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ENG20170506-APPROVED PERMIT.pdfCITY OF EDMONDS 121 5TH A VENUE NORTH EDMONDS, W A 98020 41"..4PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBS TE* STATUS: ISSUED ENG20170506 RIGHT OF WAY PERM IT (6-EUQ Permit Number: ENG20170506 Expiration Date: 06/13/2018 Job Address: 19205 OLYMPIC VIEW DR, EDMONDS Location: 19205 OLYMPIC VIEW DR. APPLI( - 'ANT CONTRACTOR PSE/In fras OUrce P SE/In frasource GO Susan att: Sidick C/O Susan att Sidick 1660Park Lane 1660 Park Lane Burlington, WA 98233 Bulington, WA 99233 (425)457-6353 LICENSE #: infrasl871c2 EXP 02/22/2019 i DESCRIPTION Work area'is approx 419' S c/I of Chevy St & 10' E -13' E c/I of Olympic View Dr to install gas service. 1 3x5 paving cut 1 2x4 paving cut. DISRUPTION 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 INDEMMTY The Applicant has signed an application which states he/she holds the City of Edmonds hai;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 ofils departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and attorney fees by reason ofgranling;this permit. THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEFINAL INSPECTION AND ACCEPTANCEOFTHEWORR 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 (1-800-424-5555) BEFORE ANY EXCAVATION` CALL FOR INSPECTION (425) 771-0220 EXT.1326 24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS APPLICATION APPROVAL TH IS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED, Printed: Wednesdq December 13, 2017, 12—/3 1 RELEASED BY DATE FILE COPY E'INS PECTORCOPY APPLICANT COPY • Restore ROW to City standards • Restore Landscape to like or better conditions. • Call for locates ofunderground iutilities prior to any excavation. • Alert affected residents and/or businesses prior to work start. • Conform to approvedworking 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 repau•/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 of ECC'Chapter 5.30 only during the hours of 7:00am to 6:OOpm on weekdays and 0:00am 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' 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 Engineering Final PARTIAL INSPECTION' DATE: INITIAL: NOTES: PARTIAL INSPECTION' DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: Of EDA.1O jtvc— . 1L ry} 1 ✓P � � �I 4 4 4 .. NOV 20117 BUILDINGROW PERMT NO.: ISSUEIDATE: ENG2�' � `" �� Q RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106331772 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 S � State License #: INFRASL871 C2 City Business License #: NR-023614 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax #: Email #: Susan.Sidick@pse.com ❑ Liability Insurance Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 19205 Olympic View Dr ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: �ect Commercial ❑ Subdivision City Project Traffic Control (Only) ❑ Multi -Family 0 Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes 0 No ANY ASSOCIATED PERMITS? BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 419' S c/I of Cherry st & 10' E -13' E c/I of Olympic View Dr to install gas service 1 3x5 paving cut 1 2x4 paving cut WAS STREET OVERLAYED WITHIN 7 H11 LAST FIVIJ 5 Y1JA _vvvv... _ + RS? YES [„� NO Year: 106� PAVEMENT CUT: ® Yes ❑ No If yes, indicate size of cut: 3 x 5 CONCRETE CUT: 0 Yes 0 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 ............ ? ..._... _ ww 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. A@ nsX 6noA,wl Pwf+rc I'rn�g ear M& 'Yf... SLtt1Uu SIGNATURE Susan i i c �4� w �� DATE 11 /28 20 7 u r ua �x wrr+ Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE �>- N t- E in n�N Zt, U� IUnJ UzN �0Z a (f) LLl gaoN o o E � 5 W > p L O Z O W_ m N U_ E om J Q N OLO L N � C � b z 5 w O u w w m , d g w o a o o m c p L) z m � m c _ d aV1i c T. o v ai �- o m E "x E n'0w E eo E c Ev .- rn o G N N ¢ wQ SUfq mUQi�:O 0 z N M V ui (O I-� C6 Nw o IJ m �w w I I ID �R U m aLU Z Em Z44 W •�— LU m = ..... .... Z °� .E O e- / f m�CD 0� - z N it CID *t ac o� o i gF-00ic �ffU Ps d a In N N N t O�. m a C4 N M7 it J l J y 1 tr K w m) i0 m o- i m a o Z O O N O g3 W- 'M zzz a ZM - b'L-0 6-OZM w a � iii UO �I�'ffiN ® �00 (00 6 .00 • r I,,�,.,,�. .�,��... _.�. Cl I + ....� Ur7M3►A elf—PAI Y) Iw "z J IU I'a L� T �yQ U JJJj xI I w �I I ba M31A OIdnAlO n I ..100 100 � 100 I w" 4 0 <4 ZI W20-1..- . W20-7A N 44 01% V) 0 04 04 0- CPS co ... ... ....... . CN D- to M.0 uj 01 04 01 Lr) C) (Y) C14 C14 01 0-M ......... . .. . ........... .. 10t'SOP IJ401 .. . .............. c 3101 di MIS Al !2 Nd MIA Old . ... . ..... . . . ........ ..... . ..... . co CN4 F"J, uj . ..... .... 0- 0 cy-) 04 01, CN CN c6 o Job #: 106331772 Date: 11/7/17 Jurisdiction: Edmonds Right of Way Permit? ❑ YES ❑ No Est. Start Date: 12/11/17 Est. Duration: 8 Hours PRE -INSPECTION REPORT PU6i o° .f;(.) 0NL',' 1oti1::o (,V Address: 19205 OLYMPIC VIEW DR City / Zip: EDMONDS 98020 Customer: Dan Crabtree 206-227-6094 PM / Insp: Kiara Hays 1 PHONE NUMBER Construction M(tho k n K OESCRIPTI N.:, INSTALL I5'OFI-1/8"PESCATSTUB AND 40'OFI-1/8"PESCATEXT.SETA425MSA Open Trench ❑ Trenchless O/R AT 6 IN WC. 0 PLAT MAP: 161 067 CHERRY ST 0= Fire Hydrant (122' N OF TIE IN) awl PL w I i W *wolmz, "V, IT I 1 UD N O Ln Size of Cut G Surface Type S f CL CHERRY ST &..___ "E of CL OLYMPIC ..... of CL OLYMPIC VIEW DR 3XS _ 2X4 ��,.__�._._. sphalt _ .. Asphalt _...� � VIEW � DR 'N S of CL _ -- &. W of CL ._ ... _. ❑ 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: -----P-/R Fuel Line Diameter: