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ENG2021-0095 ROW PERMITRIGHT OF WAY EUC PERMIT PERMITNUMBER, City of Edmonds _7 121 5th Ave N, Edmonds WA 98020 ENG2021 -0095 ii www.cityofedmonds.gov Description: PUD-REPLACE B.O. POLE PLI 9025 W/ CHANGE IN POLE LOCATION ISSUED: 09/23/2021 Address: 19009 92ND AVE W EDMONDS WA 98020-2383 EXPIRES: 03/23/2022 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434600003009 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 BARROW TODD 19009 92ND AVE W, EDMONDS WA 98020 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 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 W4101" 09/23/2021 RELEASE15 BY DATE Printed: Thursday, September 23, 2021 3:05:22 PM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • 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 SEWER MAIN Printed: Thursday, September 23, 2021 3:05:22 PM 2 of 2 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 bad order pole PLI 9025. (Note: Pole and transformer is only serving customer at "19009" 92nd Ave W). New pole will be installed in place of the old pole at address "9138" 189th PL SW in the backyard. PUD crews will access the private driveway during fence removal, tree trimmino and construction. Street traffic will not be impacted and flappers will still be available if needed. Please include fence removal and restoration with hedge trimming work for permit use. 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 8 hours 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 ® 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: Primary and Secondary overhead wires. 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) 40' Primary Pole X How many poles are existing in the project area? 1 What is the height of the existing poles? 40' How many poles are to be removed? 1 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 40' Describe the modification rebuild: Replace existing 40' pole & anchor with a 40' pole and new anchor 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 11wo Richard Dumo NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE DATE: 8/12/2021 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM $N-0 0 ISM COVNTv PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 19009 92ND AVE W, EDMONDS WA 98020 LYNNWOODAREA POLE NO. PLI 9025 SW1/4S 18 T 27N R 3E DATE 8/9/2021 ORDER 100076722 REASON FOR WORK ENGINEER RDUMO OPERATION 30 REPLACE BAD ORDER DRAFTER RDUMO U.G. NO. POLE PLI 9025 APPROVED SCALE NTS `�{}s & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D El YES ■NO RIMARY OVERHEAD RESIDENTIAL ❑ OMMERCIAL LEO N0. SEC DARY OVERHEAD CONTACT INFO: 19009 92ND AVE W TODD & ROBERTA BARROW (425) 218-7776 9138 189TH PL SW ROBERT 'BOB' DIEGERT (206) 390-1743 NESC VIOLATIONS BASIC FEE E ■ NO ❑ YES (SEE NOTES) @$ '=$ PERMITS (DATE GRANTED) METER/ ONV. POLE S ❑ TREE TRIM PRIMARY UNDERGROUND El STATE ❑ RESIDENT L ❑ COUNTY ❑ COMMERCI ■ CITY EDMONDS LEU NO. SECONDARY '@$ $ UNDERGROUND AT BAS FEE E q FT.@$ _$ STREET LIGHTING CE FT.@$ _$ WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONDARY q FT.@$ $ MISCELLANEOUS FEES VAULT S_ PERMIT S_ S_ S_ TOTAL DUE 3 DATE PAID RECEIPT NO. SERVICE ORDER NO. FI;FNn: BASIC FEE 3 ❑ EASEMENTS =$ ■ REQUIRED ❑ NOT REQUIRED DERGROUND SIC FEE S DATE RELEASED FOREIGN CONTACTS ■ JPN# ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV 1-1 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 GIS GIS QC M&R GIS Ph JOINT USE LOCATION MAP PAGE 454-H3 O EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE NEW POLE TO REPLACE EXISTING POLE DATE 8/9/2021 SUBSTATION MAPLEWOOD CIRCUIT NO. 12-345 PHASE 3 RICHARD DUMO ENGR'S TEL. # 425-783-5110 ENGR'S CELL # 425-346-8846 INSPECTION REQUIRE VACTOR REQUIRED FOR EXCAVATION FOR NEW POLE DUE TO THE CLOSE PROXCIMITY TO THE SEWER MAIN SL-117670-A 11 FU100 I 18919 242 282854 190TH ST SW 120029 M MPL 12 25-357478 197592 r-- _9 FU15 19005 rn 19015 1 AYn1 IT CONSTRUCTION NOTES OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. BEFORE CONSTRUCTION: THIS JOB INVOLVES DELICATELY INSTALLING A POLE BETWEEN FULLY GROWN HEDGES BEHIND A FENCE. THREE FENCE PANELS WILL NEED TO BE CAREFULLY REMOVED AND RE -INSTALLED BY THE ATTACHED 1818. PLEASE NOTIFY RICHARD DUMO WHEN CONSTRUCTION DATE IS SET FOR PRE -CONSTRUCTION MEETING. CUSTOMER ROBERT DIEGERT AT "9138" WANTS TO BE PRESENT DURING CONSTRUCTION. CUSTOMERS AT "19005" & "19009" NEEDS TO BE NOTIFIED AS WELL BEFORE CONSTRUCTION. OWNER/CONTRACTOR IS RESPONSIBLE FOR AO AT POLE Di 9025 EROSION CONTROL AND DRAINAGE EXISTING 40' CLASS 2 POLE INSTALL GROUND PLATE ON NEW 40' POLE (N0110) SET 40' CLS 2 POLE IN PLACE OF EXISTING POLE (PW2040) INSTALL PLATE ANCHOR W/ LEAD APPROX 12' EAST (A0203) INSTALL 3/8 INCH PRIMARY DOWNGUY (GO113) INSTALL 10 VERTICAL DEADEND ASSY (12V109) SLEEVE #2 WIRE TO EXISTING PRI OH AND NEUT AS NEEDED INSTALL 15KVA OH TRANSFORMER (BA21L)(12V601) INSTALL 6A FUSE (E1006) UTC#---------------- SER#---------------- SEC VOLT ---------------- REMOVE OLD 15KVA OH TRANSFORMER UTC#---------------- SER# ---------------- HANG COMCAST SVC FROM J-HOOK 40" BELOW NEUT (R1112) L HANG ZIPLY SVC FROM J-HOOK 46" BELLOW NEUT (R1112) REMOVE GUYWIRE AND CUT ANCHOR 1' BELOW GROUND LEVEL REMOVE AND HAUL AWAY OLD POLE PERMANENT ATTACHEMENT TO THE NEW POLE WILL BE FINALIZED BY OTHER UTILITIES 13 9138 0 9128 FU100 1-� 3 2 FU15 4377 1 242 N MPL 12 19009 NORTH CKT MPL 345 ENGINEERING DIVISION APPROVED AS NOTED %I/ Ulf✓.X,,,,,44z 09/21/2021 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. RESUB AUG 12 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT G 0 9025 15- SCHEMATIC AFTER KIWI