ENG20170112-APPROVED PERMIT.pdfI�
CITY
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
1a4 1
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUEDENG20170112
RIGHT OF WAY PERM IT (6-EUC)
Permit Number: ENG20170112 Expiration Date: 12/27/2017
Job Address: 24025 74TH AVE W, EDMONDS Location: 24025 74TH AVE >W
APPLICANT CONTRACTOR
SNOHOMISH COUNTY PUD SNOHOMISH COUNTY PUD
GO ANDREW RIFE 2320 CALIFORNIA ST `
2320 CALIFORNIA ST EVERETT, WA 98206
EVERETT, WA 98206 (425) 670-3216
LICENSE 4: UBP_313 005 741 EXP
JOB DESCRIPTION
Customer at 24025 is to dig 88' in ROW and install 2" of PVC from pole 15867. PUD to install 2" riser on existing pole 15867 vault for '
transformer on private property.
DISRUPTION I[NFORMATION
ASSESSED VALUE: $0,00 PROPERTY AREA 0
SIDEWALK: (OXO DURATION IN MONTHS: 0 FEE,, $0,00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
PARKING: ( 0X0) DURATION IN MONTHS: 0 FEE $0,00 YEAR OF OVERLAY: 0 FEE $0,.00
ALLEY ( OX0) 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 14,hatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds`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.
THE CONTRACTOR IS RESPO NSIBLE FOR WORKMANSHIP AND MATERIALS FORA PERIOD OF ONE YEAR FOLLOWING THE FINAL'
INSPECTION AND ACC EPTANCE0FTHEW 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
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 NOTICEREOUIRED FOR ALL INSPECTION REQUESTS
APPLICATION APPROVAL
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED,
Printed: Tuesdg, June 27,2017
alja a*td (/2_712-017
RELEASED BY DATE
❑ 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
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
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 shallrepair/replace all damage to utilities or fi•ontage' 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 0:00am 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 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.
• ---
E-Engineering Final
PARTIAL INSPECTIONr DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
IBM
ROW PERMIT NO.: ENG ?, GGjQ j
ISSUE DATE:
00 (_t, 13`1 (v-7
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: F;I- y1o, 1_ 1 n
..........
CONTRACTOR: Shol�or� iSl-� �U
Mailing Address:-eDK ((0-7
State License #:
City Business License #:
CONTACT:
Phone #: tl 7 S .U?CD.:2 ZU S
Fax #: t+Z_4& . 2Co 7 • (,DO (n C1
Email #: CCc %1 O (t' -r— P sr)QPU d. corY-N
Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: ?LPD ZS % `F�h_V'e (i✓ ZJrk,
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial
❑ Multi -Family
Subdivision
P< Single Family
F] E'UC (P'UD, VERIZON, PSE,
COMCAw. WSD):
Is this permit part of a blanket permit?
City Project
❑ Other
❑ Yes ❑ No
ANY ASSOCIATED PERMITS? BLD# _ ....
ENG#
Traffic Control (Only)
DESCRIPTION OF PROPOSED WORK (Be Specific) : C U 5110 n'L-'r a-"*- 2402S
IS fo deq Btu i r\ '�OW a,v J i r -x Sal` Z b�- _l C,
to ir',cs;ft�t1 2` V irte� Oen exiSti
-e �S (0`? . vav 1k- -For 0 1
�O
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO Year:
PAVEMENT CUT: ❑ Yes [Z No If yes, indicate size of cut: x
CONCRETE CUT: Yes � No If yes, indicate size of cut: x
RIGHT-OF-WAY AREA i
DURATION
CLOSURE NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF X LF
Alle 72 Hrs + LF X LF
Parki'Hs LF X LF
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 statement d understand the p it requirements and acknowledge that I must
follow all require in orde * for the h to be v li . `
SIGNATURE DATE l9/ Z/ / �7
Contractor or A -gent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Page 652
2009 Edition
Notes for Figure 6H-10-1ypical Application 10
Lane Closure on a Two -Lane Road Using Flaggers
Option:
1. For low-volume situations with short work zones on straight roadways where the flagger is visible to road
users approaching from both directions, a single flagger, positioned to be visible to road users approaching
from both directions, may be used (see Chapter 6E).
2. The ROAD WORK AHEAD and the END ROAD WORK signs may be omitted for short -duration
operations.
3. Flashing warning lights and/or flags may be used to call attention to the advance warning signs.
A BE PREPARED TO STOP sign may be added to the sign series.
Guidance:
4. The buffer space should be extended so that the two-way traffic taper is placed before a horizontal
(or- crest vertical) curve to provide adequate sight distance for the flagger and a queue of'stopped
vehicles.
Standard:
5. At night, flagger stations shall be illuminated, except in emergencies.
Guidance:
6. When used, the BE PREPARED TO STOP sign should be located between the Flagger sign and the
ONE LANE ROAD sign.
7. When a grade crossing exists within or upstream of the transition area and it is anticipated that queues
resulting from the lane closure might extend through the grade crossing, the TTC zone should be extended
so that the transition area precedes the grade crossing.
8. When a grade crossing equipped with active warning devices exists within the activity area, provisions
should be made for keeping flaggers informed as to the activation status of these warning devices.
9. When a grade crossing exists within the activity area, drivers operating on the left-hand side of the
normal center line should be provided with comparable warning devices as for drivers operating on the
right-hand side of the normal center line.
10. Early coordination with the railroad company or light rail transit agency should occur before work
starts.
Option:
11. A flagger or a uniformed law enforcement officer may be used at the grade crossing to minimize the
probability that vehicles are stopped within 15 feet of the grade crossing, measured from both sides of the
outside rails.
(I'7
Sect. 6H.01 December 2009
2009 Edition
Figure 61-1-10. Lane Closure on a Two -Lane Road Using Flaggers (TA -10)
Note: See Tables 6H-2 and 6H-3
for the meaning of the
symbols and/or letter
codes used in this figure.
Page 653
50 to 100 ft
Typical Application 10
December 2009 Sect. 6H.01
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