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ENG2021-0522 ROW PERMITOF WAY EUC PERMIT PERMITNUMBER, City of Edmonds EdmondsRIGHT •:• • 1 1 www.cityofedmonds.gov• • Description: PUD REPLACE 6 BO POLES ISSUED: 01/12/2022 Address: 19231 88TH AVE W EDMONDS WA 98026-6112 EXPIRES: 07/12/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27041800309000 i NAME TYPE NAME ADDRESS PHONE APPLICANT MOE NAVE PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTACT BLAIR ANDERSON PO BOX 1107, EVERETT WA 98206 (425)783-8276 CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216 OWNER STEVEN M & WILLEY ELA CRISTOL 1923188TH AVE W, EDMONDS WA 98026-6112 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 RIGHT OF WAY STANDARD PERMIT FEE $330.00 $330.00 1111 • 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 01 /12/2022 RELEASED BY DATE Printed: Wednesday, January 12, 2022 12:09:14 PM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • •:• •ENG2021-05,12 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 X-2 ENGINEERING FINAL" Printed: Wednesday, January 12, 2022 12:09:14 PM 2 of 2 ENG2021-0522 of E°Motio� RECEIVED RIGHT OF WAY CONSTRUCTION DEC 17 2021 PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS /'Vc. i s'0 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 6 BO POLES FOR SNO CTY PUD Site Address or if no site address use PropertyAddress at NW corner of project area:19231 88TH AVE W EDM (VICINITY OF) Associated Permits: BLD PLN ENG Owner and Entity Holding Name of Company SNOHOMISH COUNTY PUD FranchiseOrdinance No: Point of Contact BLAIR ANDERSON Title DESIGNER Address2320 CALIFORNIA ST City EVERETT State WA Zip 98201 Phone425-343-5803 Email BCANDERSON@SNOPUD.COM Contractor and Authorized Agent of Owner Name of Company SAME INFO AS ABOVE (see note below) Contractor Contacts During Construction Primary Name SAME INFO 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 Xci 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) m 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.) PUD WILL BE REPLACING (6) BAD ORDER POLES WITH NEW POLES AS OUTLINED. THIS IS MAINTENANCE FOR POLES THAT HAVE BEEN DEEMED BAD ORDER. POLES BEING REPLACED WILL BE REPLACED WITH THE SAME OR SIMILAR INFRASTRUCTURE. SOME NO ADDITIONAL INFRASTRUCTURE OR POLES ARE PROPOSED, WITH PUD TOPPING POLES FOR COMMUNICATIONS TO REMOVE AT TIME COMMUNICATIONS ARE TRANSFERRED TO NEW PUD POLES. TWO LOCATIONS ON 192ND WILL REQUIRE MINIMAL TRAFFIC CONTROL FOR A LOW -VOLUME TWO-WAY ROAD. THE EXISTING POLES, AND THEIR REPLACEMENTS, WILL BE LOCATED APPROXIMATELY 14 FEET FROM EDGE OF ROAD. PUD IS NOT PROPOSING TO BORE OR TRENCH ANY SUITABLE DISTANCE AS THE POLES WILL BE PLACED TIGHTLY NEXT TO THE OLD POLES. OLD POLE LOCATIONS WILL BE FILLED WITH GRAVEL AT TIME OF REMOVAL. PUD WILL CALL IN LOCATES SEVERAL DAYS PRIOR TO JOB BEING WORKED. ON AVERAGE EACH POLE SHOULD TAKE APPROX 3-6 HOURS TO COMPLETE AND ALL MAY NOT BE WORKED ON THE SAME DAY. MINIMAL TREE TRIMMING WILL TAKE PLACE TO FACILITATE INSTALLATION OF THE NEW POLES, AND SHOULD OCCUR WITHIN PUD EASEMENT ONLY. 192ND ST SW WILL BE CLOSED IN THE EASTBOUND DIRECTION ONLY FOR THE TWO POLES BEING REPLACED ON 192ND ST SW. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF I x LF SF Alley 72 hours + LF Ix I LF SF Parking 72 hours + LF Ix I LF SF 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 Yes No 2. 1 Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? No 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? Yes 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? No 5. Does the work involve proposed additions to an aboveground utility stem? If es: No Are the additions for the purpose of serving new commercial development? No Are the additions for the purpose of serving a single-family residential subdivision? No Details of Work to be Completed Yes No 6. Does your project involve rebuilding or replacing utility equipment which currently serves more y than one lot or commercial development? If yes, answer the following questions related to project area, i.e. the actual area in which the project is proposed: 6a. Does your project involve wires/cables/lines? If yes: Secondary service wires to houses only Y How many are existing? 112 1 Howmany are to be added? 10 City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. Does your project involve poles? If yes: yes How many poles are existing in the project area? 6 What is the height of the existing poles? 35 to 4 How many poles are to be removed? Replaced 6 Are additional poles to be laced? Replaced Yes How many? 16 1 What is the height of the additionalpoles? 35' to 45' 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? 16 1 What is the height of the poles after? 11 35' svc pole and (5) 45' distribution poles Describe the modification rebuild: Replacement 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: a&IiAltl ml APPLICANT PRINTED NAME: Blair Anderson APPLICANT TITLE: Designer, Snohomish County PUD NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 12/16/21 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 RECEIVED DEC 17 2021 CITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS DEVELOPMENT Right-of-%VWAEb 6VF6_h #1066077-100088407 6 BO Poles Applicant First Name Last Name Company Name Moe Nave Snohomish County PUD Number Street Apartment or Suite Number E-mail Address PO Box 1107 jointuse@snopud.com City State Zip Phone Number Extension Everett WA 98206 4257835681 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 19231 88TH AVE W City Zip Code County Parcel Number EDMONDS 98026 27041800309000 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Steven M & Willey Elaine E Cristol Number Street Apartment or Suite Number 19231 88TH AVE W City State Zip EDMONDS WA 98026-6112 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 12/17/2021 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1066077-100088407 6 BO Poles Project Contact Company Name: Name: Blair Anderson Email: bcanderson@snopud.com Address: PO BOX 1107 Phone #: 4257838276 Everett WA 98206 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: 100088407 6 BO Poles Description of PUD will be replacing 6 bad order poles. Work will be on 192nd and require minimal traffic Work: control. The poles will be tightly placed and no boring or trenching needed. Each pole should take approx 6 hours across multiple days. Tree work will be required. Project Details Project Information Job Number 100088407 6 BO Poles Page 2 of 2 I6F1Ij ENGINEERING DIVISION APPROVED AS NOTED 01/10/2022 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM 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. CONSTRUCTION NOTES ON PAGE 2 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE a quo O LOCATION 19231 88TH AVE W EDMONDS WA 98026 AREA LYNNWOOD POLE NO PLI 9065 MORE SW 1/4S 18 T27 R4 DATE 11/28/21 ORDER 100088407 REASON FOR WORK REPL (6) BQ POLES ENGINEER ANDERSON OPERATION 0030 PUD MAINTENANCE DRAFTER UGND NO N/A APPROVED SCALE NTS DATE DATE WORK COMPLETED FOREMAN SUBSTATION MAPLEWOOD CIRCUIT NO 12-345 PHASE 123 FEES REO'D ❑YES ■NO PRIMARY OVERHEAD ENGINEER B ANDERSON ❑ RESIDENTIAL PHONE 425-783-8276 ❑ COMMERCIAL EOµ N NORTH PI ANI \/iF\A/ RECEIVED DEC 17 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT @ 3 S PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE 3 LEUµ SECONDARY UNDERGROUND BASIC FEE% @f�=3 UNDERGROUND PLAT BASIC FEES ENGINEERING FT @ S = 3 PLAT CONSTRUCTION GFT@s =% STREET LIGHTING C FT @ % _ % CROSSINGS tFT@S =3 ❑ PRIMARY ❑ SECONADARY It FT @ 3 = % MISCELLANEOUS FEES VAULT % PERMIT 3 S i i s TOTAL DUE% DATE PAID RECEIPT - NEW SVCE APPLICATION- LEGEND: NESC VIOLATIONS PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ CITY EDMONDS 11 EASEMENTS ❑ REQUIRED E• ■ NOT REQUIRED DATE SENT TO R/W DATE APPROVED FOREIGN CONTACTS ■ JPN- ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV POLE STENCILING FROM TO TAKE OFF POLE PRE-CONSTR REQUIREMENTS ❑ TREE TRIM ■ HUD LOCATOR ❑ BACKHOE ■ FLAGGING ■ ONE CALL DATE ISTREET LIGHTING I LOCATION MAP VICINITY MAP 0 EXISTING POLE x EXISTING POLE -TO BE REMOVED • NEW POLE )K NEW POLE TO REPLACE EXISTING POLE EXISTING DISTRIBUTION LINE --------- NEW DISTRIBUTION LINE EXISTING TRANSMISSION LINE — — — — NEW TRANSMISSION LINE NEW SECONDARY CONDUCTOR RIGHT-OF-WAY LINE PROPERTY LINE * LINE TO BE REMOVED CONSTRUCTION NOTES OPLI 9065. -INSTL 45FT WOOD POLE TIGHT WEST AT STAKED LOC. -SET POLE 6.5 FT DEEP. -FRAME POLE PER AS12V109 AND AS12V601. -INSTL DG AND ANCH W/ 1OFT LEAD. -INSTL (1) 37 KVA XFMR UTC# 37- SER# SEC V / RMV 37.5 KVA TO MAPLEWOOD SUB ' INSTL 37.5 KVA CIRCUIT 12-345 3 -FUSE XFMR AT 10 AMPS. -TRANSFER (1) PRI AND (1) NEUTRAL CONDUCTORS. (#2 ACSR) -TRANSFER (5) OH SVCS. -RMV OLD TRANSFORMER 37-8500 AND RETURN TO YARD. SER# -STRIP TOP AND ABANDON TO COMMUNICATIONS. OPLI 9078: -INSTL 45 FT WOOD POLE TIGHT W AT STAKED LOC.. -SET POLE 6.5 FT DEEP. -FRAME POLE PER AS12V101 AND AS12VG01. -TRANSFER XFMR 25-13035 TO NEW POLE. SER# -TRANSFER EXST MCC UNIT TO NEW POLE. -TRANSFER (1) PRI AND (1) NEUTRAL CONDUCTORS. (#2 ACSR) -TRANSFER (4) SEC SVCS. -STRIP TOP AND ABANDON TO COMMUNICATIONS. SCHEMATIC BEFORE AND AFTER RMV 25 KVA INSTL 25 KVA TO MAPLEWOOD SUB I CIRCUIT 12-344 ***TRAFFIC CONTROL PLAN NOTES: POLE IS 14 FT SOUTH FROM EDGE OF ROAD*** PLI 9079: -INSTL 45 FT WOOD POLE TIGHT SE AT STAKED LOC. -SET POLE 6.5 FT DEEP. -FRAME POLE PER AS12V113. -INSTL NEW SPAN GUY (150205) TO PLI 9080 1 P N. -TRANSFER SL-129709-A AND BRKT TO NEW POLE. -STRIP TOP AND ABANDON TO COMMUNICATIONS. ***TRAFFIC CONTROL PLAN NOTE. POLE IS 14 FT SOUTH OF EDGE OF ROAD.*** SCHEMATIC BEFORE AND AFTER OD PLI9082 -INSTL 35 FT WOOD POLE TIGHT S AT STAKED LOC. -SET POLE 5.5 FT DEEP. -INSTL I0102 INSULATOR. -TRANSFER (1) SEC SVC. -STRIP TOP AND ABANDON TO COMMUNICATIONS. OPLI 9118 -INSTL 45 FT WOOD POLE TIGHT S AT STAKED LOC. -SET POLE 6.5 FT DEEP. -FRAME POLE PER AS12V101. -TRANSFER (1) PRI AND (1) NEUTRAL CONDUCTORS. (#2 ACSR) -STRIP TOP AND ABANDON TO COMMUNICATIONS. OPLI 9119: -INSTL 45 FT WOOD POLE TIGHT E AT STAKED LOC. -SET POLE 6.5 FT DEEP. -FRAME POLE PER AS12V601, AS12V109, AND AS1U705. -INSTL NEW DIG AND ANCHOR FACING S W/ 10 FT LEAD. -TRANSFER (1) PRI AND (1) NEUTRAL CONDUCTOR. (#2 ACSR) -INTERCEPT EXST 3" FROM PED AND CONN TO NEW RISER. -XFER EXST XFMR 25-11412 TO NEW POLE. SER# -STRIP TOP AND ABANDON TO COMMUNICATIONS. RECEIVED DEC 17 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT TO MAPLEWOOD SUB CIRCUIT 12-344 RMV 25 KVA INSTL 25 KVA I SCHEMATIC BEFORE AND AFTER ORDER 100088407 OPERATION 0030 SCALE NTS DFTR CHER ENCR ANDERSON APVD DATE TRAFFIC CONTROL PLAN LOCATIONS 'B' AND 'C' o LANE CLOSURE ON A TWO—LANE ROAD (TWO FLAGGER OPERATION) ROAD Z W20-1 WORK g z AHEAD X ONE LANE W20-4 ROAD g > ¢� AHEAD �' NORTH X o H- 48" x 24" W20-7A <El� g (n ROAD WOEND g RK G Z O- Z x _0 X (OPTIONAL) zx N O O 0 00 O o ZO 00 - �� O - O O zF_ 0 z az O �a J J O FA J Qz v O O m O z O w Q a � � o0 �o O� x J��JDNE END SNOHOMISH COUNTY G2O-2 ROAD WORK g gW2O-7A W20-7B p n nal 48" x 24" l U 1 (OPTIONAL) LANE BE PUBLICUTILITY DISTRICT NO1OAD W20-4EAD TO STOP ORDER 100088407 X OPERATION 0030 ROAD OPTIONAL IF g WORK W20-1 40 MPH OR LESS SCALE NTS AHEAD DFTR CHKR ENGR ANDERSON - APVD RECEIVED DATE V28/21 ENGINEERING DIVISION DEC 17 2021 APPROVED AS NOTED joll 01/10/2022 CITY OF EDMONDS -py DEVELOPMENT SERVICES DEPARTMENT REV IDRAWING