ENG2021-0071 ROW PERMITOF WAY EUC PERMIT
PERMIT NUMBER]
City of Edmonds
AveRIGHT
98020 NG2021-0071
www.cityofedmonds.gov
Description: PUD-REPLACE T-MOBILE TOWER CELL EQUIPMENT FOR ENG2020-0495
ISSUED: 04/21/2021
Address: 8307 188TH ST SW EDMONDS WA 98026-6025
EXPIRES: 10/21/2021
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00567500002400
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206
(425)670-3216
BUSINESS T Mobile
OWNER
CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206
(425)670-3216
OWNER WITSMAN BRENT & MELANIE 8307 188TH ST SW, EDMONDS WA 98026-6025
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 MINOR - EUC PERMIT FEE
$110.00 $0.00
REQUIREMENTS
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
04/21 /2021
RELEASED BY
DATE
Printed: Wednesday, April 21, 2021 1:35:52 PM 1 of 2
-KRWOF WAY EUC PERMIT
PERMIT NUMBER
City of • • •
Ave•:• •ENG2021-0071
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: Wednesday, April 21, 2021 1:35:52 PM 2 of 2
nF EVA,1(-),
ANC. 1 S`� J
RESUB
Apr 06 2021
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
WO# 100074235
ROW PERMIT NO.: ENG 2021-0071
ISSUE DATE: 4/21/21
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION I PUD PERFORMING WORK FOR T-MOBILE APPROVED
UNDER ENG2020-0495 WIRELESS ROW PERMIT.
PROJECT NAME: T-Mobile Perrinville Modification CONTACT: Aziz Haq
CONTRACTOR: Snohomish County PUD No.1
Mailing Address: P.O. Box 1107 Everett, WA 98206
State License #:
City Business License #:
Phone #: 425-319-4209
Fax #:
Email #:
Jointuse@snopud.com
❑ Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 8307 188TH Street SW Edmonds, WA
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family
0 EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit9
ANY ASSOCIATED PERMITS?
❑ Other
❑ Yes ❑ No
BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : Work includes replacing all tower mounted
cell equipment with new. This work will require a sinqle lane closure with intermittent road closures for
bucket and crane setup in the road. See included traffic plan for more details. Work shall take between
4 to 6 days to complete.
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
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 2/8/21
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
D
@(W2(0-1)
ON
30"
ONE LANE
ROAD
AHEAD
W3-4 (W30„4)
*(W290-7 A)
SEE TNOTE 1
SEE NOTE 1
SEE N❑TE 1
30"
STOP
FULL ROAD CLOSURE &
DETOUR NOT PERMITTED.
TABLE A
SPEED
(MPH)
TAPER LENGTH
(FT)
CONE SPACING
ALONG TAPER
(FT)
OFFSET WIDTH
10,
12'
25
100
120
25
30
150
180
30
35
200
240
35
40
270
320
40
45
450
1 540
45
NOTE:
1, DISTANCE BETWEEN SIGNS SHALL
BE 100' FOR RESIDENTIAL
STREETS (25 MPH), AND
200' FOR ARTERIAL ROADWAYS
2, RETR❑REFLECT❑RIZED SIGNS AND
FLASHING BEACON SHALL BE
INSTALLED AT EACH SIGN FOR
NIGHT-TIME USE,
3. DISTANCES MAY VARY AS APPROVED
BY THE ENGINEER,
4, FLAGGERS REQUIRED TO CONTROL
TRAFFIC WHENEVER THE CONTRACTOR
MUST INTERRUPT TRAFFIC FLOW
TO ACCESS THE WORK SITE WITH
MATERIALS OR EQUIPMENT,
LEGEND:
❑O" CONE OR CHANNELIZING DEVICE
(SEE STD 7-13) END ROAD WORK
i
2 LANE ROADWAY; ONE LANE CLOSED
WITH ALTERNATING ONE-WAY
TRAFFIC AND FLAGGERS
END ROAD WORK
ENGINEERING DIVISION
APPROVED AS NOTED
4 04/21 /2021
PUD PERFORMING WORK FOR T-MOBILE
APPROVED UNDER ENG2020-0495 WIRELESS
ROW PERMIT.
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.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
WORK AREA
TRUCK WITH v T�
FLASHING OR WITH
BEACON
<Sl?
T
PER LENGTH
STOP TA(TABLE A)
SEE NOTE 1
SEE NOTE 1
SEE NOTE 1
TRAFFIC CONTROL PLAN
RESUB
Apr 06 2021
CITY OF EDMONDS
DEVELOPMENT SERVICES
6-2010
date
*(W2�0-730A)
�W3-4
ONE LANE
ROAD
AHEAD
(W30" 4)
010INSTRUCTION
(W20-1)
30"
7-1
number
T-MOBILE PERRINVILLE - SE01553E
LFD a—U�
1818 Rev.4/19
PUD PERFORMING WORK FOR T-MOBILE APPROVED
UNDER ENG2020-0495 WIRELESS ROW PERMIT.
CONSTRUCTION OPERATIONS
AND ENGINEERING REQUEST
TO
FROM DATE
KEITH ELLISON
AZ1Z HAQ 425-319-4/_uy U LO/ L i
ADDRESS/LOCATION/POLE NUMBER
8307 188TH ST SW, LYNNWOOD, WA
/ 18(27-4)NE // PLI:229080
MAP NO.
ORDER NO. OPERATION NO.
454-J3
100074235 30
ACTION•
PLEASE ASSIST T-MOBILE WITH THE
MODIFICATION OF THEIR ANTENNA SITE
MODIFICATION INCLUDE REPLACING ALL POLE TOP EQUIPMENT AND CABLE
POLE HEIGHT: 93' AGL CABLE
MUST BE PULLED FROM THE TOP DOWN
PER SECTOR WEIGHTS:
OUTAGE WINDOW:4/26/21 - 5/2/21
- 900-LBS. WITH T-ARM MOUNT
115kV SCHEMATIC
PLAN VIEW
PERRINVILLE CS 4179 s
215 MVA
317
23 24
25
1 1533
---- -
wN; ------
�.t0 MI 336.E KCM AA
WORK slrE
21 14 18725 SL-1 8307
1 L-B 1 229
S-128196-A 2 37-36266
Y l
FU1 0 229080 7 E-5016
1633 M
b
J 1.01 MI 336.4 KCM AA
1.56 MI 336.4
KCM AA
N
---------,
FU 0
M
00
93 1 18 H T SWws�214
1
Q
m Y1
= 8320 314
�N
8302 p
----------J
Cy',
MAPLEWOOD 1
0
O0
25 MVA
For de -energizing customer service for
Customer work CUSTOMER
CREW HOURS
When completed, call
the PUD of 425-783-1000
Customer Signature
or (1-877-78-100) ask
Dote for Energy Control Dispatch
ACTIONOR
OTHER ACTIONREQUIRED
RESUB
Apr 06 2021
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
APPROVED BY
COMPLETED BY DATE
Distribution: While -Department Responsible For Work -Return To Originator When Completed Blue-GIS, 03, After Work Completion
Conory-Deportment Responsible For Work -File Copy Pink -Originator
Machuga, Jen
From: Haq, Aziz <MAHaq@SNOPUD.com>
Sent: Tuesday, April 6, 2021 11:36 AM
To: Edmonds Engineering Permits; Crisostomo, Shaina
Cc: Joint Use
Subject: RE: PUD ROW Permit Application ENG2021-0071 for pole/cell tower at 8307 188th St SW
Attachments: Edmonds ROW Construction Permit Application - 100074235 - Updated.pdf
Categories: Green category
Hello Natalie,
I have revised the description on Page 1 of the application and attached it.
1) To confirm, the scope of work matches exactly what T-Mobile proposed on their drawings as this work is being
driven by them. It is a PUD pole with energized lines and so our qualified electrical workers must perform said
work. The existing steel pole will remain the same and no modifications to the pole itself shall be made. Here is
the scope of work pulled directly from T-Mobile's drawing, page T-1.
TOWER SCOPE:
• REPLACE EXISTING ANTENNA MOUNT
• REPLACE (3) HEX W/ (3) OCTO
• INSTALL (3) AEHC
• INSTALL (3) AHLOA, (3) AHF1G
• INSTALL (1) HCS 2.0 CABLE W/ PENDANT
• INSTALL (1) HCS 2.0 CABLE W/ PENDANT AND VOLTAGE BOOSTER
• REMOVE (6) DIPLEXER
• REMOVE (3) TMA
• REMOVE (12) 1-5/8' COAX
2) We understand only a single lane closure with intermittent road closure will be approved and to minimize road
closures as much as possible.
Please let me know if any additional information is required and I'll get it to you as soon as possible.
Thank you,
Aziz HaQ
Transmission Engineering
Snohomish County PUD No.1
425-319-4209
From: Edmonds Engineering Permits<EngineeringPermits@edmondswa.gov>
Sent: Monday, April 05, 2021 2:59 PM
To: Crisostomo, Shaina <SLCrisostomo@Snopud.com>
Cc: Joint Use <JointUse@SNOPUD.com>; Haq, Aziz <MAHaq@SNOPUD.com>
Subject: PUD ROW Permit Application ENG2021-0071 for pole/cell tower at 8307 188th St SW
CAUTION: THIS EMAIL IS FROM AN EXTERNAL SENDER.
Do not click on links or open attachments if the sender is unknown or the email is suspect.
Hi Shaina,
I have reviewed the application and I will need a few things before proceeding:
1) Please confirm the scope of work. The application states PUD will be assisting T-Mobile to replace the
equipment and cables on the pole. I have attached T-Mobile's application that was issued earlier this year.
Please confirm that what PUD will be replacing matches what was approved for T-Mobile. Please respond to this
email with specific description of what will be replaced. Also, please confirm that the existing pole will remain
and that no modifications to the pole itself will be made.
a. If the scope of work does not match what was approved for T-Mobile or if there will be changes to the
pole (height, size, diameter, etc.), please resubmit information to clarify so I can review.
2) Regarding the TCP- I know we discussed the traffic control quite a bit prior to submittal, but the work
description on the first page of the application still mentions full road closure with detours, and page 3 TCP
shows full road closure. As was discussed, you are to utilize single lane closure traffic control measures per what
was submitted page 4, and if there are some intermittent times where the crane needs to be moved or the arm
swings around where both lanes need to be temporarily closed (for as short of a time as possible), then that
could be approved. Please revise the work description accordingly on page 1 and resend.
Please let me know if you have any questions.
Natalie
City of Edmonds, Engineering Division Permitting
EngineeringPermits@edmondswa.gov
Natalie Griggs (she/her), Engineering Technician
(425) 771-0220 ext. 1353
CITY HALL IS CURRENTLY CLOSED TO GENERAL PUBLIC ACCESS. APPOINTMENTS MAY BE
CONSIDERED FOR SPECIAL CIRCUMSTANCES.
Development services will continue to be provided by email or the web and by phone.
Please visit www.edmondswa.gov for up-to-date information on City services.
For engineering permit inquiries, please email: engineeringPerm its(d)edmondswa.gov
For all other inquiries please email: devserv.admin(c�edmondswa.gov
Web Map: www.maps.edmondswa.gov
N