ENG2022-0003 ROW PERMITOF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
AveRIGHT
9801 111
www.cityofedmonds.gov
Description: PSE-INSTALL NEW GAS SERVICE W/ PAVEMENT CUTS ISSUED: 01/25/2022
Address: 8051 184TH ST SW EDMONDS WA 98026
EXPIRES: 07/25/2022
it Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27041800103800
W
NAME TYPE NAME ADDRESS PHONE
APPLICANT SUSAN SIDICK 1660 PARK LANE, BURLINGTON WA 98233 (425)457-6353
CONTACT PUGET SOUND ENERGY- CORROSION 1660 PARK LANE, BURLINGTON WA 98233 (425)457-6353
DEPARTMENT
CONTRACTOR PSE/INFRASOURCE 1660 PARK LANE, BURLINGTON WA 98233 (425)457-6353
OWNER GREGORY & OKA MIDORI HOY 2630 77TH AVE SE A515, MERCER ISLAND WA 98040
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $40.00
ENGINEERING INSPECTION FEE
$110.00 $110.00
RIGHT OF WAY STANDARD - EUC PERMIT FEE
$330.00 $330.00
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
01 /25/2022
RELEASED BY
DATE
Printed: Tuesday, January 25, 2022 12:01:43 PM 1 of 2
-KRWOF WAY EUC PERMIT
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.
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.
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.
L
11111
0
INSPECTION TYPE
DATE RESULT
NOTES
COMPLETE
A-1 JOB START
X-2 ENGINEERING FINAL"
E-7 RESTOR LIMITS
Printed: Tuesday, January 25, 2022 12:01:43 PM 2 of 2
ENG2022-0003
of EpM04O�
/'V.isa°
SECTION A
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
Requirements outlined in Right-of-Wgy permit Handout E6�.
RECEIVED
Jan 03 2022
CITY OF EDMONDS
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.
General •
Project Name 1o6376o16
Site Address or if no site address use Property Address at NW corner of project area: 8051184th ST SW
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 ❑SSingle 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 run new complete 1-1/4 PE service also C&C existing 5/8 PE at main.
work area is approx 277W y./l of Roth AVE. W & 72' S to act' N c.111 of 194th ST SW (i) 6x6 paving rot & (1) 2x5
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
2 days
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 Exgas
❑ 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 existingunderground common utilitystem?
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? 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: 01/03/22
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
Jan 03 2022
\ CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
CITY OF EDMONDS
Right -of -Way Application #1071004-106376016
MyBuildingPermit.com
Applicant
First Name Last Name Company Name
Susan Sidick Puget Sound Energy- Corrosion Department
Number Street Apartment or Suite Number E-mail Address
1660 Park Lane susan.sidick@pse.com
City State Zip Phone Number Extension
Burlington WA 98233 4254576353
Contractor
Company Name
PUGET SOUND ENERGY INC
Number Street Apartment or Suite Number
1660 Park lane
City State Zip Phone Number Extension
Burlington WA 98292 425-457-6353
State License Number License Expiration Date UBI # E-mail Address
PUGETSE033DD 3/28/2023 17gn 1 nns.si susan.sidick@pse.com
Project Location
Number Street Floor Number Suite or Room Number
8051 184TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 27041800103800
Associated Building Permit Number Tenant Name
106376016
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Gregory & Oka Midori Hoy
Number Street Apartment or Suite Number
2630 77TH AVE SE A515
City State Zip
MERCER ISLAND WA 98040
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 1/3/2022 Submitted By: Susan Sidick
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1071004-106376016
Project Contact
Company Name: Puget Sound Energy- Corrosion
Department
Name: Susan Sidick Email: susan.sidick@pse.com
Address: 1660 Park Lane Phone #: 4254576353
Burlington WA 98233
Project Type Activity Type
Franchise Utility Franchise Utility Work
Project Name: 106376016
Description of Work: 8051 184 ST SW
Project Details
Project Information
Job Number
106376016
Scope of Work
Disturbance of Surface
Page 2 of 2
r /
MyBuildingPermitxom
Jurisdiction: Edmonds
Project Name: 106376016 RECEIVED
Application ID: 1071004
Jan 03 2022
Supplemental Name: Authorization and Acknowledgment - Right of Way CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Please Note: Contractors working in the Right of Way shall be Licensed and Bonded.
All provisions of laws and ordinances governing this type of work will be complied with. I certify under penalty of perjury that
the information provided on this application is true and correct and, further that I am authorized by the owner of the above
premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Edmonds as
to any claim (including costs, expenses, and attorney's fees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and filed against the City of Edmonds, but only where such claim arises out of
the reliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as part of
this application.
I hereby authorize the City representatives to inspect my property Monday -Friday between the hours of 8:00 a.m. and 5:00 p.m.
during this permit application process for verification of site conditions.
I certify, under the penalty of perjury under the laws of the State of Washington, that the information and exhibits herewith
submitted are true and correct to the best of my knowledge and that I am authorized to file this application on behalf of the
owner of the subject property.
Yes, I authorize.
Electronic documents submitted to the City of Edmonds for plan review and permit issuance must be provided in a format that
does not prevent the City from making code comments on the documents during review or from making the documents ready for
permit issuance. Documents submitted in any manner that prevents the City from completing the review and permit issuance
process, including but not limited to submitting documents that are locked, may result in additional review time, permitting
delays, and/or cancellation of the permit application if the problem is not resolved by the applicant in a timely manner.
Please refer to chapter 18.43 RCW, chapter 18.210 RCW, chapter 196-23 WAC and chapter 196-33 WAC for Washington State
laws governing electronic documents. An interpretative guideline from the Board of Registration for Professional Engineers and
Land Surveyors can be found at http://www.dol.wa.gov/business/engineerslandsurveyors/docs/eDocsinterpretiveGuideline.pdf.
These laws and requirements are subject to change and the submitting parties are responsible for keeping apprised of any such
changes.
Please acknowledge that you understand these requirements and have verified the electronic documents being submitted meet
the City of Edmonds submittal requirements by checking the box below. If you have questions, contact the Engineering
Division at engineeringpermits@edmondswa.gov or 425-771 -0220.
Yes, I acknowledge.
The City of Edmonds makes permit applications available to the public in an effort to make its processes as transparent as
possible. By signing or initialing this document, I acknowledge that any and all information submitted as part of this application,
is public information. I further acknowledge and agree that this permit application, and any and all documents related
thereto, may be disclosed by the City of Edmonds to the public without redaction.
Please provide electronic signature below:
Susan Sidick
r
0
Jurisdiction: Edmonds
Project Name: 106376016
Application ID: 1071004
RECEIVED
Jan 03 2022
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Supplemental Name: Right of Way Construction Terms and Conditions
MyBuildingPermitxom
Will Right of Way construction necessitate the closure of the right of way for a duration over 72 hours?
Yes, section(s) of the right of way will need to be closed during construction. See specific information below.
Right of Way Closures- Please provide the area sf of the portion of right of way that will be closed over 72 hours
and the length of the closure (number of months) below.
Sidewalk Area (sf) of Closure
Sidewalk Duration of Closure (months)
Alley Area (sf) of Closure
Alley Duration of Closure (months)
Parkiing Strip Area (sf) of Closure
24
Parking Strip Duration of Closure (months)
2 days
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.
Right of Way Terms and Conditions:
Traffic Control and Public Safety. Traffic control and public safety shall be in accordance with City regulations as required by the
City Engineer or their respective designee. Every flagger must be trained as required by WAC 296-1 55-305 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.
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 or
their respective designee. Applicant further agrees to comply with the conditions listed on the Submittal Requirements; with all
applicable city ordinances, including but not limited to Edmonds Community Development Code 1 8.00; 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.
Owner/Applicant Signature
Susan Sidick
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. C
Card Exp.
gregory.ha
(425)424-E
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
C*
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'
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
TEMPORARY TRAFFIC CONTROL PLAN
MINIMUM TAPER LENGTH=L (FT.)
POSTED SPEED (MPH)
70 65 60 55 50 45 40 35 30
25
20
LANE
WIDTH
-
-
-
550500
475
270
205
150
105
70
10
-
-
660
605550
495
295
225
165
115
75
11
840
780
720
660600
540
320
245
180
125
80
12
WOS
L= 2
60
PUGET
SOUND
ENERGY
JOB# 106376016
8051 184th St SW, Edmonds
04/07/2021
eduard.volianskyi@pse.com
Sheet 1 of 2
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S301AN3S 1N3INdM3A34
SONOWO3 dO I.lIO
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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. 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@
(425)424-6425
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
C*
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW
SN
Q
I10 �
4 oo
—-- - — - — - — - — -
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
TEMPORARY TRAFFIC CONTROL PLAN
RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
W3-4
USE MAXIM M AVAILABLE
SP E FOR SIGNS
OZM
L-0ZM w 6-0ZM
IN
fin
�¢
X' L. X' J , x'
oa
A80M
MINIMUM TAPER LENGTH=L (FT.)
POSTED SPEED (MPH)
70 65 60 55 50 45 40 35 30
25
20
LANE
WIDTH
-
-
-
550500
475
270
205
150
105
70
10
-
-
660
605550
495
295
225
165
115
75
11
840
780
720
660600
540
320
245
180
125
80
12
PUGET
SOUND
ENERGY
JOB# 106376016
8051 184th St SW, Edmonds
04/07/2021
eduard.volianskyi@pse.com
Sheet 2 of 2
10!10
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I ROAD
WORK N
I AHEAD
Notes:
1. All signs and spacing to conform to the MUTCD
and City of Edmonds standards.
i10
2. All sidewalks, driveways, exits and egresses
Q
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
W,S 2
unless otherwise specified. All work for arterials
L=
and major roadways will be from 9 a.m. to 3 p.m
60
8. 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:
Puget Sound Energy Gas Pre -Inspect Form
106376016
12/6/21 Address: 8051 184TH ST SW
EDMONDS City / Zip: Edmonds, 98026
Yes Customer: RYAN LARSEN
2/7/22 PM / Inspector: Keith Zornes 425-418-7070
1-112 Days (12 hours)
RECEIVED
Jan 03 2022
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Job Description / ROW Scope of Work
Project Scope: From 2" STW main run new complete 1-1/4 PE service to SFH 8051 (21' scat stub with 259' plat ext) set 630 meter OR @
New Construction:
Yes
2 PSI. Also run 1-1/4 twin service (20' all scat) re -hang
250 meter in same location for 8041, and C&C existing 5/8 PE at main.
SCHEDULE ALL INSPECTIONS
THROUGH MYBUILDINGPERMIT.COM
ROAD OVERLAYED IN 2017 - CUT FEES SHALL APPLY. ENGINEERING DIVISION
" "7TED
Construction Method
MINIMUM T-CUT AND 20' GRIND/OVERLAY REQUIRED.
— OW 11 /21 /2022
PLAT Map: 160.069
N
18
----------------VERIFY CLEAR BORE
18335
CROSSINGS FOR ALL CITY
UTILITIES.
STORM MAIN ON 184TH.
MAINTAIN 3' HORIZONTAL
SEPARATION FROM WATER,
8041 SEWER, STORM ON PRIVATE
PROPERTY.
18325
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.
UNKNOWN
' 80(
i OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
.....................................
S
...
----
............................ SW
I
--— — — --
2" STW IP 12' S - 68CO37
no storm drains/fire hydrants
Work
Location
Size of Cut
Surface Type
277'
WEST
of CL
80TH AVE W
&
12'
SOUTH
of CL
184TH st sw
6 X 6 X na
A
277'
WEST
of CL
80TH AVE W
&
9'
NORTH
of CL
184TH st sw
2 X 5 X na
A
of CL
&
of CL
of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/4" PE
Flaggers #:
0
Arterial:
No
New Residential Svc
EFV:
1-1/4" - 2600 - 9996744
Police #:
0
TCP:
Tie -In Fitting
Meter:
A630
A250
Speed Limit:
0
No Parks #:
0
Steel - 2" x 2" - Style H17501 - MOP (1440)
7800711
Meter Loc:
03 - OL
Trolley Lines:
No
Mtr Hoods #:
0
Del Press:
2 PSI
Traffic Signal:
I
Bus Stop:
No
SNO YRD - Snohomish
Bollards:
2.5" #
4" #
I ADA Ramps #:1
0
1 Route #'s:
From: Sidick, Susan <Susan.Sidick@pse.com>
Sent: Tuesday, January 11, 2022 10:49 AM
To: Edmonds Engineering Permits
Subject: FW: ENG2022-0003-8051 184 ST SW
Categories: Green category, Red category
See comments below
................................................ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.
My main comment is that there will be cut fees and a grind and overlay required since the road was
overlayed in 2017. Please confirm PSE will want to proceed with this application for gas service. (yes,
proceed. The original PM at no point in the process identified the street being within the moratorium
period and had not informed the customer of the extraordinary cost involved. It has been 10 months
since this process started so we had adequate time to verify this. PSE will cover the cost of the
additional fees and the grind and overlay).
I believe my other comments just pertained to utility separation on site between water, sewer, and
storm; we require at least 3' horizontal separation on private property. Is the developer putting in
conduit in the easement and private property? If not, I will red line on the plans that this separation is
required. (The customer has supplied the conduit from the north edge of the right of way to the meter
location. PSE will only be inserting the service in the conduit.)
From: Sidick, Susan <Susan.Sidick@pse.com>
Sent: Tuesday, January 11, 2022 9:57 AM
To: Zornes, Keith <keith.zornes@pse.com>
Subject: FW: ENG2022-0003-8051 184 ST SW
Importance: High
Hi Keith please answer the questions below and send back to me Thanks This is for
106376016 8051 184 ST SW
From: Griggs, Natalie <Natalie.Griggs@edmondswa.gov>
Sent: Tuesday, January 11, 2022 9:42 AM
To: Sidick, Susan <Susan.Sidick@pse.com>
Cc: Edmonds Engineering Permits<EngineeringPermits@edmondswa.gov>
Subject: Re: ENG2022-0003-8051 184 ST SW
CAUTION - EXTERNAL EMAIL
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Hi Sue,
My main comment is that there will be cut fees and a grind and overlay required since the road was
overlayed in 2017. Please confirm PSE will want to proceed with this application for gas service.
I believe my other comments just pertained to utility separation on site between water, sewer, and
storm; we require at least 3' horizontal separation on private property. Is the developer putting in
conduit in the easement and private property? If not, I will red line on the plans that this separation is
required.
I am working intermittently the next two days, so please respond to this email and reply to
engineeringpermits@edmondswa.gov (also copied on this email).
Thanks,
Natalie Griggs
On Jan 11, 2022, at 6:29 AM, Sidick, Susan <Susan.Sidick@pse.com> wrote:
Hi Natalie in the portal this should Jurisdication Comment correction letter but Im not
finding the issue?
Susan Sidick
1660 Park Lane
Burlington Wa 98233
425-457-6353
SR Permit Specialist