ENG20130614.PDFOp EDM
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
Inc. I A90
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20130614
RIGHT OF WAN" PERMIT (7-EUC Standard)
Permit Number: ENG20130614 Expiration Date: 06/10/2014
Job Address: 16319 75TH PL W, EDMONDS Location:
APPLICANT CONTIZACT011
INFRASOURCE CONST-PSE INFRASOURCE CONST-PSE
13330 STONE AVE N 13330 STONE AVE N
SEATTLE, WA 98133 SEATTLE, WA 98133
(206) 949-5846
LICENSE #: INFRACL899CZ EXP: 02/14/2013 J
One at a time occupying north and south -bound lanes of 75th PL W to install new long side 1 1/8" PE gas SVC to 16319 75th PL W.
cN
2 asphalt/gravel cuts 3 x 5 anticipated
O
6
WO#: 106275219
ASSESSED VALUE: $0.00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: (OXO)
PARKING: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
ALLEY: (OXO ) DURATION IN MONTHS: 0 FEE: $0.00
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 ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK.
• 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
possesion.
• 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.
• Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Tuesday. December 10.2013
i 1-110lu
ILE COPY ❑INSPECTOR COPY ❑APPLICANT COPY
STATUS: ISSUED
ENG2O130614
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates of underground utilities prior to any excavation.
• Alert affected residents and/or businesses prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• Public utilities maintain 5' separation from City Utilities.
• Verify clear bore crossings
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control. Keep street clean.
• Construction hours are Monday -Friday 7am-6pm and Saturdays 1 Oam-6pm. No work on Sundays or Federal Holidays.
• Call for required inspections as noted.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
• Sound/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:OOam to 6:OOpm on weekdays and 10:OOam and 6:OOpm on Saturdays,
excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must
comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• 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 issuance fo this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any
ordinance provision.
• E-Traffic Control
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
i eii :anc Gh&ll repair/replace a,, damage to
uf:i'I:ies or frontage improvements in City
i right-of-way per City standards that is caused
or occurs during the permitted project.
tYy�s , dfl
ok
Qb
' NO PARKING SIGNS TO
BE PLACED 72 HRS BEFORE
THE START OF CONSTRUCTION
CDF NOT PERMITTED
,/
i
46
doh °e�hr oboe // ; � osTS
°►oy / �Y
!1.
o '
o ' '
i
00 i
OWNERICONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DRAINAGE
nfra� a r(C. e°
A C) UANTA SERVICES COMPANY
Job#106275219
16319 75th PI W Edmonds, WA
November 20, 2013
Sheet 1 of 2 stephen.gadke@pse.com
(206) 418-4217
/ #MAnNTA/N A HI0I10A
/
Io /10 ' 0P S' �PihiR"nW F-aOM
r
r VJ-0ZM htL CITY t4T1 U TI ♦✓5 .
,
r r
r
/ r
r
i
, r
IPrivale Dr
F,*REFER
ER TO SEPERATE PLANS FOR UTILITY
XISTING 8 PROPOSED) LOCATIONS.
CJ)r IS O.�T PE(►MITT�
,
LEGEND
®
28' TRAFFIC CONE
®
T X 5' BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
1
SIGN LOCATION
WARNING FLAG
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
I TANGENT
55r70
40
80
35/45
30
60
25130
20
40
Notes:
1. All signs and spacing to conform to the MUTCD
NL
and City of Edmonds standards.
All driveways, shall be
PeErp ZV-3
ONE °
2. sidewalks, exits and egresses
Ru�'r STrXS tC_)rV
completely clear unless otherwise indicated.
'"'�D 3
3. Channelizing devices are 28" traffic cones.
ROAD
4. Sign size can be a minimum of 36" x 36" and shall not
WORK N
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 approx. 12' W of C/L of 75th PI W
& 560' S of CIL of 162nd St SW.
(vcq
2� ad `/01s
NO PARKING SIGNS TO
BE PLACED 72 HRS BEFORE
THE START OF CONSTRUCTION
CDF NOT PERMITTED
,
,
,
r6.4
OST
' s*
v �
O '
q , ,
i
,
004 i
,
,
,
r
10 '10 1
r
1
I
,
r
/
r
r
r
1 '
r Private Dr
• r
1 1
r
I
I
I
Infra-
�
A ♦)UAWA SERVICES COMPANY
Job#106275219
16319 75th PI W Edmonds, WA
November 20, 2013
Sheet 2 of 2 stephen.gadke@pse.com
(206) 418-4217
REFER TO SEPERATE PLANS FOR UTILITY
(EXISTING & PROPOSED) LOCATIONS.
RQwvr op' sro
o grGe>�
� 7 s I(7pv
kORK d
1111A 3
LEGEND
®
28' TRAFFIC CONE
®
3' X 5' BORE PIT
b
TRAFFIC FLOW
FLAGGER
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55f7O
40
80
35/45
30
60
25130
20
40
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 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.
8. Work area will be approx. 18' E of CIL of 75th PI W
& 560' S of CIL of 162nd St SW, (in dirt behind sidewalk).
V J/ 1 v
1320
1-33
SHT 1 • '
SEC 5
103�
30 1-341 O-
1-253
1-181
ro
042
1788
-256
t
i
7
i
f
1035
1038
'b1037
1631
5
1034
86 PSI
---------------- - - - - --
-3?380-------------- - - - - -- --- --
r _.
3-381
I
3-382
i
i
392 6
3-378
SHT 3 3-385
SEC 8
Rov. i iunc 7. 201
Job It: M4 Z7C:-7- l
Datc: �`" i `� � •f
Jurisdiction:
Est. Start Date:
Est. Duration:
PRE -INSPECTION FORM
Infra.,,
Address: 7 / r� 7 �' /Jf_ P-
City/Zip. ✓� l�'Ur4i�J
Customer:
PM / Insp:._ r' G,
Work Descrirition S i ,- , ✓ �;
r r - �, . E _
Construction Method
Open Trench ❑
Trenchless
Plat ma,
rat �. � -• ,---..•,.�
fI-
fMr'�ial7t
tL
Work Loca_ tign
Size of Cut
Surface Types „
AV 'N,S of CL , % Z `j1- S t & 'E of CL inlGsT !'�Jf�G AA'
Sr S'
S Af/i :-
'N S of CL & 'E W of CL
_'NSofCI &T'EWofCL`
flaRRers VA II ..'2, Police Flaggers Trolley Lines ❑ BUS Stop ❑ It Meter Hoods El11
Speed limit —= ❑, It - Traffic signal ❑' Arterial' -'❑ No Parks ❑ tl
Commercial Altered Commercial ❑ Leak Repair ❑
Residential ,Altered
Service Information Bollards 02.5"❑4"tt .
Ftesidential ❑ CP Work ❑
Diometer. Meter EFV Template Bar ❑
rvlulti-Family(] Replacement Service❑ Pothole ❑
5/8" ❑ 250 ❑ 1800 ❑ Fuel line Permit
New Service Main Maintenance ❑ Extension ❑
Stub M Service Maintenance❑
1 1/8" RIA25 &J 2600 ® Fuel Line Length
Complete-
1 1/4" ❑ G30 ❑ 10,000❑ Fuel Line Diam.
Cut & Cap ❑ Valve Maintenance 0 Service H
2" 0 10000 Meter Location "r
1447S,
hIIP.Iu
!Q
to
i
19
g�-
a
M
CO
0
N
N
C
O
RECERVED
NOY 2 5 2013
ENGINE 17r, F1210
Z� g�
ROW 12ERMI'I' 1VO.:1+;11
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
CTION
PERMIT APP LIt(CATIOrNT
)PROJECT NAME:
CONTRACTOR:pF, I rifA50U(C e,
Mailing Addvess4?)t,'�d�i ►�=1 G � dl f� 3 N.
State License ##: I N F n 01-9-7 1 C /Z
City Business Lice -use ##; Y lO Po4
CONTACT: l w ,r( I i- J 0 01 n rl eoy)
Phone #: 2�10 "I (� � Ao _ ...
.Pax #:
E„tait"wrelic,johAnnoonopse. N(yi
Q Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: i lY'Il 7 � tt P ( y V
ROW WORD ASSOCIA.TED:Wg'I['H'g'HE FOLLOWING TYPE OF PROJECT.:
❑ Commercial ❑ 'Subdivision ❑ City Pi-oject ❑ Ti-affic Control (Only)
❑ I Multi -Family ❑ Single Family ❑ Other
[l7 EUC (PUD;. VERIZO , PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Ycs ❑ No
ANY ASSOCIATED PERMITS? BLDH ENG#
DESCRIPTION QVPROPOSED WORI{ (Be Specific) : 0 n e A ^h rn
OCC I rM N I r DD UnGl IMY16G 0 Mtn 1 VV' TV
I ncomi l w ion oil& 1 118!1 Pe mao ovc t 102M
2 C bx5) hA 1111
r4 vG I CU-�
C1'h C�P�fito(.
WAS STREET OVERLAYED WITHIN THE LAST vivE, 5 VEARS? YES ❑ NO ❑ Yeair:
PAVEMENT CUT: 'dyes ❑ No If yes, indicate size of cut: '/ x
CONCRETE CUT: ❑ Yes ❑ .No If yes, indicate size of cut: _x
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
Sidewalk 48 Hrs +
LF
X
LF
SF
Alley 72. Hrs +
LF
X
LF1
SF
Parking 72 Hrs +
LF
X
LF
SF
DURATION
(NUMBER OF MONTHS)
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 tote workday —NO EXCEPTIONS.
Indemnify: The Applicant has signed an application which stages 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 toy reason
of granting this permit.
I have read the above statements and understand the permit requirements and acknowledge that I must
follow all requir nients in o der for the permit to be valid. M
SIGNATURE0h DATE I
C uti ctor or Agent
NO WORK SHALL ]BEGIN PRIOR TO PERMIT ISSUANCE