392711 Permit App (2).pdf0 0 4
392711
ROW PERMIT NO.: ENG.
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTHON
-I/V-90
C. is PERMIT APPLICATION
PROJECT NAME: Re 73Lo CONTACT: Ajo,,_,e� Alez5c.�
CONTRACTOR: Phone #:
Mailing Address: 73 o, 13 o V_ -7 Fax #:
State License #:
City Business License #:
Email#: 0 airu
El Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 101Z_ tllev4�+,ja &,j��
I ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: I
Commercial
F] Multi -Family
Subdivision
El Single Family
0- EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
City Project
F] Other
F-1 Yes F] No
I ANY ASSOCIATED PERAUTS? BLDH ENG9.
Traffic Control (Only)
DESCRIPTION OF PROPOSED WORK (Be Specific): Re-pL-Ace 0 S-
- (3) 13/
//v C,4,, e9l" 322-7/1
WAS STREET OVERLAYE D WITIHN THE LAST FIVE, (5) YEARS? YESE] NO [Z Year:
PAVEMENT CUT: D Yes F1 No If Yes, indicate size of cut: X
CONCRETECUT: F] Yes n No If yes, indicate size of cut: X.
RIGHT-OF-WAY
AREA
CLOSURE
TOTAL
DURATION
(NUMBER OF MONTHS)
I
Sidewalk 48 Hi-s + LF
X
LF1
SF
Alley 72 Hi-s + LF
X
LF
SF
Pai-king 72 Hi-s + LF
X
LF
SF
APPLICANT TO READ AND SIGN
*Traffic control and public safety sball be in accordance witli City regulations as required by the City
Erigineer. Every flagger must be trained as required by (WAC) 296-155-305 and must liave ceilification
verifying completion of the required training in tlicir possession.
*Restoration is to be iii accordance witli City codes and Standards. All street -cut trencli work sliall be
patclied witli asplialt or City approved inaterial 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 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 bave read the above statem dt and understand the permit reqUirernents and acknowledge that I must
follow all requirements in r r for the permit to be valid.
SIGNATURE DATE Y13 o
Contra—cTo—r —or �Tg--ent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
--i
mzz-mm��
0
WORK ON SHOULDER OR PARKING LANE
SPEED SIGN SHOULDER BUFFER
ROAD LIMIT SPACING TPER (FT) (FT)
W20-1 m --.iy I f A,B (FT) (10 SHOULDER)
AHEAD
25 200 35 55
30 200 50 85
35 350 70 120
oll 40 350 90 170
0 45 500 150 220
50 500 170 280
o
o
orl 55 500 185 335
W A
0
o
0 m
z X
0
0
_j uj
0 M
3: 0 0
Ld 0 cn- if
<
AL SHOULDER
< 'RORK > W21-5
m
ROAD
AL �OqK W20-1
AHEAD
<9>
,..--SHOULDER OR
PARKING LANE
f SNOHOMISH CO
EFFOEM TRAFFIC CONTROL PLAN
VPMIC -UTY ITY DISTI
PROJECT REPLACE (3) DEPREICATED POLES
LOCATION 1012 VIEWLAND WAY
ENGINEER ANDREA NELSON DATE 4/30/18 — ORDER 392711-03
PHONE 425-783-4394
CELLULAR 425-512-3526
L-
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 1012 VIEWLAND WAY, EDMONDS SOUTH COUNTYAREA
POLE NO. POLE ID#468 NEl/4S24 T27 R03 DATE 6/6/17 W.O. NO. 392711
REASON FOR WORK REPLACE (3) 80 POLES ENGINEER A.NELSON TASK 0030
PRI: 4 DRAFTER U.C. NO.
h / SCALE 1" = 100'_
APPROVED
& DATE PRINTED
DATE WORK COMPLETED DATE jj 1-7
FOREMAN SUBSTATION MPL
FEES REQ'D 0 YES 0 NO CIRCUIT NO. 346 PHASE 1.2.3
PRIMARY OVERHEAD ENGR'S TEL. # __1
0 RESIDENTIAL 1425-783-4394
0 COMMERCIAL ENGR'S CELL #
LEO NO. . Qs .=s 425-512-3526 1 N
SECONDARY OVERHEAD SCHEMATIC
BASIC FEE 9 BEFORE,NTS
'@s PERMITS (DATE GRANTED)
METER/CONV.POLE 0 TREE TRIM Lun)
(0
0 STATE
PRIMARY UNDERGROUND 0 COUNTY u-
11 RESIDENTIAL
[I COMMERCIAL N CITY 517114 1 2 ,25 _r�j_
BASIC FEE S 0 2
LEU NO. EASEMENTS 3
@ 0 REQUIRED N NOT REQUIRED
SECONDARY UNDERGROUND CKT
BASIC FEE S MPL
1 @3 1=3 DATE RELEASED 12-346
UNDERGROUND PLAT FOREIGN CONTACTS
BASIC FEE S_ 0 JPN# 579E14
q FT.@$ 0 JOINT TRENCH FRONTIER 8, CATV
STREET LIGHTING 0 JOINT BORE FRONTIER & CATV
q FT.0 .=8 0
WORK IN RIGHT OF WAY POLE STENCILING
• PRIMARY FROM TO SCHEMATIC
• SECONDARY TAKE OFF POLE AFTER,NTS
q FT.@$ PRE-CONST. REQUIRMENTS
MISCELLANEOUS FEES 0 TREE TRIM 0 PUD LOCATOR
11BACKHOE N FLAGGING L0
VAULT S (0
0 ONE CALL DATE
PERMIT 9 No.
STREET LIGHTING 25 1 ,25
N YES 11 NO _r�._ r
READY PHASING
TOTAL DUE S s GIS WORKING
DATE PAID 1 LINE FINISHED POLE/
XFMR CKT
RECEPT NO. JOINT USE MPL
SERVICE ORDER NO. LOCATION MAP PAGE 454-H4 12-346 7
LEGEND:
0 EXISTING POLE
X EXISTING POLE -TO BE REMOVED
0 NEW POLE
)9 NEW POLE TO REPLACE EXISTING POLE
LO
(0
ul
2
2 ---
POLE ID# 468
SET 50' CL1 POLE, 2' W AS STAKED
FRAME (12F310) 30 DE
FRAME 02V109) 10 VERT DE
INST (1) 12" SGL HLX AHR W, L=15'(AO102)
INST (2) 318" DG IN PRI & NEU POS (GO113)
XFR 30 PRI RISER, CUTOUTS & TERMS -SEE UG DWG# 12941
STRIP, TOP, AND ABANDON TO COMMUNICATIONS
POLE ID# 46.5
SET 50'POLE 9'DEEP VE AS STAKED
FRAME (12F337) IVALLEY ARM
INSTALL OU705) 3" SEC RISER &W/ SM. PED W/ 3-4 TERM POS BAR (VO101, T1521)
XFR 7200-240/120V 25KVA XFMR (12F601)
DIST# 25-387386 SER# ---------------
INSTALL 10'ARM & REPLACE SL-45688 W/ NEW LED A-11
SL# --------------
STRIP, TOP, AND ABANDON TO COMMUNICATIONS
POLE ID# 461
SET 50'CL1 POLE 9'DEEP-IN PLACE - MEETS 10'SET BACK
FRAME (12F303) 30 TANGENT
FRAME (12F318) 30 DE BACK ARM, FU65A
INSTALL 02V115) 10 END OF ARM TAP, FU65A- EAST
XFR (1) OH SEC
INST SPAN GUY EAST TO POLE ID# 462
HANG NEW VARM & XFR ST LT HEAD SL# SL-128122-A
STRIP, TOP AND ABANDON TO COMMUNICATIONS
E-04661
SL-27495-F
25-15553
459
A-45446
—1215
SHEET 1
FU65
t__
FU65
rNLx__
OF 1
462 [