ENG20170396-APPLICATION.pdfcar EV&104Q
/At I �90
ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT—OF—WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106330539
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 ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 9707 Wharf St
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑X Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes F*_1 No
ANY ASSOCIATED PERMITS? BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 10' S c/I of Wharf St
& 150' W c/I of Soundview pl also 15' N c/I of WharfSt & 150' W c/I of Wharf St to install gas service
1 3x5 asphalt and 1 3x4 gravel cut anticipated.
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO ❑ Year: 1062i
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
CLOSURE AREA TOTALE
MBER OF MONTHS)
Sidewalk 48 Hrs + LF X LF Alley 72 Hrs + LF X LF Parking 72 Hrs + LF X LF
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 Susan Sidick "=4= P g'._�s-S5�105e DATE 10/05/2017
pass: M160 M01:57M-0T00'
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
106330539
9/21 /17
Edmonds
Yes
11/27/17
z nn�fa
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector
9707 WHARF ST
EDMONDS, 98020
Bob Mazelow 425-771-9460
Kevin Williams 425-398-6192
Job Description / Scope of Work
From 2" PE main run new complete service to single family residence (32' scat stub with 203'
New Construction:
o
scat extension)
set AL-425 meter OL @ Inches
Construction Method
All Scat / Trenchless
PLAT Map:
160.067
t
N
0000
O
� arge trees line the
9707
4m;roperty
GARDEN
1-1/8" PE
A425 MSA�
O C
G RDE
J
O.
3
a
'S
v
c
0
n
— —
— — — — —W
Wharf ST
- -
2" PE Maln 10' S CL 9620441
G
.— — — — — — .tom t -_ �, .
..-. .f P-. .- — — — — e — — — — ® — — — — — — — . Storm
Work Location
Size of Cut
Surface Type
10'
S
I of CL
jWharfST
&
150'
1 W
I of CL
jSoundviewPL
3x5
Asphalt
15'
N
I of CL
JWharfST
&
150'
1 W
I of CL
ISoundview PL
3x4
Gravel
Of CL
I
&
I
I of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Arterial:
New Residential Svc
EFV:
1-1/8" - 1800 - 9996741
Police #:
TCP:
Yes
PUGE7
ENERGY
Meter:
A425
Speed Limit:
25
No Parks #:
6
Meter Loc:
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
2.5" # 4" #
ADA Ramps #:I
I Route #'s:
PUGET
SOUND
'
ENERGY
Job#106330539
9707 Wharf St, Edmonds WA
9 October 3, 2017
Sheet 1 of 2 ryan.honeysett@pse.com
(425) 457-5381
RESIDENT(S) WILL BE INFORMED
�a
Qj
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
�a
d' b
O
/
•
o�F.�F9�0 ��O
/
PARKING
\
\9
Af hGCA
�
tJJ1/
^
J \�
NO PARK SIGNAGE WILL
BE
PLACED ON ALL STREETS TO
SURROUND WORK ZONE
Puget Sound Energy
Traffic Control Supervisor:
Ryan Honeysett
Card No. 010760
Card Exp. 06/30/2021
ryan.honeysett@pse.com
(425)457-5381
CHANNELIZATION
DEVICES ACING
H
TAPER
TANGENT
0
[25
40
80
5
30
60
30
20
40 11
5�J �
r
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 150' WCL of Sound View PI
& 10' SCL of Wharf St.
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
LEGEND
®
28° TRAFFIC CONE
®
BORE PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
— ROW—
RDW—
RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
J• PARKING
i.l`: A'd.AV JFEA
I\
NO PARK SIGNAGE WILL BE
PLACED ON ALL STREETS TO
SURROUND WORK ZONE
Puget Sound Energy
Traffic Control Supervisor:
Ryan Honeysett
Card No. 010760
Card Exp. 06/30/2021
ryan.honeysett@pse.com
(425)457-5381
1-b"�
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
L 40
PUGET
' SOUND
ENERGY
Job#106330539
9707 Wharf St, Edmonds WA
October 3, 2017
Sheet 2 of 2 ryan.honeysett@pse.com
(425) 457-5381
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 150' WCL of Sound View PI
& 15' NCL of Wharf St.
9. If used, place NO -PARK signs 72 hours in advance
of the day that the work is to be done.
LEGEND
® 28" TRAFFIC CONE
® WORK PIT
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
— RDW ROW—