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ENG2021-0179 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT 98020 1 1 ' www.cityofedmonds.gov Description: PUD-UG PRIMARY LINE EXT. FROM EXISTING POLE & INSTALL VAULT ISSUED: 06/25/2021 Address: 323 DALEY ST EDMONDS WA 98020-3123 EXPIRES: 12/22/2021 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434211903000 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 MILHOLLAND JOHN L & JANET D 4100 E PROCESSION SHORES RD, WHIDBEY ISLAND WA 98236 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. 77 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 6/25/2021 RELEASED BY DATE Printed: Friday, June 25, 2021 11:56:55 AM 1 of 2 -KRWOF WAY EUC PERMIT PERMIT NUMBER City of • • • Edmonds•:• • ENG2021-0179 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 RESTOR LIMITS Printed: Friday, June 25, 2021 11:56:55 AM 2 of 2 ENG2021-0179 of EDA,10 r O �Nc. rgeo SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way permit Handout E6.-I. RECEIVED MAY 18 2021 If any field is not applicable to your project, write "N/A" instead of leaving blankcITv OF EDMONDS All fields required. Incomplete Applications will be denied. DEVELOPMENT SERVICES DEPARTMENT General Info Project Name (1 n� r� ; _ _ _- �1� +� Site Address or if /o site address use Property Address at NW corner of project area: Associated Permits: BLD PLN ENG Owner and Entity Holding• Name of Company O •• • Franchise Ordinance No: Point of Contact �-k n Lk&C Pt,A t S Title - Address Vo city State .- ZipC'A Z p CI. Phone L.ks 'l0 - L\ Email V l V'� L V_ Contractor and Authorized Agent of •wner (see note below)•n Name of Company U Y:;� • • During Construction Primary Name Agent Name ht-1 1.,-` t &A F,. � Title —St �- LMr �� `CA 4L= Title j3'J+y� 9-r- Z)SL ,\ V.. ,( &� �0 �. uC(i Mobile L>Z2� S Address ' t C-'-7 Email ' � , City'LN State W k- Zip (��Z, Secondary Name �Q Phone 2 . _ Title ( — Mobile Email t Email \ivy ���� _ � .1 A S� Y?- Sh0 VUD 6V� I City of Edmonds Business License No: State License No: 0 Contractor verifies it is currently bonded p Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o. o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. Type of Development apply ❑ Multifamily residential ❑ Commercial ❑ City project 'Single family residential subdivision ❑ Single family -other ❑ Industrial o Demo and rebuild or from vacant land? ❑ Other, please specify: ❑ Utility Franchise Work associated with development (check one of the above boxes as well 'Traffic Control Only (no associated development) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 Include an overall narrative description of the proposed work. Be specific and detailed: Describe infrastructure to be impacted, such as, poles, wires, conduit, utility mains, etc. Include whether this is construction, maintenance, or repair. Include description of proposed construction methods, (e.g., bores, trenches, overhead wires proposed, depth for underground utilities, etc.) k � 5 e _ t () V, ""—� `"a Y._,e._ < _ '_ ��-�. V P lA-a 5 - F 5 .a f � �C" r fi l-\ 'F '� RIGHT-OF-WAY CLOSURE .AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x IF SF Alley 72 hours + LF x IF SF Parking 72 hours + IF x IF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. 07pe of Utility Facilities 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑cable power ❑ gas water sewer ❑ storm Details of Workto♦ 1. Does the utility owner have existing overhead infrastructure in the area of work? 2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? If yes, describe: 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? 4. Does the work involve rebuilding or relocating an existing aboveground utility system which connects a lot or commercial development to an existing under round common utility system? 5. Does the work involve proposed additions to an aboveground utility stem? If es: Are the additions for the purpose of serving new commercial development? Are the additions for the purpose of serving a single-family residential subdivision? Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? If yes, answer the following questions related to project area, i.e. the actual area in which the Droiect is uroDosed: 6a. I Does your project involve wires/cables/lines? If yes: How many are existing? I I How many are to be added? City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. I Does your project involve poles? If yes: How many poles are existing in the project area? What is the height of the existing poles? How many poles are to be removed? Are additional poles to be laced? How many? What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? What is the height of the poles after? Describe the modification rebuild: SECTION C Traffic Control and Public Safety. 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. Restoration shall 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. Insurance. The City may require the owner or contractor to provide proof of insurance acceptable to the City prior to any permit approval. Indemnification. The Applicant agrees to defend, indemnify, and hold harmless the City of Edmonds, its officials, officers, employees, and agents against any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, including defense costs and attorney fees, resulting directly or indirectly from any act or omission of the Applicant, its subcontractors, anyone directly or indirectly employed by them, and anyone for whose acts or omissions they may be liable, arising out of, related to, or by reason of the granting of this permit; and specifically including but not limited to all loss by the failure of the Applicant to fully or adequately perform, in any respect, all authorizations or obligations under the permit. These indemnification requirements shall survive the expiration, revocation, or termination of any resulting permit approval. Acceptance of terms, conditions, and requirements. Applicant accepts the terms, conditions, and requirements set forth in this Application and agrees they apply to any resulting permit and shall comply with them to the satisfaction of the City Engineer. Applicant further agrees to comply with the conditions listed on the Submittal Requirements; with all applicable city ordinances, including but not limited to ECDC Title 18; and with all applicable requirements of state and federal law. Statement of Applicant. I declare under penalty of penury under the laws of the State of Washington that: I am a licensed and bonded contractor; the information provided herein is correct and complete; and I am authorized by owner to act on its behalf and have authority to bind the owner to this application. Fees. The Applicant is responsible for all permit fees. APPLICANT SIGNATURE: APPLICANT PRINTED NAME: APPLICANT TTTLE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 ENGINEERING DIVISION APPROVED AS NOTED 06/24/2021 ,ata,�,ae iir�o OWNED ER aV3HV Nouonai tivou 13104 33S ' OE (7 i-LM) T 31❑N 3.3S i (V 31HV1) H1.3N31 N3dV1 /CONTRJ TOR IS RESPONSIBLE FOF OSION CTROLAND DRAINAGE — I Applicant shall repalir/replace• all damage to utilities, or frontage improvements in City right-of-way per city standards that is caused o occurs during the permitted project '2JOIO3dSNI A110 A9 a3NIW2A313a 38 OI IN3MdM3n3a W02A::1 S3HOiVd J111i11f1 2:J3H10 HIM a3N18WOO 38 OI aAunOA�A 38 AVN S3HOiVd and NOOV3H H1IM 21❑ • `)NIHSV-14 . HIIM )IJR2i1— V3HV N80A- 1N3Al2IVd30 S3OIAJAS 1NEAdOIDA30 SONOA03 710 AilO �Zoz 8 � Adw a3AI3a321. 4- 3Ni1Sp j 3Ndl 3VIIM -J,NI; aVON 3NV1 ZNVId. 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Nou�naisr+o avow 0 LAYOUT LEGEND: TRANSFORMER 7200-240/120V CABLE ALL FOOTAGES APPROXIMATE ggv1511 C(xl'ILY GPMO IN PAD MOUNTED TRANSFORMER ® SUBMERSIBLE TRANSFORMER Q ABOVE GROUND J-BOX QJ SUBMERSIBLE J-BOX �S SECONDARY VAULT El PULLING VAULT F PAD MOUNTED SWITCH CABINET Q SUBMERSIBLE SNITCH CABINET © SMALL SECONDARY PEDESTAL © LARGE SECONDARY PEDESTAL SL STREET LIGHT PEDESTAL PRIMARY UNDERGROUND CABLE -•-•-•-•-•-=35D SECONDARY UNDERGROUND CABLE - - - - - - - - 4/0 SECONDARY UNDERGROUND CABLE .......... I .............. 1/0 SECONDARY UNDERGROUND CABLE -F-F-N N-N- STREET LIGHT CABLE SERVICE CONDUIT —POLE AND OVERHEAD LINE — - - —PROPERTY LINE —RIGHT-OF-WAY LINE U EXISTING UNDERGROUND CABLE EXISTING DUCT — FUTURE DUCT ------- S------ SANITARY SEWER/MANHOLE ------- D------ STORM DRAIN/CATCH BASIN ------- W ------ WATER MAIN/METER Y FIRE HYDRANT i} STREET LIGHT TF UNDERGROUND LOCATOR MARKER SCHEMATIC LEGEND: • 10 TRANSFORMER 3 0 TRANSFORMER O SUBMERSIBLE TRANSFORMER ❑ 200 AMP J-BOX ■ 600 AMP J-BOX FUSE PRIMARY UNDERGROUND CABLE ---------------ABANDONED PRIMARY UNDERGROUND CABLE OVHD EXISTING OVERHEAD F DISCONNECT SWITCH,NORMALLY OPEN DISCONNECT SNITCH, NORAIALLY CLOSED —� STANDOFF BRACKET •• —FEEDER LINE E3 PULL THRU BOX 1— FEED THRU BUSHING ON TRANSFORMER /}l FAULT INDICATOR U ADDITIONAL UGNO TAPPED AT T/O POLE PLI SCHEMATIC NTS A-54450 37.5- BY PUD OR PUD'S CONTRACTOR A-54450 37.5 KVA UTC SER MAKE VAULT BY PUD A-54450 42" x 42" x 30" CONCRETE OPEN BOTTOM W/A 21" x 25" ACCESS HOLE CONSTRUCTION NOTES: BY PUD OR PUD'S CONTRACTOR AT POLE PL1682 INSTALL PRI RISER ASSY (12UIIU SECONDARY PEDESTALS BY PUD OR PUD'S CONTRACTOR I SEC PEDS/INSTALL PER DIST ASSY$ 1U801 I SEC PEDS/INSTALL PER DIST ASSY= 1U802 ) I 90, STEEL-, ELBOW 1 90• STEEL ELBOW PLI 6B2 BY PUD OR PUD'S CONTRACTOR FROM PLI 662 TO A-54450 165' OF (1) I/O AL 15KV CNCTRC NEUT JCKTD PRI IN 2" PVC MAKE PO REEL FT MARK TO 37' OF 350 KCMIL AL TPX SEC IN 3" PVC DUCT BY CUSTOMER AO III' OF 2" PVC W/(2) 90- STEEL ELBOWS O 12' OF 3" PVC POWER CONDUIT SERVING BOTH PROPERTIES APPROVED FOR PRIVATE PROPERTY ONLY. REFER TO APPROVED CIVIL CONSTRUCTION PLANS BLD2021-0170 & -0172. 323 / SED HOME101 I PROPOSED HOlAE YES 1 EAST Z -544B � --D--�---------- __D_________D____-______ _1Y_______________Y!___________ - N --SY---------------Vl-------- Y!- -5--,-----------5----------- ' DALEY STREET NORTH I LOCATION 323 DALEY ST EDMONDS 98020 AREA LYNNWOOD POLE NO PLI 682 SWIAS 24 T 27 R 3 DATE 4/12/21 ORDER 100075379 REASON FOR WORK PROVIDE 10 PRIMARY ENGINEER MCALLISTER OPERATION 0060 UNDERGROUND SERVICE FOR DRAFTER MCFEE UGND NO 14377 _ WILSON SHORT PLAT APPROVED I SCALE NOTED 50 K1'! LOAD DATE WORK COMPLETED FOREMAN DATE SUBSTATION FIVE CORNERS INSPECTOR CIRCUIT I.K) 12-1283 PHASE 1 1 DATE CROSSINGS ONLY REVISIONS FEES REO'D ■YES ❑N PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COUMERCIAL LED• Nf =f PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMVERCIAL LEUt BASIC FEE f SECONDARY UNDERGROUND BASIC FEET WORK IN RIGHT OF WAY AS -BUILT ❑ PRIMARY ❑ SECONDARY FT a f_ . f APPV NO. DATE DESCRIPTION MISCELLANEOUS FEES VAULT f PERL41T f CSLER : TOTAL DUES DATE PAID RECEIPT• ENGINEER MARY McALLISTER CUSTOMER ROGER WILSON PHONE (425) 670-3216 PHONE (425) 308-3661 ) PERMITS (DATE GRANTED) Cl TREE TRIM ❑ STATE ❑ COUNTY ■ EDMONDS EASEMENTS ■ REQUIRED E' ❑ NOT REQUIRED REQUEST NO. DATE APPROVED FOREIGN CONTACTS ❑ JPNA ❑JOINT TRanai 21PLY 6 CATV ❑ JOINT BORE ZIPLY 6 CATV ■ N/A POLE STENCILING FROM TO TAKE OFF POLE PRE-CONSTR REQUIREMENTS ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE 0— DONE CALL DATE STREET LIGHTING ❑ YES ❑ NO VIR AS -BUILT GIS GIS OC M6R GIS Phl jJONJT USE LOCATION LUP PAGE 454. FS VICINITY MAP TAGS c: LAYOUT RECEIVED VAULT: A-54450 Z 1" = 20' 7- MAY 18 2021 CABLE 110245 = v Wo CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT