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ENG20170220-APPROVED PERMIT.pdf'"ITY OF EDMONDiS121 5TH AVENUE NORTH-,EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 t *PERMIT MUST BE POSTED -ON JOBS'I * STATUS: ISSUED ENG20170220 Permit Number: ENG20170220 Expiration Date: 01 /05/2018' Job Address: 1054 WALNUT ST, EDMONDS Location: 1054 WALNUT ST PSE/Infrasource PSE/Infrasource C/O Susan att: Sidick C/O Susan att: Sidick 1660 Park Lane 1660 Park Lane Burlington, WA 98233 Burlington; WA 98233 (425)457-6353 EXP: 02/22/2019 ASSESSED VALUE: $0,00 PROPERTY AREA; 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0,00 STREETDISRUPTION TRENCH CUT: ( 3 X 5 ) PARKING: ( 0X0) DURATION IN MONTHS: 0 FEE $0,00 YEAR OF OVERLAY: 0 FEE: $0,,00 ALLEY OXO) DURATION IN MONTHS:- 0 FEE $0,00 INDEMNITY The Applicant has signed an application which stales he/she holds the City of Edmonds harmless from injuries, damages or claims ofany kind or description ivhalsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any of ils departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and attorney fees by reason ofgranling this permit, THECONTRACTOR IS'RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR PERIOD OFONEYEAR FOLLOWING THEFINAL 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) 296-155-305 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 NOTICE'REQUHRED FOR ALL INSPECTION RFQUESTS THIS APPLICATION IS NOTA'PERMITUNTIL SIGNED BY THE CITY ENGINEER ORHI HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN SPACE PROVIDED,kk Printed: Wednesda Jule„ 201" RELEASED BY DATE ❑ FILE COPY [] INSPECTOR COPY F-] APPLICANT COPY STATUS: IS • Restore ROW to City standards • Restore Landscape to like or better conditions. 6 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. 0 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 ifor required inspections as noted. +u Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements. • Applicant shall repair/replace all damage to utilities or fiontage 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 of this pen -tit. 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 INSPECTION DATE: INITIAL: NOTES: PARTIAL' INSPECTION DATE: INITIAL w NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: ,,,X�Vi�N IRI, CANNED ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106325281 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 ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 1054 Walnut St ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial Subdivision City Project Traffic Control (Only) ❑ Multi -Family M Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes 0 No ANY ASSOCIATED PERMITS? BLD# ENG#q_ DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 21'S C/I of Walnut St & 135'W c/I of 96th AVE W 1 3x5 concrete cut anticipated. WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YESNO _ Year:106 PAVEMENT CUT: M Yes E] No If yes, indicate size of cut: x CONCRETE CUT: ❑ Yes F] 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 *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. DoWys§ ao-,s Wa SIGNATURE Susan SIdick 41- ��" 0,0 "°"_ "`�°� DATE 6/5/2017 �� „e �.O Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Job #: 106325281 Date:.. 5/26/17 Jurisdiction: Edmonds Right of Way Permit? 0 YES ❑ NO Est. Start Date: 07/24/17 Est. Duration: 8 Hours PRE -INSPECTION REPORT Address: 1054 WALNUT 5T City / zip: EDMON05 98020 Customer: TODD ECHELBARGER 425-673-1100 PM / Insp: Kiara Hays 42 - 1 - PHONE NUMBER WORK DESCRIPTION: Construction Method INSTALL6'OFI-1/8"PESCATSTUB AND 45'OFI-1/8"PEPLATEXT 5ETA425MSA AT Open Trench ❑ 6 I1 WCO/R. Trenchless 2] PLAT MAP; 163 067 WALNUT ST SIDEWALK 0 ACLz-- ----_ -S G 6"STWIP21'S 2187"-1960 t i6 a of ' o awJ - t%100140(" ap. ' �kWflk k, I" G I is ULYYHLR G 0 = 85' FROM TIE IN LOCATION W Q H 01 Size of Cut I Surface Type �1_ ' S f CL &435_ '�IV of CL ,_ 9fiT 1 VF W 3X5 CONCRETE 'N S of CL _ & 'E W of CL ........� 'N S of CL _ __. _uu...u._.__ _ __. & 'E W of CL _.... IT ❑ FLAGGERS # MPH ❑ TROLLY LINES ❑ BUS STOP # ❑ METER HOODS # ❑ OFFICERS # SPEED LIMIT ❑ TRAFFIC SIGNAL ❑ ARTERIAL ❑ NO PARKS # ❑ Commercial ❑ Altered Commercial ❑ Leak Repair Service Information ❑ Template Bar Residential ❑ Altered Residential ❑ CP Work Diameter Meter EFV ❑ Bollards 2.5" # ❑ Multi -Family ❑ Replacement Service ❑ Pothole ❑ 5/8" ❑ 250 ❑ 1800 ❑ Bollards 4" # F1 New Constr. ❑ Main Maintenance ❑ Extension ❑ 11/8" ❑ 425 0 2600 ❑� Stub ❑ Service Maintenance ❑ 11/4" ❑ 630 ❑ 10,000 ❑ FUEL LINE PERMIT NEEDED Q Extension ❑ Valve Maintenance ❑ 2" ❑ 1000 Fuel Line Length: ❑ Compete Sery ❑ Cut & Cap Mtr Loc: Q/R Fuel Line Diametet: Notes: 1I At signs and spacing to contemn to the MUTCD and City of Edmonds slandards, 2. NI sidewalks, drivrn ay% etdts and egresses shell be completely clear unless oNem4se Indicated. 3, Channelizing devices are 211* traffic woes, 4. Sign size can be a minimum of 48' x 4B' and shall not obstruct pedestrian access. 5. Craw Is required to leave a minimum of 11'tor traveling lane width. 6. Norlaffocled rurWft4%a1w tr+aa4uu144,e. 7- Work to lake place beMcen 9 a.m, and 4 p m. S. Work area vAl be 135' WCL of 951h Ave W & 21' SCL of PLACE SIGNS ON Walnut SL 9,. Ir used, place NO -PARK signs 72 hours In advance BOTH SIDES OF of the day that the pork Is to be done. WORKING AREA walrk¢r'd St �a Wy ..._..._.._. ..._._._._..._ .__...._........ .........„.. "idfi '$66 14v0i .,. .... .., ........ .._.......... .� .»_.,......,... ue� 7�yy �y ME a R9a9.. PLACE SIGNS WB AT 9TH AVE S W71 d W1 1tl. RESIDENT(S) WILL BE INFORMED 1054 INTERSECTION OF POSSIBLE TEMPORARY DRIVEWAY CLOSURE PRINT ON � 11X17 SHEETS ONLY wAL."gr Sr WAS uveuAyev -r �; A� CAA-V,l %m Appliceiri �m �� r lAl�� a rq1� 5 0 d, rn k,w WNes al°;�rl�tih a F��Kp.�°�; Iw u �� um �(`,fty dght-afm� ,y Pw r ,mt standards (flat Is caused I or occurs duilmug the perrnftted jpir , to PUGET SOUND ENERGI JobM106325201 1054 Walnut St Edmonds, WA June 1s1, 2017 Sheet 1 of 1 milchell pelerson@pse,com 425-39B-6071 Rya smcu ® zrnamwne and:fldl'NN'1�0.NY.A"1100Y�....�� b nam fleN DEU9'CE SPACING 5 6' 46 d9 I► 31 loc-, 3514 r� 3Wt wlFla'H: MG ” am ......4� ,. PRINT ON � 11X17 SHEETS ONLY wAL."gr Sr WAS uveuAyev -r �; A� CAA-V,l %m Appliceiri �m �� r lAl�� a rq1� 5 0 d, rn k,w WNes al°;�rl�tih a F��Kp.�°�; Iw u �� um �(`,fty dght-afm� ,y Pw r ,mt standards (flat Is caused I or occurs duilmug the perrnftted jpir , to PUGET SOUND ENERGI JobM106325201 1054 Walnut St Edmonds, WA June 1s1, 2017 Sheet 1 of 1 milchell pelerson@pse,com 425-39B-6071 L7 M } _ a 9 a � M M.�,..._,.....� .�.�..,�.......�.....a....� ......... cl O N d O 0 04 _ a cc Ggco O ^ ay m oNO \o �o cv _.. 10 �..... _- ." aco N 3 nt L G �. b 96TH AVE W N M 1 Zy o 90Z0OL ^n N'1 MR dl M1S,Z o Z .o ID O r a �Trwm O wv) O w ^ o0 d J NO N ClLO N N O �I� 0 O? g vi M .. �........_ M�'LSl �p �,,p,� •� O w LO �m CL o� � O o 0� IG 'o \P O M.�,..._,.....� .�.�..,�.......�.....a....� ......... d O _ a cc Ggco O ^ ay m oNO \o �o cv _.. , ... 00 N M M O r r Md O C 10 2 �I� 0 O? g vi M \P 0 _ opo V,9 k CL N M