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ENG20130107.PDFOF E MOAN CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 g90 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20130107 RIGHTOF WAN' PERMIT(7-EUC Standard) Permit Number: ENG20130107 Expiration Date: 06/28/2013 Job Address: 9227 OLYMPIC VIEW DR, EDMONDS SNOHOMISH COUNTY PUD P.O. BOX 1107 Attn: Maureen Nave, Permit Administrator EVERETT, WA 98026 SNOHOMISH COUNTY PUD P.O. BOX 1 107 Attn: Maureen Nave, Permit Administrator EVERETT, WA 98026 LICENSE 4: EXP: J013 DESCRIPTION REPLACE POLE AND ADD NEW CONDUIT FOR AT&T WIRELESS SITE Location: DISRUPTION INFORMATION ASSESSED VALUE: $0.00 PROPERTY AREA: 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: (OXO) PARKING: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00 ALLEY: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 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. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. 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. THIS APPLICA CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS SPACE PROVIDED. RE AND FEES ARE PAID, AND Printed: DATE IS ACKNOWLEDGED IN March 25, 2013 ILE COPY INSPECTOR COPY APPLICANT COPY STATUS: ISSUED ENG20130107 • 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. • Conform to approved working drawings and Traffic Control plan. • Public utilities maintain 5' separation from City Utilities. • Verify clear bore crossings • Utility patch restoration to be in accordance with Edmonds Standard detail E2.3 • CDF is required for trench backfill. Refer to Edmonds Standard Detail E4.4 • Maintain erosion & sedimentation control. Keep street clean. • Construction hours are Monday -Friday 7am-6pm and Saturdays 10am-6pm. No work on Sundays or Federal Holidays. • Call for required inspections as noted. • Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is caused by or occurs during the permitted 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 10:00am 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, assigns, 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 from the issuance fa this permit. 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. • E-Traffic Control • E-Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: -4 Of EOA,,()�a ANC. 1890 ROW PERMIT NO.: ENGAQ ISSUE DATE: RIGHT-OF-WAY CONSTRUCTIOEIVD PERMIT APPLICATION AT 'E:--r cjEu.. S ire /4 PROJECT NAME: - f� �( - CONTRACTOR: �Q D TX Mailing Address: �p �oK I loll ��u� WA State License #: 9S/ZOo- /147 City Business License #: ADDRESS OR INTERSECTION OF CONSTRUCTION: MAR w: 2013 DEVELOPMENT SERVICES COUNTER CONTACT: J 1 µ Phone 4#i.a---1 d3 - Fax #: 7 X3 - y y -7 c-�- Email #: JAW K 1TCNrC.� Q. S+VaP��•Cu ❑ Liability Insurance Bonded ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project ZL Traffic Control (Only) ❑ Multi -Family ❑ Single Family P�EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ANY ASSOCIATED PERMITS? Yam} t 0G ZD l Zo3-79 ❑ Other [:]Yes ❑ No BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : s� 12IAc.F- a? n6e /S>i n) C. J?. (a. or> Al t'� CarJ UJ)l-s r, , e-1 r R WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES NO Year: PAVEMENT CUT: ❑ Yes No If yes, indicate size of cut: x CONCRETE CUT: ❑ Yes No If yes, indicate size of cut: x ('varK okvc—e— 3%S -T7(o RIGHT-OF-WAY AREA CLOSURE 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 DATE Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE OF LY'O�u+ CITY 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 ENG20120379 RIGHTOF Permit Number: ENG20120379 Expiration Date: 04/23/2013 Job Address: 9227 OLYMPIC VIEW DR, EDMONDS Location: APPLICANT CONTItACTOR WESI'OWER COMMUNICATIONS INC TBD 7525 SE 24TH ST, STE 500 MERCER ISLAND, WA 98040 LICENSE k: EXP: O! DESCRIPTION INSTALL COMPACT CABINET AND RRH UNITS IN EXISTING VAULT; ROUTE ADDITIONAL UNDERGROUND CONDUIT AND COAX FROM U/G VAULT TO STUB -UPS ADJACENT TO EXISTING POLE. ANTENNA REPLACEMENT AND UTILITY POLE REPLACEMENT TO BE PERFORMED BY SNOPUD. ASSESSED VALUE: $599,400.00 PROPERTY AREA: 15000 SIDEWALK: (5X45) DURATION IN MONTHS: 0.3 FEE: $186.97 STREET DISRUPTION TRENCH CUT: (OXO) PARKING: (OXO) DURATION IN MONTHS: 0 FEE: $6.00 YEAR OF OVERLAY: 0 FEE: $0.00 ALLEY: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 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. THE CONTRACTOR. IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. 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 DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED. Printed: Wednesday, January 23, 2013 ilk � J9 1.) 1 /Z �; 11;5 13n 16ATE FILE COPY INSPECTOR COPY APPLICANT COPY ENG20120379 • 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. • Conform to approved working drawings and Traffic Control plan. • Public utilities maintain 5' separation from City Utilities. • Verify clear bore crossings • Utility patch restoration to be in accordance with Edmonds Standard detail E2.3 • CDF is required for trench backfill. Refer to Edmonds Standard Detail E4.4 • Maintain erosion & sedimentation control. Keep street clean. • Construction hours are Monday -Friday 7am-6pm and Saturdays 10am-6pm. No work on Sundays or Federal Holidays. • Call for required inspections as noted. • Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is caused by or occurs during the permitted 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 10:00am 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, assigns, 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 from the issuance fo this permit. 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. • E-Erosion Control/Mobilization • E-Traffic Control • E-Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: ADVANCE WARNING SIGN AND BUFFER SPACING SPEED LIMIT DISTANCE BETWEEN SIGNS (FT) BUFFER (FT) A B C D E 25 200 200 200 N/A 55 30 200 200 200 N/A 85 35 350 350 350 350 120 40 350 1 350 350 1 350 170 45 500 500 500 500 220 50 500 500 500 500 280 55 500 500 500 500 335 60 1000 1600 2600 2600 415 65 1000 1600 2600 2600 485 BUFFER DATA LONGITUDINAL BUFFER SPACE = F SPEED (MPH)l 25 130 135 140145 150 155 160 165 70 LENGTH (FEET) I - I - I - 11701220128013351415 1485 585 PROTECTIVE VEHICLE WITH TMA ROLL AHEAD DISTANCE TYPICAL PROTECTIVE TYPICAL PROTECTIVE VEHICLE STATIONARY VEHICLE TYPE WITH TMA (WITH TMA) LOADED WEIGHT (LBS) OPERATION (feet) 4 YARD DUMP TRUCK, MINIMUM WEIGHT 15,000 LBS. SERVICE TRUCK, 01AXPM WEIGHT SHHAALL BE 30 MIN. FLAT BED, ETC. IN TH MWarACTUWR RLCOMMMATIOM ROLL AHEAD STOPPING DISTANCE ASSUMES DRY PAVEMENT. # A PROTECTIVE VEHICLE IS RECOMMENDED REGARDLESS IF A TMA IS AVAULABLE. IF NO TMA IS USED, THE PROTECTIVE VEHICLE SHALL BE STRATEGICALLY LOCATED IN THE FIELD TO SHEILD WORKERS AND NO ROLL AHEAD DISTANCE IS SPECIFIED. CHANNELIZING DEVICE SPACING IN FEET (F) MPH TAPER TANGENT 50/70 40 80 35/45 30 60 25/30 20 40 WORKING HOURS MONDAY-FRIDAY 8:OOAM-5:OOPM SINGLE LANE CLOSURE FOR POLE SETTING AND WIRE STRINGING (TYPICAL) TRAFFIC CONTROL NOTES: 1.FLAGGER STATIONS SHALLL BE ILLUMINATED DURING HOURS OF DARKNESS 2. EXTEND DEVICES TAPER ACROSS SHOULDER 3. SIGN SEQUENCE IS THE SAME FOR BOTH DIRECTIONS OF TRAVEL ON THE STREET 4.PRIORTY PASSAGE THROUGH WORK AREA FOR EMERGENCY VEHICLES SHALL BE PROVIDED AT ALL TIMES 5. RADIO COMMUNICATION BETWEEN FLAGGERS IS REQUIRED IF ALL FLAGGERS DO NOT HAVE CLEAR VISION OF EACH OTHER. 6. MAXIMUM TIME THAT TRAFFIC MAY BE STOPPED IN ANY ONE DIRECTION IS 15 MINUTES. 7 ALL SIGNS ARE 48"X48" BLACK ON ORANGE UNLESS OTHERWISE DESIGNATED SNOHOMISH COUNTY pU� PUBLIC UTILITY DISTRICT NO 1 LOCATION One lane closure along Olympic View Drive AREA POLE NO NE 1/4S13 T27 R03 DATE 3/21/13 WO NO REASON FOR WORK SET POLES AND MODIFY CELL SITE ENGINEER Whitehead TASK FOR AT&T WIRELESS DRAFTER Whitehead APPROVED CONTRACTOR SNOHOMISH COUNTY PUD DATE SUPERVISOR: JIM WHITEHEAD PRINTED PHONE NUMBER (425) 783-4498 - i cp VIEW DRIVE __- S� OLYMPIC wo vink- &�' South County 385376 03 NEERING DIVISION �PVED AS NOTEn PUBLIC UTILITY DISTRICT NOA OF SNOHOMISH COUNTY LOCATION 9227 Olympic View Drive, Edmonds, WA South County AREA POLE NO. HH-17 SE 1/4S 11 T 27 R 5 DATE 3/20/13. W.O. NO. 385376 REASON FOR WORK INSTALL NEW POLE AND WORK ENGINEER WHITEHEAD TASK 03 WITH AT&T CONTRACTOR TO MODIFY DRAFTER WHITEHEAD U.G. NO. EXISTING CELL SITE SCALE 1"=100' DATE WORK COMPLETED APPROVED DATE PRINTED FOREMAN ENVIRONMENTAL ANALYSIS FEES R E Q' D ❑ YES FEES ❑ NO N PARA. 18 ❑ IT M EXEMPT SUBSTATION Perrinville PRIMARY OVERHEAD �>CK CIRCUIT NO. 93 PHASE 2 RESIDENTIAL CKT PH COMMERCIAL R PHL N0. NCKT. FT. SEC NDARY OVERHEAD BASIC FEE S METER CONV. POLE g PRIMAR UNDERGROUN ❑ RESIDEN AL ❑ COMMERCI BASIC F E g LEU NO. SECONDARY '@I UNDERGROUND q FT STREET LIG FT WORK IN ❑ PRIMARY GROUND FEE g 0. .G. COND. V ADD CKT PH REM CK PH N CKT. FT. PERMITS ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ CITY EASEMENTS ❑ REQUIRED ■ NOT REQUIRED AT DATE RELEASED AS C FEE S FOREIGN CONTRACTS ■ Frontier JPN NO. NG ■ CATV JPN NO. ❑ JOINT TRENCH VERIZON & CATV GHT OF AY ❑ JOINT BORE VERIZON & CATV ❑ SECOND Y POLE STENCILING FT.0 $ FROM TO MISCEL ANEOUS FEES TAKE OFF POLE VAULT S PRE-CONST. REQUIRMENTS PERMIT S ❑ TREE TRIM ❑ PUD LOCATOR g ❑ BACKHOE ■ FLAGGING g ■ ONE CALL DATE g No. TOTAL DUE 8 INDEX POLES PLAT D TE PAID LOGS U—MAP ECEPT NO. XFMR C—MAP NEW SVCE APPLICATION NO. LOCATION MAP PAGE 454. H2 LEGEND: o EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE X NEW POLE TO REPLACE EXISTING POLE ENGR'S TEL. # 783-4498 ENGR'S CELL # 319-3660 A N Ova GPOLE 1-6 Set 60 foot H2 pole in place Install 12F337 wing arm assembley Install new down guy and anchor Work with AT&T's contractor to modify cell site End of rme 2 1-3 1-228983 Before End of rme 1-3 2 1-228983 R - _M To SW*12-1248 N.C. To SW*12-1248 N.C. o� N 0 0 E W 00 M rM 0 N N W Q 0