ENG2020-0116RIGHT OF WAY
EUC PERMIT
ER
City of
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Edmonds121 9:0
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Description: PSE-RESTORATION ONLY FOR EXPIRED PERMIT ENG2019-0029
ISSUED: 03/17/2020
Address: 18807 88TH AVENUE WEST EDMONDS
98026
EXPIRES: 09/17/2020
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: AD1753592
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NAME TYPE NAME
ADDRESS
PHONE
APPLICANT PSE/INFRASOURCE
1660 PARK LANE, BURLINGTON WA 98233 (425)457-6353
CONTRACTOR PSE/INFRASOURCE
1660 PARK LANE, BURLINGTON WA 98233 (425)457-6353
FEE
INFORMATION
MAL
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
REQUIREMENTS
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
I- Machu" 3/17/20
RELEASED BY DATE
Printed: Tuesday, March 17, 2020 2:31:17 PM 1 of 2
-1RRRTF WAY EUC PERMIT
City of • • •
•:• •ENG2020-0116
.,
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
E-7 RESTOR LIMITS
Printed: Tuesday, March 17, 2020 2:31:17 PM 2 of 2
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RECEIVED 3/13/20
ROW PERMIT NO.: ENG 2020-0116
ISSUE DATE: 3/17/20
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109119956
CONTRACTOR: PSE/Infrasource
Mailing Address: 1660 Park Lane
State License #: INFRASL87I C2
City Business License #:
CONTACT: Susan Sidick
Phone #: 425-457-6353
Fax #:
Email #: susan.sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 18807 88TH AVE. W
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family ❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
❑ Yes ❑ No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) :
Permit was previously issued under ENG2019-0029 work has been completed
New permit needed or restoration on y please rus x
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: ❑x Yes ❑ No If y 3 5
es indicate size of cut: x
CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: x
RIGHT-OF-WAY
CLOSURE
AREA
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 DATE 03/13/2020
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Puget Sound Energy Gas Pre -Inspect Form
Job #:
109119956
Date:
1 /22/19
Address:
Jurisdiction:
City Of Edmonds
City / Zip:
ROW Permit:
Yes
Customer:
Est. Start Date:
3/18/19
PM / Inspector:
Est. Duration:
112 Day (4 Hours)
18807 88TH AVE W
Edmonds, 98026
AARON CUMMINGS 425-361-6591
Jordan Cooper 425-623-5302
Job Description / Scope of Work
From 2" PE Main 17' E (843066-1984) Run Scat/Plat Alt 1 1/8 PE Service 100' (10' Scat Stub & 90'
New Construction:
Yes
Plat (conduit)
Ext) and Set A630 OR on Garage
Wall. 55' ROW
Construction Method
Scat ROW / Plat Property
PLAT Map: 161068
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18807 88th Ave W
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118 PE
A630
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Please See
Attached City Of
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Edmonds GIS Map.
Work Location
Size of Cut
Surface Type
17'
E
of CL
88th Ave W
&
100'
S
I of CL
1188thstSW
3x5
C
Of CL
&
of CL
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
y
Arterial:
N
Altered Residential Svc
EFV:
1-1/8'' - 2600 - 9999144
Police #:
N
TCP:
Y
Tie -In Fitting
Meter:
A630
Speed Limit:
25
No Parks #:
Y
Meter Loc:
08 - OR
Trolley Lines:
N
Mtr Hoods #:
N
Del Press:
6" W.C.
Traffic Signal:
N
Bus Stop:
N
Bollards:
2.5" # 4" #
ADA Ramps #:
N
Route #'s:
N
Puget Sound Energy
Traffic Control Supervisor:
Ina Ustemchuk
Card No. 010768
Card Exp.06/30/2021
ina.ustemchuk@pse.com
149S)RAR-MRA n
TEMPORARY TRAFF"' ""'"'T""' "' ""'
-------------------i
0
W20-1 \ V W20-7A
FLAGGERS WILL ASSIST
PEDESTRIANS TO CROSS
A WORKING ZONE
NaoM avow'
ON3
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 aa.m. and 2:10P14 M—f�
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 1 T ECL of 88th Ave W & 100' SCL
of 188th St SW.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
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Q Q Q ENGINEERING DIVISION
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N � APPROVED AS NOTED:
;�: NGRIGGS Date:3/17/20
189Ty pL SW
ONE LANE '
ROAD N
AHEAD
ROAD
WORK o
4HEAD
CHANNELIZATION
/III DEVICE SPACING
MPH TAPER TANGENT
55/70 40 80
35/45 30 60
25/30 20 1 40
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
=>
TRAFFIC FLOW
'
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
— ROW-- ROW-
No electric grid information available
S 160068, Q 161068
08-07-2018
The information on the attached mops Is subject to change without nolke. Puget Sound Energy makes no warranty. elWressed at implied, concerning
the suitability of this information far any purpot¢. RatlpMnt Ogreon fo not disctow this confidenlial Wormotfon to an other parson or entity
unless authorized in writing by Puget Sound Energy. R%mop is not to be used for determining the actual location of any PSE locilles (cal 511)."
2" STW IP 20'N
67C418
i ST SW
PE
5
b�A
135'E
18817
• , •
18815
5/8" MPEI
2003
PE
5/8" PE 8711
L'j 1984
Scale 1:909
Lat\Long=47.8285,-122.3517
1 /2" STW-U
1969
w
8617
5/8" PE
1989
1 /2" STY
1969
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® PUGET SOUND ENERGY