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ENG2020-0089RIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds -0089 www.cityofedmonds.gov Description: PSE-RESTORATION FOR WORK COMPLETED UNDER ENG2018-0522 ISSUED: 03/17/2020 Address: 300 ADMIRAL WAY EDMONDS WA 98020-7230 EXPIRES: 09/17/2020 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 27032300401400 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 EDMONDS PORT OF 300 ADMIRAL WAY, EDMONDS WA98020 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 I- ✓Ytac&t" 3/17/20 RELEASED BY DATE Printed: Tuesday, March 17, 2020 3:27:34 PM 1 of 2 -1RRRTF WAY EUC PERMIT City of • • • Edmonds•:• • 1 1 11:' ., 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 COMPLETE E-7 CONCRETE SIDEWALK E-7 RESTOR LIMITS X-2 ENGINEERING FINAL" E-7 TRAFFIC CTRL Printed: Tuesday, March 17, 2020 3:27:34 PM 2 of 2 0 \:L L?,11(7. "'VC. I S'� J PROJECT NAME: ROW PERMIT NO.: ENG 2020-0089 ISSUE DATE: 3/17/20 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION 109114720 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: 300 Admiral Way ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only) ❑ Multi -Family ❑ Single Family ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ANY ASSOCIATED PERMITS? ❑ Other ❑ Yes ❑ No BLD# ENG# Permission requested to tie into existing 2" STW DESCRIPTION OF PROPOSED WORK (Be Specific) : rp gasmain 1-p-catec�t at 12' W of C/L of Admiral Way a Service to be hole hogged with (1) 6'W open cut in asphfalt or tie in. (1) 7'X3' open cut in concrete sidewalk for extension to property. Potholes in asphalt over water where required. PERMIT REQUIRED 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 Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com i I # 300 -a ^ FLAGGERS WILL ASSIST PEDESTRIAN AROUND ,-` f ' ,,�A WORKZONE PLACE SIGNS � +i BOTH SIDES OF +i WORK AREA CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 5 /70 40 1 80 O`�'g ' v-03M ---- ------- -- - - PUGET SOUND ENERGY JOB# 109114720 300 Admiral Way, Edmonds, WA 98020 10/9/2018 DAYTON ST 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 168' SCL of Dayton Ave & 13-26' WCL of Admiral Way, 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. safaa.neema@pse.com (425) 398-6077 SHEET 1 of 1 Applicant shall repairlreplr..a,ce all ctaMa,-1-�•.. Utilities ar frontage Improvements In G ley right-of-way per City standards that is causm - or OCCUrs during the perrnitGed prcmjcct. ---k---- —------ ---- —---- --------- ENGINEERING DIVISION APPROVED AS NOTED: NGRIGGS Date:3/17/2020 LEGEND ® 28" TRAFFIC CONE ® BORE PIT TRAFFIC FLOW FLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW ROW Job #: 109114720 Date: 10/1/18 Jurisdiction: City of Edmonds / Port of Edmonds Right of Way Permit? E]YES ❑ No Est. Start Date: Est. Duration: 1T:7=81il,R97X009P►13 IeT:iA Address: 300 Admiral Way City / Zip: Edmonds 98020 ® PUGET SOUND ENERGY Customer: Port of Edmonds CUST PHONE NUMBER PM / Insp: L. Griffith / D. Matulich 425-214-3020 PHONE NUMBER WORK DESCRIPTION: Construction Method Trenchless 0 Replace 1- 114" PE service to 300 Admiral Way located at 171'5 of W Dayton St and replace Open Trench 0 with like kind. Cut and Cap old service at service te. New Construct ❑ Existing ❑ I I I I I I ! I I �0 1 1/4" PE Valve h proposed service in sidewalk 9L� 3'North of existing I I 168'S, 26'W service, relocate riser I .� :. R ` ,. •'•,• . Sidewalk •.•' >?' ` 5� •••• Arnies restaurant. 7'X3' • ' 300 Repair �,/� �� .' 4 •' 171'S •' 2"X1 1/4 " 24 W ♦♦ ; •'• I : ' �' �1b service tee -I ♦ �; 168'S,13'W •��;� �ta� RNMU • �.�' Cut and cap ♦ �.� w/ STW cap I , w a i so, Q` a E I 9 � 0, 9 I �I 171'S, 13'W Asphalt cut I _ 13'Asph I 13'Asph --- #0 6'X4' G�S Sew WTR Tel 0 i' I I 13'W O 8'E WE TW Work Location Size of Cut Surface Type S f CL Dayton AVE &.11- ' W f CL Admiral Way 6'X4' Asphalt 168 'N S f CL Dayton AVE & 96L W f CL Admiral way 7'X3' Concrete 'NSofCL & 'EWofCL ❑ FLAGGERS # 25 MPH ❑ TROLLY LINES ❑ BUS STOP # ❑ METER HOODS # ❑ OFFICERS # SPEED LIMIT ❑ TRAFFIC SIGNAL ❑ ARTERIAL ❑ NO PARKS # ❑✓ Commercial ❑ Altered Commercial ❑ Leak Repair Service Information ❑ Template Bar ❑ Residential ❑ Altered Residential ❑ CP Work Diameter Meter EFV Pressure [I Bollards # ❑ Multi -Family ❑� Replacement Service El Pothole ❑ 5/8" ❑ 250 ❑ 1800 ❑ 6" WC ❑Bollards 4" # ❑ New Constr. ❑ Main Maintenance ❑ Extension ❑ 11/8" ❑ 425 ❑ 2600 ❑ 2# ❑ Stub ❑ Service Maintenance ❑✓ 11/4" ❑ 630 ❑ 10,000 ❑ > 5# ❑ FUEL LINE PERMIT NEEDED ❑ Extension ❑ Valve Maintenance ❑ 2" ❑ 1000 Fuel Line Length: ❑ Compete Sery Cut & Cap Mtr Loc: Fuel Line Diameter: PERMIT REQUEST FORM Date of Request: 11/02/18 Job number: Job address: Project mgr: PM email: 109114720 300 Admiral Way Lisa Griffith lisa.griffith@pse.com Estimated job start date: 02/25/19 Estimated job completion date: 02/27/19 City: Edmonds Zip. 98020 PM contact #. (425) 406-0121 Description of work to be performed: Permission requested to tie into existing 2" STW IP gas main located at 12' W of C/L of Admiral Way and 168' S of C/L of Dayton Ave to extend replacement service west to Arnie's Restaurant. Service to be hole hogged with (1) 6'X4' open cut in asphalt for tie in. (1) TXT open cut in concrete sidewalkforextension to property. Potiioiesiiiaspiiaitovei-vvatei- Pavement cut? ❑✓ Yes ❑No If yes, Dimensions of Cut: Length 8' Width 4' How many cuts? 2 Surface Type Asphalt/Concrete Require trenching? Eyes ❑No If yes, Dimensions of trench: Length 8' Width 4' Depth 3' Method of installation: Open trench/hole hog Traffic impact: Road closed ❑Yes ❑✓ No Lane closed [?]Yes ❑ No How Many? 1 Direction? south Shoulder closed Yes ❑ No Sidewalk closed Fv Yes ❑ No Emergency Contact: John Frederick Print Send Cell Number: (425) 516-4928 Reset