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ENG2022-0115 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT •:• •ENG2022-01155] www.cityofedmonds.gov• • Description: PUD-RELOCATE POLE FOR SELECT HOMES S.P. PLN2021-0007 ISSUED: 03/29/2022 Address: 20323 81STAVE W EDMONDS WA 98026-6713 EXPIRES: 09/29/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00431200001501 i NAME TYPE NAME ADDRESS PHONE APPLICANT MOE NAVE PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTACT PUD PO BOX 1107, EVERETT WA 98206 (425)359-1123 CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216 OWNER SELECT HOMES INC 8304 212TH ST SW, EDMONDS WA 98026 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 RIGHT OF WAY STANDARD - EUC 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 03/29/2022 RELEASED BY DATE Printed: Tuesday, March 29, 2022 11:15:02 AM 1 of 2 -KRWOF WAY EUC PERMIT City of Edmonds •:• • 1 115 www.cityofedmonds. ov/425.771.0220 CONDITIONS CONDITION TYPE ALERT RESIDENTS ALERT AFFECTED RESIDENTS AND OR BUSINESSES PRIOR TO WORK START. 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. MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD ESC REQUIREMENTS 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. SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT. INSPECTIONS www.mybuildingpermit.com POTHOLING VERIFY CLEAR BORE CROSSINGS. RESTORE LANDSCAPE Restore landscape to like or better conditions Sound or 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 AND 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 and activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. 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: Tuesday, March 29, 2022 11:15:02 AM 2 of 2 wo# RECEIVED �f E°Motion WO# 100093232 RIGHT OF WAY CONSTRUCTION Mar 21 2022 PERMIT APPLICATION CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Complete and submit this Application in accordance with the Submittal /Ivc. i aa° Requirements outlined in Right -of -Way permit Handout E6�. 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 Pole Relocation for Select Homes LLC 81 st Ave W Site Address or if no site address use Property Address at NW corner of project area: 20323 81 st Ave W Edmonds, WA Associated Permits: BLD PLN ENG Owner and Entity Name of Company Holding Franchise (if applicable) Snohomish County PUD Franchise Ordinance No: N/A Point of Contact Andy Tran Title Designer Address 21014 63rd Ave W City Lynnwood State WA Zip 98036 Phone 425-670-3208 Email AXTran@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 y 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 VSingle 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.) PUD TO RELOCATE DISTRIBUTION POLE FOR SELECT HOMES LLC'S NEW SFDU AND SIDEWALK. NO TREE TRIMMING NO BORING PEDESTRIAN ESCORT REQUIRED. VACTOR MOST LIKELY WILL BE USED TO EXCAVATE AREA. PUD WILL ALSO INSTIL NEW UG SECONDARY SVCE FOR SELECT HOMES LLC'S NEW SFDU BY TAKING OFF OF THE EXISTING POLE LOCATED ON THESE U ROPERTY ALO PERMIT APP FOR THAT, JNI ESST,,nF 18 PjG:F NEEDED. 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 Vpower ❑ 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 V No 2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? V If yes, describe: Secondary Pedestal 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? Are the additions for the purpose of serving a single-family residential subdivision? 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? I I How many are to be added? 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? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? 1 1 1 What is the height of the poles after? 45' Describe the modification rebuild: Pole Relocation 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 APPLICANT PRINTED NAME: Andy Tran APPLICANT TITLE: Designer NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 3/18/2022 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM p. FQ PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 20323 81ST AVE W EDMONDS, WA 98026 SOUTH COUNTYAREA POLE NO. 9366 NE1/4S 19 T 27 R 4 DATE 3/18/2022 ORDER 100093232 REASON FOR WORK PUD TO RELOCATE DISTRIB POLE ENGINEER AXTRAN OPERATION 0030 FOR CITY OF EDMONDS SIDEWALK DRAFTER U.G. NO. SCALE NTS APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ❑ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. '@S '=S \ SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE S ■ NO ❑ YES (SEE NOTES) @S .=S PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE METER/CONV. POLE g PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ■ CITY BASIC FEE S ❑ EASEMENTS LEU NO. @$ =S ❑ REQUIRED ■ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE S DATE RELEASED @$ '=S UNDERGROUND PLAT FOREIGN CONTACTS ■ JPN# BASIC FEE S FTAS '=3 ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV STREET LIGHTING rL FT.@$ '=S ❑ POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR CL FT.@$ '=S MISCELLANEOUS FEES ❑ BACKHOE ❑ FLAGGING VAULT S 0 ONE CALL DATE PERMIT S N0 $ STREET LIGHTING ■ YES ❑ NO $ M&R AS -BUILT $ GIS TOTAL DUE S DATE PAID RECEPT NO. SERVICE ORDER NO. GIS QC M&R GIS Ph JOINT USE LOCATION MAP PAGE 454 J5 LEGEND: 0 EXISTING POLE 0 EXISTING POLE -TO BE REMOVED • NEW POLE NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION PRV CIRCUIT NO. 12-126 PHASE 1 ENGR'S TEL. # 425-670-3208 ENGR'S CELL # 425-359-1123 N VICINITY AT QA SET NEW 45' CL 2 POLE 12' SW OF PLI: 9366 AS STAKED. FRAME NEW POLE AS VERTICAL TANGENT (12V101)e INSTL 12' OF 2" PVC COND ONTO EXISTING 2" CONDUIT° INSTL 12' OF 3" PVC COND ONTO EXISTING 3" CONDUIT. SPLICE 12' OF 1/0 PRI ON EXISTING PRI SVCE IN 2" COND. SPLICE 12' OF 350 KCMIL AL TPX ON EXISTING SEC SVCE IN EXISTING 3" COND. SPLICE 12' OF #2 AL TPX ON EXISTING OH SEC SVCE TO 20319 81ST AVE W ED. XFR OH PRI SVCE AND NEUT FROM OLD POLE TO NEW POLE. XFR OH XFMR FROM OLD POLE TO NEW POLE. XFR STREET LIGHT FROM OLD POLE TO NEW POLE. XFR OH SEC SVCES FROM OLD POLE TO NEW POLE. STRIP TOP AND ABANDON OLD POLE TO COMMUNICATIONS° AT INSB 3" SEC RISER ON PLI: 265272. SET NEW SM UG PED 2' N OF PLI: 265272 AS INSTL 47' OF 350 KCMIL AL TPX WIRE FROM TO PED IN CUST INST CONT 3" COND. CONN IN PED. 20302 20306 1 E-27210 0 LEU 5249 G181 ` E-27210 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 ENGINEERING DIVISION APPROVED AS NOTED ,%,PJI (VZ,,X,, ,,4z 03/29/2022 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. 20 A 20301 20319 16SL-13004 -A GCJ 15 W25-26 55 g 6 E-44394 20323 W Q CBSL-114257 A �'f115-4082 I .111 9364 = a 4w W STAKED. XFMR: 15-393597 05 0 3597 72 RECEIVED O�A V Mar 21 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 3 SHEET OF 0 E w a Fo N M 0 N w Ln c 0 0 0 0 a` 0 CN bN wi f/I p U � i� m� ww J ~ �Q wo WORK TO BE DONE WITHIN 4 HRS WITHIN 8AM-3PMo SHOULDER LANE TO BE CLOSED. LANE CLOSURE ON A LOW VOLUVE ROAD (NO FLAGGER, TRAFFIC SELF-REGULATING, 35 MPH OR LESS) ROAD W20-1 WORK AHEAD I \VI X ONE LANE 11 W20-4 ROEAD x • 0 O [ton]• m 0 (� • = Z_ Q W • LoO X ONE LANE i ROAD W 2 0- 4 AHEAD X ROAD i WORK W20-1 AHEAD RECEIVED ENGINEERING DIVISION APPROVED AS NOTED Mar 21 2022 II II jpll LVLJ.j,.44p ./ CITY OF EDMONDS 03/29/2022 DEVELOPMENT SERVICES vv DEPARTMENT SNOHOMISH COUNTY TRAFFIC CONTROL PLAN [PULD PUBLIC UTILITY DISTRICT NO 1 PROJECT UG SEC RISER & POLE RELOCATION FOR SELECT HOMES LLC LOCATION 20323 81ST AVE W EDMONDS, WA ENGINEER A N D Y T R A N DATE 3/18/2022 ORDER 100093232 PHONE 425-670-3208 CELLULAR 425-359-1123 WORK TO BE DONE WITHIN 4 HRS WITHIN 8AM-3PMo NORTHBOUND LANE TO BE CLOSED. LANE CLOSURE ON A LOW VOEUVE ROAD (NO FLAGGER, TRAFFIC SELF-REGULATING, 35 MPH OR LESS) I t IT ROAD W20-1 WORK AHEAD I \VI X ONE LANE W20-4 ROAD x • 0 O i • • W • t Q m • uAX 00 • Wa ZQ MM • Q LoO X ONE LANE i ROAD W 2 0- 4 AHEAD X ROAD i WORK W20-1 AHEAD RECEIVED Mar 21 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SNOHOMISH COUNTY TRAFFIC CONTROL PLAN [PULD PUBLIC UTILITY DISTRICT NO 1 PROJECT UG SEC RISER & POLE RELOCATION FOR SELECT HOMES LLC LOCATION 20323 81ST AVE W EDMONDS, WA ENGINEER A N D Y T R A N DATE 3/18/2022 ORDER 100093232 PHONE 425-670-3208 CELLULAR 425-359-1123 RECEIVED CITY OF EDMONDS Right -of -Way Application #1111116 - WO 100093232 / Mar 21 2022 MyBuildingPermit.com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 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 20323 81 ST AVE W City Zip Code County Parcel Number EDMONDS 98026 00431200001501 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 SELECT HOMES INC Number Street Apartment or Suite Number 8304 212TH ST SW City State Zip EDMONDS WA 98026 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: 3/21/2022 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Right -of -Way Application #1111116 - WO 100093232 Project Contact Company Name: PUD Name: Andy Tran Email: axtran@snopud.com Address: PO Box 1107 Phone #: 425-359-1123 Everett WA 98206 Project Type Utility Purveyor Project Name: WO 100093232 Activity Type Utility Work Scope of Work Disturbance of Surface Pole relocation for Select Homes new SFDU and sidewalk. No tree trimming or boring Description of required. Pedestrian escort to be provided. Vactor most likely will be used to excavate area. Work: PUD will also install new UG secondary service for customer's new SFDU by taking off the existing pole located on the SE corner of the property along 203rd PI SW. We will send in another permit app for that, if necessary. Project Details Project Information Job Number 100093232 Page 2 of 2