ENG2022-0123 ROW PERMITOF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
EdmondsRIGHT
•:• •ENG2022-01233]
www.cityofedmonds.gov• •
Description: PUD - REPLACE 1 BO POLE ISSUED: 04/18/2022
Address: 310 6TH AVE N EDMONDS WA 98020-3089
EXPIRES: 10/18/2022
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434210000000
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 (142)523-9821
CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216
OWNER CITY OF EDMONDS 700 MAIN ST, 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
04/18/2022
RELEASED BY
DATE
Printed: Monday, April 18, 2022 2:40:25 PM 1 of 2
-KRWOF WAY EUC PERMIT
City of Edmonds
•:• •ENG2022-01231
. -. 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: Monday, April 18, 2022 2:40:25 PM 2 of 2
Of ED/,lo RECEIVED
RIGHT OF WAY CONSTRUCTION MAR 23 2022
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
DEVELOPMENT
INC. Ioo Requirements outlined in Right -of -Way permit Handout E6�. 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
WO 100093229
General •
Project Name l e_P C P LIZ � A cs c� i4_o f_1'Z Po U
Site Address or if no site address use Property Address at NW corner of project area: �-E-1 l .AUQ N
Associated Permits: BLD PLN T Cp /� BUST ENG
Owner and Entity
Name of Company
Holdingapplicable)
N OI 1
�� Franchise Ordinance No: N/A
Point of Contact A4,3a
Title
Address Q 2
-I S
City
State (� Zip C3
Phone 4Z,9_
—7 r g
Email Q
Na
and jointuse@snopud.com
Contractor and Authorized Agent of 0-,vner (see note below)
Name of Company J"Jo tL •S , /1
��l�J
Contractor Contacts During Construction
Primary Name 1� _ � 1 c�
, C T
Agent Name
M_jp let-
Title
Title 5 'l - S I
Mobile tA'�3 _ _
Address ird
Email CkS f Z! £
City E WA-R 'V--
State�Zip ,
Secondary Name
Phone 4 -2-:T_ Z 3 Ct _ 2 � �
Title
Email QS MF C &O S NO
Mobile
City of Edmonds Business License No:
Email
State License No: 3V� _ 00 S. l
Contractor verifies it is currently bonded
Contractor verifies it currently has general liability insurance
NUlh: h OUltf.b0.02o requires that theApphcation 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 well)
le —Traffic Control Only (no associated development)
�&tility Franchise Work (no associated development)
City of Edmonds ROW construction permit Application --Page i of 3 Updated 3/25/2021
Project Description
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.)
No tree trimming.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
' LF
x
LF
2. SF
2 j.
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
i. The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable
❑ water ❑ sewer
mower
❑ storm
❑ gas
• • • • .
1. Details1 Does the utility owner have existing overhead infrastructure in the area of work?
•
2. 1 Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)?
If yes, describe: "crow-, OD For- hrn5 S VL
3.
Does the proposed work connect a lot or corhmercial development with utilities that se 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 system? If es:
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 • to be • • •
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?
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?
What is the height of the existing poles? J
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.
1 Are any poles to be modified/rebuilt/replaced? If yes:
X
How many? I I I What is the height of the poles after? c�
Describe the modification rebuild: %L 1ti. a i I *&
v
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: DATE: 3/ / 1�Z
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
Honm:j
1 J7a'dT�.J�L91��I�IT}'T�ISH COUNTY
LOCATION_310 6TH AVE N LYNNWOODAREA
POLE NO. 812 SWI/AS 24 T 27 R 03 DATE 03/19/22 ORDER 100093229
REASON FOR woRK REPLACE BAD ORDER POLE FOR ENGINEER A. RIFE OPERATION 0030
PUD PRI-4 DRAFTER U.G. NO.
lAPPSCALE 1" =100'
ROVED DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REO'D OYES ■NO
PRIMARY OVERHEAD
a RESIDENTIAL
a COMMERCIAL
LEO NO.
'as 'ms
SECONDARY OVERHEAD
BASIC FEE
METER/CONV.POLE s
PRIMARY UNDERGROUND
a RESIDENTIAL
a COMMERCIAL
BASIC FEE s
LEU NO.
SECONDARY UNDERGROUND
BASIC FEE s
'as ..s
UNDERGROUND PLAT
BASIC FEE s
It FT.Q% .
STREET LIGHTING
9, FT.GS 'ms
WORK IN RIGHT OF WAY
a PRIMARY
a SECONDARY
rt FT.QS '=s
MISCELLANEOUS FEES
VAULT s
PERMIT s
s
s
s
s
TOTAL DUE s
DATE PAID
RECEIPT NO.
SERVICE ORDER NO.
mseffilkiff
NESC VIOLATIONS
IN NO DYES (SEE NOTES)
PERMITS (DATE GRANTED)
a TREE TRIM
SUBSTATION 5CR
CIRCUIT No. 12-1283 PHASE 321
ENGR'S TEL. •
425-783-8559
ENGR'S CELL •
425-239-8210
N
a STATE
a COUNTY
■ CITY EDMONDS QQ
EASEME N3 210d D�8 SNwiti F1�0
0REOUIRED ■NOT REOUIRED INDA33] JIeV
1NJAH Vll`d A_lOd 302J0dNA Ql qnd -
DATE RELEASED
FOREIGN CONTACTS
■ JPN• 100093229
•.JOINT TRENCH ZIPLY & CATV
• JOINT BORE ZIPLY It CATV
a
POLE STENCILING
FROM TO
TAKE OFF POLE
PRE-CONST. REOUIRMENTS
a TREE TRIM a PUD LOCATOR
a BACKHOE ■ FLAGGING
■ ONE CALL DATE
ISTREET LIGHTING
■ YES a No
T
IGIS Phi (JOINT USE
LOCATION MAP PAGE 4 4 F -
O EXISTING POLE
EXISTING POLE -TO BE REMOVE
• NEW POLE
)1( NEW POLE TO REPLACE EXISTI
SET 50FT CL-1 POLE 3FT N. OF EXISTING POLE
SET POLE 7FT DEEP
FRAME POLE PER CS-12F303,12F601, & 11.1705
TRANSFER PRI/NEUT CONDUCTORS 3/OAAC PRI/NEUT
TRANSFER OVHD SEC SVC
TRANSFER EXISTING XFMR 37.5-13524 SER#
TRANSFER EXISTING SL-113508-K
BUILD NEW 3" UG SEC RISER AND SET
NEW SMALL POLYMER PED V0103 1/2FT S.OF OLD POLE
MAKE ASPHALT CUT TO EAST OF POLES
FROM XFMR TO PED INSTALL 60FT OF 350 TRIPELX
AND INSTALL 3-4 POS TERM BARS T1521
INTERCEPT EXISTING 4/0 SEC SVC AND
RE-ROUTE SVC INTO NEW PED.
DOVNIV?J(l GNV�O2J1NOO NOISO2J3
HOd d_191SNOdSA2J SI 2JOl VHiNOO2JdNM0
-lIA2JAd A-LV2AdddS `d A2iin092J ).,vA Shcll-illfl
ANV Ol NOISlAA2J/NOliV0O_lAa sAuriun dllS NO _I bV
JNliVOO-1 210d 3_191SNOdS32J 2JOlO`d2J1NOO/2JDNMO
(3) 3/OAAC PRI
(1) 3/OAAC NEUT 40 37.5 Q
�J \
3 2 1
SCHEMATIC
h
NTS
FIRE STATION
uloo
A-28971 O
T 500-319
h
BELL ST 12
RECEIVED
MAR 23 2022 TO—, I
3�
CITY OF EDMONDS
DEVELOPMENT `"
SERVICES DEPARTMENT `?'
c
a
17-1 -17/02
SL-131554-GS 12;
120417
0*
128408 38
37 36 35
34 33
1 2 3
4 5 6
7 8
10
L-113508-K
37-13524
1 812
210
611-M 621-M
23-M
10
34
0 39 g
P 11 97
33 ?
156778
----------------------=
FU65
8
807
56-56/12
371 i A
28160
1
5 f
w
56
SHEET OF
GDiON S`d (] /IAO JddV
NOISIAI4 S)NRJ33NION3
ion
W20-1 WORK
AHEAD
x
ONE LANE
W20-4 ROAD
AHEAD
x
W20-7A •
x
z Z
00
00
N r7
w
Q
x
G 2 0 - Z ROADNWORK
48" x 24"
(OPTIONAL)
RECEIVED
MAR 23 2022
mw
IF
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT AA
ZZOZ/S 6/b0
F—
W
Lij
—
0
48" x 24"
s ROAD G 2 0- 2
x (OPTIONAL)
0
0
N
NORTH
I
SIGN SPACING = X
FREEWAYS & EXPRESSWAYS
55-70 MPH
1500'±
RURAL HIGHWAYS
60-65 MPH
800'±
RURAL ROADS
45-55 MPH
500'±
RURAL ROADS & URBAN ARTERIALS
35-40 MPH
350'±
RURAL ROADS & URBAN ARTERIALS
RESIDENTIAL & BUSINESS DISTRICTS
25-30 MPH
200'± (2)
URBAN STREETS
25 MPH OR LESS
100'± (2)
(1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE
RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
z!�
aaw
r Loco
x
i m� W20-7A
x
ONE LANE
i ROAD W20-4
AHEAD
x
ROAD
WORK W20-1
AHEAD
W20-76
BE
PREPARED
TO STOP
OPTIONAL IF
40 MPH OR LESS
THIS PLAN MAY BE MIRRORED FOR
OPPOSITE SIDE OF ROADWAY USING
SAME SIGNS AND SPACING.
YES ❑ NO ❑ INITIAL
GENERAL NOTES:
1. ALL SIGNS AND SPACING SHALL CONFORM TO THE MUTCD.
2. NOTIFY LOCAL EMERGENCY SERVICES OF CLOSURE TIMES AND
DATES (OPTIONAL).
3. SIGN SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROAD
CONDITIONS.
4. PROTECTIVE VEHICLE RECOMMENDED -MAY BE A WORK TRUCK.
5. ALL SIGNS MINIMUM 48" X 48", UNLESS OTHERWISE SPECIFIED.
6. CHANNELIZATION DEVICES ARE 28" REFLECTIVE CONES. SEE TABLE 1
FOR SPACING DISTANCES.
7. ALL SPACING MAY BE ADJUSTED TO ACCOMODATE AT -GRADE
INTERSECTIONS AND/OR DRIVEWAYS.
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
1 25
1 30
1 35
40
1 45
1 50
1 55
60
65
1 70
LENGTH (FEET)l
155
1 200
1 250
305
1 360
1 425
1 495
1 570
1 645
730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9,900 TO 22,000 LBS.
HOST VEHICLE WEIGHT
> 22,000 LBS.
< 45 MPH
45-55 MPHI
> 55 MPH
< 45 MPH
45-55 MPHI
> 55 MPH
100' 1
123' 1
172'
74' 1
100' 1
150'
TABLE 1
CHANNELIZATION DEVICE
SPACING (FEET)
MPH
TAPER
TANGENT
50-65
10 TO 20
80
35-45
10 TO 20
60
25-30
10 TO 20
40
LEGEND:
O
CHANNELIZING DEVICE
r
FLAGGING STATION
PORTABLE SIGN AND SUPPORT
E
WORK VEHICLE WITH FLASHING
LIGHT
WORK AREA
4310N S`d (E1AMJdd`d
NOISIAIG ONI2EEINIE)N3
RECEIVED
CITY OF EDMONDS
Right -of -Way Application #1112651 - WO 100093229
MAR 23 2022
MyBuildingPermi1:.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
310 6TH AVE N
City Zip Code County Parcel Number
EDMONDS 98020 00434210000000
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
CITY OF EDMONDS
Number Street Apartment or Suite Number
700 MAIN ST
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: 3/23/2022 Submitted By: Moe Nave
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1112651 - WO 100093229
Project Contact
Company Name: PUD
Name: Andy Rife Email: asrife@snopud.com
Address: PO Box 1107 Phone #: 14252398210
Everett WA 98206
Project Type
Utility Purveyor
Activity Type
Utility Work
Scope of Work
Disturbance of Surface
Project Name: WO 100093229
Description of PUD crews will replace one BO 50' pole. PUD crews will set up on 6th Ave N, facing north.
Work: PUD crew will make one 3'x4' asphalt cut in the sidewalk to intercept existing underground
service. Duration of work is 2 days. New pole to be set 3' N of existing.
Project Details
Project Information
Job Number
WO 100093229
Page 2 of 2