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100028675 Permit App.pdf
6�4144 JA16:7j_8q0 ROW PERMIT NO.: ENG ��M 4V _I S_10 ISSUE DATE: a RIGHT-O&WAY CO TRUCT101 I" APPLICAT ION PROJECT NAME:e�� CONTACT: M` N CONTRACTOR: Phone Mailing Address: Fax #: V& Tub . Email# *tAtAtA< City Business License #: El Liability Insurance F Bonded ADDRESS OR. INTERSECTION OF CONSTRUCTION: L Ak 5v —s' Q I ROW WORK ASSOCIATED WITH THE FOLLOWING TYPK, OF PROJECT: F] Commercial L] Subdivision El City Project t4 Traffic Control (Only) El Multi -Family F1 Single Family El EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is.this permit part of a blanket permit? 0 Other El Yes No ANY ASSOCIATED PERMIT BLDff ENGV DESCRIPTION OF PROPOSED WORK. (Be Specific) \NA_ 0 WAS STREET OVERLAYED WITHIN THE LAST FIVE 5) YES.0 Year: PAVEMENT CUT: F1 Yes No If yes, -indicate size of cut:. _X. CONCRETE CUT: E] Yes No If yes, indicate size of eu*t:' x RIGHT-OF-WAY DURATION AREA TOTAL CLOSURE ff U`MSER OF MONTHS) Sidewalk 48 Hrs + LF- X LF. ; SF Alley? Hrs + LF X LF -- SF Parkaag 72 Hrs + LF X LF ; SF APPLICANT TO READ AND SIGN *Traffe 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 (WAQ 296-155-305 and must have certification verifying completion of the required training in their pus -session. *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. /ndemn4 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 ntay.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 DATE tractor or Agent NO 'WORTS SHALL BEGIN PRIOR TO PERMIT ISSUANCE ROAD ONSTRUCTION AHEAD (W20 30 �) SEETOTE i ONE LANE ROAD AHEAD (W30' 4) SEE ❑TE i (W230" A) SEE NOTE ! TOr 3 TABLE A TAPER LENGTH SPEED (FT) CONE SPACING (MPH) OFFSET WIDTH ALONG TAPER 1012' (FT) 25 1D0 120 25 30 150 ISO 30 35 200 240 35 40 270 320 40 1-9 45 1 450 540 45 NOTE; 1, DISTANCE BETWEEN SIGNS SHALL BE 100' FOR RESIDENTIAL STREETS (25 MPH), AND LOO' FOR •ARTERIAL ROADWAYS 2, FLASHING BEACON SHALL BE INSTALLED AT EACH SIGN FOR NIGHT-TIME USE, 3, DISTANCES MAY VARY AS APPROVED BY THE ENGINEER. 4, FLAGGERS REQUIRED TO CONTROL TRAFFIC WHENEVER THE CONTRACTOR MUST INTERRUPT TRAFFIC FLOW TO ACCESS THE WORK SITE WITH MATERIALS OR EQUIPMENT, LEGEND, Qo CONE OR CHANNELIZING DEVICE (SEE STD 7-14) LD 3 a WORK -AREA i TRUCK WITH FLASHING ❑R WITH BEACON TAPER LENGTH (TABLE A) SEE NOTE I (W20-7 A) 30' SEE NOTE 1 ONE LANE ROAD AHEAD SEE NOTE 1 (W20;4) J0 RRUC oN ROAD t>(W20-1) AHEAD • 30" tpYlSn COLMiv PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 8714 236TH ST SW EDMONDS WA SOUTH COUNTY AREA POLE No. 15256 SW 1/4S 31 T 27 R 04 DATE 4/9/18 W.O. NO.100028675 REASON FOR WORK REPLACE BO POLE FOR PUD ENGINEER MCALLISTER TASK 30 DRAFTER U.G. NO. SCALE APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. @$ I_$ SECONDARY OVERHEAD BASIC FEE $ @$ '_$ PERMITS (DATE GRANTED) METER/CONV. POLE $ ❑ TREE TRIM PRIMARY UNDERGROUND ❑ STATE ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ■ CITY BASIC FEE $ LEU NO. SECONDARY UNDERGROUND BASIC FEE S_ UNDERGROUND PLAT BASIC FEE $ FT@S _$ STREET LIGHTING q FT.0 . _$ WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONDARY (� FT.LS =$ MISCELLANEOUS FEES VAULT S PERMIT $ $ $ TOTAL DUE $ DATE PAID RECEPT NO. SERVICE ORDER NO. EASEMENTS ❑ REQUIRED ■ NOT REQUIRED DATE RELEASED N/A FOREIGN CONTACTS ■ JPN# ❑ JOINT TRENCH FRONTIER & CATV ❑ JOINT BORE FRONTIER & CATV POLE STENCILING FROM TO TAKE OFF POLE PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ❑ FLAGGING ■ ONE CALL DATE No. STREET LIGHTING YES ■ NO READY PHASING O GIS WORKING 1 LINE FINISHED POLE/ _ XFMR JOINT USE LOCATION MAP PAGE 474 J-2 LEGEND: o EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE X NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION RPK CIRCUIT NO. 5217 PHASE 2 ENGR'S TEL. # 425-670-3216 ENGR'S CELL # 425-501-1254 OPOLE 15216 .SET NEW POLE TIGHT NE OF EXISTING POLE FRAME PER ASSY 12V101.12V113 AND 12V601 RMV DIST SER# XFMR #50-919 HANG A 37KVA 120/240V DIST XFMR #37— SER# SEC VOLT / XFMR 2 PRI, 2 NEUT, AND 1 OH SEC TPX STRIP TOP AND ABANDON OLD POLE -- 0- - --- 2-3-6TH--ST�SW FU15 5256 3-233584 21/14 ; 015-371129 �' 2 50-919 73 8714 264275 SL-199—D 0 1 8724 1 18718 SHgET OF c rn U) F- U) cfl M N co U i w o,t _ Ln � N a �- O �co as U Q U)o M ww J < Q li O sx__-o- s_ c_o NTY puo LAYOUT LEGEND: PAD MOUNTED TRANSFORMER ® SUBMERSIBLE TRANSFORMER Q ABOVE GROUND J-BOX 0 SUBMERSIBLE J-BOX nS SECONDARY VAULT PULLING VAULT SWITCH CABINET © SMALL SECONDARY PEDESTAL © LARGE SECONDARY PEDESTAL SL STREET LIGHT PEDESTAL PRIMARY UNDERGROUND CABLE -•-----,-•-*350 SECONDARY UNDERGROUND CABLE - - - - - - - - 4/0 SECONDARY UNDERGROUND CABLE ......^................ 1/0 SECONDARY UNDERGROUND CABLE --)--)-�-STREET LIGHT CABLE SERVICE CONDUIT 0 POLE AND OVERHEAD LINE PROPERTY LINE - -RIGHT-OF-WAY LINE U EXISTING UNDERGROUND CABLE EXISTING DUCT - — — - FUTURE DUCT ------- S------ SANITARY SEWER/MANHOLE ------- D------ STORM DRAIN/CATCH BASIN ------- W------fl WATER MAIN/METER Y FIRE HYDRANT } STREET LIGHT * UNDERGROUND LOCATOR MARKER SCHEMATIC LEGEND: • 10 TRANSFORMER EHEEDIII 3 0 TRANSFORMER O SUBMERSIBLE TRANSFORMER ❑ 200 AMP J-BOX ■ 600 AMP J-BOX FUSE PRIMARY UNDERGROUND CABLE -- ---ABANDONED PRIMARY UNDERGROUND CABLE OVHD EXISTING OVERHEAD —� �— DISCONNECT SWITCH, NORMALLY OPEN DISCONNECT SWITCH, NORMALLY CLOSED STANDOFF BRACKET •• FEEDER LINE $ PULL THRU BOX FEED THRU BUSHING ON TRANSFORMER FAULT INDICATOR U ADDITIONAL UGND TAPPED AT T/O POLE CONSTRUCTION NOTE: CREW TO INSTALL PRIMARY UG RISER 12UIll AT PLI 15256. POLE TO BE REPLACED ON ORD* 100028675/0030 TRANSFORMER 7200-240/120V BY PUD OR PUD'S CONTRACTOR A-51560 25 KVA UTC SER MAKE VAULT DY CUSTOMER A-51560 42" x 42" x 30" CONCRETE OPEN BOTTOM W/A 21" x 25" ACCESS HOLE A-51560 25- 039 FU 25� 236TH ST SW AMPS OVHD 2 FU 15 R AMPS PLI15256 0 0 2 SCHEMATIC NTS CABLE ALL FOOTAGES APPROXIMATE BY PUD OR PUD'S CONTRACTOR 28W OF (1) 1/0 AL 15KV CNCTRC NEUT JCKTD PRI IN 2" PVC MAKE PO REEL FT MARK TO 260' OF 350 KCMIL AL TPX SEC IN 3" PVC DUCT BY CUSTOMER .4D 225' OF 2" PVC O 135' OF 3" PVC © 85' OF 3" PVC I - I 1 r- LOT 4 I 1 -------T- 1 P I A-51560 �T I LOT 3 �.,... T_ _ UTILITY EASEMENT I LOT 2 I I I .p I 1 LOT 1 1 P'PUBLIC & PRIVATE UTILITYEASEMENT --W- -----------w---------------W-------------W-- O 236TH ST SW -------G------- -----G------------- G--------------G---------------G------- NORTH LOCATION 8721 236TH ST SW EDMONDS, 98026 AREA LYNNWOOD POLE NO PLI 15256- SWIAS31 T27 R3 DATE 4/9/18 ORDER 100028676 REASON FOR WORK PROVIDE 10 PRIMARY UNDERGROUND ENGINEER McALLISTER OPERATION 0060 SERVICE FOR THE 4-LOT PLAT OF DRAFTER MCFEE UGND NO 13899 PROSPECT LANE APPRaveD SCALE NOTED GAS & DATE DATE WORK COMPLETED FOREMr SUBSTATION RICHMOND PARK INSPECTOR CIRCUIT NO 12-5217 PHASE 2 DATE FEES REQ'D ■YES ❑NO ROAD CROSSINGS ONLY PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LED - APPV DATE DESCRIPTION REVISIONS of =i APPV NO. DATE DESCRIPTION PRIMARY UNDERGROUND ❑ RESIDENTIAL PERMITS (DATE GRANTED) ❑ COMMERCIAL ❑ TREE TRIM LEUf BASIC FEE i ❑ STATE ❑ COUNTY ■ EDMONDS ❑ SECONDARY UNDERGROUND BASIC FEES EASEMENTS ■ REQUIRED E- ❑ NOT REQUIRED REQUEST NO. DATE APPROVED FOREIGN CONTACTS ❑ JPN- ❑ JOINT TRENCH FRONTIER & CATV • JOINT BORE FRONTIER & CATV ■ WA POLE STENCILING WORK IN RIGHT OF WAY ❑PRIMARY ❑ SECONDARY FT & i_ = i FROM TO AS -BUILT TAKE OFF POLE APPV NO. I DATE DESCRIPTION PRE-CONSTR REQUIREMENTS ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ❑ MISCELLANEOUS FEES VAULT f ❑ ONE CALL DATE PERMIT f a STREET LIGHTING f 3 ❑ YES 0 NO S M&R I AS -BUILT TOTAL DUET I IGIS `� " 11111 ��Gl�f11�f11 L . WORK SITE POLE REPLACED -I �P919-S VICINITY MAP Lo LAYOUT 1"= u TAGS c c> a VAULT: A-51560 CABLE: 104039 M Do 3'a W LLo I I I � r LOT 4 I , I , I I I �I J I - - ---I ter' -o P r LOT 3 I I I I I I I \-51560' I I I I i Oi y 10' PUBLIC & PRIVATE UTILITY EASEMENT I I � LOT 2 I I I I I I 1 0' 1 kI I I I I I. -I_ I_I_ I -S-----' ---' I , I I I I p I ' I I L1 I I I I I I ' I - LOT 1 I ti I ' I I ,I T �- _ - - - - - - - - _ - 10' PUBLIC & PRIVATE i DETENTION4UTILITY EASEMENT VAULT_ 1-- 101---- ----�o , I ❑-- O--i'�--I- --W---------------W--------------- W---------------W-- I 1 236TH ST SW -----G-------------- --------------- G--------------- G--------------- G------- - `�R-919-S REPLACED ORD* PLI 15256 128675/0030 30 �o� LAY 0 U T ill =30