ENG2021-0238 ROW PERMITOF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
EdmondsRIGHT
98020 1 1
www.cityofedmonds.gov
Description: PSE-INSTALL GAS SERVICE ISSUED: 07/06/2021
Address: 1046 WALNUT ST EDMONDS WA 98020-3336
EXPIRES: 01/06/2022
it Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434203501000
I 11-14111 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 POWERS MICHAEL A & CATHERINE 18427 88TH AVE W, EDMONDS WA 98026-5708 (425)774-7978
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $0.00
ENGINEERING INSPECTION FEE
$220.00 $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
07/06/2021
:»•>/F9:1H ]1
DATE
Printed: Tuesday, July 06, 2021 8:12:32 AM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
Edmonds•:• •ENG2021-0238
31
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.
INSPECTION TYPE
DATE
RESULT
NOTES
COMPLETE
A-1 JOB START
E-7 RESTOR LIMITS
X-2 ENGINEERING FINAL"
E-7 TRAFFIC CTRL
Printed: Tuesday, July 06, 2021 8:12:32 AM 2 of 2
ENG2021-0238
of EpM04O�
RIGHT OF WAY CONSTRUCTION RECEIVED
PERMIT APPLICATION
Jun 29 2021
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
/'Vc. i sa° Requirements � .Li' uirements outlined in Right -of -Way permit Handout E6�. DEVELOPMENT SERVICES
`i DEPARTMENT
If any field is not applicable to your project, write "N/A' instead of leaving blank.
All fields required. Incomplete Applications will be denied.
SECTION A
General•
Project Name 106377133
Site Address or if no site address use Property Address at NW corner of project area: 1046 Walnut St
Associated Permits: BLD PLN ENG X
Owner and Entity Holding Franchise (if applicable)
Name of Company PSE/Infrasource Franchise Ordinance No:
Point of Contact Susan Sid ick
Title SR Permit Specialist
Address 1660 Park lane
city Burlington
State WA
Zip 98233
Phone 425-457-6353
Email susan.sidickapse.com
Contractor and Authorized Agent of Owner
Name of Company
(see note below)
Contractor Contacts During Construction
Primary Name PSE/Infrasource Susan Sidick
Agent Name PSE/Infrasource
Title SR Permit Specialist
Title SR Permit Specialist
Mobile 425-457-6353
Address 1660 Park lane
Email susan.sidick@pse.com
City Burlington
State WA
Zip 98233
Secondary Name
Phone 425-457-6353
Title SR Permit Specialist
Email susan.sidick@pse.com
Mobile
City of Edmonds Business License No:
Email
State License No: INFRASL871 C2
[N Contractor verifies it is currently bonded
d( Contractor verifies it currently has general liability insurance
NOTE: ECDC 18.6o. o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city
engineer.
❑ Multifamily residential ❑ Commercial ❑ City project
❑ Single family residential subdivision EDSingle family -other ❑ Industrial
❑ Demo and rebuild or from vacant land?
❑ Other, please specify:
❑ Utility Franchise Work associated with development (check one of the above boxes as welt
❑ Traffic Control Only (no associated development)
❑ Utility Franchise Work (no associated development)
City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021
Include an overall narrative description of the proposed work. Be specific and detailed:
Describe infrastructure to be impacted, such as, poles, wires, conduit, utility mains, etc.
Include whether this is construction, maintenance, or repair.
Include description of proposed construction methods, (e.g., bores, trenches, overhead wires proposed, depth for
underground utilities, etc.)
To install gas service at annrox 21' S c/l of Walnut St & 339' W c/l of 96th AVE W
(1) 3x5 concrete cut anticipated
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
I x
LF
SF
Alley 72 hours +
LF
Ix
I LF
SF
Parking 72 hours +
LF
Ix
I LF
SF
1
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C.
1. The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable ❑ power ❑ gas
❑ water ❑ sewer ❑ storm
Details of Work to be Completed
1. Does the utility owner have existing overhead infrastructure in the area of work?
Yes
No
x
2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)?
x
If yes, describe:
3.
Does the proposed work connect a lot or commercial development with utilities that serve more
than one lot or commercial development?
x
4.
Does the work involve rebuilding or relocating an existing aboveground utility system which
connects a lot or commercial development to an existing underground common utility stem?
x
5.
Does the work involve proposed additions to an aboveground utility stem? If es:
Are the additions for the purpose of serving new commercial development?
Are the additions for the purpose of serving a single-family residential subdivision?
Details
of Work to be Completed
Yes
No
6.
Does your project involve rebuilding or replacing utility equipment which currently serves more
than one lot or commercial development?
x
If yes, answer the following questions related to project area, i.e. the actual area in which the
project is proposed:
6a.
Does your project involve wires/cables/lines? If yes:
x
How many are existing? I I How many are to be added?
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
6b.
Does your project involve poles? If yes:
x
How many poles are existing in the project area?
What is the height of the existing poles?
How many poles are to be removed?
Are additional poles to be laced?
How many? I I What is the height of the additionalpoles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
x
How many? I I What is the height of the poles after?
Describe the modification rebuild:
SECTION C
Traffic Control and Public Safety. 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. Restoration shall 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.
Insurance. The City may require the owner or contractor to provide proof of insurance acceptable to the City prior to
any permit approval.
Indemnification. The Applicant agrees to defend, indemnify, and hold harmless the City of Edmonds, its officials,
officers, employees, and agents against any injuries, damages, or claims of any kind or description whatsoever,
foreseen or unforeseen, including defense costs and attorney fees, resulting directly or indirectly from any act or
omission of the Applicant, its subcontractors, anyone directly or indirectly employed by them, and anyone for whose
acts or omissions they may be liable, arising out of, related to, or by reason of the granting of this permit; and
specifically including but not limited to all loss by the failure of the Applicant to fully or adequately perform, in any
respect, all authorizations or obligations under the permit. These indemnification requirements shall survive the
expiration, revocation, or termination of any resulting permit approval.
Acceptance of terms, conditions, and requirements. Applicant accepts the terms, conditions, and
requirements set forth in this Application and agrees they apply to any resulting permit and shall comply with them to
the satisfaction of the City Engineer. Applicant further agrees to comply with the conditions listed on the Submittal
Requirements; with all applicable city ordinances, including but not limited to ECDC Title 18; and with all applicable
requirements of state and federal law.
Statement of Applicant. I declare under penalty of perjury under the laws of the State of Washington that: I am a
licensed and bonded contractor; the information provided herein is correct and complete; and I am authorized by
owner to act on its behalf and have authority to bind the owner to this application.
Fees. The Applicant is responsible for all permit fees.
APPLICANT SIGNATURE: Susan Sidick DATE: o6/29/2021
APPLICANT PRINTED NAME: Susan Si is
APPLICANT TITLE: SR Permit Specialist
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
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RECEIVED
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
106377133
5/10/21
EDMONDS
Yes
7/19/21
1 Day (8 Hours)
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
1046 WALNUT ST
EDMONDS,
MIKE POWERS 425-774-7978
kevin Williams 425-691-7573
Jun 29 2021
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Job Description / Scope of Work
From 6" STW main run new complete 1-1/8 PE service to SFH (9' scat stub with 35' scat ext)
New Construction:
set 425 meter OFR @ Inches
Main under sidewalk - No asphalt cut
Yes
Construction Method
All Scat / Trenchless
PLAT Map: 163.067
Of-f JIVV
1960
5/8" MPE N
2003
1033
1045
336' W,15 N
Walnut ST
ROW 60'
Sewer--�—,
_----
---------------------- CL
Water—---`1.;o
---- — �n 3
3
6" STW IP 21 S N
1-0 LU
Ll
a
2187-1960
3
cc
1026
1-1/8" PE
1 /2 STW-
3/4" STW-U
LE 1971 4zs
1966
1046 1048
1 050
MAINTAIN 5'
HORIZONTAL
SEPARATION
FROM CATCH
BASIN.
L
Work
Location
Size of Cut
Surface Type
21'
S
of CL
Walnut ST
&
339'
W
of CL
96th AVE W
3x5
Concrete
of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Arterial:
New Residential Svc
EFV:
1-1/8" - 2600 - 9999144
Police #:
TCP:
Yes
Tie -In Fitting
Meter:
A425
Speed Limit:
25
No Parks #:
Steel - 1" Sery x 1/8" PE Outlet
(MOP) - 125 (3/4" Cutter)
Meter Loc:
0
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
2.5" #
4" #
ADA Ramps #:
Route #'s:
From: Edmonds Engineering Permits<EngineeringPermits@edmondswa.gov>
Sent: Wednesday, June 30, 2021 1:25 PM
To: Williams, Kevin <Kevin.Williams@pse.com>
Cc: Sidick, Susan <Susan.Sidick@pse.com>
Subject: RE: 1046 WALNUT ST # EDMONDS 106377133 GAS (ENG2021-0238)
CAUTION - EXTERNAL EMAIL
Phishing? Click the PhishAlarm "Report Phish" button.
For mobile - forward to abuse@pse.com
Thanks for confirming. When you send along the new TCP, please respond to this email so I can have
your answers and the revised TCP all in one place.
Natalie
City of Edmonds, Engineering Division Permitting
EngineeringPermits@edmondswa.gov
Natalie Griggs (she/her), 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: engineeringpermits .edmondswa.gov
For all other inquiries please email: devserv.admin(o).edmondswa.gov
Web Map: www.maps.edmondswa.gov
From: Williams, Kevin <Kevin.Williams@pse.com>
Sent: Wednesday, June 30, 2021 1:19 PM
To: Edmonds Engineering Permits<EngineeringPermits@edmondswa.gov>
Cc: Sidick, Susan <Susan.Sidick@pse.com>
Subject: RE: 1046 WALNUT ST # EDMONDS 106377133 GAS (ENG2021-0238)
Hey Natalie,
1. How far will the tie in at the gas main be from the storm catch basin? Can you get 5' separation?
Please confirm.
Yes we can/will maintain 5' from the catch basin
2. We do not permit temporary pedestrian ramps as a way to redirect pedestrians. Please revise
the traffic control plan to include a revised pedestrian detour route that redirects pedestrians to
cross at the nearest designated intersections (9t"/Walnut and 96t"/Walnut/Bowdoin).
Sorry I didn't catch this and I've requested it be changed by our TCP group
You noted the gas main is the sidewalk. If any cuts are made in the road or there is any damage
to the road, cut fees shall apply because this stretch of Walnut was overlaid in 2016.
1 am confident it is in the sidewalk, but if I am wrong or if there is damage I understand the
restoration requirements due to the 2016 overlay.
I should have a revised TCP for you soon.
Thanks so much!!
Kevin Williams
Project Manager
Customer & System Projects — Bothell
C: 425-691-7573
E: Kevin.Williams@pse.com
20000 north creek PKWY
Bothell, WA 98011
www.pse.com
® PUGET SOUND ENERGY
From: Edmonds Engineering Permits<EngineeringPermits@edmondswa.gov>
Sent: Wednesday, June 30, 2021 1:03 PM
To: Williams, Kevin <Kevin.Williams@pse.com>
Cc: Sidick, Susan <Susan.Sidick@pse.com>
Subject: RE: 1046 WALNUT ST # EDMONDS 106377133 GAS (ENG2021-0238)
CAUTION - EXTERNAL EMAIL
Phishing? Click the PhishAlarm "Report Phish" button.
For mobile - forward to abuse@pse.com
I have reviewed the application. My comments are below:
1. How far will the tie in at the gas main be from the storm catch basin? Can you get 5' separation?
Please confirm.
2. We do not permit temporary pedestrian ramps as a way to redirect pedestrians. Please revise
the traffic control plan to include a revised pedestrian detour route that redirects pedestrians to
cross at the nearest designated intersections (9th/Walnut and 96th/Walnut/Bowdoin).
3. You noted the gas main is the sidewalk. If any cuts are made in the road or there is any damage
to the road, cut fees shall apply because this stretch of Walnut was overlayed in 2016.
Thanks,
Natalie
City of Edmonds, Engineering Division Permitting
EngineerinKPermits@edmondswa.Kov
Natalie Griggs (she/her), 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: Williams, Kevin <Kevin.Williams@pse.com>
Sent: Wednesday, June 30, 2021 12:13 PM
To: Edmonds Engineering Permits<EngineeringPermits@edmondswa.gov>
Subject: 1046 WALNUT ST # EDMONDS 106377133 GAS
Hello,
I have a request/favor for Natalie to expedite this permit review. Unfortunately this customer slipped
through the cracks and was significantly delayed by us. No miracles expected, but if you could please at
least bring to the front of our work reviews that would be amazing!
Applied for just yesterday 6/29/21
Thanks so much for anything you can do!!
Kevin Williams
Project Manager
Customer & System Projects — Bothell
C: 425-691-7573
E: Kevin.Williams@pse.com
20000 north creek PKWY
Bothell, WA 98011
www.pse.com
QYUGE r SOUND ENERGY