ENG20170399-APPROVED PERMIT.pdf_ Ot,- ELl'i' to 1
ROW PERMITNO.: ENG
ISSUE DATE:
RR GrHT-OF-WAY CC®I`NS'I<'RUCT IOlN
P ERMRT APPLIICATROlN
PROJECT NAME:
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane Burlington Wa 98233
CONTACT: Susan Sidick
Pliolle #: 425-457-6353
Fax #:
State License #: INFRASL871C2 Email #: susan.sidick@pse.com
City Business License #: NR-023614 ❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 728 13th Way Sw
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ,
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit pact of a blanket perinit? ❑ Yes ❑ No
ANY ASSOCIATED PERMITS? 131,D# ENO#
DESCRIPTION OF PROPOSED WORK (Be Speeif'ie) : 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 OVERLAYED 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 cut: x
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Iles +
LF
X
LF
SF
Alley 52 Ilrs +
LF
X
LF
SF
Parking 72 Hrs +
LF
X
I L,FJ
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 sighed 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 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 DATE 10/06/2017
Contractor or Agent
NO WORTS SHALL, BEGIN PRIOR TO PERMIT ISSUANCE
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date
Est. Duration:
106330163
9/25/17
Edmonds
Yes
11/27/17
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
728 13TH WAY SW
EDMONDS, 98020
LINDSAY KNUTH 2O6-498-0705
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
N
a
I
r
n
I
2" PE Main 22' N 902046
•
:.
...
CONr4SMALK
.................. •.............................. .................... ..........;....................
13thWAY SW....................................s...................
..... _ .. _ .. _
.. .. — .; — .. —
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— — — — —
— — — —
................
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Storm —
— — — --
..............
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8ZL
Work Location
Size of Cut
Surface Type
22'
N
I of CL
113th WAY SW
&
62'
E
of CL
7th PL S
3x5
Headge/Grass
20'
S
I of CL
113th WAY SW
&
62'
E
of CL
3x5
Asphalt
of CL
I
&
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
PUCEr
SOUND FNERGY
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" # 1 1 4" # I
ADA Ramps #:1
1 Route #'s:
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)424-6425
f�waauL �f"�C
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
125
180
245
320
540
CHANNELIZATION
DEVICE SPACING
TANGENT
TAPER
MPH
80
40
55/70
60
30
35/45
40
20
25/30
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CDI2JOMV02i,
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dO-L
=
W
4321Vd3
39
Ir
w r 100'
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OL
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I
I Q
1010
I A
728
SIGN SPACING
"X"
55 +
800
60/65
500'
45/55
350,
35/40
200,
30
100'
25
LID
r
13TH WAY SW
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
7Ao 12 112
�IQ
C
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 1 V 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.
C
12112
C
BE ;I -
PARED M
TO
n
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
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
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
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
125
180
245
320
540
0
CHANNELIZATION
DEVICE SPACING
TANGENT
TAPER
MPH
80
40
55/70
60
30
35/45
40
20
25/30
' 15
I
I
I
I
I
I
1�r'1777
I Q
• o_ .
■>U�
N>o
OI10��
z
728
SIGN SPACING
"X"
55 +
800
60/65
500'
45/55
350'
35/40
200'
30
100,
25
(IV3Hbr
N Ni Jom
0
1VON
O
d01S O
01
43�Idd32id
39
W20-7A o
1001I'�'
LIDa
u7
13TH WAY SW
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 & 20' SCL of 13TH WAY SW.
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
o
CD
BE
12I12
PREPARED
Q
TO
O STOP
ROAD
WORK �
AHEAD
PLAN PREPARED BY:
TRAFFIC MANAGEMENT, INC.
0.763.3999
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