ENG2020-0165RIGHT
OF WAY EUC PERMIT
City of • • •
Edmondsorw", 9:0ENG2020-0165
www.cityofedmonds.gov
Description: PSE-RESTORATION WORK FOR EXPIRED PERMIT ENG2019-0330
ISSUED: 05/04/2020
Address: 20204 92ND AVE W EDMONDS WA 98020-2981
EXPIRES: 11/04/2020
Permit Type: RIGHT OF WAY EUC
Permit Subtype: MINOR Parcel Number: 00646600000602
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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
OWNER BOE EUGENE H & MARY L
4920 S SCURLOCK RD, FREELAND WA98249
FEE INFORMATION
DESCRIPTION
AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $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
Q5/4/2020
RELEASED BY DATE
Printed: Monday, May 04, 2020 11:48:44 AM 1 of 2
-1RRRTF WAY EUC PERMIT
City of • • •
•:• •ENG2020-01651
www.cityofedmonds.gov• •
CONDITIONS
CONDITION TYPE
Easement and/or permission from adjacent property owner is required prior to entry or work within
ADJACENT PROPERTY
an adjacent property.
Work approved under this permit may or may not qualify as an essential or allowed activity per the
Governors Stay Home, Stay Healthy Order. Refer to the Order and the Citys website for up-to-date
information related to development activities during COVID-19. Issuance of this permit does not
COVID-19 NOTICE
certify that construction is allowed to immediately occur, and inspections may or may not be granted
accordingly. Construction activities and all required inspections will resume when the Order has been
lifted.
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
•OF
INSPECTION TYPE DATE
RESULT
NOTES
COMPLETE
X-2 ENGINEERING FINAL"
E-7 RESTOR LIMITS
Printed: Monday, May 04, 2020 11:48:44 AM 2 of 2
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RECEIVED 4/28/20
ROW PERMIT NO.: ENG 2020-0165
ISSUE DATE: 5/4/2020
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 109123805 CONTACT: Susan Sidick
CONTRACTOR: PSE/Infrasource Phone #: 425-457-6353
Mailing Address: 16660 Park Lane Fax #:
State License #: Email #: susan.sidick@pse.com
C'2 @Pse.com
City Business License #: ❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 20204 92nd AVE W
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
❑ Other
❑ Yes ❑ No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work previoulsy issued under permit
ENG2019-0330 all work has been completed permit requested for restoration only
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: ❑ 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 6X\1Q61QFN
Contractor or Agent
DATE
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
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 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
8. Work area will be 99' SCL of Cascade Dr and 17'
ECL of 92nd Ave W: and 99' SCL of Cascade Dr and
23' WCL of 92nd Ave W.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
* H3Hb
CD \\Ni JoM
avow
TEMPORARY TRAFFIC CONTROL PLAN
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100,
-- - — - — - — - — - — - — - --
Y100' 100' \
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W34 N/20-7A
RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
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ADA COMPLIANT CASCADE DRIVE
CURB RAMP
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14114
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SOUND
ENERGY
JOB# 109123805
20204 92ND AVE W
07/09/19
IRINA.REISE@PSE.COM
425-424-7791
SHEET 1 of 1
MAINTAIN TWO 11' TRAVEL LANES
WHERE POSSIBLE. IF NOT UTILIZE
SINGLE LANE CLOSURE TCP.
W3-4
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW ROW
Job #:
Date:
Jurisdiction:
ROW Permit:
Est. Start Date:
Est. Duration:
109123805
6/18/19
Edmonds
Yes
8/26/19
1 Day (8 Hours)
Puget Sound Energy Gas Pre -Inspect Form
Address:
City / Zip:
Customer:
PM / Inspector
20204 92nd Ave W
Edmonds, 98020
Georae Vrablik
Brian Buschbom (425) 659-0673
Job Description / Scope of Work
Cut and Cap existing 5/8" PE host service to 20204 at the main and remove the existing A250. Run
New Construction:
o
new all scat 1-1/8" PE service (48' stub/ 23' Ext) to 20204 and then
set an A425 at the previous
Construction Method
meter location. Run a new 46' all scat 1-1/8" PE twin service in
the conduit used for the original
twin to 20202 and rehang the A250.
All Scat / Trenchless
PLAT Map: 162067
P/L
**PERMIT FOR RESTORATION ONLY**
CascadeOr�ve
j
RoW 50 FT
1 1
c/L
1 1
P/L
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1 1
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1 11
A250 MSA
20202
1 1
�
1
7
Existing:
2" conduit
)(listing
1
,J•�T
P/L
A425 MSA PE
► ►
1
1 $„
IIkchll neW :1- I
Storm
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1
I 1
I 1
20204
o
W p
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Note: If we cannot use the conduit and cannot hole hog it
I
without damaging the custom driveway contact construction
management.
Work
Location
Size of Cut
Surface Type
23'
East
of CL
92nd Ave W
&
99'
South
of CL
Cascade Dr
4'x5'
Asphalt/Soft
17'
West
of CL
92nd Ave W
&
99'
South
of CL
Cascade Dr
3'x5'
sphalt/Concret
of CL
&
of CL
Service Information
Street Information
Job Type
Diameter:
1-1/8" PE
Flaggers #:
Arterial:
Altered Residential Svc
EFV:
1-1/8" - 2600 - 9999144
Police #:
TCP:
Tie -In Fitting
Meter:
A425
Speed Limit:
No Parks #:
MDPE - 2" IPS - (DIA) 1"CTS
Meter Loc:
08 - OR
Trolley Lines:
Mtr Hoods #:
Del Press:
6" W.C.
Traffic Signal:
Bus Stop:
Bollards:
2.5" #
1
4" #
I
ADA Ramps #:
Route #'s: