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ENG20170264-APPROVED PERMIT.pdfr�,1 Dal CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20170264 RIGHT OF WAY PERM IT (6-EUC) Permit Number: ENG20170264 Expiration Date: 01 /12/2018 Job Address: 18816 OLYMPIC VIEW DR, EDMONDS Location: 18816 OLYMPIC VIEW DR �APPLICANT CONTRACTOR PSF/In fras o urce P SE/In fraso urce GO Susan att: Sidick C/o Susan att: Sidick 1660Park Lane 1660 Park Lane Burlington, WA 98233Bwlington, WA 98233 (425)457-6353 LICENSE 4 infras187] c2 EXP:02/22/2019 JOB DESCRIPTION Work area is approx 12' E c/I of Olympic View Dr & 58' S c/I of Wharf St to install gas service. 1 3x5 paving cut anticipated. " DISMIPTION INFORMATION ASSESSED VALUE: $0,00 PROPERTY AREA: 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE, $0 00' STREET DISRUPTION TRENCH CUT: 13 X 5 ) PARKING:', ( OXO) 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 maybe made against the City ofEdmonds;or any ofils 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 RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEVEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. • Traffic Control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as requiredby(WAC) 296-155-305 and must have certification verifying completion of the required training in their posseston ' • Restoration is to be inrraccord ance 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 DIALrA-DIG (1-80 0-424-5555) BEFORE ANY EXCAVATION' CALL FOR INSPECTION (425) 771-0220`EXT. 1326 SPACE P: �L26G� ZCL RELEASED BY LPPROVAL S/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED, IN IDED Printed: Wed 12, 2017 DATE ❑ FILE COPY DINSPECTOR 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. Maintain a minimum of 5' horizontal separation from the City utilities and services located within the City's Right -of -Way. Maintain a minimum of3' horizontal separation and I'vertical separationfrom private water, sewer, and storm lines located on private property. •� 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 ofECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10:00am and 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 behalf ofhis 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 fiom the 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, INSPECTIONS 0' E-Traffic Control 0' E-Engineering Final PARTIAL INSPECTION DATE: IMTIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: • RECEIVED jUL 0 J 2017 BUILDING ROW PERMIT NO.: ENG ISSUE DATE: RIGIT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106325174 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871 C2 __­­ CityBusiness License �cense #: NR-023614 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax #: Email #: Susan.Sidick@pse.com ❑ Liability Insurance Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 18816 Olympic View Dr ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial ❑ Subdivision LJ City Project ❑ Traffic Control (Only) ❑ Multi -Family 0 Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes F No ANY ASSOCIATED PERMITS? BLD#_ _ ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 12' E C/1 of Olympic view Dr & 58' S c/I of Wharf St to install gas 1 3x5 paving cut anticipated WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES [I NO ❑ Year:106rb 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 7 DURATION AREA TOTAL CLOSURE (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF Alley 72 Hrs + LF X LF SF mm.m Parking 72 Hrs mmm^ LF X LF SF APPLICANT TO READ AND SIGN �wwmro � ,m uuuumnrm„ n iu�� w�ioiououoiouou . �uwur� �i *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. ftn y u� Ms SWs Susan Sidick �m� k.a�°�°°� 7/5/2017 SIGNATURE " "'"" � °vo " 9 DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com (45)424.6425 0 k25/3O NNELIZATION ICE SPACING TAPER TANGENT 40 80 30 60 20 40 @ Ala �IIII 04,0 RIPCOr teptim. 11 dowwa e t t�4pptttl � Fkr r��ot" �uf jr'pr ry n, �,lt� 4'� t i` y ,-Aa ir" dads ttt 1't, aused I, ()(Xw4�ur41j trip ern"Atecl pwroj CL � �. a 2 c 3. 4. Notes: All signs and spacing to conform to the MUTCD nd City of Edmonds standards. . All sidewalks, driveways, exits and egresses shall be ompletely clear unless otherwise indicated. Channelizing devices are 28" traffic cones. Sign size can be a minimum of 48" x 48" and shall not obstruct pedestrian access. 5. Crew is required to leave a minimum of 11' for traveling ane width. i. Alert affected residents and businesses. Work to take place between 9 a.m. and 4 p.m. 1. Work area will be 12' ECL of Olympic View Dr & 58' SCL )f Wharf St. !. If used, place NO -PARK signs 72 hours in advance )f the day that the work is to be done. Q f Tk C 1 S Nb-r t t ENGINEERING LEGEND 28" TRAFFIC CONE BORE PIT TRAFFIC FLOW FLAGGER WORK VEHICLE SIGN LOCATION WARNING FLAG Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com (425)424.642P A 18816 CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35145 30 60 25/30 20 40 r Z", PUGET SOUND ENERGY Job#106325174 18816 OLYMPIC VIEW DR, EDMONDS, WA l / Date, 2017 Sheet 2 of 2 yuriy.bashtovoy@pse.com P ! 14251 398-6193 ,+ if p �r° r r � W ` U a Y o INotes: i 1. All signs and spacing to conform to the MUTCD and City of Edmonds standards. i 2. All sidewalks, driveways, exits and egresses shall be completely clear unless otherwise indicated. 3. Channelizing devices are 28" traffic cones. 4. Sign size can be a minimum of 48" x 48" and shall not N obstruct pedestrian access. 5. Crew is required to leave a minimum of 11' for traveling lane width. 6. Alert affected residents and businesses. 7. Work to take place between 9 a.m. and 4 p.m. 8. Work area will be 12' WCL of Olympic View Dr & 58' SCL of Wharf St. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. 0 04 Z LEGEND 28" TRAFFIC CONE BORE PIT TRAFFIC FLOW FLAGGER WORK VEHICLE N SIGN LOCATION WARNING FLAG Puget Sound Energy Gas Pre -Inspect Form Job #: 106325174 Date: 6/9/17 Address: 18816 OLYMPIC VIEW DR Jurisdiction: Edmonds City / Zip: EDMONDS, 98020 ROW Permit: Yes Customer: ROBERT B SWERK 425-508-7721 Est. Start Dater 8/14/17 PM / Inspector: Kevin Williams (425) 691-7573 Est. Duration: 2 Days' Job Description 7 Scope of Work From 4" PE IP Main run new 1-1/8 PE service to new residential home (36' stub with 147' EXT. New Construction: ALL scat) Set A-630 OR @ Inches ------ es Construction Method All Scat I Trenchless PLAT Map: 161.067 9QIPN WHARF t A-VR® T sr N y wva9awwc.wv I— ____i - ,.lop or Putt"%7 'tErw i(Ow 1�5' , r W I � S 375sr � � �pl.� pt�,rilr � i, .....T�Camwy+ d r , pN� tk "� "44 I )I ...�. _.... a , ,.a iI . I p, p ow d^rrrrd Its _ iw xv ov 4„iw +aY Waal same kwerarr�� 1 FF=85.9 Lot-2 �I ° OAT' auaamrta r, r r°��. , e 1 �3l5sL (OaOocJ i1.i-pis 1 - L10 r" Owe tol j� �9PW ' FF=91.9 f p� �e y nu^ustlaaC w,wt;i1B d .. Ir r, 'na f Gampe-1 i� a qu yBi�x klf-i tv u _ �I P0110 850 of f M1 t ale d` f y Play Area „ q _PO4EL=910 i POW01 samory p ^, SewerFsmt . b�M "7703130104"00 2y03 /3f70d00i00 ll 1 1 & , Work Location Size of Cut Surface Type 12' E of CL Olympic View DR & 58' S of CL lWharf ST 3x5 Asphalt Of CL I of CL Of CL & Of CL Service Information Street Information Job Type Diameter: 1-1/8" PE Flaggers#: Arterial: EFV: 1-1/8" - 2600 - 9996743 Police #: TCP: Yes Meter: A630 Speed Limit: No Parks #: PUGET Meter Loc: Trolley Lines: Mtr Hoods M souNn ENERGY Del Press: 6" Vt X. Traffic Signal: I Bus Stop: Bollards: 2.5" # 4" # ADA Ramps #: Route #'s: