ENG2020-0329RIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
9800201 '
www.cityofedmonds.gov
Description: PSE-EXPOSE INSULATED COUPLING & INSTALL WIRES ON EACH SIDE
ISSUED: 09/08/2020
Address: 9720 241ST PL SW EDMONDS WA 98020-6512
EXPIRES: 03/08/2021
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00450000000700
NAME TYPE NAME ADDRESS PHONE
APPLICANT PSE/INFRASOURCE 1660 PARK LANE, BURLINGTON WA98233 (425)457-6353
CONTRACTOR PSE/INFRASOURCE 1660 PARK LANE, BURLINGTON WA98233 (425)457-6353
OWNER HECKER SALLY F 9720 241ST PL SW, EDMONDS WA 98020-6512
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 I
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
9/8/2020
DATE
Printed: Tuesday, September 08, 2020 2:52:47 PM 1 of 2
-1RRRTF WAY EUC PERMIT
City of • • •
..• • 1 1 1 '
-01D
. -. •. • •
• •
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
COMPLETE
X-2 ENGINEERING FINAL**
E-7 RESTOR LIMITS
Printed: Tuesday, September 08, 2020 2:52:47 PM 2 of 2
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"VC. I S'� J
RECEIVED 8/31/20
ROW PERMIT NO.: ENG 2020-0329
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109132680 CONTACT: Susan Sidick
CONTRACTOR: PSE/infrasource Phone #: 425-457-6353
Mailing Address: 1660 Park Lane Burlington Wa 982_T�ax #:
State License #: INFRASL871 C2 Email #: susan.sidick@pse.com
City Business License #: ❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 9720 241 ST PL SW
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) : Dig up and expose insulated coupling_
& Install wires on each side of coupling including anode (1) 4x6 paving cut anticipated
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: F] Yes ❑ No If yes, indicate size of cut: 4 x 6
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 6XO061GFN 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
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TEMPORARY TRAFFIC CONTROL PLAN
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END ROAD WORK
241 ST PL SW
PUGET
SOUND
ENERGY
W3-4 JOB# 109132680
9720 241st PI SW, Edmonds, WA 98020
8/27/20
KALI-JAMAL.COLLI NS@PSE.COM
425-424-6425
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LEGEND
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28" TRAFFIC CONE
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WORK PIT
C*
TRAFFIC FLOW
FLAGGER
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,
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
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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 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 14' SCL of 241 St PI SW &
34' WCL of 242nd PI SW
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
Job #:
109132680
Date: 6 q__, -4 - z 0
Jurisdiction: Edmonds
Right of Way Permit? [-YES F1 NO
Est. Start Date:
Est. Duration:
PRE -INSPECTION REPORT
Address: 9720 241st PI SW
City / Zip: Edmonds 98020
Customer:
* PUGET SOUND ENERGY
PM / Insp: -Tanya Martinson CUST PHONF NUMBER
PHONE NUMBER
WORK DESCRIPTION: "DIC, VP A"o
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Construction Method
C-a j e I G— d- 1',j S +,A t I
� 10 L_),1Ze_S 0"
Open Trench W_
CA_ 61 A S t 0 f-- o,5:7 Ca j i
A",) 66-
Trenchless ❑
PLAT MAP: APPROVAL FOR TESTN:LEADWIRES ONLY - NO BORING.::
P
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CALL FOR LOCATES
PUBLIC UTILITIE$ I N! 24-1 ST
PL, SW' ROW:
(2) CITY! STORM MAINS ;
(1) OVWSD!SE-WER MAIM
(1) OVWSD;WATER MAIN
PUBLIC UTILITIES IN 24;2ND i -
I i I� i
! !
PL SW ROW:
(1) CITY STORM MAIN
It
1) QVWSD SEWER AMAIN.
(1) (?VW, SID W�ATFHR MAIN 1 1
;f,��:I..
cl�y
Work Location
Size of Cut
Surface Type
iMof CL Z -1 e I' W. &—aLl .9%f
CL ;z L12- PI.- J.
Pl-�4,_ r
'N S of CL &_ 'E W of CL
'N S of CL &_ 'E W of CL
2 GGGERS # MPH ❑TROLLY LINES
'
❑BUS STOP #
❑METER HOODS #
F1 OFFICERS # SPEED LIMIT ❑ TRAFFIC SIGNAL
❑ ARTERIAL
Ej NO PARKS #
1-71 commercial ❑ Altered Commercial ❑ Leak Repair
Service Information
El Template Bar
11 Residential ❑ Altered Residential Q CP Work
Diameter Meter EFV
EBollards 2.5" #
❑0
Multi -Family ❑ Re Ament Service ❑Pothole
:5/8" :250 E1800
0 Bollards 4" #
Q New Constr, Fain maintenance El Extension
[_1 11/8" [:1425 [:12600
❑ Stub 0 service maintenance
[:] 11/4" [:1630 [:110,000
r_1 FUEL LINE PERMIT NEEDED
❑ Extension El valve maintenance
El 2" El 1000
Fuel Line Length:
❑ Compete Sery [:] Cut & Cap
Mtr Loc:
Fuel Line Diameter:
5/8" MPE
2000
9723
3/4" STW-U
1960
9715
W
N
Z
C >
5/8" MPEI
2 0 0 8 - E
9703
5/8"
2010-
9629
W
CO
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2 41 �_ S rM L IS W NLIJ
w
L.Lj
N 23 W S 2" STW IP 14'S 130'E,30'S no 13'
M cfl
T
T 21'W 1980-1960 - o 0
a' 3/4
3/4" STW-U
1960
CIO
J 9713 3/4' STW-U
�- 1961
� N
5/8" MPEI N 9632
2001
3/4" STW-U
9720 1967
No electric grid information available Scale 1:367
S164062, Q167067
08-14-2020 Lat\Long=47.7801,-122.3631 O 401.PUGET SOUND ENERGY
The Inform atlon on the attached maps is subject to change w :-out notice. Puget Sound Energy makes nowarranty, expressed or Imp l l ad, concern Ing
the suitability of this In formation for any purpose. Recipient ag-eesto not tlisclose this wnfitlential information to an oth er person or entity,
unless authorizetl In writing by Puget Sountl Energy. This map Is not to be used for Bete rmining the aIXual location of sny PSE fadlltlee (cal
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