ENG2020-0416RIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
-0416
www.cityofedmonds.gov
Description: PSE-REPLACE STEEL SERVICE WITH PE SERVICE ISSUED: 11/09/2020
Address: 9117 238TH ST SW EDMONDS WA 98026-8903
EXPIRES: 05/10/2021
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00456500000600
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 OLDEN KURT M & LOIS J 9117 238TH ST SW, 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.
:»•>/F9:1H ]1
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
DATE
Printed: Monday, November 09, 2020 12:19:56 PM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
Ave•:• •ENG2020-0416
www.cityofedmonds. ov/425.771.0220
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
• ��
'RE'STO�RLIMITS
INSPECTION TYPE DATE RESULT NOTES
lip
COMPLETE
E-7
X-2 ENGINEERING FINAL"
Printed: Monday, November 09, 2020 12:19:56 PM 2 of 2
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PROJECT NAME:
CONTRACTOR:
RECEIVED 10/19/20
ROW PERMIT NO.: ENG 2020-0416
ISSUE DATE: 11/9/20
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
109133312 CONTACT: Susan Sidick
PSE/Infrasource Phone #: 425-457-6353
Mailing Address: 1660 Park Lane Burlinzton Wa 9823Yax #:
State License #: INFRASL87I C2
City Business License #:
Email #: susan.sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 9117 238th ST 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) :
To replace steel service with ne service at anprox 16' S to 12' N c/1 of 238th ST SW
& 96' E c/1 of 91 st PL W (2) 3x5 paving cuts anticipated
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: ❑x 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 Susan Sidick DATE 10/19/2020
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
C*
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
Row
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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RESIDENT(S) WILL BE INFORMED F Q
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
SIGN SPAgNG
MPH
1'`LJA1%IAIC1 17ATiro
Xn
35/45 30 60
25/30 20 40
�I 15I15 woRK
J ' AHEAD
i
rn�
238TH ST SW
PUGET
SOUND
ENERGY
JOB# 109133312
9117 238th St SW, Edmonds, WA 98026
10/15/20
KALI-JAMAL.COLLI NS@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 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 16' SCL of 238th St SW & 96'
ECLof91stPIW
238TH ST SW
PUGET
SOUND
ENERGY
JOB# 109133312
9117 238th St SW, Edmonds, WA 98026
10/15/20
KALI-JAMAL.COLLI NS@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 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 16' SCL of 238th St SW & 96'
ECLof91stPIW
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
C*
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 012238
Card Exp. 09/30/2023
gregory.harwood@pse.com
(425)424-6425
W20-1
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ROW ROW
TEMPORARY TRAFFIC CONTROL PLAN
MOM
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ROW -'ROW -ROW -ROW
CREW SHALL POTHOLE
FOR WATER MAIN DEPTH
F a D
5
I
�'
PRIOR TO PROJECT START
0 0
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15115
RESIDENT(S) WILL BE INFORMED
I
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
O , I
rn
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
W3-4
PUGET
SOUND
ENERGY
JOB# 109133312
9117 238th St SW, Edmonds, WA 98026
10/15/20
KALI-JAMAL.COLLI NS@PSE.COM
425-424-6425
SHEET 2 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 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.
Job #:
109133312
Date: 10 — 0 �1. Z
Jurisdiction: Edmonds
Right of Way Permit? UkfES ❑ NO
Est. Start Date:
Est. Duration:
PRE -INSPECTION REPORT
Address: 9117 238th St SW
City / Zip: Edmonds 98026
Customer:
® PUGET SOUND ENERGY
PM / Insp: Tanya Martinson
PHONE NUMBER
WORK DESCRIPTION: _k�z e p IAt .e_ & 17- " S+ -e e I Se ,, < <. e-
Construction Method
N 2 �► t���" PF
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Open Trench
Trenchless ❑
PLAT MAP:
O (o+
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I I VERIFY CLEAR BORE N
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i CROSSINGS.
UTILITIES ON 238TH ST SW-
(1) CITY STORM MAIN.
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FLAGGERS # `Z. MPH
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❑ OFFICERS #
SPEED LIMIT
❑ TRAFFIC SIGNAL ❑ ARTERIAL ❑ NO PARKS #
❑ Cogoercial
❑ Altered Commercial
❑ Leak Repair Service Information ❑ Template Bar
[Zktiesidential
❑
❑ AI Residential
❑ CP Work Diameter Meter EFV ❑ Bollards 2.5" #
❑ 5/8" ❑ 250 ❑ 1800
Multi -Family
21eplacement Service
❑ Pothole
El 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:
❑ Compete Sery
❑ Cut & Cap
Mtr Loc: (213 Fuel Line Diameter:
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No electric grid information available Scale 1:550
S164068, Q167068
10-08-2020 Lat\Long=47.7834,-122.3549 O �PUGETSOUND ENERGY
The information en the attached mape la subject to change without notice. Puget Sound Energy makes nowarranty, expressed or imp l l ed, concern Ing
thesuitability of this Information for any purp se, Reaple11 agrees to not tlisclose this confidential information to any oth S, person or entity,
unless auth orizetl In writing by Puget Sound Energy. This maple not to be used for determining the actual locetlon of any PSE t'sdo rues
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