ENG2021-0385 ROW PERMITOF WAY
EUC PERMIT
PERMITNUMBER,
City of
Edmonds
EdmondsRIGHT
98020
1 1 'ii
www.cityofedmonds.gov
Description: PSE-INSTALL NEW COMMERCIAL SERVICE WITH PAVEMENT CUTS
ISSUED: 10/14/2021
Address: 550 MAIN ST EDMONDS WA 98020-3183
EXPIRES: 04/14/2022
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434212001500
I 11-1411 a
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 SEATTLE-SNOHOMISH MILL
9525 AIRPORT WAY, SNOHOMISH WA 98296
COMPANY INC
FEE
••
DESCRIPTION
AMOUNT
PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00
$0.00
ENGINEERING INSPECTION FEE
$220.00
$0.00
RIGHT OF WAY STANDARD - EUC PERMIT FEE
$330.00
$0.00
ANOTSIMMM
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
10/14/2021
RELEASED BY V11 DATE
Printed: Thursday, October 14, 2021 8:41:45 AM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
Edmonds•:• •ENG2021-0385
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.
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 7:00am to 6:00pm on
SOUND OR NOISE
weekdays and 10:00am and 6:00pm 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.
TRAFFIC CONTROL
Traffic Control per approved plan and MUTCD. All Flaggers shall be certified.
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 MEN
RESULT
A-1 JOB START
X-2 ENGINEERING FINAL"
E-7 TRAFFIC CTRL
E-7 RESTOR LIMITS
Printed: Thursday, October 14, 2021 8:41:45 AM 2 of 2
ENG2021-0385
ofEDM0tio� RECEIVED
RIGHT OF WAY CONSTRUCTION SEP 23 2021
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
i s`0 Requirements outlined in Right -of -Way permit Handout E6�. DEVELOPMENT
SERVICES 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 106380195
Site Address or if no site address use Property Address at NW corner of project area: 550 Main 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 ix Commercial ❑ City project
❑ Single family residential subdivision ❑ Single 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.)
From 2" STW main install new complete 1-1/4" PE Comercial service to building 550 (12' scat stub with 3' plat ext)
Work area is approx 5 S cil of Alleyway & 154 L c of 6th AVE S (13 4R6 paving 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
I x
I LF
SF
I ClaY
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 iY, 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:
x
Are the additions for the purpose of serving new commercial development?
x
Are the additions for the purpose of serving a single-family residential subdivision?
x
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?
If yes, answer the following questions related to project area, i.e. the actual area in which the
x
project is proposed:
6a.
Does your project involve wires/cables/lines? If yes:
x
How many are existing? 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: 09/23/2021
APPLICANT PRINTED NAME: Susan Sidick
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
RECEIVED
SEP 23 2021
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
106380195
9114/21
EDMONDS
Yes
11 /22/21
1 Day (8 Hours)
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector
550 Main ST
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Edmonds, 98020
Mike Mclsaac 206-817-0351
kevin Williams 425-691-7573
Job Description / Scope of Work
From 2" STW main install new complete 1-1/4" PE Comercial service to building 550 (12' scat stub
New Construction:
es
with 3' plat ext) set 630 meter @ 2PS1.
1 additional near future meter, set Pre built 2mm
Construction Method
Scat ROW / Plat Property
PLAT Map: 163.066
> 2" STW main
1-1/4" x 1-1/4" Mueller Service Tee - MID#7800671
1-1/4" Transition Fitting - MID#7800808
SCHEDULE ALL INSPECTIONS
THROUGH MYBUILDINGPERMIT.COM
MAIN ST
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OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
•- f �'
., :'
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
Q_
2" PE 10000 EFV
/��o l >
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7
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630 2PS1
V)
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Sewer — —
M A+J �-' —.� - 2" $ T1/V IP S$
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1 1 /4" hiP 1 �'
2010
96'N
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
SS'S
Work
Location
Size of Cut
Surface Type
5'
S
of CL
Alley
&
154'
E
of CL
6th AVE S
4x6
Asphalt
of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/4" PE
Flaggers #:
TBD
Arterial:
No
New Commercial Svc
EFV:
2" - 10000 9998737
Police #:
No
TCP:
Yes
Tie -In Fitting
Meter:
A630
Speed Limit:
25
No Parks #:
TBD
Steel
- 1-1/4" x 1-1/4" - Style H17501
MOP (1440)
Meter Loc:
0
Trolley Lines:
Mtr Hoods #:
Del Press:
2 PSI
Traffic Signal:
Bus Stop:
Q
Bollards:
2.5" #
1
1 4" #
I
ADA Ramps #:
Route
#'s:
Utility patches shall be combined and full width or half
width overlay will be required depending on the extent
of disturbance. Where utility patches fall entirely within
one travel lane, the overlay shall extend to the
centerline of roadway. Where utility patches extend into
both travel lanes then a full width overlay is required.
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.
ENGINEERING DIVISION
APPROVED AS NOTED
Jell WQ.41,1.44z 10/13/2021
X
I
TEMPORARY TRAFFIC CONTROL PLAN
CREW SHALL SHIFT CONES
I
AND EQUIPMENT FOR
EMERGENCY VEHICLES
ACCESS
Q
I =
USE MAXIMUM AVAILABLE
�
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SPACE FOR SIGNS
--j-- l - J - l --- J --- l - J -- ALLEY ---
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ALLEY
R11 4
CLOSED
I AHEAD
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 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 for 550 MAIN ST, will be at 5' North
of centerline of ALLEY, and at 154' West of
centerline of 6TH AVE S.
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
1 100'
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
550 Main St
Edmonds
WA 98020
USA
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RECEIVED
SEP 23 2021
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
3 ^ _ - TWO n Ov J JV Puget Sound Energy REV
PUGE74 I , ` oa a V Traffic Control Supervisor:
SOUN�OI �Td] Id§JAf§lq§R Gregory Harwood 09/22/2021 0
Card No. 012238
ENERGY 808-375-4152 Card Ex .pham od@p3 Job #
gregory.phamood@pse.com
MATLOCK.HIGH BARGER@PSE.COM (425(424-64106380195
Project Address:
550 MAIN ST, EDMONDS, WA Page 1 OF 1