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ENG2020-0068
RIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds -0068 www.cityofedmonds.gov Description: PSE-NEW AMI ROUTER ISSUED: 03/17/2020 Address: 18606 OLYMPIC VIEW DR EDMONDS WA 98020-2350 EXPIRES: 09/17/2020 rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434600300500 i 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 ARMOUR R/ADAM J 18606 OLYMPIC VIEW DR, EDMONDS WA98020-2350 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 J- Al"A"a. 3/17/20 RELEASED BY DATE Printed: Tuesday, March 17, 2020 2:42:48 PM 1 of 2 -1RRRTF WAY EUC PERMIT City of • • • Ave•:• • 1 1 11.: 31 www.cityofedmig;� 771.0220 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 TRAFFIC CTRL Printed: Tuesday, March 17, 2020 2:42:48 PM 2 of 2 of EDAg04" INC, 1890 ROW PERMIT NO.: ENG2020-0068 ISSUE DATE: 3/17/20 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 143004204 CONTACT: Susan Sidick CONTRACTOR: PSE/Infrasource Phone #: 425-457-6353 Mailing Address: 1660 Park Lane, Burlington, WA 98233 Fax #: State License #: INFRASL871 C2 City Business License #: NR-019840 Email #: susan.sidick@pse.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 18610 Olympic View Dr ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only) ❑ Multi -Family ❑ Single Family F� Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes ❑*_ No ANY ASSOCIATED PERMITS? I BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Install new AMI router N1_CO15_RO170 inside pedestal next to existing SNOPUD padmount transformer or secondary service box connect power service to AMI device. Work onsl e will be completed within 3 hours. No Davina cuts WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: ❑ Yes ❑x No If yes, indicate size of cut: _x 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 permit to be valid. SIGNATURE Susan Sidick Contractor or Agent DATE 02/18/2020 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 LEGEND ® 28" TRAFFIC CONE ® POLE TRAFFIC FLOW FLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW TEMPORARY TRAFFIC CONTROL PLAN W3-4 18610 Olympic View Dr Edmonds WA 98020 USA RESIDENT(S) WILL BE INFORMED OF POSSIBLE TEMPORARY DRIVEWAY CLOSURE FLAGGER/SPOTTER SHALL ESCORT PEDESTRIANS ;' f` AROUND WORK AREA 7 END ROAD WORK SIGN SPACING MPH "X" 60/65 1000, 45/55 500' 35/40 350' 30 200' 25 100, PUGET SOUND ENERGY JOB# 143004204 18610 OLYMPIC VIEW DR, EDMONDS, WA 98020 02/12/20 JOHN.CROFOOT@PSE.COM I 425-424-6658 vO �/�DHb i � 3N b0� SHEET 1 of 1 END ROAD WORK • 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. r 101 i i i I CO N W3-4 M ONELANE rl RO I AHEAD ROgp I RK AHEAD I I i I � I II o I I I II I I I i I I II I I I I CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 Owner/contractor is responsible for erosion control and drainage. ENGINEERING DIVISION APPROVED AS NOTED: NGRIGGS Date:3/13/2020 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. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. STREET USE PERMIT REQUEST FORM Date of Request: 01/27/19 Job number: Job address: Project mgr: PM email: 143004204 18610 Olympic View Dr City: Edmonds Zip. 98020 Patima Dejarath patima.dejarath@pse.com Estimated job start date: 02/24/20 Estimated job completion date: 02/24/20 PM contact #. (425) 456-2654 Description of work to be performed: Install new AM router N1_C015_R0170 inside pedestal next to existino SNOPUD padmount transformer or Secondary Service Box (SSB) connect power service to AMI device. Work onsite will be completed within 3 hours. Pavement cut? ❑Yes ❑✓ No If yes, Dimensions of Cut: Length_ How many cuts? Surface Type Require trenching? Eyes If yes, Dimensions of trench: ❑No Length 4 FT Width Width 2 FT Depth 3 FT Method of installation: Direct Buried Traffic impact: Road closed ❑Yes ❑✓ No Lane closed Dyes ❑✓ No How Many? Direction? west Shoulder closed Eyes ❑ No Sidewalk closed ❑Yes ❑� No Emergency Contact: Patima Dejarath Print Send Reset Cell Number: (425) 647-71 1 o Scope of work: PSE is to install AMI Network device in a pedestal (red circle) next to existing pad - mount transformer (blue circle) or secondary handhole. The work consists excavating a small area (approximately 2' x 4') to install pedestal and AMI network device. After PSE crew complete the device installation and restore the area, utility crew will connect power from transformer or handhole to the device. Work duration: 4 hours Typical Gap Collector/Router pedestal housing installation adjacent to a padmount transformer. COVER zu' GAP COLIECTOR �f 1� Il I II ROUTER UNIT II I Ir II II PAfT1.40lJNT II It 1r Ir I TRANSFORr.1CR u 11 II I II II � II a4' 25 �� ,3'rF-•� �� CA JI �E • A 4 A - d1 1) RRS —\ I HRNDHOLE 144CU GROUND W RE V FLEX CONDUIT 6' GROUM) ROD FOR POIAFR PEDESTAL HOUSING FRONT VIEW P[OESTAL HOUSIMO UNIT CONTAINS GAP CCLLECTOMOUTER UNIT. IT SHALL BE NOUNTED BEHIND TFE FRONT HALF OF THE TRRNSFORMPR 14' 18, • hI1N CI_FARANf.F CLEAR %VORKING SPA( F TOP VIEW I'MMO UNT TRANSFORMER FRONT CONSTRUCTION: HANDHOLE AT BASE OF POLE #25: - INST AMI ROUTER PER PSE STD 0700.8525 (SEE FIG 1) FIG 1 -25 o-" L: N.NONo E 8 C{20UND FOO PEDESTAL NOOSING FO.T POu\EN wt FRONT VIEW TOP NEW JOB SITE SCALE: NONE POLE TAG NO. ICOUNTY DRAWN BY I PHONE NO DATE - Snohomish ROB DEAN 1406.532.2200 6/12/18 POLE OWNER AMI OWNER PUGET 10 SOUND ENERGY PSE AMI ATTACHMENT 18610 Olympic View Dr Edmonds, 98020 Lat-Long = 47.82961273,-122.3614502 Vol"" 18557 18606 18610 0 18623 IQ I c 0 0 • 18703 0 0 0 18t11 18715 18717 18707 18711 18627 18607 18631 18 625 18628 18620 18624 18626 18704 18709 Sources: Esri, HERE, Garmin, USGS, Intermap, INCREMENT P, NRCan, Esri Japan!AIET , Esri China 18719 (Hong Kong), Esri Korea, Esri (Thailand), NGCC, (c) OpenStreetMap contributors, and the GIS User Community N The information on the attached map is subject to change Property of Puget Sound Energy without notice.Puget Sound Energy males no representation or Maps, Records and Technology ,® n��C� cO�^,D CA'Cp�`� r C SOUND ENERGY I N1 C015 R0170 warrantyofsuitabiity ofthis information for anypurpose. This map is not to be used for 355110thAVE NE, BELLEVUE, WA, 98004— NAD_1983_StatePlane _Washington _North FIPS4601_Ft — — 0 o.00e o.oi 0.02 determining the actual location ofanyPSE facilities. Miles Copyright©2012. All rights reser%ed Date: 1/27/2020 Reference Scale: 1:0