ENG2020-0154OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
EdmondsRIGHT
9:01 1 1 �
www.cityofedmonds.gov
Description: PSE-CUT AND CAP GAS SERVICE ISSUED: 04/27/2020
Address: 735 15TH ST SW EDMONDS WA 98020-5173
EXPIRES: 10/27/2020
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00390000001100
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 FAZAKERLEY NANCY & RICHARD 735 15TH ST SW, EDMONDS WA 98020-5173 (425)531-0923
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
4/27/2020
:»•>/F9:1H ]1
DATE
Printed: Monday, April 27, 2020 8:45:20 AM 1 of 2
-1RRRTF WAY EUC PERMIT
City of • • •
•:• •ENG2020-015
.,
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
•
INSPECTION TYPE DATE
RESULT
NOTES
COMPLETE
X-2 ENGINEERING FINAL"
E-7 RESTOR LIMITS
Printed: Monday, April 27, 2020 8:45:20 AM 2 of 2
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PROJECT NAME:
RECEIVED 4/14/20
ROW PERMIT NO.: ENG 2020-0154
ISSUE DATE: 4/27/20
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
108621859
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane
State License #: ur mg on Wa
98233
City Business License #: 179-010-055
CONTACT: Susan sidick
Phone #: 425-457-6353
Fax #:
Email #:
sus san. sidick(apse. com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 735 15th ST SW
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#
DESCRIPTION OF PROPOSED WORK (Be Specific) :
To cut and can Ras service at annrnx 17' N cd of 15th ST SW & 136' W c/1 of Sth Ave
S (1) 3x4 paving cut anticipated
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut: 3 x 4
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 6MDQ6IQFN
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
WORK VEHICLE/
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
3:Z;
/C r�iv� lc� ca ,Ei�_i iCz�� : ate• zl i���ai����c>.i c� _
—' M 00
o X o
W20-1
Notes:
1. All signs and spacing to conform to the
MUTCD and Snohomish County 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 17' NCL of 15th St SW & 136'
WCL of 8th Ave S.
UTILIZE ATTACHED SINGLE
LANE CLOSURE TCP IF NEED
TO CLOSE LANE OF TRAFFIC
TO COMPLETE WORK.
PUGET
SOUND
ENERGY
JOB# 108621859
735 15th St SW, Edmonds, WA
4/8/2020
nick. klyzhko@pse.com
(425) 424-7796
SHEET 1 of 1
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
25
30
35
40
45
50
55
60
65
70
LENGTH (feet)
155
200
250
305
360
425
495
570
645
730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9,900 TO 22,000 Ibs.
HOST VEHICLE WEIGHT
I > 22,000 lbs.
< 45 MPH
45-55 MPH
> 55 MPH
< 45 MPH
45-55 MPH
> 55 MPH
100,
123'
172'
74'
100,
150,
PROTECTIVE VEHICLE (WORK VEHICLE) = R
NO SPECIFIED DISTANCE REQUIRED
300'
ONE LANE .�
ROAD
AHEAD
48"
48" W20-4 48. W20-7A
ROAD BE
WORK PREPARED
AHEAD TO STOP
48" 48"
W20.1 W20-7111
W20.7B (OPTIONAL IF
40 MPH OR LESS)
LEGEND
FLAGGING STATION
b TEMPORARY SIGN LOCATION
D CHANNELIZING DEVICES
PROTECTIVE VEHICLE
SIGN SPACING = X (1)
RURAL HIGHWAYS 60 165 MPH
800't
RURAL ROADS 45/55 MPH
500'i
RURAL ROADS & URBAN ARTERIALS 35/40 MPH
350't
RURAL ROADS, URBAN ARTERIALS, 25 / 30 MPH
RESIDENTIAL & BUSINESS DISTRICTS
200't (2)
URBAN STREETS 25 MPH OR LESS
100'i (2)
(1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE
INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
50. TO 100'
6 DEVICE
MIN I I R
O RK
AREA
59TO 100'
6 DEVICE
W20-7A
ONE LANE
ROAD
AHEAD�
W20-4
W20_7B (OPTIONAL IF
40 MPH OR LESS)
481, 48'
BE ROAD
PREPARED WORK
To STOPrr AHEAD
48" 48" 48. 48'
Or . W20.713 ONE LANE W20.1
ROAD
AHEAD
48" 48"
W20-7A W20-4
BE
PREPARED > W20-713 IONAL IF
40 MPH OR(OPTLESS)
TO STOP
48'
W20-7B
48'
ROAD
CHANNELIZATION DEVICE
SPACING (FEET)
MPH
TAPER
TANGENT
50/65
10 TO 20
80
35/45
10 TO 20
60
25/30
1 10 TO 20
40
WORK NOTES
AHEAD
48' 1. ALL SIGNS ARE BLACK ON ORANGE.
ONE -LANE, TWO-WAY TRAFFIC CONTROL
WITH FLAGGERS
NOT TO SCALE
2. EXTENDING THE CHANNELIZING DEVICE TAPER ACROSS
SHOULDER IS RECOMMENDED.
3. NIGHT WORK REQUIRES ADDITIONAL ROADWAY LIGHTING AT
FLAGGING STATIONS. SEE THE STANDARD SPECIFICATIONS
FOR ADDITIONAL DETAILS.
4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS.
Plot 1
TIME 3:05:14 PM
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Washington State
Department of Transportation
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DATE 1/212018
PLOTTED BY Ilddelf
DESIGNED BY
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CHECKED BY
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TRAFFIC CONTROL PLAN
PROJ. ENGR.
REGIONAL ADM.
REVISION
DATE
BY
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
108621859
4/6/20
Edmonds
Yes
6/29/20
112 Day (4 Hours)
Puget Sound Energy Gas Pre -inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
735 15TH ST SW
EDMONDS, 98020
ROB PURSER 425-531-0923
Kevin Williams 425-691-7573
Job Description Scope of Work
At Main C&C 3/4 STW service to home 735, and pull meter.
New Construction:
Construction Method
PLAT Map: 165.066
t
VERIFY CLEAR BORE CROSSINGS.
I 5W UTILITIES WITHIN ROW ON 15TH ST
SW:
- (1) CITY SEWER MAIN
- (1) OVWSD WATER MAIN
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Work
Location
Size of Cut
Surface Type
17'
N
of CL
15th ST SW
&
of CL
8th AVE S
3x4
Asphalt
of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
0
Flaggers #:
Arterial:
Cut & Cap
EFV:
0
Police #:
TCP:
Yes
Tie-in Fitting
Meter:
Speed Limit:
No Parks #:
Meter Loc:
0
Trolley Lines:
Mtr Hoods #:
Del Press:
Traffic Signal:
Bus Stop:
1Bollards:
1 2.5" #
1
1 4" #
I
ADA Ramps #:1
1 Route #'s:
I
2-232
-312
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12-23