The URL can be used to link to this page

ENG2022-0513 ROW PERMITRIGHT PERMIT • M. City of Edmonds Edmonds 98020 www -• • • •• 1 1 Description: PUD - REPLACE 2 BO POLES ISSUED: 11/09/2022 Address: 6615 172ND ST SW EDMONDS WA 98026-5220 EXPIRES: 05/09/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00478300000100 CONTACTS 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 (425)783-8559 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER AARON & ERIN LYN GRAY 6615 172ND ST SW, EDMONDS WA 98026 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 REQUIREMENTS 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. 94 RELEASED BY: MAJ DATE: 11/09/2022 Printed: Wednesday, November 09, 2022 12:50:58 PM 1 of 2 RIGHT PERMIT PERMIT NUM City of Edmonds Edmonds WA 98020 www.edmondswa.gov / 425.1 1 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" Printed: Wednesday, November 09, 2022 12:50:58 PM 2 of 2 WO 100102302 of EDAtD�� RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal 'Nc. 1890 Requirements outlined in Right-of-WU permit Handol3lA,Q3a S301AN3S 1N3 WdOl3A30 3 0 If any field is not applicable to your project, write':'Qgins'te"ad of leaving blank. All fields required. Incomplete Application&&Qed. a3A1333M SECTION A General- Project Name t 0. -I 'IS PO C -1n f n . k, S i Site Address or if no site address use Property Address at NW corner of project area: 6615 172nd t SW, Edmonds Associated Permits: I BLD PLN ENG Owner and Entity Name of Company Holding• S VJ I,V m cl •• Lkp Franchise Ordinance No: Point of Contact ftope l i Title �' Qs, Address Lco l Nr' (r. City £'j State Zip Phone 4 5-- -7 & y?- 95- SS Email aS �[ C,�," Contractor and Authorizedof • ier (see note •• •w) Name of Company S1V�VxUM( sti V—L 1-, C,(%� "l Contractor ContactsDuring Construction Primary Name i2 _ � L J Agent Name NO - W Title S LJ VU^ Title R Mobile Z� , , 3 _ VS51 Address Z � 4-i S r (, S " Email s , �� SNL ,p, City State (/� Zip >�� ? Secondary Name — Phone 3 - gs 5r, Title Email �J t FQ� ma Mobile City of Edmonds Business License No: Email _ State License No: 113 - or)5--ig k y� Contractor verifies it is currently bonded Ik Contractor verifies it currently has general liability insurance NOTE: ECDC18.6o.o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. •• of Development - Check ALL that 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 i 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.) \ 1 n j p PLOD Cze v) S -b rOJo i ow C_a TwJ � i s 4,, �T4-hj /JL1� s G�n� A CAIAr9 4(S— �� ; �ai►o la a tX 1 2ZI�) 4pd 1. /_ 1 ,'A s - . ) S r"Pr, T in "Ic'A CL4 15--. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF 72 hours + LF x LF SF Cj -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. •• 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 Work to be Completed Does the utility owner have existing overhead infrastructure in the area of work? Yes No 1. 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? V 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 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 proposed: 6a. Does your project involve wires/cables/lines? If yes: How many are existing? I I How many are to be added? U City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. I Does your project involve poles? If yes: Ix How many poles are existing in the project area? -2- What is the height of the existing poles? ' How many poles are to be removed? Are additional poles to be laced? How many? 2 What is the height of the additional oles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? What is the height of the poles after? Describe the modification rebuild: I, I c.,_ , 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: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 CONSTRUCTION NOTES: n v �I mi I ��o 1 s=adsNj,L[iYl DIS3IQf G3(HZ)GOMISH COUNTY LOCATION 6615 172nd ST SW LYNNWOODAREA LOCA SET 45PLI-4876 SET FT POLE T,E.OF EXSTING POLE POLE NO. 4875 4876 SEI/4S 08 T 27 R 04 DATE 10/14/22 ORDER 100102302 SET POLE 6.5FT DEEP REASON FOR WORK REPLACE BAD ORDER POLES ENGINEER A. RIFE OPERATION 0030 FRAME POLE PER CS-12V113, 12V601, 12U111 FOR PUD PRI-5 S DRAFTER A. RIFE No. TRANSFER PRI/NEUT CONDUCTORS (1)#2ACSR PRI/NEU SC SCALE 1"=100' TRANSFER 1PH PRI/LATERAL TO N. AND SOLID TAP PRI TRANSFER OVHD SEC SVC'S APPROVED DATE PRINTED BUILD NEW PRI RISER PER CS-12U111 AND REUSE EXISTING UG C#73789 DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE 3 ■ NO ❑ YES (SEE NOTES) PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE '@3 '=$ METER/CONV. POLE 3 PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COUNTY ■ CITY EDMONDS ❑ COMMERCIAL BASIC FEE 3 ❑ EASEMENTS LEU No. ❑ REQUIRED ■ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE 3 DATE RELEASED @$ -$ FOREIGN CONTACTS UNDERGROUND PLAT ■ JPN# 100102302 BASIC FEE 3 FT.@S '-3 ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV STREET LIGHTING El POLE STENCILING FROM TO WORK IN RIGHT OF WAY ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR FT.93 _$ MISCELLANEOUS FEES ❑ BACKHOE ■ FLAGGING VAULT 3 0 ONE CALL DATE PERMIT 3 No. STREET LIGHTING 3 3 ❑ YES ■ NO 3 M&R AS -BUILT 3 GIS TOTAL DUE 3 DATE PAID GIS QC M&R GIS Ph JOINT USE RECEIPT NO. SERVICE ORDER NO. LOCATION MAP PAGE 455E-1 FC,'FNn: DATE HANG LBCU AND FU UG PRI AT 65 AMPS TRANSFER SL-129582 SUBSTATION MDL INSTALL 3/8" DO W Idga�( MO1 ) HELIX ANCHOR W/L-8FT CIRCUIT No. 12-1839 PHASE 2 �Hl1RV9i'ff1�2ifT rh ��BI�9�:1>4gI nn,l - INSTALL XFMR BAG AND CAUTIOISINMACI DWMR ENGR'S TEL. # MARK 1 1 uPafld - 425-783-8559 ENGR'S CELL # 425-239-8210 HANG A 1PH 37.5KVA XFMR 120/240/7200V NUTC# 37.5- ;I5:)yniNinien�3 SER# 210d 3191SNOdS3b SI 2J=V0 J1N00/2i3NMO SEC V FUSE XFMR AT 10AMPS NOTE:'ERGMdUMOJTd!UVIaOaa, MIRO GFSMUIIRAL TO COMM POSITION ANV Ol NOISIA]2]/NOIiV00_1321 'S311r1I1n 311S NO �_1`d LOC B-PLI-4875 EftiV00-1 210d 3191SNOdS32J 2J=V0 J1N00/2i3NMO SET 45FT POLE T.E. OF EXSTING POLE SET POLE 6.5FT DEEP FRAME POLE PER CS-12V113 & 12V601 TRANSFER PRI/NEUT CONDUCTORS 0)#2ACSR PRI/NEU PLAN VIEW: TRANSFER 1PH PRI/LATERAL TO N. AND SOLID TAP PRI TRANSFER OVHD SEC SVC TRANSFER SL-110674 INSTALL 3/8" DOWNGUY TO S W/12" SINGLE HELIX ANCHOR W/L-8FT 11/14 TRANSFER XFMR 25-12766 1 631 1 STRIP AND TOP POLE FOR 60MM 17126 615 2 2 (1)#2ACSR PRI TAP (1)#2ACSR NEUTSOL : OL 5 SOL TAP --_, MDL 12-1839 ------�-------------------- FU65 25 UG SCHEMATIC NTS O EXISTING POLE X EXISTING POLE -TO BE REMOVED AA • NEW POLE TRAN FER OF UTILITIES, REI ZZOZ/80/66 ITH APP�1'� 0AMtV LEp�„�T NEW POLE TO REPLACE EXISTING POLE aopasneoslieylspiepuels�(�loaa Tenn-;o-}y6ia Aj!0 ui s}uauaanoadwl ---------------� 6103 611 2 1 2ND 12 1839 7 /1NU 5 I bW / __\-___-- ------------------- --� �875 7,66601 4 S6108 FU65 25-12766 O SL-11 674-A 1 17125 15 I6505 839 E-49684 j.J 31128317 M 251 SL-129582-A / S� 192fi -A ---6608 L___ SL-102658 A-SL4J v44V-396629 2 1379-396628 8 VAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT :HMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. 12 SHEET OF 0 N 0 0 0 w oLr) i0 3� �0 C N Q N � U ww J~ a �a 1N3 W1?JVd30 NOISIAIO ON12J33NION3 I Ile aoeldaa/nedaa lleys jueoilddV N -� LANE CLOSURE ON A LOW VOLUME ROAD (NO FLAGGER, TRAFFIC SELF-REGULATING, 35 MPH OR LESS) W20-1 xnRK„= TREAD =� X ONElANE_ W 2 0 — 4 ROAD °w AHEAD- X LLJ LLJ ry z N O O a O O Ll m O W ?a O Log O x ONE LAN ROAD W 2 0 ' 4 AHEAD X '_ ROAD WORK W20-1 AHEAD= 1N3W1NVd3O S301Aa3S 1N3WdM3A34 SONOW43 �O A11O ZZOZ 81, 100 a3AI303E ZZOZ/80/ 6 6 4310N S`d (IDAO2JddV NOISING ONRJ33NION3 RECEIVED Oct 18 2022 CITY OFDEVELOPMENT EDMONDS CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1217310 - WO 100102302 Replace BO Poles 4875 & 4876 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 6615 172ND ST SW City Zip Code County Parcel Number EDMONDS 98026 00478300000100 Associated Building Permit Number Tenant Name 100102302 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Aaron & Erin Lyn Gray Number Street Apartment or Suite Number 6615 172ND ST SW 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: 10/18/2022 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1217310 - WO 100102302 Replace BO Poles 4875 & 4876 Project Contact Company Name: Snohomish County PUD Name: Andrew Rife Email: jointuse@snopud.com Address: PO Box 1107 Phone #: (425) 783-8559 Everett WA 98206 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: WO 100102302 Replace BO Poles 4875 & 4876 WO 100102302 - PUD crews will replace 2 bad order poles with 45' poles located near 6615 Description of 172nd ST SW, Edmonds. Tree trimming will be required to access pole at location B. No Work: pedestrian traffic will be impacted, no surface disturbance and total hours of work will be 24 hrs max. Project Details Project Information Job Number 100102302 Page 2 of 2