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ENG2021-0499 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds -0499 www.cityofedmonds.gov Description: PUD-REPLACE BAD ORDER POLE ISSUED: 12/29/2021 Address: 229 3RD AVE S #A EDMONDS WA 98020 EXPIRES: 06/27/2022 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00851400100100 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 BROWN LISA 229 3RD AVE S #A, EDMONDS WA 98020 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. 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 ENGINEERING DIVISION APPROVED AS NOTED RELEASED BY 12/29/2021 DATE Printed: Wednesday, December 29, 2021 8:25:43 AM 1 of 2 -KRWOF WAY EUC PERMIT PERMITNUMBER, City of Edmonds ..• • 1 14" 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. 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. 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" E-7 CONCRETE SIDEWALK Printed: Wednesday, December 29, 2021 8:25:43 AM 2 of 2 ENG2021-0499 PUD WO #100088108-30 ofEDMO41,� RECEIVED RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION DEC 01 2021 Complete and submit this Application in accordance with the Submittal CITY of EDMONDs /Ivc. i 3`)J 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 General• Project Name Replace bad order pole PLI 328 Site Address or if no site address use Property Address at NW corner of project area: 229 3rd Ave S, 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 & 'ointuse sn0 ud.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 IN 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? cm 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 bad order pole PLI 328 with new pole with the same height as existing. Replacement pole will be located 1 foot north of old pole. This is part of PUD pole maintenance program. No boring or tree trimming involved. PUD crews will be working within the right-of-way with flaggers. 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 x 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 xi 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) 50' Primary Pole x How many poles are existing in the project area? 1 What is the height of the existing poles? 50' 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 50' Describe the modification rebuild: Replace existing 50' pole with same height pole. 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 NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE DATE: 12/2/2021 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 ROAD W20-1 WORK AHEAD U BE W 3 - 4 PREPARED TO STOP m W20-7A �� a N NORTH ALDER ST. V) Ld i Q a A ROAD WORK AHEAD W20-1 SPEED SIGN SPACING BUFFER LIMIT A, g,C (FT) (FT) 25 200 55 30 200 85 35 350 120 I NEW POLE I I I B.O. to POLE I I BUFFER TAPER ENGINEERING DIVISION 100MINX APPROVED AS NOTED �l�� (�Q✓..yri.nn2 12/27/2021 NOTE: vv I 1. FLAGGERS REQUIRED TO CONTROL TRAFFIC WHENEVER THE CREW MUST INTERRUPT I TRAFFIC FLOW TO ACCESS THE WORK SITE WITH MATERIALS OR EQUIPMENT. 2. FLAGGERS TO ASSIST PEDESTRIANS CROSSING THE ROAD BACKAND FORTH DURING CONSTRUCTION. 3 3. WORK HOURS: 7AM TO 5PM MONDAY TO THURSDAY N I I W20-7A BE I Q PREPARED W 3 - 4 TO STOP I m ROAD WORK W20-1 AHEAD I SNOHOMISH COUNTY pnU]m) TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO 1 PROJECT REPLACE BAD ORDER POLE PLI 328 LOCATION 229 3RD AVE S, EDMONDS WA 98020 ENGINEER RICHARD DUMO PHONE 425-783-5110 DATE 12/1/2021 WO NO 100088108-30 RECEIVED DEC 01 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT PAGER/ CELLULAR 425-346-8846 C/:) I � I Q 0 PROP. DC LINE CM I , I , I , -- --- D-- -- I N , NEW------------------ NORTH CCI POLE I I I I I I I I C , , I I , I B.O. I I I I I , I o POLE I I o I I I I I I I , , , � , , I I , I I I I I I r, I I , I , I I I ,I LAYOUT ALDER II II II NTS - I I II I I I I I I I , I , RECEIVED o , DEC 01 2021 LEGEND: ------- W- - - - - -- - WATER CITY OF EDMONDS DEVELOPMENT ------- D------- - STORMWATER/DRAIN SERVICES DEPARTMENT ------- S------- - SEWER SNOHOMISH COUNTY GpMED OTHER UTILITY LOCATIONS PUBLIC UTILITY DISTRICT NO 1 PROJECT REPLACE BAD ORDER POLE PL1 328 LOCATION 229 3RD AVE S, EDMONDS WA 98020 ENGINEER RICHARD DUMO DATE 12/1/2021 ORDER 100088108-30 PHONE 425-783-5110 CELLULAR 425-346-8846 RECEIVED SITE PICTURES DEC 01 2021