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ENG2020-0222OF WAY EUC PERMIT PERMITNUMBER, City of Edmonds AveRIGHT 9:0ENG2020-022 www.cityofedmonds.gov Description: PUD-MODIFY EXISTING AT&T CELL SITE ISSUED: 07/13/2020 Address: 9227 OLYMPIC VIEW DR EDMONDS WA 98020-2396 EXPIRES: 01/13/2021 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 27031300102000 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 SNEERINGER MARK A REVOCABLE 9227 OLYMPIC VIEW DR, EDMONDS WA98020-2396 TRUST INFORMFEE DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00 ENGINEERING INSPECTION FEE $110.00 $0.00 RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $0.00 • 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. 77 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 7/13/2020 RELEASED BY DATE Printed: Monday, July 13, 2020 11:47:24 AM 1 of 2 -1RRRTF WAY EUC PERMIT City of • • • •:• •ENG2020-022 ., 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** E-7 TRAFFIC CTRL Printed: Monday, July 13, 2020 11:47:24 AM 2 of 2 nF EVA,1(-), ANC. 1 S`� J RECEIVED 6/22/20 ROW PERMIT NO.: ENG 2020-0222 ISSUE DATE: 7/13/20 RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION AT&T Edmonds Beach 2020 Mod PROJECT NAME: CONTRACTOR: Snohomish County PUD#1 Mailing Address: P.O. Box 1107, Everett, WA 98206 State License #: City Business License #: Aziz Haq CONTACT: Phone #: 425-783-5251 Fax #: Email #: JointUse@snopud.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 9227 Olympic View Dr., Edmonds ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project ❑x Traffic Control (Only) ❑ Multi -Family ❑ Single Family ❑ Other ❑x EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit9 ANY ASSOCIATED PERMITS? 0 Yes ❑ No BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Close the westbound lane on Olympic View Drive to modify the existing AT&T cell site. Work will take roughly 4 to 5 days to complete. WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut: x CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut: x RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (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 requirements in order for the permit to be valid. SIGNATURE DATE 6/22/2020 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE SIDEWCURALK CLOSW 0 � � r� FOG 1 O FOG LW �.fODE 07 i ASPHAT , i. FLAGGER f i r �e _ � A«FAo Ri0"D W3-H CONTROL PLAN OF ASPHALT M ,� SIDEWALK T�9� / 5 / �'� /• OOP / iE� ��. / 40 ROAD " f ;/ ` WORK / / AHEAD LEGEND DIRECTION OF TRAFFIC FMN(SHOWN FACWG LEFT) CHANNFIING OEVICE FLAGGER / to .- ® WGRK AREA .r J r� / �� 1 I � ;KtAEMSI6LE Y 6• it + v}'liiles a)9 Ti< a��� lfnr-,- 7vernents in City 1 ' \ rlghf-�f-° a per City stt� dalyds that is eased .( 5, ,,p �yy� S dr Ja,cUrs aAlUring the ps° iiseis pr JeI�1:. Date: 1{p' at&t Your World ,At1 �000wV 4npgr q •t Av,� M ,..L04,AS,C.A00.00Y SNT7 EDMONDS BEACH BVT OLYUNC VIEW DR EONONM. WA 99M SNOHOMISH COUNTY l TRAFFIC CONTROL PLAN 04UCr18 "'►, . pbw or■n.■r xal■w°oN ewol AULt o.�wRs aonAcsawTvs• w a,.lra.a.w wr ma.. •wn won l.onnlo•■ .�+•tMow�csiu r.� YA�4AN fJfAO010 � •,i LLRA•TdOn IAWWfd CMMIP 'N 1L,O00011.On I14•f•�nnn•%AL w.vxaonaoHAa u1r.As rmr TRAFFIC CONTROL PAN tuvoc Ift LFDLLEI= CONSTRUCTION OPERATIONS AND ENGINEERING REQUEST 1818 Rev. 11/98 TO FROM DATE KEITH ELLISON AZIZ HAQ 425-783-5251 6/22/2020 ADDRESS/LOCATION/POLE NUMBER 9227 OLYMPIC VIEW DR., EDMONDS // 13(27-3)NE // PLI: 263462 MAP NO. WORK ORDER NO. TASK NO. 454-H2 100058262 30 ACTION• PLEASE ASSIST AT&T WITH THE MODIFICATION OF THEIR CELL SITE MODIFICATION INCLUDES REPLACING TMA'S AND OTHER POLE MOUNTED EQUIPMENT POLE HEIGHT: 53' AGL COORDINATE WITH DAVE ROSCHER - 425-306-3107 �18006 1 O AL-107432-Y kol O� ® 9108 © ,9104 007 180 A-3 609 FU40 FU6 P 197599 A-3661 25-356725 2 1 34287 -128 2- SL-130672-A `�i08 ti ti 1 E-06095 66 col 8896 0 0 17637 P 2 ti 0 10-21 634 SL-114383 23798 For de -energizing customer service for Customer work CUSTOMER CREW HOURS When completed, call the PUD at 425-783-1000 or 877-783-100) ask Customer Signature Date for E1n e gy Control Dispatch ACTION• - OTHER ACTIONREQUIRED APPROVED BY COMPLETED BY DATE Distribution White -Department Responsible For Work -Return To Originator When Completed Blue-GIS, 03, After Work Completion Canary -Department Responsible For Work -File Copy Pink -Originator