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ENG20170163-APPROVED PERMIT.pdf, CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA .98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 �rc.'1 I *PERMIT MUST BE POSTED ON JOBS TE* STATUS: ISSUED: ENG20170163 RIGHT OF WAY PERM IT (6-EUC-); Permit Number: ENG20170163 Expiration Date: 11/27/2017 Job Address: 8524 BOWDOIN WAY, EDMONDS Location: 8524 BOWDOIN WAY APPLICANT CONTRACTOR PSF/Infiasource PSE/Infrasource C/O Susan att: Sidick C/O Susan att Sidick 1660 Park Lane 1660 Park Lane Burlington, WA98233 Burlington, WA 98233• (425)457-6353 LICENSE#:infras1871 c2 EXP: 02/22/2019' . DESCRIPTION Work area is approx 88'E c/I of Summit Lane & 14''N c/I of Bowdoin Way to retire gas service. 1 3x5 paving cut anticipated DIS RtJPTION INFORMATION ASSESSED VALUE: $01,00 PROPERTY AREA: 0 SIDEWALK ('0X0) 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 ivhich states he/she holds the City of Edmonds harmless from injuries, damages or claims ofany kind or description ivhatsoever, 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.. THE CONTRACTOR IS RESPONSIBLE FOR': WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THE FINAL 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 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 RVQUESTS APPLICATION APPROVAL THIS APPLICATION IS NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED Printed; Frida , Ma26, 2017 17 RELEASED BY DATE ❑ FILE COPY INS PECTOR COPY APPLICANT COPY 0 Restore ROW to City standards 0 Restore Landscape to like or better conditions. 0 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. o; 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 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, 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 ofthis pemvt. 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 -Traffic Control • 11Engineering Final PARTIAL INSPECTION DATE; INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL. NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: Of EOM, , 1.590 APR 21 2017 APR 2 12017 BUILDING ROW PERMIT NO.: ENG - OI1-- ) (I3 ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 108597442 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871C2 City Business License #: NR -023614 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax #: Email #: Susan,Sidick@pse.com ❑ Liability Insurance Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 8524 Bowdoin Way ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial Subdivision City Project Traffic Control (Only) ❑ Multi -Family ❑X Single Family E] Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit pant of a blanket permit? ❑ Yes © No ANY ASSOCIATED PERMITS? BLD# __ITITIT� ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 88' E c/1 of Summit Lane & 14'N C/I of Bowdoin Way to retire gas service 1 3x5 paving cut anticipated, WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO Year:108 PAVEMENT CUT: ® Yes ❑ No If yes, indicate size of cut: 3 x 5 CONCRETE CUT: 0 Yes F] No If yes, indicate size of cut: x_ [RIGHT-OF-WAY DURATION AREA TOTAL CLOSURE (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF ..�. ........ Alley 72 Hrs..+ ........ .....L._ F X LF SF ..... Parking 72 Hrs + LF X LF SF i READ AND SIGN APPLICANT TO a WAMMNMN *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 Sidick d „ " u 1,s-Sbe�°� DATE m¢v orcram tyr» 4/21 /2017 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE I NA Wk Q8.LAd NI imms .v 41511,IJ ry I , 0 , Oz k") ami Co 6 m ICU -a 'SZ 40) cu 10 C6 0 0-2 N -0 0 Lm -0 L Ej 0 tm LIJ we 0 c.0 O? CIL 2.1 z E 6 �6 -0 'F4 co cc LU 75 rL Q— on a LA i�. im E 6 0 0 8M4 O10 c', 0 Wk Q8.LAd NI imms w_a,.._. O fin'.. .. __ __._.. _, LLJ CO CZ) CD CD CD LU cy') 00 CD C14 00 OD C4 Lr) C1.4 00 �o 600618zv lozo I �8 di 3dvv ll' / I c2 fin. 00 �cp Cl LU 16 LU C) LO CL C�, CD 0 F- CD oo sle - r LO r 00 CL '—. 88 cn C' . 4 C) za L" 0) A 0 .6 7 C%4 00 cy) Jp Ar N9369 Abd 30a3 M-M, I di MIS Z -0— ) LO C) yj 0 00 > 20 C-4 c co cd &D CD C�, C) �2 Z v�C:) (Y) Date of Request Job number: Job address; Project mgr: PM email: PERMIT REQUEST FORM 04/20/17 108597442 8524 Bowdoin Way Gayle Plaisance Gayle. Plaisance@pse.com Estimated job start date: 05/15/17 Estimated job completion date: 06/14/17 Citv: Edmonds PM contact #: (253) 617-6013 Description of work to be performed: 1.2 Pavement cut? Yes ®No If yes, Dimensions of Cut: Length 3 Width 5 How many cuts? 1 Surface Type Asphalt Require trenching?®Yes ' 'No If yes, Dimensions of trench: Length Width Method of installation: Traffic impact: Road closed Yes F71 No Lane closed ✓oyes 11 No Shoulder closed ®Yes P1No Sidewalk closed Des O No Emergency Contact: Mike Blood Cell Number:LsL�-g4-f Depth How Many? 1 Direction? West