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ENG2020-0407OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds AveRIGHT 9801 1 1 1 www.cityofedmonds.gov Description: PSE-LEAK REPAIR ISSUED: 10/22/2020 Address: 155 3RD AVE S EDMONDS WA 98020-3555 EXPIRES: 04/22/2021 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27032300405600 I 11-141 a i i 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 SHAW ELLIOT & SONYA/SHAW JOSH 5326 156TH ST SE, BOTHELL WA 98012-4727 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00 ENGINEERING INSPECTION FEE $330.00 $0.00 RIGHT OF WAY STANDARD - EUC PERMIT FEE $330.00 $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. � f ;; RELEASED BY THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 10/22/2020 DATE Printed: Thursday, October 22, 2020 3:32:51 PM 1 of 2 -KRWOF WAY EUC PERMIT PERMIT NUMBER City of • • • AveA•:•• 1 1141 www.cityofedmonds. ov/425.771.0220 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 7:00am to 6:00pm on SOUND OR NOISE weekdays and 10:00am to 6:00pm 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 COMPLETE X-2 ENGINEERING FINAL** E-7 TRAFFIC CTRL E-7 RESTOR LIMITS A-1 ENGINEERING PRECON E-5 ENG SPECIAL INSPECTION Printed: Thursday, October 22, 2020 3:32:51 PM 2 of 2 0 \:L L?,11(7. "VC. I S'� J RECEIVED 10/13/20 ROW PERMIT NO.: ENG 2020-0407 ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 887036164 CONTACT: Susan Sidick CONTRACTOR: PSE/Infrasource Phone #: 425-457-6353 Mailing Address 1660 Park Lane Burlington Wa 98233 Fax #: State License #: INFRASL871C2 City Business License #: Email #: susan.sidick@pse.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 155 3rd AVE S 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) : Leak repair at approx 13' N c/l of WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut: _3 x g SAWCUT ONLY 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\DQ6l1C1FN Contractor or Agent DATE NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 012238 Card Exp. 09/30/2023 gregory.harwood@pse.com (425)424-6425 f&"w T I I I I I I 0V9HV o MOM aeoa I OV3HV o N avo? W3-4 0 3NV13110 w O I Z-0Z9 o ■ o p D o I z� of W ¢ I I TEMPORARY TRAFFIC CONTROL PLAN I ; I kfROAD END W, I o ofI I 2n2 22 i V -- ---- - --' N - N (N CV 100' 100' 100' DAYTON ST m O O on n o s,z non ■ W20-1 0-7A W20-4 Notes: 1. All signs and spacing to conform to the W3-4 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. 8. Work area will be 13' NCL Dayton St & 18' ECL 3rd Ave S. e ,® I I I I I I I I I I o �taoM avow I I 4N3 N I I I I I I �zoz�z _ o I o I I I I I I I I I I I I L" CITY INSPECTOR REQUIRED TO BE ON SITE DURING LEAK INVESTIGATION AND ANY CUTS TO DAYTON ST. CALL FOR ALL LISTED INSPECTION (SEE NEXT SHEET FOR INSPECTION REQUIREMENTS). DAYTON ST REPAVED IN 2019. STREET CUT FEES SHALL APPLY. CUT FEES SHALL BE MEASURED FOR T-CUT. SPECIFIC RESTORATION REQUIREMENTS SHALLAPPLY PRIOR TO FINAL. �r W3-4 b-OZM VZ-OZ 6-OZM w N •••' Na • • - — - — - — - — - — - — - — - — - — - — - — (NCI I C/W S?____________ ;CLOSED 22 ; 1 X 0 o I I -ioafo;d Pa3�l w�acf ayi 6u1�r"�P �o I I o Pasl-lea s• 1a�-13 uP�ePu els /C 1'-�t d I I JiCeiv�—;o—;y 61.E �;1� s;uawa� _ I I a �j;au o.�; .moo sa�;Jll;ram o; a6e I I IIS ICJ a�/ale J Ileys 1u Sall <Y I I I , I , I , III I I10 O Q I I , � I;,■ d toCNW3-4 rt ONE LANE ROAD N T^ HEAD SIGN SPACING 55 + "X" 60/65 800 45/55 500, 35/40 350' 30 200' 25 100, CHANNELIZATION DEVICE SPACING MPH TAPER TANGENT 55/70 40 80 35/45 30 60 25/30 20 40 PUGET SOUND ENERGY JOB#887036164 3rd Ave S & Dayton St Edmonds, WA June 24, 2020 gregory.harwood@pse.com 425-424-6425 SHEET 1 of 1 MINIMUM TAPER LENGTH=L (FT.) LANE WIDTH 20 25 POSTED SPEED (MPH) 30 35 40 45 50 55 60 65 70 10 70 105 150 205 270 475 500550 - - - 11 75 115 165 225 295 495 550605 660 - - 12 80 125 180 245 320 540 600660 720 780 840 LEGEND ® 28" TRAFFIC CONE ® WORK PIT TRAFFIC FLOW FLAGGER WORK VEHICLE/ FLASHING LIGHTS SIGN LOCATION RIGHT OF WAY ROW INSPECTIONS REQUIRED FOR PERMIT ENG2020-0407 Al- ENGINEERING PRE -CON: Meet on site with City Inspector and Project Engineer for Dayton St improvements to discuss cuts prior to start of work. E-5 ENG SPECIAL INSPECTION: Schedule and coordinate with City staff for day(s) that leak investigation will commence so that appropriate staff can be present during the cuts on Dayton. E-7 RESTOR LIMITS: Schedule this inspection after work is completed so that restoration limits can be provided. Please note that restoration requirements may be extensive given the location and recent paving of Dayton St. Street cut fees shall apply. E-7 TRAFFIC CONTROL: Schedule this inspection each time work is being done, including restoration. X-2 ENGINEERING FINAL: Schedule this inspection when all work and restoration is complete. The permit is valid for 6 months. r 1 Y I `016`7o 3 (o l ��- Job #: —NG Date: ®Z ca 5- -- 7-0 Jurisdiction: r—,Edmonds Right of Way Permit? LEI rES ❑ NO Est. Start Date: Cot rli .rofinn• PRE -INSPECTION REPORT Address: 155 3rd Ave 5 City ! Zip: Edmonds 61 VU /,,U Customer: PM / Insp: Courtney Isbell PHONE NUMBER Construction Methoc WORK DESCRIPTION: L 6,A"e j4•^! f f)-= CT � 3 \� � � p , ���G Open Trench El S �J ` Ju jv 1 "� (�`2���� Trenchless ❑ N of CL 7�A y�� s & ZO E of CL 3 K"' Ad e-- ASP/--.Yi i­ 'NSofCL & 'EWofCL 'NSofCL & 'EWofCL FLAGGERS # L-1_ Z`rMPH ❑ TROLLY LINES ❑ BUS STOP # ❑ METER HOODS # ❑ OFFICERS # SPEED LIMIT ❑ TRAF SIGNAL ❑ ARTERIAL ❑ NO PARKS # (j ❑ Commercial ❑ Altered Commercial eak Repair Service Information ❑ Template Bar ❑ Residential ❑ Altered Residential ❑ CP Work Diameter Meter ❑ 5J8,, ❑ 250 EFV ❑ 1800 ❑ Bollards 2.5" # ❑ Multi -Family ❑ Replacement Service ❑ Pothole ❑ nx, ❑ 425 ❑ 2600 ❑ Bollards 4" # ❑ New Constr. ❑ Main Maintenance ❑ Stub ❑ Service Maintenance ❑ Extension ❑ 11J4" ❑ 630 ❑ 10,000 ❑ FUEL LINE PERMIT NEEDED ❑ Extension ❑ valve Maintenance ❑ 2" ❑ 100o Fuel Line Length: ❑ Compete Sery ❑ Cut & Cap Mtr Loc: Fuel Line Diameter: 23 V P 111/4" MPE 2019-E 266'N 0 o 123 122 26VN 247' 200 T 241'N 2 41N 146 o 4 PVC Casing 5/8" MPE 01228 2018 156'N 115'N T 5/8' PE 1967E 113N 13'N3 F 5/8 3/4' 1121'N _ 2'N Z- 112'N 145 209 223 152 140 3/4' STW 67'N 1964 155 4 3/4' STW 1992 I 29' 22' m 3 31'N,74'W 2' STW IP 21'N 21'N 3' N 22'N L L S[ DAYTONST "' w 2187-1960 m 3 3 1 1/8" MPE 2007 222 242 109's 109's:::::.........----...................... 210 203 320 cf3 2' STW IP 21'N @MAIN V--J 2187.1960 Q 3 IF — U 330 9CS No electric grid information available Scale 1:826 S160062,Q163065 09-24-2020 Lat\Long=47.8099,-122.3802 OD�PUGETSOUNDENERGY rma The infotion on the attached maps is subject to change without notice. Puget Sound Energy makes no warranty, expressed or mphed, concerning the suitability of this information for any purpose. Recipient agrees to not disclose this confidential information to any oth er person or entity, unless authorized in writing by Puget Sound Energy. This map is not to be used for determining the actual location of any PSE facilities (,.It 611).'