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ENG2020-0302OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds AveRIGHT 9801 1 1 1 www.cityofedmonds.gov Description: PSE-INSTALL GAS SERVICE ISSUED: 09/01/2020 Address: 20625 MAPLEWOOD DR EDMONDS WA 98026-6676 EXPIRES: 03/01/2021 rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00506700002201 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 LANGSHOLT PROPERTIES LLC 12733 127TH AVE SE, SNOHOMISH WA98290 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. :»•>/F9:1H ]1 THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 9/1 /2020 DATE Printed: Tuesday, September 01, 2020 10:18:11 AM 1 of 2 -1RRRTF WAY EUC PERMIT City of • • • ., 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: Tuesday, September 01, 2020 10:18:11 AM 2 of 2 0 \:L L?,11(7. "'VC. I S'� J RECEIVED 8/11/20 ROW PERMIT NO.: ENG 2020-0302 ISSUE DATE: 9/l/2020 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106369128 CONTRACTOR: PSE/Infrasource CONTACT: Susan Sidick Phone #: 425-457-6353 Mailing Address:1660 Park Lane Bulrington Wa 98233 Fax #: State License #: INFRASL87IC2 Email #: susan.sidick@pse.com City Business License #: ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 20625 Maplewood Dr 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 15' W to 15' E c/1 of Maplewood Dr & 100' N c/1 of 207th PL SW (2) 3x5 paving xoft surface 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 62M)61CHN DATE Contractor or Agent 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 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. TEMPORARY TRAFFIC CONTROL PLAN OV3HV o )*IOM avow aV3HV oN aroa 3NV13NO a 206TH ST SW _ o o W dO01S m O O o a3iiVd3?Jd W20-1 39 N D44 o W20-4 D , 3 O X RESIDENT(S) WILL BE INFORMED OF POSSIBLE TEMPORARY DRIVEWAY CLOSURE OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE ��AdMe sNINavd . ENGINEERING DIVISION APPROVED AS NOTED NGriggs 08/28/2020 _ o a END ROAD WORK ---------------- 0 O W r END ROAD WORK TOWAWAYARE PUGET SOUND ENERGY JOB# 106369128 20625 Maplewood Dr, Edmonds, WA 98026 8/27/20 Kali-Jamal.Collins@pse.com (425)-424-6425 SHEET 1 of 2 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 Work area will be (fill in locations by CL: street/avenue etc). giving pit 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. #20625 Y 0 O b � _____ _ _________ 207TH PL S W20-4 "t d- REPARE TO \STOP . ROAD ; WORK o 4HEAD --- MAIN ST W3-4 LEGEND ® 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW FLAGGER 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 N � N 15 115 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 OV3HV o MOM avow GV3HV oN ar0a 3NV13NO a 206TH ST SW _ � > W dO01S m O O o 03iiVd3?Jd 38 W20-1 N 0 0 D W20-4 3 O 3 0 RESIDENT(S) WILL BE INFORMED tl3NV AtlMtl MO1 oo.owo OF POSSIBLE TEMPORARY owxavd . DRIVEWAY CLOSURE CREW SHALL POTHOLE FOR WATER MAIN DEPTH PRIOR TO PROJECT START _ o a --------o => noo W20-1 END ROAD WORK N N ----------- I END ROAD WORK ouL7 .a C i0W AWAY AREA PUGET SOUND ENERGY JOB# 106369128 20625 Maplewood Dr, Edmonds, WA 98026 8/27/20 Kali-Jamal.Collins@pse.com (425)-424-6425 SHEET 2 of 2 #20625 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 Work area will be (fill in locations by CL: street/avenue etc). 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. M t7-OZM - M 0 6-1 ZM C 0 ow �llaoo o ¢ Qom¢ b --------- ---------- --- - 207TH PL SW TO 0 N C IT 0 N LEGEND ® 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW FLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW C--< MAINST CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 N ------------------------- NJ N Ao I - --------- ROAD CN CY 1 jfE W20-1 15 15 I— W Z U J J E� Job #: Date: Jurisdiction: ROW Permit: Est. Start Date: Est. Duration: 106369128 8/10/20 Edmonds Yes 10/2/20 1 Day (8 Hours) Puget Sound Energy Gas Pre -Inspect Form Address: 20625 Maplewood Dr City / Zip: Edmonds, 98026 Customer: Patrick Highley (253) 677-9726 PM / Inspector: Noah Fowler (425) 375-3242 Job Description / Scope of Work Install a 47' 1-1/8" PE SCAT stub and a 50' 1-1/8" PE SCAT extension from a 2" HPE IP main on New Construction: o Maplewood Dr. Set an A425 meter at inches, located O/L of the home. Construction Method All Scat / Trenchless PLAT Map: 163.068 Q 3 THE SERVICE LINE MUST o H MAINTAIN ATLEAST 5' N I I HORIZONTAL AND 1' VERTICAL SEPERATION FROM OTHER 65' ROW UTILITIES IN THE ROW 47' I I I I 50' Tie In 1-118" PE A425 I !J I mom— — I I I 77'N I I I I I I I 20625 i I I I I I I I ' CL o_ � I Ike) Q — ;y 10, Q I ' 1 O � j 207TH PI SW LU I I a I a � Work Location Size of Cut Surface Type 15' West of CL Maplewood Dr & 100' North of CL 207th PI SW 3' X 5' Asphalt/Soft 15' East of CL Maplewood Dr & 100' North of CL 207th PI SW Tx 7' Asphalt of CL & of CL 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: A425 Speed Limit: No Parks #: HDPE - 2" IPS - (DIA) 1"CTS Meter Loc: 03 - OL Trolley Lines: Mtr Hoods #: Del Press: 6" W.C. Traffic Signal: Bus Stop: Bollards: 2.5" # 4" # ADA Ramps #: Route #'s: