ENG2022-0442 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
..• • 1 1442]
www.cityofedmonds.gov• •
Description: PUD-REPLACE CAPACITOR ON EXISTING POLE ISSUED: 10/04/2022
Address: 721 9TH AVE S EDMONDS WA 98020-3311
EXPIRES: 04/04/2023
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 27032500114700
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT MOE NAVE PO BOX 1107, EVERETT WA 98206 (425)783-5681
CONTACT SNOHOMISH COUNTY PUD 75TH ST SW, EVERETT WA 98203 (425)783-8559
CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353
OWNER MARGARET KENNY 7219TH AVE S, EDMONDS WA 98020
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 MINOR - EUC PERMIT FEE
$110.00 $110.00
•
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.
RELEASED BY
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
10/04/2022
DATE
Printed: Tuesday, October 04, 2022 8:45:11 AM 1 of 2
-KRWOF WAY EUC PERMIT
ER
PERMITNUMBER,
City of Edmonds
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 7:00am 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
COMPLETE
A-1 JOB START
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL**
Printed: Tuesday, October 04, 2022 8:45:11 AM 2 of 2
RECEIVED
III GHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
Requirements outlined in Right -of -Way permit Handout E6S.
AUG 31 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.
SECTION A
•-
ral Info
Project Name` �!
t� L_. �[ ( S 4'1 ^i C u {D 'I L'�!r �/�� it i C T/ rat jOd
Site Address or if no site address use Property Ad ess at NW corner of project area: S , 721 9th Ave S
Associated Permits: BLD PLN ENG
Owner and Entity Holdingapplicable)
Name of Company
Franchise Ordinance No: N/A
c4a 1
Point of Contact
sry Z�� / J int Use
Title
St
Address • _
City ��
� State 6,—)4__ Zip 3
Phone 425-783-8559
Email iointuse@snopud.com
•
Name of Company 1
Primary Name
Agent Name
�i f
Title �� t
Title .�
Mobile -i z 5 _ 22— 6
Address Z 3 2,) (�
Email As (1.4C® .
City Za2 Qom. StateLA4 �
Zip ��
Secondary Name
Phone _-2 Zr 3 r Y SS
Title
Emaila I,�
�C
Mobile
City of Edmonds Business License No:
Email
State License No: 311 a �— _ l<.A j
313-005-741
Ja Contractor verifies it is currently bonded
g 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 D•
❑ 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)
raffic Control Only (no associated development)
ility Franchise Work (no associated development)
City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021
a
Prqject 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.)
L� fcvp- 1� ��1� ex � #"Y'^t e�.��� � U1 ySo /Cohn
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
Alley 72 hours +
LF
x
LF
SF
CD
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.
T1,pe of Utility Facilities
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 • to be CompletedNo
1. 1 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 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
6.
of Workto be Completed
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
project is proposed:
_>t-
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.
I Does your project involve poles? If yes:
y
/\
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?
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 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 tc
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 forallpermit fees.
APPLICANT SIGNATURE: G,�c� u�-l`� DATE: fl / .?(j Z
APPLICANT PRINTED NAME:
APPLICANT TITLE:
Senior Designer
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
uwamullm PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 721 9TH AVE S LYNNWOODAREA
POLE No. 279432 NE1/4S 25 T 27 R 05 DATE 07/16/22 ORDER 100098380
REASON FOR WORK REPLACE 450KVAR CAP/BANK ENGINEER A. RIFE OPERATION 0030
W/300 KVAR CAP/BANK DRAFTER U.G. No.
SP&P 22-037 — SCALE 1"=100'
APPROVED
& 8/8/2022 DATE PRINTED
DATE WORK COMPLETED DATE 8/9/22 DH
FOREMAN
FEES REQ'D ❑ YES ■ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
13 LEO
Wl1wV-3d0N1a 1neAw Hono 1
'Qs =s
SECONDARY OVERHEAD
NESC VIOLATIONS
BASIC FEE i
■ NO ❑ YES (SEE NOTES)
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE
'es '=s
METER/CONV. POLE i
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COUNTY
❑ COMMERCIAL
■ CITY EDMONDS
BASIC FEE i
❑
EASEMENTS
LEU NO.
'os '=s
❑ REQUIRED ■ NOT REQUIRED
SECONDARY UNDERGROUND
BASIC FEE s
DATE RELEASED
'of I=s
UNDERGROUND PLAT
REIGN CONTACTS Sc
❑ J
BASIC FEE i
q FT.VS =s
❑ JOINT ENCH ZIPLY & CATV
❑ JOINT BOR [PLY & CATV
STREET LIGHTING
❑
q FT.QS '=s
POLE STENCILIN
WORK IN RIGHT OF WAY
FROM TO
❑ PRIMARY
TAKE OFF POLE
❑ SECONDARY
PRE-CONTT. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
rt. FT.VS '=s
MISCELLANEOUS FEES
❑ BACKHOE ■ FLAGGING
VAULT i
❑ ONE CALL DATE
PERMIT i
No.
STREET LIGHTING
i
i
❑ YES ■ NO
i
M&R
AS -BUILT
GIs
TOTAL DUE i
SUBSTATION WSG
CIRCUIT NO. 12-404 PHASE 231
ENGR'S TEL. •
ENGR'S CELL N
425-239-8210
CAP#�
CONSTRUCTION NOTES:
A-PLI-279432
REFER TO T&D GUIDELIN 4-12-2.0 FOR PROPER DISCHARGE AND HANDLING INFO
RMV EXISTING 450KVA FIXED CAP BANK CAP#4874
INSTALL NEW 300KVAR FIXED CAP BANK CAP# 40042
POLE FRAMED W/ 13' ALLEY ARM FOR 3PH PRIMARY
CAPACITOR TO HANG ON BACKSIDE OF POLE
REUSE EXISTING CUTOUTS ON13' BUCK ARM
FUSE NEW CAP BANK AT 15 AMPS
i�na3HOs
N
2 3 1
WSG 12-404
2 3 1
AP# 40042
37-1117711—
716
WSG 12-404
DATE PAID
RECEIPT N.
GIs QC
GIs PhUS
M&R
NT
BEFORE
AFTER
SERVICE ORDER NO.
LOCATION MAP PAGE'454GE6
LEGEND:
o EXISTING POLE
RECEIVED
AUG 312022
SCHEMATICX
EXISTING POLE -TO BE REMOVED
• NEW POLE
^ I T
0 NEW POLE TO REPLACE EXISTING POLE
CITY EMONDS
DEVELOPMENT
I V I S
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SHEET OF
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LANE CLOSURE ON A LOW VOLUME ROAD
(NO FLAGGER, TRAFFIC SELF-REGULATING, 35 MPH OR LESS)
ROAD
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W20-4 ROAD 'r
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ROAD
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AHEAD
RECEIVED
AUG 31 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
THIS TRAFFIC CONTROL PLAN IS APPROVED FOR SHOULDER/PARKING LANE
WORK ONLY. IF THE TRAVELING LANE OF TRAFFIC IS AFFECTED THAN A
SINGLE LANE CLOSUER WITH FLAGGERS SHALL BE REQUIRED.
031ON SV a3AObddV
NOISIA10 ONI?J33NISN3
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RECEIVED
AUG 31 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
RECEIVED
CITY OF EDMONDS
Right -of -Way Application #1195580 - WO 100098380
AUG 31 2022
MyBui ldi ngPermi t. 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 (425) 783-5681
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
721 9TH AVE S
City Zip Code County Parcel Number
EDMONDS 98020 27032500114700
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
Margaret Kenny
Number Street Apartment or Suite Number
721 9TH AVE S
City State Zip
EDMONDS WA 98020
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: 8/31/2022 Submitted By: Moe Nave
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1195580 - WO 100098380
Project Contact
Company Name: Snohomish County PUD
Name: Andrew Rife Email: asrife@snopud.com
Address: 75th St SW Phone #: (425) 783-8559
Everett WA 98203
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: WO 100098380
Description of PUD to replace existing capacitor with new 450 kva capacitor on existing pole (PLI
Work: 279432). No tree work and no impact to pedestrian traffic. Crew will set up facing North.
Work should take approximately 6 hours to complete.
Project Details
Project Information
Job Number
WO 100098380
Page 2 of 2