Issued ROW Permit (2).pdfv A 0`. LY 0,.v,
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 ENG20190052
RIGHT OF WAYPERMIT (6-EUQ
Permit Number: ENG20190052 Expiration Date: 08/19/2019
Job Address: 8112 208T l PL SW, EDMONDS Location: 8112 208th PL SW
PSF/Infras ource
P SE/In frasource
C/O Susan att: Sidick
C/O Susan att: Sidick
1660 Park Lane
1660 Park Lane
Burlington, WA 98233
Burlington, WA 98233
(425) 45 7-6353
LICENSE #: infrasl871 c2 EXP: 02/22/2019
Work area is approx 14' S c/l of 208th PL SE & 192' E c/1 of 82nd AVE W (1) 3x5 paving cut anticipated dig up and verify cut and cap
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 1 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
attorneyfees by reason ofgranting thispermit.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR 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 DIAIrA-DIG (1 -800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICE REQUIRED 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.
A = bi1-YA
Printed: Tuesday, February 19. 2019
s ;�LC/ / t "I
DATE
❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
ENG20190052
• 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.
• 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 linfits 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 from the 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
• &Engineering Final
PARTIAL INSPECTION DATE: INITIAL. NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
October 17, 2017 EMERGENCY PRE -INSPECTION FORM
108610535 Address: Zog PL, >>.
Job #: --_ City / zip: C L r n n�L ^ _ 98026
Date: /L"' ! Customer: N/A
Jurisdiction: Edmonds PM /InsR PRONE NU
yr,�. Mat Metz 425-CUSTOFA463-6759
p:F�t;nlJ_ a. �ti�irt �
Work Description 17: s
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Construction Method
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KETCH
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Location
51ge of Cut
Surface Tyne
14/'N®bfCL
&L2LOWofCL
5l,A i*u-z W
3YSr
�� jn
r0,
'N S of CL
& 'E W of CL
'NSofCL_
& 'EWofCL
3/4" STW-U
1965
5/8" PE
1991
Y;
2" STW I 14'S
" STW I 14'S
1 �651 1965
w �
w 8806-1966
10S
j2'S
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0
5/8" PE
w 1976
8112
3
0
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1 /2" STW-U
97'S 5/8" MPE
CL
o
8132
1972
0 2000
Lu
o
i
Q4S
o
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N
8114
D
20825
5/8" MPE
2000
m
o electric grid information available
60068, Q 163069
-24-2019
nf_..,•,-. onthecffachedmap--k..!to.harps mf11W1 notico. Npef Sountl Ena!pr �rw wmoW,a�.ecetlaimplietl. concerning
:'Thisinforrnafioolwaey DVpCx ReTMipirJ p��lo Aot O6C4T0}hi5 confWM=.pINWRCLOn 10 U1�'OW .—d. nd. O
5/8" MPE
2004
208TH PL SW
2" STW I 14'S
8806-1966
3/4" STW-U
1966 Zt
20820
8116
5/8" MPE
— )nnn
Scale 1:450
Lat\Long=47.8099,-122.343
1 /2" STW-U
1971
11'W
31'S
32'S
138'S
15(DO
QPUGET SOUND ENERGY
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
V
PLACE SIGNS
BOTH SIDES OF
WORK AREA
208TH PL SW
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
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 Work area will be 14' SCL of 208th PI
SE & 192' ECL of 82nd Ave W.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
a N
PUGET
SOUND
ENERGY
JOB# 108610535
8112 208th PI SW, Edmonds, WA 98026
1 /28/2019
safaa.neema@pse.com
(425) 398-6077
SHEET 1 of 1
=>
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
FLASHING LIGH'
SIGN LOCATION
00
0
2
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Of EL),�,Ir_).
-rvC. 1 you
ROW PERMIT NO.: ENG t) 19
ISSUE DATE:_
MaINtthING DIVISION
RIGHT-O&WAY CONSTRUCTION
PERMIT APPLICATION
FFg 07 2019
PROJECT NAME: 108610535
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: 8112 208th PL SW
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 ❑* No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 14' S c/1 of 208th PL SE
& 192' E c/1 of 82nd AVE W ( 1) 3x5 paving cut anticipated dig up and verify cut and cap
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES El NO 108nl
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 D° " °' d-.4-'�
DN. u.•]:iun Gdc•_ c•Ppm.n.p Depa1manl, ou=Municipal 02/04/2019
SIGNATURE "�"•'"" °`"°`"'.`°m'FUS DATE
Dae xiso7oi a ioN -Data
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE