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
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NORTH
II
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- -
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TO
- - - - - I
A-2961
TO
PRIVATE
DRIVEWAY
A-2524
---I-!--W---------
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I II
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W
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Q
189TH PL SW
oI
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C
, I
I
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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