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ENG2020-0152OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds AveRIGHT 9801 1 1 www.cityofedmonds.gov Description: PSE-INSTALL GAS SERVICE ISSUED: 04/20/2020 Address: 650 BELL ST EDMONDS WA 98020-3020 EXPIRES: 10/20/2020 it Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434209801700 W 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 VON'S BELLST LLC 440 12TH PL N, EDMONDS WA98020-2970 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 4/20/2020 :»•>/F9:1H ]1 DATE Printed: Monday, April 20, 2020 12:00:55 PM 1 of 2 -1RRRTF WAY EUC PERMIT City of • • • •:• •ENG2020-0151 www.cityofedmonds.gov• • CONDITIONS CONDITION TYPE Easement and/or permission from adjacent property owner is required prior to entry or work within ADJACENT PROPERTY an adjacent property. Work approved under this permit may or may not qualify as an essential or allowed activity per the Governors Stay Home, Stay Healthy Order. Refer to the Order and the Citys website for up-to-date information related to development activities during COVID-19. Issuance of this permit does not COVID-19 NOTICE certify that construction is allowed to immediately occur, and inspections may or may not be granted accordingly. Construction activities and all required inspections will resume when the Order has been lifted. 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 F 'RERST0R OF INSPECTION TYPE 7E-7 DATE RESULT NOTES COMPLETE LIMITS X-2 ENGINEERING FINAL" E-7 TRAFFIC CTRL Printed: Monday, April 20, 2020 12:00:55 PM 2 of 2 0 \:L L?,11(7. "VC. I S'� J RECEIVED 4/13/20 ROW PERMIT NO.: ENG 2020-0152 ISSUE DATE: 4/20/20 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106366495 CONTACT: Susan Sidick CONTRACTOR: PSE/Infrasource Phone #: 425-457-6353 Mailing Address: 1660 Park Lane Burlington Wa 98233Fax #: State License #: INFRASL871C2 City Business License #: 179-010-055 Email #: susan.sidick@pse.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 650 Bell 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) : To install gas service at approx 6' N of alleyway and 95' W to 140' W c/1 of 7th Ave N (2) 3x5 pawing cuts anticipated WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: ❑x 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 6X\IJQ6LQFN Contractor or Agent DATE NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE ozoz� BELL ST � Flo ■ I I 1 I I 1 I I 20i20 MAIN ST Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 012238 Card Exp. 09/30/2023 gregory.harwood@pse.com (425)424-6425 p TEMPORARY TRAFFIC CONTROL PLAN Notes: 1. All signs and spacing to conform to the MUTCD J;o aro�d Pa;s.�+_s _s�yt �_bY®uaa ewM��rsMv_,»o Pa=. �'�+Y1r.�'a�, 3o-;y AL s rtd a esses a6e;uo�; e 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-specffied�tL�t*4oraKedals- and major ill be from 9 a.m. to 3 p.m �• 4—rea will be U NCL of Alley & 95' WCL of 7th Ave z N, 6' NCL of Alley & 140' WCL of 7th Ave N. ly 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. 2 ALLEY LEGEND ® 28" TRAFFIC CONE ® WORK PIT => TRAFFIC FLOW WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY Row SIGN SPACING MPH "X" 60/65 1000, 45/55 500, 35/40 350' 30 200' 25 100, PUGET SOUND ENERGY JOB# 106366495 650 BELL ST, EDMONDS, WA 98020 4/10/2020 jason.bisenius@pse.com 425-424-7316 SHEET 1 of 1 CIV3H`d a3S0­I0 J�3�1`d 650 a �<a • f a" ALLEYEM N ~� wW �o * POLICE AND FIRE TO BE NOTIFIED OF ALLEY CLOSURE A MINIMUM OF 48 HOURS PRIOR TO CLOSURE. * COORDINATE CLOSURE WITH TRASH HAULERS. CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 �9 BELL ST I � I I i I I I I II I I I I I II I I I 1 I II ALLEY ,jHCLOSED AHEAD MAIN ST Job #: Date: Jurisdiction: ROW Permit: Est. Start Date: Est. Duration: Puget Sound Energy Gas Pre -Inspect Form 106366495 4/3/20 Edmonds Yes 6/22/20 1-112 Days (12 hours) Address: City / Zip: Customer: PM / Inspector: 650 BELL ST EDMONDS, CHARLES VONGOEDERI 425-778-6673 Kevin Williams 425-691-7573 Job Description / Scope of Work From 2" PE main run 2 new 1-1/8 PE services to 4 condo building (BOTH- 5' scat stub with 22' New Construction: plat extensions) Set 2 MM OL, and 2 MM OR. All are 425 meters @ Inches Yes Construction Method Scat ROW / Plat Property PLAT Map: 163.066 Bell ST 30' E -------------- I iLU h I ch 2 I 1 1 /8" MPE 2015-E 648 644 I 650 644 5/8" 1APE V 2006 � I 2 mm 425 2 mm 425 I G m II II 660 z II II I j II II II 1-118" PE 1 1 = CV 107009730-2000 Alley Rowil5' Sewer MINIMUM 5' HORIZONTAL AND 1' VERTICAL SEPARATION REQUIRED FROM ALL CITY UTILITIES. Work Location Size of Cut Surface Type 6' N of CL Alley & 95' W of CL 7th AVE N 3x5 Asphalt 6' N of CL Alley & 140' W of CL 7th AVE N 3x5 Asphalt of CL & of CL Service Information Street Information Job Type Diameter: 1-1/8" PE Flaggers #: Arterial: Multi -Family Svc EFV: 1-1/8" - 2600 - 9999144 Police #: TCP: Yes Tie -In Fitting Meter: A425 I A425 A425 A425 Speed Limit: ?5 No Parks #: Meter Loc: OL & OR Trolley Lines: Mtr Hoods #: Del Press: 6" W.C. Traffic Signal: Bus Stop: Bollards: 2.5" # 4" # ADA Ramps #: Route #'s: