Loading...
ENG20170310-APPROVED PERMIT.pdfCIT'Y OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBS ."; E* STATUS: ISSUED ENG20170310 RIGHT OF WAY PERM IT (6-EIIC) Permit Number: ENG20170310 Expiration Date: 02/07/2018 Job Address: 18306 OLYMPIC VIEW DR, EDMONDS Location: 18306 OLYMPIC VIEW DR. CONTRACTOR PSE/In Eras ource P SE/Infrasource C/O Susan att: Sidick C/O Susan att: Sidick 1660Park Lane 1660 Park Lane Burlington, WA 98233 Burlington, WA 98233 (425)457-6353 LICENSE #: infrasl871 c2 EXP. 02/22/2019 i DESCRIPTION Work area is approx 18' N c/1 of Olympic View Dr. & 220' W c/1 of High St. To install gas service. 13x5 paving cut anticipated, DISRUPTION l[NIFORMATION ASSESSED VALUE $0„00 PROPERTY AREA,, 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE. $0,00 STREET DISRUPTION TRENCH CUT:' ( 3 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 ha °mless from injuries, damages or claims ofany kind or description whatsoever, 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 • 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 NOTICEREQUIRED FOR ALL INSPECTION REQUESTS 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: Monday 1tI1st 1, 201? CiLLGdtLILCL 8�i /7 RELEASED BY DATE FILE COPY ❑ INSPECTOR COPY APPLICANT COPY STATUS: ISSUED Restore ROW to City standards 4 RestoreLandscape 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. w 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 • 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 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 fromthe issuance ofthis ;permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements ofany 'City ordinance not limit in any the City's ability to enforce any ordinance provision. • &Traffic Control • E-Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION' APPROVED DATE: INITIAL: Em = C A, V''! V'11II 4UG o 3 2017 77 !� BUILDINGROW PERMIT NO.: ENG�7� V ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106327129 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 .. ............. A,,,..... ----. �....._..-- ���� �.� .......�. State License #: INFRASL871 C2 City Business License #: N R-023614 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax #: Email #: Susan.Sidick@pse.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 18306 Olympic View Dr ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: 1 Commercial Subdivision El City Project El Traffic Control (Only) ❑ Multi -Family ❑X Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSI,, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes❑ No ANY ASSOCIATED PERMITS? BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 18' N c/1 of Olympic View Dr & 220' W c/I of High St. To install gas service 1 3x5 paving cut anticipated AS STREET OVERLAYED WITHIN THE LAST FIVE (5) YYES WEARS? NO Year 106 PAVEMENT CUT: ® Yes ❑ No If yes, indicate size of cut: 3 x 5 CONCRETE CUT: 0 Yes ❑ No If yes, indicate size of cut: __x_ 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 n� �-... �irauxuaxwwmooirrtrr�iommmoummmuumureurnriririrewr�wwww �,� -- w um *Traffic control and public safety sliall 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 ., 1"Aral; `9w� is=60e` DATE 8/3/2017 m. Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE ... _......... -N u'r<ti(fu"tii: ................ ® im'rWrfY. ro1E ®soaEFrt '', b ra,vrr: aaW 1KmU 14F[ClE eNBKtlW'E�p'w"�fe '! Wwa:G FUG r ppficWl 91 �� u� � a w min �� �I uz � Utilities m��o 11 m ��m i' t� ��UI" N� KY �"I'' w U utl ;) � �afl ���� �� H'I is cauged f, iiD i fi ,4 �° n the ) 1 w u �iftle pIlli�aje t �W PUGET SOUND ENERGY JobAI106327129 18306 Olympic View Dr, Edmonds, WA August 2, 2017 Sheen of 1 gregory.harwood@pse.com (425) 424-6425 Notes: 1. All signs end spacing le conform to the MUTCD and City of Edmonds standards 2. All sidewalks, drlvo^eeayae, oaitu end egrassm shall be Walofelotyckim untess omho wisp k6cota c, 3, Channelizing devices are 26'traffic cones. 4, Sigmm aG.e Cora fou a wu Nmrurn of 46°v46 urd WWI ncM oaho'un/d pedestrian access. 5 Crew Is required to leave a minimum of 11' for traveling lane width. 6 Aklr Aectedaansll�donYszrardarusfmnussem, 7. Work to lake place between 9 a.m. and 4 p.m, 6. Work area will be 16' NCL of Olympic View Or & 220' WCL or High St„ PLAII P0EPA0E0 BY• TRAFFIC MANAGEMENT, INC. rnmk@10 apwwgWmnmuq ¢arm 1 M r uiVD aah A fh t ! Atr� raw r a'm+p L.:11 a'd rer 1m3t1� raxtowuKvaa�r. w,;a„r,pai;wlLg1, 1[T[FAl I.wien ING at Job #: 106327129 Date: 7/7/17 Jurisdiction: Edmonds Right of Way Permit? ❑ YES ❑ NO Est. Start Date: 08/28/17 Est. Duration: 8 HOURS PRE -INSPECTION REPORT Address: 18306 OLYMPIC VIEW DR City / Zip: EDMONDS 98020 Customer: STEVE PACQUER 206 446-8803 MBER PM / Insp: Kiara Hays 42 -213-9205 PHONE NUMBER WORK DESCRIPTION: Construction Method INSTALL 5'OFI-1/8"PE SCAT STUB AND 15'OFI-1/8"PESCATEXT. SETA425MSAOIR Open Trench ❑ 0 AT 6 IN WC. Trenchless PLAT MAP: 162 067 0 = Fire Hydrant (26' FROM TIE IN) = Power Pole CL Q YMP1C V1E1 'NSofCL 'N S of CL .--__--- ❑ FLAGGERS # MPH ❑ OFFICERS # SPEED LIMIT ❑ Commercial ❑ Altered Commercial Q Residential ❑ Altered Residential ❑ Multi -Family ❑ Replacement Service ❑ New Constr. ❑ Main Maintenance ❑ Stub ❑ Service Maintenance ❑ Extension ❑ Valve Maintenance ❑� Compete Sery ❑ Cut & Cap 'I, W Surface Type f & �2Q_ W f CL n..m,,.,. it1Ca,k S _,m 3X5 _.._ ASPHALT & 'E W of CL .� & 'E W of CL .... ...__......r. ❑ TROLLY LINES ❑ BUS STOP # ❑ METER HOODS # ❑ TRAFFIC SIGNAL ❑ ARTERIAL ❑ NO PARKS # ❑ Leak Repair Service Information ❑ Template Bar ❑ CP Work Diameter Meter EFV ❑ Bollards 2.5" # ❑ Pothole ❑ 5/8" ❑ 250 ❑ 1800 ❑ Bollards 4" # ❑ Extension ❑ 11/8" ❑ 425 Q 2600 11/4" ❑ 630 ❑ 10,000 ❑ FUEL LINE PERMIT NEEDED ❑ 2" ❑ 1000 Fuel Line Length: Mtr Loc: 0/L Fuel Line Diameter: