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ENG2022-0098 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds ..• • 1 1 1' www.cityofedmonds.gov• • Description: PUD TO REPLACE 1 BO POLE ISSUED: 04/12/2022 Address: 1424 OLYMPIC VIEW DR EDMONDS WA 98020-2690 EXPIRES: 10/12/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00531904400002 i NAME TYPE NAME ADDRESS PHONE APPLICANT MOE NAVE PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTACT SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (142)578-3855 CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216 OWNER CHRISTOPHER & WARE ME WARE 1424 OLYMPIC VIEW DR, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $110.00 $110.00 RIGHT OF WAY STANDARD - EUC PERMIT FEE $330.00 $330.00 • 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 04/12/2022 RELEASED BY DATE Printed: Tuesday, April 12, 2022 11:16:21 AM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • •:• • 1 009 . -. 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 E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL** Printed: Tuesday, April 12, 2022 11:16:21 AM 2 of 2 OF EDti1p RECEIVED RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION - MAR 8 2022 Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS "Ne. is9° Requirements outlined in Right -of -Way permit Handout E6R. 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 Info Project Name Olkj¢O Cry' �C/� i►' o (� Site Address or if no site address use Property Address at NW corner of project area: �y Z v �. Associated Permits: I BLD PLN . EN G • Name of Company .pp % Franchise Ordinance No: Point of Contact Title Address City C State Zip 4FP 2,4j Phone S-_7 &,3 ST5-57s Email /lid k , Contractor• b• Name of Company During Construction Primary Name Agent Name Cu Lie, �� Title �2 „ S , t Title Mobile -� Address 2 at t t 111 Email i S v� City State Zip ice? Secondary Name Phone 2 7 5_ o f S`! Title Email `; s�v Cv++ Mobile City of Edmonds Business License No: Email State License No: `3 (�_ &-)S- Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC18.6o.02o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. Type of Development apply ❑ 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 well) raffic Control Only (no associated development) g"Itility 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.) �Gt:. Jr'c�.� G[.'� / / L2,� �,r,:� /mac. t•„G �/J G�� , ,.. r-.�.: l .�v c.� RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF Alley 72 hours + LF x LF SF Parking 72 hours + LF x LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. Type of Utility Facilities i. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable �Ipower ❑ gas ❑ water -❑ sewer /❑ storm Details of Work to be Completed i. Does the utility owner have existing overhead infrastructure in the area of work? Yes No 2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? 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? 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? 5. Does the work involve proposed additions to an aboveground utility s stem? If es: Are the additions for the purpose of serving new commercial development? Are the additions for the purpose of seiving a single-family residential subdivision? Details of • to be Completed Does your project involve rebuilding or replacing utility equipment which currently serves more Yes No 6. 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: X How many are existing? How many are to be added? 73 City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. I Does your project involve poles? If yes: How many poles are existing in the project area? 1 What is the height of the existing poles? How many poles are to be removed? J Are additional poles to be laced? How many? I I What is the height of the additional'poles? a 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? What is -the height of the poles after? Describe the Modification/rebuild: 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: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 P1 r" r- F-\' / V C LJ P10 I V l! I C U 6/2022 per city standards that is caused or occurs during the permitted project. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE 30 9f 133HS 1N3Ni2]Vd30 S301nb3S 1N3AdO13n30 SaNOA43 d0 Xil0 a3AI3a3H SIN :Dildw3H3s Z l 1n3N los nOir#tl) lad 16S nOir#l£) £17£-Zl ldW ALL ON SITE UTIL0W. QNL iIOp Xl4QbNQbA-Wd M3N X UTILITIES MAY REQUIRE A SEPERATE PERMIT. 310d M3N • 03AOV438 38 01-310d ONIISIX3 X 310d ONIISIX3 Q - PUD TO ENFORCE PC AGREEMENT. - PUD IS RESPONSIBLE OLD POLES IS REMOV N A #83S L9t691-51 #Oln l-Hd #H3S #H3S 99im-51 #Oln £-Hd £ZZOL£-05 #Oln Z-Hd 0'8-£l-t, SW1301no 0'81 H3d NNV8 I4213X 381M NNVB 3SVHd 338H1 A0tZ/80Z/0Zl ONIISIX3 83JSNVHI S,a3SI8 131W8Vd 03S ONIISIX3 83JSNV81 ONV S330-ONVIS M3N 11V1SN1 V-9L1594-1S (INV S,OAS 03S OHAO 833SNV81 £093ZL ONV £0£3Zl-SO 83d 310d 3VW83 d330 13S'9 310d 13S 310d ONIISIX3 30 '3'1 310d lJ9V 13S 99l-Ild-V 001 003-6£Z-5Zlr 1130 S.VDN3 6998-£8L-SZtr a '131 SX)N3 MI 3SVHd --`i-FC-7—L'ON 11num -ldri NOI1V1SenS 31V0 :UNJJJ I i+-Hi+Slr 39Vd dVNI NOI1V00l 'ON 83080 331A83S 3Sn 1NIOP yd SIO 'ON 1d13338 a'iw 30 SIJ Oivd 31VO s 3no 7Vlo1 SID S i llne-sv 81104 S ON o S3A ■ S ONI1H011 13381S f 'ON S 11MI83d 31VO llV:) 3NO ■ S 1TWA JNIDOVIJ ■ 30HHOV8 o S333 Sn03NVr717130SIW 801V001 Ond o wlal 33a1 0 S1N3W8In038 '1SN00-38d ASVON033S o 310d JJ0 3)1Yll AW10418d o 01 AOSJ AVM 30 1HO18 NI )180M DNIIION31S 310d s-, o ONIlHDIl 1332l1S A1V0 7 AldlZ 3808 1NIOr AlvO 1 AldlZ HON3a1 1NIOf o ><-, :0'li 3 l .Ndr ■ f 333 OISve LE ATT N0I3803 1Vld ONnouDOCINn 038lno3a LON o 038lno38o S1NNOSV3 0 A110 ■ AIN= o 31v1S o MI181 33810 (031Nv80 31va) SlIF483d (S31ON 33S) S3A o ON ■ SN011V101A 3S3N s 33d 3ISV8 0Nn0210830Nn A8VON003S 'ON nil s 33J 3ISV8 W1083VVIOD 0 'WI1N301S38 o ONnO89830Nn ANVWlad S 310d 'AN00/21313W s 33J OISVB 0V3Ha3A0 A8VON003S 'ON 031 W1083ww00 0 'WI1N301S38 0 OV3H83AO AWN18d ON ■ S311a 0,038 S333 NVA3a0J O313ldhOO HaOM 31V0 031N18d 31V0 03AOad& 3NDS 'ON '0'n 83L.Nda - 2dd and 2d 3 NOI1Va3d0 3318 V a33NION3 310d b d V d d HaOM UOJ NOSV38 605-1 a3080 / / 31v0 CO 2J [ jj I I I l SIlAk0VIM I Il�'ON 3'10d v3av000MNNJl1 4LA- 941Wo�6hS Vl MWAM iaf)d"`�ai011law LRLeMILAU 3HOS LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) ROAD W20-1 ARK AHEAD X ORE LANE W20-4 ROAD = AHEAD X I- • W 48" x 24" W20-7A �� W N of s ROADWORK G2 0 - 2 X � X 0 w _U r) z r 53 00 Nn X G20-2 [ROAD ND 48" x 24" (OPTIONAL) TRAFFIC CONTROL INSPECTION REQUIRED EVERYTIME WORK ZONE IS SET UP. In (OPTIONAL) 0 0 NE 0: Z!* U�J M; M �a- InO X W20-7A X*T, ONE LANE = ROAD W20-4 AHEAD X ROAD ALWORK W20-1 AREA W20-78 BE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS RECEIVED MAR 8 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT AA RECEIVED CITY OF EDMONDS Right -of -Way Application #1103785-100092668 i MyBuildingPerrl VAR 8 2022 CITY OF EDMONDS DEVELOPMENT T 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 1424 OLYMPIC VIEW DR City Zip Code County Parcel Number EDMONDS 98020 00531904400002 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 Christopher & Ware Megan Ware Number Street Apartment or Suite Number 1424 OLYMPIC VIEW DR City State Zip EDMONDS WA 98020 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: 3/8/2022 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1103785-100092668 Project Contact Company Name: Snohomish County PUD Name: Andrew Rife Email: asrife@snopud.com Address: PO BOX 1107 Phone #: 14257838559 Everett WA 98206 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: 100092668 Description of Work: PUD to replace bad order pole on Olympic View Dr. Please include tree trimming. Project Details Project Information Job Number 100092668 Page 2 of 2