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ENG20170245-APPROVED PERMIT.pdft� STATUS: ISSUED 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMI MUST BE POSTED ON JOBS E* ENG20170245 Permit Number: ENG20170245 Expiration Date: 12/01/2017 Job Address: 8000 212TH ST SW, EDMONDS Location: 8000 212TH ST SW 1APPLICANT -- CONTRACTOR SNOHOMISH COUNTY PUD SNOHOMISH COUNTY PUD P.O. BOX'H P,0, BOX H EVERETT, WA 98206 EVERETT, WA 98206 (425)670-3216 LICENSE #: EXP: JOB DESCRIPTION Relocate pole on 80th Ave W for the multi family project Brackets Comer, BLD20160598. Move power lines. Restoration of the right of way DISRtIPTION INFORMATION ASSF','5.51il) VALUE $0:00 PROPERTY AREA: 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0„00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 ) PARKING: ( 0X0 ) DURATION IN MONTHS: 0 FEE $0;.00 YEAR OF OVERLAY: 0 FEE: $0,00 ALLEY: OXO) DURATION IN MONTHS: 0 FEE• $td,00 INDEMNITY The Applicant, has signed an application which states he/she holds the City of Edmonds harmless from injuries, damages or claims,ofany kind or description ii�halsoei,er,'foreseen or unforeseen, that may be made against the City, of Edmonds or any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and attorney fees by reason ofgranting this permit. THE CONTRACTOR IS RESPO NSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE0E-THEWORK 0.:. 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. CALLDIAL-A-DIG (1-500-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS APPLICATION APPROVAL THIS APPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR'HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED FILE COPY' F—] INSPECTOR COPY ❑ APPLICANT COPY • 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. • Verify clear bore crossings • Utility patch restoration to be in accordance with Edmonds Standard detail E2.3 • Maintain erosion & sedimentation control. Keep street clean. • Call for required inspections as noted. • Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic controlrequirements. • 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:OOpm 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 ofthis permit. Issuance ofthis,permit shall not be deemed to modify, waive or reduce any requirements 'ofany City ordinance not limit in any way the City's ability to enforce any ordinance provision... * 1rROW Restoration • B -Traffic Control * E Engineering Final PARTIAL INSPECTION DATE: INITIAL: NOTES:; PARTIAL INSPECTION DATE: INITIAL: NOTES, FINAL INSPECTION APPROVED DATE: INITIAL: of EDAIC) vl�lllsry bol SCAM JUH 2 tl 2017 JUN BUILDING ROW PERMIT NO.: ENG d01, 7 P q ISSUE DATE: ARIGHT -OF -WAY CONSTRUCTION PERMIT APPLICATION . PROJECT NAME. ""� CONTACT: " CONTRACTORytnn CPhone #: 23� —7 v3 Mailing Address 1/U7 Fax #: State�License—#-.J-_ Email .m...� ........... . #: C� Business License #: TiLiabt it y � j d Insurance 'ty y Bonded 2� ADDRESS OR INTERSECTION OF CONSTRUCTION: 4 ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: Commercial Subdivision City Project .... Traffic Control (Only) ❑ Multi -Family ❑ Single Family E1.JC (110D, VERIZON, PSE, ( 1' CAST, OVWSD): Is this permit part of a blanket permit? ❑ Other ❑ Yes ❑ No ANY ASSOCIATED PERMITS? I F LD#._..._._ .. ...... . . . .......... DESCRIPTION OF PROPOSED WORK (Be Specific) : Ulf IM544 pok (2or VERLAYED WITHIN THE LAST FIVE (5)YEARS? [� _._ WAS STREET + YES NO Year: PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut: x CONCRETE CUT: 0 Yes ❑ No If yes, indicate size of cut: x RIGHT-OF-WAY DURATION CLOSURE ARIDA TOTAL (NUMBER OF MONTHS) Sidewalk 48 Hrs+ LF X LF SF Alley 72 Hrs +Y LF X LF SF ..e..w ------- -- 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 rcq uirenien . in order for t e permit to be valid. �^7 SIGNATURE b DATE ^20� ` E Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) Ratio,: W20-1 WaRK: AHEAD W20-4� pREAO;; m W20 -7A _.... Q z� 2:2 o N of Q G20 -2A END RDAD WORK ' (OPTIONAL) -A END,ORK G20 -2A Q (OPTIONAL) SGN PEED SPAC NG BUFFER A, BX (FT) 7— a 25 200 55 30 200 .85 ..., 35 350 120 40 350 170 5 500 220 50 500 80 55 500 335 W20 -7A m fhH N. A ROAD W2 -4 AHEAD U Wo W2 r�5 1 I �amtL 5 �'� OVA W wtc)� 0� 50, ��'��► raver I. o. ° I)k-11 un n"Vi j.i'd +�AFFIC CONTROL PLAN PAtVC UiicffY prsrLi PROJECT BRACKETS CORNER ..._.._.�_.....A,,....... _ - _..� ��.....�,... 5000 212TH ST SW EDM,ONDS...98020 ......... LOCATION 06/20/17 100016�� ENGINEER JOHN WILLIAMS mm� DATE ORDER 954 PHONE (425) 783-4766 CELLULAR (425) 346-6660 E; C O U ENPUBLIC UTILITY DISTRICT N0.1 OF SNOHOMISH COUNTY 11 REQUIRED LI NOT REQUIRED -0 LOCATION 8000 212TH ST SW. EDMONDS HL AREA N ........ . . ... . POLE NO. 1-- 143 - - - 72 29/17 NE1/4S30 T27 R 4 DATE„ . ................ . ORDER ...... . .... UNDERGROUND PLAT REASON F I OR WORK RELOCATE OVHD FOR THE PLAT ENGINEER WILLIAMS .......... — OPERATION 0030..— � FT.P.$-- = 9 —� RR R N F R DRAFTER U.G. NO. FT.@$ POLE STENCILING WORK IN RIGHT OF WAY SCALE N/A 0 PRIMARY TAKE OFF POLE []ARY SECOND D q Frm FEES J;A;�0 PPRC V E' DATE PRINTED VAULT S. #ATE WORK COMPLETE$ FOREMAN METER/CONV.POLE S PRIMARY UNDERGROUND El RESIDENTIAL El COMMERCIAL BASIC FEE 3 LEU NO. Ica 1, 11 REQUIRED LI NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE i..... N RELEASED FOREIGN CONTACTS UNDERGROUND PLAT M JPN* FEE® BASIC FEE n JOINT TRENCH FRONTIER & CATV � FT.P.$-- = 9 —� JOINT BORE FRONTIER & CATV STREET LIGHTING 14360 FT.@$ POLE STENCILING WORK IN RIGHT OF WAY FROM TO 0 PRIMARY TAKE OFF POLE []ARY SECOND PRE–CONST. REQUIRMENTS q Frm FEES 0 TREE TRIM 0 PUD LOCATOR MISCELLANEOUS El BACKHOE 0 FLAGGING VAULT S. 0 ONE CALL DATE PERMIT 8 Na. OVHD Rl I .5 877 0 STREET LIGHTING D YES 0 NO . ........... . . M&R AS -BUILT cis TOTAL. DUE u 5 8'/ 01C 11111-1— -'.- GIs QC .. . . ........... M&R DATE PAID ..... . . .... - . ........ . ........ RECEIPT NO. GIs Ph JOINT USE . . . . ................. . . . SERVICE ORDER NO. LOCATION MAP PAGE 454 J6 LEGEND: 0 EXISTING POLE X EXISTING POLE --TO BE REMOVED e NEW POLE )K NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION 5CR..., CIRCUIT NO. 12-1285 PHASE 3 ENGR'S TEL. 425-783-4766 FNGR'S CELL . ........... N 321 3-1 <r GVHD 14360 FL165 37KVA 00 OVHD 00 m m CUSTOMEF JOKE [-- Yl 4 2 5 --- 4 � 2 --- ,JAKEQPRI PO BOX 4 EDMONOS OVHD 14360 FU65 37KVA AFTER