Issued ROW Permit (2).pdfG � 01C rY'O��
CITY OF EDMONDS
121 5TH AMWJE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
C. I8y
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20190067
•
Permit Number: ENG20190067 Expiration Date: 09/01 /2019
Job Address: 23313 HUMBER LN, EDMONDS Location: 23313 Humber Ln
PSE/Infrasource 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 #: infras1871c2 EXP: 02/22/2019
JOB DESCRip'noN
Work area is approx 1 P w c/1 of Humber Ln to P W to 16E c/1 of Humber Ln & 403N c/1 Nottingham Rd. (2) 3x5 paving & s oft surface
also (1) 3x4 soft surface to install gas service.
DISRUPTION INFO11MATION
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: ( OX0) 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 OF ONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THE W O RK.
• 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 ANYEXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
APPLICATION APPROVAL, I
THIS APPLICATION ISNOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER ORHISMER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Friday, March 01, 2019
f�iLi��c:a� 311Zl�
RELEA-15EViTY DATE
❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
ENG20190067
• 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 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 I0:00am 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-Engineering Final
PARTIAL INSPECTION
PARTIAL INSPECTION
FINAL INSPECTION APPROVED
DATE:
DATE:
DATE:
INITIAL: NOTES:
INITIAL: NOTES:
INITIAL:
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
109120418
2/15/19
EDMONDS
Yes
4/22119
1 Day (8 Hours)
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / zip:
Customer:
PM / Inspector:
23313 HUMBER LN
EDMONDS, 98020
BARRY FAIGEL 206.459.7101
Kevin Williams 425-398-6192
Job Description / Scope of Work
Upsize meter at 23313 to AL-425 at current location, Also De -couple twin to 23303 and run full
New Construction:
altered sevice(40' scat stub with 60' scat extension)re-hang excisting meter in current location
No
@ Inches
Construction Method
All Scat / Trenchless
PLAT Map: 164.062
N
W
W
CD
y
3 fn
Icy
L1 -} 1-1/8" PE 1999
Re -Hong
I
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I
1,393 �l
5/3" PE
upsize to A425 199
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344 N I
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;A I I 5/E
195
1
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1 r1�.ST MItINZh/N r6 P-A,101 uNt �j(' r�' ti01LIZe
392' N I.
V f>47 I (_AL SI]Z IPA /1+1 1 Ozll 1=-i2, m Cr1? 4-
S.ID. �TiLi�IGx
• 23321
Work Location
Size of Cut
Surface Type
11'
W
of CL
Humber LN
&
403'
1 N
of CL
Nottingham RD
3x5
Asphalt/Soft
1'
W
of CL
Humber LN
&
403'
N
of CL
Nottingham RD
3x5
Asphalt
16'
E
of CL
Humber LN
&
403'
N
of CL
Nottingham RD
3x4
Soft
of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Arterial:
Altered Residential Svc
EFV:
1-1/8" - 2600 - 9999144
Police #:
TCP:
Yes
Tie -In Fitting
Meter:
Speed Limit:
25
No Parks #:
yes
Meter Loc:
03 - OL
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
2.5" # 1 1 4" #
ADA Ramps #:I
Route #'s:
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
TEMPORARY TRAFFIC CONTROL PLAN
W3
N
V
D
.rn
CREW SHALL POTHOLE
FOR WATER MAIN DEPTH
PRIOR TO PROJECT START
CREW SHALL POTHOLE
FOR SEWER MAIN DEPTH
PRIOR TO PROJECT START
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'V 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 I V WCL of HUMBER LN & 403' NCL
of NOTTINGHAM RD; 1' WCL of HUMBER LN & 403' NCL
of NOTTINGHAM RD.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
PUGET
AP SOUND
ENERGY
JOB# 109120418
23313 & 23303 HUMBER LN, EDMONDS, WA
FEBRUARY 19TH 2O19
john.herman@pse.com
425-424-7807
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NOTTINGHAM R9
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SIGN SPACING
CHANNELIZATION
DEVICE SPACING
MPH W
60/65 i 1000'
MPH
I TAPER
TANGENT
45/55 1 500'
55/70
40
80
35 350'
35/45
30
60
30 200'
25 1 oo'
25/30
20
40
® 28" TRAFFIC CONE
i WORK PIT
b TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
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
TEMPORARY TRAFFIC CONTROL PLAN
W3-K
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' 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' WCL of HUMBER LN & 403' NCL
of NOTTINGHAM RD;1' WCL of HUMBER LN & 403' NCL
of NOTTINGHAM RD.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
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PUGET
SOUND
ENERGY
JOB# 109120418
23313 & 23303 HUMBER LN, EDMONDS, WA
FEBRUARY 19TH 2O19
john.herman@pse.com
425-424-7807
Sheet 2of2
ROBIN HOOD DR
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I I FOR STORM MAIN DEPTH
PRIOR TO PROJECT START
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WORK o
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SIGN SPACING
CHANNELIZATION
DEVICE SPACING
MPH
lx•
60/65
1000'
MPH
TAPER TANGENT
40 80
45/55
500'
55/70
35/40
350'
30 60
30
200'
35/45
25
1
100'
25/30
20 40
W
28" TRAFFIC CONE
off
WORK PIT
b
TRAFFIC FLOW
Nr
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW ROW-
J of EL),{,rr, -
INC. 1,
FEB 212019 ROW PERMIT NO.: ENG
ISSUE DATE: o
ENGINEERING UIVi310N
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109120418
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: 23313 Humber Ln
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?
❑ Oth er
❑ Yes ❑* No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 11' w c/I of Humber Ln
to 1' W to WE c/1 of Humber Ln & 403'N c/l Nottingham Rd (2) 3x5 paving & soft surface also (1) 3x4
soft surface to install gas service
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES 0 NO Year:1090
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
LF
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
ON.ti.—w�sec�o. �en++.q Depanmenl, ou=Munidpa1 02/21 /2019
SIGNATURE Relation .wauu��64ppwwm,o-US DATE
Dale: M 9 02 21 0359-08,00'
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE