Issued ROW Permit.pdfCi y O`.
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MIDST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20190045
RIGHT OF WAY PERMIT (6-EUC)
Permit Number: ENG20190045 Expiration Date: 08/07/2019
Job Address: 8704 188TH ST SW, EDMONDS Location: 8704 188TH ST SW
PSF/Infrasource
P SE/Infrasource
GO Susan att: Sidick
C/O Susan all: Sidick
1660Park 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 250' E c/1 of 88th St SW & 20' N to 20' S c/l of 188th St SW. (2) 3X5 asphalt and soft surface cuts anticipated.
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
INDEMIWTY 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 of its 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
INS PEC TIO N 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) BEFOREANYEXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREQUIRED 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.
BY
Printed: Thursday, February 07, 201
DATE
FILE COPY ❑ INSPECTOR COPY Ej APPLICANT COPY
STATUS: ISSUED
ENG2O19OO45
• 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 from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:OOpm on weekdays and 10:00am and 6:OOpm 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 8anr2:30pmM-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 fromthe issuance of this pemrit. 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:
PARTIAL INSPECTION DATE:
FINAL INSPECTION APPROVED DATE:
INITIAL: NOTES:
INITIAL: NOTES:
INITIAL:
Puget Sound Energy Gas Pre -Inspect Form
Job #:
106352031
Date:
1/29/19
Address:
Jurisdiction:
Edmonds
City/Zip:
ROW Permit:
Yes
Customer:
Est. Start Date:
Cycle C
PM / Inspector:
Est. Duration:
1-112 Days (12 hours)
8704 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 I Plat Property
PLAT Map: 161068
— —� -a...a--- = — — ——_—_—_—___—_
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N
learn St sw
— — — — — — — — — — — — — — — — — — — — — — — — — — — — I I — — — — — — — — — — — —
PL
- I 1
I I 1-1/8" PE
I I
8704 188th St SW A630
G A-LI, VOW "LN-1 L 1
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Work Location
Size of Cut
Surface Type
250'
E
of CL
88th Ave W
&
20'
N
of CL
188th St SW
3x5
250'
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 #:
N
Del Press:
6" W.C.
Traffic Signal:
N
Bus Stop:
N
Bollards:
2.5" # 4" #
ADA Ramps #:I
N I
Route #'s:
N
O
w p
j� CV
o.
L0
w "o
rL
o
o•
0
N
128N
W
En
120' N
5/8" MPE
1999
18715
5/8" MPE
(. 2005
r
18717
W W LU
��0E0
2" MPE IP 21'N m 2" STW I 20'N
109026595-2006 . 67C418
188TH ST SW
5/8" PE
1988
SS�S
5/8" PE 116'S
1987
1 19'S
8814
No electric grid information available
S 160068, Q 161068
01-30-2019
The Information on the attached maps is subject 10 change without notice. Puget Sound Energy makes no warranty, expressed or Implied, concerning
the suttablllty of this informallon for any W'rid no. Reclpient agrees to not dkctoso this confidential Information to any other person or entity,
unless authorized In writing by Puget Sound gy. his map Is not to be used fm determining the actual location of any PSE facllifles (call 811 )."
BOOM
135'E 18815
Scale 1:604
Lat\Long=47.8287,-122.3515
1 /2" STW-U
1969
5/8" PE
1989
8615
a
Co I
Q
-- !
ii0
18806
EUGET SOUND ENERGY
r,nv 4�wwr m rse c r rn+�.
Puget Sound Energy
Traffic Control Supervisor:
Stephen R Gadke
Card No 010741
Exp.5/31 /2021
stephen gadke@pse.com
(425) 424-6431
TEMPORARY TRAFFIC CONTROL PLAN
PUGET
SOUND
ENERGY
JOB# 106352031
I 8704 188th St SW Edmonds, WA
2/3/2019
�Zo stephen.gadke@pse.com
1
425-424-6431
4 SHEET 1 of 2
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1
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1
W20-1
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 am. and Z:So FtA
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. 250' 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.
6'Zo- Z_1
M►F CVt7E I
10 $LrW0 L
188TH ST SW
1 O6 .001,
W20-7A
W20-4 ,)I—(
USE MAXIMUM AVAILABLE
SPACE FOR SIGNS
0
N
Recieving U
Pit
Q
#8704
a
CO
— W70-%.
CHANNELIZATION
DEVICE SPACING
MPH TAPER TANGENT
55/70 40 80
35/45 30 60
25/30 20 40
® 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
- - — - — - — - — - — -
W20-1
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 9a.m. and t.�vnM
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. 250' 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.
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11166
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M-F (p" io xHoeL itot1<(1c)
TEMPORARY TRAFFIC CONTROL PLAN
188TH ST SW
USE MAXIMUM AVAILABLE
SPACE FOR SIGNS
#8704
ti-0ZM
VL-OZM / \ 6-OZM
U
W
Q
PUGET
SOUND
ENERGY
JOB# 106352031
8704 188th St SW Edmonds, WA
2/3/2019
0
stephen.gadke@pse.com
425-424-6431
SHEET 2 of 2
CHANNELIZATION
DEVICE SPACING
MPH TAPER TANGENT
55/70 40 80
35/45 30 60
25/30 20 40
LEGEND
® 28" TRAFFIC CONE
�ff WORK PIT
TRAFFIC FLOW
TtFLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW ROW-
cif EDA1p/1�
ANC. 1 39�
ENGINEERING piVIS10N
ROW PERMIT NO.: ENG D,0k900`16_
ISSUE DATE: 7- 12-_1 11
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106352031
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: 8704 188 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 0 No
ANY ASSOCIATED PERMITS? BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) • Work area is approx 250' E c/I of 88th ST SW &
20' N to 20' S c/I of 188th ST SW (2) 3X5 asphalt and soft surface cuts anticipated
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO ❑ Year: 106h
PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut: 3 x 5
CONCRETE CUT: 0 Yes ❑ No If yes, indicate size of cut: x
RIGHT-OF-WAY
AREA
CLOSURE
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF
X
X
LF
LF
SF
SF
Alley 72 Hrs + LF
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.
°J9�,Y.as°�°F.. 02/04/2019
Susan Sidick °N°�°°°��°.°°=M°°°oa
SIGNATURE R. ,° `°a&40. .`=°5 DATE
°:l t.zo19920409:38:19-N'W'
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE