ENG2020-0287RIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
..01 1 1
www.cityofedmonds.gov
Description: PSE-INSTALL GAS SERVICE ISSUED: 08/12/2020
Address: 655 ALDER ST EDMONDS WA 98020-3415
EXPIRES: 02/12/2021
it Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434209502200
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 OLSON BRITTA 655 ALDER ST, EDMONDS WA 98020
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
08/12/2020
:»•>/F9:1H ]1
DATE
Printed: Wednesday, August 12, 2020 9:32:57 AM 1 of 2
-1RRRTF WAY EUC PERMIT
City of • • •
•:• •ENG2020-0287
www.cityofedmig;� 771.0220
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
• ��
INSPECTION TYPE DATE RESULT NOTES
lip
COMPLETE
X-2 ENGINEERING FINAL**
E-7 RESTOR LIMITS
Printed: Wednesday, August 12, 2020 9:32:57 AM 2 of 2
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PROJECT NAME:
CONTRACTOR:
RECEIVED 8/4/20
ROW PERMIT NO.: ENG 2020-0287
ISSUE DATE: 8/12/20
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
106369065 CONTACT: Susan Sidick
PSE/Infrasource Phone #: 425-457-6353
Mailing Address:1660 Park Lane Burlington Wa 98233 Fax #:
State License #: INFRASL871C2
City Business License #:
Email #: susan.sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION:
655 Alder 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 22' S
to 13' N cf/1 of Alder St & 90' W c/1 of 7th AVE S (2) 3x5 paving cuts & 1) 3x3 paving
cuts anticipated
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: D 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-,DQ6IQIN
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
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LEGEND
® 28" TRAFFIC CONE
® WORK PIT
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
Row
TEMPORARY TRAFFIC CONTROL PLAN
TEMPORARY TRAFFIC CONTROL PLAN
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pasr�eo ;e y; sp�epu a;s
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PEDESTRIAN DETOUR SIGNAGE TO BE �V
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PLACED AT INTERSECTIONS 6TH AVE S &
END ROAD
ALDER ST AND ALSO 7TH AVE S & ALDER
ST.#655
WORK
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receiving pit
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100'� 100' a 100'
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SIGN SPACING
MPH ""XI.60/65 1000,
45/55 500'
35/40 350'
30 200'
25 100,
• • • • w-------------
•. O
RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
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RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
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PLACE SIGNS
BOTH SIDES OF
W34
WORK AREA
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
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WORK
END ROAD
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- - � � - — - — _ — _ — _ — _ — - — - —
PUGET
SOUND
ENERGY
JOB# 106369065
655 ALDER ST, EDMONDS, WA
REVISED 8/11/2020
bob.danskin@pse.com
425-398-6168
SHEET 1 of 2
--------------------i F--�---------------
---- END ROAD
ALDER ST
WORK
Notes:
1. All signs and spacing to conform to the MUTCD
• Q W34
and City of Edmonds standards.
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2. All sidewalks, driveways, exits and egresses
shall be completely clear unless otherwise indicated.
DNE ROAD E IT o
3. Channelizing devices are 28" traffic cones.
AHEAD
Use traffic drums (barrels) with steady burning
ROAD
WORK o
Type C lights on all State Routes and Hwys.
AHEAD
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 22' SCL Alder St & 90' WCL 7th Ave
S, 1' SCL Alder St & 90' WCL 7th Ave S, 13' NCL Alder St &
90' WCL 7th Ave S.
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
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW
IF 11' TRAVEL LANES CANNOT BE ACHIEVED,
UTILIZE SINGLE LANE TRAFFIC CONTROL
MEASURES FROM SHEET 1.
USE SIDEWALK CLOSURE SIGNS AND
PEDESTRIAN DETOURS PER SHEET 1 IF
SIDEWALK NEEDS TO BE CLOSED.
END ROAD
WORK
SIGN SPACING
MPH
"X"
60/65
1000,
45/55
500'
35/40
350'
30
200'
25
100'
TEMPORARY TRAFFIC CONTROL PLAN
ALLEY
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&O'd
a'
o'
RESTRICT PARKING #655 I
AS NEEDED
keep S/W open I
______ ---____--- __J
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----- ----
100' 100
Zr
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ono
W20-1 W14R
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
• V-W i i 7T•-•-•-•-r r4-'
maintain (2) 11' lanes
END ROAD
WORK
20
b
20
Q
20 120
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Q
ALLEY
PUGET
SOUND
ENERGY
JOB# 106369065
655 ALDER ST, EDMONDS, WA
REVISED 8/11/2020
bob.danskin@pse.com
425-398-6168
SHEET 2 of 2
_ - _ - _ - _ - _ - _ - _ - _ - _ - _ -
-1 f-------------------- ----------------- ---- END ROAD
ALDER ST WORK
Notes:
ROAD 1. All signs and spacing to conform to the MUTCD
AH�ADCN
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.
i 4. Sign size can be a minimum of 36" x 36" and shall
not obstruct pedestrian access.
T 5. Crew is required to leave a minimum of 11' for
traveling lane width.
6. Alert affected residents and businesses.
j 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 22' SCL Alder St & 90' WCL 7th Ave
S, 1' SCL Alder St & 90' WCL 7th Ave S, 13' NCL Alder St &
90' WCL 7th Ave S.
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:
106369065
7/21 /20
Edmonds
Yes
9/18/20
1 Day (8 Hours)
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector
655 Alder St
Edmonds, 98020
Elizabeth Voael (858) 531-8365
Noah Fowler (425) 375-3242
Job Description / Scope of Work
Install a 52' 1-1/8" PE SCAT stub and a 30' 1-1/8" PE SCAT extension from a 2" MPE IP main on
New Construction:
o
Alder St. Set an
A250 meter at inches,
located O/F/R of the home.
Construction Method
All Scat / Trenchless
PLAT Map:
163.066
POTHOLE FOR ALL
655
I CITY UTILITIES.
CALL FOR
RESTORATION
LIMITS INSPECTION.
I 5/8" MPE
A250
AL
20X
1-1 8" PE
30'
The service line must maintain
a minimum of 5' horizontal
and I'vertical seperation from
other utilities in the ROW
--
— — — — ——
52'
--------
!
/ Ji
— 2 ALD
�
SEWER
0
GC
2" MPE Ip 2
Tie In 1°
L
107008754
2003
IF
fV
'S
5/8" IVti F'E
Inns
Work
Location
Size of Cut
Surface Type
22'
South
of CL
Alder St
&
90'
West
of CL
7th Ave S
Tx 5'
Asphalt
1'
South
of CL
Alder St
&
90'
West
of CL
7th Ave S
Tx 3'
Asphalt
13'
North
of CL
Alder St
&
90'
West
of CL
7th Ave S
Tx 5'
Asphalt
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Arterial:
Residential Conversion SVC
EFV:
1-1/8" - 2600 - 9999144
Police #:
TCP:
Tie -In Fitting
Meter:
A250
Speed Limit:
No Parks #:
MDPE - 2" IPS - (DIA) 1"CTS
Meter Loc:
01 - OFR
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
®��
Bollards:
2.5" #
4" #
ADA Ramps #:
Route #'s: