Issued ROW Permit ENG20190215.pdf01. E04f
A f��N CITY OF EDMONDS
q11" I S rw� 121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE. (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20190215
Permit Number: ENG20190215 Expiration Date: 11 /25/2019
Job Address: 515 HOMELAND DR, EDMONDS Location: 515 HOMELAND DR
APPLICANT CONTRACTOR
SNOHOMISH COUNTYPUD SNOHOMISH COUNTY PUD
P.O. BOX 1107 P.O. BOX 1107
EVERETT, WA 98206 EVERETT, WA 98206
(425)670-3216
LICENSE #: UBI: 313 005 741 EXP:
JOB DRSCRIPTION
Install underground sec riser on a)dsting pole and set pedestal for new building.
DISRUPTION INFORMATION
ASSESSED VALUE: $0.00 PROPERTY AREA: 0
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
INDEMATTY 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 ofEdmonds 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 RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR 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 RWUESTS
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
I_ Printed: Friday, May 24 20191
Gam^ ;Y s / I
RELEASED BY
DATE
❑ IR L,E COPY INSPECTOR COPY 0 APPLICANT COPY
STATUS: ISSUED
ENG20190215
• 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 Controlper approved plan and MUTCD. Refer to City of Edmonds traffic control requirements.
• 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 pern-utted project.
• Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt fromthe 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
hamuless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly fromthe issuance of 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-Engineering Final
PARTIAL INSPECTION
PARTIAL INSPECTION
FINAL INSPECTION APPROVED
DATE:
DATE:
DATE:
INITIAL:
INITIAL:
INITIAL:
NOTES:
NOTES:
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.ROW PERMIT NO.: ENG ;tO 1�c ___I C:a 1�
O 1;�& imC) l ( ' ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION SF,CFIVF-D
PERMIT APPLICATION MAY 16 201%
D�V�SI�N
PROJECT NAME.'S�Siv
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CONTACT: •
M �. �.
ENGmEERING
M c- iw k c z�c
CONTRACTOR: Sh � C
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Phone #: � 2 � _ ��
b - ?�2
Mailing Address:
pc�.
x 1\L1'l.a� ,�41
Fax #:
`-'L2S�- ,0:7O-
32b L
State License #:
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Email #•
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G.F,t.t,:SS`Ve
City Business License #:
❑ Liability Insurance
❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION:
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision El City Project ® Traffic Control (Only)
❑ Multi -Family ❑ Single Family ❑ -Other
[4 EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes No
ANY ASSOCIATED PERMITS? BLD# ENG#
� D(ESSCIMTION OF PROPOSED WORK (Be'Spec'tic) :
WAS STREET OVERLAYED WITHIN THE LAST ME (5 YEARS? - YES.. NO ❑ 'Year:
:PAVEMENT CUT: ❑ Yes No If yes, indicate size of cut: x
CONCRETE CUT: ❑ Yes [0 No If yes, indicate size of cut: • x
RIGHT-OF-WAY
AREA TOTAL
CLOSURE
Sidewalk 48 Hrs + I LF I X I LF 1 SF
Alley 72 Hrs + LF I X I LF SF
Parking 72 Hrs + LF I X I LF SF
DURATION
(NUMBER OF MONTHS)
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 and 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 r6ad the above statements and understand the permit requirements and aclmowledge that I must
follow all requirements in order for the permit to be valid:_ J
SIGNATURE c:%w 11`i`... DATE I b
q.Qractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
I
' �
i
i
F
ROAD
DNSTRUCTION -�
•AHEAD
(w" 1) SEE NOTE 1
ROAD
NARROWS
(W3i)
0 SEE NOTE 1
TAPER LENGTH
(TABLE A)
TABLE A
TAPER LENGTH
SPEET
(FT)
CONE SPACING
(MPH)
OFFSET WIDTH
ALONG TAPER
10' .12'
(FT)
25
100 120
25
30
150' 180
30
35 '
200 P-40
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
, 1
V
2,
FLASHING BEACON SHALL BE
INSTALLED' AT. EACH SIGN FOR
NIGHT-TIME- USE.
3,
DISTANCES MAY VARY AS APPROVED
(�
BY THE ENGINEER•
S,
4,
.FLAGGERS REQUIRED TO CONTROL
TRAFFIC WHENEVER THE CONTRACTOR
MUST INTERRUPT TRAFFIC FLOW
""11
TO ACCESS THE WORK SITE WITH
MATERIALS OR EQUIPMENT.
LEGEND:
°❑: CONE ❑R' CHANNEL•IZING DEVICE
CSEE STD 7-14)
C
-5/2
a•
WORK AREA _.
0
❑° TRUCK WITH
FLASHING OR WITH
❑o BEACON
MIN IN ❑ ao'
O
❑ I0
O TAPER LENGTH
° (TABLE A)
°
SEE NOTE 1
(WI-4 Q
SEE NOTE 1
ROAp
TRUCTION
AHEAD
(M(10-1)
3.
TRAFFIC: CDNTRpL PLAN
-.
2 LANE ROADWAY PARTIAL LANE CLOSURE =' '
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 515 HOMELAND DR ED _
POLE NO. 263ZU NW1/4525 T 27 _ R 03
REASON FOR WORK _INS TL UG SEC RISER PED ON
EXIST_LN_G__PQLE
CONN 0
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ■ YES ❑ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
SECONDARY OVERHEAD
BASIC FEE S
'@8 '=8
METER/CONV.POLE s
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COMMERCIAL
BASIC FEE S
LEU NO.
LYNN AREA
DATE 5/16/19 ORDER 100045843
ENGINEER MCALLISTER OPERATION 60
DRAFTER U.G. NO.
SCALE
APPROVED
& -- DATE PRINTED
ENG AS —BUILT VERIFICATION DATE
❑ PHASING, TAPS & FUSING SUBSTATION 5CR
❑ POLE & VAULT STENCILS
❑ CABLE TAGS I CIRCUIT NO. 1283 PHASE 3
❑ FRAMING
❑ EQUIPMENT LOCATION I
VERIFIED BY
DATE
NESC VIOLATIONS
■ NO ❑ YES (SEE NOTES)
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE
❑ COUNTY
■ CITY
Fl
EASEMENTS
@$ 1=8
❑ REQUIRED ■ NOT REQUIRED
SECONDARY UNDERGROUND
BASIC FEE S
'@S I=8
DATE RELEASED
UNDERGROUND PLAT
FOREIGN CONTACTS
❑ JPN#
BASIC FEE S
-
FT.@S '=S
❑ JOINT TRENCH FRONTIER & CATV
STREET LIGHTING
❑ JOINT BORE FRONTIER & CATV
POLE STENCILING
WORK IN RIGHT OF WAY
FROM TO
❑ PRIMARY
TAKE OFF POLE
❑ SECONDARY
(E FT.@$ '=8
PRE—CONST. REQUIRMENTS
MISCELLANEOUS FEES
❑ TREE TRIM ❑ PUD LOCATOR
❑ BACKHOE ❑ FLAGGING
VAULT S
■ ONE CALL DATE
PERMIT S
Na
CSLER $
STREET LIGHTING
S --
❑ YES ■ NO
S -
M&R
AS -BUILT
GIS
TOTAL DUE S
DATE PAID
GIS QC
M&R
RECEIPT NO.
GIS Ph
JOINT USE
SERVICE ORDER NO.
LOCATION MAP PAGE
F(',FNn:
O EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
)11 NEW POLE TO REPLACE EXISTING POLE
ENGR'S TEL. #
425-670-3216
ENGR'S CELL #
425-501-1254
r
(: ) POLE 263783
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INSTL UG SEC RISER PED ASSY 12U705
SET PED AS STAKED
RUN 45' OF 350 UG SEC TPX FRIVI
XFIVIR #37-384678 TO PED
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