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ENG2022-0195 ROW PERMITOF WAY EUC PERMIT PERMITNUMBER, City of Edmonds EdmondsRIGHT •:• • 1 1 ' www.cityofedmonds.gov• • Description: PUD - REPLACE BO POLE ISSUED: 05/26/2022 Address: 6830 174TH ST SW EDMONDS WA 98026-5226 EXPIRES: 11/26/2022 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00513100014504 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 SAMUEL C STUKENBERG 6830 174TH ST SW, EDMONDS WA 98026-5226 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 05/26/2022 RELEASED BY DATE Printed: Thursday, May 26, 2022 9:00:15 AM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • Edmonds121 •:• • 1 1 ' 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 TRAFFIC CTRL Printed: Thursday, May 26, 2022 9:00:15 AM 2 of 2 Of ECr/10 RECEIVED RIGHT OF WAY CONSTRUCTION APR 29 2022 PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS INC, iS90 Requirements outlined in Right -of -Way permit Handout E63. 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 c'e- Site Address or if no site address use Property Address at NW corner of project area: Associated Permits: BLD PLN -P ENG 1 owner and Entity Name of Company Holdingapplicable) �_k'yo Franchise Ordinance No: Point of Contact pQ�� c Title Si Qv S t Address 1 d o'2- —7S 1- L City 'J ¢" - State (Al`!,,A- I Zip 2 O Phone Z _ Z 3 Email Primary Name a f -- Name of Company o M �� AgentName� Title S(?- yam^ Title v� Mobile y'ZS_ 2-79 &-u Address Email 6as City State Zip Secondary Name n Phone ZS- C_3 — g ZLa Title Email ` � SAjn ��yl Mobile City of Edmonds Business License No: Email State License No: Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o.02o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. •• of •• 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) ) ,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.) �MM{ 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 + I LF x 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 Ad)ower ❑ gas ❑ water ❑ sewer ❑ storm i. Details 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.. 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? Details of • to be CompletedNo Does your project involve rebuilding or replacing utility equipment which currently serves more 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 ro osed: 6a. Does your project involve wires/cables/lines? If yes: How many are existing? I �L 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: 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? m How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: A� How many? I I I What is the height of the poles after? Describe the modification rebuild: r t (o SECTION C 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 foAall 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 OWNER/CONTRACTOR IS R SP�N Fri q right -of --way EROSION CONTROL AN PR�rds that is caused or occurs during the permitted project. .APPROVED AS NOTED 05/18/2022 0-n 30 133HS Oq a;- i A i 9 IUD 0 R a F 0 MS 1S Hlt,LL SIN oilew3HOS 1N3Ni2JVd3a S301A2JDS 310d ONIISIX3 33VId3N Ol 310d M3N 1N3AdO�3n34 310d M3N SONOA03 30 AiIO OWNER/CONTRACTOR RESPONSIBLE RRONTII -310d ONIISIX3 X zz0e6, JUTILITIES. RELOCATION/REVISION TO ANY 310d ONIISIX3 0 S MAY REQUIRE A SEPERATE PERMIT. ;aN3J31 a3 /� I IE`I303H I-Sgrt, 39vd dVn NOI1v0ol 'ON 83080 331AWS 3Sn 1NIOr 4d SIJ 'ON 1d1333S ..,. �1^1 alVd 31VO 6C81-Z1 IOW4 --------------................ Z 1n3N HSOdZ#cl> PUD TO ENFORCE POLE ATTACHMENT IHd HSOdZ#(l) AGREEMENT. - PUD IS RESPONSIBLE FOR ENSURING THAT THE OLD POLES ARE REMOVED. 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(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. cl� I i z'� Lo x s W20-7A W20-7B x ONE LANE BE s ROAD W 2 0- 4 PREPARED AHEAD TO STOP x ROAD OPTIONAL IF im WORK W20-1 40 MPH OR LESS AHEAD 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 1 40 1 45 1 50 55 1 60 65 1 70 LENGTH (FEET)l 155 1 200 1 250 1 305 1 360 1 425 1 495 1 570 1 645 1 730 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 ®� WORK VEHICLE WITH FLASHING WORK AREA a�IlON SV 4�]AO2JddV NniglAI(l nNIN��NInN� RECEIVED APR 29 2022 CITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS DEVELOPMENTRight-of-Way Application #1133083-100092604 - BO Pole 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 6830 174TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00513100014504 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 Samuel C Stukenberg Number Street Apartment or Suite Number 6830 174TH ST SW City State Zip EDMONDS WA 98026-5226 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: 4/28/2022 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1133083-100092604 - BO Pole 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 Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: 100092604 - BO Pole Description of Work: PUD to replace one bad order pole like for like. New pole to be set tight W. Project Details Project Information Job Number 100092604 Page 2 of 2