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ENG2020-0315OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds AveRIGHT 9:01 1 1 www.cityofedmonds.gov Description: PSE-SEPARATE WATER SERVICE & GAS SERVICE AT MAIN ISSUED: 09/11/2020 Address: 22404 92ND AVE W EDMONDS WA 98020-4505 EXPIRES: 03/11/2021 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00544300001900 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 FEATHERSTONE CINDY E & KEMPF 22404 92ND AVE W, EDMONDS WA 98020-4505 JEFFREY A FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00 RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $0.00 REQUIREMENTS 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. NGriggs RELEASED BY THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 9/11 /2020 DATE Printed: Friday, September 11, 2020 11:28:37 AM 1 of 2 -1RRRTF WAY EUC PERMIT City of • • • •:• •ENG2020-0315 ., 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** Printed: Friday, September 11, 2020 11:28:37 AM 2 of 2 0 \:L L?,11(7. "'VC. I S'� J RECEIVED 8/18/20 ROW PERMIT NO.: ENG 2020-0315 ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 887036240 CONTACT: Susan Sidick CONTRACTOR: 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: 22404 92nd 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) : To seperate water service & gas service at main approx 88' S c/1 of 224th ST SW & 19' W c/1 of 92nd AVE W (1) 3x5 grass cu anticipated WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: ❑ Yes 0 No If yes, indicate size of cut: CONCRETE CUT: ❑ Yes q 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 Susan Sidick DATE 08/18/2020 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 ------ V a - - - - - - - - - LEGEND ® 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW TtFLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW SIGN SPACING MPH'.X" 60/65 1000, 45/55 500' 35/40 350' 30 200' 25 100' " " r� TEMPORARY T"' """T""' �' "'' 14114 4.4 CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 N -- Q r` 0 N NE LAN\J p ROAD / AHEAD 1 LL Z0< 0LUof Q Q •PARKING 0 0 . LU Fn :61%:dVd 11 m 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 88' SCL 224th St SW & 19' WCL 92nd Ave W. 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. Job #: 887036240 Date: Jurisdiction: �5vho!tnrsirgap i Right of Way Permit? OYES ❑ NO Est. Start Date: Est. Duration: PRE -INSPECTION REPORT Address: 22404 92nd Ave fd- V! ® PU6ET SOUND ENERGY City / Zip: 5mehomilill, ,,,ID g 98020 Customer: PM / Insp: Tanya Martinson PHONE NUMBER WORK DESCRIPTION: Construction Method S��fLP'r a- t cr AL rSOpen Trench ❑ ,^-r ►o. ^1 A�'e gam' S -z.. �-a-t T'i-t T S�..t ❑ Trenchless PLAT MAP: 165.067 I i i I_ -----I-.. �14 is F�il ilil l � �{i�b�li I IIII. Ej i I � I(! I I I I � i i l I 'N S of CL 'N S of CL [b FLAGGERS # Z MPH .® OFFICERS # 10 SPEED LIMIT ❑ Commercial ❑ Altered Commercial ❑ Residential ❑ Altered Residential ❑ Multi -Family ❑ Replacement Service ❑ New Constr. ❑ Main Maintenance ❑ Stub ❑ Service Maintenance ❑ Extension ❑ valve Maintenance ❑ Compete Sery ❑ Cut & Cap Met( 1 W & `t - 'E QPof CL q-AND & 'EWofCL & 'EWofCL ❑ TROLLY LINES ❑ BUS STOP # ❑ TRAFFIC SIGNAL ❑ ARTERIAL ❑ Leak Repair Service Inform [d CP Work Diameter Met El Pothole El5/8" ❑ El Extension ❑ 11/8" ❑ +f.v a 250 425 ❑ 11/4" ❑ 630 ❑ 2" ❑ 1000 Mtr Loc: rf Size of Cut Suace T 3NC -S� OeA Ss El METER HOODS # NO PARKS # O ❑ Template Bar EFV El Bollards 2.5" # ❑ 1800 ❑ 2600 ❑Bollards 4" # ❑ 10,000 ❑ FUEL LINE PERMIT NEEDED Fuel Line Length: Fuel Line Diameter: 5/ 8" PE 1994 1 1/8" MPEq7 2018-E 22318 N W N d 3: M CO N CO W 1 104'N 8 TN I 5/ 8" M PE 2005 22317 9115 112" STW•U 1968 9107 518' MPEI 2011-E 9025 W N rn 224TH ST SW J7rN-oz S 15N 2" STW IP 21'S w w w w �T T w - a, _ 2�/ 3' 3, S 2" M PE IP 30' T 2' MPE IP 30'S `� P H SpS 107041854.2011 1�- oa, a — o N 9104 22404 3/4" STW-U 518" M 1966 2008 E 9 8' 314' STW 98rS 22407 S 2006 105 9022 � g 12�'S -o I�z 22408 22408 0 a No electric grid information available Scale 1:531 S164068, Q165068 08-04-2020 Lat\Long=47.7959,-122.3558 O �PUGET SOUND ENERGY The information on the attached maps Is subject to change w --_.t notice. Puget Sound Energy makes nowarranty, expressed or imp l l ed, concern Ing the suilabl Illy of this l n formation for anypurp se, Reaplent e_ees to not discloselhls confidential inform stion to any oth ar personor entity, unless authohzed In writing by Puget Sound Energy. This map Is not to be used for determining the actual location of any PSE fatilltiea (ca11811�'