Issued ROW Permit ENG20190223.pdfov ED,y
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
�n o 1 gqo PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20190223
RIGHT OF WAY PERMIT (6-EUC)
Permit Number: ENG20190223 Expiration Date: 11 /27/2019
Job Address: 219 6TH AVE S, EDMONDS Location: 219 6th Ave S
APPLICANT
PSE/Infras ource
CONTRACTOR
P SE/In frasource
C/O Megan Carabba
C/O Megan Carabba
1660 Park Lane
1660 Park Lane
Burlington, WA 98233
Burlington, WA 98233
(425) 457-6353
LICENSE #: infrasl87lc2 EXP: 02/22/2021
From2" PE main run new complete 1-1/8"
PE gas service to single family home (50' scat stub with 50' scat e)dension) set 425 meter OFL
@ inches at 219 6th Ave S. 1 (3x6) and 1 (2x4) hard surface cuts anticipated.
ASSESSED VALUE:
SIDEWALK: (OXO )
PARKING: ( OXO )
ALLEY: ( OXO
$0.00 PROPERTY AREA: 0
DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
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 OF ONEYEAR 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 DIAIrA-DIG (1-800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HO UR NO TICE REQUIRED FOR ALL INS PEC TIO N 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.
RELEASED BY
Printed: Tuesday. Mav 28.20
DATE
❑ FILE COPY INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
ENG20190223
• Restore ROW to City standards
• Restore Landscape to like orbetter 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 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 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 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.
• E-Traffic Control
• E Final Restoration
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL.
of EDA,1() .
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ROW PERMIT NO.: ENG
— �-
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106354099
CONTRACTOR: PSE/Infrasource
CONTACT: Megan Carabba
Phone #: 360-333-9461
Mailing Address: 1660 Park Lane, Burlington, WA 98233 Fax #:
State License #: INFRASL871 C2 Email M megan.carabba@pse.com
City Business License #: NR-019840 ❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 219 6th Ave S
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family X❑ Single Family n Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes ❑* No
ANY ASSOCIATED PERMITS? I I BLD#_ ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) :
From 2" PE main run new complete 1-1/8" PE gas service to single family home (50' scat stub with 50'
scat extension) set 425 meter OFL @ inches at 219 6th Ave S. 1 (3x6) and 1 (2x4) hard surface cuts
anticipated.
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO Year:1066
PAVEMENT CUT: N Yes ❑ No If yes, indicate size of cut: 3 x 6
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
LF
SF
Alley 72 Hrs + LF
X
LF
LF
SF
Parking 72 Hrs + LF
X
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 f r thee )ermit to be valid.
SIGNATURE DATE 5/17/2019
11-Wntractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Puget Sound Energy Gas Pre -Inspect Form
Job #:
106354099
Date:
4/16/19
Address:
Jurisdiction:
EDMONDS
City/Zip:
ROW Permit:
Yes
Customer:
Est. Start Date:
7/8/19
PM / Inspector:
Est. Duration:
1 Dav (8 Hours)
2196THAVE S
EDMONDS, 98020
CASEY NEUMAN 425-350-0004
Kevin Williams 425-398-6192
Job Description Scope of Work
From 2" PE main run new complete 1-1/8 service to single family home(50' scat stub with 50'
New Construction:
scat extension) set 425 meter OFL @ Inches
No
Construction Method
All Scat / Trenchless
PLAT Map: 163.066
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610
616
Work Location
Size of Cut
Surface Type
21'
W
of CL
6th AVE S
&
72'
N
o/`CL
Maple ST
3x6
Asphalt
11'
E
of CL
6th AVE S
&
72'
N
of CL
Maple ST
2x4
Asphalt
Of CL
&
of CL
Of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Arterial:
New Residential Svc
EFV:
1-1/8" - 2600 - 9999144
Police #:
TCP:
Yes
Tie -In Fitting
Meter:
A425
Speed Limit:
25
No Parks #:
Yes
Meter Loc:
02 - OFL
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
-----
I
Traffic Signal:
Bus Stop:
Bollards:
—
2.5" #
I
FV #_7
ADA Ramps #:
Route #'s:
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
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.
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 betweenj a.m, and q)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 21' WCL to 35' ECL 6th Ave S &
72' NCL Maple St.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
TEMPORARY TRAFFIC CONTROL PLAN
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SIGN SPACING
55+
"X,
60/65
800
45/55
500'
35/40
350'
30
200'
25
100'
CHANNELIZATION
DEVICE SPACING
MPH TAPER TANGENT
55/70 40 80
35/45 30 60
25/30 20 40
PUGET
SOUND
ENERGY
JOB# 106354099
219, 6th Ave S Edmonds, WA
14th May, 2019
prachi.joshi@pse.com
425-424-7806
SHEET 1 of
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LANE
WIDTH
20
MINIMUM TAPER LENGTH=L (FT.)
POSTED SPEED (MPH)
25 30 35 40 45 50 55 60 65 70
10
70
1 105
150
205
270
475
500550
-
-
-
75
115
165
225
295
495
550605
66080
F
125
180
245
320
1540
600660
720
780
840
LEGEND
®
28" TRAFFIC CONE
'f
WORK PIT
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
I
SIGN LOCATION
RIGHT OF WAY
ROW ROW—
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
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.
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 16' for
traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between] a.m. and &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' ECL 6th Ave S & 72' NCL
Maple St.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
TEMPORARY TRAFFIC CONTROL PLAN
1
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Q mom
nwnu W
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TOIV AFYAYnRE.4
MAPLE ST
0
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100' - ;
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11
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11
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1 1
1,
1 1 i
II
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1 1
11
1 1
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11
SIGN SPACING
55 +
X.
60/65
800
45/55
500'
35/40
350'
30
30
200'
100'
Et
PUGET
SOUND
ENERGY
JOB# 106354099
U) 219, 6th Ave S Edmonds, WA
Q 14th May, 2019
prachi.joshi@pse.com
425-424-7806
SHEET of
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AHEAD
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
MINIMUM TAPER LENGTH=L (FT.)
LANE
POSTED SPEED (MPH)
WIDTH
20
25
30 35 40 45 50 55 60 65 70
10
701
105
1150 12051270147515001550 1 - I - I -
11
75
115
165
225
295
495
550605
660
-
I -
12
80
1 125
180
245
720
17801840:11
LEGEND
®
28" TRAFFIC CONE
I�
WORK PIT
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW ROW—