ENG2020-0208RIGHT OF WAY EUC PERMIT
PERMITNUMBER,
City of Edmonds
-0208
www.cityofedmonds.gov
Description: PSE-INSTALL GAS SERVICE ISSUED: 06/04/2020
Address: 23816 106TH PL W EDMONDS WA 98020-5771
EXPIRES: 12/04/2020
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00689500001900
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 KUJALA COLIN M/BENTON 23816 106TH PL W, EDMONDS WA98020
ALEXANDRA V
FEE••
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
Pr•
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.
77 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
06/04/2020
RELEASED BY
DATE
Printed: Thursday, June 04, 2020 9:37:32 AM 1 of 2
-1RRRTF WAY EUC PERMIT
City of • • •
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 RESTOR LIMITS
Printed: Thursday, June 04, 2020 9:37:32 AM 2 of 2
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"VC. I S'� J
RECEIVED 6/1/20
ROW PERMIT NO.: ENG 2020-0208
ISSUE DATE: 6/4/20
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106366024 CONTACT: Susan Sidick
CONTRACTOR: PSE/Infrasource Phone #: 425-457-6353
Mailing Address: 1660 Park Lane Burlington Wa 98233Fax #:
State License #: INFRASL871C2 Email #: susan.sidick@pse.com
City Business License #: ❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 23816 106th PL W
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 install gas service at approx 16' to 13'
E c/1 & 10' W c/1 of 106th PL W & 170' S c/1 of 237th PL SW (2) 3x5 paving cuts and (1) 3x3 paving
cuts anticipate
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: 0 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\DQ61QFN
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 -
END ROAD WORK
TEMPORARY TRAFFIC CONTROL PLAN
-----------------------------f
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W20-1 0
W3-4
W20-4
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
PUGET
SOUND
ENERGY
JOB# 106366024
23816 106TH PL W, EDMONDS, WA 98020
4/3/2020
jason.bisenius@pse.com
425-424-7316
SHEET 1 of 2
W20-4
t-cm�F
L-OZM
I
n
,^ �� ------- 100' 100'
1�
23816
v3av AtlMv Mol
0 0. I= woe
ONIMVd •
SIGN SPACING
MPH
"XI
60/65
1000,
45/55
500,
35/40
350'
30
200'
25
100'
ICDI14�14 4(1Q!L_
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LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
Row
237TH PL SW
END ROAD WORK
Applicant shall repair/replace all
damage to utilities or frontage
improvements in City right-of-way
per city standards that is caused or
occurs during the permitted project.
= . =
TOW OWNER/CONTRACTOR IS RESPONSIBLE FOR
, AREA
EROSION CONTROL AND DRAINAGE
W20-4
W20-1
ti
0
N
i
ENGINEERING DIVISION
APPROVED AS NOTED
NGriggs 06/03/2020
IutL1151!
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 16' ECL of 106th PL W & 170' SCL
of 237th PL SW, 3' ECL of 106th PL W & 170' SCL of 237th
PL SW, 10' WCL of 106th PL W & 170' SCL of 237th PL
SW.
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
TEMPORARY TRAFFIC CONTROL PLAN
�:------------------------- ----------------------------
J
100' -----------------f---------------------
7 100' 100, / �'
PUGET
SOUND
ENERGY
JOB# 106366024
23816 106TH PL W, EDMONDS, WA 98020
4/3/2020
jason.bisenius@pse.com
425-424-7316
SHEET 2 of 2
�D0O
A-i-0w ■
O O > m
W20-1
o W20-7A
W3-4
W20-4
RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
tl31Jtl AtlMtl MO1
23816
SIGN SPACING
MPH
"XI
60/65
1000,
45/55
500,
35/40
350'
30
200'
25
100'
�IQ
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W20-4
V-£M
LL-OEMIF
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WQ
100
237TH PL SW
CL
2
o CREW SHALL POTHOLE
FOR WATER MAIN DEPTH
� I PRIOR TO PROJECT START
".. TOW AWAY A r-1T.
AREA
�■
W 3-4
W20-4
r'-� W20-1
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW
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 16' ECL of 106th PL W & 170' SCL
of 237th PL SW, 3' ECL of 106th PL W & 170' SCL of 237th
PL SW, 10' WCL of 106th PL W & 170' SCL of 237th PL
SW.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
106366024
3/23/20
Edmonds
Yes
6/12/20
1 Day (8 Hours)
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector
23816 106th PI W
Edmonds, 98020
Alexandra Benton 425-275-8388
Noah Fowler 425-375-3242
Job Description / Scope of Work
Install a 41' 1-1/8" PE SCAT stub and a 39'
1-1/8" PE SCAT extension from a 1 1/4" PE IP main on
New Construction:
o
106th PI W. Set an A250 meter at inches, locatet
O/R of the home.
Construction Method
All Scat / Trenchless
PLAT Map: 167.066
w
I L
237th PI SW
�I
CI
"
IPE
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CITY STORM MAIN
I s I
I
106TH PL W
CD
I C
ROW. VERIFY
CLEAR BORE
CROSSINGS.
I
39'
I 41' I
i 89PE
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A425
54 1-1/8�PE
Tie In
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CO
23816
1
518" PE
1989
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50' ROW
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Work
Location
Size of Cut
Surface Type
16'
East
of CL
106th PI W
&
170'
South
of CL
237th PI SW
Tx 5'
Asphalt
3'
East
of CL
106th PI W
&
170'
South
of CL
237th PI SW
Tx 3'
Asphalt
10'
West
of CL
106th PI W
&
170'
South
of CL
237th PI SW
Tx 5'
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:
Yes
Tie -In Fitting
Meter:
A425
Speed Limit:
No Parks #:
MDPE
- 1 - 1/4" IPS - (DIA) 1-1/4"IPS
Meter Loc:
08 - OR
Trolley Lines:
No
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
I No
Bus Stop:
I
No
Bollards:
2.5" #
4" #
ADA Ramps #:
Route #'s: