ENG2023-0271 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT
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EdmondsCity of Edmonds PERMIT NU M
98020 1 1
www.edmondswa.gov i
Description: PSE - INSTALL GAS SERVICE FOR MAIN ST COMMONS
ISSUED: 06/12/2023
Address: 550 MAIN ST EDMONDS WA 98020-3183
EXPIRES: 12/12/2023
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434212001500
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 SEATTLE-SNOHOMISH MILL
9525 AIRPORT WAY, SNOHOMISH WA 98296
COMPANY INC
FEE INFORMATIO
DESCRIPTION
AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00
ENG - INSPECTIONS $378.00 $378.00
RIGHT-OF-WAY PERMIT - STANDARD $378.00 $378.00
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.
RELEASED BY: MAJ DATE: 06/12/2023
Printed: Monday, June 12, 2023 2:07:42 PM 1 of 2
RIGHT OF WAY EUC PERMIT
s
C `
L"F��
City •Edmonds
98020 1 1
www.edmondswa.gov / 425.771i
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
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL"
E-7 CONCRETE SIDEWALK
E-7 CURB GUTTER
E-7 RESTOR LIMITS
Printed: Monday, June 12, 2023 2:07:42 PM 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�.
Jun 07 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 1o6393285
Site Address or if no site address use Property Address at NW corner of project area: 558 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 ❑ 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.)
Install gas service at approx work area is approx go' s c/l of main st & 18' w to 25' w c/l of 6th ave S (1) 3x5 paving
cut & (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 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: 05/23/23
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 #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
106393285 Service Address:
5/19/23 City
EDMONDS
Yes
1 Day (8 Hours)
558 MAIN ST
EDMONDS Tin- 98020
Customer: TOM NESS Phone: (425) 263-2474
Customer Email: gecko808O@gmail.com
PM / Inspector: Jeffrey Naranjo Phone: (425) 449-6423
Site Contact Email: TNESS@WILCOXCONSTRUCTION.COM Phone:
Job Description
Project Scope: FROM 2" STW MAIN ON 6TH AVE S** INSTALL 20' OF 1-1/4" ALL SCAT(10STUB/10EXT)SET 2MM AND HANG ONE
New Construction:
Yes
A630** INSTALL 2 - 3 BOLLARDS AS NECESSARY
Construction Method
COORDINATE WITH MAIN ST
Hole Hog
Building Foundation Type
COMMONS DEVELOPMENT
Slab
Se tic System
No
PLAT Map: 163.066
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ENGINEERING DIVISION
-- --OTED MAIN ST
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6/07/2022
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RESTORATION LIMITS TO BE DETERMINED A630 ON A 2MM
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BY CITY ENGINEERING INSPECTOR
Mp—t edall repa-pl—all
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OWNER/CONTRACTOR IS RESPONSIBLE FOR aam_ .arse=°rrt°mage
'mpr°Vemea¢"cry
r�gnt-°r-way
EROSION CONTROL AND DRAINAGE per city a�andards irat is caps,,,
curs during tre permilled pr°le,tcl.
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OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
P/L
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ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
Proposed 1-1/411 SVC
_8_'concrete
— — —
SEWER-LLEV----'8
--------- --
RECEIVED
IF
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I 8" CIPPJun
07 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
Work Location
Size of Cut
Surface Type
90'
South
of CL
MAIN ST
&
18'
West
of CL
6TH AVE S
3 X 5 X 3
A
90'
1 South
of CL
IMAINST
&
25'
West
of CL
6TH AVE S
3 X 5 X 3
C/G
of CL
&
1
1 of CL
Service Information
Street Information
Job Type
Diameter:
Flaggers #:
0
Arterial:
No
New Commercial Svc
EFV:
2 - 10000 9998737
Police #:
0
TCP:
Yes
le- n rtting
Meter:
A630 I I
Speed Limit:
0
No Parks #:
0
Steel - 1-1/4" x 1-1/4" - Style H17501-
7800671
Meter Loc:
0
Trolley Lines:
No
Mtr Hoods #:
0
Del Press:
2 PSI
Traffic Signal:
Bus Stop:
No
SNO YRD Snohomish
Bollards:
.5 # 4 #
ADA Ramps #:
0
Route #'s:
TEMPORARY TRAFFIC CONTROL PLAN
BELL ST
COORDINATE WITH MAIN ST
COMMONS DEVELOPMENT
--
ALLEY
OVDH
o >040M
OV021
of
03SO10 O
2130lnOHS
1HSIN i
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----------------------MAIN ST-----------;I
TRAFFIC CONTROL INSPECTION SHALL BE
z REQUIRED WHENEVER WORK ZONE IS SET UP
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p(� 16/07/2023
y RESTORATION LIMITS TO BE DETERMINED
END o BY CITY ENGINEERING INSPECTOR
iiiiiiikIDWORK �
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--------------------------100------------
100' —►
-------------------------------- - anolaa
OV3HV • ,
_ * X 1P 03SO1000
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i •a', W NO PARKING SIGN MUST BE
W20-1 558 ain St I Q PLACED 72 HOURS IN ADVANCE
Ed onds ; OF SCHEDULED WORK DATE
WA 98020 I Y
� i Q Applicant shall repair/replace all
damage to utilities or frontage
USA improvements
PEE
improvements in City right-of-way
CLOSED
LIMIT i per city standards that is caused or
ED 25 I occurs during the permitted project.
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ALLEY Q
OWNER/CONTRACTOR IS RESPONSIBLE FOR
18 18
EROSION CONTROL AND DRAINAGE
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o OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
r') �IHOM avOa ' ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
4N3 I ROAD UTILITIES MAY REQUIRE A SEPERATE PERMIT.
'i WORK 6
III
SIDEWALK HEAD
CLOSED 20 I 20
AHEAD
rn
DETOUR DAYTON ST
-------------------------
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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 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 90' SCL of Main St & 18-25' WCL
of 6th Ave S.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
20
4
SIGN SPACING
MPH
"X"
60/65
1000,
45/55
500'
35/40
350'
30
200'
�_2�;l
100'
Q
Cz
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
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
RECEIVED
Jun 07 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
LEGEND
®
WORK PIT
®
28" TRAFFIC CONE
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW
WORK AREA
OCHEVRON
ARROW BOARD
UNIFORMED
POLICE OFFICER
FLAGGER
Puget Sourd E"orgy REV
PUGET Designer: Traffic Control Supervisor
Safaa AlNeema Szfaa AlNeema 05/23/2023 0
SOUND Nu. 012611
Sa(azEaloeema@P e°com Job #
ENERGY (425) 398-6077 (425)398 514166019
Project Address: safaa.alneema@pse.com J
558 Main St, Edmonds, WA 98020 Order # 106393285 Page 1 OF 1