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ENG20170108-APPROVED PERMIT.pdfUITY OF EDMONDS121 5TH AVENUENORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT .MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20170108 Permit Number: ENG20170108 Expiration Date: 12/21/2017 Job Address: 24001 HIGHWAY 99, EDMONDS Location: 24001 HIGHWAY 99 PSF/In fras ource PSE/Infraso urce C/O Susan att: Sidick C/O `Susan _att: Sidick 1660 Park Lane 1660 ParkLane Burlington, WA 98233 Burlington, WA 98233' (425)457-6353 LICENSE #: infrasl871 c2 EXP:_02/22/2019 - .JOB DESCRIPTION Work area is approx 44 E c/l of SR 99 & 170' S c/1 of 240th ST SW with a 3x5 cut in s idewalk work area is out of SR 99. To investigate and repair leak. Under job #887033649 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 (OXO I 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 whalsoever, foreseen or unforeseen, that may be made against the City of Edmonds or anyofits departments or employees, including but not limited to the defense ofany legal proceedings including, defense costs and attorney fees by reason ofgrantng this permit THE'CONTRACTORIS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEFINAL INSPECTION AND ACCEPTANCE OF THEW 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 posseslon. • 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 iIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED7N SPACE PROVIDED;' Printed`. Wednestla -June 21, 2017 FILE COPY [:] INSPECTOR COPY El APPLICANT COPY ENG20170108 • 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. • Confonn to approved working drawings and Traffic Control plan. • 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 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 6:00pmon weekdays and I0:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from constructionsites/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 ofthis permit. 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 • &Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: nam RECEIVED MAR 31 2011 BUILDING ,MAR 11 017 ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 887033649 CONTRACTOR: PSE/Infrasource Mailing Addremmmmss: lsso Par..._.. ^ k Lane, Burlington, WA 98233 State License #: INFRASL871 C2 City Business License #: NR -023614 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax #: SCANNED R 3 0 2017 Email #: Susan.Sidick@pse.com El—........... Liability I.....�� ....._ �.� �.✓��..__�..�,�_ nsurance Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 24001 Hwy 99 ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT Commercial divi Subsiffi on City Project Trac Control (Only) ❑ Multi -Family ❑X Single Family El Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes ❑� No [AN�ASS�OCIA�TED�PERN�HTSfl I BLD# _ _ ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 44'E C/1 of SR 99 & 170'S CA of 240th ST SW with a 3x5 cut in sidewalk work area is out of SR 99. To investigate and reapir leak Under job # 887033649 WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO�Year: 887 PAVEMENT CUT: ® Yes ❑ No If yes, indicate size of cut: x CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: 3 x 5� 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 099NA *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 Sidick5 3/30/2017 SIGNATURE "" DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Date of Request: Job number: Job address: PERMIT REQUEST FORM 03/29/17 887033649 24001 HWY 99 City: EDMONDS Zip: 96026 Project mgr: Sharon Davenport PM email: sharon.davenport@pse.com Estimated job start date: Estimated job completion date, Description of work to be performed::. PM contact #: (425) 429-4270 ICS Trl IAIVE r_.ATC A1%11 REPAIR A I EAK ON TI -11= rAC PAr'_11 ITV T(l AR1 = ADDRESS WITH WORK TO BE DONE AT APX 44' ECL OF SR 99 AND 170' SCL OF 240TH ST SW WITH A 3X5 SIDEWALK HARD SURFACE CUT IN ROW ANTICIPATED. V , Pavement cut?Yes nNo If yes, Dimensions of Cut: Length 5 Width 3 How many cuts? 1 Surface Type CONCRETE SNV Require trenching? ❑Yes ONo If yes, Dimensions of trench: Length Width _ Depth Method of installation: Traffic impact: Road closed ,'Yes No Lane closed ElYes F No How Many? Direction? West Shoulder closed es No Sidewalk closed Yes No Emergency Conlact: MINE BLOOD Cell Number: (425) 864-6154 ha 0 1'k 7- .to PLAT MAP: 141 c 49 . . ....... . . PRE -INSPECTION REPORT Job M 03 ?&4 2109 Size of CuA,, §tjrfne Typo Date: 13 _20 V11 Address: zt-koo I S, e- 9'1 stsw ex -MALI .4 N Jurisdiction: City / Zip: 240 Right of Way Permit? 21 YES El No Customer: 'E W of CL Est. Start Date: PM / Insp: U 1, 5 RUPBER S W1!2� - —I. sir Est. Duration: 7- -6A. C& IE W of CL. ..... . PHON19 NUMUM WORK DESCRIPTION: 9*"4 AAcl e-ePA.e L,644 #- '160 iq 7,44ti Construction Method MPH— L] TROLLY LINES El Bus STOP # ❑ METER HOODS # Open Trench E] OFFICERS 11 SPEED LIMIT El TRAFFIC SIGNAL BIRTERIAL Trenchless E] PLAT MAP: 141 c 49 . . ....... . . Work LocatWA` 6 Size of CuA,, §tjrfne Typo -7 o' 'N� stsw ex -MALI .4 N . ......... 240 SK' sw 'E W of CL :5. N S of CL IE W of CL. ..... . 3 MPH— L] TROLLY LINES El Bus STOP # ❑ METER HOODS # ❑ OFFICERS 11 SPEED LIMIT El TRAFFIC SIGNAL BIRTERIAL ❑ NO PARKS# ❑ commercial Ej Altered Commercial (_vj""Leak Repair Service Information ❑ Template Bar ❑ Residential E] Altered Residential ❑ CP Work Dienjolor Motor EFV L] Bollards 2.5" # E) Multi -Family Replacement Service ❑ Pothole 0 5/8" ❑ 250 L] 1800 Bollards 4" # ❑ ❑ New Constr. ❑ Main Maintenance $9 Extension ❑ 11/8" ❑ 425 0 2600 ❑ Stub ❑ Service Maintenance ❑ 11/4- ❑ 630 E] 10,000 ❑ FUEL LINE PERMIT NEEDED Q Extension E] valve maintenance F] 2" ❑ 1000 Fuel Line Length: F1 Compete Sery [:] Cut & Cap Mtr Loc: Fuel Line Diameter: 4 M. tj A -e Work LocatWA` Size of CuA,, §tjrfne Typo -7 o' 'N� +4 9 - ----- - ---- . ......... 'N S of CL 'E W of CL N S of CL IE W of CL. ..... . �FGGE�RS# MPH— L] TROLLY LINES El Bus STOP # ❑ METER HOODS # ❑ OFFICERS 11 SPEED LIMIT El TRAFFIC SIGNAL BIRTERIAL ❑ NO PARKS# ❑ commercial Ej Altered Commercial (_vj""Leak Repair Service Information ❑ Template Bar ❑ Residential E] Altered Residential ❑ CP Work Dienjolor Motor EFV L] Bollards 2.5" # E) Multi -Family Replacement Service ❑ Pothole 0 5/8" ❑ 250 L] 1800 Bollards 4" # ❑ ❑ New Constr. ❑ Main Maintenance ❑ Extension ❑ 11/8" ❑ 425 0 2600 ❑ Stub ❑ Service Maintenance ❑ 11/4- ❑ 630 E] 10,000 ❑ FUEL LINE PERMIT NEEDED Q Extension E] valve maintenance F] 2" ❑ 1000 Fuel Line Length: F1 Compete Sery [:] Cut & Cap Mtr Loc: Fuel Line Diameter: IIFONII CIWI ., ..� &.i y iF"` VAP-,. -,'P^ L- W6,o . ti, *,%8-DW, Ap 14,W(5 WSDOT NOTES & TABLES CHANNELIZING DEVICE SPACING (FEET O.C.) MPH TAPER I TANGENT 55/>d 35)45 25(30 40 80 30 60 20 40 ONE -LANE TAPER APPROXIMATELY 20 FEET O.C. 20 FEET DOWNSTREAM OR TERMINATION TAPER AP.PA4XIyATTELY 20FEET 0_, SIGN SPACING = X (FEET) BUFFER SPACE=B SPEED (MPH) DISTANCE BETWEEN ROAD TYPE SPEED SIGNS rTrEEwnYs & ss/ro Mr. rsoo.- OR AS PER MU TCD RURAL HIGH.— __i RURAL fl0A0S 45/55 MPH S70' RURAL ROADS & URBAN ARTERIALS 35/40 NPH 350+ - RURAL ROADS. URBAN M..Ars WTH TMA ROLL BESIOENDAL & SoONE55 g51FliC5 URBAN STREETS 26 MPN OR LESS 3o ALL SIGNS ARE 48"X98" BLACK ON ORANGE UNLESS OTHERWISE DEBONATED. 1)— SPACING MAY BE AD.U6tE0 TO ACCOMMODATE INIERC GE RAMPS AT -GRADE INIERSEC110NS AND .—AYE. 2j NIS BEACING MAY BE REDUCED IS URRAN AREAS TO R ROADWAY CONDIDON$. BUFFER DATA BUFFER SPACE=B SPEED (MPH) 25 30 35 a0 45 SO 15516o _— P 65 70 LENGTH (FEET).. 155' 200' 250' 305' 360' 425' 495' S70' 645 130' PROTECTIVE VEHICLE WTH TMA ROLL AHEAD DISTANCE 3o 5' 8 S .,...,..,e_.. TYPICAL, PROTECTVE TYHVCA PROTECTIVE VEHIOLE STATIONARY VEHICLE TYPE (WITH TMA) LOADED WEGHT OPERATION WITH TMA (os) (FEET) a YARD DUMP mu6K. '*"' wM WE' 30' MIN SERVICE TRUCK. PLAT BED. ETC. MAw uv _Fq BE M DO' MAX 95 I6... 5 170 550' t5 2>5 tl 6W 6 .b0 ..., . . o,$)I 7 ROLL AHEAD STOPPING DISTANCE ASSUMES DRY PAVEMENT A PROLECTIVE VEHIQE IS RECOMMENDED REGARDLESS IF A TMA IS AVAILABLE. IF NO TMA IS USED, THE PRGTECDVE VEHICLE SHALL BE STRATEGICALLY LOCATED IN THE FIELD TO SHIELD VIORKERS AND NO ROLL AHEAD DISTANCE IS OVEN. Puget Sound Energy Traffic Control Supervisor. Gregory Harwood Card No. 008997 Card Exp. 08/13P2019 gregory.harwood(jpsemm 1425)424-642 TAPER/CHANNELIZING DEVICE TABLE woE 10 FEET 11 FEET 12 FEET rsRtN6 iasa ainxs _— P MERaNG DEI¢ SH P4f G —E ....._.._. ..___ _ 'I MERGING DE:MCES 9V&"'i1NGI DEICES MER., DEICES --a OEYrCLS MPH (ri IDEM:£ 20 76 5 ES" 95' 5 9d' 3 80' S 40' 3 20 25' 3 __. ..... ........__ 25 f05' 8 55' .._._.. ..._.... 115• 7 60' f23 : 25 35' 3 3o 5' 8 S .,...,..,e_.. 5 185 B 55' 5 i80 f0 ............ 5 30 m ..... ... ........... 50 3..... 3s ____... a0 zDs' B los'' .. .5 M s s las s ns s zas• s 1zs' s 38 o >o' sn a ...... a 45 ...._ 50 SRI 8 2 5 500 A 250 .......... 9 B 95 I6... 5 170 550' t5 2>5 tl 6W 6 .b0 ..., . . 45 M 50 7 6 6 55 550 5 6 805 t6 I 305 9 860 8 330 _. ..... 9 55 85 6 _.. 60 es 0' 18 300 fisc zs e _. 9 9 ie 33 " 15 zxm os' 6 as a2 6 '9U YOd L8 96'8' " 10 mo• "so "' Sas ai""""' Bd .xz... 2' 1z w --....... PUGET SOUND ENERGY Job#887033649 24001 Hwy 99, Edmonds, WA June 15 2017 Sheet 2 of 2 gregory.harwood@pse.com (425) 424-6425 NQyO ES; 1. NOTIFY WSDOT AT (206) 440-4454 AT LEAST 72 HOURS PRIOR TO STARTING WORK. 2. AT TIME OF WORK, CALL WSDOT RADIO AT (206) 440-4490 AT TIME LANE IS CLOSED (OR INTERSECTION FLAGGED); AND AGAIN WHEN THE LANE/INTERSECTION IS OPENED. LEAVE A CONTACT NAME AND CELL PHONE NUMBER WITH RADIO. 3. FLAGGERS SHALL BE IN RADIO CONTACT WITH EACH OTHER AT ALL TIMES; FLAGGER STATIONS SHALL BE ILLUMINATED DURING HOURS OF DARKNESS WITH MINIMUM 15OW LIGHT. 4. ONLY ESSENTIAL EQUIPMENT OR MATERIALS SHALL BE ON WSDOT R/W DURING NON -WORKING HOURS. 5. ALL CHANNELIZING DEVICES SHALL BE TRAFFIC SAFETY DRUMS UNLESS OTHERWISE NOTED. ANY CHANNELIZING DEVICES USED DURING HOURS OF DARKNESS SHALL HAVE STEADY BURN TYPE C LIGHTS. 6. DURING NON -WORKING HOURS, WORK AREA SHALL MEET CRITERIA IN WSDOT STD. SPECS. I-07.23; INCLUDING, BUT NOT LIMITED TO, 'DROP OFF PROTECTION. SIGNS ARE TO BE 48" X 48" RETRO REFLECTIVE AND SIGNS AND STANDS NEED TO MEET THE (NCHRP) 350 CRASH WORTHY REQUIREMENTS. SEE STD. SPEC 1-10.2(3) (CONFORMANCE TO ESTABLISHED STANDARDS) PAGE 1-108 IN THE 2012 STANDARD SPECIFICATIONS MANUAL. 0 ALL PERSONNEL SHALL WEAR HIGH -VISIBILITY APPAREL MEETING THE ANSI/ISEA 107-2004 CLASS 2 OR 3 STANDARD. DURING HOURS OF DARKNESS, FLAGGING STATIONS SHALL BE ILLUMINATED. (SEE STD. SPEC 1-10.3(1)A (FLAGGERS AND SPOTTERS) PAGE 1-110 IN THE 2012 STANDARD SPECIFICATIONS MANUAL. THE CONTRACTOR SHALL PROVDE PORTABLE LIGHTING EQUIPMENT CAPABLE OF SUFFICIENTLY ILLUMINATING A FLAGGER AND THEIR STATION WITHOUT CREATING GLARE FOR ONCOMING MOTORISTS, YET WILL MEET THE MOBILITY REQUIREMENTS OF THE OPERATION. THE LIGHTING STATIONS SHALL BE LOCATED ON THE SAME SIDE OF THE ROADWAY AS THE FLAGGER AND AIMED EITHER PARALLEL OF PERPENDICULAR TO THE TRAVELED LANES TO MINIMIZE GLARE. THE LIGHTING DEVICES SHALL BE LOCATED 5 TO 10 FEET FROM THE EDGE OF TRAVEL LANE WITH A MOUNTING HEIGHT OF 15 - 25 FEET ABOVE THE GROUND. THE FLAGGER SHOULD BE VISIBLE AND DISCERNABLE AS A FLAGGER FROM A DISTANCE OF 1,000 FEET. December 2000 Figure 6H-28. Sidewalk Detour or Diversion (TA 28) 11 i Law') WWA3 B SIDEWALK CLOSED 7- 9fm N Ac'r tian0 -"agar. 'T :,&J. (optional) SIDEWALK DETOUR SIDEWALK DIVERSION Typical Application 28 Note: See Tables 61-1-2 and 61-1-3 for the meaning l� n of the symbols and/or letter codes used in this figure. Page 6H-61 Sec[. 6H.01