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ENG20180316 APPROVED PERMIT.pdf"OATY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBS:ITE* STATUS: ISSUED ENG20180316 RIGHT OF WAN" PERM IT (6-EtJC) Permit Number: ENG20180316 Expiration Date: 03/25/2019 Job Address: 9007 OLYMPIC VIEW DR, EDMONDS Location: 9007 OLYMPIC VIEW DR JAPPLICANT CONTRACTOR PSF/Infrasource PSE/Infrasource C/O Susan att: Sidick C/O Susan att: Sidick 1660 Park Lane 1660 Park Lane Burlington, WA 98233 Burlington, WA 98233 (425)457-6353 LICENSE #: infrasl87lc2 EXP: 02/22/2019 JOB DESCRIPTION Work area is approx 28' E c/l of Olympic View Dr. & 41' N to 225' N c/I of Vista Del Mar Dr also 540' W c/l of Talbot Rd. To install gas main. 3 3x5 cuts in concrete anticipated. ASSESSED VALISE: $0.00 PROPERTY AREA: 0 SIDEWALK: (0X0) DURATION IN MONTHS: 0 FEE: $0,00 STRF,ET DISRUPTION TRENCH CUT: (3 X 5 ) PARKING: ( ()XO) DURATION IN MONTHS: 0 FEE: $0 00 YEAR OF OVERLAY: 0 FEE: $0.00 ALLEY: ( OX0 ° DURATION IN MONTHS: 0 FEES 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 RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL INSPECTION AND ACCEPTANCE OF THE W ORK. • 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 NOTICE REOUIRED FOR ALL INSPECTION REQUESTS THIS APPLICATION IS NOTA PERMIIUNTTL SIGNED BY TH.E CITY ENGINEER OR HISME;R I7EiPUTY: AND FEES ARE PAID, AND REC'EIPTIS ACKNOWLEDGED IN SPACE PROVIDED, BY Printed: `1 uesday. September 25, 201 DATE ❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY STATUS: ISSUED ENG2O18O316 • 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 fromthe noise limits of ECC 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 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. 1NS PECTIONS • F Traffic Control • E Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: _IT INITIAL: NOTES: FINAL INSPECTION APPROVED DATE:. ............... INITIAL; N ROW PERMIT NO.: ENG ISSUE DATE. RIGHT-OF-WAY CONSTRUCTION PE:.MIT APPLICATION PROJECT NAME: 107055903 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park 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: 9007 Olympic View Dr ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ............._-__. __.......... Commercial Subdivision City Project E1! 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 28' E c/I of Olympic View Dr & 41' N to 225' N tc/I of Vista del Mar Dr also 540' W c/I of Talbot rd. To install gas main (3) 3x5 cuts in concrete anticipated WASSTREETOVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO ❑ Year: 107eI� PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut: x CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: 3 x 5 RIGHT-OF-WAY DURATION AREA TOTAL CLOSURE (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF Alley 72 Hrs + LF X LF j 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. SIGNATURE Susan Sldlck A°' ��_r�°°"°°� DATE 7/20/2018 Po.NP - Ulm, Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE E ©(gym �Em U' �W�Ed�e a w Ul)w 0 E � O � o m U d ¢o X_ h °-5" V� :. a Crew Sao pisin ✓ Ozao�i w3�9¢`0 ;�r3Fz WG za�^C9 �`_l �oowyn V O_ � DOa6w �107065903 u 8 a t E $$E w - z 8 ffi HM ipfl� ' a €esa a sad Q Ea gas x s r g s oa SO a — Op s a €, a amsWa o m �w �s�.8 � ig a�a,�ag5 s ee�ga � W � � _ ❑: ❑ 88 � ya w,s y =% ¢ s�� ��' ���� � 'aa s � a� � g ❑ cal � e � � __ vi:.o � g�xR6�$$�� �3 s sa �� € a ��x geRs s a" as �,„ ❑� `� sar9�i�s a�es'a aag� s .� a8a '❑ ❑ # � g€ � a�3 � g s � ." $ € ❑❑ N $ t� n � �� ia'Kag � p�❑ ❑ a a a Fa s �Y k'd'" C'�FR d v All f W Ti ........... _- i LD x a w o 0 x J o„ ss3aq' ��w sw e m 6p'[065t000t wv{ - gt -OZ day a a zo $ =os ff N 7' wLD rii IN JIM 84 10 wz p Li wz Y . 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Job #: Date: Jurisdiction: ROW Permit: Est. Start Date: 107066903 6/26/18 Edmonds Yes 913/18 Puget Sound Energy Gas Pre -Inspect Form Address: City / Zip: Customer: PM / Inspector: lllFCejj/e0 SEP 0 6 2018 ENGINEERING 9007 OLYMPIC VIEW DR EDMONDS, 98026 STEVE KISSINGER 206-245-4863 Jordan Cooper 425-623-5302 DIVISIDN