3.9.18 - Issued permit.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20180097
NIGATIVIF111ATPERPT11
Permit Number: ENG20180097 Expiration Date: 09/10/2018
Job Address: 250 5TH AVE N, EDMONDS Location: 250 5TH AVE N
SNOHOMISH COUNTY PUD SNOHOMISH COUNTY PUD
P.O. BOX H P.O, BOX H
EVERETT, WA 98206 EVERETT, WA 98206
(425) 670-3216
LICENSE #: EXP
JOB DESCRIPTION
Install UGsec riserped on e)dsting pole forthe City of Edmonds Veterans Plaza. Ped to be placed behind sidewalk.
DISRtJPTION INFORMATION
ASSESSED VALUE: $0.00 PROPERTY ARE� u
SIDEWALK: (OXO) DURATION IN MONTHS- 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: 0 x 0
PARKiNG: ( OX0 DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
ALLEY: ( OX0 DURATION IN MONTHS: 0 FEE: $0.00
INDEMA7TY- The Applicant has signed an application v,hich states helshe holds the City ofEdmonds harmlessftom injuries,
damages or claims ofany kind or description ii�hatsoeverfbreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
allorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOW ING THE FINAL
INSPECTION AND ACCEPTANCE OFTHEWORK.
• 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
possesion.
• 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.
Three sets of construction drawings of proposed work are required with the permit application.
CALL DIALA-DIG (1-800-424-5555) BEFOREANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PRONADED.
Printed: Friday, March 09.201
TE
[_1 FILE COPY (D INSPECTOR COPY F—] APPLICANT COPY
STATUS: ISSUED
ENG20180097
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locates of underground utilities prior to any excavation.
• Alert affected residents and/or businesses prior to work start.
• Conforrn to approved working drawings and Traffic Control plan.
• Verify clear bore crossings
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control. Keep street clean.
0 Call for required inspections as noted.
• Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements.
• Applicant shall re p air/rep lace all damage to utilities or fi-ontage improvements in City right-of-way per City standards that is
caused by or occurs during the pen-nitted project.
• 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 weekdays and 10:00arn and 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.
• Applicant, on behalf of his or her spouse, heirs, ass igns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly fi-orn the issuance ofthis pern-tit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
I tNSPECTIONS
E-Traffic Control
E-Engineering Final
PARTIAL INSPECTION
PARTIAL INSPEC71ON
FINAL INSPECTION APPROVED
DATE:
DATE:
DATE:
INITIAL: NOTES:
INITIAL: NOTES:
INITIAL:
2009 Edition
Figure 61-1-10. Lane Closure on a Two -Lane Road Using Flaggers (TA-10)
Note: See Tables 6H-2 and 6H-3
for the meaning of the
symbols and/or letter
codes used in this figure.
Applicant shag repairtreplaos all da m.ge to
Mities or frontage Improvements In C41ly
right-of-way per City standards that Is caused
or occurs during the permitted project
1-r4l
TID)V
OWN'EMONTRACTOR IS RESTONSIBLE FOR
EROSION CONTR(I AND DRAINAGE
J mom Ova I
ON]
I t
A0
C
B
(optional) A
401 11<11o,
14vr
I
00 to 100 ft
A
xx
optional)
ONE LANE
ROAD
xx FT
C
Typical Application 10
50 to 100 ft
z5_6
Ae
#0
Page 653
PL-Ak,r>-,0 A,-r Ait,
0,P —k 1A ro IJV-Tw$�R�-flcptj
pf,(L- ft-vw 5-Tk"0x005_
December 2009
Sect. 6H.01
2009 Edition
Figure 6H-6. Shoulder Work with Minor Encroachment (TA-6)
(IV3HV
A80M
CV08
A
-TO 9-�r%&vq omo.
00 sic'"-s -ro se:
�0\m-,, #A) A-j>VA"CG,
Co)0C--_% n/r4 %A- PI-At,6-0 Dkq or-
C,0 U c,>-i (4& Uf 10 A).
�-_AWAUG, 70 Pi-W>-P A-1
Ai,L, LW5' or--T�T)-
M80M OV08
GN3 I Mr
Note: See Tables 6H-2 and
6H-3 for the meaning
of the symbols and/or
letter codes used in
this figure.
Work vehicle
Truck -mounted
attenuator
(optional)
loft
_M, N.
Bufferspace
(optional)
I
Typical Application 6
t7SA)" �>I -
1/3 L
I
A
ROAD
ViORK
AHEAD
Page 645
II
December 2009 Sect 6H 01
2009 Edition
Figure 61-1-28. Sidewalk Detour or Diversion (TA-28)
383H SS083
03SO13 NIVM301SIl
SIDEWALK
CLOSED
IIIEWILK CELOIED1
4—
�—J CROSS HERE
ROAD
W=
AHEAD
(optional)
SIDEWALK DETOUR SIDEWALK DIVERSION
Typical Application 28
Note: See Tables 61-1-2 and 61-1-3 for the meaning
of the symbols and/or letter codes used in
this figure.
36inches
MIN.
Page 689
December 2009 Sect 6H 01
TAD-5 *- Lane Closure on Urban Street, Flagger Control I
See: Table I for Buffer Lenil Table 2 for Sill Spacing
Table 3 for Taper Length "L' and Channefizer Oty.
-0_A'001l1Z'- PP,`ZV/KM 7-0
r!i 0 .1 __ Y.4
-in 72
A 411119
1 001 MAXJ BUFFER
50' M 1". SPACE �
1. This TT C shall be used for low-spsed lacliltillies, Ihmiog lbvq
traffic volumes.
2. Where work space is short, where Food usem ran se-e the
roadway beyond. and where volume is liaw, valirticulor, trai-Nic
may be seliPregulating. See TAID-4.
It
Ai
4
7 A3
3. Where vehilcular b-ac v"c0j~Wdy self-raqviede, one
ort.voliaggerissball beus9dm&33&a(edIn1AD-ScrW-l4.
4. Flashing warning FIgNs and/Lv llagp way be mead lij- caIl at?erinGin
to the advance warril skjls�
5. For ow -volume sil%iallonas wi#-, slilerl! w0i� zones Or, stralglit 1. The bnft an a
roadways where the figgger is visible to road users spproaching arNrdMLIMWW
from both directions. a single Vagger, positioned to be visible to c-
road users from both, dilreclio:ns, " be used. 0
R ;3 6111131418 edge d 1
6. At night, flagger stations shall be Illuminated, e=ept In emergencies. t 2. WV*M in Me Ili
Row" Wmb,
1110 advam WOM
i,IDT F: LOCAL REGULATI�,N$ f!AY)ff,R'! lujCorn, Inc. All rights reserved. #PRG3A Publ. 1107 Page 28
Stopping Sight Distance as a Function of Speed Suggested Advance Warning Sign Spacin
Guideline Distances for: Longitudinal Buflier Space, L
Advance Warning Sign Spacing con very from stste to state or
Flogger Stations. and Road Use.. Visibility agency 'to agency. These distances can be fro I *
M
0)
SPEED* -MPH
DISTANCE -FEET
C1IANNELIZER-QTY.
20
1`15
6
25
155
7
30
200
7
35
250
8
40
305
a
45
360
8
50
425
9
55
495
9
60
570
10
65
645
10
70
730
11
75
820
11
i, uj percenvie, speed prior to
work starting, or the anticipated speed in mph.
M 0 — urnes
the speed limit in feet depending on roadway conditions. Check
your local regulat ions for guidelines.
ROAD TYPE
DISTANCE BETWEEN SIGNS
A S I C
Urban
I ow
(Low Speed")
(30m)
Urban
350'
(High Speed*)
(loom)
Rural
Soo,
(150m)
Expressway
19000, 1,500 2,6401
Freeway
(300m) (450m') 1 (80
ff — -�jy L- — u-imnea jjy nignway agency.
NOTE: LOCAL REGULATIONS MAY VARY @ Copyright 2007 InCorn. Inc. All rights reserved. ',PRG3A Publ, 1/07 Page 46
70 1 Table 3
, Suggested Taper Length and Channelizer Quantity Index - (Feet and MPH)
Downstream Taper - 100' Min. —O—rLe Lana!nyo Wgv (Flacliner) Thner - 1001
A —
'lid
All
low
A —
Merge Taper
Shift Taper - "11/2 L"
Shoulder Taper - "1/3 L"
SPEE
WIDTH
From Normal
OF
Lane
LANE
Width
OFFSET
Due to Worh
Zone
WIDTH
OF
LANE
OFFSET
VVIDTH
OF
LANE
OFFSET
MPH
4'
From Normal Lane
Width Duo to Work zone
From Normal Lane
Width Due to Work Zone
IQ-
1 12'
4'
1 6.
8.
IQ'
1 12'
4-
6'
1 8,
10*
1 12
30
60,
(4)
120'
15C% 1
-180,
0'
3(3)
45'
60,
7S'
_6__
G'
20'
301
40'
-
51Y
60,
(5)
(3)
(3)
(4)
(4,1
1
35
"0' 1
125'
165'
20-1'
245'
40'
65'
85'
105,
125,
30'
45,
56'
-71,
(4)
(6)
(7)
(J)
0)
0)
(4)
(5)
40
1 (0 5' 1
4)
1(6
215'
270'
320'
55,
80,
110'
135,
1601
35'
56.
75'
so,
110,
'50Y
(7)
(4,11
__(5)
(5)
(3)
(3)
(3)
(4)
(4)
45
180'
(5)
270'
(7)
360'
450' 1
540'
9 0'
135'
1 SO'
225'
270'
60'
90'
120'.
Ise, '-7—
so,
(9)
(11) 1
(73)
(4)
(4)
(5)
(6)
(3)
(3)
(4)
(5)
(5)
so
200'
(5)
300'
(7)
400'
5001
6001
1001,
150,
150'
200'
250-
aoo�
70'
IOV
1.5'
135'
170'
20 0.
(9)
�7�3)
(4)
(4,
(4)
(4)
(5)
55
220'
(5)
33o*
(7)
440'
550'
66o,
110,
1._,
1 C's,
9
220-
275'
33C,'
7S'
110'
150'
165'
220'
(P)
=7.560
(11)
(4)
14)
-=,D'
(7t
13)
(4)
(61)
60
240'
(5)
360'
(7)
480'
60o,
720'
120.
, 80'
1
30U
F
370
80,
izol
ISO-
200'
240.
240'
(9)
(.r,)
(-73)
(_f3)
155
260'
(6)
390'
(1-)
520-
9)
650
7-RD'
130,
195,
260'
325,
3 01
130'
175'
22D'
260'
(
f I f)
(5)
(5)
70
280'
(5)
d20'
0 0
141Y
2-10'
260-
360'_�
420,
is
0'
7_
9G"
233�6
.0,
280'
i 7
63)
?)
The rMxii-n—di�lm—
FA—wo. TAPERJ
LENGTH
TAPER
FORMUI 4S
C
L=W�Sxs
L S
.=T- PE MIN.
NGTH FT)
,V = VdIDTH OF
OFFSET (FT)
SPEED
(MPH) I
u nuin in minn W 2 times the s eed Iirn;+; 1 11
NOTE: LOCAL 1,EG1jL-yjj0,1,,1S,�.,qjAy ij . , I n �rn i)_
- ;" T @ Copvrjgh� 2007 InCom, Inc. All rights reserved, VPRG3A Pub?. 1/07 Page 47
T7,i
r)
, ��j
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION-250 5TH AVE W ED LYNNARE - A
POLE NO. 873 SW1/4S24 T27 R03 DATE 1/15/18 ORDER 160627600
REASON FOR WORK INSTL UG SEC RISER PED FOR ENGINEER MCALLISTER OPERATION 60
CITY OF EDMONDS DRAFTER U.G. NO.
SCALE
jAPP101El
& — I DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D N YES 11 NO
PRIMARY OVERHEAD
11 RESIDENTIAL
0 COMMERCIAL
LEO NO.
I La 8
SECONDARY OVERHEAD
BASIC FEE 9
METER/CONV.POLE s
PRIMARY UNDERGROUND
• RESIDENTIAL
• COMMERCIAL
BASIC FEE 8
LEU NO.
@
SECONDARY UNDERGROUND
BASIC FEE S
ea S
UNDERGROUND PLAT
BASIC FEE 9
Q FTAS— .=s
STREET LIGHTING
(� FTAPS— 1=$
WORK IN RIGHT OF WAY
0 PRIMARY
0 SECONDARY
q FT,Q$
MISCELLANEOUS FEES
VAULT 9
PERMIT
2.360 9
TOTAL DUE S_ _2,36
DATE PAID
RECEIPT NO.
SERVICE ORDER NO.
NESC VIOLATIONS
0 NO 0 YES (SEE NOTES)
PERMITS (DATE GRANTED)
El TREE TRIM
* STATE
* COUNTY
* CITY
0
EASEMENTS
El REQUIRED N NOT REQUIRED
DATE RELEASED
FOREIGN CONTACTS
• JPN#
• JOINT TRENCH FRONTIER & CATV
E] JOINT BORE FRONTIER & CATV
0 jN/A - ---
POLE STENCILING
FROM TO
TAKE OFF POLE
PRE-CONST. REQUIRMENTS
0 TREE TRIM El PUD LOCATOR
0 BACKHOE 11 FLAGGING
E ONE CALL DATE
No.
STREET LIGHTING
11 YES E NO
M&R AS -BUILT
GIS
0—
GIS QC M&R
GIS Ph JOINT USE
LOCATION MAP PAGE 454 F-5
0 EXISTING POLE
X EXISTING POLE -TO BE REMOVED
0 NEW POLE
)4 NEW POLE TO REPLACE EXISTING POLE
DATE
SUBSTATION MPL
CIRCUIT No. 343 PHASE
ENGR'S TEL. #
1 425-670-
ENGR'S CELL #
1 425-501-1254
N
(D POLE 873
INSTL UG SEC RISER PED ASSY 12U705
RUN 50' OF 350 UG SEC TO PED W/131
4 BAR SEC CONN
SET PED 7' SE OF POLE AS STAKED
-T� \,�p 91
4
Vj A
4k�
No C�,C) f- H 1�, 94 wi"r 0-t- wk-f. 225820
211
.,:kfi �Ao -T
M —1 &1 eu k
3 37-454144
873
71717
-SL-113675-G
76717
SHEET OF
c:
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Lf)
0
Ln
eq
c,
a)
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0�*
T 04
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0—
L
-ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-O&WAY CONSTRUCTIOIfECEIVED
_11JvC. IS91) PERMIT APPLICATION
MAR 0 12018
PROJECT NAME:cd t� �&vvc)v%C� CONTACT: BUILDING
"A W-At�j��c/r
CONTRACTOR: Phone I
Mailing Address: P0 'A 0-1 A-4 F-ax #:
6/ Entaff
City Business License #:
Ll Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION:.
ROW WORK ASSOCUTE D WITH THE FOLLOWING TYP§ OF PROJECT:
n Commercial El Subdivi—sion Ll City Project Traffic Control (Only)
0 Multi -Family 0 Single Family Other
F1 Euc (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is.this pbrmit part of a blanket pemift? El Yes' ]A No
ANY ASSOCIATED PERMITS? BLD# ENG#__
�'DESCRIEPTION OF PROPOSED WORK. (Be Specific):
� -k--> a
WAS STREET OVERLAYED winEw THE LAST FIVE!(S) VEARS? - YESEYNO [] Year::
'PAVE MENT CUT: -indicate siz"
El Yes No If yes, e of cut:.
CONCRETECUT: El Yes [WNo If yes, indicate-'siteofeui:* x
RIGHT-OF-WAY AREA TOTAL DURATION '
CLOSURE GVUMBER OF MONTHS)
Sidewaik— 48Hrs + LF X LF SF
Alley 72 Hrs + LF X LF SF
Parkino,,, 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 (WAQ 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 helshe hold the City of
Edmonds harmless from injuries, damages or claims of any kind or description
whatsoever, foreseen or unforeseen, that maybe made against the City of Edmonds , or.
any of its departments or employeesincluding 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 oider f6r the permit to be valid.
SIGNATURE DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE