Issued ROW Permit.pdfCITY OF EDMONDS
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121 5TH AVENUE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSTTE*
STATUS: ISSUED ENG20190087
RIGHT OF WAY PERMIT (6-EUC)
Permit Number: ENG20190087 Expiration Date: 10/04/2019
Job Address: 9620 EDMONDS WAY, EDMONDS Location: 9620 Edmonds Way
SNOHOMISH COUNTY PUD
P.O. BOX 1107
EVERETT, WA 98206
OH switch maintenance on Pole 268857
SNOHOMISH COUNTY PUD
P.O. BOX 1107
EVERETT, WA 98206
(425) 670-3216
LICENSE #: EXP:
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
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 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.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THE W O RK.
• Traffic Control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger Imtst
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 (1-800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NOTICEREOUIRED 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.
Printed: Thursday. Anril 04.201
14 /—I
DATE
❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
ENG20190087
• Restore ROW to City standards
• Restore Landscape to like orbetter conditions.
• Alert affected residents and/or businesses prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• 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 frontage 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 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 orher 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 fromthe issuance of this pen -nit. 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
PARTIAL INSPECTION
FINAL INSPECTION APPROVED
DATE: INITIAL:
DATE: INITIAL:
DATE: INITIAL:
NOTES:
NOTES:
'hlc 1 g913
{ ROW PERMIT NO.: ENG Qo 67
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION RECEIVED
PERMIT "PLICAiTION MAR 112019
PROJECT NAMESI_� CONTACT• M �\ ENGINEERING DIVISIUN
�� ( Mc_t)\kC
CONTRACTOR: Phone #:
SY�h Co
Mailing Address: ph. lazy Fax #:
State License #: 1_4 • W A, . c V2_0 o Email #:
City Business License #: ❑ Liability Insurance ❑ Bonded
^ ADDRESS OR INTERSECTION OF CONSTRUCTION:
ROW WORK ASSOCIATED 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# _
Y
DESCRIPTION OF PROPOSED WO a pecific) : b��
WA.S STRPET OVERLAYED WTf`RIN THE LAST FIVE (5) YEARS? - YE$.❑ NO. Year.'
PAVEMENT CUT: ❑ Yes No
CONCRETE CUT: ❑ Yes [;a No
If yes, -indicate size of cut: -
If yes, indicate size of cut: g
FIGHT -OF -WAY
�
DURATION
AREACLOSURE
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, foreseen or unforeseen, that may be made against the City of Edmonds or.
any of its departments or errlployees,,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 v w �/U`� `' DATE
--
actor or Agent -- -
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
L71
LEGEND:
,E -CONE OR CHANNELIZING DEVICE
(SEE STD 702)
t vac• 33
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NOTE:
1, FLASHING BEACON SHALL, BE INSTALLED AT
EACH SIGN FOR NIGHT-11ME USE.
2, DISTANCES MAY VARY AS APPROVED BY THE
ENGINEER. ,
3. FLAGGERS REQUIRED TO CONTROL TRAFFIC
WHENEVER THE CONTRACTOR MUST INTERRUPT
TRAFFIC 'FLOW TO ACCESS THE WORK SITE
WITH MATERIALS OR EQUIPMENT,
TABLE A
WORK AREA
SPEED
(JMPH)
TAPER LENGTH
(FT)-
CONE SPACING
ALONG TAPER -
(FT)
OFF SE•T WIDTH
10'.
12'
25
100
120
25
30
150.
180
30
35
200
240
35
40
270
320
40
45
450
1 540
45
007* VkMk�: ° AK z,,? M
TRUCK WITH W Val-� - (0Qlh
FLASHING OR WITH -
BEACDN < 3or
—��5f-W9 r0J-1 , d 9,MO
TAPER LENGTH (V-tavNR-C%p
(TABLE A)
APPR V ED AS NOT' .1
�r NAN:?3
' U
(w R) C SR C
RIGHT LAN
CLOSf D
AHEAD
(W 2o-552) ,
�Sr; t Jo. �_ � •
c,
C
J_ -3
ROAD (� (n la
ONSTRUCTION '"
.AHEAD W O �L ,
JO" cJt
.j
TRAFFIC CONTROL PLAN
I
5 LAME ROADWAY WITH RIGHT LANE CLOSED
w
mmgmwuzi PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 9620 EDMONDS WAY ED _ LYNNWOODAREA
POLE No. 268857 NE1/4536 T 27 R 03 DATE 3/3/19 ORDER 100042982
REASON FOR WORK PERFORM MAINTENANCE ENGINEER MCALLISTER OPERATION 0030
AND VERIFY OPERATION DRAFTER U.G. N0.
AT INERTIA SWITCH 12-546 SCALE 1" = 100'
APPROVED
r & — DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ❑ YES ■ No
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
'rag '=a
ENG AS -BUILT VERIFICATION DATE
❑ PHASING, TAPS & FUSING SUBSTATION WSG
❑ POLE & VAULT STENCILS
❑ CABLE TAGS I CIRCUIT NO. 405 PHASE 1.2.3
❑ FRAMING
❑ EQUIPMENT LOCATION
VERIFIED BY
DATE
SECONDARY OVERHEAD NESC VIOLATIONS
BASIC FEE S_ ■ NO ❑ YES (SEE NOTES)
@9 =8 PERMITS (DATE GRANTED)
METER/CONV. POLE g ❑ TREE TRIM
PRIMARY UNDERGROUND ❑ STATE
❑ RESIDENTIAL ❑ COUNTY
❑ COMMERCIAL ■ CITY
BASIC FEE S ❑
LEU No. -EASEMENTS
@$ .=$
❑ REQUIRED ■ NOT REQUIRED
SECONDARY UNDERGROUND
-
BASIC FEE S
�fi _$
DATE RELEASED
UNDERGROUND PLAT
FOREIGN CONTACTS
BASIC FEE S
❑ JPN#
FT.@S _$
❑ JOINT TRENCH FRONTIER & CATV
STREET LIGHTING
❑ JOINT BORE FRONTIER & CATV
cL FT.0 _$
■ WA
POLE -STENCILING
WORK IN RIGHT OF WAY
FROM TO--
❑ PRIMARY
❑ SECONDARY
TAKE OFF POLE_
PRE-CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
q FT.@S '=S
MISCELLANEOUS FEES
❑ BACKHOE ❑ FLAGGING
VAULT 8
❑ ONE CALL DATE
PERMIT 8
No.
STREET LIGHTING
$-
❑ YES ■ NO
S
M&R
AS -BUILT
8
GIs
TOTAL DUE S
GIs QC
M&R
DATE PAID
RECEIPT NO.
GIs Ph
JOINT USE
LOCATION MAP PAGE 474 Hl
SERVICE ORDER NO.
LEGEND:
O EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
NEW POLE TO REPLACE EXISTING POLE
ENGR'S TEL. #
425-670-3214
ENGR'S CELL #
-:5:6:2::3:fl
TO WSG
CIR 12-405 a
_ SW 12-546 N.O.
Cv PL /#258857
CA ? TO WSG
DCIR 12-404
D r
n F-
R°
CA BEFORE & AFTER
N D SCHEMATIC
NTS
OA 9620 EDMONDS WAY ED
POLE PLI268857 WSG 12-405 SWITCH #546
PERFORM THE FOLLOWING MAINTENANCE ON SWITCH AND CONTROL ROD:
REFER TO STANDARD BULLETIN NO.220
SG
12
N DS
268857
N.O. SW 12-546 9620
INERTIA
SG 231
12 3:
404 LLi
PLAN VIEW Q
V = 10 0'
r-
O')
- CONFIRM SHUNT ARM IS PROPERLY ALIGNED WITH THE BOTTOM SWITCH JAW [ ] COMPLETED
FOR EACH OF THE (3) SWITCH POSITIONS
REFER TO T&D GUIDELINE 4-11-30.0 REV 2 DATED MARCH 15, 2018
RE -SUPPORT CONTROL ROD - ADD TOGGLE GUIDES AND ADJUST AS NEEDED []COMPLETED
NUMBER OF GUIDES ADDED I NOT NEEDED
- ADJUST TOP ROD LENGTH TO RESOLVE INTERFERENCE WITH LINK ARM []COMPLETED
[ ] NOT NEEDED
REFER TO ASSEMBLY 12F713 (REV 10 DATED JULY 11, 2018)
RE -SECURE SW NUMBER BOARD PER STANDARD []COMPLETED
[ ] NOT NEEDED
- CLEAN SWITCH CONTACTS AS NEEDED AND APPLY MOBILGREASE 28 (MID 5001116) [ ] COMPLETED
[ ] NOT NEEDED
- VERIFY SWITCH IS OPERATING PROPERLY [ ] COMPLETED
- INSTALL BLACK AND YELLOW REFLECTIVE DECALS FOR [ ] COMPLETED
SWITCH NUMBER ABOVE SWITCH HANDLE, PER NOTE 5
- INSTALL GREEN AND WHITE REFLECTIVE DECALS FOR [ ] COMPLETED
YEAR MAINTAINED ABOVE SWITCH NUMBER, PER NOTE 5
OTHER RELATED COMMENTS OR INFO, OTHER ISSUES, ACCESS ISSUES, ETC. -
PROVIDE ADDITIONAL COMMENTS/QUESTIONS/INFORMATION TO MARK SIMPSON, DISTRIBUTION
LEAD ENGINEER, AT (MBSIMPSONEDSNOPUD.COM) OR CALL HIM AT CELL 425-345-5987