ENG2021-0295 ROW PERMITOF WAY EUC
PERMIT
PERMITNUMBER,
City of Edmonds
EdmondsRIGHT
98020
1 1 '
www.cityofedmonds.gov
Description: PUD-REMOVE A 12KV WIRE BETWEEN POLES & INSTALL SPAN GUY
ISSUED: 08/24/2021
Address: 23819 78TH AVE W EDMONDS WA 98026-8821
EXPIRES: 02/24/2022
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR
Parcel Number: 00559300000200
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 KURNIK SUZANNE M 23819 78TH AVE W, EDMONDS WA 98026
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
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
Q -1 �/� � 08/24/2021
RELEASED BY DATE
Printed: Tuesday, August 24, 2021 12:58:53 PM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
Edmonds•:• • 1 1 '
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.
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.
TRAFFIC CONTROL
Traffic Control per approved plan and MUTCD. All Flaggers shall be certified.
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 MEN
RESULT
A-1 JOB START
X-2 ENGINEERING FINAL"
E-7 TRAFFIC CTRL
Printed: Tuesday, August 24, 2021 12:58:53 PM 2 of 2
ENG2021-0295
of EpM04O�
RIGHT OF WAY CONSTRUCTION RECEIVED
PERMIT APPLICATION J U L 30 2021
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
/'Vc. i sa° Requirements outlined in Right -of -Way permit Handout E6�. DEVELOPMENT
SERVICES DEPARTMENT
If any field is not applicable to your project, write "N/A' instead of leaving blank.
All fields required. Incomplete Applications will be denied.
SECTION A WO 100082324
General •
Project Name Remove 12kV wire & install span guy
Site Address or if no site address use Property Address at NW corner of project area: 23819 78th Ave W, Edmonds, WA 98026
Associated Permits: BLD N/A PLN N/A ENG N/A
Owner and Entity Holding
Name of Company Snohomish County PUD Franchise Ordinance No: N/A
Point of Contact Daniel Luu
Title Distribution Engineer
Address PO Box 1107
City Everett
State WA
Zip 982o6
Phone (425)783-4174
Email dcluu@snopud.com &jointuse@snopud.com
Contractor and Authorized Agent of Owner
Name of Company Same as above
(see note below)
Contractor Contacts During Construction
Primary Name Same as above
Agent Name
Title
Title
Mobile
Address
Email
City
State
Zip
Secondary Name
Phone
Title
Email
Mobile
City of Edmonds Business License No:
Email
State License No: 313-005-741
® Contractor verifies it is currently bonded
® 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.
❑ Multifamily residential ❑ Commercial ❑ City project
❑ Single family residential subdivision ❑ Single family -other ❑ Industrial
❑ Demo and rebuild or from vacant land?
❑ Other, please specify:
❑ Utility Franchise Work associated with development (check one of the above boxes as welt
® 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.)
The PUD needs to remove a 12kV wire between poles 287424 and 287433• Work is expected to take less than one business day. Northbound
lane/shoulder closure needed at intersection of 238th St SW & 78th Ave W, as well as along 78th Ave W. Tree trimming is not needed.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
N/A
Alley 72 hours +
LF
x
LF
SF
N/A
Parking 72 hours +
LF
Ix
I LF
SF
N/A
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C.
1. The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable o power ❑ gas
❑ water ❑ sewer ❑ storm
Details of Work to be Completed
1. Does the utility owner have existing overhead infrastructure in the area of work?
Yes
x
No
2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)?
x
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?
x
4.
Does the work involve rebuilding or relocating an existing aboveground utility system which
connects a lot or commercial development to an existing underground common utility stem?
x
5.
Does the work involve proposed additions to an aboveground utility stem? If es:
x
Are the additions for the purpose of serving new commercial development?
x
Are the additions for the purpose of serving a single-family residential subdivision?
x
Details
of Work to be Completed
Yes
No
6.
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
x
project is proposed:
6a.
Does your project involve wires/cables/lines? If yes:
X
How many are existing? 1 1 1 How many are to be added? o
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
6b.
Does your project involve poles? If yes:
X
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? 1 0 1 What is the height of the additionalpoles? 50'
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
X
How many? 1 2 1 What is the height of the poles after? 50'
Describe the modification rebuild: Removing (i) span of wire and installing (i) overhead span guy wire
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 perjury 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: � ZZ" DATE: 7/29/2021
APPLICANT PRINTED NAME: Daniel Lim
APPLICANT TITLE: Engineer
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
WORK ON SHOULDER OR PARKING LANE
ROAD
W20-1 WORK =
AHEAD
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PARKING LANE
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
LOCATION A
SPEED
LIMIT
SIGN
SPACING
A, B,C (FT)
BUFFER
(FT)
25
200
55
30
200
85
35
350
120
40
350
170
45
1 500
220
50
500
280
55
500
335
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.
ENGINEERING DIVISION
APPROVED AS NOTED
LANE CLOSURE IN ADVANCE OF AN INTERSECTION
(WORK AREA ON THE SIDE ROAD)
ROAD
W20-1 WORK
AHEAD
W20-1
4<-
W 2 0 - 4=
W 2 0- 7 A ROAD
WORK
AHEAD
W2_ 0�
A B
STOP + ++
7 7
238TH ST SW
O O O
STOP
B A
NO i TH
BUFFER
ROAD TAPER
< LLJ WORK
AHEAD W20-7A ° O 50' MIN
O 100' MAX
W20-1 > a •
s ET W20-7A
F m
00 ONE LANE
i ROAD W20-4
AHEAD
LOCATION B
ROAD
s WORK W20-1
AHEAD
Jill UI1,.41, ,4az 08/24/2021VV RECEIVED
J U L 30 2021
PUD CREWS TO MAINTAIN DRIVEWAY ACCESS
FOR RESIDENTS DURING CONSTRUCTION.
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
=O PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 23901 78TH AVE W. EDMONDS, WA 98026 LYNNWOODAREA
POLE NO. PLI 287433 SE1/4S 31 T 27 R 4 DATE 7/14/2021 ORDER 100082324
REASON FOR WORK REPLACE 12KV WIRE & INSTALL ENGINEER DCLUU OPERATION 0030
SPAN GUY Q PL1 287433 TO DRAFTER U.G. NO.
PL1 287424 SCALE 1" = 100'
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ❑ YES ■ NO
PRIMARY OVERHEAD
■ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
SECONDARY OVERHEAD
ENG AS -BUILT VERIFICATION DATE
❑ PHASING, TAPS & FUSING SUBSTATION BAL / RPK
❑ POLE & VAULT STENCILS
❑ CABLE TAGS CIRCUIT NO. 261/5217 PHASE 1 / 2
❑ FRAMING
❑ EQUIPMENT LOCATION
VERIFIED BY
DATE
NESC VIOLATIONS
BASIC FEE
E
■ NO ❑ YES (SEE NOTES)
@$ .=s
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE
METER/CONV. POLE 3
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COUNTY
❑ COMMERCIAL
■ CITY --
BASIC FEE
S
❑
EASEMENTS
LEU NO.
@$
_�
❑ REQUIRED ■ NOT REQUIRED
SECONDARY UNDERGROUND
BASIC FEE
DATE RELEASED
@$ ._s
UNDERGROUND PLAT
FOREIGN CONTACTS
❑ JPN#
BASIC FEE
E
ri FT.@S
_$
❑ JOINT TRENCH FRONTIER & CATV
Cl JOINT BORE FRONTIER & CATV
STREET LIGHTING
FTADS
=3
❑
POLE STENCILING
WORK IN RIGHT OF WAY
FROM TO
❑ PRIMARY
TAKE OFF POLE
❑ SECONDARY
PRE-CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
ri FT.@S '=3
MISCELLANEOUS FEES
❑ BACKHOE ❑ FLAGGING
VAULT
3
❑ ONE CALL DATE
PERMIT
;;
No.
STREET LIGHTING
$
$
❑ YES ■ NO
3
M&R
AS -BUILT
S
GIS
TOTAL DUE
S
DATE PAID
GIS QC
M&R
GIS Ph
JOINT USE
RECEIPT N0,
I LOCATION MAP PAGE 475 A2
SERVICE ORDER NO.
FC;FNn:
O EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
NEW POLE TO REPLACE EXISTING POLE
ENGR'S TEL. #
425-783-4174
ENGR'S CELL #
425-315-3529
1
AL
N
CONSTRUCTION NOTES
O
POLE PL1287433:
- REMOVE DE -ENERGIZED #2ACSR
PRIMARY
AND
NEUTRAL CONDUCTORS TO PLI 287424
- INSTALL (1) 3/8" PRIMARY SPAN
GUY TO
PLI
287424 (G0202)
O
POLE PLI 287424:
- REMOVE DE -ENERGIZED #2ACSR
PRIMARY
AND
NEUTRAL CONDUCTORS TO PLI 287433
- INSTALL (1) 3/8" PRIMARY SPAN
GUY TO
PLI
287433 (G0202)
PLAN VIEW
1" = 100'
11/1A
SCHEMATIC
NTS
BEFORE
37
TO BALLINGER
CKT# 12-261
L
15•
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40
15
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25 TO RICHMOND PARK
CKT* 12-2048
37
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15
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CKT 12-5217
AFTER
25 15•
37
F25 O
TO BALLINGER 15 F40
CKT# 12-261 15
EBG-10
25 TO RICHMOND PARK
02 CKT# 12-2048
37
RECEIVED 15 0
15
J U L 30 2021 25
N.O.
FU65
CITY OF EDMONDS TO RICHMOND PARK �j37
DEVELOPMENT CKT 12-5217 ` -
SERVICES DEPARTMENT
SHEET 1 OF 1
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RECEIVED
JUL 30 2021
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
SNOHOMISH COUNTY
G�CMa)
VICINITY
MAP
PUBLIC UTILITY DISTRICT NO 1
PROJECT REMOVE 12KV WIRE AND
INSTALL SPAN GUY
LOCATION 23819 78TH AVE
W, EDMONDS, WA 98026
ENGINEER DANIEL LUU
DATE 7/29/2021
ORDER 100082324
PHONE (425) 783-4174
CELLULAR (425) 315-3529