106340485-23305 97 PL W (2).pdf0 \:L L?,11(7.
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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106340485
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: 23305 97th PL W
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 14' W - 20' E c/I of 97th PL W
& 240' N c/I of 234th ST SW. To install gas service (1) 3x5 paving cut and (1) 3x4 paving cut 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.
°iNuany,yea nys�:a�sim 1
Susan Sidick ° °°° ,m, °9 me° ° M 5/31 /2018
SIGNATURE °"'700`' m `_°= DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date
Est. Duration:
106340485
5/20/18
EDMONDS
Yes
7/23/18
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
23305 97TH PL W
EDMONDS, 98020
JEREMY TURNER 206.552.1166
Kevin Williams 425-691-7573
Job Description / Scope of Work
From 1-1/4 PE main run new complete 1-1/8 PE service to single family residence(51' scat stub
New Construction:
No
with 32' scat
extension) Set AL-425 meter OL @ Inches
Construction Method
All Scat / Trenchless
PLAT Map:
166.067
5/g' PEI
1992
cos
?"
23306 " "
A425 MSA
5/8
1-l�s.. re
2oc
.Q
I
I
5/8"PEI I
1980 I
I
23315
I
Ln
23316 '
of I
5/8" MPEI
19,97
O Sewer
II
_
w II
C I
I
� II
II
II
Work Location
Size of Cut
Surface Type
14'
W
of CL
197thPLW
&
240'
1 N
I of CL
1234th ST SW
3x5
Asphalt
20'
E
of CL
197thPLW
&
240'
1 N
I of CL
1234thSTSW
3x4
Asphalt
Of CL
I
&
I of CL
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
vuCEr
SOUND FNERGY
Meter:
A425
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" # 4" #
I ADA Ramps #:1
1 Route #'s:
LEGEND
®
28" TRAFFIC CONE
®
BORE PIT
C*
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
RESIDENT(S) WILL BE
INFORMED OF POSSIBLE [23305]
buu
uuiuu
500'
45/55
350'
35/40
200'
30
100,
25
PUGET
SOUND
ENERGY
Job#106340485
23305 97th PI W, Edmonds, WA
May 23, 2018
Sheet 1 of 1 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.
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 will be 14' WCL of 97th PI W & 240'
NCL of 234TH ST SW.
PLAN PREPARED BY:
TRAFFIC MANAGEMENT, INC.
800.763.3999
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: 37353 DATE: 5123118