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ENG2020-0496RIGHT OF WAY EUC PERMIT PERMITNUMBER, City of Edmonds ...0i 1 1 1�'• www.cityofedmonds.gov Description: PSE-INSTALL GAS SERVICE ISSUED: 12/14/2020 Address: 8005 219TH ST SW EDMONDS WA 98026-7866 EXPIRES: 06/14/2021 it Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00527700000100 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 MCPHAIL RYAN TATE/STEINBRINK 8005 219TH ST SW, EDMONDS WA 98026 (360)913-3048 YVETTE E INFORMFEE 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. 77 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 12/14/2020 RELEASED BY DATE Printed: Monday, December 14, 2020 10:29:44 AM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • Ave•:• • 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. It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in DAMAGE TO FRONTAGE City right of Ways or Easements to City Standards caused by or occurring during the permitted IMPROVEMENTS 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 REQ Maintain erosion and sedimentation control per City and SWMMW standard requirements. 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 any and all claims for damages of whatever nature, arising directly or indirectly from the HOLD HARMLESS issuance for 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 and 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. All utilities shall be located prior to any excavation. New locates shall be called for if at time of UTILITY LOCATES excavation, original locates are no longer identifiable. INSPECTIONS INSPECTION TYPE DATE RESULT COMPLETE E-7 RESTOR LIMITS X-2 ENGINEERING FINAL" Printed: Monday, December 14, 2020 10:29:44 AM 2 of 2 0 \:L L?,11(7. "VC. I S'� J PROJECT NAME: CONTRACTOR: RECEIVED 12/9/20 ROW PERMIT NO.: ENG 2020-0496 ISSUE DATE: 12/14/20 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION 106372759 CONTACT: Susan Sidick 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: 8005 219 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 install gas service at approx 20' S c/1 ti 14' N c/1 of 219th ST SW & 122' W c/l of 80th AVE W 3x5 grass & (1) 3x5 paving cut anticipate WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: © 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 12/09/2020 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 TEMPORARY TRAFFIC CONTROL PLAN PLACE SIGNS BOTH SIDES OF WORK AREA A W20-4 \ 0H3Hb o Ha0M a Sad #8005 VZ receiving pit ROW --MOW 219TH ST SW Tt �a X' X. RESIDENT(S) WILL BE INFORMED D0 o o �� OF POSSIBLE TEMPORARY o o nADRIVEWAY CLOSURE o�z W20-1 W20-7A W20-4 USE MAXIMUM AVAILABLE SPACE FOR SIGNS Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE LEGEND ® 28" TRAFFIC CONE ® WORK PIT 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' END ROAD WORK CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 PUGET SOUND ENERGY JOB# 106372759 8005 219TH ST SW, EDMONDS, WA 12/3/2020 bob.danskin@pse.com 425-398-6168 SHEET 1 of 2 END ROAD WORK 10,10 VI� I I I I I IT Z; W20-4 ENGINEERING DIVISION APPROVED AS NOTED 12/11 /2020 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 20' SCL 219th St SW & 122' WCL 80th Ave W, 14' NCL 219th St SW & 122' WCL 80th 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 TEMPORARY TRAFFIC CONTROL PLAN Q o � 9 PLACE SIGNS BOTH SIDES OF WORK AREA A 219TH ST SW W20-4 o �a*40MoM avow doiS 43CIO aVd36a #8005 VL-OZM ROW —® ROW ---- - - — - —' ... •----- ;2��0_� -0---1 OW20-7A W20-4 USE MAXIMUM AVAILABLE SPACE FOR SIGNS LEGEND ® 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW FLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW RESIDENT(S) WILL BE INFORMED OF POSSIBLE TEMPORARY DRIVEWAY CLOSURE SIGN SPACING MPH "X" 60/65 1000, 45/55 500' 35/40 350' 30 200' 25 100' END ROAD WORK CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 PUGET SOUND ENERGY JOB# 106372759 8005 219TH ST SW, EDMONDS, WA 12/3/2020 bob.danskin@pse.com 425-398-6168 SHEET 2 of 2 END ROAD WORK LU Q 0 co 11 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 20' SCL 219th St SW & 122' WCL 80th Ave W, 14' NCL 219th St SW & 122' WCL 80th 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: 106372759 12/2/20 Edmonds Yes 2/8/20 1 Day (8 Hours) Puget Sound Energy Gas Pre -Inspect Form Address: City / Zip: Customer: PM / Inspector: 8005 219TH ST SW EDMONDS, 98026 RYAN MCPHAIL 253-263-2146 kevin Williams 425-691-7573 Job Description / Scope of Work From 2" PE main run new complete 1-1/8 PE service to SFH (50' scat stub with 50' scat ext.) New Construction: Set 425 meter OR @ Inches No Construction Method All Scat / Trenchless PLAT Map: 164.069 t N 425 21829 8015 8005 1-1/8" PE I Drivaway 21905 ----------- Sewer ROW 60' 219TH ST SW Fire Hyl drant 21913 8020 8012 21916 - i~ 21919 Work Location Size of Cut Surface Type 20' S of CL 219th ST SW & 122' W of CL 80th AVE W 3x5 Grass 14' N of CL 219th ST SW & 122' W of CL 80th AVE W 3x5 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: A425 I I I Speed Limit: __ No Parks #: MDPE - 2" IPS - (DIA) 1"CTS Meter Loc: 04 - OL (rear) Trolley Lines: Mtr Hoods #: Del Press: 6" W.C. Traffic Signal: Bus Stop: Bollards: 2.5" # 4" # ADA Ramps #: Route #'s: