ENG20170399-APPROVED PERMIT (2).pdf01. I: D,If
Y CITY OF EDMONDS
121 5TH AVENUENORTH - EDMONDS, WA 98020
"�. olyoo PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20170399
RIGHT OF WAY PERM IT 1
Permit Number: ENG20170399 Expiration Date: 04/23/2018
Job Address: 728 13TH WAY SW, EDMONDS Location: 728 13th Way SW
APPLICANT
PSE/In fras ource
CONTRACTOR
P SE/In frasource
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
JOB DESCRIPTION
Work area is approx 22' N & 20' S c/1 of 13th Way SW & 62' E c/1 of 7th PI S to install gas service. 1 3x5 paving cut anticipated.
INFORMATIONDISRUPTION
AS.SISSED 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 ivhich 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 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 FORA PERIOD OFONEVEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OFTHEWORK.
• 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 DLALrA-DIG (1-80 0-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREOUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED
Gl%az /0123/20/?
RELEASED BY
Printed: Monday, October 23, 201
DATE
❑ FIL,ECOPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
ENG2O17O399
• 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 7:00am to 6:OOpm on weekdays and 10:OOam and 6:00pmon 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 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.
• &Engineering Final
PARTIAL INSPECTION DATE: INIIIA L: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
ROW PERMITNO.: ENC. 3ct-) -® 3��.
ISSUE DATE:. -
RIGHT -OF -WAY CONSTRUCTION
C7 ION
PERMIT APPLICATION
PROJECT NAME:
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane Burlington Wa 98233
State License #: INFRASL871C2
City Business License #: NR-023614
CONTACT: Susan Sidick
Phone #: 425-457-6353
Fax #:
Ismaillh susan.sidick@pse.com
❑ Liability Insurance Lf Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 728 13th Way Sw
ROW WORK ASSOCIATED WITH THE FOLLOWING TRIPE OF PROJEC Ii :
Conunercial Subdivision
City Project
❑ Multi -Family ❑ Single Family ❑ Other
❑ EUC (PUID, VERIZON, PSI;,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes ❑ No
ANY ASSOCIATED PERMITS?
Traffic Control (Only)
E-NG#_ --
(DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 22' N & 20' S c/1
of 13th WAY SW & 62' E c/1 of 7th PL S to install gas service 1 3x5 hedge/ grass and 1 3x5
paving cut anticipated.
WAS STREET OVERLAYEID WITHIN THE LAST FIVE (5) YEARS? YES NO ❑ Year:
PAVEMENT CUT: ® Yes ❑ No If yes, indicate size of cut: 3 x
5
CONCRETE CUT: 0 Yes ❑ No If yes, indicate size of cat: x
RIGHT-OF-WAY
CLOSURE
Sidewalk 48 Hrs +
Alley 72 Hrs +
Parking 72 Hrs +
DURATION
AREA TOTAL
(NUMBER OF MONTHS)
LF X LF SF
LF X LF SF
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 Find 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"Jah sIG>!lG�f DATE 10/06/2017
Contractor or Agent
NO WORK SHALL 13EGIN PRIOR TO PERMIT ISSUANCE
W20-1
LEGEND
®
28" TRAFFIC CONE
[�
BORE PIT
TRAFFIC FLOW
TtFLAGGER
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)424-6425
W20-7A
FOR ER0S10N ; .UN11R01 W DRAINAGE
1 Applicant shall rapair/replace all damage to
utilities or frontage improvements in City
right-of-way per City standards that is caueed
<at° occuils during the permitted project. 4 f .. _ -.... _ ..... e._- �.
MINIMUM TAPER LENGTH = L (feet)
LANE
POSTED SPEED LIMITS
WIDTHS
20
25
30
35
40
45
10
70
105
150
205
295
475
11
75
115
165
225
295
495
12
80
1 125
180
1 245
320
540
CHANNELIZATION
DEVICE SPACING
TANGENT
TAPERI
MPH
80
40
55/70
60
30
35/45
40
20
25/30
Cr
L
Q
SIGN SPACING
.X.
55+
800
60/65
500'
45/55
350'
35/40
200'
30
100'
25
PUGET
' SOUND
ENERGY
Job#106330163
728 13TH WAY SW, EDMONDS, WA
October 5, 2017
Sheet 1 of 2 gregory.harwood@pse.com
�& _ (425) 424-6425
WISAIM_Y&W"y
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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. Contractor shall post temp "NO PARKING" 72 hours prior to construction.
9. Work area will be 62' ECL of 7TH PL S & 22' NCL of 13TH WAY SW.
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PLAN PREPARED BY:
TRAFFIC MANAGEMENT, INC.
800.763.3999
www.trafficmanagement.com
Traffic Control Services - Sales & Rentals IrMI
Permits &Consulting -Engineering -Training
C31 # 785804
TMI CONTACT PERSON: Michael Flanagan
TCS CERT #: 301872
PLAN ORDER: 30339 DATE: 101512017-JR
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
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LEGEND
®
28" TRAFFIC CONE
I
BORE PIT
TRAFFIC FLOW
TtFLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
MINIMUM TAPER LENGTH = L (feet)
LANE
WIDTHS
POSTED SPEED LIMITS
20
25
30
35
40
45
10
70
105
150
205
295
475
11
75
115
165
225
295
495
12
1 80
125
1 180
1 245
320
540
CHANNELIZATION
DEVICE SPACING
TANGENT
TAPER
MPH
80
40
55/70
60
30
35/45
40
20
25/30
v
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2
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PUGET
SOUND
ENERGY
Job#106330163
728 13TH WAY SW, EDMONDS, WA
October 5, 2017
Sheet 2 of 2 gregory.harwood@pse.com
(425) 424-6425
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SIGN SPACING
" X"
55 +
800
60/65
500'
45/55
350'
35/40
200'
30
100'
25
LIDa
LID�
13TH WAYS WV I
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W
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CD
Notes:
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 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. Contractor shall post temp "NO PARKING" 72 hours prior to construction.
9. Work area will be 62' ECL of 7TH PL S & 20' SCL of 13TH WAY SW.
BE
PREPARED
TO
STOP
ROAD o
WORK N
AHEAD
PLAN PREPARED BY:
TRAFFIC MANAGEMENT, INC.
800.763.3999
www.trafficmanagement.com
Traffic Control Services - Sales & Rentals TMI
Permits &Consulting -Engineering -Training
C31 # 785804
TMI CONTACT PERSON: Michael Flanagan
TCS CERT #: 301872
PLAN ORDER: 30339 DATE: 101512017-JR
. s�� ci j0/7-0&rf
I'll ECEIVEt
OCT 1128V
BUILDING
Puget Sound Energy Gas Pre -Inspect Form
Job #:
106330163
Date:
9/26/17
Jurisdiction:
Edmonds
ROW Permit:
Yes
Est. Start Date:
11/27/17
Est. Duration:
1 Day
SCANNED
it C i 112917
Address: 728 13TH WAY SW
City / zip: EDMONDS, 98020
Customer: LINDSAY KNUTH 206-498-0705
PM / Inspector: Kevin Williams 425-398-6192
Job Description / Scope of Work
From 2" PE main run new complete
service to single family residence (40' scat stub with 30' scat
New Construction:
No
extension) set A-250 OFR to 13th WAY SW @ Inches
Construction Method
All Scat / Trenchless
PLAT Map:
165.066
t
J
a
I
N
r
I
i
2" PE Maln 22' N 902046
I — — — — —
CONCISMALK
/
13th WAY SW
_..—..—.._.._.._.._.._.._
._.._.._.._.._..—
cn
�'—'�! 5' min from Storm
— — — — — —
— — — — — — — — —
— — — — — — — — — — — — — — — — —
-4 — — W
Storm —
— —
b
Hydarant 10' Min
Irom
n dr.mr
P/L
c
C.OF t S NOT
M
Pt trliT7�r_
a`
RZL
Work Location
Size of Cut
Surface Type
22'
N
of CL
113th WAY SW
&
62'
E
of CL
7th PL S
3x5
Headge/Grass
20'
S
of CL
13th WAY SW
&
62'
E
of CL
3x5
Asphalt
Of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1.-1/8" PE
Flaggers #:
Arterial:
New Residential Svc
EFV:
1-1/8" - 2600 - 9996743
Police #:
TCP:
Yes
PUGET
Q SOUND
ENERGY
Meter:
A250
Speed Limit:
25
No Parks #:
6
Meter Loc:
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
2.5" # 4" #
ADA Ramps #:I
I Route #'s:
lw
f
t-
•