ENG2020-0412RIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
...0i 1 1 1
www.cityofedmonds.gov
Description: PSE-FOLLOW UP ON EMERGENCY LOWER SERVICE REPAIR ISSUED: 10/22/2020
Address: 18109 88TH AVE W EDMONDS WA 98026-5307
EXPIRES: 04/22/2021
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434600000402
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 BUCHEA BRUCE 18109 88TH AVE W, EDMONDS WA 98026-5307
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $0.00
ENGINEERING INSPECTION FEE
$220.00 $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.
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 1:03:30 PM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
Ave•:• •ENG2020-041
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
lip
COMPLETE
X-2 ENGINEERING FINAL**
E-7 TRAFFIC CTRL
E-7 RESTOR LIMITS
Printed: Thursday, October 22, 2020 1:03:30 PM 2 of 2
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RECEIVED 10/14/20
ROW PERMIT NO.: ENG 2020-0412
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 892055514 CONTACT: Susan Sidick
CONTRACTOR: PSE/Infrasource Phone #: 425-457-6353
Mailing Address: 1660 Park Lane Burlinzton Wa 9823Yax #:
State License #: INFRASL87I C2
City Business License #:
Email #: susan.sidick@pse.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 18109 88 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) :
Emergency follow up lower service repair work has been completed at approx 482' N c/1 of 182nd
ST SW & 15' W c/l of 88th Ave (2) 3x5 paving cuts
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: ❑x 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
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 10/14/2020
Contractor or Agent
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
TEMPORARY TRAFFIC CONTROL PLAN
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W20-4
RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
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�3I
PLACE SIGNS
BOTH SIDES OF
WORK AREA
A —
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 482' North of CL 182nd PI SW & 15'
West of CL 88th Ave W.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
ON3
PUGET
� SOUND
ENERGY
JOB# 109132607
W20-4 18109 88TH AVE W, EDMONDS
09/25/2020
FLAVIANA.NUNES@PSE.COM
425-424-7809
SHEET 1 of 2
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I OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
,'
182ND PL SW
Applicant shall repair/replace all
damage to utilities or frontage
improvements in City right-of-way
per city standards that is caused or
occurs during the permitted project.
ENGINEERING DIVISION
APPROVED AS NOTED
a
W3-4
ROAD —
WORK N
4HEAD
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
10/22/2020
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
Row
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 012238
Card Exp. 09/30/2023
gregory.harwood@pse.com
TEMPORARY TRAFFIC CONTROL PLAN
o � "
`zo mm -- �P
goyPm �20
W20-4
RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
PLACE SIGNS
BOTH SIDES OF
WORK AREA
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 482' North of CL 182nd PI SW &
East side of 88th Ave W.
9. If used, place NO -PARK signs 72 hours in
advance of the day that the work is to be done.
ON3
PUGET
SOUND
ENERGY
JOB# 109132607
W20-4 18109 88TH AVE W, EDMONDS
09/25/2020
FLAVIANA.NUNES@PSE.COM
425-424-7809
SHEET 2of2
41
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THE CREW SHALL CEASE
WORK FOR A FLAGGER/SPOTTER
TO ESCORT PEDESTRIANS
AROUND THE WORK AREA
I
a
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Q
Co
182ND PL SW
#18109
CREW SHALL POTHOLE
FOR WATER MAIN DEPTH
PRIOR TO PROJECT START
I W3-4
ROAD —
WORK N
MEAD
CHANNELIZATION
DEVICE SPACING
MPH
TAPER
TANGENT
55/70
40
80
35/45
30
60
25/30
20
40
LEGEND
®
28" TRAFFIC CONE
®
WORK PIT
TRAFFIC FLOW
FLAGGER
WORK VEHICLE/
FLASHING LIGHTS
SIGN LOCATION
RIGHT OF WAY
ROW
Job #:
Date:
Jurisdiction
109132607
Edmonds
EMERGENCY PRE -INSPECTION REPORT
Right of Way Permit? [DYES [:1 NO
Est. Start Date:
Est. Duration:
Address:
City / Zip:
Customer:
18109 88TH Ave W
Edmonds
* PUGEI'SOUND ENEkGY
CUST PHONE NUMBER
PIVI / Insp: Tanya Martinson
PHONE NUMBER
WORK DESCRIPTION:
Construction Method
Open Trench ❑
Trenchless ❑
PLAT MAP:
L I
j
':
j l
i i E
l! i
i l t
l
Work Location
Size of Cut
Surface Type
IIWS of CL & _LL__ 'E,*of CL
3'x 5'
ASPHALT
(ES
of CL 182ND S I SW &= [DV of CL 881HAVE
3A 5'
ASPHALT
'N S of CIL & 'E W of CL
MFLAGGERS#
MPH ❑ TROLLY LINES
❑ BUS STOP #
❑ METER HOODS #
El OFFICERS #
L] SPEED LIMIT ❑ TRAFFIC SIGNAL
❑ ARTERIAL
❑ NO PARKS #
El commercial
❑ Altered Commercial El Leak Repair
Service Information
E] Template Bar
,a Residential
❑ Altered Residential [_1 CP Work
Diameter Meter
EFV E] Bollards 2.5" #
F]Multi-Family
EfReplacement service El Pothole
El 5/8" ❑ 250
El 1800 E] Bollards 4" #
E] New Constr.
El main maintenance 0 Extension
El 11/8" ❑ 425
E] 2600
❑ Stub
El service maintenance
El 11/4" [:1630
n 10,000 [j FUEL LINE PERMIT NEEDED
❑ Extension
0 valve maintenance
[-] 2" E-11000
Fuel Line Length:
El Compete Sery
El Cut & Cap
Mtr Loc:
Fuel Line Diameter: