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ENG2021-0088 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds -0088 www.cityofedmonds.gov Description: PUD-REPLACE BO POLE PLI 241 ISSUED: 04/13/2021 Address: 18920 92ND AVE W EDMONDS WA 98020-2317 EXPIRES: 10/13/2021 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434600004802 •I 11141 a 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 TERWILLIGER GARRETT & KRISTIE 18920 92ND AVE W, EDMONDS WA 98020-2317 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 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 04/13/2021 RELEASED BY DATE Printed: Tuesday, April 13, 2021 11:14:32 AM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • www.cityofedmonds.gov• • 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. OTHER CONDITION TRANSFER OF UTILITIES, REMOVAL OF POLE, AND FINAL RESTORATION TO BE CONSISTENT WITH POLE 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" Printed: Tuesday, April 13, 2021 11:14:32 AM 2 of 2 nF EVA,1(-), ANC. I sc) u PUD WO #100076128-30 ROW PERMIT NO.: ENG 2021-0088 ISSUE DATE: 4/13/21 RIGHT-OF-WAY CONSTRUCTION RECEIVED PERMIT APPLICATION Mar 15 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT PROJECT NAME: REPL BO POLE PLI 241 CONTRACTOR: SNOPUD Mailing Address: 1802 75th St. SW MS02, Everett WA 98206 State License #: City Business License #: CONTACT: Richard Dumo Phone #: 425 - 783 - 5110 Fax #: Email #: rsdumo@snopud.com ❑ Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 18920 92ND AVE W, EDMONDS WA 98020 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) : Replace BO Pole PLI 241. New pole replacement will be located tight south of existing and 11 feet from edge of traveled lane. No boring, trenching or tree removal work involved. WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: ❑ Yes X❑ No If yes, indicate size of cut: x CONCRETE CUT: ❑ Yes X❑ 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&Lls&d DATE 3/15/2021 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE W20-1<9> = B ONE W2 0 - 4 LANE ROAD = AHEAD B N BE W 3 - 4 PREPARED = TO STOP NORTH A W20-7A * PRIVATE DRIVEWAY M ROAD WORK AHEAD W20_1 LEGEND: PUD POLE 3�: CONE OR CHANNELIZING DEVICE ❑�� SERVICE TRUCK/EQUIPMENT WORK AREA WORK ON SHOULDER ON A LOW TRAFFIC ROAD (25 MPH OR LESS) TRANSFER OF UTILITIES, REMOVAL OF POLE, AND FINAL RESTORATION TO BE CONSISTENT WITH POLE ATTACHMENT AGREEMENT. PROPERTY i LINE W20-7A W3-4 W20-4 W20-1 BE ONE ROAD WRK . • ■� TO 5 OPRE D LAAHEADAO AHOEAD A B B 0 4 4 4 4 189TH PL SVV s 11 ■ W20-7A A if BE s PREPARED W 3 - 4 TO STOP B ONE a. LANE ROAD W20-4 AHEAD B < > ROAD s WORK W20-1 AHEAD OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE 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. SPEED SIGN SPACING BUFFER LIMIT A, g, C (FT) (FT) 25 200 55 30 200 85 35 350 120 ENGINEERING DIVISION APPROVED AS NOTED 04/09/2021 NOTE: 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 RECEIVED Mar 15 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SNONOMISN COVNTr oPUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 18920 92ND AVE W, EDMONDS WA 98020 LYNNWOODAREA POLE NO. PLI 241 NE1/4S 13 T 27N R 3E DATE 3/14/2021 W.O. NO. 100076128 REASON FOR WORK ENGINEER RICH DUMO TASK 30 REPLACE BAD ORDER DRAFTER RICH DUMO U.G. NO. POLE PLI 241 SCALE NOTED APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ■ NO PRIMARY OVERHEAD RESIDENTIAL COMMERCIAL L NO. SECQNDARY OVERHEAD BASIC FEE s METER CONV. POLE s PRIMAR UNDERGROUND ❑ RESIDEN [AL ❑ COMMERC L BASIC FEE s LEU N0. $ '=$ SECONDARY NDERGROUND ASIC FEE s UNDERGROUND LAT BA C FEE s CL FT.@3 _$ STREET LIGHTING q FT.@$ _$ WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONDARY q FT.@S $ MISCELLANEOUS FEES VAULT s PERMIT s_ s TOTAL DUE DATE PAID RECEPT NO. SERVICE ORDER NO. FC.FNn: PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ CITY EDMONDS EASEMENTS ❑ REQUIRED ■ NOT REQUIRED DATE RELEASED FOREIGN CONTACTS ■ JPN# ❑ JOINT TRENCH FRONTIER & CATV ❑ JOINT BORE FRONTIER & CATV El POLE STENCILING FROM TO TAKE OFF POLE PRE—CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ■ FLAGGING ■ ONE CALL DATE No. STREET LIGHTING ❑ YES ❑ NO READY PHASING GIS WORKING 1 LINE FINISHED POLE/ XFMR JOINT USE LOCATION MAP PAGE 454—H3 O EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE DATE SUBSTATION MAPLEWOOD CIRCUIT NO. 12-345 PHASE 1,3 ENGR'S TEL. # 425-783-5110 ENGR'S CELL # 425-346-8846 18908 TRANSFER OF UTILITIES, REMOVAL OF POLE, AND FINAL RESTORATION TO BE CONSISTENT WITH POLE ATTACHMENT AGREEMENT. CA F I AYOLIT l`LL►7 CONSTRUCTION NOTES OA AT POLE PL1241 EXISTING 45' CLASS 2 POLE SET 45' CLS 2 POLE 3' S OF EXIST AS STAKED (PW2045) INSTALL GROUND PLATE (NO110) INSTALL 20 VERTICAL TANGENT ASSEMBLY (12F201) INSTALL (2) SINGLE PHASE TERMINATIONS (12U211) WITH 7 FOOT CROSSARM INSTEAD (XO101) INSTALL (2)2" PRI RISER WITH BENDS FOR EACH SINGLE PHASE UG PRI CABLES GOING TO A-2961 & A-2524 (F0211) TAP PHASE PER SCHEMATIC INSTALL (2) 65A FUSE (E1065) INSTALL CABLE TAGS WITH EXISTING NUMBERS AT OLD POLE: REMOVE ALL PUD RELATED MATERIALS NOTE: UG CONCENTRIC CABLE TO A-2961WILL BE REPLACED UNDER WO #100076338-60 (UG 2403-2) N NORTH TO F A-2961 1 3 241 CKT MPL 345 189TH PL SW �, --- TO FU65 A-2524 SCHEMATIC AFTER RECEIVED Mar 15 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT NEW POLE TO REPLACE EXISTING POLE I I I I I � I I I I I I I � I I i I I � I � I � I � I I � NI I I I II NORTH II I I I I � I I � I I - - I I I I I I � I I � I I I I �o TO - - - - - I A-2961 TO PRIVATE DRIVEWAY A-2524 ---I-!--W--------- I cn � to II I II I II W I II I � Q 189TH PL SW oI I I I z I I N o C , I I I I I I I I I LEGEND I LAYOUT RECEIVED ------- W------- - EXISTING WATER NTS Mar 15 20 21 ------- D------- - EXISTING DRAIN ------S------- - EXISTING SEWER CITY OF EDMONDS DS DEVELOPMENT SERVICES DEPARTMENT -- - - - - - - - - -- - EXISTING PUD CABLE SNOHOMISH COUNTY GDFLFIED OTHER UTILITY LOCATIONS PUBLIC UTILITY DISTRICT NO 1 PROJECT REPLACE BAD ORDER POLE PL1 241 LOCATION 18920 92ND AVE. W, EDMONDS WA 98020 ENGINEER RICHARD DUMO DATE 3/14/2021 ORDER 100076128-30 PHONE 425-783-5110 CELLULAR 425-346-8846 PLI 241 (#100076128-30) —Area Pictures RECEIVED Mar 15 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT =D Mar 15 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT