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ENG2022-0133 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT •:• • 1 1 www.cityofedmonds.gov• • Description: PUD - RELOCATE SERVICE POLE FOR TOWNHOMES ISSUED: 05/05/2022 Address: 302 6TH AVE S EDMONDS WA 98020-3405 EXPIRES: 11/05/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434212201900 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 (425)670-3216 CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216 OWNER CHRIS H PICKERING 2611 NE 113TH ST 300, SEATTLE WA 98125 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 05/05/2022 RELEASED BY DATE Printed: Thursday, May 05, 2022 8:46:56 AM 1 of 2 -KRWOF WAY EUC PERMIT City of Edmonds •:• •ENG2022-01331 . -. 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: Thursday, May 05, 2022 8:46:56 AM 2 of 2 ENG2022-0133 Of EDMa�dJ, RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal INC.1s9° Requirements outlined in Might -of -Way permit Handout E6.1. If any field is not applicable to your project, write "N/A" instead of leaving blank. All fields required. Incomplete Applications will be denied. 1N3Ni2lVd30 S301AH3S 1N3Wd0_3n30 SONOW03 d0 AiO SECTIONA ZZM �c Jen Name of Company Franchise Ordinance No: Point of Contact TA�.k L /_VA " f 1Stle� (— Address -� t7 "2� (� City i�e_A State Zip Phone 161 b P 2A 6 Email rM w` Vv,- L XXN r— �;VZ CO UVD • Q V.— Name of Company J PrimaryName Agent Name Title Title Mobile �4 ZS _ Address Email �l t l`�tr�. c✓��1t�QU�J'(C��' City State Zip Secondary Name Phone ZYfle Email Mobile City of Edmonds Business License No: Email State License No: lkl _ On — �L ,-,I Contractor verifies it is currently bonded ' Contractor verifies it currentlyhas general liability insurance NOTE: ECDCY8.6o.o2o requires that the Appacanon oe signea oy a acensea ana oonaea cowrucmr uncess ouierwiae uyyi uuGu Uy L iy engineer. Type of Development — Check ALL that apply o Multifamily residential 13 Commercial E) City project ❑ Single family residential subdivision ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: ❑ Single family -other ❑ Industrial Utility Franchise Work associated with development (check one f 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 i of 3 Updated 3/25/2021 ffs�®- e e 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, underground utilities, etc.) Em trenches, overhead wires proposed, depth for P...►1► r 511 RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + IF x IF SF Alley 72 hours + LF xJ LF SF Parldng 72 hours + IF x1 LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C. Type of Utility Facilities 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable g 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 �_ No 2. 1 Will any equipment be added underground or above ground (e.g. 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 stem? 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? ails of Work 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: How many are existin ? How manare to be added? City of Edmonds ROW construction permitApplication--Page 2 of 3 Updated 3/25/2021 6b. Does your project involve poles? If yes: 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? �, 1 How many? I I What is the height of the allditional oles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? What is the hei ht of the poles after? Describe the modification rebuild: (k y 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 NI PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 302 6TH AVE S ED LYNNAREA POLE N0. 7 7 SW1/4S 24 T 27 R 03 DATE 2/7/22 ORDER 100081845 �VRWOICGFAUtiRELOCATE DIST 35' S.P. ENGINEER MCALLIESTE OPERATION 30 FOR NEW COMM BUILDING DRAFTER U.G. NO. SCALE DATE WORK COMPLETED FOREMAN FEES REQ'D ■ YES ❑ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. '@$ '=s SECONDARY OVERHEAD APPROVED & DATE PRINTED DATE NESC VIOLATIONS BASIC FEE S IN NO ❑ YES (SEE NOTES) @$ '=$ PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE METER/CONV. POLE S PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ■ CITY BASIC FEE S ❑ EASEMENTS LEU NO. @$ _$ ❑ REQUIRED ■ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE S DATE RELEASED @$ _$ UNDERGR0�11\1 P n II �nl t,12JnSN�10a@Ld FORP`E A-181SNOdSA21 SI FT..@E '=g ❑ JOINT TRENCH ZIPLY STREET LIGHTING 1NA"H0 J5_Vltf 6ff T58CJWY0l FT.@3 '=$ POLE STENCILING FROM TO TAKE OFF POLE WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONDARY PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ❑ FLAGGING ■ ONE CALL DATE CL FT.@$ =g MISCELLANEOUS FEES VAULT S PERMIT S No. STREET LIGHTING ■ YES ❑ NO $ COST EST s S M&R AS -BUILT S GIS TOTAL DUE S DATE PAID GIS QC M&R P T SE RECEIPT NO. IIIAI?I� I IH?la-I�QH SERVICE -�AT�II�I�1Rl���-I� �fH LEGEWYOo, Hozl A-181SNOdSAH H=VHiN00/b�INMO 3Jb'NI`d ffl GNV�02JiN00 NOIS02i3 O EXISTING POLE210� 3�81SNOdS3] i SI 2]OlOV2]iN00/2IDNM0 X EXISTING POLE -TO BE REMOVED • NEW POLE NEW POLE TO RFPI-ACF FXISTINGP01 F SUBSTATION 5CR CIRCUIT NO. 1283 PHASE 2 ENGR'S TEL. # 425-670-3216 ENGR'S CELL # 425-501-1254 (] 1 0 nd - BJV nd - N SET NEW 35' POLE 5' N OF EXISTING POLE TRANSFER PUD SECONDARY'S AND AL#111872 TO NEW POLE C►T®i® Tr%n ARIA A®AkiMnk1 Ai M Mni C J I nir l Ur hlrU "u"lluUlV ULIJ rULG 40-M 9L-111872-Y A-11439 0100/10-2 67 123 303 FU65 SHEET OF pefoid pallpied ay} 5ulanp sin000 Kenn-to-34g1a /(310 ul sluauaanoadual 4310N S`d a3/�Obdd`d a6eluoa; ao sal}lll}n o} afieuaep NOISIA10 0NIHJ IANIONA 1N3Ni2Nd34 S301AHEIS 1N3Wd0_3A3a ZZOZ �c je" ROAD DN-AHEAD ION •aHEAD { 20-i) . SEE NOTE 1 ROAD NARROWS IW3o�) SEE NOTE I TAPER LENGTH (TABLE A) - TABLE A TAPER LENGTH SPEET (FT) CONE SPACING (MPH) OFFSET WIDTH ALONG TAPER 10` .12' tFT) 25 100 120 25 30 150 B0 30 35 20040 P540 35 40 27020 40 '45 450 45 a NOTE: 1. DISTANCE. BETWEEN SIGNS SHALL BE 100' F❑R RESIDENTIAL STREETS (25 MPH), AND 200` FOR* ARTERIAL ROADWAYS 2. FLASHING BEACON SHALL BE INSTALLED- AT EACH SIGN FOR NIGHT—TIME• USE. .3. DISTANCES MAY VARY AS APPROVED BY THE ENGINEER. 4. .FLAGGERS REQUIRED TO CONTROL TRAFFIC WHENEVER THE CONTRACTOR MUST INTERRUPT TRAFFIC FLOW TO ACCESS THE WORK SITE WITH MATERIALS OR EQUIPMENT. LEGEND. ©: CONE OR- CHANNEL'IZING DEVICE (SEE STD 7-14) ri -I Z OZ/S SO 4310N SW a�In02ldd NOISIA10 ON12J�I3NIOf n (WI-4 Q 30' WORK AREA -TRi1CK WITH FLASHING 'OR t TH BEACON 30' TAPER LENGTH (TABLE A) I - T - SEE NOTE 1 SEE NOTE 1 ROAR NSTRUCTION AHEAD 0310-11 TRAFFIC= CONTROL. PLAN - 2 LANE ROADVO PARTIAL- LANE CLOSURE S - t zsa�ina3s LN3i�aafhAk _ Q A R a I QmmniAinzi -4n a i i,�- r ZZOZ �c jen l -I Z OZ/S SO 4310N SW a�In02ldd NOISIA10 ON12J�I3NIOf n (WI-4 Q 30' WORK AREA -TRi1CK WITH FLASHING 'OR t TH BEACON 30' TAPER LENGTH (TABLE A) I - T - SEE NOTE 1 SEE NOTE 1 ROAR NSTRUCTION AHEAD 0310-11 TRAFFIC= CONTROL. PLAN - 2 LANE ROADVO PARTIAL- LANE CLOSURE S - t zsa�ina3s LN3i�aafhAk _ Q A R a I QmmniAinzi -4n a i i,�- r ZZOZ �c jen l 321 6th Ave S - Google Maps Page 1 of 1 &) gle Maps 321 6th Ave S Edmonds St •, A D Alder St a Coffee 8 Beck Ln Cn Walnut St Cancel Print Image capture: Aug 2011 © 2021 Google Edmonds, Washington Google Street View file:///C:/Users/mmmcall/AppData/Local/Temp/Low/OGP 1 CM 1 G.litm 5/12/2021 CITY OF EDMONDS M BuildingPermit.com Right -of -Way Application #1116850 - 100081845 - Relocate Service Pole 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 302 6TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00434212201900 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 Chris H Pickering Number Street Apartment or Suite Number 2611 NE 113TH ST 300 City State Zip SEATTLE WA 98125 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: 3/31/2022 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1116850 - 100081845 - Relocate Service Pole Project Contact Company Name: Snohomish County PUD Name: Mary McAllister Email: mmmcallister@snopud.com Address: PO BOX 1107 Phone #: 4256703216 Everett WA 98206 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: 100081845 - Relocate Service Pole Description of Work: PUD to relocate service pole 5' north of existing service pole. Customer states pole relocation is required by the city of Edmonds per his townhouse Building. Project Details Project Information Job Number 100081845 Page 2 of 2