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ENG20180106-APPROVED PERMIT.pdfov ET)41 y t" 4k_"J' 1'' Y UF h D ND�M'N' 121 5TH A VENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBS " * STATUS: ISSUED ENG20180106 RIGHT OF WAY PERMIT (6-EtJC) Permit Number: ENG20180106 Expiration Date: 09/27/2018 Job Address: 19011 OLYMPIC VIEW DR, EDMONDS Location: 19011 OLYMPIC VIEW DR P PLICANT CONTRACTOR PSE/Infrasource PSE/Infrasowce; C/O Susan att: Sidick CIO Susan att: Sidick 1660 Park Lane 1660 I'ark Laile Burlington, WA 98233 ItLtintcr, wA23.3 (425) 457-6353 LICENSE #: infras1871 c2 EXP: 02/J.2/2019 Work area is approx 10' E c/I of Olympic View Dr & 254' N 190th PL SW also 32' E c/I Olympic View Dr. & 204' N c/I of 190th PL SW. To install gas service. 1 3x5 paving cut and 1 3x5 grass/dirt. ASSESSED VALUE: $0 00 PROPERTY AREA.: 0 SIDEWALK ( 0X0) DURATION IN MONTHS: 0 IFFE: $0.00 ,STRI E'I` L)ISI LJPTICDN TI�FNCII CUT: (.3 X 5 ) PARKWG: ( 0x0) LDURAT ION Iry M ONi IIS: 0 FEE: $000 YEAR OF OVERLAY: 0 IFEE: $0.00 ALLEY: P 0�X0 '1 LDIJRA`I" O N IN MONTIIIS: 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 ii,halsoei,er, 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. THECON"IRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL 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 DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT.1326 24 HOUR NOTICEREOUIRED FOR ALL INSPECTION REQUESTS '17[IKS A.PPLICA.'ITON IS N®TA. PERMITUN IM, SIGN E.D BY IRIS C°II Y ENGINEER OR I-IISMERDEPUI Y: AND FEES Al2E PA.ID,A:ND RECEIPT IS ACKNOWLEDGED iN SPACE PROVIDFM wle RELEASED BY Printed: Tuesday. March 27.201' DATE ® FILE COPY INS PECTOR COPY APPLICANT COPY STATUS: ISSUED ENG20180106 • 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 fi•ontage 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 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all othertimes 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 • E•Traffic Control PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECI'IONAPPROVED DATE: INITIAL: of EVA4O RECEIVED Iwd"'[ ROW PERMIT NO.: ENGBUILDING-o ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 109110256 CONTRACTOR: PSE/Infrasource Mailing Address ..166o P...................�.... ark Lane, Burlington, WA 98233 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: 19011 Olympic View Dr ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial 5..� ................ - _. �i ❑ _ ubdivision City Project Traffic Control (Only) ❑ Multi -Family ❑X Single Family ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? 0Other ❑ Yes Q No ................ .._......... ....... ANY ASSOCIATED PERMITS? BLD#- _ ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 10' E c/1 of Olympic View Dr & 254' N 190th PL SW also 32' E c/I Olympic View Dr & 204' N c/I of 190tyh PL SW . To install gas service 1 -3x5 paving cut and 1 - 3x5 grass/ dirt �_...m... __� YEAR ._. ES ...... .... _. WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YE YES ❑ NO Year: 109 �i PAVEMENT CUT: M Yes ❑ No If yes, indicate size of cut: 3 x 5 CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: RIGHT-OF-WAY DURATION CLOSURE AREA TOTAL (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF -------- ——....._ ........� ..._ _ . Alley 72 Hrs + LF X LF SF Parking 72 Hrs.+ _ _..... .. LF X LF SF L_ I El 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, sh�z SIGNATURE Susan SIdIC � u /7/ 1 ,��DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE S�1 0 O BLAKE PL o-Z�' ITIOV I'loar 1100, I I 1111 bl4 I I I MATCHLINE SEE RIGHT CWI'C6ADir - Y CHERRYST, bs PUGET SEE LEFT SOUND ENERGY ` Job#109110256 19011 OLYMPIC VIEW DR, EDMONDS. WA March 2, 2019 Sheet 1 of 1 gregory.harwood@pse.com 11 111 (425) 424-6425 $ ("0ZAA cvd p,.08199 N019 x='.d p We�Y.haMood�p a o-� "`W1,P,9 ,1 190TH PL SW A14 cv nrr€Aur -_ 11-97-1 W20-1 Nnsa� I. oM= spacfngl to conform to the MUTCD and City or EDMOND6 slandards. 2. All sidewalks, driveways, exile and egresses shall be completely dear unless otherwise Indicated. "`"""""'"n"Ef•'(fv`'rurtw "��- S. Channellzing devices are 20'traffic cones. ' •®..... REPARE—D R mmnrurcrci+a 4. Sign size can he a minlmum of 4R' z 4S' and shall not obsWcl pedestrian -� PIRR p..-��-�---��•--------•--------�- ®�F ems' TRAFFIC MINC. 4�,, mAFRc wrr " L( 6. Crawls required to lave a minlmum of 11' for (raveling lane width. S 763 1999 Posreo SPEED uurrrs I .... C ATI SlGA1 'FACYM(G' �. Work to lake place beN an gidents and ua�m. and 4 p.m. p Air rl;mdm. MANAGEMENT, N lAINIMUAI TAPER LENGTH rhLL HANNELIZAYION46 EVICE SPACING ryirv, 0 VI W DR, S VIEW econd ork r a vnll be 204' NCL oly 90THEPL SW 8 32' ECL or ICL 10 ��12 5 H�--�- 295 49. "........ �y ��;r6MIS .... ��"... A?.. ..� WAN Op 'ti33rI Bra a�N..... � YIAMNOfIM eAIEaRR01 4j pfteuttly vvill u 'r, Puget Sound Energy Gas Pre -Inspect Form Job #: 109110266 Date: 2113118 Address: 19011 OLYMPIC VIEW DR Jurisdiction: Edmonds City / ZIP: Edmonds, 98020 ROW Permit: Yes Customer: CHRIS MIONE 206 605-4870 Est. Start Date: 4/30/18 PM / Inspector: Kevin Williams 425-691-7673 Est. Duration: ?-"lAi Days Job Description / Scope of Work From 4" STW main run complete altered service 1-1/4 PE(23' scat stub with 180' plat extension) New + Construction: tie into existing 1-1/4 PE. C&C existing 1-1A service @ PL for future connection to new home. No Construction Method Scat ROW / Plat Provert PLAT Map: 161.067 kePLl�l i L Q #0 Fire Hydrant Crews wi:l ma_hwn min. flo' Sr rora lloo II i i ...,J %):aar eoan0. _ _ _ _ _4'Pr" 4 � __ — -- , I i I - Ip fi luI ul Ii II II I i 1.114," P6 OI 3II aJ^1 a'° P of l f, l t 190th PL SW _tlow T Work Location Size of Cut 10' EL-OfCLL OLYMPIC VIEW DR & 254' N o CL 190th PL SW 3x5 32' EOLYMPIC VIEW DR & 204' N of CL 190th PL SW 3x5 & of CL d'p' LD 0 0 D Service Information Street Information Job Type ameter: 1.1/4"° PE Flaggers #: Arterial. Altered Residential Svc V: 1-1/4" - 2600 - 9996744 Police M TCP: Yes d Limit: 25 No Parks #: 6 11/61"1 ter'Loc: Trolley Lines, Mtr Hoods It:01(WRGY Press: 6" W.C, Traffic Signal: Bus Stop: ards: 2.5" # 4" # ADA Ramps #:t Route #'s: