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ENG20170181-APPROVED PERMIT.pdfI If t uITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 txrr , :1 PHONE: (425) 771-0220- FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBS :TE* Job Address: 956 SPRUCE ST, EDMONDS Location: 956 SPRUCE ST APPLICANT CONTRACTOR PSF/In fras o urce P SE/I n fraso u r c e GO Susan att: Sidick C/O Susan att Sidick 1660 Park Lane 1660 Park Lane Burlington, WA; 98233 Burlington, WA 98233 (425)457-6353 LICENSE # infrasl871 c2 EXP: 02/22/2019 JOB DESCRIPTION Work area is approx 40'S c/1 of Spruce St & 17W c/I of 10th PI S to install gas service. 1 3x'paving ,cut anticipated. DISRUPTION INFORMATION ASSESSED VALUE. $0x00 PROPERTY AREAE 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0„00 STREET DISRUPTION TRENCH CUT: ( 3 X 5 PARKING: ( OX0) DURATION IN MONTHS: 0 ; FEE $0,00 YEAR OF OVERLAY: 0 FEE $0,00 ALLEY ( OX0) DURATION IN MONTHS: 0., FEE: $0,00' INDEMNITY The;Applicant has signed an application which states he/she holds the City'ofEdmonds harmless from injuries; damages or claims,ofany kind or description whatsoever; foreseen or unforeseen, that may be made against the City of Edmonds or any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and attorney fees by reason ofgranting;this permit. THE CONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FORA PERIOD OFONEYEAR FOLLOWING THE FINAL INSPECTION AND.ACCEPTANCE 0FTHEWORK * 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. M.- 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. w Three sets of construction drawings of proposed work are required with the permit application. CALL DIAL A -DIG (1-800-424-5555) BEFORE ANY EXCAVATIONri CALL FOR INSPECTION (425) 771-0220 EXT. 1326; 24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS, APPLICATION APPROVAL THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HERDEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED, Printed: Wednesday, June 21, 2017 RELEASED BY DATE ❑ FILE COPY ❑ INSPECTOR COPY APPLICANT COPY STATUS: ISSUED ENG20170181 •; Restore ROW to City standards r; 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 approvedworking drawings and Traffic Control plan. • Verify clear bore crossings • Utility patch restoration to be in accordance with Edmonds Standard detail E2.3 • Maintain erosion & sedimentation control. Keep street clean, • Call for required inspections as noted. • Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements. • Applicant shall repau•/replace all damage to utilities or fiontage 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 7:00amto'6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all oth'ertimes 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 ofhis 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 of 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 the City's ability to enforce any ordinance provision. • E -Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: • BUILDING ROW PERMIT NO.: ENG,,RECEIVED O ISSUE DATE: RIGHT-OF-WAY T -OF -WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 106324243 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871 C2 City Business License #: NR -023614 CONTACT: Sue Sidick Phone #: 425-457-6353 ...._............ Fax #: Email #: Susan.Sidick@pse.com Liability Insurance M Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 956 Spruce St ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: El Commercial Subdivision City Project LJ Traffic Control (Only) ❑ Multi -Family ❑X Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Yes © No ........ ANY ASSOCIATED PERNHTS? KBLD1#_ _ ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 40' S c/I of Spruce St & 17'W c/1 of 10th PL S to install gas service 1 3x5 paving cut anticipated. _,.. www WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES El NO M Year: 106 PAVEMENT CUT: ® Yes ❑ No If yes, indicate size of cut: 3 x 5 CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: x RIGHT-OF-WAY DURATION AREA TOTAL CLOSURE (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 r� �Hmmmmm_ u�r *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. OgleYy alJriM b�S an Sltl[A SIGNATURE Susan Sidick� w DATE 5/9/2017 ,pr. Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE PUGET SOUND ENERGY Job#106324243 tp°tr A 856 Spruce St, Edmonds WA fJ mt,,olm May 6, 2017 k:m S Sheol 1 of 2 stephen.gadke@pse.com (425) 424-6431 r ' ,cit ,001 ,yet ,� �...®... SPRUCE S, Receiving Pit W20-1 W20 -7A � W3-4 I 956# �Ue�ND r 2VtRAFFIC CONE "'"'" J Notes: BORE PIr 1. All signs and spacing to conform to the MUTCD => TWFIGFLowi r" and City of Edmonds standards. �{,. Aaz 2. All sidewalks, driveways, exits and egresses shall be e FuccER completely clear unless otherwise Indicated. WMKVEHICLE ii 3. Channellzing devices are 28" trafflc cones. 4. Sign size can be a minimum of 48" x 48" and shall not SIGN LOCAWN I' obstruct pedestrian access. VIARNwO FLAG V 6. Crew is required to leave a minimum of 11' for traveling lane width. 6. Alert affected residents and businesses. CHA. 10TH PL S (DEAD END) 7, Work to lake place between 9 a.m. and 4 p.m. DEVJ�u E SPACING N APPROX. 345' SCL OF 8. Work area will be 17' WCL of 10th PI S a�tmvit�t� r�ACI�c A4A'EF# LASE r ra nl En.T SPRUCE, ' & 40' SCL of Spruce St. 5i4e L. ' so 9. If used, place NO -PARK signs 72 hours In advance �o atu . 30 2580 zO ao of the day that the work Is to be done. *40 Y � E C," ON CO,,i4',/i,ii,'Q 0[I,Ir PUGET SOUND ENERGY Job#106324243 956 Spruce St, Edmonds WA L () b VOW'May 6, 2017 f, Sheet 2 of 2 stephen.gadke@pse.com (425) 424-6431 106 100 100" �a W 100' 10'1y SPRUCE ST w "�J M W20W1 I W20.7A"• W3.4 I LEGEND w '..,, 996# 28'TRAFFICCONE 'o , Notes: SM BORE PIT 1. All signs and spacing to conform to the MUTCD => TRAFFIC FLOW a A ,� and City of Edmonds standards. 2. All sidewalks, driveways, exits and egresses shall be FLAGGER �kax Yh' ruw Completely clear unless otherwise Indicated. v r 3. Channelizin devices are 28" traffic cones. WORK VEHICLE 9 Ryan - 4. Sign size can be a minimum of 48" x 48" and shall not SIGN LOCATION'.: obstruct pedestrian access. eie WARNING FLAG 5. Crew is required to leave a minimum Of 11' for [raveling lane width. fl 6. Alert affected residents and businesses. CNAmtLdzAlltaN 10TH PL S (DEAD END) 7, Work to take place between 9 a.m. and 4 p,m, DEVICE SPACING APPROX. 345' SCL OF 6. Work area well be 1T ECL of 10th PI S MsVF�FI 7dV1MEl1 "I,nNGENt , & 40' SCL of Spruce Sl. 1,[,,7114o so SPRUCE. 9. If used, place NO -PARK signs 72 hours in advance "5145 ;)D 60 a of the day that the work is to be done. _5_56 _-,. Z6 46 Job #: 106324243 Date: 4/27/17 Jurisdiction: Edmonds Right of Way Permit? ❑ YES ❑ No Est. Start Date: 07/03/17 Est. Duration; 8 Hours PRE -INSPECTION REPORT Address: 956 SPRUCE ST City / Zip: Edmonds 98020 Customer: Mac McCarthy 206-369-0206 PM / Insp: Kiara Hays 42 - 1 - 0 PHONE NUMBER Construction Method WORK DESCRIPTION: INSTALL 25'OF1-1/8"PE5CAT5TUBAND 25'OF1-1/8"PE5CATEXT 5ETA250M5AAT Open Trench ❑ 6 I WC 01,Q Trenchless Fj PLAT MAP: 164 067 W O = Fire Hydrant (57' from tie in) i i = Sewer Manhole i i i i i V1 y J � a � o t r ? ? i i W N PL ID Ln 0 SPRUCE ST Underground Oil Tank Work Location Size of Cut Surface Type ® S f CL S� W WU' f CL __ _Tl.l?L S - 3X5 Asphalt 'N S of CL & 'E W of CL 'NSofCIL , & 'EWofCIL FLAGGERS # MPH ❑ TROLLY LINES ❑ BUS STOP # ❑ METER HOODS # ❑ OFFICERS # SPEED LIMIT ❑ TRAFFIC SIGNAL ❑ ARTERIAL ❑ NO PARKS # ❑ Commercial ❑ Altered Commercial ❑ Leak Repair Service Information ❑ Template Bar Residential ❑ Altered Residential ❑ CP Work Diameter Meter EFV ❑ Bollards 2.5" # ❑ Multi -Family ❑ Replacement Service ❑ Pothole ❑ s/8" Q 250 ❑ 1800 ❑ Bollards 4" # F-1New Constr. ❑ Main Maintenance ❑ Extension Q 1.1/81" ❑ 425 2600 ❑ Stub ❑ Service Maintenance ❑ 11/4" ❑ 630 ❑ 10,000 ❑ FUEL LINE PERMIT NEEDED ❑ Extension ❑ valve Maintenance ❑ 2" ❑ 1000 Fuel Line Length: ❑ Compete Sery ❑ Cut & Cap Mtr Loc: 01R Fuel Line Diameter: 4^J a 00 h W 0-o a IN (Y) O O d TT V AM Q ro � P Ol LO 011 W d P P P 380E 3d 3.992 LU p in O 1 O 400Z-08E9IOLOl Id H10 co CW W O. < pp P all W hN V O� N O` O 4 s h � IN d TT V AM Q �u S� -0 0 .... ,.... 0)wW 4 U(3f� � N