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ENG2020-0432RIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds ...0i 1 1 1 www.cityofedmonds.gov Description: PSE-RELOCATE STEEL GAS MAIN AWAY FROM WATER MAIN ISSUED: 12/01/2020 Address: 22404 92ND AVE W EDMONDS WA 98020-4505 EXPIRES: 06/01/2021 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00544300001900 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 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 STANDARD - EUC PERMIT FEE $330.00 $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. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 12/01 /2020 RELEASED BY DATE Printed: Tuesday, December 01, 2020 11:47:19 AM 1 of 2 -KRWOF WAY EUC PERMIT PERMIT NUMBER City of • • • Ave•:• •ENG2020-043 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. DAMAGE TO FRONTAGE DAMAGE TO FRONTAGE IMPROVEMENTS IMPROVEMENTS 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 REQ 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. UTILITY LOCATES Call for locates of underground utilities prior to any excavation. • INSPECTION TYPE DATE RESULT Islip COMPLETE E-7 RESTOR LIMITS X-2 ENGINEERING FINAL** Printed: Tuesday, December 01, 2020 11:47:19 AM 2 of 2 0 \:L L?,11(7. ANC. 1 s`) u ROW PERMIT NO.: ENG 2020-0432 ISSUE DATE: 12/1/20 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 109133410 CONTACT: Susan Sidick CONTRACTOR: PSE/Infrasource Phone #: 425-457-6353 Mailing Address: 1660 Park Lane Burlington Wa 9823Yax #: State License #: INFRASL87I C2 City Business License #: Email #: susan.sidick@pse.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 22404 92nd AVE N 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 relocate steel gas main away from water main at approx 36' N c/1 of 224th ST SW & 17' W c/l of 92nd AVE N (1) 4x 15 paving cut anticipated WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: © Yes ❑ No If yes, indicate size of cut: 4 x 15 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 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 224TH ST SW OVERLAYED IN 2016 - STREET CUT FEES SHALL APPLY. RESTORATION SHALL INCLUDE T-CUT PATCH, AND MINIMUM 20-FOOT GRIND AND OVERLAY OF FULL LANE OR FULL ROAD WIDTH, DEPENDING ON LOCATION OF CUTS. LEGEND ® 28" TRAFFIC CONE ® WORK PIT C* TRAFFIC FLOW FLAGGER WORK VEHICLE/ FLASHING LIGHTS JRIGH;�; ROW ' SIGN SPACING MPH "x" 60/65 1000, _ �11 CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT TEMPORARY TRAFFIC CONTROL PLAN W20-4 RESIDENT(S) WILL BE INFORMED OF POSSIBLE TEMPORARY DRIVEWAY CLOSURE N 0 N O V D W3-4 a 224TH ST SW 0 Q CD o ?: � O W20-4 Z o PUGET SOUND ENERGY JOB# 109133410 22404 92nd Ave N, Edmonds, WA 98020 10/21 /20 KALI-JAMAL.COLLI NS@PSE.COM 425-424-6425 SHEET 1 of 1 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 36' SCL of 224th St SW & 17' WCL of 92nd Ave N 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. 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�' RECEIVED 11/2/20 Job #: Date: PRE -INSPECTION REPORT 109133410 D Address: 22404 92nd Ave N Jurisdiction: Edmonds Right of Way Permit? DWS ❑ NO Est. Start Date: Est. Duration: City/Zip: Edmonds ® PW l .SOUND FN1:1;6'Y Customer: CUSI PHONL NUMULR PM / Insp: Tanya Martinson PHONF.NUMBFR WORK DESCRIPTION: 2� (� c ,� 7 -�_ ,, Z s -r � � � Gam- � �;�. r'f� � � � � Construction Method Open Trench WA i AAA Trenchless ❑ PLAT MAP: 1 (0 5. 0(,- UTILITIES WITHIN ROW ON 92ND AVE W. - CITY STORM MAIN i OVWSD SEWER MAIN OVWSD WATER MAIN I l ! I I! I l l i l► 1 i i l l; � � 1 1 1 1 ; I I ; I04L, i_ !! l i .� !! l i l I l i i i► 1 i l l '�-ti! I I `' I MAINTAIN AT LEAST 5' i HORIZONTAL SEPARATION ! FROM OVWSD SEWER MAIN ON 92ND AVE W. i 4 �"' � r a I I 1. _ I�, I .- I i,• i I i I 1 I I ;. ! ! ! I i •'!� ! � 1 Ili i ! i I I ! � ! Ii 1 Work Location Size of Cut Surface Type ' f C L 2 2gl -", ST • S •g, �-- f CL 09 A t-E' rj . ` t 5 A5 P(-t R T 'N S of CL & 'E W of CL 'NSofCL & 'EWofCL �}FLAGGERS # z MPH ❑ TROLLY LINES ❑ BUS STOP # ❑ METER HOODS # ❑ OFFICERS # SPEED LIMIT ❑ TRAFFIC SIGNAL ❑ ARTERIAL ❑ NO PARKS # ❑ Commercial ❑Altered Commercial ❑ Leak Repair Service Information ❑Template Bar ❑ Residential ❑ Altered Residential ❑ CP Work Diameter Meter EFV ❑ Bollards 2.5" # ❑ Multi -Family ❑ Re acement Service ❑ Pothole ❑ sx, ❑ 250 ❑ 1800 El Bollards 4" # ❑ New Constr. ain 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 0 Cut & Cap Mtr Loc: Fuel Line Diameter: From: Sidick, Susan <Susan.Sidick@pse.com> Sent: Monday, November 2, 2020 7:15 AM To: Edmonds Engineering Permits Subject: FW: 109133410-22404 92 AVE N permit app.pdf Attachments: 109133410 REVISED PRE INSPECT.pdf Importance: High Categories: Red category, Green category HI Here is the revised pre inspect and questions answered below for this row permit .Please let me know if you will be needing anything else. Thanks Susan Sidick R 1660 Park Lane Burlington Wa 98233 Cell 425-457-6353 Office 360-766-5561 SR Permit Specialist From: Martinson, Tanya <Tanya.Martinson2@pse.com> Sent: Thursday, October 29, 2020 10:50 AM To: Sidick, Susan <Susan.Sidick@pse.com> Subject: RE: 109133410-22404 92 AVE N permit app.pdf Hi Sue, I have uploaded the revised pre inspect to the order. Please see the comments below in RED. How much of the gas main will be replaced? Will it be only replaced in the one 4' x 15' trench or will there be boring? About 20' (includes vertical off -set) of gas main will be replaced and only in the 4'X15' trench. No boring. Please show the proposed alignment of the gas main relative to the water main. Done on revised pre inspect. Please clearly show where any trenching or potholing will be on 92nd and 2241". 2241" was overlayed in 2016, so any cuts will incur street cut fees. No other cuts or potholes will be needed. Thank you, Tanya Martinson Cell #: 425-417-0639 Engineering Specialist, Gas Construction Performance Management PUGET SOUND ENERGY Tanya.Martinson2@PSE.com Q PUGET SOUND ENERGY From: Sidick, Susan <Susan.Sidick@pse.com> Sent: Wednesday, October 28, 2020 10:54 AM To: Martinson, Tanya <Tanya.Martinson2@pse.com> Subject: RE: 109133410-22404 92 AVE N permit app.pdf Thanks O From: Martinson, Tanya <Tanya.Martinson2@pse.com> Sent: Wednesday, October 28, 2020 10:50 AM To: Sidick, Susan <Susan.Sidick@pse.com> Subject: RE: 109133410-22404 92 AVE N permit app.pdf Hello! I have sent these questions / revision requests over to IFS. As soon as I hear back I will let you know. Thank you, Tanya Martinson Cell #: 425-417-0639 Engineering Specialist, Gas Construction Performance Management PUGET SOUND ENERGY Tanya.Martinson2@PSE.com Q'UGE 1 SOUND ENERG'r' From: Sidick, Susan <Susan.Sidick@pse.com> Sent: Tuesday, October 27, 2020 2:29 PM To: Martinson, Tanya <Tanya.Martinson2@pse.com> Subject: FW: 109133410-22404 92 AVE N permit app.pdf Tanya please see email below. Susan Sidick R 1660 Park Lane Burlington Wa 98233 Cell 425-457-6353 Office 360-766-5561 SR Permit Specialist From: Edmonds Engineering Permits<EngineeringPermits@edmondswa.gov> Sent: Tuesday, October 27, 2020 2:09 PM To: Sidick, Susan <Susan.Sidick@pse.com> Subject: RE: 109133410-22404 92 AVE N permit app.pdf 81el1j1[�P►M*: 14.101/_1f•TIM Phishing? Click the PhishAlarm "Report Phish" button. For mobile - forward to abuse@pse.com Hi Sue, The City previously issued a permit to PSE in September to separate a water service and gas service at the main in this location. What you have submitted today describes relocating the gas main away from the water main. There is a sketch, but the City will need more information before taking in this permit: How much of the gas main will be replaced? Will it be only replaced in the one 4' x 15' trench or will there be boring? Please show the proposed alignment of the gas main relative to the water main. Please clearly show where any trenching or potholing will be on 92nd and 224t". 224t" was overlayed in 2016, so any cuts will incur street cut fees. Thanks! Natalie City of Edmonds, Engineering Division Permitting EngineeringPermits@edmondswa.gov Natalie Griggs, Engineering Technician (425) 771-0220 ext. 1353 CITY HALL IS CURRENTLY CLOSED TO GENERAL PUBLIC ACCESS. APPOINTMENTS MAY BE CONSIDERED FOR SPECIAL CIRCUMSTANCES. Development services will continue to be provided by email or the web and by phone. Please visit www.edmondswa.gov for up-to-date information on City services. For engineering permit inquiries, please email: engineerinpPerm its(a).edmondswa.gov For all other inquiries please email: devserv.admin(cedmondswa.gov Web Map: www.maps.edmondswa.gov From: Sidick, Susan <Susan.Sidick@pse.com> Sent: Tuesday, October 27, 2020 9:37 AM To: Edmonds Engineering Permits<EngineeringPermits@edmondswa.gov> Subject: 109133410-22404 92 AVE N permit app.pdf Hi here is row request for 962nd AVE N Thanks Susan Sidick h 1660 Park Lane Burlington Wa 98233 Cell 425-457-6353 Office 360-766-5561 SR Permit Specialist