ENG2020-0079 APPROVED REVISION 1 TO PERMITRIGHT OF WAY EUC PERMIT
PERMITNUMBER,
City of Edmonds
-0079
www.cityofedmonds.gov
Description: PSE-INVESTIGATE AND REPAIR LEAK (REVISION 1) ISSUED: 03/17/2020
Address: 857 WALNUT ST EDMONDS WA 98020-3304
EXPIRES: 07/15/2021
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434207402000
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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 LAGOZZINO BARBARA F 857 WALNUT ST, EDMONDS WA 98020-3304
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00
$40.00
ENGINEERING INSPECTION FEE
$110.00
$0.00
ENGINEERING INSPECTION FEE
$220.00
$220.00
ENGINEERING REVISION REVIEW FEE
$275.00
$0.00
RIGHT OF WAY MINOR - EUC PERMIT FEE
$110.00
$110.00
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
J. 02/18/2021
RELEASED BY DATE
Revision 1 for ADA ramp approved 2/18/21 (see Pages 9-11). Permit expires 7/17/21.
Printed: Thursday, February 18, 2021 11:08:56 AM 1 of 2
-KRWOF WAY EUC PERMIT
PERMIT NUMBER
City of • • •
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
•
INSPECTION TYPE
DATE RESULT NOTES
COMPLETE
X-2 ENGINEERING FINAL**
E-7 TRAFFIC CTRL
5/28/2020
APPROVED
12:00:00 AM
E-7 RESTOR LIMITS
7/20/2020
PARTIAL
12:00:00 AM
APPROVAL
E-7 RESTOR LIMITS
E-7 CONCRETE SIDEWALK
E-7 CURB GUTTER
E-7 TRAFFIC CTRL
Printed: Thursday, February 18, 2021 11:08:56 AM 2 of 2
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ROW PERMIT NO.: ENG 2020-0079
ISSUE DATE: 3/17/20
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 887035415
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane Burlington Wa 988233
State License #: INFRASL871C2
City Business License #:
CONTACT: Susan Sidick
Phone #: 425-457-6353
Fax #:
Email #: susan.sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 857 Walnut St
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) :
INVESTIGATE & REPPAIR LEAK @ 25' NCL WALNUT ST & 21' WCL 9TH AVE S (1) 4x5 concrete cut anticipated
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO 0 Year:
PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut:
CONCRETE CUT: 0 Yes ❑ No If yes, indicate size of cut: 4
x
x 5
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 6X\0Q6IQFN DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
TEMPORARY Ar-r-,,, -r%e%I P11 AA,
Card No. 008Nf
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-642� 1
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W20-1 X
9th Ave S overlayed in 2016; any street
cuts shall incur fees. Restoration shall
include a minimum 20-foot grind and
overlay.
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857 Walnut St
Edmonds
WA 98020
USA 9
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-------------------------------------------------
9th Ave S overlayed in 2016; any street
cuts shall incur fees. Restoration shall
include a minimum 20-foot grind and
overlay.
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03SO10
857 Walnut St
Edmonds
WA 98020
USA 9
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-------------------------------------------------
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW
ROW
00 -
b 0
------------------
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W20-1
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END ROAD WORK
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11.11I11:1'
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CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
PUGET
SOUND
ENERGY
# 887035415
S, WA 98020
>ED 03/09/20
@PSE.COM
.25-424-6658
SHEET 1 of 1
a 00
-- b -00 - - - - - --
-------------------------------
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ALDER ST
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Applicant shall repair/replace all damage to
utilities or frontage improvements to City right-of-
way per city standards that is caused or occurs
during the permitted project.
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Owner/contractor is responsible for erosion
control and drainage.
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ENGINEERING DIVISION
APPROVED AS NOTED:
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NGRIGGS Date:3/13/2020
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Notes:
CD
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.
ROAD
Use traffic drums (barrels) with steady burning
' WORK N
' AHEAD
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 25' NCL on Walnut ST and 21' WCL
on 9th AVE S.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
MINIMUM TAPER LENGTH=L (FT.)
LANE
WIDTH
20
25
POSTED SPEED (MPH)
30 35 40 45 50
55 60 65 70
10
70
105
150
205
270
475
500
550
-
-
-
11
75
115
165
225
295
495
550
605
660
-
-
12
80
125
180
245
320
540
600
660
720
780
840
STREET USE PERMIT REQUEST FORM
Date of Request: 02/25/20
Job number:
Job address:
Project mgr:
PM email:
887035415
857 WALNUT ST
JENNIFER BERGMAN
JENNIFER.BERGMAN2@GMAIL.COM
Estimated job start date:
04/17/20
Estimated job completion date: 04/17/20
City: EDMONDS Zip. 98020
PM contact #. (253) 213-3634
Description of work to be performed:
INVESTIGATE & REPPAIR LEAK a 25' NCL WALNUT ST & 21' WCL 9TH AVE S
Pavement cut? ❑✓ Yes ❑No
If yes, Dimensions of Cut: Length 4'
How many cuts? 1
Surface Type CONCRETE
Require trenching? Dyes ❑No
If yes, Dimensions of trench: Length_
Width 5'
Width
Depth
Method of installation:
Traffic impact:
Road closed ❑Yes ❑✓ No
Lane closed [?]Yes ❑ No How Many? 1 Direction? East
Shoulder closed ❑Yes ❑� No
Sidewalk closed ❑Yes ❑� No
Emergency Contact: BRUCE VAUTOUR Print Send
Cell Number: (360) 722-0859
Reset
Job #:
Date:
Jurisdiction:
Right of Way Permit? YES ❑ No
Est. Start Date:
Est. Duration:
/ - (DAY
PRE -INSPECTION REPORT o PUGET SOUND ENERGY
Address: 8S 7 &,-)c_` rt _-� ST
City / Zip: Ed me"A S `T602�
Customer:
PM / Insp: CUST PHONE NUMBER
PHONE NUMBER
WORK
DESCRIPTION,
—i-
L-e,
Construction Method
Open Trench 0
Trenchless ❑
PLAT MAP:
t
N
J
�
1
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OP
Q r/D
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Work Location
Size of Cut
Surface Type
ZS60S of CL (_JJ
&_Zl_
f CL '7+k
.jcr
—
'N S of CL
& 'E W of CL
'N S of CL
& 'E W of CL
FLAGGERS #
MPH
❑ TROLLY LINES
❑ BUS STOP #
❑ METER HOODS #
❑
OFFICERS #
SPEED LIMIT
❑ TRAFFIC SIGNAL
❑ ARTERIAL
❑ NO PARKS #
❑ Commercial ❑
0 Residential ❑
❑ Multi -Family ❑
❑ New Constr. ❑
❑ Stub ❑
❑ Extension ❑
❑ Compete Sery ❑
Altered Commercial
Altered Residential
Replacement Service
Main Maintenance
Service Maintenance
valve Maintenance
Cut & Cap
& Leak Repair
❑ CP Work
❑ Pothole
❑ Extension
Service Information
Diameter Meter EFV
❑ 5/8" ❑ 250 ❑ 1800
❑ 11/8" ❑ 425 ❑ 2600
❑ 11/4" ❑ 630 ❑ 10,000
❑ 2" ❑ 1000
Mtr Loc:
❑ Template Bar
❑ Bollards 2.5" #
❑ Bollards 4" #
❑ FUEL LINE PERMIT NEEDED
Fuel Line Length:
Fuel Line Diameter:
844
830 PE
5/8' PE 1 83
a7 1993 98
840 850
2" STW IP 21'W
g g§9,�i�A62
402 19
3/4"
197'N
05006 L
NUT ST
405
5/8" MPE
2005
5/8" MPE
2003
415
3/4' STW
1963
900
916
5/8" PE
1992
911
5/8" MPE
1997
6" STW IP 21'S
91R7_10R0 0
914
1 1/8" MPE /
1999
917
5/8" MPE
2006-E
926
-r
T829 FT 1-- 1 1/8' MPE
�) 2008-E
907 915
No electric grid information available Scale 1:675
S160062,Q163066
01-29-2019 Lat\Long=47.8073,-122.3671 OD �PUGETSOUND ENERGY
The information - the,((„had maps is subject t, change without notice. Puget Sound Energy makes no warranty, expressed or i m,I,ed, concerning
the sui(ab,l,ly of Ihis info nnetion for any purpose. Recipient agrees to not disclose Ihis c, nfidentiel info nn anon to any pth er person or entity,
unless authorized 11 writing by Puge( Sound Energy. This map,, not to be used for date,—,,g (he actual location ,f,ny PSE facilities (,,11811)"
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SCALE: V" 50'
s"
Sheet Index
Sht. No. Description
1 COVER SHEET
2 CURB RAMP DETAILS
3 STANDARD DETAILS
PROJECT LOCATION
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WALNUT ST
............
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KEY MAP
LEGEND
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ABBREVIATIONS
0-1
CURB RASP
L
SCALE: 1'=5'
CONSTRUCTION NOTES.
G_R—ONSI-L ,,LiEs ISSM,
GoN
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"
CURB RAMP #2
SR ADA MAXIMUM EXTENT FEASIBLE JUSTIF
G.,. ., .,GG. x.G µo G,.—
aW
—E
WALNUT.
ADA RAMP DESIGN APPROVED BY
-,`'�'YVWYAN HAGUE
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CURB RAMP DETAILS
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