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ENG2020-0069RIGHT OF WAY EUC PERMIT PERMITNUMBER, City of Edmonds 161 www.cityofedmonds.gov Description: PSE-NEW AMI ROUTER ISSUED: 03/12/2020 Address: 7428 208TH ST SW EDMONDS WA 98026-7274 EXPIRES: 09/14/2020 rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00380400000300 i NAME TYPE NAME ADDRESS PHONE APPLICANT PSE/Infrasource 1660 Park Lane, Burlington WA98233 (425)457-6353 CONTRACTOR PSE/Infrasource 1660 Park Lane, Burlington WA98233 (425)457-6353 OWNER HORIZON PARK LLC PO BOX 33889, SEATTLE WA 98133 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00 ENGINEERING INSPECTION FEE $110.00 $0.00 RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $0.00 • REQUIREMENT TYPE NOTES TRAFFIC CONTROL 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 posession. RESTORATION 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 WARRANTY The contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the work. INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM 24 HR NOTICE REQUIRED 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 of granting this permit. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW ,%-. A'1adgwcgy- 3/12/2020 RELEASED BY DATE Printed: Thursday, March 12, 2020 3:26:11 PM 1 of 2 -1RRRTF WAY EUC PERMIT City of • • • Ave•:• • 1 1 11.' ., CONDITIONS CONDITION TYPE Easement and/or permission from adjacent property owner is required prior to entry or work within ADJACENT PROPERTY an adjacent property. Contractor/Owner shall be responsible for repair/replacement of all damage to utilities and/or DAMAGE TO FRONTAGE frontage improvements in city right of way per city standards that is caused by or occurs during the IMPROVEMENTS permitted project. Alert affected residents and/or businesses prior to work start. Verify clear bore crossings. ENGINEERING OTHER Restore landscape to like or better conditions. Call for required inspections as noted. ESC REQUIRED Maintain erosion & sediment control per city standards. 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 HOLD HARMLESS 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 nor limit in any way the City's ability to enforce any ordinance provision. 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 SOUND OR NOISE weekdays and 10:OOam to 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. UNDERGROUND UTILITY Call for locates of underground utilities prior to any excavation. LOCATES • �� INSPECTION TYPE DATE RESULT NOTES lip COMPLETE X-2 ENGINEERING FINAL** E-7 TRAFFIC CTRL Printed: Thursday, March 12, 2020 3:26:11 PM 2 of 2 of EVA-10 /A/C 1, g,) 0 ROW PERMIT NO.: ENG 2020-0069 ISSUE DATE: 3/12/20 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 143004204 CONTRACTOR: PSE/Infrasource Mailing Address: 1660 Park Lane, Burlington, WA 98233 State License #: INFRASL871 C2 City Business License #: NR-019840 CONTACT: Susan Sidick Phone #: 425-457-6353 Fax #: Email #: susan.sidick@pse.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 7420 208th St. SW ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only) ❑ Multi -Family ❑ Single Family n 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) : _ Install new AMI router NI C010 R0190 inside pedestal next to existing SNOPUD padmount transformer or Secondary Service Box connect power service todevice. Work onsi e will be completed within 3 hours. Work is on the south side of 208th ST SW No paving cuts WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: ❑ Yes [ No If yes, indicate size of cut: x_ CONCRETE CUT: 0 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 Sidick Contractor or Agent DATE 02/18/2020 NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Pugot sound Energy Traffic Control Sup—Wor Stophon R Godko Cold No. 010741 Fxp.W121121 otophon.godkoQpao.conn 242b8 TEMPORARY TRAFFIC CONTROL PLAN I 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 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 9 a.m. and 4 p.m unless otherwise specified. All work for arterials and major roadways will be from 9 a.m. to 3 p.m. PUGET • SOUND ENERGY JOB # 143004204 7420 208TH ST SW, EDMONDS 01128/2020 JUSTIN.DOMINGUEZ@PSE.COM 425-424-6545 SHEET 4 OF 4 When school is in session, work hours: M-F 9:30 AM - 2 PM 208TH ST SW 200'rj 20' ----_ b--------------- 'w _—_._ bTZ7'.-.. ....r.-•-•—r---- b — — — -- -- Z -- N ____________ _____________ RESIDENT(S) WILL BE INFORMED - 15 ' 75 , 45f� OF POSSIBLE TEMPORARY 4 W20-1 W4-1B #7420 DRIVEWAY CLOSURE W2MR I ISIGNLOCOMON D IWORK N FFIC CONE PIT Q IC FLOW T 7n01pD ERlVENICLEIING DGNiSN25 ACING CHANNELI2ATION&E70 MUM TAPER LENGTH=L (FT.) LOCATON"X" DEVICE SPACING STED SPEED (MPH) OF WAYBoo MPH TAPER TANGENT 35 40 45 50 55 60 65 70 w- 500' 55/70 40 80 0 205 270 475 500 50 - - -CHEwgoal:G 350' 35145 30 60 5 202 295 495 550 OS 660 - 200, 25l30 20 40 0 4 320 540 600 60 720 780 640 100' Applicant shall repair/replace all damage to utilities or Owner/contractor is responsible for erosion control ENGINEERING DIVISION frontage improvements to City right-of-way per city and drainage. APPROVED AS NOTED: standards that is caused or occurs during the permitted NGRIGGS Date: 3/12/2020 project. STREET USE PERMIT REQUEST FORM Date of Request: 01/27/09 Job number: Job address: Project mgr: PM email: 143004204 7420 208th St. SW Patima Dejarath patima.dejarath@pse.com Estimated job start date: 02/24/20 Estimated job completion date: 02/24/20 City: Edmonds Zip. 98026 PM contact #. (425) 456-2654 Description of work to be performed: Install new AM router N1_C010_R0190 inside pedestal next to existino SNOPUD padmount transformer or Secondary Service Box (SSB) connect power service to AMI device. Work onsite will be completed within 3 hours. Pavement cut? ❑Yes ❑✓ No If yes, Dimensions of Cut: Length_ How many cuts? Surface Type Require trenching? Eyes If yes, Dimensions of trench: ❑No Length 4 FT Width Width 2 FT Depth 3 FT Method of installation: Direct Buried Traffic impact: Road closed ❑Yes ❑✓ No Lane closed Dyes ❑✓ No How Many? Direction? west Shoulder closed Eyes ❑ No Sidewalk closed ❑Yes ❑� No Emergency Contact: Patima Dejarath Print Send Reset Cell Number: (425) 647-71 1 o Scope of work: PSE is to install AMI Network device in a pedestal (red circle) next to existing pad - mount transformer (blue circle) or secondary handhole. The work consists excavating a small area (approximately 2' x 4') to install pedestal and AMI network device. After PSE crew complete the device installation and restore the area, utility crew will connect power from transformer or handhole to the device. Work duration: 4 hours j�. _.. A- Typical Gap Collector/Router pedestal housing installation adjacent to a padmount transformer. V GROUND FO-) zo- cnvrr GAP COLLECTOR II I II ROUTER UNIT II II II II II # II u u II I II II I II II � II II I II u u I I B —J I --IL---1 Y-- L- — PAOIdOUN- -RANSroRIAER n 25 � t #4CL CRDUND HIRE V FLEX CONDUIT PEDESTAL HOUSING FOR POWER FRONT VIEW :. a 14 HANDHOLE PEDESTAL HOUSING UNIT CONTAINS GAP COLLECTORIROUTER UNIT IT SHALL BE MOUNTED BEHIND THE FRONT HALF OF THE TRANSFORMER 14 i 1fi MIN I CLEARANCF GLEAN WORKING SPACE TOP VIEW PADMOUNT TRANSFORMER FRONT CONSTRUCTION: AT HANDHOLE AT BASE OF POLE #10200: - INST AMI ROUTER PER PSE STD 0700.8525 (SEE FIG 1) FIG 1 -25 o-" L: N.NONo E 8 C{20UND FOO PEDESTAL NOOSING FOfi POUYER wt FRONT VIEW TOP NEW 206th St SW 3 a Details Sewing Q V T fD Best Way Q Communications 0 Prestige Post -Acute and Rehab Center - Edmonds JOB SITE SCALE: NONE College Place Middle School 9 208th St SW 208th St SW • A 0 D v � o� Sprouts Preschool & Childcare O Park 210 v Q s 210th St SW 210th St SW �D A G OOUI Ol 3VV CL D A f 2101h St SW O POLE TAG NO. ICOUNTY DRAWN BY I PHONE NO DATE - Snohomish ROB DEAN 1406.532.2200 6/12/18 POLE OWNER AMI OWNER PUGET SOUND ENERGY PSE AMI ATTACHMENT 7420 208th St SW Edmonds, 98026 Lat-Long = 47.81040573,-122.3336792 PV p 7501 208th St SW 7510 7520 Co 7510 20814 IN 75 0 7330 7324 75 0 7510 752 20816 7520 7510 7510 7428 — 20807 7520 7306 3 u 20818 a 7520 a 20825 7520 7520 20820 Sources: Esri, HERE, Garmin, USG?SIRI ta- map, INCREMENT P, NRCan, Esri Japan, METI, Esri China (Hong Kong), Esri Korea, Esri (Thailand), NGCC, (c) OpenStreetMap contributors, and the GIS User Community N The information on the attached map is subject to change Property of Puget Sound Energy without notice.Puget Sound Energy makes no representation or Maps, Records and Technology PUGET SOUND ENERGY N1 C010 R0190 warranty ofsuitabiityofthisinformation for anypurpose. This map is not to be used for 355 110th AVE NE, BELLEVUE, WA, 98004 MAD_1983_StatePlane_Washington 0 0.005 0.01 0.02 A determining the actual location ofanyPSE facilities. _North _FIPS_4601_Ft MilesCopyright©2012. All rights reser%ed Date: 1/27/2020 Reference Scale: 1:0