ENG2020-0102RIGHT OF WAY EUC
PERMIT
PERMITNUMBER,
City of Edmonds
www.cityofedmonds.gov
Description: PUD-REAPPLYING FOR EXPIRED PERMIT ENG2019-0377
ISSUED: 03/19/2020
Address: 23805 79TH AVE W EDMONDS WA 98026-9282
EXPIRES: 09/21/2020
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR
Parcel Number: 00548600001700
i
NAME TYPE NAME
ADDRESS
PHONE
APPLICANT SNOHOMISH COUNTY PUD P.O.
BOX 1107, EVERETT WA98206
(425)670-3216
CONTRACTOR SNOHOMISH COUNTY PUD P.O.
BOX 1107, EVERETT WA98206
(425)670-3216
OWNER LOPEZ SANDRA R 9333 244TH ST SW UNIT 204, EDMONDS WA98020
FEE INFORMATION
DESCRIPTION
AMOUNT
PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00
$0.00
RIGHT OF WAY MINOR - EUC PERMIT FEE
$110.00
$0.00
REQUIREMENTS
REQUIREMENT TYPE NOTES
TRAFFIC CONTROL 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 posession.
RESTORATION 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
WARRANTY The contractor is responsible for workmanship and materials for a period of one year following
the final inspection and acceptance of the work.
INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM
24 HR NOTICE REQUIRED
INDEMNITY
The Applicant has signed an application which states he/she holds 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 but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of
granting this permit.
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
1..Mac&tga 3/19/20
RELEASED BY DATE
Printed: Thursday, March 19, 2020 10:54:17 AM 1 of 2
-1RRRTF WAY EUC PERMIT
City of • • •
.,
CONDITIONS
CONDITION TYPE
Easement and/or permission from adjacent property owner is required prior to entry or work within
ADJACENT PROPERTY
an adjacent property.
Contractor/Owner shall be responsible for repair/replacement of all damage to utilities and/or
DAMAGE TO FRONTAGE
frontage improvements in city right of way per city standards that is caused by or occurs during the
IMPROVEMENTS
permitted project.
Alert affected residents and/or businesses prior to work start.
Verify clear bore crossings.
ENGINEERING OTHER
Restore landscape to like or better conditions.
Call for required inspections as noted.
ESC REQUIRED
Maintain erosion & sediment control per city standards.
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
HOLD HARMLESS
any and all claims for damages of whatever nature, arising directly or indirectly from the issuance of
this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements
of any City ordinance nor limit in any way the City's ability to enforce any ordinance provision.
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:OOam to 6:OOpm on
SOUND OR NOISE
weekdays and 10:OOam to 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.
UNDERGROUND UTILITY
Call for locates of underground utilities prior to any excavation.
LOCATES
• ��
INSPECTION TYPE DATE RESULT NOTES
lip
COMPLETE
X-2 ENGINEERING FINAL**
Printed: Thursday, March 19, 2020 10:54:17 AM 2 of 2
of 'EVA,10�d
RECEIVED 3/11/20
A v # I OD 0 503 q I ROW PERMIT NO.: ENG 2020-0102
ISSUE DATE: 3/19/20
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: Dolt �pl(xely)t/4
CONTRACTOR: SPo Co PUD I
Mailing Address: FD 00K 1107 ha, I'A list
State License #: 'EVtfc W N %2o
City Business License #:
CONTACT: o t w2p6
Phone #: 925-610 _�Z H�
Fax #:
Ema i #: J Nd;� eSno f V V CUfl
® Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION:.720 A 5 W onj V' , W
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial U Subdivision LJ City Project K Traffic Control (Only)
❑ Multi -Family ❑ Single Family ❑ Other
EJ EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes No
ANY ASSOCIATED PERMITS? I I BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : T n7, �C"�l
. ® reduce- an 01 A e :s�',nr, 061C aS F
WAS STREET OVERLAYED WITHIN THE LAST FIVE J!l YEARS? YES 0 NO 0 Year:
PAVEMENT CUT:
CONCRETE CUT
❑ Yes No
❑ Yes No
If yes, indicate size of cut:
If yes, indicate size of cut:
x
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, 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 requireme in order fx the permit to be valid. f
SIGNATURE DATE
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
WORK ON SHOULDER OR PARKING LANE
D Egb P.-Dow
ROAD
W20-1 WORK =
AHEAD
a
1
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DRAINAGE
2
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nmo momenta in City
Foocurs
00
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of ring the � pry. j
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O CHANNELING DEVICE
r FLAGGING STATION
PORTABLE SIGN AND SUPPORT
WORK VEHICLE WITH FLASHING LIGHT
\� WORK AREA
WARNING SIGN
SPEED
LIMIT
SIGN
SPACING
SPACING B (FT)
SHOULDER
TAPER (FT)
(10' SHOULDER)
BUFFER
(FT)
25
200
35
55
30
200
50
85
35
350
70
120
40
350
90
170
45
500
150
220
150
500
170
280
55
500
185
335
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WORK W21-5
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- WORK W20-1
AHEAD
SHOULDER OR
PARKING LANE
9:00 AM - 3:30 PM
�hi>�t!l�ll`�H1ht(� L7IVl`fih'?f!1
AP C}VED AS NOTED
90 3/18/20
SNOHOVISH COUNT i'-
EfDL
U TRAFFIC CONTROL PLAN
PUBLIC UTIL17Y D!STRICT NO 1
PROJECT _REPLACE BO POLE -
LOCAT[ON _23805 79TH AVE W, EDMONDS
ENGINEER .LAKE WEBB DATE 8/7/19 -- ORDER 100050391 _
PHONE 425-670-3248
CELLULAR 425-330-9043
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PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION_2_3$05 79TH AyE_W. EDMONDS _ ____ _ __ _ LYNNWOODAREA
POLE NO. 15473 SE1/4S 31 T 27 R 4 DATE 8/6/19 ORDER 100050391
REASON FOR WORK PUD MAINTENANCE ENGINEER JAKE WEBB OPERATION 0030
REPLACE BO POLE-15473 _ DRAFTER U.G. NO.
SCALE I"=60'
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REO'D ❑ YES ■ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
SECONDARY OVERHEAD
BASIC FEE S
@$ '=$
METER/CONV.POLE s
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COMMERCIAL
BASIC FEE S
ENG AS -BUILT VERIFICATION DATE
❑ PHASING, TAPS & FUSING SUBSTATION BAL
❑ POLE & VAULT STENCILS
❑ CABLE TAGS CIRCUIT NO. 12-261 PHASE 1
❑ FRAMING
❑ EQUIPMENT LOCATION
VERIFIED BY
DATE
NESC VIOLATIONS
■ NO ❑ YES (SEE NOTES)
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE
❑ COUNTY
■ EDMONDS
EASEMENTS
'(D$ '=$
❑ REQUIRED ■ NOT REQUIRED
SECONDARY UNDERGROUND
- - -
BASIC FEE S
La 1=$
DATE RELEASED
UNDERGROUND PLAT
FOREIGN CONTACTS
BASIC FEE S
■ JPN#
rL FT.N '=$
❑ JOINT TRENCH FRONTIER & CATV
❑ JOINT BORE FRONTIER & CATV
STREET LIGHTING
q FT.0 '=$
❑
POLE STENCILINGFROM
WORK IN RIGHT OF WAY
TO
❑ PRIMARY
TAKE OFF POLE
❑ SECONDARY
rL FT.@S '=$
PRE-CONST. REQUIRMENTS
0 TREE TRIM ❑ PUD LOCATOR
MISCELLANEOUS FEES
❑ BACKHOE ❑ FLAGGING
VAULT S
❑ ONE CALL DATE
PERMIT S
No.
s
STREET LIGHTING
S
❑ YES ■ NO
S
M&R
AS -BUILT
S
GIS
TOTAL DUE S
DATE PAID GIS OC M&R
RECEIPT NO. GIS Ph JOINT USE
SERVICE ORDER N0, LOCATION MAP PAGE 475 A
LEGEND:
0 EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
)IN NEW POLE TO REPLACE EXISTING POLE
ENGR'S TEL. #
425-670-3248
ENGR'S CELL #
425-330-9043
PLI 15473
SET 45' POLE TIGHT WEST OF EXISTING POLE AS STAKED
FRAME NEW POLE PER VERT TANGENT W/ LATERAL PER ASSY 12V113
REPLACE DOWN GUY AND ATTACH TO EXISTING ANCHOR
FUSE LATERAL @ 15 AMPS
XFR (2) PRI & (2) NEUT.
INSTALL DBL #1 SPOOL
REMOVE XFMR #15-5819 SER#__________
MARK "BO & SUSPECT PCB" ON XFMR REMOVAL TAG
HANG 15KVA 120/240V XFMR#---------- SER#__________
SEC VOLT_____/_____
XFR (2) OH SEC SVC
STRIP TOP AND ABANDON TO COMM (CLASS 2 45' POLE INSLD 1959)
TREE TRIMMING:TRIM BUSHES
AROUND ANCHOR AND DOWN GUY
NCW Ague Ta 18� No cuorErz
To vcc Un,u6 -r"AN� r7X,5T7A16
POL•t (1t FE E'T) .
-9-
0 •
238TH ST Syr/ 15413
1 15-5819
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