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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109111343
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: 7718 238 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 248' N C/I of 78th Ave W
14' S c/I of 238th PL SW to install gas service
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: 1091
PAVEMENT CUT:
CONCRETE CUT:
❑ Yes ❑ No
❑ Yes ❑ No
If yes, indicate size of cut: _
If yes, indicate size of cut: 3
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.
SIGNATURE
DATE 2/28/2018
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date
Est. Duration:
109111343
4/3/18
City of Edmonds
Yes
6/25/18
1 Day
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector:
7718 238TH PL SW
Edmonds, 98026
Mark 425-508-1982
Jordan Cooper 425-623-5302
Job Description / Scope of Work
From 2" STW IP 14'S (2816-1991) Run 1 1/8 PE Alt Plat Service 45' (15'Stub & Plat Ext 30') and
New Construction:
Set A630 OL.
60' ROW
Construction Method
Plat (Conduit)
PLAT Map:
162067
t
I
N
i
12" Concrete EXISTING Storm
SEE ATTACHED
i
CITY OF EDMONDS
♦ /
i
GIS MAP
/ ♦ / ♦ //
/♦
♦♦ / /♦
♦
EXISTING Sewer / / ♦ ♦
/ / /
I
// /♦
/
♦/
op
I
I // /
/♦
I
♦/ /♦ /
8" EXISTING Water♦ ♦ , / /
//
/ ♦ /
/
, ........ ..... ♦... ..�00.... .......p.....,
1-118" PE
/ ♦ / ♦ ...... -_
♦ conduit
// /♦ /
..........................
♦
�.
:.........:.......... .................. ' .........................
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.... A630 MSA
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771 PI SW
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09181343h
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EXISTINGGA$MAIN.44'.8 ..............................;..................;.............
:.........:.......... ... ... ... .. ..
Work Location
Size of Cut
Surface Type
248'
N
of CL
178th Ave W
&
14'
S
of CL
238th PI SW
3x5
C
of CL
&
of CL
Of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Y
Arterial:
N
Altered Residential Svc
EFV:
1-1/8" - 2600
- 9999144
Police #:
N
TCP:
y
���
SOUND
® ENERGY
Meter:
A630
Speed Limit:
25
No Parks #:
y
Meter Loc:
03 - OL
Trolley Lines:
N
Mtr Hoods #:
N
Del Press:
6" W.C.
Traffic Signal:
N
Bus Stop:
N
Bollards:
2.5" # 1 1 4" # I
ADA Ramps #:I
N
I Route #'s:
I N
IV
C)
r
LEGEND
®
28" TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
FLAGGER
WORKVEHICLE
SIGN LOCATION
WARNING FLAG
0
0
MINIMUM TAPER LENGTH = L (feet)
LANE
POSTED SPEED LIMITS
WIDTHS
20
1 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
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 248' NCL of 78TH AVE W & 14' SCL of 238TH PL SW.
i
10 10
4 P\10
I p
10 10 CD
WORK
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EN
/I
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/ RESIDENT(S) WILL BE Q
/ INFORMED OF POSSIBLE 2�i
TEMPORARY DRIVEWAY
CLOSURE
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Job#109111343
7718 238TH PL SW, EDMONDS, WA
April 13, 2018
Sheet 1 of 1 gregory.harwood@pse.com
(425) 424-6425
'dX3 PUEO
INN PaEO
► C'
/ ' 238
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
TICS CERT #: 301872
PLAN ORDER: 35605 DATE: 411312018