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Issued ROW Permit Revision 3.21.19.pdff CITY OF EDMONDS L J 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20190071 RIGHT OF WAY PERM IT (6-EUC) Permit Number: ENG20190071 Expiration Date: 09/06/2019 Job Address: 20105 MAPLEWOOD DR, EDMONDS Location: 20105 MAPLEWOOD DR PSE/Infras ource P SE/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 #: infrasl871 c2 EXP: 02/22/2019 Work area is approx 21' W to 8' E c/l of Maplewood Dr. & 80' N c/1 of Cascade Dr. (1) 3x5 gravel and (1) 3x5 paving cut anticipated to install gas service. Revision: e)dended to 110' N c/l of Cascade Dr. 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 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. THE CONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THE FINAL 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 DLAL-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 NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED. Printed: Thursday, March 21, 20191 PELEA4PYL9Y DATE ❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY STATUS: ISSUED ENG20190071 • 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 pemutted 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. • E Final Restoration • E-Engineering Final PARTIAL INSPECTION PARTIAL INSPECTION FINAL INSPECTION APPROVED DATE: DATE: INITIAL: NOTES: INITIAL: NOTES:_ DATE: INITIAL: Of 1:U,k1( - ) . jNC. 1 sgo ROW PERMIT NO.: ENG 1,/ n ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION i(� CEIVE PERMIT APPLICATION MAR 212019 ENGINEERING DIVISION PROJECT NAME: 106350826 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871 C2 City Business License #: NR-025677 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax #: Email #: Susan.Sidick@pse.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 20105 Maplewood Dr ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only) ❑ Multi -Family ❑X Single Family ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ANY ASSOCIATED PERMITS? ❑ Other ❑ Yes ❑A No BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 21' W c/1 of Maplewood Dr & 8' E c/I of Maplewood dr to 110' N c/I of Cascade Dr (1) 3x5 gravel cut and (1) 3x5 paving cut anticipated Permitted under # ENG20190071. Permit updated with additional job scope WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES 0 NO 106COI 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 LF SF Alley 72 Hrs + LF X SF Parking 72 Hrs + LF X JLF 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. D'e Susan Sidick naM.Ibfs.a+� DN: c�•\'ain G6G.. .Pnma•op Depatlmenl, °u=Municipal 03/21 /2019 SIGNATURE : `.�"w`.n`0700 `am. U3 DATE Dale: T i0 O] ]� 11013. %00' Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Job #: Date: Jurisdiction: ROW Permit: Est. Start Date: Est. Duration: 106350826 2/19/19 edmonds Yes 4/1 /19 1 Day 8 Hours) Puget Sound Energy Gas Pre -Inspect Form Address: 20105 MAPLEWOOD DR City / zip: Edmonds, 98026 Customer: Aaron Cummings 425-361-6591 PM / Inspector: Brian Buschbom (425) 659-0673 Job Description Scope of Work Off of 2" STW main in Maplewood Dr - Install an all new 1-1/8" PE service ( 54' Scat ROW / 35' NewConstruction: Plat Prop) and then set an A425 O/L. Yes Construction Method Scat ROW / Plat Property PLAT Map: 162068 t' E C I V E D P/L ROW 60 FT P/L CII_ ' MAR 212019 •g 4Po ENGINEERING DIVISION r . j r • . ———— I + I I 20105 I • r � IL • • •; a. S Call for Locates l It • ti Verify Clear Bore Crossings - ---i -Must maintain a minimum 5' Horizontal & 1' • % vertical separation from city utilities. 1 � � 1 ti � • a • Cascade Dr Work Location Size of Cut Surface Type 21' West of CL Maplewood Dr & 110' North of CL Cascade Dr 3'x5' Gravel 8' East of CL Maplewood Dr & 110' North of CL Cascade Dr 3'x5' 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: Tie -In Fitting Meter: A425 Speed Limit: No Parks #: Steel - 1" Sery x 1/8" PE Outlet (MOP) 125 (3/4" Cutter) Meter Loc: 08 - OR Trolley Lines: Mtr Hoods #: Del Press: 6" W.C. Traffic Signal: Bus Stop: Bollards: 2.5" # 1 4" # I ADA Ramps #:I I Route #'s: Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com TEMPORARY TRAFFIC CONTROL PLAN 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 between-9 a.m. and &.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 on Maplewood Dr and 80' NCL on Cascade Dr. Then 8' ECL on Maplewood Dr and 80' NCL on Cascade Dr. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. CASCADE DR Q4°'2 N_ V NJ N i PUGET SOUND ENERGY JOB# 106350826 20105 MAPLEWOOD DR, EDMONDS, WA 98026 02/20/19 JOHN.CROFOOT@PSE.COM 425-424-6658 SHEET 1 of 2 �- &20-2 o 0 I I•• I C:=3 9NIK2Nd ® I I I pARKNG p O 20105 �-RECEIVING PIT MINIMUM TAPER LENGTH=L (FT.) LANE POSTED SPEED (MPH) WIDTH 20 25 30 35 40 45 50 55 60 65 70 10 70 1105115012051270 475 500 550 - - 11 75 115 165 225 295 495 550 605 660 - 12 80 125 180 245 320 540 600 660 720 780 840 ------------------ A ------- -I --------------- r---- 202ND PL SW CIL - - - - 15111 Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com TEMPORARY TRAFFIC CONTROL PLAN 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 between-0 a.m. and i6p.m unless otherwise specified. All work for arterials and major roadways will be from 9 a.m. to 3 p.m o 8. Work area will be 21' WCL on Maplewood Dr and 80' NCL on Cascade Dr. Then 8' ECL on MaplewoW Dr and 80' NCL on Cascade Dr. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. a�� CASCADE DR "--A, N 0 D - — - — - — - — -- -- - — -- — - — -- --- LEGEND ® 28" TRAFFIC CONE WORK PIT TRAFFIC FLOW FLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW ROW— ,00 L ' .001. 1,00 =oo 0a �0 OO m W20-1 m W20-7A CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 MINIMUM TAPER LENGTH=L (FT.) LANE WIDTH 20 25 POSTED SPEED (MPH) 30 35 40 45 50 55 60 65 70 10 70 105 150 205 270 475 500 550 - I - - 11 75 115 165 225 295 495 550 605 660 - - 12 80 125 180 245 320 540 600 660 720 780 840 PUGET SOUND ENERGY JOB# 106350826 20105 MAPLEWOOD DR, EDMONDS, WA 98026 02/20/19 JOH N.CROFOOT@PSE.COM 425-424-6658 ' C-ZO-2 t 20105 EIVING PIT CONTRACTOR TO POTHOLE EXISTING UTILITIES PRIOR TO WORK START 1� ,\ �o N pH� _ 11\ o YjO N O C�Zo-Z� 1 1� I �I I I I i I SHEET 2 of 2 V!" --- --- ! --------------- ------- J----- 1------------------------t----1-- 202ND PL SW vA, o, rV CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED /NG20190071 � Permk Number: ENG20190071 Exp' tion Date: 09/06/2019 Job Address: 20105 MAPLEWOOD DR, EDMONDS Location: 105 MAPLEWOOD DR APPLICANT CONTRACTOR PSE/Infras ource P SE/Infrasource Q GO Susan att: Sidick C/O Susan att: Sidick �( 1660Park Lan e 1660 Park Lane -++ Burlington, WA 98233 Burlington, WA 98233 (425)457-6353 LICENSE #: infrasl871 /EXP:22/2019 Work area is approx 21' W to 8' E c/l of Maplewood Dr. & 80' N c/1 of Cascade Dr. (1 x6 gravel and (1) 3x5 paving cut anticipated to install gas service. 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: $O. YEAR OF OVERLAY: 0 FEE: $0 00 ALLEY: (OXO) DURATION IN MONTHS: 0 FEE: $ 0 INDEMNITY The Applicant has signed an application which .sta s he/she holds the City of Edmonds harmless from injuries, damages or claims ofany kind or description whatsoever, forese r or unforeseen, that may be made against the City of Edmonds or any ofits departments or employees, including but not limited o the defense ofany legal proceedings including defense costs and attorney fees by reason ofgranting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANfP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OFTHEWORK. • Traffic Control and public safety shall be in acc dance with City regulations as required by the City Engineer. Every flagger must be trained as required by (WAC) 296-155-305 id must have certification verifying completion of the required training in their possesion. • Restoration is to be in accordance with Ci codes. All street -cut trench work shall be patched with asphalt or City approved material prior to the end of the workday- O EXCEPTIONS. • Three sets of construction drawings o roposed work are required with the permit application. CAL JAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT.1326 4 HOUR NOTICEREQUIRED FOR ALL INSPECTION RFQ I`RSTS THIS APPLICATION IS NOTA PERM UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN SPACE PROVIDED Printed: Wednesday, March 06, 2019 3/6/2019 RELEASED BY DATE ❑ FILE COPY ew INSPECTOR COPY D APPLICANT COPY STATUS: ISSUED ENG20190071 • 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 c trol requirements. • Applicant shall repair/replace all damage to utilities or frontage improvements ii ity 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 ofco traction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekd sand 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating om construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted purl nt to ECC 5.30.120. • Applicant, on behalf of his or her spouse, heirs, assigns, and succe ors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employe , and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance f this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinan not limit in anyway the City's ability to enforce any ordinance provision. • E-Final Restoration • E-Engineering Final PARTIAL INSPECTION DA PARTIAL INSPECTION DA FINAL INSPECTION APPROVED DA INITIAL: NOTES: INITIAL: NOTES: INITIAL: of EU,trp���� �Nc. 1 s90 FEB 2 6 2019 ROW PERMIT NO.: ENG ),O c 671 I r-r-RINS VISION ISSUE DATE: 3 ENG RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106350826 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871 C2 City Business License #: NR-025677 CONTACT: Sue Sidick Phone #: 425-457-6353 Fax #: Email #: Susan.Sidick@pse.com Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 20105 Maplewood Dr ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only) ❑ Multi -Family ❑X Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes *❑ No ANY ASSOCIATED PERMITS? BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 21' W to 8' E c/1 of Maplewood Dr & 80' N c/I of Cascade Dr. ()1) 3x5 gravel and (1) 3x5 paving cut anticipated WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO ❑ Year: 106iy 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 LF LF SF Alley 72 Hrs + LF X 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. Susan Sidick RaialY.q.""' "'� 02/26/2019 OWc &l S*M wwme.q Npan i, ou=Munitlpel SIGNATURE Da,:2°` 02M1 :18-M' ".�m,`=°5 DATE oafs: zois oz zs ta:ze:ia-oe•ao• Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Puget Sound Energy Gas Pre -Inspect Form Job #: 106360826 Date: 2/19/19 Address: 20105 MAPLEWOOD DR Jurisdiction: edmonds City/Zip: Edmonds, 98026 ROW Permit: Yes Customer: Aaron Cummings 425-361-6591 Est. Start Date: 4/1/19 PM / Inspector: Brian Buschbom (425) 659-0673 <� Est. Duration: 1 Day (8 Hours) Job Description Scope of Work Off of 2" STW main in Maplewood Dr - Install an all new 1-1/8" PE service (54' Scat ROW / 35' New G(onstruction: Plat Prop) and then set an A425 O/R. Yes Construction Method Scat ROW / Plat Property PLAT Map: 162068 � C_.kLL. I-OCA-7 ES GI.�A(L &(C(% 0-0$9 S ROW 60 FT PIL ` P/L ..�C MQ S2 KA-i /V 1 hl/J A, MIN, tl0 S ' 110 12E SC�iAR ioN '= 0 N ,v, o � VJ-T GITItS U� a , ` I i 20 5 ------------- ` --------- I ' sa ; I 35 ti ascade Dr Work Location Size of Cut Surface Type 21' West of CL Mapj wood Dr & 80' North of CL Cascade Dr 3'x5' Gravel 8' East of CL TP- Maplewood Dr & 80' North of CL Cascade Dr 3'x5' Asphalt Of CL & of CL Of CL & of CL Of Of & of CL Service Information Street Information Job Type Diameter: 'IF--1/8" PE Flaggers #: Arterial: New Residential Svc EFV: 1-1/8" - 2600 - 9999144 Police #: TCP: Tie -In Fitting Meter: A425 Speed Limit: No Parks #: Steel 1" Sery x 1/8" PE Outlet (MOP) 125 (3/4" Cutter) Meter Loc::' 08 - OR Trolley Lines: Mtr Hoods #: Del Press: 6" W.C. Traffic Signal: Bus Stop: Bollards: 2.5" # 1 14" # I iADA Ramps #: Route #'s: