Issued ROW Permit.pdf4'o
01.rCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
�Io PHONE: (425) 771-0220 - FAX: (425) 771-0221
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*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20190046
RIGHT OF WAV PERMIT (6-EUQ
Permit Number: ENG20190046 Expiration Date: 08/07/2019
Job Address: 8716 188TH ST SW, EDMONDS Location: 8716 188TH ST SW
PSF/Infras ounce
P SE/In frasource
C/O Susan att: Sidick
C/O Susan att: Sidick
1660Park Une
1660 Park Lane
Burlington, WA 98233
Burlington, WA 98233
(425)457-6353
LICENSE#:infras187lc2 EXP:02/22/2019
Work area is approx290' E c/1 of 88th Ave W & 20' N to 20' S c/1 of 188th St SW. (2) grass/ dirt cuts 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: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
ALLEY: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00
INDEMMTY.• 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
THIS APPLICATION IS NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Thursday, February 07,201
1 V V k�j.S Z/ 7 l t
e
REL'PASED BY DATE
0 FILE COPY ❑ INSPECTOR COPY 7 APPLICANT COPY
STATUS: ISSUED ENG2019O046
• 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 pemritted 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.
• Works hours limited to 8am-2:30pmM-F (Due to school hours).
• 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.
• E-Final Restoration
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPEC17ION APPROVED DATE: INITIAL:
Job M
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
Puget Sound Energy Gas Pre -Inspect Form
106352032
1/29/19
Edmonds
Yes
Cycle C
1-112 Days (12 hours)
Address:
City / Zip:
Customer:
PM / Inspector:
8716 188th St SW
Edmonds, 98026
Select Homes 425 742-6044.
Jordan Cooper 425-623-5302
Job Description / Scope of Work
From 2" STW IP 20' N Main (67C418-1967) Run Scat/Plat 1 1/8 PE Service 80' (50' Stub and 30'
Ext) and Set A630 OR On New Construction Home. 60' ROW. See Attach GIS Map. Keep 5'
Horizontal & 1" Vertical Seperation From Edmonds Utilities
New Construction:
Yes
Construction Method
Scat ROW / Plat Property
PLAT Map: 161068—
N
188th St SW
_ PL,
II
1-118- PE
8716 188th St SW A630
ly Lo U t b s
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�A.-nnh (,l�C�f v"tlt.t-tc( M14INS.
Work Location
Size of Cut
Surface Type
290'
E
of CL
88th Ave W
&
1 20'
N
of CL
188th St SW
3x5
290'
E
of CL
88th Ave W
&
20'
S
of CL
188th St SW
3x5
of CL
&
of CL
of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Y
Arterial:
N
New Residential Svc
EFV:
1-1/8" - 2600 - 9999144
Police #:
N
TCP:
Y
Tie -In Fitting
Meter:
A630
Speed Limit:
25
No Parks #:
Y
Meter Loc:
0
Trolley Lines:
N
Mtr Hoods M
N
Del Press:
6" W.C.
Traffic Signal:
N
Bus Stop:
N
Bollards: 1
2.5" # 47 # F
ADA Ramps #:I
N I
Route #'s:
N
1
�
t
8606
-'� 1995MPE1 '
t
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18625
® 11995MPE
1
1/2"STW-U
1971
'
i
1
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-
I
3�4" STW-U 1 1
5/B" PE
1989
1
I
1964
8903
a
8708 8702
1
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5/8" PE
1994 R1'
- 113'S
///���, 5/11" PE
1 8709 rye' 1994
/MPE
20
8614
8610
�\
I 18713
18722
2217S
T ♦-_1 YE OM
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8628
5/8" MPE
2002
18710
98'E
8821
5/8" MPE i
1999 ®
8617
a
1989PE
18715
a
a
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5/8"PE
SQ 1989
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a 1989 �--` -
P
8601
SSMPE 8709
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8829
1 /2" STW-U
1969ST
W-U
1969
18717
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1998
8615
8609
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1988
3
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p
18808
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18802
d
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w
18801
8818
18807
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12SS1
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1I6S
O
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5/8" PE
1990
1275
®19999 4
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11--
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18805
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18815
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18806
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=
® 1990�11
00
2003
18820
0
1881018807
12653
1 I/B"MPE 2007-E
2003MPEI265'S
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2007 EPE
pp
N 18821
305 S
------- -
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5/8" PE
—r� 1990
8711
18826
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18829 5
4J 1984 i
18904
18903
a•o-uc �
23'N
_
No electric grid information available
Scale 1:1207
S 160068, Q 161068
01-30-2019
Lat\Long=47.8287,-122.3517
0
PUGET SOUND ENERGY
*... am.er ra oc a-.,.t rninsy
tno uslarnwtlon on tno attached rr=p n sublOCt to ChangB wlltl0ut rwllce. Puget SOurld Energy makes n0 WOIf1'. *,ossed or knpfi? lL concerning
Iho sWlabWly of This Wamolbn for any pupoio. Roctplonl ogrooi to nol tlttcbse Ihh conikJentbl kdormolbn to MY olhor parson or onlity.
uNeu oulhorhed In wrllktg by Pugol Sourxl Energy. Thh map b not to be vied for dotormhhg the xtud location of any PSE facilities (cot 811)."
Puget Sound Energy
Traffic Control Supervisor:
Stephen R Gadke
Card No 010741
Exp.5/31 /2021
stephen.gadke@pse corn
(425) 424-6431
W20-1
TEMPORARY TRAFFIC CONTROL PLAN
PUGET
SOUND
ENERGY
JOB# 106352032
8716 188th St SW Edmonds, WA
2/3/2019
4- &Z*-,z
stephen.gadke@pse.com
425-424-6431
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SHEET 1 of 2
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188THST SW I 1 I I �$�' � ,I .
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Notes:
1. All signs and spacing to conform to the MUTCD o
and City of Edmonds standards.
2. All sidewalks, driveways, exits and egresses I OAHAD
WO
WORK
shall be completely clear unless otherwise indicated. l
3. Channelizing devices are 28" traffic cones. I
Use traffic drums (barrels) with steady burning (-Zje.2�
Type C lights on all State Routes and Hwys. I
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 8 a.m. and,2. :3o Pt't M'F (Pwt -ro $c.NeoL HawAS�
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 approx. 290' ECL
of 88th Av W & 20' NCL of 188th Av SW.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
Ob ,00L
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"' W20-7A
W20-4 1a3--�;
USE MAXIMUM AVAILABLE
SPACE FOR SIGNS
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Pit
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8716 188th St SW
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-
Edmonds
J
WA 98026
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CHANNELIZATION
DEVICE SPACING
MPH TAPER TANGENT
55/70 40 80
35/45 30 60
25/30 20 40
c
0
N
9
+t ,H., z llfi
I LEGEND I
® 28" TRAFFIC CONE
�® WORK PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
- ROW ROW-
Puget Sound Energy
Traffic Control Supervisor:
Stephen R Gadke
Card No. 010741
Exp.5/31 /2021
stephen gadke@pse.com
(425) 424-6431
------------ b --�
W20-1
1
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Notes:
1. All signs and spacing to conform to the MUTCD I o
and City of Edmonds standards. ; o
2. All sidewalks, driveways, exits and egresses I ROWORK
AD
shall be completely clear unless otherwise indicated. AHEAD N
3. Channelizing devices are 28" traffic cones. I
Use traffic drums (barrels) with steady burning Gvr�
Type C lights on all State Routes and Hwys. I
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 8 a.m. and to-F tvkm -ro scNonc. ROKV)}
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 approx. 290' ECL
of 88th Av W & 20' SCL of 188th Av SW.
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
188TH ST SW
PUGET
SOUND
ENERGY
JOB# 106352032
8716 188th St SW Edmonds, WA
2/3/2019
stephen.gadke@pse.com
425-424-6431
SHEET 2 of 2
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•------------------------------
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' 8716 188th St S W o
W20-7A
�11- Edmonds
USE MAXIMUM AVAILABLE WA 98026
SPACE FOR SIGNS USA a
W7111-t
0
N
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CHANNELIZATION
DEVICE SPACING
MPH TAPER TANGENT
55/70 40 80
35/45 30 60
25/30 20 40
"'I vZO-z
LEGEND
®
28" TRAFFIC CONE
WORK PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
- ROW ROW-
Of EVAtono
RECEIVED
FEB O 4 2019 ROW PERMIT NO.: ENG JC)J CJ Q0�J G
ISSUE DATE:
ENGINEERING DIVISION
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106352032
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: 8716 188th ST SW
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 290' E c/I of 88th AVE W
& 20' N to 20' S c/I of 188th ST SW (2) grass/ dirt cuts anticipated to install gas service
I WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO ❑ Year: 106a?y
PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut: 0
CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: —
x0
x
RIGHT-OF-WAY
CLOSURE AREA
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF
X
LF
SF
Alley 72 Hrs + LF
Parking 72 Hrs + LF
X
LF
SF
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 Rp-"It Oa kh 02/04/2019
M!cn=Sww 54t1 eWb —V peparlmenl, "u=Munidpel
SIGNATURE R"""`"` 02N1OA331 N'W . DATE
O"le: 2018 02 09 10:93:31-OB'OD'
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE