ENG20170409-APPROVED PERMIT.pdfOI. 1:17,It
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 ENG20170409
RIGHT OF WAY PERMIT (6-ELJC)
Permit Number: ENG20170409 Expiration Date: 06/01 /2018
Job Address: 24015 84TH AVE W, EDMONDS Location: 24018 84TH AVE W
-APPLICANT 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 #: UBI: 313 005 741 EXP
Install 3 PH OH transformer bank on e)asting pole for Campbell Nelson's car chargers. Install PED.
DISRUPTION INFORMATION
ASSESSED VALUE: $0 00 PROPERTY AREA:
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE $0 00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
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 ofany 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 ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCEOFTHEWORK.
• 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 NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED
/Z/!/ZD/7
RELEASED BY
Printed: Friday. December 01. 201
DATE
❑ FILE COPY ❑ INSPECTOR COPY 0 APPLICANT COPY
STATUS: ISSUED
ENG2O17O4O9
• 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 control requirements.
• Applicant shall repair/replace all damage to utilities or fi•ontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
• Sound/Noise originating fromtemporary 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:OOpm 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 of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
• E Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
OCT 0 9 Nil
-ROW PERMIT NO.: ENG �l% —OYO
O ISSUE DATE:
1 J_� `('6-34 2
RIGHT-OF-WAY C( STRUCTION
PERMIT APPLICATION
SCANNED
off 0 9 201?
CONTACT:
CONTRACTOR:phone
Mailing Address: x b'lN . Fag #:
-State.License #: Ji7�.ef� 0SlL lv UA Email#-
�—
City Business License #: ❑ Liability. —Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: I1 LAU l_, 1
ROW WORK ASSOCYATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial 'Subdivision City Project Traffic Control (Only)
❑ Multi -Family ❑ Single Family ,❑ Other
❑ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is_this permit part of a blanket permit? ❑ Yes' No
ANY ASSOCIATED PERMITS? BLD# ENG#
DECR]PTION OF PROPOSED WORD, (Be specific): �C� �j ��
IN ►� p
�Gk� 310 vim.•
_..__..__....._... .......-•..
WAS STREET OVERLAYED WITHIN THE LAST FWE'(3) 'uEARS� YES NO ❑ Year
PAVEMENT CUT:
❑ Yes
14 No
If yes, indicate size of cut:. x
CONCRETE CUT:
❑ Yes
No
If ,yes, indicate size of eut: '. x
RIGHT-OF-WAY
DURATION
CLOSURE AREA TOTAL
(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, foreseers 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.
I (� 1 '
SIGNATURE DATE
0
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
3
3
ROAD
fINSTRUCTION
AHEAD
(1Yw 1) SEETOTE 1
ONE LANE 4
AHEAD
(W30 a) SEE O7E
If
�J(w20-7 a) SEE NOTE l
,a
``(2vpp WORK /�I-IEA�" SINS
-tc� a�. 'P�%!c.►20 o�v AQ�-Graz
TABLE A S-cRGeiS,
SPEED
(MPH)
.
TAPER LENGTH
(FT)
CONE SPACING
ALONG TAPER
(FT)
OFFSET WIDTH
10'
12,
25
100 •
120
25
30
150
180
30
35
200
240
35
40
270
320
40
45
450
540
45
NOTE:
1. DISTANCE BETWEEN SIGNS SHALL
BE 100' FOR RESIDENTIAL
STREETS (25 MPH), AND
200' 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,
❑o CONE OR CHANNELIZING DEVICE
(SEE STD 7-14)
j
;-GRZO-2
WORK -AREA
O ` S
TRUCK WITH
FLASHING ❑R WITH
BEACON
3➢
TAPER LENGTH
(TABLE A)
f `
SEE NOTE 1-
SEE NOTE 1
SEE NOTE 1
TRAF-F"IC CONTROL PLAN
2 LANE R❑ADWAY1 ONE LANE CLOSED WITH
ALTERNATING ONE—WAY TRAFFIC AND FLAGGERS
V (wz0-a)
30'
ROAD
ONSTRUCTION
AHEAD
(V20-1)
30"
T
Page 6H-16
Notes for Figure 6H-6—Typical Application 6
Shoulder Work with Minor Encroachment
Guidance:
2003 Edition
1. All lanes should be a minimum of 3 in (10 ft) in width as measured to the near face of the channelizing
devices.
2. The treatment shown should be used on a minor road having low speeds. For higher -speed traffic
conditions, a lane closure should be used.
Option:
3. For short-term use on low -volume, low -speed roadways with vehicular traffic that does not include
longer and wider heavy commercial vehicles, a minimum lane width of 2.7 in (9 ft) may be used.
4. Where the opposite shoulder is suitable for carrying vehicular traffic and of adequate width, lanes may
be shifted by use of closely spaced channelizing devices, provided that the minimum lane width of 3 in
(10 ft) is maintained.
5. Additional advance warning may be appropriate, such as a ROAD NARROWS sign.
6. Temporary traffic barriers may be used along the work space.
7. The shadow vehicle may be omitted if a taper and channelizing devices are used.
8. A truck -mounted attenuator may be used on the shadow vehicle.
9. For short -duration work, the taper and channelizing devices may be omitted if a shadow vehicle with
activated high -intensity rotating, flashing, oscillating, or strobe lights is used.
10. Vehicle hazard warning signals may be used to supplement high -intensity rotating, flashing, oscillating,
or strobe lights.
Standard:
11. Vehicle hazard warning signals shall not be used instead of the vehicle's high -intensity rotating,
flashing, oscillating, or strobe lights.
2003 Edition
Page 6H-17
Figure 6H-6. Shoulder Work with Minor Encroachment (TA-6)
Od3Hb T
A80M
ObO�
A
A80M OV08
0N3 T
1
t
Typical Application 6
END
ROAD WORK
Note: See Tables 61-1-2 and
6H-3 for the meaning
of the symbols and/or
letter codes used in
this figure.
Truck -Mounted
Attenuator
(optional)
Bufferspace
(optional)
1/l3 L
1
A
ROAD
j WORK
AHEAD
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 24015 84TH AVE W ED SOUTH COUNTYAREA
POLE No. 4-269852 SW1/4S 31 T 27 R 04 DATE 8/21/17 W.O. No. 100022322
REASON FOR WORK INSTL UG 3PH SEC RISER PED ENGINEER MCALLISTER TASK _60
FOR CAMPBELL NELSON DRAFTER- U.G. NO.
69 KW CONN LD SCALE NTS
APPROVED DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ■ YES ❑ No
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
SECONDARY OVERHEAD
BASIC FEE S
La '=8
METER/CONV.POLE s
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COMMERCIAL
BASIC FEE S
LEU NO.
'@8
'=8
SECONDARY UNDERGROUND
BASIC FEE S _
UNDERGROUND PLAT
BASIC FEE S
A FT.0
_$
STREET LIGHTING
rL FT.@S
=8
WORK IN RIGHT OF
WAY
❑ PRIMARY
❑ SECONDARY
rL FT.@S
'=8
MISCELLANEOUS FEES
VAULT S
PERMIT S
COST EST s 5,663 _
s
s
TOTAL DUE 8 566314.4
DATE PAID 10/5117
RECEIPT NO.1800009759
SERVICE ORDER NO.
F(;FNn:
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE
❑ COUNTY
■ CITY
EASEMENTS
❑ REQUIRED ■ NOT REQUIRED
DATE RELEASED
FOREIGN CONTACTS
❑ JPN#
❑ JOINT TRENCH FRONTIER & CATV
❑ JOINT BORE FRONTIER & CATV
■ N/A
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
GIS
WORKING
1 LINE
FINISHED POLE/
XFMR
JOINT USE
LOCATION MAP PAGE 474 J-3
O EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
)1( NEW POLE TO REPLACE EXISTING POLE
&
DATE
SUBSTATION RPK
CIRCUIT N0. 5217 PHASE 1.2.3
ENGR'S TEL. #
425-670-3216
ENGR'S CELL #
425-501-1254
G
POLE 269852 CHARGE TIME TO WO.100012360
RMV DIST XFMR 875-399215
SER•
HANG A 1201240 7200V 25KVA XFMR 25-
SEC VOLT
SER•
RE -HANG A 120/240 7200V XFMR 75-399215 IN CENTER POS
SEC VOLT /
SER*
HANG A 120/240 7200V 25KVA XFMR 25-
SEC VOLT /
SER •
OPOLE 269852 CHARGE TIME TO WO`I00020742
INSTL UG SEC RISER PED ASSY IU705 AND XLARGE PED V0104
34' SE AS STAKED WITH W/4 153 BAR SEC CONN
240TH ST SW RUN 34' OF 350 AL UG SEC QUAD IN EXISITNG 4" PVC FROM
25KVA 3 XFMR BANK TO PED
75KVA 2 REFER TO TO GUIDLINE 4-13-8.0 FOR WIRING 120/240V 3-WIRE 1P
25KVA 1 & 120/208V 4-WIRE 3PH SERVICE FROM ONE 3-PH BANK
AFTER L-1061$0—A
/RPK 240TH ST SW N _ �� t0 �n}lJ-
SCHEMATIC
240TH ST SW 3 2 W4-269852 EXISTIN 120/24001
r 'OP'
SINGLE H PED
75KVA 2 5217 75-399215 S—CUST
1 NEW XLRG PED 3
120/208 3PH
BEFORE Q>
24015 AL-7396—Y t
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