ENG2020-0065RIGHT OF WAY EUC PERMIT
PERMITNUMBER,
City of Edmonds
1651
www.cityofedmonds.gov
Description: PSE-MAIN CUT AND CAP AND PULL METER AT 21705 96TH AVE W
ISSUED: 03/12/2020
Address: 21705 96TH AVE W EDMONDS WA 98020-3953
EXPIRES: 09/14/2020
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00373600700802
NAME TYPE NAME ADDRESS PHONE
APPLICANT PSE/Infrasource 1660 Park Lane, Burlington WA98233 (425)457-6353
CONTRACTOR PSE/Infrasource 1660 Park Lane, Burlington WA98233 (425)457-6353
OWNER HOLLOWAY ROBERT C III 21705 96TH AVE W, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00
ENGINEERING INSPECTION FEE $110.00 $0.00
RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $0.00
•
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
, T Macliuga 3/12/2020
RELEASED BY DATE
Printed: Thursday, March 12, 2020 3:43:48 PM 1 of 2
-1RRRTF WAY EUC PERMIT
City of • • •
.,
CONDITIONS
CONDITION TYPE
Easement and/or permission from adjacent property owner is required prior to entry or work within
ADJACENT PROPERTY
an adjacent property.
Contractor/Owner shall be responsible for repair/replacement of all damage to utilities and/or
DAMAGE TO FRONTAGE
frontage improvements in city right of way per city standards that is caused by or occurs during the
IMPROVEMENTS
permitted project.
Alert affected residents and/or businesses prior to work start.
Verify clear bore crossings.
ENGINEERING OTHER
Restore landscape to like or better conditions.
Call for required inspections as noted.
ESC REQUIRED
Maintain erosion & sediment control per city standards.
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
HOLD HARMLESS
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 nor limit in any way the City's ability to enforce any ordinance provision.
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
SOUND OR NOISE
weekdays and 10:OOam to 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.
UNDERGROUND UTILITY
Call for locates of underground utilities prior to any excavation.
LOCATES
• ��
INSPECTION TYPE DATE RESULT NOTES
lip
COMPLETE
X-2 ENGINEERING FINAL**
E-7 RESTOR LIMITS
Printed: Thursday, March 12, 2020 3:43:48 PM 2 of 2
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11VC. 1 :3g4
ROW PERMIT NO.: ENG 2020-0065
ISSUE DATE: 3/12/20
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 108620715
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL871 C2
City Business License #: NR-019840
CONTACT: Megan Carabba
Phone #: 360-333-9461
Fax #:
Email #: megan.carabba@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 21705 96th Ave W
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) : Occupying the S bound lane of 96th Ave W
to, at 1-1/4" main cut and cap 5/8" PE and pull meter at 21705 96th Ave W. 1 (3x4) hard surface cut anticipated.
job #108620715
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO ❑ Year: 1086�
PAVEMENT CUT: ■❑ Yes *No If yes, indicate size of cut: 3 x 4
CONCRETE CUT: ❑ 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
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
/fpermit to be valid.
SIGNATURE %� A�� DATE 2/17/2020
Contactor or Agent—""
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 012238
Card Exp. 09/30/2023
gregory.harwood@pse.com
(425)424-6425
PRINT ON
11X17" SHEETS ONLY
96th Ave W was overlayed in 2015;
any cuts in shall incur street cut fees.
TEMPORARY TRAFFIC CONTROL PLAN
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CREW WILL USE ADA
COMPLIANT
RAMPS FOR PEDESTRIAN
DIVERSION
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 m
8. Work area will be 15' WCL of 96th Ave W & 10T SCL
of 217th St SW.
9. If used, place NO -PARK signs 72 hours in End Road Work
advance of the day that the work is to be done.
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
SIGN SPACING
MPH
"XI.
60/65
1000,
45/55
500'
35/40
350'
30
025
100'
MINIMUM TAPER LENGTH=L (FT.)
LANE
WIDTH
20
25
POSTED SPEED (MPH)
30 35 40 45 50
55 60 65 70
10
70
105
150
205
270
1475
1500
550
-
-
-
11
75
115
165
225
295
1495
1550
605
660
-
12
80
125
180
245
320
1540
1600
660
1720
1780
840
PUGET
SOUND
ENERGY
JOB# 108620715
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21705 96th Ave E, Edmonds, WA 98020
2
End Road Work safaa.neema@pse.com
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(425) 398-6077
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------------------------
217TH ST SW
ROW — ROW— ROW — ROW — ROW— ROW — ROW— ROW —ROW — ROW— ROW-
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Owner/contractor is responsible for erosion
control and drainage.
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3
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21705 96th Ave W
Edmonds
WA 98020
USA
Applicant shall repair/replace all damage to
utilities or frontage improvements to City right-
of-way per city standards that is caused or
occurs during the permitted project.
ENGINEERING DIVISION
APPROVED AS NOTED:
NGRIGGS Date:3/12/2020
LEGEND
®
28" TRAFFIC CONE
WORK PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
108620715
2/11 /20
Edmonds
Yes
3/23/13
112 Day (4 Hours)
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
21705 96TH AVE W
BRIER, 98036
MIREL ROGOJAN
Kevin Williams 425-691-7573
Job Description / Scope of Work
At 1-1/4 main(inserted 2" st casing) C&C 5/8 PE (inserted 3/4 st casing) and pull meter
New Construction:
0
Construction Method
PLAT Map: 164.062
217th ST SW
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City utilities within 96th Ave W ROW:
(1) Water main
'S 1
(1) Sewer main
(1) Storm main
60' R/W
61'S
21/0()
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Work
Location
Size of Cut
Surface Type
15'
W
of CL
96th AVE W
&
107'
S
of CL
217th ST SW
3X4
Asphalt
of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
0
Flaggers #:
Arterial:
Cut & Cap
EFV:
0
Police #:
TCP:
Yes
Tie -In Fitting
Meter:
Speed Limit:
25
No Parks #:
Meter Loc:
0
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
2.5" #
1
1 4" #
I
ADA Ramps #:1
Route #'s:
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