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ENG2020-0079RIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds -0079 www.cityofedmonds.gov Description: PSE-INVESTIGATE AND REPAIR LEAK ISSUED: 03/17/2020 Address: 857 WALNUT ST EDMONDS WA 98020-3304 EXPIRES: 09/17/2020 rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434207402000 i NAME TYPE NAME ADDRESS PHONE APPLICANT PSE/INFRASOURCE 1660 PARK LANE, BURLINGTON WA 98233 (425)457-6353 CONTRACTOR PSE/INFRASOURCE 1660 PARK LANE, BURLINGTON WA 98233 (425)457-6353 OWNER LAGOZZINO BARBARA F 857 WALNUT ST, EDMONDS WA 98020-3304 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00 ENGINEERING INSPECTION FEE $220.00 $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 1. Jtac&t" 3/17/20 RELEASED BY DATE Printed: Tuesday, March 17, 2020 2:52:21 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 'RE'STO�RLIMITS • �� INSPECTION TYPE DATE RESULT NOTES lip COMPLETE E-7 X-2 ENGINEERING FINAL" E-7 TRAFFIC CTRL Printed: Tuesday, March 17, 2020 2:52:21 PM 2 of 2 0 \:L L?,11(7. ANC. I sc) u ROW PERMIT NO.: ENG 2020-0079 ISSUE DATE: 3/17/20 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 887035415 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane Burlington Wa 988233 State License #: INFRASL871C2 City Business License #: CONTACT: Susan Sidick Phone #: 425-457-6353 Fax #: Email #: susan.sidick@pse.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 857 Walnut St ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only) ❑ Multi -Family ❑ Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ANY ASSOCIATED PERMITS? ❑ Yes ❑ No BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : INVESTIGATE & REPPAIR LEAK @ 25' NCL WALNUT ST & 21' WCL 9TH AVE S (1) 4x5 concrete cut anticipated WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO 0 Year: PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut: CONCRETE CUT: 0 Yes ❑ No If yes, indicate size of cut: 4 x x 5 RIGHT-OF-WAY CLOSURE AREA 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 6X\0Q6IQFN DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Puget Sound Energy Traffic Control Supervisor: Gregory Harwood TEMPORARY Ar-r-,,, -r%e%I P11 AA, Card No. 008Nf Card Exp. 08/13/2019 gregory.harwood@pse.com (425)424-642� 1 I I I I I I I I I I I I I I I I I I I I ------------------------------------------------- ----------------- ------------------ =*o O moo W20-1 X 9th Ave S overlayed in 2016; any street cuts shall incur fees. Restoration shall include a minimum 20-foot grind and overlay. uv:JHV >NOM ` 03SO10 857 Walnut St Edmonds WA 98020 USA 9 IV C� o r- to Cn Cn M4 9b D R9-3 ------------------------------------------------- 9th Ave S overlayed in 2016; any street cuts shall incur fees. Restoration shall include a minimum 20-foot grind and overlay. uv:JHV >NOM ` 03SO10 857 Walnut St Edmonds WA 98020 USA 9 IV C� o r- to Cn Cn M4 9b D R9-3 ------------------------------------------------- LEGEND ® 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW ROW 00 - b 0 ------------------ 2 Z7 o Q0anol3a pXo � I I W20-1 I I I I I I I I I I I I I I I I I I I I I I END ROAD WORK I I I I I I I I I I I I _ I I I 11.11I11:1' . I . I I I _ I . CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 PUGET SOUND ENERGY # 887035415 S, WA 98020 >ED 03/09/20 @PSE.COM .25-424-6658 SHEET 1 of 1 a 00 -- b -00 - - - - - -- ------------------------------- I --------------------- ALDER ST I 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. I Owner/contractor is responsible for erosion control and drainage. I ENGINEERING DIVISION APPROVED AS NOTED: I I I I I I I I I I I NGRIGGS Date:3/13/2020 o 'M" lioU oOw 'r�= \'% WALNUT ST a co ----------- co ---------------------------- anol3a A Notes: CD 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. ROAD Use traffic drums (barrels) with steady burning ' WORK N ' AHEAD 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 25' NCL on Walnut ST and 21' WCL on 9th AVE S. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. MINIMUM TAPER LENGTH=L (FT.) LANE WIDTH 20 25 POSTED SPEED (MPH) 30 35 40 45 50 55 60 65 70 10 70 105 150 205 270 475 500 550 - - - 11 75 115 165 225 295 495 550 605 660 - - 12 80 125 180 245 320 540 600 660 720 780 840 STREET USE PERMIT REQUEST FORM Date of Request: 02/25/20 Job number: Job address: Project mgr: PM email: 887035415 857 WALNUT ST JENNIFER BERGMAN JENNIFER.BERGMAN2@GMAIL.COM Estimated job start date: 04/17/20 Estimated job completion date: 04/17/20 City: EDMONDS Zip. 98020 PM contact #. (253) 213-3634 Description of work to be performed: INVESTIGATE & REPPAIR LEAK a 25' NCL WALNUT ST & 21' WCL 9TH AVE S Pavement cut? ❑✓ Yes ❑No If yes, Dimensions of Cut: Length 4' How many cuts? 1 Surface Type CONCRETE Require trenching? Dyes ❑No If yes, Dimensions of trench: Length_ Width 5' Width Depth Method of installation: Traffic impact: Road closed ❑Yes ❑✓ No Lane closed [?]Yes ❑ No How Many? 1 Direction? East Shoulder closed ❑Yes ❑� No Sidewalk closed ❑Yes ❑� No Emergency Contact: BRUCE VAUTOUR Print Send Cell Number: (360) 722-0859 Reset Job #: Date: Jurisdiction: Right of Way Permit? YES ❑ No Est. Start Date: Est. Duration: / - (DAY PRE -INSPECTION REPORT o PUGET SOUND ENERGY Address: 8S 7 &,-)c_` rt _-� ST City / Zip: Ed me"A S `T602� Customer: PM / Insp: CUST PHONE NUMBER PHONE NUMBER WORK DESCRIPTION, —i- L-e, Construction Method Open Trench 0 Trenchless ❑ PLAT MAP: t N J � 1 I OP Q r/D r I Work Location Size of Cut Surface Type ZS60S of CL (_JJ &_Zl_ f CL '7+k .jcr — 'N S of CL & 'E W of CL 'N S of CL & 'E W of CL FLAGGERS # MPH ❑ TROLLY LINES ❑ BUS STOP # ❑ METER HOODS # ❑ OFFICERS # SPEED LIMIT ❑ TRAFFIC SIGNAL ❑ ARTERIAL ❑ NO PARKS # ❑ Commercial ❑ 0 Residential ❑ ❑ Multi -Family ❑ ❑ New Constr. ❑ ❑ Stub ❑ ❑ Extension ❑ ❑ Compete Sery ❑ Altered Commercial Altered Residential Replacement Service Main Maintenance Service Maintenance valve Maintenance Cut & Cap & Leak Repair ❑ CP Work ❑ Pothole ❑ Extension Service Information Diameter Meter EFV ❑ 5/8" ❑ 250 ❑ 1800 ❑ 11/8" ❑ 425 ❑ 2600 ❑ 11/4" ❑ 630 ❑ 10,000 ❑ 2" ❑ 1000 Mtr Loc: ❑ Template Bar ❑ Bollards 2.5" # ❑ Bollards 4" # ❑ FUEL LINE PERMIT NEEDED Fuel Line Length: Fuel Line Diameter: 844 830 PE 5/8' PE 1 83 a7 1993 98 840 850 2" STW IP 21'W g g§9,�i�A62 402 19 3/4" 197'N 05006 L NUT ST 405 5/8" MPE 2005 5/8" MPE 2003 415 3/4' STW 1963 900 916 5/8" PE 1992 911 5/8" MPE 1997 6" STW IP 21'S 91R7_10R0 0 914 1 1/8" MPE / 1999 917 5/8" MPE 2006-E 926 -r T829 FT 1-- 1 1/8' MPE �) 2008-E 907 915 No electric grid information available Scale 1:675 S160062,Q163066 01-29-2019 Lat\Long=47.8073,-122.3671 OD �PUGETSOUND ENERGY The information - the,((„had maps is subject t, change without notice. Puget Sound Energy makes no warranty, expressed or i m,I,ed, concerning the sui(ab,l,ly of Ihis info nnetion for any purpose. Recipient agrees to not disclose Ihis c, nfidentiel info nn anon to any pth er person or entity, unless authorized 11 writing by Puge( Sound Energy. This map,, not to be used for date,—,,g (he actual location ,f,ny PSE facilities (,,11811)"