,• S1/271�_'0/7 DATE ACKN FILE COPY INSPECTOR COPY F] APPLICANT COPY 201 STATUS: ISSUED ENG20170103 • 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'' • 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 6:00pm 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, unless a variance has been granted pursuant to ECC 5.30.120. • Applicant, on behalf ofhis 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 ofthis peimit.Issuance ofthis 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. • E -Traffic Control • E -Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES-, PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: fMTIAL , Of EDA,1n, Wasm RECEIVED AI,INE( MAR 2 7 2017 MAR 2, 11, ItIVI ROW PERMIT NO.: ENG __01 r, BUILDING ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 109102178 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.Sidick@pse.com Liability Insurance El Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 9803 Edmonds Way ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial El Subdivision El City Project 0 Traffic Control (Only) ❑ Multi -Family X❑ Single Family Ej Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes © No ANY ASSOCIATED PERMITS? BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Permission requested to tie into existing 4" MPE IP gas main located at 25'W of C/L of 100th Ave W and 440'N of CIL of Edmonds Way to extend 2" PE IP replacement service to PCC. Service to be hole hogged with one open cut 3'X5' in asphalt one 3'X5' asphalt cut to pothole over water main and one exit pit in 5X5 concrete sidewalk. WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO Year 10 PAVEMENT CUT: N Yes ❑ No If yes, indicate size of cut: 3 x5 & 5x5 CONCRETE CUT: ❑ Yes 0 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 �.._.........A . ......__ ...._----- ...... _.. Parking 72 Hrs + LF X LF SF APPLICANT TO READ AND SIGN 5551m� *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. fivo CM'Y �P&zn NY 6 k, d Ny : S N M1. IYM� w=Steel U.e Susan Sidick 3/27/2017 SIGNATURE M �" m "�"�" � °'°'15 kl ".�N9tl1,1}i'4"d 6T+YP �£M �U'F'9d" DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE M W n Wi; PRINT ON 11X17" SHEETS ONLY 6.Z4 i 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 Wirelike cones. 4. Sign size can be a minimum of48" 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 9 a.m, and 8. Work area will be 435' NCL of Edmonds Way & 2b' WCL of 166th Ave W. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. ,S 9803 ueno LEGEND „�- 2e'TRAFFMCONE BORE Pr fry" TRAFFIC FLOW r/ Ni WORKVE111CLE SIGN LOCATION ryAIO �I��IIi �IW ',�"� „Y ��WI"' � o�e WARNING FLAG ..8 I AW I" D A., 1`41D � z �„� r ®ARROWGOARD CHANNELIZATION t¢ DEVICE SPACING MPH TAPER ITANGENT ti 55f70 40 80 g 3514530 60 25(30 20 40 PRINT ON 11X17"SHEETS ONLY 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 Gear unless otherwise indicated. 3. Channelizing devices are 28" traffic canes. 1-10021 4. Sign size can be a minimum of 48"x 48" and shall not obstruct pedestrian access. S. Crewwis required to leave a minimum of tt'for traveling lane width. 6. Aled affected residents and businesses. 7. Work to take place between 9 a.m. and ;; . to Pj 8. Work area will be 435' NCL of Edmonds Way $ _' ECL. of 1001h Ave W. 9. If used, place ND -PARK signs 72 hours in advance of the day that the Work is to be done. 9803 LEGEND 28'TRAFFICCONE BORE PIT TRAFFIC ROW WORk-MOLE H` SIGN LOCATION 1 WARNING FLAG }}} ARROW BOARD CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55170 40 1 80 35145 30 60 25130 20 40 ¢ ..... �. .. .......... ............... ................. ....... ............ . _-_-- -------f --------- ----- /" EDMDNDS WAY (SR 104) PRINT ON 11X17"SHEETS ONLY 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 1 t' for traveling lane width. 8. Alert affected residents and businesses. 7. Work to take place between 9 a.m. and `,--4*o pm. 8. Work area will be 435' NCL of Edmonds Way & 33' EOL of 100th Ave W. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. CREW WILL USE ADA COMPLIANT RAMPS FOR PEDESTRIAN DIVERSION (SEE ATTACHED SHEET FOR DETAILS) 9803 LEGEND 2e'TRAFFIC CONE ® BORE PIT r�ry TRAFFIC FLOW pB WORK YEHICtE SIGN LOCATION WARNING FLAG }}} ARROW BOARD .., ... ' ............. ......................................... ... . ...p ... .... ........................................ �............... ,........,.......... v I VN 01,0U z EDMONDS WAY (SR 904) Qi " Z8 3 y ISI CHANNELIZATION DEVICESPACING a aA.o 3. MPH I TAPER I TANGENT 55170 1 40 180 35145 1 30 180 25!30 1 20 1 40 11X17PS HI- NTE TOS ONLY TCP -15 PEDESTRIAN DIVERSION DETAIL PAGE CAN BE ADDED TO THE BACK OF TRAFFIC PLAN Crew wdl create pedestrian/ wpm %h o'CsC hi' wrorhmi and a'mKttpedesl my ""'al work area. +r „� WNid5'k'M nk ri+NM H919 w w.namsf't: N"�p6 fM�'IM M V Y�.f Add addillonal cones Z"ar, •v a wa a mwmer hvre moa min' li� Date of Request: 03/23/17 Job number: 109102178 Job address: 9803 Edmonds Way City: Edmonds Zip: 98020 Project mgr: Lisa Griffith PM email: lisa.griffith@pse.com Estimated job start date: 05/10/17 Estimated job completion date: 05/12/17 Description of work to be performed: PM contact #: (425) 406-0121 Per jestedAoAjajatp Px' 4" WE IR-ga in located f 9_,'\A1 of C/11 of 100th Ave W and 440'N of C/L of Edmonds Warr to extend 2" PE IP replacement service to PCC. Service to be hole hogged with one open cut 3'X5' in asphalt for tie in, one 3'X5' phaltcuttz pothole over water main, a d zne -exit pit In 5X5 con - crete sidewalK. Pavement cut? 'Yes DNo If yes, Dimensions of Cut: Length 5' Width 3' How many cuts? 3 Surface Type Asphalt/Sidewalk Require trenching? Yes If yes, Dimensions of trench: Method of installation Traffic impact: Road closed Lane closed Shoulder closed Sidewalk closed ONO Length 5' Width 3' Open trench/hole hog Yes No Oyes F No How Many? 1 Rlyes El No OY"es D No Emergency Contact: Dean Latimer Cell Number. (253) 350-6687 Depth 3, Direction? south r"A I LU w r— 00 N :...:' 0 N --- 10� LO W N - N �� � (Y) LL, �(Y) �w �0 04 601 N °� J 096 l-Z�S OZ 1S „Z l:Db3a 04 t7 L OZ -M£ ;08060 L M,SZ dl 3dW „.v 6 rU R ❑ ❑ O c❑ C O CN 10 �10rn O NM 0109 Zv>O