ROW PERMIT ENG20180440.pdfCITYOF
EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBS *
STATUS: ISSUED ENG20180440
RIGHT OF WA)" PERMIT ('6-EIJC)
Permit Number: ENG20180440 Expiration Date: 04/11/2019
Job Address: 19125 OLYMPIC VIEW DR, EDMONDS Location: 19125 OLYMPIC VIEW DR
PSF/Infras ounce
P SE/Infrasource
GO Susan att: Sidick
C/O Susan att: Sidick
1660 Park Lane
1660 Park Lane
Burlington, WA 98233
Burlington, WA 98233
(425)457-6353
LICENSE #: infrasl871c2 EXP: 02/22/2019
Work area is approx WE c/I of Olympic View Dr & 241' S c/1 of Cherry St . To replace gas service (1) 4x7 asphalt/ soft surface cut
anticipated.
ASSESSED VALUE: WOO PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: ( 3 X 5 }
PARKING ( OXO ) DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0,00
ALLEY: ( 0X0 I DURATION IN MONTHS: 0 FEE: $0,00
INDEMATTY 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 ORK.
• 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 (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTAPERMITUNTIL SIGNED BY THE CrFY ENGINEER OR HIS/HERDEPU"IY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED,
BY
Printed: Thursday. October 1 I
DATE
❑ FILE COPY ❑ INS PECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
ENG2O18O44O
• 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.
• Conformto approved working drawings and Traffic Control plan.
• Verify clear bore 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 fiontage 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:OOamto 6:OOpm on weekdays and 10:00am and 6:OOpm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes 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 ofthis 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.
• &Traffic Control
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
-9 Of EO r�).
RECEIVED
OCT 0 3 2018
ENGINEERING DIVISION
ROW PERMIT NO.: ENG \CCMt�
ISSUE DATE:
RIG�HT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 107057238
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: 19125 Olympic View Dr
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
0 Commercial ❑ Subdivision City Project Traffic Control (Only)
❑ Multi -Family ❑X Single Family Fj 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 1 O' E c/1 of Olympic View Dr
& 241' S c/I of Cherry St . To replace gas service (1) 4x7 asphalt/ soft surface cut anticipated
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES 0 NO E] Year: 104
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 DURATION
AREA TOTAL
CLOSURE (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.
R a ppa^ms ouMupalSUSan Sidick 10/3/2018
oSIGNATURE 't vloll -ono DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Job #:
107057238
Date:
9120/18
Address:
19125 OLYMPIC VIEW DR
Jurisdiction:
EDMONDS
City / Zip:
EDMONDS, 98020
ROW Permit:
Yes
Customer:
CHARLES RAPLEE 206-650-7391
Est. Start Date:
12/10/18
PM / Inspector:
Kevin Williams 425-691-7573
Est. Duration: 3.1/2 gays (28Hours)
Job Description / Scope of Work
From 4" STW main replace 1 1/8 quad service with new 2" PE main 235' to end of private dr.
T&T 19117 and 19129. Extend new stubs for both 19121 and 19125 aprox 40' 1 1/8 PE each and
tie back into 5/8 PE at property lines with 775's and 1 1/8-6/8 reducers. Also upsize meter to AL-
425 @ Inches for 19125 at existing meter location.
PLAT Map: 161.067
Cherry STIT
Soft C-4W.A. )
CO
....
ROW 55' .. ........ A250
15GS 11 C)
NN '
............... I N
I
N 19121
> NI
Q 11 19117
E N I 5/8" PE
O MN 1984
T&T M Ivili"I stub
r t New 2" PE Main
T&T
NN
I N 5/8" PE
12"—
+ A250
29CIS 0 a Fire Hydrant 1 9 129
Work Location
10, E I of CL Olympic View DR & 241' S of CL Cherry ST
All Scat / Trenchless
it
N
19112
Size of Cut Surface
47 Asphalt
of CL
& of CL
of CL
& of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Arterial:
New Residential Main & Svc
EFV:
m
1-1/8" - 775 - 9995252
Police #:
TCP:
Yes
Tie -In Fitting
Meter:
A425
Speed Limit:
25
No Parks #:
6
Meter Loc:
03 - OL
Trolley Lines:
Mtr Hoods #:
Del Press:
6" WC.
Traffic Signal:
Bus Stop:
Bollards:
2.5" # 4" #
ADA Ramps #:I
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