ENG2021-0080 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
-0080
www.cityofedmonds.gov
Description: PUD-REPLACE BAD ORDER POLE PLI 274 ISSUED: 04/07/2021
Address: 218 3RD AVE N EDMONDS WA 98020-3109
EXPIRES: 10/07/2021
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434400501000
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 VERRALL CHARLES P JR 8118 185TH STREET 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.
:»•>/F9:1H ]1
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
04/07/2021
DATE
Printed: Wednesday, April 07, 2021 5:01:47 PM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
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.
TRANSFER OF UTILITIES, REMOVAL OF POLE, AND FINAL RESTORATION TO BE CONSISTENT WITH POLE
OTHER CONDITION
ATTACHMENT AGREEMENT.
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.
INSPECTIONS
INSPECTION TYPE
DATE
RESULT
COMPLETE
A-1 JOB START
X-2 ENGINEERING FINAL"
E-7 TRAFFIC CTRL
Printed: Wednesday, April 07, 2021 5:01:47 PM 2 of 2
0 \:L L?,11(7.
"VC. I S'� J
PUD WO #100076091-30
ROW PERMIT NO.: ENG 2021-0080
ISSUE DATE: 4/7/21
RIGHT-OF-WAY CONSTRUCTION RECEIVED
PERMIT APPLICATION MAR 10 2021
CITY OF EDMONDS
DEVELOPMENT
PROJECT NAME: Replace BO Pole PLI 274 CONTACT: Richard Dump SERVICES DEPARTMENT
CONTRACTOR: S N O P U D Phone #: 425 - 783 - 5110
Mailing Address: 1802 75th St. SW MS02, Everett WA 98206 Fax #:
State License #: Email #: rsdumo@snopud.com
City Business License #: ❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 218 3rd Ave N, Edmonds WA 98020
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family ❑ Other
RI EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
❑ Yes x❑ No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) :
Job to replace a Bad Order Pole PLI 274. New replacement Pole will be located tight north of existing pole. No
Tree removal work involved. No boring or trenching involved. Job location is at the alley way behind Edmonds Auto
Shop.
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut:
CONCRETE CUT: ❑ Yes ❑ No If yes, indicate size of cut:
x
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 Aclz4d Dui DATE 3/10/2021
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
TRANSFER OF UTILITIES,
REMOVAL OF POLE, AND
FINAL RESTORATION TO
BE CONSISTENT WITH
POLE ATTACHMENT
AGREEMENT.
IN
NOR'
�110",
pppg0 qy
110,
�q,
Fop g
CgNFpNF 7a3
gHFq� qp i
WORK AREA ON AN ALLEY
MAINTAIN 11' TRAVEL LANE.
)TIFY POLICE, EMERGENCY
3H HAULERS 48-72 HOURS
WORK OF POSSIBLE ALLEY
NOTE:
WAY
SPEED
SIGN
SPACING
BUFFER
LIMIT
A, B, C (FT)
(FT)
25
200
55
30
200
85
35
350
120
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 FRIDAY
�INEERING DIVISION
'ROVED AS NOTED
04/06/2021
LEGEND:
O CONE OR CHANNELIZING DEVICE
®® SERVICE TRUCK/EQUIPMENT
RECEIVED
WORK AREA
............• EXISTING CABLE IN CONDUIT
MAR 10 2021
FLAGGER
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
_E FOR
3E
SNONOVISN COVNTr
[P[Q0 PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 218 3RD AVE N. EDMONDS WA 98020 LYNNWOODAREA
POLE NO. PLI 274 SE1/4S 23 T 27N R 3E DATE 3/7/2021 W.O. NO. 100076091
REASON FOR WORK ENGINEER RICH DUMO TASK 30
REPLACE EXISTING BAD ORDER POLE DRAFTER RICH DUMO U.G. NO.
PL1274 SCALE NOTED
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ❑ YES ■ NO
PRIMARY OVERHEAD
RESIDENTIAL
COMMERCIAL
L NO.
La '=3
SE NDARY OVERHEAD
BASIC FEE S
@S '=3 PERMITS
METER CONV. POLE s ❑ TREE TRIM
PRIMAR UNDERGROUND ❑ STATE
❑ RESIDEN IAL ❑ COUNTY
❑ COMMERC L ■ CITY
LEU NO.
S)LUUNUAKY
BASIC FEE ❑
EASEMENTS
$ =3 ❑ REQUIRED
NDERGROUND
ASIC FEE S
It ItLil2WIRI l►l1/21101 F,
EDMONDS
■ NOT REQUIRED
@3 I=3
DATE RELEASED
UNDERGROUND LAT
FOREIGN CONTACTS
■ JPN#
BA IC FEE
S
CL FT.@8
=3
❑ JOINT TRENCH FRONTIER & CATV
❑ JOINT BORE FRONTIER & CATV
STREET LIGHTING
POLE STENCILING
WORK IN RIGHT OF WAY
FROM TO
❑ PRIMARY
TAKE OFF POLE
❑ SECONDARY
PRE-CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
q FT.@S 3
MISCELLANEOUS FEES
❑ BACKHOE ■ FLAGGING
VAULT
■ ONE CALL DATE
PERMIT
S
No.
STREET LIGHTING
S
S
❑ YES ❑ NO
$
READY
PHASING
GIS
WORKING
TOTAL DUE
S
DATE PAID
RECEPT NO.
SERVICE ORDER NO.
P'r_P_KIn�
1 LINE FINISHED POLE/
XFMR
JOINT USE
LOCATION MAP PAGE 454-F5
O EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
NEW POLE TO REPLACE EXISTING POLE
DATE
SUBSTATION MAPLEWOOD
CIRCUIT No. 12-343 PHASE 1
ENGR'S TEL. #
425-783-5110
ENGR'S CELL #
425-346-8846
50-5332
CONSTRUCTION NOTES
OA AT POLE PLI 274
EXISTING 45' CLASS 2 POLE
SET 45' CLS 2 POLE TIGHT NORTH AS STAKED (PW2045)
INSTALL GROUND PLATE (NO110)
TRANSFER SPANGUY FROM PL1275 DUE SOUTH
INSTALL 10 VERTICAL DEADEND ASSY (12V109)
INSTALL 50KVA OH TRANSFORMER (BA21R)(12V601)
UTC#---------------- SER#----------------
SEC VOLT ----------------
TRANSFER EXISTING SECONDARY SERVICES
AT OLD POLE,
REMOVE EXISTING 50KVA OH TRANSFORMER
UTC#---------------- SER#----------------
v F1125
FU40 � 811
FU80
112 r MPL
/ 12
ihFW6.,A
Y33878/
/
��UG FEEDS 091
'275 2ff I'
0 25-1721
112-31
15`M A-21551
221
TRANSFER OF UTILITIES, REMOVAL OF POLE, AND FINAL RESTORATION
TO BE CONSISTENT WITH POLE ATTACHMENT AGREEMENT.
FU 40A�^ PLI 811
50 KVA �/ �JO o FU 80A
PLI273�
J
/
50-- /
PLI 274
O 1
3 2 1
QJ-VAULTO
N
NORTH Q
/A 27551
RECEIVED
SCHEMATIC MAR 102021
AFTER
LAYOUT
TO CITY OF EDMONDS
NTS A-29591 DEVELOPMENT
SERVICES DEPARTMENT
O /
/
O/ /
NEW POLE
'
OLD POLE
'
/
/
/
PUD VAULT
'
/
/
LEGEND:
N
------- W-------
- EXISTING WATER
NORTH
RECEIVED
------G-------
- EXISTING GAS
-------D-------
- EXISTING DRAIN
MAR 10 2021
------- S-------
- EXISTING SEWER
CITY OFEDMONDS
- - - - - - - - - - - -
- ELECTRIC CABLE IN
EXISTING CONDUIT DEVELOPMENT
SERVICES DEPARTMENT
SNOHOMISH COUNTY
pCl-n®
OTHER
UTILITY
LOCATIONS
PUBLIC UTILITY DISTRICT NO 1
PROJECT REPLACE BAD ORDER POLE PL1 274
LOCATION 218 3RD AVE N,
EDMONDS WA 98020
ENGINEER RICHARD DUMO
DATE 3/10/2021
ORDER 100076091-30
PHONE 425-783-5110
CELLULAR 425-346-8846
PLI 274 (#100076091-30) -AREA PICTURES
RECEIVED
MAR 10 2021
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Lk