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ENG2022-0156 ROW PERMITOF WAY EUC PERMIT PERMITNUMBER, City of Edmonds EdmondsRIGHT •:• • 1 1 www.cityofedmonds.gov• • Description: PUD - REPLACE 1 BO POLE ISSUED: 05/09/2022 Address: 17500 69TH PL W EDMONDS WA 98026-5209 EXPIRES: 11/09/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00639200000200 i NAME TYPE NAME ADDRESS PHONE APPLICANT MOE NAVE PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTACT SNOHOMISH CO PUD 1802 75TH ST SW, EVERETT WA 98203 (425)239-8210 CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216 OWNER MICHAELA HINRICHS 17500 69TH PL W, EDMONDS WA 98026-5209 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 05/09/2022 RELEASED BY DATE Printed: Monday, May 09, 2022 11:25:40 AM 1 of 2 -KRWOF WAY EUC PERMIT City of Edmonds •:• •ENG2022-01561 . -. 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: Monday, May 09, 2022 11:25:40 AM 2 of 2 Of EP%� RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way permit Handout E63. If any field is not applicable to your project, write "N/A" i1wMadyf leavingblank. All fields required. Incomplete Applications x i&VE=te�3o ZZOZ Z [ id`d SECTIONA a3AI333U • Project Name Site Address or if no site address use Property Address at NW corner of project area: Sb 0 yP7 Associated Permits: BLD PLN .j V Owner and Entity Name of Company Holding.•• • S 1 _ Cl puo Franchise Ordinance No: Point of Contact Title S-62 S c Address City State W Zip Z6 Phone 14 Z — 7 S Email O 7P 0-0 ✓i/1 Contractor and Authorized Agent of •wner (see note below)• Name of Company VD N11SI �— • • During Construction Primary Name �/ /Z`. } Agent Name Title Title 6 V� Mobile ZS — !i Address 2" ( _ Email Q � 0 t City �] r State ' Zip '?'M Secondary Name Phone s &.r Title Email ({ S l ct CL,"\ Mobile City of Edmonds Business License No: v Email State License No: \ U� 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. _Type of Development — Check ALL that apply ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial o Demo and rebuild or from vacant land? ❑ Other, please specify: ❑ Utility Franchise Work associated with development (check one of the above boxes as well) Traffic Control Only (no associated development) Ttility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 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.) Pu V) cue.:_._, j _ � 1 (a.e,'_ /)<< L L-P S. 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. •• of 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable p1power ❑ gas ❑ water ❑ sewer ❑ storm Details 1. of • to be • • 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.. 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? Y e 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 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 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 ro'ect is proposed: 6a. Does your project involve wires/cables/lines? If yes: How many are existing? I Z I 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? 1 T'.0 t— How many poles are to be removed? i Are additional poles to be laced? U6 How many? 1 6 1 What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? I l I 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: DATE: 7 Z APPLICANT PRINTED NAME: "J'o APPLICANT TITLE: , C _ s, ) .v,. NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 IOi 1 S -h1pqpTiTivcIgirgoAi+-ceOHOMISH COUNTY LOCATION 17500 69TH PL W LYNNWOODAREA POLE NO. 4862 SWI/4S 08 T 27 R 04 DATE 04/08/22 ORDER 100094421 REASON FOR WORK REPLACE BAD ORDER POLE ENGINEER A. RIFE OPERATION 0030 FOR PUD PRI-5 DRAFTER u.G. NO. SCALE V =100' APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REO'D OYES ■NO PRIMARY OVERHEAD O RESIDENTIAL O COMMERCIAL LEO NO. 'as 'ms SECONDARY OVERHEAD BASIC FEE s METER/CONV. POLE s PRIMARY UNDERGROUND O RESIDENTIAL O COMMERCIAL BASIC FEE s LEU NO. NESC VIOLATIONS ■ NO O YES (SEE NOTES) PERMITS (DATE GRANTED) O TREE TRIM O STATE O COUNTY ■ CITY EDMONDS O EASEMENTS 'Qs 'ms O REOUIRED ■ NOT REOUIRED SECONDARY UNDERGROUND BASIC FEE s 'as .ms DATE RELEASED UNDERGROUND PLAT FOREIGN CONTACTS ■ JPN• 100094421 BASIC FEE s q FT.0 '.s O JOINT TRENCH ZIPLY 6 CATV OJOINT BORE ZIPLY i CATV STREET LIGHTING 'ms FT.@$ POLE STENCILINGFROM WORK IN RIGHT OF WAY TO O PRIMARY TAKE OFF POLE O SECONDARY € FT.@$ '•s PRE-CONST. REOUIRMENTS MISCELLANEOUS FEES O TREE TRIM O PUD LOCATOR O BACKHOE ■ FLAGGING VAULT s ■ ONE CALL DATE PERMIT s No. s STREET LIGHTING s ■ YES O NO s M&R AS -BUILT s GIS TOTAL DUE S DATE PAID GIS OC M6R RECEIPT NO. GIS Ph JOINT USE SERVICE ORDER NO. LOCATION MAP PAGE 4558- LEGEND: O EXISTING POLE 0 EXISTING POLE -TO BE REMOVED • NEW POLE )1( NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION PRV CIRCUIT NO. 12-92 PHASE 1 ENGR'S TEL. • 425-783-8559 ENGR'S CELL • 425-239-8210 dz 50 BEFORE PRV 12-92 CONSTRUCTION NOTES: A-PL14862 SET 45FT POLE IN PLACE. COORDINATE W/ZIPLY SET POLE 6.5FT DEEP FRAME POLE PER CS-12V101AND 12V601 TRANSFER PRI/NEUT CONDUCTORS 02ACSR TRANSFER OVHD SEC SVC'S TRANSFER EXISTING SEC RISER AND SL-130808-A RMV XFMR 50-1439 SER* INSTALL XFMR BAG AND CAUTION TAG ON XFMR 1NEINIHVd30 MARK SUSPECT PCB'S ON CAUTION TAG S301�2i3S1N30 SaNOW43 �0AilO3110 RMV OLD POLE FROM SYSTEM ZZOZ Z � adV HANG A 1PH 37.5KVA XFMR 120/240/7200V UTC* 37.5 ZZOZ/60/50 SER* SEC V FUSE 37.5 AFTER PRV 12-92 SCHEMATIC NTS 4310N SV 43n02Idc!V NOISIAIG JN ]2 IDNIOND XFMR AT 10 AMPS ioefoid pappied ayj Buunp sin000 ao pasneo si jeyj spiepuels Alp aad Aem-;o-jgBu Allo ui sjuawanoadwi abeluoal ao saRllRn of abewep Ile eoeldaa/aiedaa lleys jueollddV 3J`dNl`d2ia dN`d_102ilNOO NOISO 210d 3­181?dS3b SI 2iO O Vtl1NOO/2i3NMO Tuu r \lA39 7004 7003 0 2 11501 UV808-A 50-143 A _'�11505 0 J 11/14 � Di = 917 25 � 176T[ 145 SHEET 0� \ 121051 AL-114026-Y �831 [Sig 11Wb3d 3IiV2]3d3S v ajinoaj Ab'W S3IlIlIln 1 NIA-/ n l KInIQIA=111/Nlnl IH'1n1711 'Q71 1 11 1 n 7 1 IQ Aln 11H LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) ROAD W20-1 WORK AHEAD x ONE LANE W20-4 ROAD AHEAD x W20-7A •� x x G20-2 END [ROADWORK 48" x 24" (OPTIONAL) F— Ld --mr Ld Ld F- r () 48" x 24' ROADNWORK 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 1 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�* uj LoO x s JT W20-7A x ONE LANE s ROAD W20-4 AHEAD x ROAD AL WORK W20-1 AHEAD W20-7B 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 35 40 45 1 50 1 55 1 60 65 70 LENGTH (FEET)l 155 1 200 250 305 360 1 425 1 495 1 570 645 730 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 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100' 1 123' 1 172' 1 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 I p"r-P Kin- O CHANNELIZING DEVICE w- FLAGGING STATION PORTABLE SIGN AND SUPPORT ®® WORK VEHICLE WITH FLASHING LIGHT WORK AREA SNOHOMISH COUNTY CRMTRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO 1 PROJECT REPLACE BAD ORER POLE LOCATION 17500 69TH PL W ENGINEER A. RIFE DATE 04/08/22 ORDER 100094421 PHONE 425-783-8559 ZZOZ/60/SO 3S1N3Nd0 3n30 OWO3 d0 JA-L 0 )Z ZI, ady NOISIA10 EAN2 ]�INION:� CELLULAR 425-239-8210 RECEIVED /// Apr 12 2022 CITY OF DEVELOPMENTSONDS ERVICES CITY OF EDMONDS MyBuildingPermit.com DEPARTMENT Right -of -Way Application #1122737 - WO 100094421 - Bad Order 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 17500 69TH PL W City Zip Code County Parcel Number EDMONDS 98026 00639200000200 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 Michael A Hinrichs Number Street Apartment or Suite Number 17500 69TH PL W City State Zip EDMONDS WA 98026-5209 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: 4/11/2022 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1122737 - WO 100094421 - Bad Order Pole Project Contact Company Name: Snohomish Co PUD Name: Andrew Rife Email: ASRife@SNOPUD.com Address: 1802 75th St SW Phone #: 4252398210 EVERETT WA 98203 Project Type Utility Purveyor Activity Type Utility Work Project Name: WO 100094421 - Bad Order Pole Description of Work: Replace bad order pole. Project Details Project Information Job Number Scope of Work Disturbance of Surface 100094421 Page 2 of 2