Issued ROW Permit.pdfOf 1'�iO�N
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 ENG20190043
RIGHT OF WAIt'PERMIT (6-EUC)
Permit Number: ENG20190043 Expiration Date: 08/07/2019
Job Address: 21423 98TH AVE W, EDMONDS
Location: 21423 98TH AVE SE
PSF/Infras ource P SE/Infrasource
C/O Susan att: Sidick C/O Susan art: Sidick
1660 Park Lane 1660 Park Lane
Burlington, WA 98233 Burlington, WA 98233
(425)457-6353
LICENSE #: infrasl87lc2 EXP: 02/22/2019
Work area is approx 15' n c/1 of 214th PL W also 16' S c/1 of 214th PL SW & 82' E c/1 of 98th AVE W. (1) 4x5 paving cut anticipated and
(1) 3x5 soft surface 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: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
ALLEY: I OXO I DURATION IN MONTHS: 0 FEE: $0.00
I"EMIVITY 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 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 DIALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICERFAUIRED FOR ALL INSPECTION RFOUESTS
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.
Printed: Thursday, February 07, 201
DATE
❑ FILE COPY F INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
ENG2019O043
• 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 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction sites/activities must comply with the
noise lirrrits 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 pernrit 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.
• &Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
Puget Sound Energy Gas Pre -Inspect Form
Job #:
109119935
Date:
1130/19
Address:
Jurisdiction:
EDMONDS
City/Zip:
ROW Permit:
Yes
Customer:
Est. Start Date:
3/25119
PM / Inspector:
Est. Duration:
1 Day (8 Hours)
21423 98th AVE W
EDMONDS, 98020
Gary Klick 206-730-0670
Kevin Williams 425-398-6192
Job Description 7 Scope of Work
From 2" STW run full altered 1 1/8 service to new construction home (47' scat stub with 28'
New Construction:
plat extension)set AL-425 meter OL @ Inches. Also C&C 5/8 PE service in same location at
No
main. Add 20# Anode
Construction Method
Scat ROW / Plat Prope
PLAT Map: 164.067
N co
(�
LU
00
15N i 2" STW IP I S'N
2" STW 1P 15-N
Sewer _ — — — — — — u, S013_1263 _ w
— —
5013-1963
� ROW GO'
214th PL SW
Water — — — — — — — — — — — — — — — — —
1-1/8" PE
7
u'S
5/8'. M PE
10 o0 W 20
cri Q
c� o A425
9716 516- PE
9708
1992
C/>rLL Fna LOC/k S
-V V6RLF`1 Lt-[�tR ORE U?05SJN&S
A-W� ! I ttORI7.o
he
,'
4 11 V Ldt�ICht SEP/�Q/'C►��/V,
22'.S
Ti3
Work Location
Size of Cut
Surface Type
15'
N
of CL
214th PL SW
&
1 82'
E
of CL
98th AVE W
45
Asphalt
16'
S
of CL
214th PL SW
&
82'
E
of CL
98th AVE W
3x5
Soft
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:
Altered Residential Svc
EFV:
1-1/8" - 2600 - 9999144
Police M
TCP:
Yes
Tie -In Fitting
Meter:
A425
Speed Limit:
25
No Parks #:
4
Meter Loc:
03 - OL
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
2.5" # 4" #
ADA Ramps #:
Route #'s:
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
SIGN SPACING
55+
X.
60/65
800
45/55
500'
35/40
350'
30
200'
25
109
N"V3HV
o >IV
;�ovoa o
215TH ST SIN
CHANNELIZATION
DEVICE SPACING
MPH TAPER TANGENT
55/70 40 80
35/45 30 60
25/30 20 40
1
14 114
bl4
1
1
14 114
b,4
100,
14 114
00 �IQ
�v
W20-1
00
rn
151z0 7 .1"
TEMPORARY TRAFFIC CONTROL PLAN
RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
• . • • - - - -k 9f0veI shoulder
MINIMUM TAPER LENGTH=L (FT.)
LANE
WIDTH
20
25
POSTED
30 35
SPEED (MPH)
40 45 50 55 60 65 70
10
70
105
150
205
270
475
500550
-
-
-
11
75
115
165
225
295
495
550605
660
-
-
12
80
125
180
1245
320
1540
1600660
720
780
840
I=> TRAFFIC FLOW
FLAGGER
WORK VEHICLEI
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
— ROW ROW —
JP -.4A
b-0ZM
VL-OZ 61
6-O�Z
aOM
0
100' 1 0' 00'
CSC
PUGET
SOUND
ENERGY
JOB# 109119935
21423, 98th Ave W, Edmonds, WA
1st February, 2019
prachi.joshi@pse.com
424-425-7806
SHEET 1 of
d__
ans and spacing to conform to the MUTCD
/ of Edmonds standards.
lewalks, driveways, exits and egresses
completely clear unless otherwise indicated.
inelizing devices are 28" traffic cones.
fic drums (barrels) with steady burning
lights on all State Routes and Hwys.
size can be a minimum of 36" x 36" and shall
iruct pedestrian access.
is required to leave a minimum of 11' for
3 lane width.
o. Hlert affected residents and businesses.
7. Work to take place between' 9 a.m. and (6p.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 15' NCL 214th PI SW & 82' ECL 98th
Ave W.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
SIGN SPACING
55 +
"X"
60/65
800
45/55
509
35/40
350'
30
200'
25
100'
N Qd W
o NHOM
aV08
of o
3NVd3'dd
39
IV
0
V CD
D o
215TH ST SW
moo
�g
W20-1
14 !14
V IQ
14 114
100,
14 114
Q
CO
rn
G24 7- -'1
CHANNELIZATION
DEVICE SPACING
MPH TAPER TANGENT
55/70 40 80
35/45 30 60
25/30 20 40
TEMPORARY TRAFFIC CONTROL PLAN
. ;-N
dL4&3:
M
RESIDENT(S) WILL BE INFORMED OF POSSIBLE TEMPORARY 9DRIVEWAY CLOSURE y
100, 1 0' 00'
LANE
WIDTH
20
MINIMUM TAPER LENGTH=L (FT.)
POSTED SPEED (MPH)
25 30 35 40 45 50 55 60 65 70
10
70
105
150
205
270
475
500550
-
I -
I -
11
75
115
165
225
295
14951
55QL605
660
1 -
-
1
80
125
180
245
320
1540
16001660
720
780
840
®
28" TRAFFIC CONE
WORK PIT
TRAFFIC FLOW
TtFLAGGER
VEHICLE/
QWORK
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW ROW—
PUGET
SOUND
ENERGY
JOB# 109119935
21423, 98th Ave W, Edmonds, WA
1st February, 2019
prachi.joshi@pse.com
424-425-7806
SHEET 2 of 2
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 I&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 16' SCL 214th PI SW & 82' ECL 98th
Ave W.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
.J Of EDA.1n.
-'Nc. 1 s90
Q GF�%VeQ
11,
F'j!6oN
N0011ING uvV1S1
E
ROW PERMIT NO.: ENG aO11 OCxl3
ISSUE DATE: 'L <.k
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109119935
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: 21423 98th AVE SE
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 W No
ANY ASSOCIATED PERMITS? BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 15' n c/I of 214th PL W
also 16' S c/I of 214th PL SW & 82' E c/I of 98th AVE W. (1) 4x5 paving cut anticipated and (1) 3x5 soft surface cut anticipated
to install gas service
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO ❑ Year: 109b
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
LF
SF
Alley 72 Hrs + LF
X
X
LF
LF
SF
SF
Parking 72 Hrs + LF
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 .N:& 31-! �
oN' n.— . ��nU °°=M°�,a�, 02/04/2019
SIGNATURE R .:! ,9D2.:. ""-08'W •`=°5 DATE
Dale: zoi9 oz oa oe:�e:3a-oa•ao•
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE