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ENG2020-0088RIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds -0088 www.cityofedmonds.gov Description: PSE-RESTORATION FOR WORK COMPLETED UNDER ENG2018-0559 ISSUED: 03/17/2020 Address: 9122 206TH ST SW EDMONDS WA 98026-6657 EXPIRES: 09/17/2020 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00635200000500 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 HARVEY R & V TRUSTEES 9122 206TH ST S 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 7- ✓ to ucya 3/17/20 RELEASED BY DATE Printed: Tuesday, March 17, 2020 3:17:38 PM 1 of 2 -1RRRTF WAY EUC PERMIT City of • • • Edmonds•:• • 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 RESTOR LIMITS Printed: Tuesday, March 17, 2020 3:17:38 PM 2 of 2 0 \:L L?,11(7. ANC. 1 s`) u PROJECT NAME: ROW PERMIT NO.: ENG 2020-0088 ISSUE DATE: 3/17/20 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION 106349684 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane State License #: INFRASL871C2 City Business License #: CONTACT: Susan Sidick Phone #: 425-457-6353 Fax #: Email #: ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 9122 206th ST SW 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) : work area is approx 14' S c/l of 206th ST SW & 285' W Maplewood Dr (1) 3x5 paving cut anticipated Work has been completed requesting permit for restoration only WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: 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 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 Susan Sidick DATE 03/17/2020 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Puget Sound Energy Gas Pre -Inspect Form Job #: 106349684 Date: 11/28/18 Address: Jurisdiction: edmonds City / Zip: ROW Permit: Yes Customer: Est. Start Date: Cycle C PM / Inspector: Est. Duration: 1 Day (8 Hours) 9122 206TH ST SW EDMONDS EDMON ALLEN SMOLINKSI 425-870-5081 Jordan Cooper 425-623-5302 Job Description / Scope of Work From 2" MPE IP 36' R Main (107022917-2005) Run New Scat 1 1/8 PE Service 50' (5' Stub and 45' New Construction: No Ext) And Set A630 O/F On Single Family Home. Keep 5' Horizontal and 'I'Vertical Seperation from Construction Method City Of Edmonds Utilities All Scat / Trenchless PLAT Map: 163068 1 ' t I 1 N 1 �• 1 1. 4e 5� 4 1 1 1 *Permit for restoration only.* , 1 1 � 1 1-118„ PE 1 , 1 PL I 1 A630 yyJ 1 4 r do Work Location Size of Cut Surface Type 14' S of CL 206th St SW & 285' W of CL MapleWood Dr 3x5 A of CL & of CL of CL & of CL of CL & of CL of CL & of CL Service Information Street Information Job Type Diameter: 1-1/8" PE Flaggers #: N Arterial: N Residential Conversion SVC EFV: 1-1/8" - 2600 - 9999144 Police #: N TCP: Y Tie -In Fitting Meter: A630 Speed Limit: 25 No Parks #: Y Meter Loc: 0 Trolley Lines: N Mtr Hoods #: N Del Press: 6" W.C. Traffic Signal: N Bus Stop: IN Bollards: 2.5" # 1 4" # ADA Ramps #:I N I Route #'s: I N Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com (425)424-6425 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. Owner/contractor is responsible for erosion control and drainage. ENGINEERING DIVISION APPROVED AS NOTED: NGRIGGS Date:3/17/2020 Notes: 1. All signs 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 14' SCL of 206TH ST SW & 285' WCL of MAPLEWOOD DR. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. PUGET SOUND ENERGY JOB# 106349684 9122 206TH ST SW, EDMONDS, WA DECEMBER 3RD 2018 john.herman@pse.com 425-424-7807 Sheet 1 of 1 205TH PL SW -------------------- I SIGN SPACING CHANNELIZATION DEVICE SPACING MPH "K. 60/65 1000, MPH TAPER 40 TANGENT 80 45/55 500' 55/70 35/40 350' 30 60 30 200' 35/45 25 1 oo' 25/30 20 40 LEGEND ® 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW TtFLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW ROW