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ENG20170416-APPROVED PERMIT.pdfA 01.Etm'° ITY OF EDMONDS v �Q 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20170416 RIGHT OF WAY • Permit Number: ENG20170416 Expiration Date: 05/01 /2018 Job Address: 1142 6TH AVE S, EDMONDS Location: 1142 6TH AVE S APPLICANT PSF/Infrasource CONTRACTOR PSE/Infrasource C/O Susan att: Sidick C/O Susan att: Sidick 1660 Park Lane 1660 Park Lane Burlington, WA 98233 Burlington, WA 98233 (425)457-6353 LICENSE #: infras1871c2 EXP: 02/22/2019 JOB DESCRIPTION Replace a)dsting gas service @ 136' W c/1 of 6th Ave S & 14' N c/l of Elm Way. 2 3x5 paving cuts anticipated. DISRUPTION INFORMATION ASSESSED VALUE: $0 00 PROPERTY AREA 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0 00 STREET DISRUPTION TRENCH CUT: ( 3 X 5 ) PARKING: ( OXO ) DURATION IN MONTHS: 0 FEE: $0 00 YEAR OF OVERLAY: 0 FEE: $0 00 ALLEY: ( OXO I DURATION IN MONTHS: 0 FEE: SO.00 INDEMNITY The Applicant has signed an application which states he/she holds the City of Edmonds 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 atlorney fees by reason ofgranting this permit. THECONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THEW ORK. • 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 DIALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT.1326 24 HOUR NOTICEREOUIRED FOR ALL INSPECTION REQUESTS APPROVAL THIS APPLICATION IS NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN SPACE PROVIDED Printed: Tuesday, October 31, 2017 CAS l.(%q�' RELEASED BY DATE FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY STATUS: ISSUED ENG20170416 • 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. • 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 repair -/replace all damage to utilities or fi•ontage 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 fromthe noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:OOpm on weekdays and 10:00am 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 ofthis pemvt. 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-Engineering Final PARTIAL INSPECTION PARTIAL INSPECTION FINAL INSPECTION APPROVED DATE: DATE: DATE: INITIAL: NOTES: INITIAL: NOTES: INITIAL: of EVA40 ROW PERMIT NO.: ENG���� ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 109106096 CONTACT: Sue Sidick CONTRACTOR: PSE/Infrasource Phone #: 425-457-6353 Mailing Address: 1660 Park Lane, Burlington, WA 98233 Fax #: State License #: INFRASL871 C2 Email #: Susan.Sidick@pse.com City Business License #: N R-023614 ❑ Liability Insurance U Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 1142 6th AVE S ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial Subdivision I I City Project ❑ Traffic Control (Only) ❑ Multi -Family ❑X Single Family ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ❑ Other ❑ Yes © No ANY ASSOCIATED PERMITS? I BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : replace existing gas service @ 136' W c/1 of 6th AVE S & 14' N c/1 of Elm Way 2 3x5 paving cuts anticipated WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES 0 NO ❑ Year:109ti 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 AREA CLOSURE 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 Susan Sldlck �^�a�.n s°� 10/11/2017 as :oumwaer�o orw DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE uaslro � amurlccme I� eDRPve b 1Rueea- r—sa vauwa,e N ,Kve1U,Y/, Notes: I. All signs and spacing to conform to the MUTCD and SNO COUNTY standards. 2. All sl"wilks, driveways, exits and egresses shall be completely clear unless othenv'se Indicated. 3. Clurr*Uz 1g devkes are 28' traffic cones, 4, Sign size on be a minimum of 4B' x 48' and shall not obstruct pedestrian access. 5. Crew Is required to leave a minimum of I I' for traveling lane YAM. 6. Alen ldbldcd tesldords and businesses. 7. work to Into plaw berAven 9 am. and 4 pm. 6. Con ua Sha6pa.11Mp•NO PARKING' 72 hours prior to construction. 9, Wwk=vNbe l3GWCLol ELM WAY& 14'NCLo,6TH AVE S. CNANNELIZATION 6 GN SP�ACI G DEVICE SPACING x ss' TANGENT TAPER MPH aW6 so 40 WID 4 5 1 6n so-_ SSa6 v;urraPuc 12 00 125 iB0 245 320 540 40 i0 251J0 10O 2S— MINIMUM TAPER LENGTH = L (1W) LA'ti Pasl Ea sPE-LVI1Ts v.,onn 20 25 30 35 40 45 10 70 105 150 205 295 475 11 75 115 165 1225 295 495 I !applicant shal€ rapa Oreplace all darnage to i a_ati-I°N(s s :i. fyg>ntmlf F3 'ymip;�aa oments in City I q I 9'ig_I1�'-�da..lovi�±� ;a�`tC ! •.,•.::?:-i%:.4?e1l)dart�s that is cais;?t?i� or cam—u-s,n� c#ur• ng pormitted project. VMEIIi%I. N , r rAG i Uri 6 FiE' Ui�Ji L6. FOR EROSION WN-FROL AND DR/9NAGE 46 PUGET SOUND ENERGY - Job#109106096 1142 6TH AVE S. SNO COUNTY, WA September 19, 2017 Sheet 1 of 1 gregory.harwood@pse.com (425) 424-6425 A•),1 ba,H E.n.ax 1,✓k Lead bWrMw. Gre9ay Nar+.aad CRN No. L0999T C,rd E,p.ON17a019 yegepA,nwre0w.a^ (IiT11716U.� � /aw.Y }, )e90A 100. k � b ----------. ELM ST a-ewp paNp Wong IMF PLAN PREPARED BY: TRAFFIC MANAGEMENT, INC. .� 800.763.3999 ANwe.urllx,:911upnalLam � mn<,w9,M .sw,4tnn .m„9L..Jn•f.�w.9,.,�, C31 N 705804 �TMI r01872 V,ry M•,t., TCSCEAAL1 TL9 CERi M.701Al2 PIANGUER-29949 DATE 91191017-NI V ENGINEERING '�-PAI` , `,l 1 `i)—IE1UllD 1?.10" — WOW& o - I 1 1142 0 4>4 \N - Notes: 1. All signs and spacing to conform to the MUTCO and SNO COUNTY standuds. 2. All sdev:a:ks, driveways, exits and egresses shag be completely dear unles, MHeevse MICO[cd 3. Cnann0z;ng devices are 28'traffic cones. 4. Sign size can be a minimum of4B' x 48' and shall not obstruct pedestrian access. 5. Crew is required to leave a minimum of 11' for Raveling lane width. 6. Alan effeded residents and businesses. 7. Work Id lake place between 9 a.m. and 4 p.m. 6. Contractor "I post tamp 'NO PARKING" 72 lours prior to construction. 9. Work area WA be I3fr WCL of ELM WAY d 14' NCL of 6TH AVE S. udcao — ® >amo1c— ifZd eonem q *PAIFIGiLaN MINIMUM TAPER LENGTH =L(f") }y I�1A r ^vsvx.a'Aa'"zalx'elacvp"aunnanAnea, 1°1 vosrEosPEEo [nnrs PAUEVItS PIN 26 30 3d55 45 TANGNPRMPA 20 �105 170 SO 40 970 175 I495 60 30511 12 80 5 I— —....44+• 20 iSISO Q9' 1,111 Wo121L PUGET b l 9 SOUND I Cl) ENERGY JobN109106096 1142 6TH AVE S. SNO COUNTY, WA September 19, 2017 Sheet 1 of 1 gregory.hamood@pse.com (425) 424-6425 tM K•,V:i»r f,D.eDIJ?J�� ICW {,»N1urr�s p �d KM l•OZM \ 100, aleyl 1001 I �b ELMST n _ew a,*v ;o .. 7s �7s 1N OVAL 'o ro�F 7 nulrg[rud9er: TRAFFIC MANAGEMENT, INC. �A4,�»..�� w 600.763,3866 wmvinlfglw+Norm W snlars,.n it I,wn4[w,Iti•Hjwra•IhMr, 4�TMI — A'mw use new" [If [14T f. tat e"s n1vowa DA11.1, 1-01 t a', Job #: I [)I / f'-)4�9 Co _ Date: 0-B-7..7. - I - -•,. Jurisdiction: C_ra-1 SAT' ' f Right of Way Permit? E] YES ❑ NO Est, Start Date: r-e1 nwnlinn• PRE -INSPECTION REPORT Address: ( I L4 Z (a t h I� c/ 6- r City / ZIP: 5 r+ rf •.1 t •& C . `3 % 01. C7 Customer: N/IDLER f�- V.Ir. r)P FIZ• ' �usr art ue nUMER (A /Insp: �qP, f ) ^ 10t ` .4, tt` � _ ll..��'' PHONE II111A9ER WORK DESCRIPTION: �P�q LZ 5��" Sy Or CJ+hA-� Construction Method Open Trench ❑ Trenchless ❑ ---..__._-- PLAT MAP: j (P LI, O Iv IO ���RI�GAA l 2--- 'rl wA Work Locat on Durface Tvue _j Ae-1 • &JJ0Z 'E of CL iv- - v - ...� _Lc - S of CL ' 'E f CL 'N S of CL ...---&— - .E of CL------- __ ---- "GGERS _ z MPH ❑ TROLLY ONES ❑ BUS STOP # ❑ METER HOODS # ❑ OFFICERS # SPEED LIMIT ❑ TRAFFIC SIGNAL ❑ ARTERIAL [] NO PARKS # _ ❑ mmerclal ❑ Altered Commercial ❑ Leak Repair Service Information Diameter Mete EFV ❑ Template Bar Residenllal ❑ 94ed Residential ❑ Mufh-Famlly Replacement Service ❑ CP Work ❑ Pothole E] 250 ❑ ;b00 ❑ Bollards 2.5" # Bollards 4" ll El New Constr. ❑ Main Maintenance. �/ El Extension 11/8" ❑ 425 2600 FUFI. LINE PERMIT NEEDED ❑ Stub ❑ Service Maintenance ❑ 11/4" ❑ 630 ❑ 10,000 ❑ Extension ❑ Valve Maintenance ❑ 2" ❑n 1000 Fuel Line Length: ❑ compete Sery ❑ Cut & Cap Mlr Loc; _ Fuel Lino Diameter. ' PERMIT REQUEST FORM Date of Request: 10/10/17 Job number: 109106096 Job address: 1142 6 Ave S City: Edmonds Zip: Project mgr: Gayle Plaisance PM contact #: (253) 617-6013 PM email: gayle.plaisance@pse.com _- Estimated job start date: 10130/17 Estimated job completion date: 1111 - Description of work to be performed: Replace existing gas ser ce n 13 nid R Ave S R 14'nel Elm Way Pavement cut? Yes F]No If yes, Dimensions of Cut: Length 3' Width 5' How many cuts? 2 Surface Type asphalt Require trenching? ❑Yes F,—/]No If yes, Dimensions of trench: Length Width Depth Method of installation: Traffic impact: ❑Yes �✓ No Road closed Lane closed Dyes QNo How Many? Direction? South Shoulder closed Elyes F/1No Sidewalk closed Yes P/1 No Emergency Contact: Mike Blooe Cell Number: (425) 864-6154 s=s s:,-, r apvi=%^i ri.clav 16A 6 0 6 ti