Issued ROW Permit.pdfCITY OF EDMON_DS
121 5TH AV[ :NUENORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20180035
Permit Number: ENG20180035 Expiration Date-, 08/24/201-8 - -424'
Job Address: 8312 TALBOT RD, EDMONDS Location: 8312 TALBOT RD
PSE/lnfrasource
P SE/In rrasou ce
CIO Susan att: Sid ick
CIO Susan att: Sidick
1660Park Lane
1660 Park Lane
Burlington, WA 98233
Burlington, WA 98233
(425)457-6353
I,ICF,NSF, 4: infiasl871c2 EXP: 02/22/2019
Work area is approx 955' E c/l of Frederick PI & 23' S c/1 ofTalbot Rd to install gas service. 1 3x5 paving cut anticipated. CUTS TO THE
ASPHALT STREET APETQ AVOID FOG LINE.
V1Ss. Z Zo C l�.tr t�� +o t� ° �Ql"'-1r S�ree� o�'F.4L. ' ed, Kscp
f- IGA""
ASSESSED VALUF' $0,00 PROPERTY AREA: 0 CA",
SIDEWALK: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: ( 3 X 5) deer.
PARKING: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY 0 FEI:: $0 00
ALLEY: ( OXO I DURATION IN MONTHS: 0 FEE: $0.00
INDEMNITY, The Applicant has signed an application which stales he%she holds the City of Edmonds harmless, from injuries,
damages or claims of any kind or description whalsoever, foreseen or unforeseen, that may be made against the City of ls"dmonds or
any ofiis departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MA7MIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCFPTANCEOFTHEWORK.
• 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 (WAG) 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 (l-800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREOUIRED FOR ALL INSPECTION RF"UESTS
'HIIS APPLICATION IS NO'rA PERMIT'UNTIL SIGNED BY ME CITY ENGINEER OR HIS/IIER DEPUTY: AND FL'FS ARE PAll), ANT) RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED
RELEASED BY
Printed: Friday. February 23. 201
DATE
FILE COPY ❑ INSPECTOR COPY APPLICANT COPY
STATUS: ISSUED
ENG20180035
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates of underground utilities priorto any excavation.
• Alert affected residents and/or businesses priorto 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.
• 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 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 of7:00am to 6:00pm on weekdays and 10:00am and 6:00prn 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 pen -nit. 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-Enngineering Final
PARTIAL INSPECTION DATE: fNITIAI.. NOTFS:
PARTIAL INSPECTION DATE: IMTIAI.: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
Puget Sound Energy Gas Pre -Inspect Form
Job #:
106351902
Date:
2/8/19
Address:
Jurisdiction:
Edmonds
City/Zip:
ROW Permit:
Yes
Customer:
Est. Start Date:
3/11/19
PM / Inspector
Est. Duration:
1 Day
8312 TALBOT RD
Edmonds, 98026
Steven Lovell 206-396-9585
Kiara Hays 425-213-9205
Job Description Scope of Work
INSTALL 15' OF 1-1/8" PE SCAT STUB AND 100' OF 1-1/8" PE PLAT EXT. SET A630 MSA O/R.
NeW Construction:
No
Construction Method
All Scat / Trenchless
PLAT Map: 159 069
t
PP09C1V!w ► 0 --f/4-Lt6-1 RD•
N
" KIP CQ_t5 IT0 (LOAF -To 'k- lAwlMoN To �1-F-�Dtinc-�', ��� �. PL 0
9G
('114 wkqr�_'(z S'tn�MW/t-t�(L �' �Z>
S�V9(�jL —' CL
t,tNv-y w1-tN,jOiHf� R►KTvrt,aA4•
_ . , _
(j o c o i - pi-(Z IT
..
PL
`
S r _ o
GRPV��
CL
G
' PPvt
PL
\PZ OF,
00
roRc,L0 KA iA) oN epavv i4c
N EAk(L :PR 0 i>u S60 wexK.
Storm Drain
0= Fire Hydrant (200'E
OF TIE IN)
Work Location
Size of Cut
Surface Type
955'
East
of CL
FREDERICK PL
&
23'
South
of CL
TALBOT RD
3X5
Asphalt/Gravel
of CL
&
of CL
Of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Arterial:
No
New Residential Svc
EFV:
1-1/8" - 2600 - 9999144
Police #:
TCP:
PUGET
SOUND
ENERGY
Meter:
A630
Speed Limit:
No Parks #:
Meter Loc:
O/R
Trolley Lines:
Mtr Hoods #:
Del Press:
6 IN WC
Traffic Signal:
Bus Stop:
Bollards:
1 2.5" # 4" #
I ADA Ramps #:I
I Route #'s:
1
5/8" PE
1986 Z
2012
I/, MPE% 1
\
8307
8403
I 1�
5/8" PE 8311
1974
TALB8 ! RD
8401
i
5/8" PE
1993-E
\
\
8233
r
,1284'N
T
OF�Gt I
,L tv 5�`2 5/8" PE
bl' 1990
la'E � pEAGT 2' STW 2' OFF EDGE BLKtP tOC4a9
a "L
z iz
951'N
E
8302
8228
5/8" PE
1994-E
8230
iM
8202
5O/8" MPE
2010
8159
8209 200 MPE
2001
5/8" MPE
2005
8223 s/s" MPE
2001
8229 52004MPE
5/8" MPE 831 1
5/8" MPE 2001 5/8" MPE
2001 5/8" MPE 2006 I
d7 2001 11
F( EDERICK P�:L, 7ti
a m 2" MPE W 12'S n
_ w
I f N _ _ -m - -
$ 2" MPE IP 12'S
F R ED ER I C K P L 107010453-2001 _
m
N 107010453-2001
No electric grid information available Scale 1:1012
S 156068, Q 159069
01-18-2018 Lat\Long=47.841,-122.3453 ® PUGET SOUND ENERGY
FMr 4' ✓ 1b Lb G+N� FJ«r1.v
The m1unno qn on the attached nsops is suoject to ctwngo wllhouf rvollce. Puget Sound Energy make: no warwl,. orprossed or MnpFed. concerning
the wHobllty of this IMamotion la orsy putposo. Re :Iplent ogees to not disclose Ws confldenlial kslamolbn loony other person a ontNv
unkm outhorRed In writing by Pupal Sound Energy. This mop s not to be used Ta doformkwng the octuol location of any PSE focililles (cod M i 11."
• a
PRINT ON 11 X 17
SHEETS ONLY
i TALBOT RD
--------------
_ a
-- nn `sfl t,
gA
m 00
W20-1 g W20-7A
m
W20-4 V33_`i
n
7N
'O
r
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
Puget Sound Energy
Traffic Control Supervisor:
Ryan Honeysett
Card No. 010760
Card Exp. 06/30/2021
ryan.honeyseft@pse.com
(425)457-5381
#8312
PUGET
SOUND
ENERGY
JOB# 106335102
8312 Talbot Rd, Edmonds WA
January 19, 2018
ryan.honeysett@pse.com 425-457-5381
SHEET 1 OF 1
0
`.� G7&1
0
Applicinit 57haif rEi �=lids'=:ail • _ li ;+��+� r��
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Or QCGUrS tjUCII1Q the Gt.
Zffd%iraIN10MMIi n
APPN EO AS MOTE
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.
Use traffic drums (barrels) with steady burning
Type C lights on all State Routes and Hwys.
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-ra.m. and Jjp.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m
8. Work area will be 23' SCL of Talbot Rd
& 955' ECL of Frederick PI.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
.. :� �,. ���: �,,,�►._FOR
LEGEND
® 28" TRAFFIC CONE
® BORE PIT
=> TRAFFIC FLOW
TtFLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
- ROW ROW -
of EDAtn.
ZNC. 1890
A
FEB 112419
ENGINE��►i�� DIVISION
V_�WiG-1oo VO ; Di01600 -w
ROW PERMIT NO.: ENG.
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 106351902
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane, Burlington, WA 98233
State License #: INFRASL871 C2
City Business License #: NR-025677
CONTACT: Sue Sidick
Phone #: 425-457-6353
Fax #:
Email #: Susan.Sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 8312 Talbot Rd
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: J
U Commercial ❑ Subdivision El 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 ❑* No
ANY ASSOCIATED PERMITS? BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work area is approx 955' E c/I of Frederick
PI & 23' S c/lof Talbot Rd to install gas service (1) 3x5 paving/ gravel cut anticipated
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5) YEARS? YES ❑ NO ❑ Year: 106h::
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
Alley 72 Hrs + LF
X
LF
SF
X
X
LF
LF
SF
SF
Parking 72 Hrs + 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 Sidic C Ra�o�� :�m �s ° """'dam' 2 1 1 2 1 Q
Dale: 2019021107:15:55-05'00' DATE OL/ 1 1 /!�0 1 V
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE