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ENG2021-0075 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds AveRIGHT ••01 11 www.cityofedmonds.gov Description: PUD-REPLACE BAD ORDER POLE PLI 9374 ISSUED: 03/15/2021 Address: 8128 200TH ST SW EDMONDS WA 98026-6733 EXPIRES: 09/15/2021 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00569400001100 i NAME TYPE NAME ADDRESS PHONE APPLICANT SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216 CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216 OWNER IONITSA ARTEM 8128 200TH ST SW, EDMONDS WA 98026 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00 ENGINEERING INSPECTION FEE $220.00 $0.00 RIGHT OF WAY STANDARD - EUC PERMIT FEE $330.00 $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. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 03/15/2021 :»•>/F9:1H ]1 DATE Printed: Monday, March 15, 2021 11:01:25 AM 1 of 2 -KRWOF WAY EUC PERMIT PERMIT NUMBER City of • • • Ave•:• •ENG2021-0075 www.cityofedmonds. ov/425.771.0220 CONDITIONS CONDITION TYPE Easement and/or permission from adjacent property owner is required prior to entry or work within ADJACENT PROPERTY an adjacent property. It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in DAMAGE TO FRONTAGE City right of Ways or Easements to City Standards caused by or occurring during the permitted IMPROVEMENTS 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 REQ Maintain erosion and sedimentation control per City and SWMMW standard requirements. 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 any and all claims for damages of whatever nature, arising directly or indirectly from the HOLD HARMLESS issuance for 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 and 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. All utilities shall be located prior to any excavation. New locates shall be called for if at time of UTILITY LOCATES excavation, original locates are no longer identifiable. INSPECTION TYPE DATE RESULT NOTES COMPLETE A-1 JOB START X-2 ENGINEERING FINAL" E-7 TRAFFIC CTRL Printed: Monday, March 15, 2021 11:01:25 AM 2 of 2 nF EVA,1(-), INC. I sc) u PUD WO #100076104-30 ROW PERMIT NO.: ENG 2021-0075 ISSUE DATE: 3/15/21 RECEIVED RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION MAR 05 2021 PROJECT NAME: Replace BO Guy Pole PLI 9374 CONTRACTOR: SNOPUD Mailing Address: 1802 75th St. SW MS02, Everett WA 98206 State License #: City Business License #: CITY OF EDMONDS DEVELOPMENT CONTACT: Richard Dump SERVICES DEPARTMENT Phone #: 425 - 783 - 5110 Fax #: Email #: rsdumo@snopud.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 8128 200th St. SW, Edmonds WA 98026 ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ❑ Commercial ❑ Subdivision ❑ City Project ❑ 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? ❑ Yes x❑ No BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : This job will replace a Bad Order Guy Pole PLI 9374. Proposed location of replacement pole is tight west of existing and it's 15 feet awav from the edge of traveled lane. There is no tree removal work, boring or trenching involved. Please see attached drawing and pictures. 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 0 MONTHS 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 I&cl ^�.� Dui DATE 3/5/2021 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE TRANSER OF UTILITIES, REMOVAL OF WORK AREA AT AN INTERSECTION POLE, AND FINAL RESTORATION TO BE CONSISTENT WITH POLE ATTACHMENT AGREEMENT. 200TH ST SVV F M F B A BE < > WORKD PREPARED �+ AHEAD TO STOP W20-1 W3-4 W20-7A W20-4 LEGEND: 0 CONE OR CHANNELIZING DEVICE ®� SERVICE TRUCK/EQUIPMENT WORK AREA �T FLAGGER ROAD W20-1 WORK AHEAD PROPERTY i LINE 9374 O O ®® 0 p O 0 O O O W Q N 00 W20-7A A BE s PREPARED W3-4 TO STOP B < W20-4 ROAD s WORK W20-1 AHEAD RECEIVED w J 00 MAR 05 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT W20-7A W3-4 W20-4 W20-1 � BE *E3 ROAD•�T 0 SiOPHOEAD11A B 4 4 4 4 NOTE: SPEED SIGN SPACING BUFFER LIMIT A, B, C (FT) (FT) 25 200 55 30 200 85 35 350 1 120 ENGINEERING DIVISION APPROVED AS NOTED %2&?�99A�° 03/12/2021 Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. N NORTH I OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE 1. FLAGGERS REQUIRED TO CONTROL TRAFFIC WHENEVER THE CREW MUST INTERRUPT TRAFFIC FLOW TO ACCESS THE WORK SITE WITH MATERIALS OR EQUIPMENT. 2. FLAGGERS TO ASSIST PEDESTRIANS DURING CONSTRUCTION. 3. WORK HOURS: 7AM TO 5PM MONDAY TO THURSDAY SNONOMISN COVNTr oPUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 8128 200TH ST, SW, EDMONDS WA 98026 LYNNWOODAREA POLE NO. PLI 9374 NE1/4S 19 T 27N R 4E DATE 3/5/2021 W.O. NO. 100076104 REASON FOR WORK ENGINEER RICH DUMO TASK 30 REPLACE BAD ORDER GUY POLE DRAFTER RICH DUMO U.G. NO. SCALE NOTED APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ■ NO PRIMARY OVERHEAD RESIDENTIAL COMMERCIAL L NO. SE NDARY OVERHEAD BASIC FEE $ @$ _$ PERMITS ❑ TREE TRIM ❑ STATE METER CONV. POLE $ PRIMAR UNDERGROUND ❑ RESIDEN [AL ❑ COUNTY ❑ COMMERC L ■ CITY BASIC FEE $ ❑ EASEMENTS LEU NO. $ _$ ❑ REQUIRED DERGROUND SECONDARY tNSIC FEE $ (DATE GRANTED) EDMONDS ■ NOT REQUIRED I@$ ._$ DATE RELEASED UNDERGROUND LAT FOREIGN CONTACTS ■ JPN# BA C FEE $ FT.@� =$ ❑ JOINT TRENCH FRONTIER & CATV ❑ JOINT BORE FRONTIER & CATV STREET LIGHTING ❑ POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY CL FT.@$ $ PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR MISCELLANEOUS FEES ❑ BACKHOE ■ FLAGGING VAULT 9 ONE CALL DATE PERMIT $ Na $ STREET LIGHTING $ ❑ YES ❑ NO $ READY PHASING $ GIS WORKING TOTAL DUE $ DATE PAID 1 LINE FINISHED XFMR RECEPT NO. JOINT USE SERVICE ORDER NO. LOCATION MAP PAGE 454-J5 'gralyRal O EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION MAPLEWOOD CIRCUIT NO. 12-344 PHASE 1,2,3 ENGR'S TEL. # 425-783-5110 ENGR'S CELL # 425-346-8846 CONSTRUCTION NOTES O AT GUY POLE PLI 9374 TRANSER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE, CONSISTENT WITH POLE ATTACHMENT AGREEMENT. N NORTH 8223 8224 EXISTING BAD ORDER 30' CLASS 2 GUY POLE SET 30' CLASS 2 POLE TIGHT WEST OF EXISTING POLE AS STAKED (PW2030) INSTALL 8" SINGLE HLX ANCH 5' NORTH AS STAKED (AO101) INSTALL (1) 3/8 INCH DOWNGUY (GO113) INSTALL (1) 3/8 INCH SPANGUY TO PLI 9375 (G0202) AT OLD GUY POLE: REMOVE EXISTING SPANGUY TO PLI 9375 REMOVE PUD GUYWIRE AND LEAVE OTHER GUYWIRE AND ANCHOR TO OTHERS 8209 200TH ST SW 9379 \2 25-391501 20014 19928 9374 G U40 9375 15-16( 11/1 SL- 17544-A 2 i 8128 25-281f 9376 m- I Ayni IT Itl 1 J 202762 SL 1 0177 A S - 00" 8102 8120 8110 20017 19927 RECEIVED MAR 05 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT PLI 9374 (#100076104-30) —Area Pictures 'a �C�� i��7tliiY��v .. � ,�Ca `lProl 'e 41 •�+r .. 1, p �r�"l.L��J �� ` v .� � - 4. , RECEIVED MAR 05 2021 CITY OF EDMONDS. DEVELOPMENT - SERVICES DEPARTMENT