Issued ROW Permit ENG20190219.pdfV�A O,. LY �2N
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
one I wo, PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20190219
RIGHT OF WAY PERMIT (6-FUC)
Permit Number: ENG20190219 Expiration Date: 11 /25/2019
Job Address: 8725 MADRONA LN, EDMONDS Location: 23404 88TH AVE W (UNINCORPORATED
COUNTY)
PSF/Infrasource
C/O Susan att: Sidick
P SE/Infrasource
C/O Susan att: Sidick
1660Park Lane 1660 Park Lane
Burlington, WA 98233 Burlington, WA 98233
(425) 45 7-6353
LICENSE #: infrasl871 c2 EXP: 02/22/2021
.JOB DL—SCRIPTION
Cut and cap existing 3/4: STW service back at the main at 23404 88th Ave. W. 1 (3x5) hard surface cut anticipated.
, 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 ofEdmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds 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 (1-800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NO TIC E REQ UIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOT PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Friday, May 24, m
DATE
FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED ENG20190219
• 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 fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm 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 fromthe 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.
• &Final Restoration
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
1 of EDAy0l�
IR
MAy �'7 2019
ENGMEERIING ON►S10N
ROW PERMIT NO.: ENG 7
ISSUE DATE: 2y
i RIGHT-OF-WAY CONSTRUCTION
IA, .' 6oO PERMIT APPLICATION
PROJECT NAME: 108614178 CONTACT: Megan Carabba
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL871 C2
City Business License #: NR-019840
Phone #: 360-333-9461
Fax #:
Email #: megan.carabba@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION:
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project Ll Traffic Control (Only)
❑ Multi -Family ❑X Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes F*_1 No
ANY ASSOCIATED PERMITS? I I BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) :
Cut and cap existing 3/4: STW service back at the main at 23404 88th Ave W. 1 (3x5) hard surface cut
anticipated.
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO Year:108fd
PAVEMENT CUT: ® Yes ❑ No If yes, indicate size of cut: 3 x 5
CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: x
RIGHT-OF-WAY
AREA
CLOSURE
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF
X
X
LF
LF
SF
SF
Alley 72 Hrs + LF
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 fo Ise permit to be valid.
SIGNATURE b DATE 5/17/201 9
tractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
108614178
5/3/19
Edmonds
6/24/19
112 Day (4 Hours,
Puget Sound Energy Gas Pre -Inspect Form
Address:
23404 88TH AVE W
City / Zip: Edmonds, 98026
Customer: RICK BYNUM (425) 299-8877
PM / Inspector: Brian Buschbom (425) 659-0673
Job Description Scope of Work
Second Trip - C&C existing 3/4" STW service back at the main. SEE CP NOTES.
New Construction:
0
Construction Method
C&C
PLAT Map: 166068
P/L ROW 60 F
P/L
I C/L
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0
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23404
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I N M
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I 3/4"STW
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00
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to
Madrona LN
Work Location
Size of Cut
Surface Type
18'
East
of CL
188th Ave W
&
102'
North
I of CL
IMadrona Ln
3'x5'
Asphalt/Soft
Of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
3/4" STW
Flaggers #:
Arterial:
Cut & Cap
EFV:
10
Police #:
TCP:
Tie -In Fitting
Meter:
Speed Limit:
No Parks #:
Meter Loc:
0
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
2.5" # 1 4" #
ADA Ramps #:
Route #'s:
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08113/201 °
gregory.harwood@p:
(425)424-64�/22�5
ff..'/T.
CHANNELIZATION
DEVICE SPACING
MPH TAPER
TANGENT
55/70 40
80
35/45 30
60
25/30 1 20
40
TEMPORARY TRAFFIC CONTROL PLAN
233RD PL SW
N
44
----gib---------
PUGET
SOUND
ENERGY
JOB# 108614178
23404 88th ave W
5/13/19
ninguez@pse.com
425-424-6425
SHEET 1 of 1
I
1 (233RD PL SW
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 Routes and Hwys.
Q
4. Sign size can be a minimum of 36" x 36" and shall
CID
not obstruct pedestrian access.
°p
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 #jp.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m
j
8. Work area will be 18' E CL of 88th ave W & 102' N CL
of Madrona Ln.
PARKING
9. If used, place NO -PARK signs 72 hours in
rov na_F �
n,vFv
advance of the day that the work is to be done.
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HOULDE
WORK
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WORK
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MNGifEL6RN\IG DIV16KON
APPRO ED AS NOTED
n.-�"*
LEGEND
® 28" TRAFFIC CONE
I� WORK PIT
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
— Row ROw—