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ENG20170397-APPROVED PERMIT (2).pdfMPM CITY OF EDMONDS �+ J f%✓tat �-i- �. 121 5TH AVENUE NORTH - EDMONDS, WA 98020 t ago PHONE: (425) 771-0220 - FAX: (425) 771-0221 'o *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20170397 RIGHT OF WAY PERM IT 1 Permit Number: ENG20170397 Expiration Date: 04/09/2018 Job Address: 18719 94TH AVE W, EDMONDS Location: 18719 94th AVE W APPLICANT CONTRACTOR PSE/Infras 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 #: infras1871 c2 EXP: 02/22/2019 i DESCRIPTION Work area is approx 150' S c/1 of 187th st sw & 12' W & 8' E c/1 of 94th Ave W to install gas service. 1 3x5 & 1 2x4 paving cut anticipated. DISRUPTION INFORMATION 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 I"EMAVTY 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 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 OFONEYEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE O F THE W 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 (1-800-424-55 55) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT.1326 24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS PPLICATIONAPPROVAL THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN SPACE PROVIDED Printed: Monday, October 09, 2017 RELEASED BY DATE ❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY STATUS: ISSUED ENG2O17O397 • 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 • 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:OOpm on weekdays and 10:00am and 6:OOpm 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 permit. 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: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: oV 1=040 ANC. I.39n ROW PERMIT NO.: ENC. � 1-7- ISSUE DATE: RIGHT-OF-WAY (C®I`\IS'I R U( TIOI`�l PERMIT APPLICATION PROJECT NAME: 106329554 CONTRACTOR: PSE/Infrasource Mailing Address: ibbu varx Lane tsurtington vv a yap» State License #: INFRASL871C2 City Business License #: NR-023614 CONTACT: Susan Sidick Phone #: 425-457-6353 Fax #: Emflil #: susan.sidick@pse.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 18719 94th AVE W ROW WORK ASSOCIATED WITH THE FOLLOWING TRIPE OF PROJECT: Commercial Subdivision ❑ City Project ❑ Multi -family ❑ Siugle Family ❑ Other Traffic Control (Only) ❑ EUC (PUD, VERIZON, PSE, CONICAST, OVWSD): Is this permit pact of a blanket permit? ❑ Yes ❑ No ANY ASSOCIATED PERMITS [BLD# ENG#__ (DESCRIPTION OF PROPOSED WORI£ (Be Specific),: Work area is approx 150' S c/1 of 187th ST SW & 12' W & 8' E c/1 of 94th AVE W to install gas service 1 3x5 & 1 2x4 Paving cut anticipated. WAS STREET OVERLAVED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO ❑ Yeai PAVEMENT CUT: [3 files ❑ No If yes, indicate size of cut: 3 x 5 CONCRETECUT: ❑ Yes ❑ No If yes, indicate size of cut: x_ — RIGHT-OF-WAY CLOSURE _ AREA TOTAL =- _ SF DURATION (NUMBER OF MONTHS) Sidewalk 48 Hi's + -- — LF X LF Alley 52 Rr•s + LF X LF SF -- _ - Parking 72 Ilrs + 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 he 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 bind or description whatsoever, foreseen or unforeseen, that may he 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 S"W cSID�IGIT DATE 10/06/2017 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE PRE -INSPECTION REPORT 10Job #: 106329554 flUt --E 1, SC?CI^�Lly y Date: 9/5/17 Jurisdiction: Edmonds Right of Way Permit? ❑� YES Est. Start Date: 10/09/17 Est. Duration: 8 HOURS ❑ NO Address: 18719 94TH AVE W City / Zip: EDMONDS 98020 Customer: GAIL GIFFORD 425-223-6805 US-1 PHONE NUMBER PM / Insp: Kiara Hays 425-213-9205 PHONE NUMBER Construction Method WORK DESCRIPTION: INSTALL40'OFI-1/8"PE5CAT5TUR AND 38'OF1-1/8"PE5CATEXT 5ETA425M5A Open Trench ❑ Trenchless OIL AT 6 IN WC. PLAT MAP: 160 067 It 187TH ST SW S G CL W I � � I � I 3 0= Fire Hydrant (165' S OF TIE IN) PL N I I I I II I ❑ 1 I ' I I I -A ' I 00 V ' I I I I � I I 1 I I I1 I PL Uj I 1 STorLt-11 peso 10—KISIrs S G CL W/ 0 WITFFIN q AVE W C1 Work Location Size of Cut Surface Type f CL _ _J87TH ST SW &_ W f CL 94TH AVE W 3X5 _ASPHALT 150 'K_Sb f CL _ j87TH ST SW &_ 'E of CL 94TH AVE W 2X4 ASPHALT 'NSofCIL & 'EWofCL ❑ 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" # ❑ New Constr. ❑ Main Maintenance ❑ Extension ❑� 11/8" ❑� 425 ] 2600 ❑ Stub ❑ Service Maintenance ❑ 11/4" ❑ 630 ❑ 10,000 ❑ FUEL LINE PERMIT NEEDED ❑ Extension ❑ Valve Maintenance ❑ 2" ❑ 1000 Fuel Line Length: 0 Compete Sery ❑ Cut & Cap Mtr Loc: OIL Fuel Line Diameter: Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com (425)424-6425 LEGEND ® 28" TRAFFIC CONE ® BORE PIT b TRAFFIC FLOW FLAGGER WORK VEHICLE SIGN LOCATION WARNING FLAG h-2m Q rn -X'A OM CLwe J wi-3 --cl d,_ \ yG Vo I � 14 114 d�4 14114 4t Applicant She repair/replace all damage to = i utilities or frontage improvements in City right-ofrway per City standards that is calf: ed during the permitted project. t CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 PUGET SOUND ENERGY Job#106329554 18719 94th Ave W, Edmonds, WA September 15, 2017 Sheet 1 of 2 brent.pogson@pse.com (425) 398-6158 VNER/CON I LU; CR IS RESPONSIBLE R EROSION UONT1101..AND DRAINAGE: *WF 1S 14In -Mn sip :1= RING0/4 1f7 Notes: 1. All signs and spacing to conform to the MUTCD and City of Edmonds standards. 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 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 94th Ave W & approximately 232' SCL of 187th St SW. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com (425)424-642 h-im Q F=- -;fyIOM awov ava-0 I LEGEND I ® 28" TRAFFIC CONE ® BORE PIT TRAFFIC FLOW FLAGGER WORK VEHICLE SIGN LOCATION WARNING FLAG CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 \ �y yG 6-OZM I I 141 1, 414 ---- co — mb PUGET ' SOUND ENERGY Job#106329554 18719 94th Ave W, Edmonds, WA September 15, 2017 Sheet 2 of 2 brent.pogson@pse.com (425) 398-6158 Notes: 1. All signs and spacing to conform to the MUTCD and City of Edmonds standards. 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 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 8' ECL of 94th Ave W & approximately 232' SCL of 187th St SW. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. 18626 18716 1 >�� 5PE XSIM 18702 18704 518" MPE 1995 18730 S 7S .238S ti �239� .9 1 1983 No electric grid information available S 160062, Q160067 10-05-2017 fNi Y[S]RY1CtCn Cn t'q CtIC4gd IMOs i "I.bi�=t 10 Q'/s?hC W nLM CQ. E�yj It $C'lR�J1Q�Si1' IYbyCQG nC'MCT711'i- �'IC�iG� 3 k1:C��. CCJIMrI/sj Tr�srdleC�f/�'16 h'k;m�ctan �r crtrq'-n7's4- Aac�6Gnta�Nvf loMlds�fafiS+x�Mk3a'rld rri7rv�Cl si t7 afl'chaGX�n7anKd �x1¢cs oJTalsdln'MHiy br'�915CtY.tl�W 7hG rt+eglsmii.^bsutadbda'larrtrr�Tq Cc1JdICOClm 6'Cn'1 PSc i7C�Tas kd 811�:' 2LIT W I 17'N o 2"ST W I P 2 T'N 6696-1964 6696-19M N 18 7TH ST S 112. STSN-U 1965 18701 18719 518" MPE M02 18723 i w `o 1 1/8" MPE IP 2705 N 130-E 107013151-20€}2 518' PE 1993 9 232 9228 518' MPE 2002 1 18732 Scale 1:722 + Lat\Long=47.8291,-122.3585 9224 518' PE 1991 518" PE 1994 18730 92 ® PUGET SO JiVD ENERGY I!M b—I fu c ., r4r, ,