ENG2021-0125 ROW PERMITOF WAY EUC PERMIT
PERMITNUMBER,
City of Edmonds
EdmondsRIGHT
98020 1 1
www.cityofedmonds.gov
Description: PUD REPLACING ONE UTILITY POLE EXPIRED PERMIT ENG2020-0341
ISSUED: 04/13/2021
Address: 1054 9TH AVE S EDMONDS WA 98020-3909
EXPIRES: 10/13/2021
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00619400100500
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 KIMMELMAN LEE & HOU SHU H 1054 9TH AVE S, EDMONDS WA 98020-3909
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $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.
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 11:28:29 AM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
•:• •ENG2021-0125
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.
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.
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 7:00am to 6:00pm on
SOUND OR NOISE
weekdays and 10:00am to 6:00pm 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
INSPECTION TYPE DATE
RESULT
NOTES
11P
COMPLETE
X-2 ENGINEERING FINAL**
Printed: Tuesday, April 13, 2021 11:28:29 AM 2 of 2
OF E Uti1°tin
PUD WORK ORDER 100057918
ROW PERMIT NO.: ENG 2021-0125
ISSUE DATE: 4/13/21
RIGHT-OF-WAY CONSTRUCTION
"VC. 139u PERMIT APPLICATION
PROJECT NAME: Replace 1 Utility Pole
CONTRACTOR: Snohomish PUD
Mailing Address: PO Box 1107
State License #:
City Business License #:
CONTACT: Ben Ice
RECEIVED
Apr 07 2021
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Phone #: 425 783 4355
Fax #: 425 267 6072
Email #: btice@snopud.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 1054 9th Ave S, Edmonds
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family ❑ Other
0 EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
ANY ASSOCIATED PERMITS?
❑ Yes 0 No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Replacing one old utility pole with new.
Reapplication of expired permit ENG2020-0341.
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
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 4/7/2021
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
RECEIVED
_
Apr 07 2021
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CITY OF EDMONDS
DEVELOPMENT SERVICES
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DEPARTMENT
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Applicant shall repair/replace all
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TRANSFER OF UTILITIES,
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REMOVAL OF POLE, AND FINAL
-3:
RESTORATION TO BE
ENGINEERING DIVISION
CONSISTENT WITH POLE
APPROVED AS NOTED
ATTACHMENT AGREEMENT.
04/08/2021
SNOHOMISH COUNTY
G�CUM D)
TRAFFIC CONTROL PLAN
PUBLIC UTILITY DISTRICT NO 1
PROJECT REPLACE ONE UTILITY POLE
LOCATION 1054 9TH AVE S, EDMONDS
ENGINEER BEN ICE DATE 5/24/2020
ORDER 100057918
PHONE 425 783 4355
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pUO PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 1054 9TH AVE S. EDMONDS LYNNWOODAREA
POLE NO. 1263 NW1/4S 25 T 27 R 3 DATE 6/29/2020 ORDER 100057918
REASON FOR WORK REPLACE BO POLES ENGINEER BEN ICE OPERATION 0030
DRAFTER U.G. NO.
SCALE 1" = 100'
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REO'D ❑ YES ❑ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
SECONDARY OVERHEAD
BASIC FEE
METER/CONV.POLE s
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COMMERCIAL
BASIC FEE S
LEU NO.
'@$ '=$
SECONDARY UNDERGROUND
BASIC FEE
S
@$
_$
UNDERGROUND PLAT
BASIC FEE
9
FT.0
_$
STREET LIGHTING
(� FT.0 '=$
WORK IN RIGHT OF WAY
❑ PRIMARY
❑ SECONDARY
(� FT.@$ '=$
MISCELLANEOUS FEES
VAULT
S
PERMIT
S
s
TOTAL DUE
8
DATE PAID
RECEIPT NO.
SERVICE ORDER NO.
F(.FNn:
NESC VIOLATIONS
❑ NO ❑ YES (SEE NOTES)
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE
❑ COUNTY
■ CITY 9/29/2020
EASEMENTS
❑ REQUIRED ■ NOT REQUIRED
DATE RELEASED
FOREIGN CONTACTS
■ JPN#
❑ JOINT TRENCH FRONTIER & CATV
❑ JOINT BORE FRONTIER & CATV
POLE STENCILING
FROM TO
TAKE OFF POLE
PRE-CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
❑ BACKHOE ❑ FLAGGING
❑ ONE CALL DATE
No.
STREET LIGHTING
❑ YES ■ NO
M&R AS -BUILT
CIS
GIS QC M&R
GIS Ph JOINT USE
LOCATION MAP PAGE 454 G7
O EXISTING POLE
X EXISTING POLE —TO BE REMOVED
• NEW POLE
NEW POLE TO REPLACE EXISTING POLE
DATE
SUBSTATION WESTGATE
CIRCUIT NO. 12-406 PHASE 2,3,1
ENGR'S TEL. #
425 783 4355
ENGR'S CELL #
425 422 9297
N
FU40
827 1
252710
Fl R ST/
83
1263 207401
,X 15-8695
O
108
PLAN VIEW
1" = 100'
OA POLE PLI # 1263
SET 45' CL 2 POLE (PW2045), 2' N
SET DEPTH = 6.5'
USE 5/8" GRVL BCKFLL, CMPCT IN 6" LFTS
FRAME 30 DDE ASSY (12F311)
INSTL (1) 3/8" PRI DIG (GO113)
& (1) 12" AHR, L= 6' N (AO 102)
INSTL (1) 3/8" NEUT DIG (GO111)
RMV 15 KVA OH XFMR
UTC# -----------------
SER# -----------------
HANG 15 KVA OH XFMR (BA21L, 12F601)
UTC#------------------
SER# -------------------
XFR OH SVCS
RMV EXIST SEC UG RISER
INSTL 3" SEC RISER & 4 POS PED @ BASE OF POLE OU705)
RUN 350 KCMIL TPX TO PED L= 40'
TRANSFER OF UTILITIES, REMOVAL OF POLE,
AND FINAL RESTORATION TO BE CONSISTENT
WITH POLE ATTACHMENT AGREEMENT.
vD
Q
a7
(3) #2ACSR PRI &
(1) #2ACSR NEUT
TO WESTGATE 2
CIR 12-406 3
1
15 RECEIVED
BEFORE & AFTER Apr 07 2021
SCHEMATIC CITY EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
NTS
SHEET OF