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ENG2022-0177 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT •:• • 1 1 www.cityofedmonds.gov• • Description: PUD - INSTALL NEW UNDERGROUND POWER FOR NEW SFR ISSUED: 05/16/2022 Address: 23129 74TH AVE W EDMONDS WA 98026-8523 EXPIRES: 11/16/2022 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: WAITING FOR P 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 UNKNOWN UNKNOWN 23129 74TH AVE W, EDMONDS WA 98026 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 05/16/2022 RELEASED BY DATE Printed: Monday, May 16, 2022 12:18:07 PM 1 of 2 -KRWOF WAY EUC PERMIT City of Edmonds Edmonds•:• •ENG2022-01771 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** E-7 RESTOR LIMITS Printed: Monday, May 16, 2022 12:18:07 PM 2 of 2 Uvo# l000g94g1 and WO 100088321 RECEIVED RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION APR 22 2022 Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS Requirements outlined in Right -of -Way permit Handout E6�. DEVELOPMENT q X� 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 --]I Project Name John Trang's New SFDU - UG Sec Riser Ped and replace BO pole. Site Address or if no site address use Property Address at NW corner of project area: 23129 74th Ave W Edmonds, WA Associated Permits: BLD PLN ENG owner and Entity Holding Franchise (if applicable) Name of Company 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 & jointuse@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 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 ix 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 dSingle family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: X Utility Franchise Work associated with development (check one of 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 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.) PRIMARY PUD TO INSTALL NEW UNDERGROUND Nvaar SERVICE FOR JOHN TRANG'S NEW SFDU. DISTURBANCE TO ASPHALT. Cufto%er will Oft" rIlk rnraa._ PEDESTRIAN ESCORT REQUIRED. TREE TRIMMING NOT REQUIRED. BO POLE TO BE REPLACED. Underground primary service and BU pole replacement not to be worked on same day but will he worked close together. 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. 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 1. of Work to be Completed 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: I' ragr�o,%sr + Vai11 + 2 recor&edealal 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 system? 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? X 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 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 additionalpoles 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? 11 1 What is the height of the poles after? 145 Describe the modification rebuild: Replacement of a BO Pole. 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: .cQrt�.ry —'za ' Andy Tr Designer NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 4/10/2022 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 NW 114, SEC. 32 T. 27 N R. 4 E, W.M "E`E"ETEHO s"1ET SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM R51 1 N S Na «IN ErPROTE ON ' - a Pli t 77 . rA"ON THEEEA°ST"o R / U 1 INSTAL / z N 5u M f i ' t :� %� - PEa °erA1u°ry sREET cz A7 W itKYA M � o c ------------- - -=- -- - - - - - W - ------ - I I 1 we. o O rn z fA I- H7 0 W NVIRIaILmPE"°E p,R a IW PENW Fl TaATIONEAORI o < / - D.'I E SHEET C 50LOT� (Aa sd.Fn 4 , SEEOVERExc/°.�ATENOTE E o1�4� A o 3 li 1`^' ` 1' —•_eW W W" " �rwL—i*—'1' — �� Fm ol s-ROWrm I /ry®ye XOI S ti RECEIV' t.,,- _ w'"-' s� ��I FENCEmP, INSTALL PER DETAIL ON SHEETOz PEa°AI"ONs"EET- 'I�p'�'�'� PR6 J. , � �CONTRACTOR/OWNER BOIL AMENDMENT AREA �% 1, RESPONSIBLE FOR ASPHALT SEEN — RESTORATION. I g o Y °-- / I CITY OF EDMONDS RESTORATION LIMIT TO BE D DEVELOPMENT ` DETERMINED BY CITY INSPECTOR. ERVICES DEPARTMEPIT "1 ^ 1 OWNERRESPONSIBLE FOR OSON CONTROL AND DRAINAGE ENGINEERING DIVISION WO 100094491 APPROVED AS NOTED - f 111 NOTES: JOiJ. IA/�OS/13/2022 PLANS, CITY OF EDMONDS STANDARD DE— CONTRACTOR S Appllcaat shall repair/replace all S AS damage to utilities or frontage ION AND UNTIL PERMANENT Improvemeotlo City right-of-way OVER -EXCAVATE NOTE: etnzort ozss m ETA —IS IMPLEMENTED. per city standards that is caused or AMENDED PER iota smaMww ccurs during [he permitted project. Know. whaYs belDW. 1"AT$ S Cal l before you dig. _ WO 100094491 Be, 4ye. F y pLIIS777 6 r w S a ` y- s' p• I ►>+ 1Skv1 XF�r pLZ Is 777 GPI FUu s w S RECEIVED APR 22 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM pEOO PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 23129 74TH AVE W EDMONDS, WA 98020 SOUTH COUNTYAREA POLE NO. 15777 NW1/4S 32 T 27 R 4 DATE 3/14/22 ORDER 100088321 REASON FOR WORK PUD TO REPLACE BO POLE. ENGINEER AXTRAN OPERATION 0030 DRAFTER U.G. NO. SCALE NTS APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. @$ _$ SECONDARY OVERHEAD BASIC FEE $ @$ .=$ METER/CONV. POLE $ PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE S LEU NO. SECONDARY UNDERGROUND BASIC FEE $ UNDERGROUND PLAT BASIC FEE S FT.0 _$ STREET LIGHTING q FT.@3 '=$ WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONDARY (� FT.0 '=$ MISCELLANEOUS FEES VAULT S PERMIT 8 CEST/BLANKET 8 TOTAL DUE $ DATE PAID RECEPT NO. SERVICE ORDER NO. LEGEND: o EXISTING POLE 0 EXISTING POLE -TO • NEW POLE NESC VIOLATIONS ❑ NO ❑ YES (SEE NOTES) PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ CITY EASEMENTS ❑ REQUIRED ■ NOT REQUIRED DATE RELEASED FOREIGN CONTACTS ❑ JPN# ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV ■ POLE STENCILING FROM TO TAKE OFF POLE PRE—CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ❑ FLAGGING ■ ONE CALL DATE No. STREET LIGHTING ❑ YES ■ NO M&R AS -BUILT GIS GIS QC M&R GIS Ph JOINT USE LOCATION MAP PAGE 475 Al BE REMOVED x NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION BAL CIRCUIT NO. 12-260 PHASE 132 ENGR'S TEL. # 425-670-3208 ENGR'S CELL # 425-359-1123 AT PLI:15777 SET NEW 45' POLE NE OF PLI: 15777. FRAME AS VERTICAL TANGENT. XFR OH XFMR AND OH SEC SVCE FROM XFR OH PRI SVCE AND NEUT FROM OLD 0 - PUD TO ENFORCE POLE ATTACHMENT AGREEMENT. - PUD IS RESPONSIBLE FOR ENSURING THAT TF OLD POLES ARE REMOVED. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. 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. OLD POLE TO NEW POLE. POLE TO NEW POLE. ENGINEERING DIVISION APPROVED AS NOTED 1p11 05/13/2022 VV SHEET RECEIVED APR 22 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT OF 3e5HR LANE CLOSURE BETWEEN 8AM-3e30PM PEDESTRIAN ESCORT REQUIRED LANE CLOSURE ON A LOW VOLUME ROAD (NO FLAGGER, TRAFFIC SELF-REGULATING, 35 MPH OR LESS) ROAD W2O-1 WORK Mir AHEAD I \VI X ONE LANE if W20-4 ROAD � • AHEAD x • O w;® OPLI 15777 Q• _. m W zQ •Loo CI_ X 11 ONE LANE s ROAD W20-4 AHEAD X ROAD i WORK W20-1 AHEAD RECEIVED APR 22 2022 ENGINEERING DIVISION APPROVED AS NOTED CITY OF EDMONDS ji?,� lt Vill p 05/13/2022 DEVELOPMENT (I, s �>��1,4 - SERVICES DEPARTMENT SNOHOMISH COUNTY TRAFFIC CONTROL PLAN [PULD PUBLIC UTILITY DISTRICT NO 1 PROJECT PRI UG LE - JOHN TRANG SFDU LOCATION 23129 74TH AVE W EDMONDS, WA 98026 ENGINEER ANDY TRAN DATE 4/21/2022 ORDER 100094491 PHONE 425-670-3208 CELLULAR 425-359-1123 4HR LANE CLOSURE BETWEEN 8AM-3e30PM PEDESTRIAN ESCORT REQUIRED LANE CLOSURE ON A LOW VOLUME ROAD (NO FLAGGER, TRAFFIC SELF-REGULATING, 35 MPH OR LESS) ROAD W20-1 WORK Mir AHEAD I \VI X ONE LANE if W20-4 ROAD � • AHEAD X • O w0 OPLI 15777 Q• _. m W zQ •Loo CI_ X ONE LANE s ROAD W20-4 AHEAD X ROAD i WORK W20-1 AHEAD RECEIVED APR 22 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SNOHOMISH COUNTY TRAFFIC CONTROL PLAN LFDUOLD PUBLIC UTILITY DISTRICT NO 1 PROJECT PRI UG LE - JOHN TRANG SFDU LOCATION 23129 74TH AVE W EDMONDS, WA 98026 ENGINEER ANDY TRAN DATE 4/21/2022 ORDER 100088321 PHONE 425-670-3208 CELLULAR 425-359-1123 RECEIVED CITY OF EDMONDS MyBuildingPermit.com APR 22 2022 CITY OF EDMONDS Right -of -Way Application #1129617 - 1000944911100088321 SERVICESLOPMENT 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 23129 74TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00488800200410 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 Unknown Unknown Number Street Apartment or Suite Number 23129 74TH AVE W 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: 4/21/2022 Submitted By: Moe Nave Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1129617 - 1000944911100088321 Project Contact Company Name: PUD Name: Andy Tran Email: axtran@snopud.com Address: PO Box 1107 Phone #: 4253591123 Everett WA 98206 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: 100094491/100088321 Description of Work: PUD to install new underground primary service for customer and replace BO pole. No tree trimming required. Pedestrian escort to be provided. Project Details Project Information Job Number 100094491/100088321 Page 2 of 2