The URL can be used to link to this page

ENG2023-0109 ROW PERMITRIGHT PERMIT City of Edmonds Edmonds 98020 • M.211 -• • • ••425.771.0221 Description: PSE - CUT AND CAP GAS SERVICE WITHOUT PAVEMENT CUTS ISSUED: 03/23/2023 Address: 840 DALEY ST EDMONDS WA 98020-3951 EXPIRES: 09/23/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434208101000 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT SUSAN SIDICK 1660 PARK LANE, BURLINGTON WA 98233 (425)457-6353 CONTACT PUGET SOUND ENERGY 1660 PARK LANE, BURLINGTON WA 98233 (425)457-6353 CONTRACTOR PSE/INFRASOURCE 1660 PARK LANE, BURLINGTON WA 98233 (425)516-4388 OWNER PETER & JIA TANG 840 DALEY ST, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 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. 94 RELEASED BY: MAJ DATE: 03/23/2023 Printed: Thursday, March 23, 2023 8:58:36 AM 1 of 2 RIGHT PERMIT PERMIT NUM City of Edmonds • Edmonds WA 98020 www.edmondswa.gov / 425.1 1 CONDITIONS CONDITION TYPE NOTES ALERT RESIDENTS ALERT AFFECTED RESIDENTS AND OR BUSINESSES PRIOR TO WORK START. 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. MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD ESC REQUIREMENTS 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. SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT. INSPECTIONS www.mybuildingpermit.com POTHOLING VERIFY CLEAR BORE CROSSINGS. RESTORE LANDSCAPE Restore landscape to like or better conditions Sound or 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 AND 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 and 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 NOTES COMPLETE A-1 JOB START X-2 ENGINEERING FINAL" Printed: Thursday, March 23, 2023 8:58:36 AM 2 of 2 RECEIVED of EpM04O� 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�. FEB 24 2023 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 1o8642689 Site Address or if no site address use Property Address at NW corner of project area: 84o Daley 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 ix 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.) cut and cap gas service at approx 21' S c/l of daley St & 330' W c/l of 19th Ave N (1) 3x5 grass 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 3xgas ❑ 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? 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: 02/23/23 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 Job #: 108642689 Service Address: Date: 2/2/23 City Jurisdiction: Snohomish Customer: ROW Permit: Yes Customer Email: Est. Start Date: PM / Inspector: Est. Duration: 1-1/2 Days (12 hours) Site Contact Email: 840 Daley St Edmonds Zip: 98020 Peter Phone: 206-372-2584 Charlotte Matlock Phone: (425) 429-5675 Phone: Job Description Project Scope: PSE Paid Twin DeCouple - From Daley St - Install Scat Svc (9'stub / 30'ext) in PSE provided trench to existing meter; New Construction: No remove old A175 meter and set new 425 (due to A250 shortage) and set guard post. Then C&C 3/4" STW host as close to the Construction Method property line as possible and retire 5/8" twin to (836). Property line is approx. 10' South of edge of curb. CP: I requested to install Hole Hog test lead wires on the stub at cut and cap location. Thanks, John Building Foundation Type Basement SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM Septic System No PLAT Map: 104.567 i Dave Lima 206-396-0691 N PL PL .................... ... ., z Man Holt! — — — — — — — — — — — — — — — — — — — — — — — — — — — — — StGrJrUOLatEL — water NTin w- cu ----------- - - - - ----1-t---------———— — — — — —— Q 0 Sewer _ Q Overhead Power 0 w lD — — — — — — — _ . — — — — — — — — — — — — I— j— — — — — — — — — — — — — — — — — — — — — — Ol Grass Edge PL Existing Gas - 2" STW IP 21'S _ .... 3 Deactivate 3/4"STW SVC 8594-1966 Proposed 1-1/8" SVC o :\ ,Y :......... :.........:............................ ; X ................ ..................<............................ ..........>..... i Applicant shall repair/repI ace all •••••••••i•••••••••o•...... ..................• damage to utilities or frontage improvements in City right-of-way 040 O per city standards that is caused or ........ occurs during the permitted project. Deactivate 5/8" TWIN SVC d ENGINEERING DIVISION APPROVED AS NOTED n- 836 Jai Uvv 03/22/2023 X RECEIVED " y' FEB 24 2023 y Js Pool House CITY OF EDMONDS PL DEVELOPMENT SERVICES DEPARTMENT `t..........:.........:.........:.........:.........:.........:.........:.......... .......... Work Location Size of Cut Surface Type 21' South of CL IDaleySt & 330' West of CL 9th Ave N 3 X 5 X 3 GRS of CL I & of CL of CL I & of CL Service Information Street Information Job Type Diameter: Flaggers #: 0 Arterial: No Cut & Cap EFV: 1-1 8' - 2600 - 9999144 Police #: 0 TCP: No Tie-in Fitting Meter: A425 Speed Limit: 25 No Parks #: 6 MDPE - 2" IPS - (DIA) 1"CTS 9999549 Meter Loc: 08 - OR Trolley Lines: No Mtr Hoods #: 0 Del Press: 6" W.C. Traffic Signal: Bus Stop: No SNO YRD Snohomish ®u Bollards: 2.5 # 1 4" # ADA Ramps #: 0 Route #'s: OWNER/CONTRACTOR IS RESPONSIBLE FOR OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING EROSION CONTROL AND DRAINAGE ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. Notes: L-UI 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 10' 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 Work area will be 354' WCL of 9th Ave N @ 22' SCL of Daley St 9. If used, place NO -PARK signs 72 hours in advance of the day that the work is to be done. LEGEND ® 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY Row TEMPORARY TRAFFIC CONTROL PLAN SIGN SPACING MPH "XI. 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 I I I I I �j I I I I l► I I I� I I l £Z0Z/ZZ/£0 4310N SV G3IAO2idc!V NOISIAIG JN12i33NIJN3 NHN30�00��00000�0------------- I 1 I I I I I I I I I I I I I I I I I I I I I I • VICINITY MAP RECEIVED FEB 24 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT r+ 3 Sprague St > Puget Sound Energy REV Designer: Traffic Control Supervisor: PUGET John Crofoot 02/21 /2023 0 SOUND Kaitlynn Davis Card No. of2613 CarENERGY 209-456-0264 John.Crofoo@psecom Job # Kaitlynn.Davis@pse.com 425'426I' 512122638 Project Address:" 840 Daley St, Edmonds, WA Page 1 OF 1 RECEIVED FEB 24 2023 CITY OF EDMONDS Right -of -Way Application #1273234 - 108642689 MyBuildingPerrnit.corn CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Susan Sidick Puget Sound Energy 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 (425) 457-6353 Contractor Company Name PUGET SOUND ENERGY INC Number Street Apartment or Suite Number 1660 Park Lane City State Zip Phone Number Extension Burlington WA 98233 425-457-6353 State License Number License Expiration Date UBI # E-mail Address PUGETSE032J 1 3/20/2024 179n 1 M55 susan.sidick@pse.com Project Location Number Street Floor Number Suite or Room Number 840 DALEY ST City Zip Code County Parcel Number EDMONDS 98020 00434208101000 Associated Building Permit Number Tenant Name 108642689 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Peter & Jia Tang Number Street Apartment or Suite Number 840 DALEY ST City State Zip EDMONDS WA 98020 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: 2/23/2023 Submitted By: Susan Sidick Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1273234 - 108642689 Project Contact Company Name: Puget Sound Energy Name: Susan Sidick Email: susan.sidick@pse.com Address: 1660 Park Lane Phone #: (425) 457-6353 Burlington WA 98233 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: 108642689 Description of Work: cut and cap gas service at approx 21' S c/1 of daley St & 330' W c/1 of 19th Ave N (1) 3x5 grass cut anticipated Project Details Project Information Job Number 108642689 Page 2 of 2