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ENG2020-0464RIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds ...0i 1 1 1�.4 www.cityofedmonds.gov Description: PSE-NEW GAS SERVICE ISSUED: 11/19/2020 Address: 9221 217TH ST SW EDMONDS WA 98020-3942 EXPIRES: 05/19/2021 it Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00612900100600 I 11-1411 a W 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 JOHNSON JAMES R 9221 217TH ST SW, EDMONDS WA 98020-3942 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. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 11 /19/2020 :»•AF9:1H ]1 DATE Printed: Thursday, November 19, 2020 7:48:19 AM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • Ave N, Edmonds WA •:• • 1 1 14.� 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 !IMOL INSPECTION TYPE DATE RESULT NOTES lip COMPLETE X-2 ENGINEERING FINAL** E-7 RESTOR LIMITS Printed: Thursday, November 19, 2020 7:48:19 AM 2 of 2 0 \:L L?,11(7. "'VC. I S'� J RECEIVED 11/10/20 ROW PERMIT NO.: ENG 2020-0464 ISSUE DATE: 11/19/20 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106371821 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: 9221 217th 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) : Work is approx 14' S to 14' N c/1 of 217th ST SW & 207' W c/1 of 92nd AVE W (1) 3x5 paving cut & (1) 3x4 paving cut anticipated WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: D 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 11/10/2020 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE — - — - — - - — - — - - — - — - - — - — - - — - — _ •.• •-• . • • 4'T • _- — - — - — - — - — - = �b LEGEND ® 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW TtFLAGGER WORK VEHICLE/ SIGN LO A •ION RIGHT OF WAY ROW SIGN SPACING MPH 35/40 350' 30 200' 25 100, 0 0 W20-1 �:/ 20-7A W20-4 W3-4 CHANNELIZATION r�ri /ir.r�� iG. V L-V I V L V I ll�1fYL-T APER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 RESIDENT(S) WILL BE INFORMED OF POSSIBLE TEMPORARY DRIVEWAY CLOSURE a �< PLACE SIGNS BOTH SIDES OF WORK AREA A 217TH ST SW 14 b 14 4 PUGET SOUND ENERGY JOB# 106371821 9221 217TH ST SW, EDMONDS, WA 11 /9/2020 bob.danskin@pse.com 425-398-6168 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 14' SCL 217th St SW & 207' WCL 92nd Ave W, 14' NCL 217th St SW & 207' 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. Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 012238 Card Exp. 09/30/2023 gregory.harwood@pse.com (425)424-6425 RESIDENT(S) WILL BE INFORMED OF POSSIBLE TEMPORARY DRIVEWAY CLOSURE #9221 ROW TEMPORARY TRAFFIC CONTROL PLAN W3-4 / N O 3 CREW SHALL POTHOLE o FOR WATER MAIN DEPTH PRIOR TO PROJECT START D VL-OZM V00 �aonn a AV oa ]NO o 0 • 0 0 -----------------------------•-'J-'-='-------=� 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 14 b PUGET SOUND ENERGY JOB# 106371821 9221 217TH ST SW, EDMONDS, WA 11 /9/2020 bob.danskin@pse.com 425-398-6168 SHEET 2 of 2 Q Q z N - Q ti W3-4 14 o N 4 0 ONELANE O ROAD Notes: p AHEAD 1. All signs and spacing to conform to the MUTCD WORK N and City of Edmonds standards. AHEAD 3:2. 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. or area will be 14' SCL 217th St SW & 207' WCL 92nd Ave W, 14' NCL 217th St SW & 207' 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 #: Date: Jurisdiction: ROW Permit: Est. Start Date: Est. Duration: 106371821 11 /5/20 EDMONDS Yes 1 /18/20 1 Day (8 Hours) Puget Sound Energy Gas Pre -Inspect Form Address: 9221 217th St SW City / zip: Edmonds, 98020 Customer: Joel Meyer 206.799.7370 PM / Inspector: kevin Williams 425-691-7573 Job Description / Scope of Work From 2" PE main run new complete 1-1/8 service to SFH(44' scat stub with 40' scat ext) Set 250 New Construction: meter OR @ Inches No Construction Method All Scat / Trenchless PLAT Map: 164.067 3/4" STW-U 1960 9229 922', 9215 9207 250 1 1 /9' MID 2019-E :/g' PE 1991 1-118" PE W 217th ST SW a ROW 60' - - -------- -•-•-•-•-•-•-•-•-•-•- -•-•-•-•-•-•-•------------------ CL CD LA 7' MPE I P 14 5 ---1�%���Q��------- water Sewer C14 N Work Location Size of Cut Surface Type 14' S of CL 217th ST SW & 207' W of CL 92nd AVE W 3x5 Asphalt 14' N of CL 217th ST SW & 207' W of CL 92nd AVE W 3x4 Asphalt of CL & of CL Service Information Street Information Job Type Diameter: 1-1/8" PE Flaggers #: YES Arterial: New Residential Svc EFV: 1-1/8" - 2600 - 9999144 Police #: TCP: Yes Tie -In Fitting Meter: A250 Speed Limit: 25 No Parks #: MDPE - 2" IPS - (DIA) 1"CTS Meter Loc: 0 Trolley Lines: Mtr Hoods #: Del Press: 6" W.C. Traffic Signal: Bus Stop: Bollards: 2.5" # 4" # ADA Ramps #: Route #'s: