ENG2020-0260RIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
www.cityofedmonds.gov
Description: PUD-REPLACING AT&T CELL SITE EQUIPMENT ON PUD POLE
ISSUED: 07/27/2020
Address: 9126 MAIN ST EDMONDS WA 98026-6936
EXPIRES: 01/27/2021
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00373600500802
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 SHIELDS JOSEPH & PATRICIA 9126 MAIN ST, EDMONDS WA98026-6936
FEE INFORMATION
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.
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.
:»•>/F9:1H ]1
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
DATE
Printed: Monday, July 27, 2020 10:02:55 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
• L
INSPECTION TYPE DATE RESULT NOTES
lip
COMPLETE
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL"
Printed: Monday, July 27, 2020 10:02:55 AM 2 of 2
.-, OF EVAin.
I`vC. 1 S`� J
PROJECT NAME:
WO # 100064199
RECEIVED 7/22/20
ROW PERMIT NO.: ENG 2020-0260
ISSUE DATE: 7/27/2020
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
AT&T Edmonds Ridge SN63
2020 Modification
CONTRACTOR: Snohomish County PUD#1
Mailing Address: P.O. Box 1107. Everett. WA 98206
State License #:
City Business License #:
CONTACT: AZIZ HAQ
Phone #: 425-783-5251
Fax #:
Email #:
JOINTUSE@SNOPUD.COM
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 9126 MAIN STREET, EDMONDS, WA 98020
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family
❑X EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit9
ANY ASSOCIATED PERMITS?
❑ Other
❑x Yes ❑ No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) :
Modify the existing AT&T cell site on the PUD pole. Work will require replacing existing equipment with
like for like. This will require a lane closure of the westbound lane. No tree trimming required.
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 7/21 /2020
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
BUFFER DATA
TYPICAL PROTECTIVE VEHICLE WITH TYA (SEE NOTE 1)
VWICLE TYPE
LOADEDWBGHT
4 YARD D(AAP TRUCK
MINDRUN WEIGH714Dm Les.
SE TRUCKpAAXMIM
ERVIC
VEI[RR 5IMLL BE
PLAT BED, Etc
N ACCORDANCE YATH LIAMY
FACTIIRER RECOIINENWTIONI
FEET YN.
O
MWAMMIIDBIDPPNODIBTAMCE=30
(pRY PINB4ENfASSW®1
LOMOITUDINAL BUFFER SPACE • B
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Lr/emN ■ RaTt Ir >p teo a s as �I . ve w
24' x 36" BAN
TLatfa
.REeO
SIGN SPACING = X (1)
LEGEND
RURAL HIGHVBIYS ■01:60H am.
D{ R- -ROA4T1S6 NM SOP
WORK LOCATION
Tim ROAN 4 LVJ" ARTERIAL. W,p� sw
iuAUL ROAM UNI AN ARTERl413. 25 r 30 NPN 20P t RI
REsooinAL 6 WJ3W-U aSllxn
■ ■ ■ I ■
CHANNELIZ4TION DEVICE
URBAN STREETS 25 MPH OR LESS IW 1 M
ALL%xM An BACK ON ORAWE UNLESS DESIGNATED OTHEWmm
�--1
SIGN LOCATION
EXISTING TRAFFIC FLOW
tJ�r t-�t;VRS` A
NO PARKING BARRICADE
tnialMi"A L44JE
\rbI+J-zH.
Main St
al
�i— t-3 iDRY
g Lane
f-I 4-1 -1
Addtl. Notes:gLK T�eA1rs
AN[AD
W20-901 Wl-411
Advance Waming signs
spaced 0 (X) or as space
��Pp7itt►R2ir/t�pti6' ,bey
y Utilities or frorl'tage improvements in City p
rigtlt-of-w'ay per City standards that is caved '
or occurs during the permN, ed project
ROnO �
wORN �
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Aziz Haq
T-39
TRAFFIC CONTROL PLAN
EDMONDS, WA
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a2saTDa27o Edmonds WA
425-267.6203 I 12J12/2016
,1,Carpenter
:....e.■n..,en. w.. 0: 206,523.4045 F: 253.735.6329
mmmCONSTRUCTION OPERATIONS AND ENGINEERING REQUEST
1818 Re,.11/98
TO FROM DATE
KEITH ELLISON AZIZ HAQ 425-783-5251 7/21/2020
ADDRESS/LOCATION/POLE NUMBER
9126 MAIN STREET, EDMONDS 98020 // 19(27-4)SW // PL1: 264884
MAP NO. WORK ORDER NO. TASK NO.
454-H5 100064199 30
PLEASE ASSIST AT&T WITH THE MODIFICATION OF THEIR CELL -SITE
MODIFICATION INCLUDES REPLACING ANTENNA'S AND OTHER POLE -MOUNTED EQUIPMENT
POLE HEIGHT: 50' AGL
COORDINATE WITH DAVID ROSCHER - 425-306-3107
2
56 2 0 7TH PL C-1907
29114
15 114 \ 8 _ 7 10
1 N
MAIN ST 2�
272955
PERRI NVI LLE-BALLI N GER (116) L-B 2/9
SL 114714 G
MI. 8
336 AAC n 1
2
For de -energizing customer service for Customer work
Customer Signoture
APPROVED BY
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CREW HOURS
When completed, coil
the PUD of 425-783-1000
Dote or (1-877-783-1000) ask
for Energy Control Dispotch
COMPLETED BY
DATE
Distribution: While -Deportment Responsible For Work -Return To Originotor When Completed Blue-GIS, 03, After Work Completion
Conory-Deportment Responsible For Work -File Copy Pink-Originolor