ENG2021-0370 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of • • •
...0i ENG2021-0370
www.cityofedmonds.gov
Description: PUD-REPLACE BAD ORDER POLE, GUY, ANCHOR & PRIMARY RISER
ISSUED: 10/18/2021
Address: 22903 92ND AVE W - ESPERANCE EDMONDS WA 98020-5039
EXPIRES: 04/18/2022
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00391000001000
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 WESTGATE CHAPEL 22901 EDMONDS WAY, EDMONDS WA 98020-5043
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $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
10/18/2021
RELEASED BY
DATE
Printed: Monday, October 18, 2021 10:18:24 AM 1 of 2
WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
Ave-KRWOF
980201 1 1
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.
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 and 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.
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 TYPE
DATE
RESULT
COMPLETE
A-1 JOB START
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL"
Printed: Monday, October 18, 2021 10:18:24 AM 2 of 2
ENG2021-0370 PUD WO #100084308-30
ofEDMotiO� RECEIVED
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION SEP 13 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.,I. 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
General•
Project Name Replace (1) bad order pole
Site Address or if no site address use Property Address at NW corner of project area: 22903 92th Ave W, Edmonds WA 98020
Associated Permits: BLD n/a PLN n/a ENG n/a
• • • applicable)
Name of Company Snohomish County PUD Franchise Ordinance No: n/a
Point of Contact Richard Dumo
Title Engineer
Address 1802 75th St. SW, MS02
City Everett
State WA
Zip 98206
Phone 425-783-5110
Email rsdumo@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
X 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?
X Other, please specify: PUD Utility work
❑ 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.)
Scope: Replace (1) 45' bad order pole, Guy & Anchor and primary riser on a deadend road within the ROW. (see attached drawing)
Please include tree trimming work for permit use.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
I x
LF
SF
n/a
Alley 72 hours +
LF
Ix
I LF
SF
n/a
Parking 72 hours +
LF
I x
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 X 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. 1 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 existingunderground common utilitysystem?
X
5.
Does the work involve proposed additions to an aboveground utility system? If es:
X
Are the additions for the purpose of serving new commercial development?
n/a
Are the additions for the purpose of serving a single-family residential subdivision?
n/a
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: Overhead wires and Underground primary cables
X
How many are existing? 1 1 1 How many are to be added? I none
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
6b.
Does your project involve poles? If yes: (1) Primary Pole
X
How many poles are existing in the project area? 1
What is the height of the existing poles? (1) 45'
How many poles are to be removed? 1 (to be replaced)
Are additional poles to be laced? no
How many? I n/a I What is the height of the additionalpoles? n/a
6c.
Are any poles to be modified/rebuilt/replaced? If yes: Replace
X
How many? 1 1 1 What is the height of the poles after? 1 (1) 45'
Describe the modification rebuild: Replace existing bad order pole, guy & anchor and primary riser.
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:
APPLICANT PRINTED NAME:
APPLICANT TITLE:
Ie D1wo
Richard Dumo
PUD Engineer
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
DATE: 9/13/2021
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
p'M O PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 22903 92TH AVE W. EDMONDS WA 98020 LYNNWOODAREA
POLE NO. PLI 15203 NW1/4S 31 T 27 R 04 DATE 9/9/2021 W.O. NO. 100084308
REASON FOR WORK ENGINEER RICH DUMO TASK 30
REPLACE BAD ORDER POLE DRAFTER RICH DUMO U.G. No. 1408-Sl
PLI 15203 SCALE NTS
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ❑ YES ❑ NO
RIMARY OVERHEAD
❑ RESIDENTIAL
❑ OMMERCIAL
SEOUOYAH CONDOS CONTACT: DATE
NW CONDOS SERVICES SUBSTATION 5 CORNERS
HOA MANAGER; DUANE HOFF CIRCUIT NO. 12-1282 PHASE 1,2.3
EMAIL:
ddhoff@nwcondoservices.com
OFFICE: 206-420-0250
CELL #:206-579-3432
LEO N0.
@$
_$
ONSITE BOARD MEMBER:
PATTY PEDERSEN
SEC NDARY OVERHEAD
TEL:#425-876-4000
BASIC FEE
Q9 1=9
PERMITS (DATE GRANTED)
METER/ ONV. POLE
g
❑ TREE TRIM
PRIMARY UNDERGROUND
❑ STATE
❑ RESIDENT L
❑ COUNTY
❑ COMMERCI
■ CITY EDMONDS
BASIC FEE
3
❑
LEU No.
EASEMENTS
$ _$
❑ REQUIRED ■ NOT REQUIRED
SECONDARY NDERGROUND
ASIC FEE
@$
$
DATE RELEASED
UNDERGROUND P AT
FOREIGN CONTACTS
■ JPN# 100084308
BAS C FEE
3
FT.@3
_8
❑ JOINT TRENCH FRONTIER & CATV
❑ JOINT BORE FRONTIER & CATV
STREET LIGHTING
El
POLE STENCILING
WORK IN RIGHT OF WAY
FROM TO
❑ PRIMARY
TAKE OFF POLE
❑ SECONDARY
(� FT.@3
S
PRE-CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
MISCELLANEOUS FEES
❑ BACKHOE ❑ FLAGGING
VAULT
S
ONE CALL DATE
PERMIT
9
No.
$
STREET LIGHTING
$
❑ YES ■ NO
$
READY
PHASING
GIS
WORKING
TOTAL DUE S
1 LINE
FINISHED POLE/
DATE PAID XFMR
RECEPT NO. JOINT USE
SERVICE ORDER NO. LOCATION MAP PAGE 474-Hl
I FC;FNjn:
o EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
X NEW POLE TO REPLACE EXISTING POLE
ENGR'S TEL. #
425-783-5110
ENGR'S CELL #
425-346-8846
EMN
I
229245 - L
T 15-369806
SL 130332-A
i AL-21488-FL
15-328141
15196
�2903
AL-7295-Y N
15203 NO T"
LAYOUT
(NTS)
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
I ITII ITIF(-' RAAV DFr)l IIDF A CFDFDATF DFDRAIT
CONSTRUCTION NOTES
AO AT POLE (LOC ID #15203)
EXISTING 45' CLASS 2 POLE
SET 45' CLASS 2 POLE TIGHT EAST AS STAKED (PW2045)
INSTALL GROUND PLATE (NO110)
INSTALL DOWNGUYS (GO111 & G0115)
INSTALL (1) 12" HLX ANCH DUE SOUTH, L=15' (AO102)
INSTALL OVERHEAD 30 DEADEND ASSY (12F310)
INTERCEPT AND DEADEND EXIST 30 #2 ACSR OVERHEAD WIRES
INSTALL DEADEND UNDERGROUND 30 TERMINATION ASSY (12U309)
TRANSFER UNDERGROUND PRIMARY CABLES
INSTALL NEW AREA LIGHT OL901)
AREA LIGHT #_____________
RECEIVED
SEP 13 2021
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
ENGINEERING DIVISION
APPROVED AS NOTED
Jill W-L1,1.04z 10/15/2021
VV
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.
REMOVE EXISTING AREA LIGHT (AL-7295-Y)
TOP OFF AND ABANDON OLD POLE TO OTHER UTILITIES OWNER/CONTRACTOR IS RESPONSIBLE FOR
NOTE: UG PRIMARY CABLES TO BE REPLACED ON TASK 60 EROSION CONTROL AND DRAINAGE
CIRCUIT
5 CORNERS
12-1282
231
229245 40 15-369806
= 15196 41 15-328141
CV
CONDUCTOR SIZE:
#2 ACSR - PRIMARY
& NEUTRAL
15203
FU65 Y
TO
j A 1132
SCHEMATIC
(AFTER)
121.1309 & 12F310
(DETAIL 0 PLI 15203)
SIGN SPACING
= X
FREEWAYS & EXPRESSWAYS
55170 MPH
1500'±
RURAL HIGHWAYS
60 165 MPH
8001±
RURAL ROADS
45 / 55 MPH
500'±
RURAL ROADS & URBAN ARTERIALS
35 140 MPH
350'±
RURAL ROADS & URBAN ARTERIALS
RESIDENTAL & BUSINESS DISTRICTS
25 130 MPH
200'± (2)
URBAN STREETS
25 MPH OR LESS
100'± (2)
(1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE
RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
TABLE (1)
CHANNELIZATION DEVICE
SPACING (feet)
MPH TAPER TANGENT
50/70 40 80
35/45 30 60
25/30 20 40
MANDATORY
DURING NONWORKING HOURS, TRAFFIC CONTROL SHALL BE
REMOVED AND ROW SHALL BE OPENED TO WS FULL WIDTH
92v4 Ave W
PARKING
FROM
TO
TOW -A RE A
DISPL/ YED F2 HRS IN
DV/ NCE OF CLOSURE
GENERAL NOTES:
co
0
N t
1. ALL SIGNS AND SPACING SHALL CONFORM TO THE MUTCD SPECS.
2. NOTIFY LOCAL EMERGENCY SERVICES OF CLOSURE TIMES AND
DATES (OPTIONAL).
3. SIGN SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROAD
CONDITIONS.
4. PROTECTIVE VEHICLE RECOMMENDED.MAY BE A WORK TRUCK.
5. ALL SIGNS MIN. 48"' K 48"' UNLESS OTHERWISE SPECIFIED.
6. CHANNELIZATION DEVICES ARE 28" REFL. CONES (see TABLE (1)
for spacing distances).
7. ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE AT.GRADE
INTERSECTIONS AND/OR DRIVEWAYS.
Typical Parking Lane Closvre
O Parking area closed at the end of 92nd Ave W,
located sorth of 228th St SW.
O Sidewalk not present.
o Bike Lane not present.
0 Transit Route not present.
o REASON: To replace existing bad order Pole
# PLI 15203. (Grownd Disturbance Regmired)
co
.3
W
i
00
N
N
SPEED
LIMIT
2� RESIDENCE:
9126 2281ch St SW
Edmonds, WA 98026
ADDL. NOTES:
Westgate Chapel:
22901 Edmonds Way
Edmonds, WA 98020
RECEIVED
SEP 13 2021
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Gravel
Parklug
Lot
MANDATORY
CLOSURE AFFECTS RESIDENT /
CHURCH DRIVEWAY.
PROPERTY OWNER PERMISSION
REQUIRED TO BLOCK DRIVEWAYS.
NOTIFY AFFECTED RESIDENT /
CHURCH OF WORK TIMES/DATES.
LEGEND
WORK AREA
EKISTING GATE
E E 0 0 -1 28"' REFL. CONE
TRAFFIC CONTROL PLAN
EDMONDS, WA
oi!
NOT TO SCALE
RESIDENCE: Roag
22903 92nd Ave W EIiS
Edmonds, WA 98020 h0��
0000000 �g
Q
aS1
28"' REFL. CONE
ENGINEERING DIVISION
APPROVED AS NOTED
%�V LVZl,.U.,442 10/15/2021
41 SIGN LOCATION
M79 PROTECTIVE/WORK VEHICLE
. NO PARK BARRICADE
TREE
® POLE LOCATION
(PLI 15203)
k "ASH/R'G70t' S: A*E TRAFFIC C01 TROL
SUPERVISOR.
ROAD
WORK
.h AP7E: Greg Siler AHEAD
rCS CARD # 012604
EXP. DATE 1013112024
Greg SUtL
PUBLIC UTILITY DISTRICT NO. l