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ENG2020-0131OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds AveRIGHT 9801 1 1 www.cityofedmonds.gov Description: PSE-INSTALL GAS SERVICE ISSUED: 04/01/2020 Address: 880 SOMERSET LN EDMONDS WA 98020-2647 EXPIRES: 10/01/2020 rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00639700001300 iii 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 HUGHES LLOYD & HELEN TRUSTEES 880 SUMERSET LN, EDMONDS WA98020 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 I. Jhilz tga 4/1 /2020 RELEASED BY DATE Printed: Wednesday, April 01, 2020 7:36:27 AM 1 of 2 -1RRRTF WAY EUC PERMIT City of • • • •:• •ENG2020-0131 ., 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" Printed: Wednesday, April 01, 2020 7:36:27 AM 2 of 2 nF EVA,1(-), ANC. I sc) u PROJECT NAME: RECEIVED 3/23/20 ROW PERMIT NO.: ENG2020-0131 ISSUE DATE: 4/l/2020 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION 106365515 CONTRACTOR: I nfrasou rce CONTACT: Susan Sidick Phone #: 425-457-6353 Mailing Address:1660 Park Lane Burlington Wa 98M 4: State License #: INFRASL871C2 Email#: susan.sidick(a-)_pse.com City Business License #: ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 880 Somerset Lane 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 permit9 ANY ASSOCIATED PERMITS? ❑ Yes ❑ No BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : _ 6' S c/I of Somerset Lane & 135' W c/1 of 9th AVE N To install gas service at approx WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: © Yes ❑ 4 No If yes, indicate size of cut: x 7 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 6 XVDQ 6, C1FN Contractor or Agent DATE 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 ® WORK PIT TRAFFIC FLOW TtFLAGGER WORKVEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 TEMPORARY TRAFFIC CONTROL PLAN ad3HVN W3-4 0 ��onn avob Q ::�- av3Hv Q' \ Sp �, avoa Q<(/ 3Nvl3NO F O SFT ' ,\ o a o • • • • • - •��-------------Cn Cn W3-4 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 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 6' SCL of Somerset Ln & 135' WCL of 9th Ave N. #880 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. Z LU 2 ENGINEERING DIVISION APPROVED AS NOTED: NGRIGGS Date:3/31/2020 END ROAD WORK END ROAD WORK PUGET SOUND ENERGY JOB# 106365515 880 Somerset Ln, Edmonds, WA 3/21 /2020 nick. klyzhko@pse.com (425) 424-7796 SHEET 1 of 1 W3-4 � N )NE LANE ROAD AHEAD r(VAU WORK N 4HEAD Puget Sound Energy Gas Pre -Inspect Form Job #: 106365515 Date: 3/10/20 Address: Jurisdiction: Edmonds City / Zip: ROW Permit: Yes Customer: Est. Start Date: 3/5/20 PM / Inspector Est. Duration: 1 Day (8 Hours) 880 Somerset Ln Edmonds, 98020 Dave McGaugh 206-465-2020 Noah Fowler 425-375-3242 Job Description / Scope of Work All SCAT residential gas conversion from a 2" STW IP main. Installing a 1-1/8" PE service line at 65' New Construction: No long with a A630 meter at inches. Construction Method All Scat / Trenchless PLAT Map: 161.066 - ♦ d Q Se L ♦ 1/2" ♦ ♦ 35'N ♦ ♦ 'A ♦ to ♦ � � Somerset Ln ♦ ♦ Tie ih ♦ ♦ ♦ ♦ 22"STW IP 6'S 73C289 Water 1/( 1-118" PE A630 L214'N 880 15 Work Location Size of Cut Surface Type 6' South of CL Somerset Ln & 135' West I of CL 19th Ave N 4x7 Asphalt of CL & of CL of CL & of CL Service Information Street Information Job Type Diameter: 1-1/8" PE Flaggers #: Arterial: Residential Conversion SVC EFV: 1-1/8" - 2600 - 9999144 Police #: TCP: Yes Tie -In Fitting Meter: A630 Speed Limit: No Parks #: Meter Loc: 08 - OR Trolley Lines: No Mtr Hoods #: Del Press: 6" W.C. Traffic Signal: No Bus Stop: No Bollards: 1 2.5" # 1 4" # ADA Ramps #:I I Route #'s: