ENG2020-0231RIGHT OF WAY EUC PERMIT
PERMITNUMBER,
City of Edmonds
• •:� 1 1 131
www.cityofedmonds.gov
Description: PSE-RESTORATION FOR WORK DONE UNDER EXPIRED ENG2019-0200
ISSUED: 07/01/2020
Address: 21706 76TH AVE W EDMONDS WA 98026-7510
EXPIRES: 01/04/2021
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00529500000500
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 REEDY JOHN A & HATTIE 21706 76TH AVE W, EDMONDS WA 98026
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
7/1 /2020
:»•>/F9:1H ]1
DATE
Printed: Wednesday, July 01, 2020 6:41:31 AM 1 of 2
-1RRRTF WAY EUC PERMIT
City of • • •
•:• •ENG2020-0231
.,
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
• L
INSPECTION TYPE DATE RESULT NOTES
lip
COMPLETE
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL"
Printed: Wednesday, July 01, 2020 6:41:31 AM 2 of 2
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RECEIVED 6/26/20
ROW PERMIT NO.: ENG 2020-0231
ISSUE DATE: 7/l/2020
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109121553 CONTACT:
Susan Sidick
CONTRACTOR: PSE/infrasource Phone #: 425-457-6353
Mailing Address:1660 Park Lane Burlington Wa 98233 Fax #:
State License #: 1NFRASL871C2
City Business License #:
Email #: susan.sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 21706 76th AVE W
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
BLD9 ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Permit requested for restoration work only grind
& overly to start please rush all work was done under Dermit ENG2019-0200
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut:
CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut:
x
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\17Q61QFN DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
TEMPORARY TRAFFIC CONTROL PLAN
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RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
218TH ST SW
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SIGN SPACING
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500'
35/40
350'
30
200'
25
100'
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11X17" SHEETS ONLY
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60
20
40
PUGET
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ENERGY
Job#109121553
21706 76th Ave W & 218th St SW,
Edmonds, WA
Revised May 6, 2019
Sheet 1 of 2
Yuriy.Bashtovoy@pse.com
(425) 424-6603
IW MEDICINE
GIONAL HEART
CENTER
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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 a.m. and �bp.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m
8. Work areas will be 218'NCL, 248'NCL & 268' NCL
of 218th St SW & 18' ECL of 76th Ave W.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
MINIMUM TAPER LENGTH = L (feet)
LANE
WIDTHS
POSTED SPEED LIMITS
20
25
30
35
40
45
10
70
105
150
205
295
475
11
75
115
165
225
295
495
12
80
125
180
245
320
540
LEGEND
® 28" TRAFFIC CONE
® WORK PIT
�i TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
— RAW RAW —
TEMPORARY TRAFFIC CONTROL PLAN
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Edmonds • I '
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Job#109121553
21706 76th Ave W & 218th St SW,
Edmonds, WA
Revised May 6, 2019
Sheet 2 of 2
Yuriy.Bashtovoy@pse.com
(425) 424-6603
UW MEDICINE
REGIONAL HEART
CENTER
Notes:
I,-OZM
1. All signs and spacing to conform to the MUTCD
and City of Edmonds standards.
1 0
2. All sidewalks, driveways, exits and egresses
I 0 0 =
shall be completely clear unless otherwise indicated.
3. Channelizing devices are 28" traffic cones.
Use traffic drums (barrels) with steady burning
100'
Type C lights on all State Routes and Hwys.
N a
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 betweenla.m. and 1ip.m
o APE CloSl_p unless otherwise specified. All work for arterials
- A9f &r%
and major roadways will be from 9 a.m. to 3 p.m
8. Work areas will be 218' NCL & 268' NCL of 218th
St SW & 18' WCL of 76th Ave W.
EROAD
WORK
9. If used, place NO -PARK signs 72 hours in
IC22 AHEAo
CN
advance of the day that the work is to be done.
HANNELIZATION
DEVICE SPACING
TAPER
TANGENT
1 40
80
30
60
20
40
MINIMUM TAPER LENGTH = L (feet)
LANE
WIDTHS
POSTED SPEED LIMITS
20
25
30
35
40
45
10
70
105
150
205
295
475
11
75
115
165
225
295
495
12
80
1 125
180
245
320
540
LEGEND
® 28" TRAFFIC CONE
WORK PIT
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
1+ SIGN LOCATION
RIGHT OF WAY
- ROW RGW-
of CL t r
& _ of CL �a � �° �� - rf/ _.
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L2''FLAGGERS #� ` MPH
❑
TROLLY LINES ❑ BUS STOP #
❑ METER HOODS #
❑ OFFICERS #
SPEED LIMIT
❑
TRAFFIC SIGNAL ARTERIAL
❑ NO PARKS #
❑ _Commercial
❑ Altered Commercial
❑
Leak Repair Service Information
Diameter Meter EFV
❑ Template Bar
[esidential
❑ red Residential
❑
CP Work
ollards #
Multi -Family
❑ y
Replacement Service
p
❑
Pothole ❑ 5/8" ❑ 250 ❑
4"2.
1800 ❑
Bollards 4" #
❑ New Constr.
❑ Main Maintenance
❑
Extension ❑ 11/8" ❑ 425 ❑
2600
❑ Stub
❑ Service Maintenance
❑ 11/4" ❑ 630 ❑
10,000 FUEL LINE PERMIT NEEDED
❑ Extension
❑ valve Maintenance
❑ 2" 1000
Fuel Line Length: a
❑ Compete Sery (& Cap
i Mtr Loc:
Fuel Line Diameter: 1 t t
21706
5/8" PE
1983
5l8" PE
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7631 21710 21712
1/2" STW-U
1971
111'N
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1989
1 1/4" MPE
1995
3/4" STW
1960
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1960
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1960
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7512-7516
No electric grid information available
Scale 1:800
S164068,Q164069
04-10-2019
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ion ou The informat- the etteahbd maps is subject tp change witht notce i. Puget Sound Enex ergy makes no warranty, pressed or i mphed, concerning
the suitability of this info nnetion for any purpose. Recipient agrees to not disclose this confidential information tp any pth er person or entity,
unless authorized in writing by Puget Sound Energy. This map is not to be used for date,—,,g the actual location of any. PSE facilities (c%11