Issued ROW Permit.pdfti CITY OF EDMONDS
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121 5TH AVENUE NORTH - EDMONDS, WA 98020
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PHONE: (425) 771-0220 - FAX: (425) 771-0221
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*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20190088
RIGHT OF WAY PERMIT (6-EUC) I
Permit Number: ENG20190088 Expiration Date: 10/04/2019
Job Address: 9005 244TH ST SW, EDMONDS Location: 9005 244TH ST SW
APPLICANT ('ONTRACTOR
SNOHOMISH COUNTY PUD SNOHOMISH COUNTY PUD
P.O. BOX 1107 P.O. BOX 1107
E\=T, WA 98206 EVERETT, WA 98206
(425) 670-3216
LICENSE #: EXP:
i DESCRIPTION
Overhead switch maintenance on distribution pole 212234.
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 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 ORK.
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 N O 11C E REQ UIRED FOR ALL INS PEC TIO N 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, April 04, 2019
RELEASED
DA
N
FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
STATUS: ISSUED
ENG20190088
• Restore ROW to City standards
• Restore Landscape to like or better 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 fromterriporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon Saturdays, excluding
Sundays and Federal Holidays. At all other tines 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 indenmify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all clairns for damages of
whatever nature, arising directly or indirectly fromthe issuance of this perrrrit. 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:
-'Alc. ].gV
ROW PERMIT NO.: ENG �to Vi 0 iK
DOO �Vc( %-S— 3 c3 ISSUE DATE:
RIGHT-OF-WAY CO*STRUCTION RFCFIVF-D
PERMIT APPLICATION MAR 112019
PROJECT NAME:a.' t3
CONTRACTOR:
Mailing Address:
k� C-)
State License #:
City Business License #:
Vok W)CL �nA Ce
CONTACT:. M
Phone #: LA 2, CS
Fax #:
Email #: IAV\ K
❑ Liability Insurance ❑
ADDRESS OR INTERSECTION OF CONSTRUCTION:.110 0 ��- -ILA
Gjlvtbhjj�,- UIVOON
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Bonded
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial J_j Subdivision H City Project
n Multi -Family E] Single Family n-Other.
[4 EUC (PUD, VERTZO'N, PSE,
COMCAST, OV.WSD):
Is this p6rmit part of a blanket permit? ❑ Yes No
ANY ASSOCIATED PERMIT ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) V
V\
Traffic Control (Only)
WAS ST131 ET OVERLAY ED W-HUIN THE LAST FIVE (5) YEARS? YE Sf] NOU wan
.PAVEMENT CUT:
El Yes
JA No
If yes, indicate size of cut: X-
CONCRETE CUT:
0 Yes
❑ No
If yes, indicate size of cut:' X
RIGHT-OF-WAY .
DURATION
TOTAL
(NUMBER OF MONTHS)
CLOSURE`
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 admowledge'that I must
follow all requirements in order for the permit to be valid
SIGNATURE ; Lt� �..� ` C��. �. DATE
c n 4ractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
LANE CLOSURE ON A TWO-LANE ROAD
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APPRO D AS NOTE�V
PUD CREWS TO MAINTAIN ACCESS FOR RESIDENTS DURING CONSTRUCTION
SNOHOMISH COUN7y
G°-MFD TRAFFIC CONTROL PLAN
FUMIC UIIIRY OISIRICI NU 1
PROJECT
LOCATION
ENGINEER _ DATE - ORDER
PHONE
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i* PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATIONC005 244TH ST SW ED _ _ L,YNNWOOQAREA
POLE NO. 212234 SW1/4S 31 T 27 R 04 DATE _ 3/3/19 ORDER 100042983-
REASON FOR WORK PERFORM MAINTENANCE ENGINEER MCALLISTER OPERATION 0030
AND VERIFY OPERATION DRAFTER U.G. NO.
AT INERTIA SWITCH 12-2048 & 12-522 SCALE_ 1" = 100'
APPROVED DATE PRINTED
DATE WORK COMPLETED_
FOREMAN
FEES REO'D ❑ YES
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO N0._
'QS '-$
SECONDARY OVERHEAD
BASIC FEE S_
METER/CONV.POLE $
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COMMERCIAL
BASIC FEE $
LEU NO.
SECONDARY UNDERGROUND
BASIC FEE $—
UNDERGROUND PLAT
BASIC FEE $
FT.@$ 1=9
STREET LIGHTING
WORK IN RIGHT OF WAY
❑ PRIMARY
❑ SECONDARY
_ ri FT.@E '=$
MISCELLANEOUS FEES
VAULT $
PERMIT 8_
$
TOTAL DUE $
DATE PAID
RECEIPT NO.
SERVICE ORDER NO.
ENG AS -BUILT VERIFICATION DATE___
❑ PHASING, TAPS & FUSING SUBSTATION RPK 5217
- ❑ POLE & VAULT STENCILS CIRCUIT NO. 5217 PHASE 231
■ NO ❑ CABLE TAGS
❑ FRAMING
❑ EQUIPMENT LOCATION
VERIFIED
DATE
NESC VIOLATIONS
■ NO ❑ YES (SEE NOTES)
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE _
❑ COUNTY
■ CITY
11
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
M&R AS -BUILT
GIs
GIs QC M&R
GIs Ph JOINT USE
LOCATION MAP PAGE 474 H3
LEGEND:
O EXISTING POLE
X EXISTING POLE —TO BE REMOVED
• NEW POLE
)1( NEW POLE TO REPLACE EXISTING POLE
ENGR'S TEL. #
425-670-3214
ENGR'S CELL #
425-327-5623
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LIST OF SWITCHES TO BE MAINTAINED
SW 12-2048 NORMAL CLOSED PL1212234 RPK 2048
8917 90TH AVE W EDMONDS
[ ] CORRECTIVE ACTION COMPLETE,VERIFIED SWITCH
OPERATING NORMALLY DATE COMPETED
FOREMAN
NOTES
SW 12-2048 NORMAL CLOSED PLI212234 RPK 2048
8917 90TH AVE W EDMONDS
E 3 CORRECTIVE ACTION COMPLETE,VERIFIED SWITCH
OPERATING NORMALLY DATE COMPETED
FOREMAN
TO CIRCUIT RPK 12-2048
PLI212234 SW N.C.2-2048 1
< _ 3
2
(6) 336AAC & (1) 3/0AA C
TO CIRCUIT RPK 12-5217
PL1212234 SW N.C.12-5228 1
3
SCHEMATIC
NTS
EV-57
FS-11715398 "
RP 1/12_�
212234
SW 12-2048G PLAN
INERTIA
SW 12-5228 1" _
INERTIA
O8917 244TH ST SW ED
PLI 212234, SW 012-2048 & SW 012-5228
PERFORM THE FOLLOWING MAINTENANCE ON -SWITCH AND CONTROL ROD:
REFER TO STANDARD BULLETIN NO.220
- CONFIRM SHUNT ARM IS PROPERLY ALIGNED WITH THE BOTTOM SWITCH JAW
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
NUMBER OF GUIDES ADDED -
- ADJUST TOP ROD LENGTH TO RESOLVE INTERFERENCE WITH LINK ARM
REFER TO ASSEMBLY 12F713 (REV 10 DATED JULY 11, 2018)
- RE -SECURE SW NUMBER BOARD PER STANDARD
is
100'
24315
m
E ] COMPLETED
C 3 COMPLETED
[ ] NOT NEEDED
[ I COMPLETED
C ] NOT NEEDED
C 3 COMPLETED
E ] NOT NEEDED
- CLEAN SWITCH CONTACTS AS NEEDED AND APPLY MOBILGREASE 28 (MID 5001116)C I COMPLETED I
C ] NOT NEEDED
- VERIFY SWITCH IS OPERATING PROPERLY
E ] COMPLETED
- INSTALL BLACK AND YELLOW REFLECTIVE DECALS FOR C ] COMPLETED
SWITCH NUMBER ABOVE SWITCH HANDLE, PER NOTE 5
- INSTALL GREEN AND WHITE REFLECTIVE DECALS FOR C ] 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 (MBSIMPSONQSNOPUD.COM) OR CALL HIM AT CELL 42b-345-5987
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