ENG20190233 Issued ROW Permit.pdfv� Ot. Lv,O�v
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE. (425) 771-0220 - FAX: (425) 771-0221
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*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20190233
RIGHT OF WAV PERMIT (6-EUC)
Permit Number: ENG20190233 Expiration Date: 12/06/2019
Job Address: 8920 192ND ST SW, EDMONDS Location: 8920 192nd St SW
PSF/Infras ource
P SE/In frasource
C/O Megan Carabba
C/O Megan Carabba
1660Park Lane
1660 Park Lane
Burlington, WA 98233
Burlington, WA 98233
(425)457-6353
LICENSE #: infras1871c2 EXP: 02/22/2021
Complete service replacement 5/8" PE gas service with new 1-1/8" PE gas service at 8920 192nd St SW. 2 (3x5) hard surface cuts.
Location of cuts are 11' S of CIL of 192nd St SW & 349' W of C/L of 89th PI W & 11' S of C/L of 192nd St SW & 325' W of GL of 89th PI
W.
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) 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 RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THE WORK.
• 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 DIAIA-DIG(1-800424-5555)BEFOREANYEXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREQUIREB FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
\ r Printed: Thursday, June 06, 2019
DATE
FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
ENG20190233
• 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 clearbore 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 pemvtted project.
• Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:OOam to 6:00pm 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 fromany and all claims for damages of
whatever nature, arising directly or indirectly fromthe issuance of this permit. Issuance of this pen -nit 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
PARTIAL INSPECTION DATE. INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
-'A/c. a.8910
ROW PERMIT NO.: ENG ��'� cl
ISSUE DATE: yv o
IIIGHT-OF-WAY CONSTRUCTION PECEIVED
PERMIT APPLICATION MAY 28 2019
PROJECT NAME: 109115123
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL871 C2
City Business License #: NR-019840
CONTACT: Megan Carabba NGINEEING DIVISION
Phone #: 360-333-9461
Fax #:
Email M megan.carabba@pse.com
-ElLiability Insurance 0 Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 8920 192nd St SW
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial Subdivision 0 City Project El 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) : Complete service replacement 5/8" PE gas
service with new 1-1/8" PE gas service at 8920 192nd St SW. 2 (3x5) hard surface cuts.
Location of cuts are 11' S of C/L of 192nd St SW & 349' W of C/L of 89th PI W & 11' S of C/L of 192nd St SW
& 325' W of C/L of 89th PI W.
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO Year: 1096]
PAVEMENT CUT: ® Yes ❑ No If yes, indicate size of cut: 3 x 5
CONCRETE CUT: ❑ Yes 0 No If yes, indicate size of cut: x
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs +
— Alley 72 Hrs +
Parking 72 Hrs +
LF
LF
LF
X
I X
1 X
LF
LF
LF
SF
SF
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 fo • the permit to be valid.
SIGNATURE ! DATE 5/28/20 1 9
c�4 tractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Job M
109115123
Date: ) Q - ?_ U, - 1 !2
Jurisdiction: Edmonds
Right of Way Permit? [YES El NO
Est. Start Date:
Est. Duration:
PRE -INSPECTION REPORT
Address: 8920 192nd St SW
City / Zip: Edmonds
Customer:
PM / Insp: CUST PHONE NUMBER
PHONE NUMBER
WORK DESCRIPTION:
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Construction Method
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Open Trench
Trenchless ❑
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Work Location
Size of Cut
Surface Type
f C L
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0'—FLAGGERS #
MPH ❑
TROLLY LINES El BUS STOP # El METER HOODS #
F] OFFICERS #
SPEED LIMIT ❑
TRAFFIC SIGNAL ❑ ARTERIAL ❑ NO PARKS#
El Pcrm-mercial El
Altered Commercial F-1
Leak Repair Service Information ❑ Template Bar
a Residential ❑
red Residential F-1
CP Work Diameter Meter EFV ❑ Bollards 2.5" #
F-1 Multi -Family [Z
Replacement Service [:]
Pothole El 5/8" [:] 250 0 1800 El' Bollards 4" #
F-1 New Constr. Fj
Main Maintenance Ej
Extension El 11/8" E] 425 F 2600
F-1 Stub F]
service maintenance
D 11/4" ❑ 630 ❑ 10,000 [:] FUEL LINE PERMIT NEEDED
R Extension P
valve maintenance
E] 2" ❑ 1000 Fuel Line Length:
F-1 Compete Sery F]
Cut & Cap
Mtr Loc: 01 Fuel Line Diameter:
010
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp 08/13/2019
gregory. harwood@pse. corn
(425)424-6425
GLd-Z
LEGEND
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28" TRAFFIC CONE
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WORK PIT
TRAFFIC FLOW
TtFLAGGER
WORKVEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW ROW
o <�'
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W20-1 `"
W20-4
SIGN SPACING
55 +
"X"
60/65
800
45/55
500'
35/40
350'
30
200'
25
100,
� lQ
0-7A �
0 W ZO-1
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
TEMPORARY TRAFFIC CONTROL PLAN
192ND ST SW
c
ti
0
N
N
1* PLACE SIGNS
41 BOTH SIDES OF +i
l WORK AREA
MINIMUM TAPER LENGTH=L (FT.)
LANE
WIDTH
20
25
POSTED SPEED (MPH)
30 35 40 45 50 55 60 65 70
10
70
105
150
205
270
475
500550
-
-
-
11
75
115
165
225
295
495
550605
660
-
-
12
80
125
180
245
320
540
600660
720
780
840
VL
PUGET
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ENERGY
JOB# 109115123
8920 192NS ST SW, EDMONDS, WA
05/21 /19
JOH N.CROFOOT@PSE.COM
425-424-6658
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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.
Use traffic drums (barrels) with steady burning
Type C lights on all State State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" 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 betweerf� a.m. and 4)p.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m.
8. Work area will be 11' SCL on 192nd St SW and 349'
WCL of 89th Ave W. Then 11' SCL on 192nd St SW and
325' WCL of 89th Ave W.