106335549-9625 237 PL SW.pdf0 \:L L?,11(7.
-,NC. 1 s`) u
ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106335549
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL871 C2
City Business License #: N R-023614
CONTACT: Sue Sidick
Phone #: 425-457-6353
Fax #:
Email #: Susan.Sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 9625 237th PL SW
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑iC Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
❑ Yes ® No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 20' S- 10's- 16' N
c/I of 237th PL SW & 55' W c/1 of 96th PL W to install gas service (2) cuts in grass anticipated and (1) U5 in asphalt anticipated.
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: 1063;
PAVEMENT CUT:
CONCRETE CUT:
❑ Yes ❑ No
❑ Yes ❑ No
If yes, indicate size of cut: 3
If yes, indicate size of cut: _
x5
x
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF
X
LF
SF
Alley 72 Hrs + LF
X
LF
SF
Parking 72 Hrs + LF
X
LF
SF
APPLICANT TO READ AND SIGN
*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 is to 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.
Indemnity: The Applicant has signed an application which states he/she hold 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 defense costs and attorney fees by reason
of granting this permit.
I have read the above statements and understand the permit requirements and acknowledge that I must
follow all requirements in order for the permit to be valid. Susan S1d1Ck
SIGNATURE
DATE 2/13/2018
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
LEGEND
®
28" TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
237TH PL SW
C
N
O
uvi
O-L
0321b'd
38
N
9625 0
OVOJII
.ado I ?
O
O
Nd
13
13
O
� a
M
— ••••••
• •.•• ® •
•
00, 100, RESIDENT(S) WILL BE
INFORMED OF POSSIBLE
TEMPORARY DRIVEWAY
CLOSURE
�—V W
O D m
W3-4
MINIMUM TAPER LENGTH = L (feet)
LANE
POSTED SPEED LIMITS
WIDTHS
20
25
30
35
40
45
10
70
105
150
205
295
475
11
75
115
165
225
295
495
12
80
125
180
245
320
540
CHANNELIZATION
DEVICE SPACING
TANGENT
TAPER
MPH
80
40
55/70
60
30
35/45
40
20
25/30
13113
SIGN SPACING
"X"
55 +
800
60/65
500'
45/55
350'
35/40
200'
30
100'
25
O
O
r
0
O
I O
I
I/
ti
O
N
BE
PARED M
TO
TOP
WORK
AHEAD
r
0
N
PUGET
' SOUND
ENERGY
Job#106335549
9625 237TH PL SW, EDMONDS, WA
February 8, 2018
Sheet 1 of 2 gregory.harwood@pse.com
(425) 424-6425
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.
4. Sign size can be a minimum of 48" x 48" 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.
8. Work area will be 55' WCL of 96TH PL W & 10' and 20' SCL of 237TH PL SW.
PLAN PREPARED BY:
TRAFFIC MANAGEMENT, INC.
0.763.3999
www.trafficmanagement.com
Traffic Control Services -Sales &Rentals �TMI
Permits &Consulting Engineering Training
C31 # 785804
TMI CONTACT PERSON: Michael Flanagan
TCS CERT II: 301872
PLAN ORDER: 33200 DATE: 21812018 - RN
Puget Sou
Traffic Cor
Gregory H;
Card No. C
Card Exp.
gregory.ha
(425)424-E
LEGEND
®
28" TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
MINIMUM TAPER LENGTH = L (feet)
LANE
POSTED SPEED LIMITS
WIDTHS
20
25
30
35
40
45
10
70
105
150
205
295
475
11
75
115
165
225
295
495
12
80
125
180
245
320
540
CHANNELIZATION
DEVICE SPACING
TANGENT
TAPER
MPH
80
40
55/70
60
30
35/45
40
20
25/30
SIGN SPACING
"X"
55 +
800
60/65
500'
45/55
350'
35/40
200'
30
100'
25
I
I
I
I
I
i
ti
0
CV
E
O u
O
BE
PREPARED
TO
STOP
O
O
�
r
0
N
PUGET
' SOUND
ENERGY
Job#106335549
9625 237TH PL SW, EDMONDS, WA
February 8, 2018
Sheet 2 of 2 gregory.harwood@pse.com
(425) 424-6425
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.
4. Sign size can be a minimum of 48" x 48" 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.
8. Work area will be 55' WCL of 96TH PL W & 16' NCL of 237TH PL SW.
PLAN PREPARED BY:
TRAFFIC MANAGEMENT, INC.
0.763.3999
www.trafficmanagement.com
Traffic Control Services -Sales &Rentals �TMI
Permits &Consulting Engineering Training
C31 # 785804
TMI CONTACT PERSON: Michael Flanagan
TCS CERT #: 301872
PLAN ORDER: 33200 DATE: 21812018 - RN
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date
Est. Duration:
106335549
1 /26/18
Edmonds
Yes
3/26/18
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
9625 237TH PL SW
EDMONDS, 98020
STEVE CLOUTIER 425-471-5169
Kevin Williams 425-691-7573
Job Description / Scope of Work
From 1-1/4 main in ST Casing run new complete 1-1/8 service to single family residence(45' scat
New Construction:
stub with 45' scat
extension)set A-250
OR @ Inches
Construction Method
All Scat / Trenchless
PLAT Map:
167.067
t
N
3
P/L
C/L
111
I II
I II
I II
I II
I II
I
I
I
I
I
I
I
I I
I I
I I
I I
I II
I II
I II
I
i
1 3
I I
I I
9625
I I I
1 a
I II
I II
1
I I
I II
I II
.*
i
i
i
Fire Hydrant
I I
I I
I I
I
— — — — — — — — — — — — — — — — — — — — Over head Power
o
237th PL SW
I I
II
- - -
- --•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-
- -•-•
I
-•-•-•-•4J-•-•-•i
II
water-----------------------
_______II
�
II
-
I i
Work Location
Size of Cut
Surface Type
20'
S
of CL
1237thPLSW
&
55'
1 W
I of CL
196th PL W
3x5
grass
10'
S
of CL
1237thPLSW
&
55'
1 W
I of CL
196th PL W
3x5
Asphalt
16'
N
of CL
1237thPLSW
&
55'
1 W
I of CL
196th PL W
3x5
Grass
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
PUGET
ENERGY
Meter:
A250
Speed Limit:
25
No Parks #:
6
Meter Loc:
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
1 2.5" # 1 4" # I
ADA Ramps #:1
1 Route #'s: