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ENG2022-0215 ROW PERMITOF EI�� ~ � O RIGHT OFPERMIT City of Edmonds PERMIT NUMBE Edmonds WA 98020 �1 i gad • - • • • • • 425.771.0220 Description: PUD - REPLACE 1 BO POLE ISSUED: 07/05/2022 Address: 7203 MEADOWDALE BEACH RD EDMONDS WA 98026-5110 EXPIRES: 01/05/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00513100011805 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT MOE NAVE PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTACT SNOHOMISH COUNTY PUD 1802 75TH ST SW, EVERETT WA 98203 (425)783-8559 CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216 OWNER SMITH KEVIN P UNKNOWN, UNKNOWN WA 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 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 07/05/2022 RELEASED BY DATE Printed: Tuesday, July 05, 2022 2:55:21 PM 1 of 2 of Er�,y OF WAY EUC PERMIT o PERMIT NUMBER, City of Edmonds EdmondsRIGHT 98020ENG2022-0215 www.cityofedmonds.gov / 425i CONDITIONS CONDITION TYPE NOTES 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 7:00am to 6:00pm on SOUND AND NOISE weekdays and 10:00am and 6:00pm 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 NOTES COMPLETE A-1 JOB START X-2 ENGINEERING FINAL" E-7 TRAFFIC CTRL Printed: Tuesday, July 05, 2022 2:55:21 PM 2 of 2 RECEIVED OF EV'klo41 r "NC. 1 S90 SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Waypermit Handout E63. MAY 06 2022 CITY OF EDMONDS 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. General Info Project Name Site Address or if no site address use Property Address at NW corner of project area: - 7 3GK7 a 4WJ" _t_3, L, I Associated Permits: BLD PLN- c T— Owner and Entity Name of Company Holdingapplicable) . [V 6 (A 0 441 L-A ) It K , Franchise Ordinance No: N/A Point of Contact Title 'G Address t 0 2—d �6— City U State Cliff Zip cl C zo 3 Phone qa _ - $ S Email !�: NJ U 0. co v1n Name of Company �a• Primary Name Same - Andrew Rife 77 Agent Name R Title Title SVU4 Mobile Address d ` S --10 Email City E7,_j-- State t_ Zip q �'Z� Secondary Name Phone Z� _ 3 4 — a Title Email 6-S.iZ i J �� ')/1 Mobile City of Edmonds Business License No: Email State License No: _3O— dQ -4 ( Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC18.6o.020 requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. Type 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) /kUtility 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.) �TOC' I`}) 1 164 2 Al- 1 11 �C�-� � � 6�•r� J �(iv-� -(� L 7 RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF 72 hours + LF x LF SF ZS -Alley 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 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details of • . be Completed Does the utili owner have existing overhead infrastructure in the area of work? Yes No i. 2. 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 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 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? v If yes, answer the following questions related to project area, i.e. the actual area in which the X project is proposed: 6a. Does your project involve wires/cables/lines? If yes: 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. 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— How many poles are to be removed? Are additional poles to be laced? a How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? I I I What is the height of the oles 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: Z 2- 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 SCHEDULE ALL INSPECTIONS TI iROUGf i MYBUILDINGPERMIT.COM PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 7300 MEADOWDALE BEACH RD LYNNWOODAREA POLE NO. 4740 NW1/4S08 T 27 R04 DATE 05/04/22 ORDER 100095349 REASON FOR WORK REPLACE BAD ORDER POLE ENGINEER A. RIFE OPERATION 0030 FOR PUD PRI-5 DRAFTER u.G.NO. APPROVED SCALE 1" =100' & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REO'D p YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. 'as '=s SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE s ■ NO O YES (SEE NOTES) 'as 'ws PERMITS (DATE GRANTED) p TREE TRIM O STATE METER/CONV. POLE S PRIMARY UNDERGROUND ❑ RESIDENTIAL O COUNTY O COMMERCIAL ■ CITY EDMONDS BASIC FEE s O EASEMENTS LEU NO. 'as '=s O REQUIRED ■ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE s DATE RELEASED 'Qs '=s UNDERGROUND PLAT FOREIGN CONTACTS ■ JPN• 100095349 BASIC FEE s q FT.@$ '=s O JOINT TRENCH ZIPLY & CATV pJOINT BORE ZIPLY & CATv STREET LIGHTING p q FT.@% '=s POLE STENCILINGFROM WORK IN RIGHT OF WAY TO p PRIMARY TAKE OFF POLE O SECONDARY PRE-CONST. REQUIRMENTS O TREE TRIM O PUD LOCATOR q FT.@% '=s MISCELLANEOUS FEES O BACKHOE ■ FLAGGING VAULT s ■ ONE CALL DATE PERMIT s No. S STREET LIGHTING ■ YES O NO S S M&R AS -BUILT s GIS TOTAL DUE S DATE PAID GIS OC M&R GIS Ph JOINT USE RECEIPT NO. ILOCATION MAP PAGE 455B-1 SERVICE ORDER NO. LEGEND: 0 EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE )1K NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION MDL CIRCUIT NO. 12-1839 PHASE 3 ENGR'S TEL. • 425-783-8559 ENGR'S CELL • 425-239-8210 CONSTRUCTION NOTES: A-PLI-4740 SET 45FT POLE 4FT EAST OF EXISTING POLE FOR CONTROL ZONE ISSUE SET POLE 6.5FT DEEP FRAME POLE PER CS-12V102 AND 12V601 TRANSFER PRI/NEUT CONDUCTORS *2 ACSR TRANSFER OVHD XFMR 15-15947 SER* TRANSFER SL-130794-A BUILD NEW SEC RISER PER CS1U705 SET LARGE CONTROLLING PED AT BASE OF POLE FROM XFMR TO NEW PED INSTALL 40FT OF 350 TRIPLEX AND INSTALL 3-5 POS TERM BARS. FROM CONTROLLING PED TO PED 50FT TO WEST INSTALL 55FT OF 350 TRIPLEX AND INSTALL 3-5 POS TERM BARS REPLACE OLD ROUND PED W/ RECTANGULAR PED V0101 STRIP TOP AND ABANDON POLE TO COMM TRANSFER OF UTILITIES,RMVL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP AGREEMENT B-PLI-4741 RMV 50FT SPANGUY FROM LOC A TO LOC B RMV OLD POLE FROM SYSTEM NO JOINT ATTACHEMENTS TRANSFER OF UTILITIES,RMVL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP AGREEMENT - PUD TO ENFORCE POLE ATTACHMENT AGREEMENT. - PUD IS RESPONSIBLE FOR ENSURING THAT THE OLD POLES ARE REMOVED. (1)*2ACSR PRI (1)*2ACSR NEUT 25 Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way 3 per city standards that is caused or occurs during the permitted project. MDL 12 -1839 RECEIVED SCHEMATIC Jun 29 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT NTS TR 99' APPROVED AS NOTED dill U%4410,04z 06/29/2022 Vill 3 15-24344 7203 )- - 1.,098 SHEET OF HE) RAD W20-1 WORK AHEAD x ONE LANE W20-4 ROAD AHEAD x W20- 7A �� x z.� 5:2 o0 fT1 000 CN M O a D r IT1 D 0 2 X 0 F- LU w r o x G20-2 ROADND SI �N75 48" x 2C'IIVHS (OPTIONAL) RECEIVED MAY 06 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT >i jj o JOI10l Ira 48" x 24" i ROADNWORK G 2 0— 2 x (OPTIONAL) NSN �0ViNO3� s 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 (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. W20- 7A W20-4 ROAD s WORK W20-1 AHEAD ZZOZ/6Z/90 W20-78 6E PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS THIS 'PLAN MAY BE MIRRORED FOR a�IlON S 5M'SIDE OF ROADWAY USING NOiSIA10 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 SPACL o B SPEED (MPH) 25 30 1 35 1 40 1 45 50 1 55 1 60 1 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 MPH [> 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 LIGHT WORK AREA J 0 Z 0 U c 0 0 a m c a U aN Q ,L ON 3 i o� 0 �w J Q i m RECEIVED MAY 06 2022 CITY OF EDMONDS Right -of -Way Application #1137501 - WO 100095349 MyBuildingPermit.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 City Zip Code County Parcel Number Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Near 7300 Meadowdale Beach Rd Property Owner First Name Last Name or Company Name Number Street Apartment or Suite Number City State Zip 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: 5/5/2022 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1137501 - WO 100095349 Project Contact Company Name: Snohomish County PUD Name: Andrew Rife Email: asrife@snopud.com Address: 1802 75th St SW Phone #: 425-783-8559 Everett WA 98203 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: WO 100095349 Description of PUD crews to replace one 45 foot tall bad order pole near 7300 Meadowdale Beach Rd. Work: New pole to be set tight east of existing pole. Old pole to be abandoned to Joint Owner Ziply Fiber who will be responsible for the pole removal and any associated restoration work. Project Details Project Information Job Number WO 100095349 Page 2 of 2