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ENG2019-0487RIGHT OF WAY EUC PERMIT PERMIT NUMBER of Edmonds EdmondsCity •:0. www.cityofedmonds.gov Description: PSE Emergency follow up: 7 day investigation. Replaced 139 ISSUED: 05/04/2020 Address: 913 12TH PL N EDMONDS WA 98020-2938 EXPIRES: 11/04/2020 rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00507000000500 i NAME TYPE NAME ADDRESS PHONE APPLICANT PSE/Infrasource 1660 Park Lane, Burlington WA98233 (360)333-9461 CONTRACTOR PSE/Infrasource 1660 Park Lane, Burlington WA98233 (360)333-9461 OWNER MARK E CUNNINGHAM 913 12TH PL N, EDMONDS WA98020 FEE INFORMATION DESCRIPTION AMOUNT PAID ENGINEERING INSPECTION FEE $100.00 ENGINEERING INSPECTION FEE $100.00 $0.00 ENGINEERING REVIEW FEE - OVER 3 REVIEWS $200.00 $0.00 RIGHT OF WAY MINOR - EUC PERMIT FEE $100.00 X-TECHNOLOGY FEE $35.00 REQUIREMENTS REQUIREMENT TYPE NOTES TRAFFIC CONTROL 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 posession. RESTORATION 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 WARRANTY The contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the work. INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM 24 HR NOTICE REQUIRED INDEMNITY The Applicant has signed an application which states he/she holds 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 but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this permit. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 5/4/2020 VAIA-34Aall YA DATE Printed: Monday, May 04, 2020 11:40:34 AM 1 of 2 -1RRRTF WAY EUC PERMIT City of • • • •:• •ENG2019-0487 ., CONDITIONS CONDITION TYPE Alert Affected Properties Alert affected residents and/or businesses prior to work start. Bore Crossings Verify clear bore crossings Conform to approved plans Conform to approved working drawings and Traffic Control plan. Work approved under this permit may or may not qualify as an essential or allowed activity per the Governors Stay Home, Stay Healthy Order. Refer to the Order and the Citys website for up-to-date information related to development activities during COVID-19. Issuance of this permit does not COVID-19 NOTICE certify that construction is allowed to immediately occur, and inspections may or may not be granted accordingly. Construction activities and all required inspections will resume when the Order has been lifted. Damage to Frontage Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per Improvements City standards that is caused by or occurs during the permitted project. ESC Required Maintain erosion & sedimentation control. Keep street clean. 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 Hold Harmless 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. Inspections Call for required inspections as noted. Landscape Restoration Restore Landscape to like or better conditions. ROW Restoration Restore ROW to City standards 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:OOam to 6:OOpm on Sounds/Noise weekdays and 10:OOam 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. Traffic Control Handout Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements. Underground Utility Locates Call for locates of underground utilities prior to any excavation. Utility Patch Restoration Utility patch restoration to be in accordance with Edmonds Standard detail E2.3 INSPECTIONS INSPECTION TYPE DATE RESULT NOTES COMPLETE ROW PVMT STRIPING 11/22/2019 APPROVED 12:00:00 AM X-2 ENGINEERING FINAL" E-7 RESTOR LIMITS E-7 PVMT SUBGRADE Call for insp. for sand and sealant Printed: Monday, May 04, 2020 11:40:34 AM 2 of 2 0 5- E D'k,)O 1 ROW PERMIT NO.: ENG 2019-0487 ISSUE DATE: 5/4/2020 SOP RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 10912687 CONTACT: Megan Carabba CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871 C2 City Business License #: NR-019840 Phone #: 360-333-9461 Fax #: Email #: megan.carabba@pse.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 913 12th PI N 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? I I BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Emergency Follow Up: 7 day Investigation Replaced 139' of 3/4" STW Stub to zero leak. 1 (413), 1 (6x10)m 1 (5x6), 1 (2x6) and 1 (2x12) hard surface cuts were made. Job #10912687 WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:109>b PAVEMENT CUT: CONCRETE CUT: N Yes 0 No ❑ Yes ❑ No If yes, indicate size of cut: 4 If yes, indicate size of cut: — x13 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 rmit to be valid. SIGNATURE DATE 10/21 /2019 Co tract or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE RECEIVED 3/17/20 ►A Puget Sound Energy Traffic Control Supervisor: Stephen R Gadke Card No. 010741 Exp.5/31 /2021 stephen.gadke@pse.com (425) 424-6431 _A�� Z-OZ' Y O 0 W 0 0 0 0 TEMPORARY TRAFFIC CONTROL PLAN a <a= u p PLACE SIGNS BOTH SIDES OF WORK AREA A PUGET � SOUND ENERGY JOB# 892047624 913 12TH PL N, EDMONDS REV1 - 03/16/2020 FLAVIANA.NUNES@PSE.COM 425-424-7809 SHEET 1 of 2 W - � - �• � ~� �•-�••_y-•--F� �� OFF, � �-F-• y - - • VISTA WAY .I F#913 • �¢ O rrctrAKtU C;) ,� o TO � No STOP ROAD N WORK o AHEAD � W20-4 RESIDENT(S) WILL BE INFORMED OF POSSIBLE TEMPORARY DRIVEWAY CLOSURE 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 4 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 15' North of CL Vista Way & 146' West of CL 12th PI N. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. LEGEND ® 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW FLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW MOM Gvo2l GN3 o 0 a 18 �� o W34 CV i ONE LANE p o ROAD CN AHEAD ROAD i WORK NO AHEAD CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE ENGINEERING DIVISION APPROVED AS NOTED NGriggs 04/30/2020 Puget Sound Energy Traffic Control Supervisor: Stephen R Gadke Card No. 010741 Exp.5/31 /2021 stephen.gadke@pse.com (425) 424-6431 _A�� I TEMPORARY TRAFFIC CONTROL PLAN zpw a a O<aypg r § PLACE SIGNS BOTH SIDES OF WORK AREA 5 � n D n � � PUGET � SOUND ENERGY JOB# 892047624 913 12TH PL N, EDMONDS REV1 - 03/16/2020 FLAVIANA.NUNES@PSE.COM 425-424-7809 SHEET 2of2 • 100, 100, VISTA WAY nn ■ ��m W20-7A #913 j •; W20-4 18 4 a W3-4 0 "ROAD o WORK c; AHEAD 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 4 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 15' North of CL Vista Way & 146' West of CL 12th PI N. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. RESIDENT(S) WILL BE INFORMED OF POSSIBLE TEMPORARY DRIVEWAY CLOSURE LEGEND ® 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW FLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY — ROW oMom OVOH ON3 N W3-4 z I � ti 18o �■ o o CV i ONE LANE O o ROAD CN AHEAD ROAD WORK N AHEAD CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 City of Edmonds Map Title I, Legend ArcSD E.G IS.STREET_CENTERLINE' call other values> 1 2 5; 4 9; 71: 7: 8 Notes EMERGENCY PRE -INSPECTION FORM ���/o�� /S� Address: /'Zy Job #: a( to City/zip: Date: P 79,1q Customer: Jurisdiction: C- O.A CUSTOMER P0 ENU PM / Inso: ����v .�v�'9s��li��� Work Descr►ptlon _W Construction Method Open Trench f Trenchless ❑ r ICE CH t° 4 W 7� I ` � r V . _Trt, Work Location Size of Cud 30 5urface Type r N S of CL & 'E W of CL^� t'NSofCL--& 'EWofCL g r` PUGET SOUND ENERGY ADDRESS: TICKET: 5075685 PERMIT: SHEET / OF CHECK: CITY: REQUESTED BY: ❑ INSIDE ❑ OUTSIDE D /t'I0",tAr ❑ POTELCO [�KNFRASOURCE ❑ PSE DRAW LOCATION OF CUT AND NUMBER IT ACCORDINGLY: MATCH N FROM DRAWING ABOVE TYPE (SEE KEY BELOW) SIZE (CALLED OUT) DEPTH IN INCHES LOCATION SIZE (ACTUAL INSTALLED) Example 1 A 2 X 8 8° 25' N CIL Test St AA to complete 3� S t q A SAP ORDER NUMBER: _ 10 /).G 6i Z SAP NOTIFICATION NUMBER: PM/PERSON RESPONSIBLE: _ FORM FILLED OUT BY: YES NO TRAFFIC,,CONTROL 0' ❑ +;! POLICE OFFICER ❑ Pi — PLATE OVER HOLE 4❑—, NO PARKS ❑ Er SHALLOW, UTILITIES 0.ess7tnNisq cCI sL IN RIGHT OF WAY ❑ PRIVATE PROPERTY ❑ (':`` UNDER TROLLEY LINES ❑ FINAL TIC,.KET FOR THIS JOB ❑ , EXTRAORDINARY NCC (OFFICE USE) ❑ LOCATE NUMBER: DATE HOLE CLOSED: DATE AA RECEIVED: AA LOCATE NUMBER: 1907 02114 From: Sidick, Susan To: Edmonds Engineering Permits; Griggs, Natalie Subject: FW: ROW Permit App ENG20190487 Comments - 913 12th PI N 892047624 Date: Thursday, April 30, 2020 6:43:17 AM Hi Natalie in regards to this restoration permit the holes will be filled per your request from AA is that all that is needed. The paving ticket will have the instructions in regards to filling the hole this will be arranged by Aa Susan Sidick R 1660 Park Lane Burlington Wa 98233 Cell 425-457-6353 Office 360-766-5561 SR Permit Specialist From: Isbell, Courtney <Courtney.lsbelll@pse.com> Sent: Wednesday, April 29, 2020 2:13 PM To: Haddox, Barbara <Barbara.Haddoxl@_pse.com>; Roger, Libby <Libby.Roger(@pse.com> Cc: Sidick, Susan <Susan.SidickPpse.com> Subject: RE: ROW Permit App ENG20190487 Comments - 913 12th PI N Hi Ladies! How can I ask that AA will fill the test holes following the City's request? They want them filled with sand and capped with 3-4 inches of crack sealant. Please let me know if this can be arranged with AA. Thanks! Courtney Isbell Engineering Specialist, Gas Construction PUGET SOUND ENERGY 253-617-6028 (85-6028) 253-293-0216 11705 83rd Ave SW Lakewood, WA 98498-5501 From: Sidick, Susan <Susan.SidickCcDpse.com> Sent: Wednesday, April 29, 2020 8:53 AM To: Isbell, Courtney <Courtney.Isbell(@pse.com> Subject: FW: ROW Permit App ENG20190487 Comments - 913 12th PI N Importance: High Hi Courtney they are not satisfied with the tar answer can you confirm they wil be sanded and filled see email below Susan Sidick X 1660 Park Lane Burlington Wa 98233 Cell 425-457-6353 Office 360-766-5561 SR Permit Specialist From: Edmonds Engineering Permits <EngineeringPermits(@edmondswa.gov> Sent: Wednesday, April 29, 2020 8:36 AM To: Sidick, Susan <Susan.Sidick(@pse.com> Subject: RE: ROW Permit App ENG20190487 Comments - 913 12th PI N CAUTION: This email originated from outside of the organization. Exercise extra caution when responding, opening attachments, and clicking links. Hi Sue, I consulted the City Engineer with this one, and he was not satisfied with the tar alone. Please confirm that the holes can be filled with sand and capped with 3-4 inches of crack sealant (meeting WSDOT standards). Thanks, Natalie City of Edmonds, Engineering Division Permitting EngineeringPermits@edmondswa.gov Natalie Griggs, Engineering Technician (425) 771-0220 ext. 1353 CITY HALL IS CURRENTLY CLOSED TO GENERAL PUBLIC ACCESS. APPOINTMENTS MAY BE CONSIDERED FOR SPECIAL CIRCUMSTANCES.