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ENG20170221-APPROVED PERMIT.pdfASSESSED "VALUE: $0,00 PROPERTY AREA: 0 SIDEWALK: ( OXO) DURATION IN MONTHS: 0 FEE: $0,00 STREET DISRUPTION TRENCH CUT: ( 3 X 5 )) PARKING: ( OX0 ) 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 states he/she holds the City of Edmonds harmless from injuries; damages or claims ofany kind or description whatsoever, foreseen or unforeseen; that may be made against the. City of Edmonds or any of its 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 RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEF NAL INSPECTION AND'AC CEPTANCE 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 DIA1,A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425)'771-0220 EXT. 1326 24 HOUR NOTICERM,UIRED FOR ALL INSPECTION REOUESTS:' APPLICATION APPP THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER SPACE PROVIDED, 0)a. UTY: AND FEES ARE PAID, AND RECEIPTIS A Printed: Mon 7/3/2.017 nA TC ❑ FILE COPY ❑ INSPECTOR COPY APPLICANT COPY uITY OF EDMONDS 121 5TH AVENUE NORTH -EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425)'771-0221 *PER:B U MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20170221 RIGHT OF WAYPERM IT (6_EUQ1 Permit Number:ENG20170221 Expiration Date: 01/03/2018 Job Address: 7524 180TH ST SW, EDMONDS Location: 7524 180TH ST SW APPLICANT PSF/Infrasource CONTRACTOR PSE/Infrasouree CIO Susan'att: Sidick C/O Susan att: Sidick 1660 Park Lane 1660 Park Lane Burlington, WA +98233 Burlington, WA 98233 (425)457-6353 LICENSE 4:'infrasl87lc2 EXP:'02/22/201'9 From main, install approx 78' of 1 1/8" PE scat/plat Svc. Gas main in soft shoulder, will need to cut a small portion of asphalt for hog.'` Work area is approx 13'N & 12'S c/I of 180th St SW &'159' Wc/1 of 75th PI W. 1 3x5 asphalt & soft surface cut and 12x5 soft surface cut anticipated. ASSESSED "VALUE: $0,00 PROPERTY AREA: 0 SIDEWALK: ( OXO) DURATION IN MONTHS: 0 FEE: $0,00 STREET DISRUPTION TRENCH CUT: ( 3 X 5 )) PARKING: ( OX0 ) 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 states he/she holds the City of Edmonds harmless from injuries; damages or claims ofany kind or description whatsoever, foreseen or unforeseen; that may be made against the. City of Edmonds or any of its 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 RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEF NAL INSPECTION AND'AC CEPTANCE 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 DIA1,A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425)'771-0220 EXT. 1326 24 HOUR NOTICERM,UIRED FOR ALL INSPECTION REOUESTS:' APPLICATION APPP THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER SPACE PROVIDED, 0)a. UTY: AND FEES ARE PAID, AND RECEIPTIS A Printed: Mon 7/3/2.017 nA TC ❑ FILE COPY ❑ INSPECTOR COPY APPLICANT COPY TATUS: ISSUED ENG2O17O221 • 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, 0 Conform to approved working drawings and Traffic Control plan. • Verify clear bore crossings • Utility patch restoration to be in accordance with EdmondsStandard detail E23 • 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 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 7:00am to 6:00pm on weekdays and 10:00amand 6:00pm on Saturdays, excluding Sundays and Federal Holidays: At all othertimes 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 behalfofhis 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 permit. Issuance ofthis pen -nit 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 0 E -Engineering Final; PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL,„ NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: . 0 N4, W [EED.v' use P„c& t i1, 4r JUN 0 5 2011 Jili U 2017 ROW PERMIT NO.: ENG C ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106322189 CONTRACTOR: PSE/Infrasource g 1660 Park Lane, Burlington WA Mailing Address: 9e233 State License #: INFRASL871 C2 City Business License #: NR -023614 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax #: Email #: Susan.Sidick@pse.com ❑ Liability Insurance L Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 7524 180th ST SW ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial Subdivision Ci Project Traffic • � CityProject Control (Only) ❑ Multi -Family ❑X Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit pati of a blanket permit? ❑ Yes © No ANY ASSOCIATED PERMITS? BLD#_„_ ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : From main, install approx. 78' of 1-1/8” PE scat/plat svc. Gas main in soft shoulder, will need to cut a small portion of asphalt for hog. Work area is approx 13' N & 12' S C/I of 180th ST SW & 159'W c/I of 76th PL W 1 3x5 asphalt & soft surface cut and 1 2x5 soft surface cut anticipated WAS STREET OVERLA STREET YED WITHIN THE LAST FIVE (5) YEARS? YES NO Year: 10621 PAVEMENT CUT: ® Yes ❑ No If yes, indicate size of cut: 3 x 5 CONCRETE CUT: ❑ Yes ❑ 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 + LF X LF SF Parking 72 Hrs + LF X LF SF APPLICANT TO READ AND SIGN . u�ercmmm��m�mr��mmm�mrtmmmm�m�mmm�mm�mrrrrwmr.,mrrrnarm �.rraxvar�w.wiarnaa�wnuc:�wawu�usnrr .:... *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 Sidlck�s s°��°� DATE �x6/5/2017 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Ion #: DATE: 106322189 5/9/17 PRE -INSPECTION REPORT ADDRESS: 7524 180th St Sw JURISDICTION: Edmonds CITY/ZIP: Edmonds 98026 ROW PERMIT: E]YES ❑ NO FLAGGERS # CUSTOMER: -232-209 Michael Rowan 4251 START DATE: NOTE: ❑ PM: 11 Jordan McLean 425-563- c -3703 DURATION: 1 day Stub: 30' SPEED t_ lVff —WORK q. aESC'RIP'TIOR INSTALL METHOD f 1r # i 0 E= renc ess 0 N w Open Trench Elit. Frorrr main, install approx. 78' of 1-118" PE sca/plal svc and set an A425 meter. Customer provided condu New Construct ❑✓ PLAT MAP: 1 160.070 4" STW IP 13'N 3704-1962 . !I ..... ... ...................... ...........,....,..............,.............. I.....................I....... ---11-1-11111111-1 ...... .... _ ..STAHM..................... ..... . ... .... .. .. 11206" CI Edmonds I�.., .. ... .. , ..,. ,. • "� .O (, %r ❑� FLAGGERS # 1 a9 e� rz­t Sooi; -1,'"E !' NOTE: ❑ W 1 ❑ METER HOODS# ❑ Stub: 30' SPEED t_ lVff Ext: 48' 8 ",% 1 ,1 6 1 Mf4 OF f 1r # i 0 E= Power, CTV, Fiber, N w r 9. � all OH. w I i I A a T A425 MSA No Curb/gutter ❑ Leak Repair No sidewalk NPA) P° Ott (rstwit ❑ Template Bar ROW = 60' Wide Residential 7524 PAV = 22' Wide Ir L P L "Hydrant 113-37 is I Pressure 155' from tie-in"* WORK LOCATION I Size of Cut Surface Type 1_N S of CL __..,1„8. L 1y_ & 159 'EUV of CL . 5 ,1 W 3x5 Asphalt/Soft °°... L IRotl�iv & 159 ' �1' iof CL • 5tli.s.PJ,...W. 2x5 Soft — . 'N S of CL .... _ & 'E W of CL .........� ❑� FLAGGERS # 1 30 MPH ❑ TROLLY LINES ❑ BUS STOP # ❑ METER HOODS# ❑ OFFICERS # SPEED t_ lVff ❑ TRAFFIC SIGNAL ❑ ARTERIAL ❑ NO PARKS # Ej Commercial ❑ Altered Commercial ❑ Leak Repair Service Information ❑ Template Bar [D Residential ❑ Altered Residential ❑ CP Work Diameter Meter EFV Pressure ❑ Bollards 2.5" # E] Multi -Family ❑ Replacement Service ❑ Pothole ❑ 5/8 " ❑ 250 ❑ 1800 ,, 6' WC ❑ ❑ Bollards 4" # [D New Constr. ❑ Main Maintenance ❑ Extension ❑ 1-1/8" ❑✓ 425 ❑ 2600 [j 2# E]Stub F] service Maintenance 1-1/4' 630 ❑ 10,000 ❑ FUEL LINE PERMIT NEEDED F]Extension ❑ Valve Maintenance ❑ 2" 1000 ❑ 775 _,?5H❑ Fuel Line Length: ❑ Complete SVC p ❑ Cut &Cap Meter Loc: OL 03 --° D3000 Fuel Line Diameter: 1807}1 STSW PUGET SOUND ENERGY Job#106322169 7524160th SI SW, Edmonds WA June 2, 2017 ;heel l oft ryan.honeyselt@pse.eom (425) 457-5381 I 13 AS f JGTZIE'�-""',? ,�itnu�rXririrxri u���wrnarvrm�aow �.�„mmov rv,��»��,��„ q . ;ii , ti, lr,, I,f Lei �� f. #7524-.191+4 V Notes: 0`1n I.NI atgns and spacing to conform to the MUTCD and City of Edmonds standards. p . - 2. All sidewalks, driveways, exits and egresses shall be comoolOyctoar urloss otherwho h ulklaledn ----------- 3. Channellzing devices are 28' Iro fic cones. - --mss m.�•. 4. Sign size can be a minimum of 48' x 48' and shall not ® ze'mAFPtc coat oWr+btpedesfielaa9act^ess, ® B Prr 5. Crew Is required to leave a minlmum of 11' for traveling C=> TRAFFIC FILM lane width. }{ Fuocsa B. Alert affected residents and businesses. I B 7. Work to WW plea bsbv"n B arm a11d 4 p.m. woaxvewcie B. Work area WO be I 6 WCL of 75th PI W & 13' NCL of 180th St SW. SIMI LOCATION 9. if used, place NC -PARK signs 72 hours In advance e�i WANin+a FUG of the day [hat the work Is to be done. I 13 AS f JGTZIE'�-""',? ,�itnu�rXririrxri u���wrnarvrm�aow �.�„mmov rv,��»��,��„ q . ;ii , ti, lr,, I,f Lei �� f. PUGET SOUND \ENERGY x \. Job#108322189 N 7524 180th SI SW, Edmond June 2, 2017 Sheel2 of 2 ryen. honeysell®pse.com / (425) 457-5381 l re� q _e. � 180TH ST SW p 1� #7524 Notes: ° ups 204' 1. All signs and spacing to conform to the MUTCD and City of Edmonds standards. 2. All sidewalks, driveways, axils and egresses shall be completely Gear unless otherwise Indicaled, �cs1No f 3. Channellzing devices are 28' traffic cones. _ ------ •-- ' 4. Sign size can be a minimum of 48'x 48' and shall not 10 xe•mnrrrCConE Obstruct pedestrian access. M BORE PFT 5. Crew is required to leave a minimum of 11' for traveling b meEncrlav lane width. r�ceEa 8. Alert affected residents and businesses. I e 7. Work to take place between 9 a.m, and 4 p.m. '' —vEwcLE 8. Work area will be 159' WCL of 75th PI W & 12' SCL of 180th St SW. swuLocenai 9. If used, place NO -PARK signs 72 hours In advance -11- of the day that the work Is to be done. MM ... V � • NIM Date of Request: 06/02/17 Job number: Job address; Project mgr: PM email: 106322189 7524 180th St Sw Jordan McLean jordan.mclean@pse.com Estimated job start date: Estimated job completion date: 07/03/17 Citv: Edmonds Zip: 98026 PM contact #: (425) 563-3703 Description of work to be performed: m-na lln,.lnst ppr f 1-1/A" RE t// -vc am -soft sboulder, wift- need to cut a small portion of asphalt for hog. Pavement cut? Dyes No If yes, Dimensions of Cut: Length 5 Width 3 How many cuts? 1 Surface Type Asphalt size of cut 3x5 3x5 3x5 Require trenching? Dyes ✓ No If yes, Dimensions of trench: Length Width Method of installation: HOG Traffic impact: Road closed Dyes ✓ No Lane closed es No How Many? Shoulder closed M es No Sidewalk closed ®yes ✓ No Emergency Contact. Jordan McLean Cell Number: (425) 563-3703 Depth Direction? East