ENG20170417-APPROVED PERMIT.pdf01: Ebtit
CITY OF EDMONDS
N
121 5TH A VENUE NORTH - EDMONDS, WA 98020
o PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20170417
Permit Number: ENG20170417 Expiration Date: 05/08/2017
Job Address: 21010 76TH AVE W, EDMONDS Location: 21000-21200 76th AVE W
APPLICANT
PSF/In fras ource
CONTRACTOR
P SE/Infraso urce
GO Susan att: Sidick
C/O Susan att: Sidick
1660Park Lane
1660 Park Lane
Burlington, WA 98233
Burlington, WA 98233
(425)457-6353
LICENSE 4: infrasl871 c2 EXP:02/22/2019
0 DLSCRIPTION
To replace 700' of 2" STW main W 4" pe & test & tie services. HDD or Open trench method of installation. New gas main to lay west of
the e)asting.
DISRUPTION INFORMATION
ASSESSED VALUE: $0.00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
PARKING: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0 00
ALLEY: ( OXO 1 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 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.
THECONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE O F THEWORK
• 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 DIALrA-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 PERMITUNUL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED
Printed: Monday. November 06, 2017
U)aq_,� ///(/20/7
RELEASED BY
DATE
❑ FILE COPY ❑ INSPECTOR COPY APPLICANT COPY
STATUS: ISSUED
ENG2O170417
• 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.
• PSE gas main to be placed west of the existing main. Gas line is cross beneath the curb/gutter not run extended distances
beneath the curb/gutter. Gras must be installed at a minimum 3' of coverage and have minimum vertical separation of P from city
utilities as well as 5' horizontal separation where possible as approved by the city.
• Verify clear bore crossings. All crossings will need to be exposed.
• 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.
• - A pre -construction meeting with city PM Jaime Hawkins (425 754-4106) is required with PSF/Infrasource construction lead.
• 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 fromthe 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 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 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.
INSPECTIONS
• E-Pre-permit Issuance Inspection
• E-Pre-con
• E-Alignment Verification Inspection
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
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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. Work area will be 8', 21' WCL of 76th Ave W & from 619'
to ' SCL of 208th St SW.
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
208TH ST SW
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PUGET
SOUND
ENERGY
1W Job#109107236
21014 76th Ave W, Edmonds, WA
September 25, 2017
Sheet 1 of 4 ina.ustemchuk@pse.com
(425) 424-6425
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PLACE W20-1 SIGNS ON ALL
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100' FEET OF WORK AREA
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STEEL PLATE
SIGNS TO BE USED AFTER
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LEGEND
28" TRAFFIC CONE
BORE PIT
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TRAFFIC FLOW
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
ARROW BOARD
CHANNELIZATION
DEVICE SPACING
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55/70
40'
80
35/45
30
60
25/30
20
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PLACE W20-1 SIGNS ON ALL I
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X
ROAD o
WORK N
AHEAD
Resident(s) will be informed
of temporary driveway
closure
Emergency vehicles will be
allowed to pass
construction zone.
PATH OF INSTALLA
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
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ane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m.
71
8. Work area will be 21' WCL of 76th Ave W & from
to ' SCL of 21 Oth St SW. ;
9. If used, place NO -PARK signs 72 hours in advance I
of the day that the work is to be done.
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' SOUND
ENERGY
Job#109107236
21014 76th Ave W, Edmonds, WA
September 25, 2017
Sheet 2 of 4 ina.ustemchuk@pse.com
(425) 424-6425
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Puget Sound Energy
Traffic Control Supervisor:
Ina Ustemchuk
Card No. 010768
Card Exp.0613012021
ina.ustemchuk@pse.com
(425)398-6063 A
W21-1701
SIGNS TO BE USED AFTER
HOURS PRECEDING AREAS
(LANES) THAT HAVE PLATES
ON ROADWAY
LEGEND
41
28" TRAFFIC CONE
BORE PIT
TRAFFIC FLOW
WORK VEHICLE
I J►
SIGN LOCATION
WARNING FLAG
ARROW BOARD
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
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212TH ST SW
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ON ROADWAY
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PATH OF INSTALLATION
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Puget Sound Energy
Traffic Control Supervisor:
Ina Ustemchuk
Card No. 010768
Card Exp.06/30/2021
ina.ustemchuk@pse.com
(425)398-6063 A
W21-1701
PUGET
SOUND
ENERGY
1W Job#109107236
21014 76th Ave W, Edmonds, WA
September 25, 2017
Sheet 3 of 4 ina.ustemchuk@pse.com
(425) 424-6425
2 a
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PLACE W20-1 SIGNS ON ALL
ADJACENT STREETS WITHIN
100' FEET OF WORK AREA
x
ROAD o
WORK N
AHEAD
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 481 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 21-23' WCL of 76th Ave W & from
' SCL of 210th St SW to CL of 212th St SW.
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
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CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
LEGEND -
® 28" TRAFFIC CONE
TRENCH
TRAFFIC FLOW
UNIFORMED
f`�o'• POLICE OFFICER
fT' FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
ARROW BOARD
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 23' WCL of 76th Ave W & from CL to
16' SCL of 212th St SW.
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
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W21-1701 r,
SIGNS TO BE USED AFTER
HOURS PRECEDING AREAS
(LANES) THAT HAVE PLATES
ON ROADWAY
PUGET
SOUND
ENERGY
Job#109107236
21014 76th Ave W, Edmonds, WA
September 25, 2017
Sheet 4 of 4 ina.ustemchuk@pse.com
(425) 424-6425
Puget Sound Energy
Traffic Control Supervisor:
Ina Ustemchuk
Card No. 010768
Card Exp.06/30/2021
ina.ustemchuk@pse.com
(425)398-6063 n
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CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
LEGEND
®
28" TRAFFIC CONE
®
TRENCH
TRAFFIC FLOW
UNIFORMED
POLICE OFFICER
TtFLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
ARROW BOARD
■
■ 1
■
■
■ 1
i I 210th ST SW
■
■
■
■
■
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■ PROPOSED PIPE 4" MPE IP MAIN co
23'W C/L ___'W C/L
)(VERTICAL ROPE TO MAINTAIN 36" DEPTH)
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EMERGENCY .SECTION d
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EMERGENCY SECTION 5
AREA PLAN
SCALE: NONE
212th ST SW
KEY TO SERVICE ACTION
T&T TEST & TIE SERVICE
® REPLACE COMPLETE SVC
T&T
® REPLACE STUB AND
TEST & TIE EXTENSION
LEGEND
Dotal Number
0__�Paqo
Location of Detail
(a dash if on same
page as the Detail)
Dotal Number
I TIE-IN DETAIL
2 srele: NONE
Page Location of Callout
(a dash if on same
page as the Callout)
STANDARD IP & LP GAS
REPLACEMENT CONSTRUCTION NOTES
1. NOTIFY GAS CUSTOMERS, OR DISTRIBUTE FLYERM1443 AMINIMUM OF TWO WORKING DAYS PRIOR TO A PLANNED
OUTAGE.
2. INSTALL ONE POUND ANODE FOR EVERY 100m OF LOCATING WIRE INSTALL ANODE AND TEST LEAD WIRES PER PSE
GAS OPERATING STANDARD 25252300.
3 MANTANCATHODICPROTECTION FOR STEEL MAINS BY THE USE OF CONTINUITY BONDS OR OTHER MEANS DETERMINED
BY THE PSE CORROSION ENGINEER PER PSE GAS OPERATING STANDARD 2600.1300.
4 INSTALL ANODES AND TEST LEAD WIRES AS REQUIRED PER PSE GAS FIELD PROCEDURES 451510M AND 45151020 AND
PSE GAS OPERATING STANDARD 2600.1200 TEST LEAD WIRES ARE REQUIRED ON ALL TRANSITION FITTINGS
5 INSTALL CURB VALVE AT PROPERTY LINE OR SIB' PE WHIP AT MAIN (AS REQUIRED) ON NEW AND EXISTING SERVICES
PER PSE GAS OPERATING STANDARD 25M ISKO
B REFERTOPSEGASOPERATINGSTANO10252511IFORMAINMIOSERVICECOVERREQUIREMENTS
T MANSAND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525—D. 25253400
AND 25251200, AND PSE GAS FIELD PROCEDURE 47001S00
B. PROJECTMANAGERTO MAKEEGORRUNIMMEDIARLYPRIORTOSTARTINGCONSTIRUCTON,
9 INSTALL REPIACEMENTMAINS PER PSE GAS OPERATING STANDARDS 2S2521D0 FOR INSERTIONS AND 25253600 FOR
ABA NDONMENTORDEACTIVATON.
10 PLUG ENDS OF DEACTIVATED OR INSERTED MANS AND SERVICES IN ACCORDANCE WITH PSE GAS OPERATING
STANDARDS 25252100 AND 2525 X8
11. REMOVE OR RENDER INOPERABLE DEACTIVATED VALVES ON CASING WHERE MPE PIPE 15 INSERTED
12 INSIDE METER SETS SHALL BE MOVED OUTSIDE WHENEVER POSSIBLE OR SET REGULATORS AND VENTS OUTSIDE PER
PSE GAS OPERATING STANOMOS 25T3 2300 AND 255017M
13. REPLACE EXISTING ACTIVE SERVICES PER PSE GAS OPERATING STANDARDS 25252100AND25752300
14. REPLACE ALL -NO RECORD'SERWCES AND I-118' PE SERVICES INSTALLED PRIOR TO 1905
15. ACTIVE SERVICES TO BE REPLACED DENOTED BY:
SAP BATCH YEAR & FOOTAGE
SIZE OF
RETIRED
MAIN
MATERIAL
RETIRED
ORIGINAL
JOB
ORIGINAL
YEAR
PROPOSED
LENGTH OF
RETIIlMCNT
ACTUAL
LENGTH OF
RETIREMENEN T
2'
STN
D884
1958
255'
2"
STW
5o50
1963
162'
2"
STW
7155
1965
288'
2"
STW
68CB45
1958
20'
HOLE HOG TABLE
CALLOUT
LOCATION
DEPTH
LENGTH
BPI
START
BP2
END
BPS
START
BP4
END
BPS
START
BPS
END
BP7
START
BPB
END
BPS
START
BP10
END
BP11
START
BP12
END
BP13
START
BP14
END
BP15
START
BP16
END
BP17
START
BP1B
END
BP19
START
BP2a
END
FITTER'S CHECKLIST (CHECK BOXTOCONFIRM COMPLET—)
❑ Inspeuted SNMI,M PE Pipe per GOB 2450.140t)-24501513
❑ RaWewed eM wmPletlrmm an aanslmaan mlaa
❑ Recartletl all raqulmdinlormatlon an We asblM per G052500.1700
Campbled past lnslegatlon lnapeatian perG0525251200aM 2525.2100
❑ LeB We workerea lnacleanaM safe ..Stan
r r, S aAMa
Para.,.. (&MAW
CD .V:InhaSaarce CprelrvNan Cade
400D .111
STANDARD GAS CONSTRUCTION NOTES..-
1 FIELD LOCATE ALL UNDERGROUND UTILITIES E%CAVATOR TO CALL-ONE-CALV TWO WORKING DAYS PRIOR TO
TO CONSTRUCTION, IN WESTERN WASHINGTON CALL: 14XI0<24-S556 OR CALL NATIONWIDE: 011
T. NOTIFY APWWFMR PlAwn No AGENCY PRIOR to" 21AAT a" PERMIT pE01p1EBMMT51
3 ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES
4 EROSION AND SEDIMENT CONTROL SHALL Re Kra PSE I TANCARDPRACTICE a150.3200 RPYMUES FOR TEMPORARY
EROSION AND SEDIMENT CONTROL AND ANY ADPTONAL LOCAL A111tlOICIION REQUIREAQMO
5 NOTIFY PROPDITY OWNER& AOMCEMT TO PROP02EO CGHe MuC110N ACTIWfMi A MINMIFA OF,SWWORKNNG DAYS
POOR TO Wom" COIF TRUCnCN U" Isl TO Ots"as"INR FL1EItl IF JOero URGE, on1ERWYe NANO
THE OPPOATUNW TO RO1 AlAM M EXCESIS FLOMT OFFVRAELVE WHIN n*R WeakWMCE . IIMTALM IDOR REPUCLOT
PER GAS OPERATING STANDARD 25501600 ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE
B ANY CHANGE IN ROUTE, PIPE SIZERYPE, TIE4N METHOD OR ADDITIONAL MAN FOOTAGE MUST BE APPROVED BY
THE APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
T COMPLETE 'PIPE CONDITION REPORT' ON ALL METALLIC PSE FACILITIES CHECK BOX ON REPORT FOR WIRE
BOX (ZEST LEPO) INSTALLATION
B PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS
OPERATNG STANDARD 252525011.
9 INSTALL MAIN VALVES OUTWflt ICvWfRE POBMBLE. VALVE WIatERS SHALL WINS TALLEGAMORECORDEDBY
THE CON NACTORPER PRO"OPEMIWG /T1VOaflD 20Y NW FOR ALL HP VALVES IF THE LOCATION IS
NOT REPDILYACCESSIBLE, AND FOR ALL VALVES MERE PERSISTENT SNOWFALL MY OBSCURE THE VALVE BOX,
10. TOPREVENTACCIDENTALOVERPRESSUREOFADJOININGSYSTEMS,NOTWOMAINSSHALLBECONNECTEDEXCEPTAS
SHOWTI ON THIS DESIGN UNLESS APPROVED BYAPPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
11. SYSTEM MAOP DENOTED BY YaIWYAMetl Ps1D
13 1AU1EANDMONITORUSE01ALL6TOPPERSTOENSUREADEOUATE FEED.
13 RE STORE ALL DRIVEWAYS SUBJECTTO OPEN CUT TO ORIGINAL OR BETTER CONDITION.
14 PURGEPOINTSANDPRESSURE TAPS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 25253300, AND 25251200
15. MNNS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 25253300 AND 25253400
16 IF METALLIC PIPE IS INVOLVED, COORDINATE INSTALLATION W T H CP TECH
AEVVN ANION ,PHONE OfIKg01
17. NOTE ALL ACTUAL FOOTAGE, LOCATION AND MATERIAL GRANGES ON THE AS -BUILT IN RED( ')DENOTES
FOOTAGE 50TWEEN rwow
10 EXCESS FLOW VALVE TO BE INSTALLED ON ALL NEW RESIDENTIAL SERVICES PER GOB 25e02200 (RECORDALL
INFORMATION ON 04 CARD)
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Prefect Manager Contact Inlormallon:
Far CWA*M aWw tlal I-aOSCA`L PSE WS-57T0)
Manegec ERIC UAW
CALL SII AT LEAST 2 BUSINESS DAYS BEFORE YOU DIG
COPh—: 425 953297
E-Mail: edc laW�pBe cOm
M1R41CN eO(ROiMODVr FdlpNtllq(wrO1V P'JIW Ia0URA1
"Locales Required" Yet NP❑
REAL E5TATEIEASETAEFL1 PERMIT
REVN
DATE
BY DESCRIPTION
IFUNCTION
CONTACT
PHONE NO
DATE
PROJECT MGR
ELIAW
425-4953297
ENGR-GAS
DRAWN By
6VUK1]SAV
423124854➢
42517
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' PUMTp 21000 76TH AVE W
SWN��Y 4" MPE IP MAIN RELOCATE
EDMONDS, WA 98M
BY PSE
SAP
SCALE
1"=20'
Nbr
r
r r;
r
f
r
r PROPOSED PIPE 4� MPE IP MAIN
�I r I - - --- - 23'W CA ___'W CA
r (VERTICAL ROPE TO MAINTAIN 36" DEPTH)
f
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f (DO NOT TAKE SERVICE OFFLINE
r USE SERVICE TEES AS BYPASS)
ii
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FIELD NOTE:
SERVICE ADDRESS # 21121, 21110 & 21031:
FOLLOWING EACH T&T, IFS TO IMPORT, BACKFILL, AND COMPACT
1-1/4" MINUS WITHIN A 10'X10' SECTION CENTERED AROUND EACH
EXISTING SERVICE TEE ON THE 2" STW MAIN.
CITY OF EDMONDS AND THEIR CONTRACTOR WILL NOT COMPACT
AROUND OUR EXISTING SERVICE TEES DUE TO SHALLOW FACILITIES
TO AVOID DAMAGING SERVICE TEES, WE WILL NEED TO PROVIDE CITY
SPEC 1-1/4" MINUS AND COMPACTION TO 95% FOR ROAD
SUB -GRADE CENTERED (10'X10') AROUND EACH SERVICE TEE.
IF TRENCH SIZE FOR T&T DO NOT EXCEED 1O'X1O', AND CITY HAS
ALREADY PLACED 1-1/4" MINUS SUB -GRADE WITHIN THE 10'XID'
SECTION, PLEASE RE -COMPACT TO 95% FOR TEH CITY
g 1992
T&T 1 1/4- 210'S
7609 1942 -
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1 ,
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' D•N 212th ST .
_- __ -' - _ice"; __ _ '. .. •y :-�♦
N.
MATCIILINE A -A, SEE SHEET 3
319'S N
;�
{{r� 1991
y -- - T&T
,(SERVICE TO BE TAKEN OFF LINE)
CIL
0
W
N
I
240'N.IS f
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DEACTIVATE IN PLACE
EXISTING 2" STW IP MAIN
- - - PROPOSED PIPE 4" MPE IP MAIN
N
DEACTIVATE IN PLACE
23'W CA ___'W CA
G_
EXISTING 2" STW IP MAIN
POLYVALVE 4" MPE (OPEN)
rn
WITH VALVE BOX & SUPPORT
- I
11'S CA & 23'W C/L
'W
N7
CUT & CAP
FLANGE BLIND, 2" CLASS 150
CA & CA
w;�
PROPOSED EM.SECTION VALVE
&
2" BOLT KIT (UNINSULATED)
# VA-24103
' 1
15-S C/L & 20-W CA
PER MICHAEL FRANK
'S CA & 'W CA
425-456-2955
9-21-17
TRANSITION FITTING 4" MPE
1 14'S CA & 23-W CA
05389
___'S CA & ___'W CA EX. 6" STW IP 16'S
15'S EX. 6" STW IP 15'S
-377-1957
_ - - - - • — - - CP WIRE #10 TEST LEAD & 377-1957
CP TEST LEAD BOX COMPLETE
_
'S
NOTE FROM GSI STEM PLANNIN2
PER BRENDA WAGNER
425-462-3931
9-20-17
THE 2" VALVE AT THE INTERSECTION OF 212TH ST
SW AND 76TH AVE W IS AN ES VALVE #05389
THAT SEPARATES ES BOUNDARIES 4 & 5.
A NEW 4" BOUNDARY VALVE IS NEEDED AND
SHOULD BE LOCATED IN A SPOT THAT IS
ACCESSIBLE IN THE EVENT WE NEED IT.
\28'6 2'
3
N
a TIE-IN
o STOPPER 6"X150 8/0
d o & ELBOW 6"X4'X90' WELD
lj 16'S CA & 23-W CA
o 'S CA & ___'W C/L
n
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Scale: NONE
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PHONE, CABLE
ao
: 76TH AVE W
T&T ASPHALT
(SERVICE TO BE TAKEN OFF LINE) 60, ROW
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1 1/4" 89'N T&T -
__ 43�1990 7526
5/8" 89'N
1990 ~
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EX. 6 STW IP I6 S �I 155 EX. 6" STW IP IS'S EX. 6. STW IP 14'S
0965-1958
_ - 377-1957
687012320-07 — — — — — — 377-1957
N
T ^ • '-+ ROPES (NO RECORD) g
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PLOT PLAN
SCALE: 1"= 20'-0"
.,may.,,,• . I •. - . ,•
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aN 5d �W
L3 ROADWAY CROSS SECTION
3 NONE
KEY FOR PITS (SHOWN ENLARGED
FOR CLARITY)
5' x 7' TYP WINDOW CUTS
Project Manager Contact Information: For conl,d, below dial 1-M&CALL PEE (M55773)
Manager ERIC LIAW
Cell Phan. 42&4953297 CALL 511 AT LEAST 2 BUSINESS DAYS BEFORE YOU DIG
E-Mail: em liaw@pse com THE VETCH NOT TO BE AEUEOu Pory nuoui Enn
"Locates Required" Yes ❑ No El REAL ESTATEIEASEMfNTPERMIT or
"Flagging Required" Yes ❑ No ❑ -
REVp
DATE
I BY
IDESCIOPTIGN
FUNCTION
CONTACT
PHONE NO
DATE
(�
PROJECT MGR
E LIAW
1 42S49S3297
ENGR-GAS
DRAWN BY
GVUKOSAV
1 4254246
9-ZS17
COUNTY EmK SKI GAS VA CTR APPROVED BY vEUAWn 42S49S3297
ENOHOMISH 5/4 C6PoTOPM CP APPROVAL _ KANSON 425-7657307 10.517
_
114 SEC
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NMPING
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JOINT FACILIM ARMNGEMENTS
UTILITIES
NIA
N/A
N/A
NIA
NIA
NIA
CONTACT
NIAI
N/A
N/A
O_I
PHONE p
SOUND
® SOU
ENERGY
21000 76TH AVE W
4" MPE IP MAIN RELOCATE
EDMONDS. WA 9B026
_
OE92
13dW
DESIGNED BY PEE
DID
208th ST SW
- I
rlY a rn -
I■■1 h
-- nN
1 1/4- 701Nv `
2015
I
T&T
(REPLACE ST STUB, INSTALL BYPASS)
PROPOSED PIPE 4" MPE IP MAIN
23-W C/L ___'W CA
(VERTICAL ROPE TO MAINTAIN 36" DEPTH)
PLAID MV R 5tDb.o *u
CJ��1fso'tT'fiR�
��(,MMtiN1•
T&T
(SERVICE TO BE TAKEN OFF LINE)
D4 FORM SHOWS 3/4" STW SERVICE REPLACED
9-7-17
3
-- _ o'_0 2" 1 1/-4" 471'N
~ N N 2017
1
FIELD NOTE :
SERVICE ADDRESS # 21014:
FOLLOWING EACH T&T, IFS TO IMPORT, BACKFILL, AND COMPACT
1-1/4" MINUS WITHIN A 20'X20' SECTION CENTERED AROUND EACH
EXISTING SERVICE TEE ON THE 2" STW MAIN.
CITY OF EDMONDS AND THEIR CONTRACTOR WILL NOT COMPACT
AROUND OUR EXISTING SERVICE TEES DUE TO SHALLOW FACILITIES
TO AVOID DAMAGING SERVICE TEES, WE WILL NEED TO PROVIDE CITY
SPEC 1-1/4" MINUS AND COMPACTION TO 95% FOR ROAD
SUB -GRADE CENTERED (20'X20') AROUND EACH SERVICE TEE.
IF TRENCH SIZE FOR T&T DO NOT EXCEED 20'X20', AND CITY HAS
ALREADY PLACED 1-1/4" MINUS SUB -GRADE WITHIN THE 10'XIO'
SECTION, PLEASE RE -COMPACT TO 95% FOR THE CITY
lq 624'S
) 625'S-' I
I' 210th ST
W n.nb_
m �
I
N
as ;
a
3
W
I1 >
k a
ID
/W Raw
DEACTIVATE IN PLACE
EXISTING 2" STW IP MAIN
X
T&T
(SERVICE TO BE TAKEN OFF LINE)
W
H 1 1/4- 142-S
1^ 2010
,YIM - — - - — --
N
422'N
PLOT PLAN
SCALE 1••20 0'
MATCHLINE A -A, SEE SHEET 2
TRANSITION FITTING 4" MPE
614-S CA & 9'W CA
__'S C/L & —_'W CA
CP WIRE #10 TEST LEAD &
CP TEST LEAD BOX COMPLETE
___'S CA & __'W CA
END OF MAIN
CAP 4" MPE
60B'S CA & 23'W C/L
___'S CA & ___'W C/L
CP TEST LEAD BOX COMPLETE
(BRING WIRE UP IN BOX)
--- IS CA & ___'W CA
POLYVALVE 4" MPE (OPEN)
WITH VALVE BOX & SUPPORT
611-S C/L & 23'W C/L
_'S CA & ___'W CA
TEE 4"X4" INLINE MPE
514'S CA & 23'W C/L
___'S CA & _'W C/L
PROPOSED PIPE 4" MPE IP MAIN
23-W CA _'W C/L
AT 36" COVER
TEE SVC 1/2"X5/8" PE OUTLET
(GAUGE TEE)
gX. 2- STN�
J
TEE SVC 1/2-X5/8" PE OUTLET
(GAUGE TEE)
___'S C/L & ___'W C/L
TIE-IN
STOPPER 2"X150 B/O
3
614'S CA & 8'W C/L
xr
1D
a
__'S CA & _'W C/L
ELBOW 4"X2"X90' WELD
yO
614-S CA & 8'W CA
i
__'S CA & W CA
(VERTICAL DROP TO 36" COVER)
(---!
CUT &CAP
CAP 2" WELD
616'S C/L &8'W CA
_'S CA & 'W C/L
624'S
(3) 20# ANODE
625'S
BRING WIRES UP IN T/L BOX
S C/L & _'W C/L
00
DEACTIVATE IN PLACE
°J EXISTING 2" STW IP MAIN
iV m
w o
n TIE-IN DETAIL
Scale: NONE
'PIE IN
2" B/O STOPPER
614-S C/L & 8'W CA
CUT & CAP
2" WELD CAP
616'S CA & 8'W CA
_ 626�3 pEAGT. 2", STW IP i
P 824g 18"JJ (APROX. 20' COVEft)
10-05-17
CP NOTE PER KEVIN ANSON:
(425-766-1307)
IN DETAIL 2 INSTALL 3-20# ANODES
END TO END IN PE DITCHLINE
JUST BEFORE TYING BACK INTO 2" STW
BRING ALL WIRES UP IN TEST LEAD BOX
BONDING ANODES WITH ONE #5 TAGGED WIRE.
A NEW GALVANIC SYSTEM WILL BE CREATED
TO MONITOR THE REMAINING STW PIPE
HEADING NORTH.
PROPOSED PIPE 2" STW IP MAIN
614'S C/L I
'�—PROPOSED PIPE 4" MPE IP MAIN
23'W CL
(VERTICAL DROP)
(VERTICAL ROPE TO MAINTAIN 36" COVER)
4"X2"X90' WELD ELL
SEE CP NOTE
614'S CL & 8'W CL
INSTALL AT 36" COVER
TEE 4"X4" INLINE MPE
CL & 23'W CL
N FITTING 4" MPE
TRANSITION
(INSTALL AT 36' COVER)
(INST
614'S CL & 9'W CL
(INSTALL AT 36" COVER)
POLYVALVE 4" MPE (OPEN)
CP WIRE #10 TEST LEAD &
WITH VALVE BOX & SUPPORT
CP TEST LEAD BOX COMPLETE
61 VS CL & 23'W CL
END OF MAIN (INSTALL AT 36" COVER)
4" MPE CAP
608'S CL & 23'W CL
(INSTALL AT 36" COVER)
A SECTION PROFILE E-IN DETAIL 2 LOOKING WEST
Scale; NONE
PmJecl Manager Contact Inlarmatlon: For console below dial 1-NIMALL PSE (225-5773)
Manager. ERIC LIAW
Cell Phone: 425495 297 CALL all AT LEAST 2 BUSINESS DAYS BEFORE YOU DIG
F.M.H. eric liaw@pse com NGF-LITIO
"Lacatee Required" Yes ❑ No ❑ REAL ESTATErEnJAEN7PoR � IPERM17 of
"Flagging Requlred" Yes ❑ No ❑
REV•
I DATE
I
JOUKTION
CONTACT
PHONE JIO
DATE
PROJECT NOR
E LIAW
425-495-3297
ENOR•GAS
ORAVM SY
G VUKOSAV
425 424 5549
9.2547
KEY FOR PITS (SHOWN ENLARGED
FOR CLARITY) COUNTY Elaar Sad
SNOHOMISH _ 514
5' a 7' TYP WINDOW CUTS 114SEC OP MAP
* PUGET
SOUND
ENERGY
DESIGNED BY PSE
4 WK CTR APPROVEI
AT" JPC APPRO
wFa .a3 ua MAPPING
JOINT FACILITIES AFIRANG50
NIA
NIA
NIA
21000 76TH AVE W
4" MPE IP MAIN RELOCATE
EDMONDS, WA 98026
NIA
1'=2G
CB
FILTER SOCK WITH
OVER FLOW HOLES
�. CATCH BASIN
THIS APPLICATION SHALL BE
•/ MAINTAINED AT ALL TIMES DURING
CONSTRUCTION PERIOD.
SEDIMENT SHALL BE REMOVED ON
A REGULAR BASIS TO MAINTAIN
7, FILTRATION EFFECTIVENESS.
TEMPORARY SEDIMENT TRAP FOR CATCH BASINS
O
::nOpi r,I� Aka..
CB INLET PROTECTION
EXIST PAVED STREET
NO SCALE
FILTER FABRIC MATERIAL, NEWLY GRADED
OR DISTURBED
MIRAFI IOOX OR EQUAL
SIDE SLOPE
USE STAPLES OR WIRE 2"x 2"x 14 GA, WELDED 2
RINGS TO ATTACHA WIRE FENCING OR EQUAL. 20 GA. 12"
WIRE TIE
FILTER FABRIC TO BACK �•
WIRE FENCING. 3/WASHED" MIN.
WASHED
GRAVEL
KL1E 6 B" 2 I6 UN01S(UR8ED GROUND
B"
2'-6'
BURY FILTER FABRIC IN A
6" x B" GRAVEL -FILLED
48.0�) 8 TRENCH
2•x4' DOUGLAS FIR
NO. 1 GRADE OR EQUAL
FLEVATION SECTION
SILT FENCE DETAIL
NO SCALE
TRENCH NOTES:
N REQUIREMENTS (8-04
1. AT THE ENGINEER'S DISCRETION, PRIOR TO COMMENCING ANY CONSTRUCTION,
PHOTOGRAPHS DEPICTING PRE-EXISTING ROADWAY CONDITIONS WILL BE REQUIRED EVERY
50 FEET IN PAVED AREAS OR ANY OTHER LOCAT10N AS SPECIFIED BY THE ENGINEER.
2. SIGNING, FLAGGING AND TRAFFIC CONTROL SHALL BE IN ACCORDANCE WITH THESE
STANDARDS, THE WSDOT TRAFFIC MANUAL AND THE MANUAL OF UNIFORM TRAFFIC
CONTROL DEVICES.
3. ONE LANE OF TRAFFIC SHALL REMAIN OPEN AT ALL TIMES, ATTENDED BY FLAGMEN
AND APPROPRIATE CONSTRUCTION SIGNING PROVIDED. THE ROAD SHALL BE RESTORED
TO TWO-WAY TRAFFIC AT THE END OF EACH WORKING DAY. APPLICATIONS FOR TOTAL
ROAD CLOSURES MUST BE FILED WITH THE CITY OF EDMONDS FOR REVIEW AND
APPROVAL.
4. EXISTING DRAINAGE DITCHES, CULVERTS, ETC., SHALL BE KEPT CLEAN AT ALL TIMES.
TEMPORARY DIVERSION OF ANY DRAINAGE SYSTEM WILL NOT BE PERMITTED WITHOUT THE
CONSENT OF THE CITY OF EDMONDS ENGINEER, ANY DRAINAGE CULVERT, CATCHBASIN,
MANHOLE OR OTHER DRAINAGE STRUCTURE DISTURBED BY EXCAVATION SHALL BE
REPLACED WITH NEW MATERIAL OR REPAIRED TO THE SATISFACTION OF THE CITY OF
EDMONDS ENGINEER. TEMPORARY EROSION/SEDIMENTATION CONTROL MEASURES SHALL
BE EMPLOYED TO PROTECT ADJACENT PROPERTY AND STORM DRAINAGE FACILITIES.
5. GRAVEL SHOULDERS DISTURBED BY EXCAVATION SHALL BE SHAPED TO CITY
STANDARDS AND PROVIDED WITH A MINIMUM OF 6 INCHES COMPACTED CRUSHED
SURFACING TOP COURSE.
6. IF IN THE OPINION OF THE ENGINEER, WEATHER CONDITIONS DETERIORATE TO THE
POINT WHERE THE TRAVELED ROADWAYS ARE UNSAFE FOR THE PUBLIC OR DETRIMENTAL
TO THE RESTORATION OF THE ROADWAY, EXCAVATION SHALL CEASE IMMEDIATELY AND
CLEANUP SHALL BE PROMPTLY ACCOMPLISHED.
7. ALL PIPE OR OTHER MATERIAL STORED ALONG COUNTY RIGHT-OF-WAY MUST BE
PLACED AT A SAFE DISTANCE FROM THE TRAVELED ROADWAY IN SUCH A MANNER AS TO
AVOID FALLING ONTO THE ROADWAY.
8. NO EXCESS OR UNSUITABLE MATERIAL SHALL BE WASTED ON CITY RIGHT-OF-WAY.
ANY SUCH MATERIAL DUMPED ON PRIVATE PROPERTY MAY REQUIRE A GRADING PERMIT.
VERIFICATION WITH CITY OF EDMONDS PLANNING & DEVELOPMENT SERVICES IS REQUIRED.
9. STREET SURFACES SHALL BE CLEANED AT THE END OF EACH DAY'S OPERATION WITH
A POWER BROOM OR OTHER APPROVED MEANS.
10. NO OPEN CUT CROSSING OF CITY ROADS OR STREETS SHALL BE MADE WITHOUT
THE APPROVAL OF THE ENGINEER & CITY OF EDMONDS.
11. MAXIMUM AMOUNT OF OPEN TRENCH IN ROADS SHALL BE 400 LINEAL FEET. AT THE
END OF EACH DAY, ALL DITCHES MUST BE BACKFILLED OR COVERED WITH STEEL PLATES
AND BARRICADED WITH FLASHING WARNING LIGHTS TO PREVENT PEOPLE OR ANIMALS
FROM FALLING INTO THE TRENCH.
12. FINAL CLEANUP INCLUDING COMPLETE RESTORATION OF SHOULDERS, CLEANING OF
DITCHES, CULVERTS AND CATCHBASINS, AND REMOVAL OF LOOSE MATERIAL FROM BACK
SLOPES OF DITCHES SHALL NOT EXCEED 1500 L.F. BEHIND EXCAVATING OPERATIONS OR
AS REQUIRED BY THE ENGINEER.
1. LONGITUDINAL TRENCH - PER CITY STANDARD DETAIL E2.3.
2. EXISTING PAVEMENT.
3. NATIVE MATERIAL, BANK RUN GRAVEL, CSTC MAY BE REQUIRED BY THE ENGINEER.
4. NEAT LINE CUT, CLEAN, HEAT & TACK EDGES WITH SEALER CSS-1 & SEAL WITH HOT
ASPHALT CEMENT.
5. TEMPORARY RESTORATION OF TRENCHES FOR OVERNIGHT USE SHALL BE
ACCOMPLISHED BY USING COLD MIX, ATB, OR STEEL PLATES.
6. PATCH SHALL BE MACHINE ROLLED FLUSH WITH EXISTING PAVEMENT AND SHALL BE
PLACED PER SECTION 5-04 OF THE WSDOT/APWA SPECIFICATIONS.
7. COVER DEPTH OVER UNDERGROUND UTILITIES SHALL CONFORM TO FEDERAL AND
STATE REGULATIONS.
8. TRENCHES IN CONCRETE PAVEMENT SHALL BE RESTORED USING TIE BARS OR DOWEL
BARS IN ACCORDANCE WITH SECTION 5-05 OF THE WSDOT/APWA SPECIFICATIONS,
SEE TEXT SECTIONS 8-02, 8-04, 8-05.
GENERAL NOTES:
1. ALL MATERIALS AND WORK SHOWN ON THESE PLANS SHALL CONFORM TO THE CITY
OF EDMONDS STAND
ARD PLANS AND DETAILS THE FOLLOWING SPECIFICATIONS AND
PAL STATE AND FEDERAL COUES
D ALL OTHER APPLICABLE LOCAL MUNICIPAL, ,
CODES AN ,
RULES AND REGULATIONS:
-CURRENT INTERNATIONAL BUILDING CODE (IBC)
-2012 WSDOT/APWA STANDARD SPECIFICATIONS FOR ROAD, BRIDGE AND MUNICIPAL
CONSTRUCTION.
- AG T MANUAL FOR
EMEN
WASHINGTON STATE DEPARTMENT OF ECOLOGY STORMWATER MAN
THE PUGET SOUND BASIN (CURRENT EDITION).
2. STANDARD PLAN AND TYPE NUMBERS INDICATED ON THESE DRAWINGS REFER TO CITY
OF EDMONDS STANDARD DETAILS, UNLESS NOTED OTHERWISE.
3. A COPY OF THESE APPROVED PLANS MUST BE ON THE JOBSITE WHENEVER
CONSTRUCTION IS IN PROGRESS.
4. DEVIATIONS FROM THESE PLANS MUST BE APPROVED BY THE ENGINEER OF RECORD
AND THE LOCAL GOVERNING AUTHORITY.
5. CONTRACTOR SHALL RECORD ALL APPROVED DEVIATIONS FROM THESE PLANS ON A
SET OF "AS -BUILT" DRAWINGS AND SHALL SUMMARIZE ALL AS -BUILT CONDITIONS ON ONE
SET OF REPRODUCIBLE DRAWINGS FOR SUBMITTAL TO THE OWNER PRIOR PROJECT
COMPLETION AND ACCEPTANCE, A SET OF AS -BUILT DRAWINGS SHALL BE SUBMITTED TO
THE CITY OF EDMONDS PRIOR TO FINAL APPROVAL OF THE BUILDING OCCUPANCY/FINAL
PROJECT APPROVAL.
6. ELEVATIONS SHOWN ARE IN FEET. SEE SURVEY FOR BENCHMARK INFORMATION.
7. THE LOCATIONS OF EXISTING UTILITIES AND SITE FEATURES SHOWN HEREON HAVE
BEEN FURNISHED BY OTHERS BY FIELD SURVEY OR OBTAINED FROM AVAILABLE RECORDS
AND SHOULD THEREFORE BE CONSIDERED APPROXIMATE ONLY AND NOT NECESSARILY
COMPLETE. IT IS THE SOLE RESPONSIBILITY OF THE CONTRACTOR TO INDEPENDENTLY
VERIFY THE ACCURACY OF ALL UTILITY LOCATIONS SHOWN AND TO FURTHER DISCOVER
AND PROTECT ANY OTHER UTILITIES NOT SHOWN HEREON WHICH MAY BE AFFECTED BY
THE IMPLEMENTATION OF THIS PLAN. CONTRACTOR SHALL VERIFY LOCATION, DEPTH, SIZE,
TYPE AND CONDITION OF EXISTING UTILITY LINES AT CONNECTION OR CROSSING POINTS
BEFORE TRENCHING FOR NEW UTILITIES. ENGINEER ASSUMES NO RESPONSIBILITY FOR
THE COMPLETENESS OR ACCURACY OF THE EXISTING UTILITIES AND SITE FEATURES
PRESENTED ON THESE DRAWINGS. ENGINEER SHALL BE NOTIFIED IMMEDIATELY OF
CONFLICTS THAT ARISE.
8. CONTRACTOR SHALL LOCATE AND PROTECT ALL UTILITIES DURING CONSTRUCTION AND
SHALL CONTACT THE UNDERGROUND UTILITIES LOCATION SERVICE (1-800-424-5555) AT
LEAST 48 HOURS PRIOR TO CONSTRUCTION.
9. CONTRACTOR SHALL VERIFY ALL CONDITIONS AND DIMENSIONS AT THE PROJECT SITE
BEFORE STARTING WORK AND SHALL NOTIFY OWNER'S REPRESENTATIVE OF ANY
DISCREPANCIES.
10. PIPE LENGTHS WHERE SHOWN ARE APPROXIMATE AND MAY CHANGE DUE TO FIELD
CONDITIONS.
11. CONTRACTOR SHALL OBTAIN A COPY OF THE GEOTECHNICAL REPORT (WHERE
APPLICABLE) AND SHALL THOROUGHLY FAMILIARIZE HIMSELF WITH THE CONTENTS THEREOF.
ALL SHE WORK SHALL BE PERFORMED IN STRICT COMPLIANCE WITH THE
RECOMMENDATIONS OF THIS REPORT.
12. STRUCTURAL FILL MATERIAL AND PLACEMENT SHALL CONFORM TO THE
RECOMMENDATIONS OF THE PROJECT GEOTECHNICAL REPORT,
13. MANHOLES, CATCH BASINS, UTILITIES AND PAVEMENT SHALL BEAR ON MEDIUM
DENSE TO VERY DENSE NATIVE SOIL OR COMPACTED STRUCTURAL FILL. IF SOIL IS
DISTURBED, SOFT, LOOSE, WET OR IF ORGANIC MATERIAL IS PRESENT AT SUBGRADE
ELEVATION, REMOVE AND REPLACE WITH COMPACTED STRUCTURAL FILL PER
GEOGRAPHICAL REPORT.
14. SEE SURVEY AND ARCHITECTURAL DRAWINGS FOR DIMENSIONS AND LOCATIONS OF
BUILDINGS, LANDSCAPED AREAS AND OTHER PROPOSED OR EXISTING SITE FEATURES.
15. SEE ARCHITECTURAL DRAWINGS FOR PERIMETER FOUNDATION DRAINS. FOUNDATION
DRAINS SHALL BE INDEPENDENT OF OTHER SITE DRAIN LINES AND SHALL BE TIGHTLINED
TO THE STORM DRAIN SYSTEM WHERE INDICATED ON THE PLANS.
APPROVED FOR CONSTRUCTION
CITY OF EDMONDS
DATE.
BY:
CITY ENGINEERING DIVISION
16. ALL REQUIRED STORMWATER FACILITIES MUST BE CONSTRUCTED AND IN OPERATION
PRIOR TO INSTALLATION OF ANY PAVEMENT UNLESS OTHERWISE APPROVED BY THE
ENGINEER.
17. ALL ROOF DRAINS, PERIMETER FOUNDATION DRAINS, CATCH BASINS AND OTHER
EXTERNAL DRAINS SHALL BE CONNECTED TO THE STORM DRAINAGE SYSTEM, UNLESS
NOTED OTHERWISE.
TRACTOR SHALL OBTAIN AND PAY FOR ALL PERMITS REQUIRED FOR
CO Q 18. N
INSTALLATION OF ALL SITE IMPROVEMENT INDICATED ON THESE DRAWINGS.
19. AS A MINIMUM REQUIREMENT, ALL DISTURBED AREAS ON AND OFF SITE SHALL BE
RETURNED TO THE EQUIVALENT OF THEIR PRECONSTRUCTION CONDITION IN
ACCORDANCE WITH APPROPRIATE REQUIREMENTS AND STANDARDS.
20. ALL DISTURBED SOIL AREAS SHALL BE SEEDED OR STABILIZED BY OTHER
ACCEPTABLE METHODS FOR THE PREVENTION OF ON -SITE EROSION AFTER THE
COMPLETION OF CONSTRUCTION. SEE EROSION CONTROL PLANS FOR SPECIFIC
GRADING AND EROSION CONTROL REQUIREMENTS.
21. THE CONTRACTOR SHALL KEEP OFF -SITE STREETS CLEAN AT ALL TIMES BY
SWEEPING. WASHING OF THESE STREETS WILL NOT BE ALLOWED WITHOUT PRIOR
APPROVAL.
22. THIS PROJECT IS NOT A BALANCED EARTHWORK PROJECT. BOTH EXPORT AND
IMPORT OF SOIL AND ROCK MATERIALS ARE REQUIRED.
23. SLOPE OF FINISHED GRADE SHALL BE CONSTANT BETWEEN FINISHED CONTOURS OR
SPOT ELEVATIONS SHOWN.
24. FINISHED GRADE SHALL SLOPE AWAY FROM BUILDING WALLS AT MINIMUM 5% SLOPE
FOR A MINIMUM DISTANCE OF 10 FEET.
25. CONTRACTOR SHALL BE RESPONSIBLE FOR AND SHALL INSTALL AND MAINTAIN
SHORING AND BRACING AS NECESSARY TO PROTECT WORKERS, EXISTING BUILDINGS,
STREETS, WALKWAYS, UTILITIES AND OTHER EXISTING AND PROPOSED IMPROVEMENTS AND
EXCAVATIONS AGAINST LOSS OF GROUND OR CAVING EMBANKMENTS. CONTRACTOR
SHALL ALSO BE RESPONSIBLE FOR REMOVAL OF SHORING AND BRACING, AS REQUIRED.
26. CONTRACTOR SHALL OBTAIN APPROVAL FROM THE CITY AND FOLLOW CITY
PROCEDURES FOR ALL WATER SERVICE INTERRUPTIONS, HYDRANT SHUTOFFS, STREET
CLOSURES OR OTHER ACCESS RESTRICTIONS. CONTRACTOR SHALL NOT RELOCATE OR
ELIMINATE ANY HYDRANTS WITHOUT FIRST OBTAINING WRITTEN APPROVAL FROM THE FIRE
MARSHAL.
27. COORDINATE AND ARRANGE FOR ALL UTILITY CONNECTIONS, UTILITY RELOCATIONS
AND/OR SERVICE INTERRUPWS WITH THE AFFECTED OWNERS AND APPROPRIA7E
UTILITY COMPANIES, CONVECTIONS TO EXISTING UTILITIES SHALL BE MADE ONLY WITH
ADVANCE WRITTEN APPROVAL OF THE AUTHORITIES GOVERNING SAID UTILITIES.
28. EXISTING UTILITY LINES IN SERVICE WHICH ARE DAMAGED DUE TO CONSTRUCTION
WORK SHALL BE REPAIRED AT CONTRACTOR'S EXPENSE AND INSPECTED AND ACCEPTED
BY CITY OF EDMONDS AND OWNER'S REPRESENTATIVE PRIOR TO BACKFILLING.
29. NEW UTILITY LOCATIONS ARE GENERALLY SHOWN BY DIMENSION, WHERE NO
DIMENSIONS ARE INDICATED, LOCATIONS MAY BE SCALED FROM DRAWINGS. FIELD
ADJUSTMENTS SHALL BE APPROVED BY OWNER'S REPRESENTATIVE AND CITY.
30. WHERE NEW PIPE CLEARS AN EXISTING OR NEW UTILITY BY 6" OR LESS, PLACE
POLYETHYLENE PLASTIC FOAM AS A CUSHION BETWEEN THE UTILITIES.
31. SEE MECHANICAL DRAWINGS (WHERE APPLICABLE) FOR CONTINUATION OF SITE
UTILITIES WITHIN THE BUILDING.
32 SEE ELECTRICAL DRAWINGS (WHERE APPLICABLE) FOR EXTERIOR ELECTRICAL
WORK.
33. SEE LANDSCAPE DRAWINGS (WHERE APPLICABLE) FOR SITE IRRIGATION SYSTEM
CITY INSPECTION REQUIRED ON ALL EROSION CONTROL
MEASURES BEFORE WORK CAN BEGIN.
Project Manager Contact Info,roellon: For cgntads below dial 1-888-CALL PEE (225-5773)
Manager. ERIC LIAW
CallPh- 425-4W3297 CALL 811 AT LEAST 2 BUSINESS DAYS BEFORE YOU DIG
E-Mail: edc Ww®pse O THIS - NOT To eE IMEO UPON FOR EXACT-TION OF EXISTING FACIOTIM
locales Required" yes ❑ No ❑ REALESTATEWASEMENT PERMIT
Flagging Requlred' Yea ❑ No ❑
REV#
I DATE
I BY
10ESCRIPYION
FUNCTION
CONTACT
PHONE NO
DATE
PROJECT MDR
ELAW
425495-3297
ENGR-OAS
DRAWN BY
I OVUKOSAV
1 425-4210IR
9.25-17
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' � F 21000 76TH AVE W
4" MPE IP MAIN RELOCATE
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SVEW EDMONDS, WA GOG26
BY PEE
SAP Sup 01
1091071
awug
N/A
SC ALE
1 "-20'
PSE / INFRASOURCE CONSTRUCTION NOTES FOR SNOHOMISH COUNTY GENERAL R/W USE RESTORATION REQUIREMENTS
1. FIELD LOCATE ALL UTILITIES TWO WORKING DAYS PRIOR TO CONSTRUCTION AT 1-800-424-5555. (8 040)
1. AT THE ENGINEER'S DISCRETION, PRIOR TO COMMENCING ANY
2. INSTALL ONE POUND ANODE EVERY 1000' OF DETECTION WIRE / INSTALL ANODE AND TEST LEAD WIRES CONSTRUCTION, PHOTOGRAPHS DEPICTING PRE-EXISTING ROADWAY
PER PSE STANDARDS. • . • •' CONDITIONS WILL BE REQUIRED EVERY 50 FEET IN PAVED AREAS OR
"'•!:.•+:.•'•.•:•• ANY OTHER LOCATION AS SPECIFIED BY THE ENGINEER.
3. ALL MAIN TIE-IN'S SHALL BE GAUGED AND MONITORED FOR CHECKING FEEDS. •;` '•�1•h••''1�••'.1'',.�;••'+ 1''
2. SIGNING, FLAGGING AND TRAFFIC CONTROL SHALL BE IN
,,•.. 4. INSTALL VALVES OUT OF TRAFFIC WHERE POSSIBLE. C'�•" �.:''•`' ACCORDANCE WITH THESE STANDARDS, THE WSDOT TRAFFIC MANUAL
(•�
AND THE MANUAL OF UNIFORM TRAFFIC CONTROL DEVICES.
5. ANY CHANGE IN ROUTE OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY THE PROJECT MANAGER. <,.'•.'+::•.:•:•�..•.: ••."':'�.`:•:'...••:�•::;:`:'.
3. ONE LANE OF TRAFFIC SHALL REMAIN OPEN AT ALL TIMES,
6. ALL PROPOSED SERVICES ARE SHOWN AS: XXY O O ATTENDED BY FLAGMEN AND APPROPRIATE CONSTRUCTION SIGNING
PROVIDED. THE ROAD SHALL BE RESTORED TO TWO-WAY TRAFFIC AT
XX
7. ALL 3'x5' PAVING CUTS SHOWN AS: EM Oa THE END OF EACH WORKING DAY. APPLICATIONS FOR TOTAL ROAD
.I O� CLOSURES MUST BE FILED WITH SNOHOMISH COUNTY PUBLIC WORKS AT
S. ALL WORK WITHIN SNOHOMISH COUNTY TO COMPLY WITH EROSION AND SEDIMENTATION CONTROL ` LEAST 5 DAYS PRIOR TO THE ANTICIPATED CLOSURE.
REQUIREMENTS OF SNOHOMISH COUNTY CODE, CHAPTER 30.63A.220, INCLUDING: .'.• •'•.T.•.
;T1L1�R;P/W xk(d ;; , 4. EXISTING DRAINAGE DITCHES, CULVERTS, ETC., SHALL BE KEPT
A. PREVENT OR MINIMIZE THE TRANSPORT OF SEDIMENT ONTO PAVED SURFACES DURING CONSTRUCTION. -UNDER- CS GRATE • • • • ••• CLEAN AT ALL TIMES. TEMPORARY DIVERSION OF ANY DRAINAGE
SYSTEM WILL NOT BE PERMITTED WITHOUT THE CONSENT OF THE
B. ANY SOIL STOCKPILES SHALL BE STABILIZED AND PROTECTED WITH SEDIMENT RETENTION BMP's ENGINEER. ANY DRAINAGE CULVERT, CATCHBASIN, MANHOLE OR OTHER
WITHIN 24 HOURS. EXCAVATED MATERIALS SHALL BE PLACED ON THE UPHILL SIDE OF TRENCHES, CB INLET PROTECTION DRAINAGE STRUCTURE DISTURBED BY EXCAVATION SHALL BE REPLACED
UNLESS INCONSISTENT WITH SAFETY AND SITE CONSTRAINTS. EXIST PAVED STREET WITH NEW MATERIAL OR REPAIRED TO THE SATISFACTION OF THE
NO SCALE ENGINEER. TEMPORARY EROSION/SEDIMENTATION CONTROL MEASURES
C. DISTURBED AREAS MUST BE STABILIZED AFTER 2 DAYS (BETWEEN OCTOBER 1 AND APRIL 30) OR SHALL BE EMPLOYED TO PROTECT ADJACENT PROPERTY AND STORM
AFTER 7 DAYS (BETWEEN MAY 1 AND SEPTEMBER 30). EROSION CONTROL MATERIALS MUST BE KEPT DRAINAGE FACILITIES.
ON SITE AND IN ADEQUATE QUANTITIES AT ALL TIMES. NO MORE THAN 500' OF CONTINUOUS 5. GRAVEL SHOULDERS DISTURBED BY EXCAVATION SHALL BE SHAPED
TRENCH MAY REMAIN OPEN AT ONE TIME UNLESS CHECK DAMS ARE USED. TO COUNTY STANDARDS AND PROVIDED WITH A MINIMUM OF 6 INCHES
D. STORM SEWER INLETS RECEIVING STORM WATER RUN-OFF SHALL BE PROTECTED WITH FILTER FABRIC COMPACTED CRUSHED SURFACING TOP COURSE.
OR OTHER MEANS DURING CONSTRUCTION FROM SEDIMENT -LADEN WATER. 6. IF IN THE OPINION OF THE ENGINEER, WEATHER CONDITIONS
9. CALL SNOHOMISH COUNTY INSPECTOR 48 HOURS PRIOR TO CONSTRUCTION AT (425) 388-3385, DETERIORATE TO THE POINT WHERE THE TRAVELED ROADWAYS ARE
UNSAFE FOR THE PUBLIC OR DETRIMENTAL TO THE RESTORATION OF
THE ROADWAY, EXCAVATION SHALL CEASE IMMEDIATELY AND CLEANUP
10. DASHED LINES (-_') ARE TO BE USED TO VERIFY/CORRECT INSTALLATION OF MAIN ON AS -BUILT. SHALL BE PROMPTLY ACCOMPLISHED.
STUB LOCATIONS ARE AT TIE-IN TO MAIN AND LENGTH OF STUB INSTALLED NOTED.
11. RETURN ALL AS-BUILTS TO INFRASOURCE PROJECT MANAGER. FILTER FABRIC MATERIAL, NEWLY GRADED 7. ALL PIPE OR OTHER MATERIAL STORED ALONG COUNTY
MIRAFI 10OX OR EQUAL. OR DISTURBED RIGHT-OF-WAY MUST BE PLACED AT A SAFE DISTANCE FROM THE
12. CUSTOMER PROVIDED TRENCHES ON PRIVATE PROPERTY SHALL CONFORM TO PSE STANDARDS. SIDE SLOPE TRAVELED ROADWAY IN SUCH A MANNER AS TO AVOID FALLING ONTO
2"x 2"x 14 GA. WELDED q THE ROADWAY.
USE STAPLES OR WIRE WIRE FENCING OR EQUAL. 20 GA.
13. PREFERRED METHOD OF CONSTRUCTION UNDER HARD SURFACE IS BORE, PREFERRED METHOD OF RINGS TO ATTACH WIRE TIE 12" 8. NO EXCESS OR UNSUITABLE MATERIAL SHALL BE WASTED ON
CONSTRUCTION UNDER SOFT SURFACE IS OPEN TRENCHING. FILTER FABRIC TO BACK MW. COUNTY RIGHT-OF-WAY. ANY SUCH MATERIAL DUMPED ON PRIVATE
WIRE FENCING. WASHED PRO MIN. PROPERTY MAY REQUIRE A GRADING PERMIT. VERIFICATION WITH
GRAVEL SNOHOMISH COUNTY PLANNING & DEVELOPMENT SERVICES IS REQUIRED.
SNOHOMISH COUNTY NOTES 3'-6
. 1 9. STREET SURFACES SHALL BE CLEANED AT THE END OF EACH DAY'S
1. AT THE ENGINEER'S DISCRETION, PRIOR TO COMMENCING ANY CONSTRUCTION, 6"
S IS. 2' UNDISTURSEO GROUND OPERATION WITH A POWER BROOM OR OTHER APPROVED MEANS.
� B'
PHOTOGRAPHS DEPICTING PRE-EXISTING ROADWAY CONDITIONS WILL BE t� • 10. NO OPEN CUT CROSSING OF COUNTY ROADS OR STREETS SHALL
�•_S
REQUIRED EVERY 50 FEET IN PAVED AREAS OR ANY OTHER LOCATION AS 10 MADE WITHOUT THE APPROVAL OF THE ENGINEER.
SPECIFIED BY THE ENGINEER. BURP FILTER FABRIC IN A
8" x 6" GRAVEL -FILLED 11. MAXIMUM AMOUNT OF OPEN TRENCH IN ROADS SHALL BE 400
2. SIGNING, FLAGGING AND TRAFFIC CONTROL SHALL BE IN ACCCORDANCE WITH 4S•O.C.(TYpj TRENCH LINEAL FEET. AT THE END OF EACH DAY, ALL DITCHES MUST BE
THESE STANDARDS, THE WSDOT TRAFFIC MANUAL AND THE MANUAL OF UNIFORM 1--1 S" BACKFILLED OR COVERED WITH STEEL PLATES AND BARRICADED WITH
TRAFFIC CONTROL DEVICES. 2"x4" DOUGLAS FIR FLASHING WARNING LIGHTS TO PREVENT PEOPLE OR ANIMALS FROM
3. ONE LANE OF TRAFFIC SHALL REMAIN OPEN AT ALL TIMES, ATTENDED BY NO. 1 GRADE OR EQUAL FALLING INTO THE TRENCH. ELEVATION SECTION
FLAGMEN AND APPROPRIATE CONSTRUCTION SIGNING PROVIDED. THE ROAD 12. FINAL CLEANUP INCLUDING COMPLETE RESTORATION OF
SHALL BE RESTORED TO TWO-WAY TRAFFIC AT THE END OF EACH WORKING SILT FENCE DETAIL SHOULDERS, CLEANING OF DITCHES, CULVERTS AND CATCHBASINS, AND
DAY. APPLICATIONS FOR TOTAL ROAD CLOSURES MUST BE FILED WITH REMOVAL OF LOOSE MATERIAL FROM BACK SLOPES OF DITCHES SHALL
SNOHOMISH COUNTY PUBLIC WORKS AT LEAST 5 DAYS PRIOR TO THE NO SC4LE NOT EXCEED 1500 L.F. BEHIND EXCAVATING OPERATIONS OR AS
ANTICIPATED CLOSURE. REQUIRED BY THE ENGINEER.
4. EXISTING DRAINAGE DITCHES, CULVERTS, ETC., SHALL BE KEPT CLEAN AT ALL
TIMES. TEMPORARY DIVERSION OF ANY DRAINAGE SYSTEM WILL NOT BE
PERMITTED WITHOUT THE CONSENT OF THE ENGINEER. ANY DRAINAGE CULVERT,
CATCHBASIN, MANHOLE OR OTHER DRAINAGE STRUCTURE DISTURBED BY
EXCAVATION SHALL BE REPLACED WITH NEW MATERIAL OR REPAIRED TO THE
SATISFACTION OF THE ENGINEER. TEMPORARY EROSION/SEDIMENTATION
CONTROL MEASURES SHALL BE EMPLOYED TO PROTECT ADJACENT PROPERTY
AND STORM DRAINAGE FACILITIES.
5. GRAVEL SHOULDERS DISTURBED BY EXCAVATION SHALL BE SHAPED TO COUNTY
STANDARDS AND PROVIDED WITH A MINIMUM OF 6 INCHES COMPACTED CRUSHED
SURFACING TOP COURSE.
6. IF IN THE OPINION OF THE ENGINEER, WEATHER CONDITIONS DETERIORATE TO
THE POINT WHERE THE TRAVELED ROADWAYS ARE UNSAFE FOR THE PUBLIC OR
DETRIMENTAL TO THE RESTORATION OF THE ROADWAY, EXCAVATION SHALL CEASE
IMMEDIATELY AND CLEANUP SHALL BE PROMPTLY ACCOMPLISHED.
7. ALL PIPE OR OTHER MATERIAL STORED ALONG COUNTY RIGHT-OF-WAY MUST BE
PLACED AT A SAFE DISTANCE FROM THE TRAVELED ROADWAY IN SUCH A
MANNER AS TO AVOID FALLING ONTO THE ROADWAY.
8. NO EXCESS OR UNSUITABLE MATERIAL SHALL BE WASTED ON COUNTY
RIGHT-OF-WAY. ANY SUCH MATERIAL DUMPED ON PRIVATE PROPERTY MAY
REQUIRE A GRADING PERMIT. VARIFICATION WITH SNOHOMISH COUNTY PLANNING
& DEVELOPMENT SERVICES IS REQUIRED.
9. STREET SURFACES SHALL BE CLEANED AT THE END OF EACH DAY'S OPERATION
WITH A POWER BROOM OR OTHER APPROVED MEANS.
10.NO OPEN CUT CROSSINGS OF COUNT ROADS OR STREETS SHALL BE MADE
WITHOUT THE APPROVAL OF THE ENGINEER.
11. MAXIMUM AMOUNT OF OPEN TRENCH AT ROADS SHALL BE 400 LINEAL FEET.
AT THE END OF EACH DAY. ALL DITCHES MUST BE BACKFILLED OR COVERED
WITH STEEL PLATES AND BARRICADED WITH FLASHING WARNING LIGHTS TO
PREVENT PEOPLE OR ANIMALS FROM FALLING INTO THE TRENCH.
12. FINAL CLEANUP INCLUDING COMPLETE RESTORATION OF SHOULDERS. CLEANING
OF DITCHES, CULVERTS AND CATCHBASINS, AND REMOVAL OF LOOSE MATERIAL
FROM BACK SLOPES OF DITCHES SHALL NOT ESCEED 1500 L.F. BEHIND
EXCAVATING OPERATIONS OR AS REQUIRED BY THE ENGINEER.
TRENCH NOTES:
1. LONGITUDINAL TRENCH - 2" ASPHALT CLASS B OVERLAY.
TRANSVERSE TRENCH - 2" ASPHALT CLASS B OVERLAY WHERE
MULTIPLE CROSSINGS BY SAME UTILITY.
2. EXISTING PAVEMENT
3. LONGITUDINAL TRENCH - 6" ACP OR 2" ACP + 4" ATB.
TRANSVERSE TRENCH - 8" ACP OR 2" ACP + 6" ATB. IF
CONCRETE, RESTORATION SHALL BE IN ACCORDANCE WITH
SECTION 5-05 OF THE WSDOT/APWA SPECIFICATIONS.
4. NATIVE MATERIAL, BANK RUN GRAVEL, CSTC OR CONTROL
DENSITY FILL MAY BE REQUIRED BY THE ENGINEER.
5. NEAT LINE CUT, CLEAN, HEAT & TACK EDGES WITH SEALER
CSS-1 & SEAL WITH HOT ASPHALT CEMENT.
6. TEMPORARY RESTORATION OF TRENCHES FOR OVERNIGHT
USE SHALL BE ACCOMPLISHED BY USING COLD MIX, ATB, OR
STEEL PLATES.
7. PATCH SHALL BE MACHINE ROLLED FLUSH WITH EXISTING
PAVEMENT AND SHALL BE PLACED PER SECTION 5-04 OF THE
WSDOT/APWA SPECIFICATIONS.
B. COVER DEPTH OVER UNDERGROUND UTILITIES SHALL
CONFORM TO FEDERAL AND STATE REGULATIONS.
9. TRENCHES IN CONCRETE PAVEMENT SHALL BE RESTORED
USING TIE BARS OR DOWEL BARS IN ACCORDANCE WITH
SECTION 5-05 OF THE WSDOT/APWA SPECIFICATIONS.
SEE TEXT SECTIONS 8-02, 8-04, B-05.
Pro1EEt Me..Sao Conlact Inlon ion: For canlads bah -dial 1-888-CA LL PSE(2255773)
Manager. ERIC UAW
C.fpb-. 423495J20T CALL S11 AT LEAST 2 BUSINESS DAYS BEFORE YOU DIG
E-Mail: adc liz-@paa wen HIS BfETOH MOTTO BE REUEO UPON FOR EXAOT LOCATION OF--HoI-Or ES
idcNw R*I Yn0 NO REAL ESTATEEASEMENT PERMIT
'F1apelre RnI~ Y«0 No [3
NIA--EDMONDS---
RE11e
I DATE
I ITY
IDIESCAMPTION
FUNCTION
1 CONTACT
PNONENO
DATE
PROOECTMOR
ELIAW
425-0953287
EHOR•OAS
DRAWN BY
L G. VUKOSAV
42.5424�Fd48
9.261T
COUNTY
SNOHOMISH
E-13- OAS
S/4
WK CTR
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APPROVED BV
c•E LIAW
42S49i7291
CP APPROVAL
KANSON
425-7561307
10.5-17
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PC APPROVAL
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UTILITIES
CONTACT
NIA
JOINT FACILITIES ARRANGEMENTS
N/A
N/A
N/A
NIA
WA
N/A
N/A
PHONEIII
NIA
I N/A
I N/A
N/A
21000 76TH AVE W
® MN
iNO 4" MPE IP MAIN RELOCATE
ENEWY EDMONDS, WA S0026
DESIGNED BYPSE
SAPSup Orden Nor
109107236
-mN/Aum
SCALE PAGE
1"=20' 1 515
RECEIVED
OCT 112017
of
EDA4°4l� BUILDING
ROW PERMIT NO.: ENG 30IT'04 C)
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
.INC. I. s90 PERMIT APPLICATION
PROJECT NAME: 109107236 CONTACT: Sue Sidick
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL871 C2
City Business License #: N R-023614
Phone #: 425-457-6353
Fax #:
Email #: Susan.Sidick@pse.com
El Liability Insurance LJ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 21000-21200- 76th AVE W
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial El Subdivision El City Project ❑ Traffic Control (Only)
❑ Multi -Family X❑ Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes ❑ No
ANY ASSOCIATED PERMITS? BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : To replace 700' of 2" STW main
w 4" pe & test & tie services
HDD or Open Trench method of Installation
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES El NO ❑ Year:1091b
PAVEMENT CUT: ® Yes ❑ No If yes, indicate size of cut: x
CONCRETE CUT: 0 Yes ❑ No If yes, indicate size of cut: x
RIGHT-OF-WAY
AREA
CLOSURE
TOTAL
DURATION
(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
*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.
Susan Sidick a" Ba°��5=59�°�
�x W16.M W07-3U-0�� DATE � 0/� � /2� � 7
SIGNATURE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Date of Request:
Job number:
Job address:
Project mgr:
PM email:
PERMIT REQUEST FORM
10/10/17
109107236
[21000-212000] 76th Ave W
Eric Liaw
eric.liaw@pse.com
Estimated job start date:
Estimated job completion date:
10/25/17
11/05/17
City: Edmonds Zip: 98026
PM contact #: (425) 495-3297
Description of work to be performed:
Rp.olar p 700' 2" STIl1I Mgin w/ 4" PF TRT seivicesP_1 VVni:k
Pavement cut? ❑✓ Yes ❑No
If yes, Dimensions of Cut: Length Width
How many cuts?
Surface Type
Require trenching? ❑Yes ❑No
If yes, Dimensions of trench: Length
Method of installation: HDD or Open Trench
rT�H
Depth
Traffic impact:
Road closed ❑Yes
❑✓ No
Lane closed ❑✓ Yes
❑ No How Many? 1-2 Direction? south
Shoulder closed ZYes
❑ No
Sidewalk closed
Yes
❑
No
Emergency Contact: Eric Liaw
Cell Number: (425) 495-3297