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ENG2020-0164RIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds -0164 www.cityofedmonds.gov Description: PSE-INSTALL GAS SERVICE ISSUED: 05/20/2020 Address: 8706 OLYMPIC VIEW DR EDMONDS WA 98026-5319 EXPIRES: 11/20/2020 rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434600000409 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 SESSLER ANDREW R & SHELLEY 8706 OLYMPIC VIEW DR, EDMONDS WA 98026-5319 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 5/20/2020 :»•>/F9:1H ]1 DATE Printed: Wednesday, May 20, 2020 11:20:11 AM 1 of 2 -1RRRTF WAY EUC PERMIT City of • • • •:• •ENG2020-0161 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. ENGINEERING OTHER VERIFY CLEAR BORE CROSSINGS. 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 'ENGINEERING OF INSPECTION TYPE DATE RESULT NOTES COMPLETE X-2 FINAL" E-7 TRAFFIC CTRL E-7 RESTOR LIMITS Printed: Wednesday, May 20, 2020 11:20:11 AM 2 of 2 0 \:L L?,11(7. "'VC. 1 S`� J RECEIVED 4/28/20 ROW PERMIT NO.: ENG2020-0164 ISSUE DATE: 5/20/20 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106366571 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane State License #: INFRASL871C2 City Business License #: CONTACT: Susan Sidick Phone #: 425-457-6353 Fax #: Email #: susan.sidick@pse.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 8706 Olympic View Dr 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 18' N to I I' S c/l of Olympic View Dr & 130' W c/1 of 86th PL W (2) 3x5 paving cuts 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 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\DQ6LQFN 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 TEMPORARY TRAFFIC CONTROL PLAN II,PL1151! oiM tfL'OZM Yzoo •. - a ------- __ END ROADWORK receiving pit 1 W34 sIs z 4 < �Q /-/- yo�o om �P �oa�osd e a's`�• � �J; P. � J o -1 ROAD L� WORK AHEAD ROAD WORK AHEAD TION -ING TANGENT 80 60 40 Q r` PUGET SOUND ENERGY JOB# 106366571 8706 Olympic View Dr, Edmonds, WA April 24, 2020 gregory.harwood@pse.com (425) 424-6425 SHEET 1 of 2 END ROAD WORK W3-4 Notes: I1. 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 18'NCL of Olympic View Dr & 130' WCL of 86th PI W. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 012238 Card Exp. 09/30/2023 gregory.harwood@pse.com (425)424-6425 END ROAD WORK 0k-Y / I 8Ipn18 ROAD WORK o AHEAD 6 \NV-'W3-4 �oP�o �2p"1 ZATI ON FACING TANGENT 80 60 40 TEMPORARY TRAFFIC CONTROL PLAN ROAD" WORK AHEAD Q r, 0 N W3-4 dL V-0ZM �-OZM a- — - — - — - — - — - — W20-7A CREW SHALL POTHOLE FOR WATER MAIN DEPTH PRIOR TO PROJECT START 4 W3-4 GO 7i- P � O ROPE o 3 \ FNEP — W3-4 PUGET SOUND ENERGY JOB# 106366571 8706 Olympic View Dr April 24, 2020 gregory.harwood@pse.com (425) 424-6425 SHEET 2 of 2 END ROAD WORK 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 11' & 30' SCL of Olympic View Dr & 130' WCL of 86th PI W. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. :1 x614UI4111114"PU Job #: Date: Jurisdiction: ROW Permit: Est. Start Date: Est. Duration: Puget Sound Energy Gas Pre -Inspect Form 106366571 4/16/20 Edmonds Yes 6/26/20 1-112 Days (12 hours) Address: City / Zip: Customer: PM / Inspector 8706 Olympic View Dr Edmonds, 98026 Kevin SDratt (425) 471-1486 Noah Fowler (425) 375-3242 Job Description / Scope of Work Install a 48' 1-1/8" PE SCAT stub and a 82' 1-1/8" PE SCAT extension from a 2" MPE IP main on New Construction: o Olympic View Dr. Set an A425 meter at inches, located O/L of the home. Construction Method All Scat / Trenchless PLAT Map: 160.068 Maintain a minimum of 5' horizontal & 1' vertical seperation from other utilities in ROW g6A2634 i1.'N ���-------�► 60' ROW 2,. MPS 5 107 Tie In 48' s-,oa WATER OlYrnpic View 5-53 Dr a SEWER _ 00 STORM 1-1/8" PE 82' 8706 A425 . I Work Location Size of Cut Surface Type 18' North of CL Olympic View Dr & 130' West of CL 86th PI W 3' x 5' Asphalt 11' South of CL Olympic View Dr & 130' West of CL 86th PI W 3' x 5' Asphalt 18' South of CL Olympic View Dr & 130' West of CL 86th PI W Tx 3' Asphalt Service Information Street Information Job Type Diameter: 1-1/8" PE Flaggers #: Arterial: No Residential Conversion SVC EFV: 1-1/8" - 2600 - 9999144 Police #: TCP: No Tie -In Fitting Meter: A425 Speed Limit: No Parks #: MDPE - 2" IPS - (DIA) 1"CTS Meter Loc: 03 - OL Trolley Lines: No Mtr Hoods #: Del Press: 6" W.C. Traffic Signal: No Bus Stop: No 0 Bollards: 2.5" # 4" # ADA Ramps #: Route #'s: