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ENG2022-0531 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT o fM. EdmondsCity of Edmonds PERMIT NU�M 98020 1 1 www.edmondswa.gov i BEL Description: PUD-REPLACE BO POLE ON 76TH ISSUED: 11/21/2022 Address: 18301 76TH AVE W EDMONDS WA 98026-5411 EXPIRES:05/21/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00370800300600 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 98206-1107 (425)870-9753 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER ASHLEY & MICHAEL SLAGLE 18301 76TH AVE W, EDMONDS WA 98026 FEE INFORMATION 11 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 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. RELEASED BY: MAJ DATE: 11/21/2022 Printed: Monday, November 21, 2022 12:13:03 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" E-7 TRAFFIC CTRL Printed: Monday, November 21, 2022 12:13:03 PM 2 of 2 RECEIVED Of Evklo � r INC. 1890 SECTION A FIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way permit Handout E63. OCT 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. General Project Name Pup Mule} An1e� ^ Pdl� 4plaCe�Mn} 61/00 105UJH00 Site Address or if no site address use Property Address at NW corner of project area: Mul 76+1-, Aw— k/ (W W OT f Associated Permits: BLD �� PLN N��{ ENG NIA_ • • •applicable) Name of Company SnU65m �{ (� Franchise Ordinance No: N/A Point of Contact K"twK u,, Title beS 1 n%r Address 1101li � rj City n A W State W Zip 99036 Phone(Li-jt$ 6-7D- 311H Email [.IUD S CO Contractor and Authorized Agent of Owner Name of Company S R G s (see note below) Contractor Contacts During Construction Primary Name ^ I 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: -3,2 — oo; — 1 H 1 Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance AWE: EUUC18.60.020 requires that the Application be signed by a hcensea ana bonaea contractor unless otherwise approved by the city engineer. ❑ 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) VTraffic Control Only (no associated development) X Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page i of 3 Updated 3/25/2021 Project 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.) RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + loo LF x 'Lo LF L" 000 SF $:ObAh- :Op Alley 72 hours + WN LF x [V(A, LF IV/X SF WN Parking 72 hours + JV(A. LF x U(N LF p- SF /4 SECTION E - 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 K facilities: ❑ telecommunications ❑ cable r_(power ❑ gas ❑ water ❑ sewer ❑ storm Details 1. of Work to be Completed 1 Does the utility owner have existing overhead infrastructure in the area of work? Yes No 2. 1 Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? If yes, describe: PJe Tmr6rrve, 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 • to be CompletedNo 6. 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: 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: 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? ` i How many? What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/ ep ace If yes: 'yeS How many? I J I What is the height of the poles after? y •' Describe the modification rebuild: RAP, repicv,,P n', 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 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM SNO_O_I II COUNTY p T� PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 18301 76TH AVE W. EDMONDS, WA, 98026 LYNNWOODAREA POLE NO. 8768 NE1/4S 18 T 27 R 4 DATE 10/24/2022 ORDER 100102487 REASON FOR WORK PUD MAINTENANCE ENGINEER K. LUU OPERATION 0030 BO POLE - PLI 8768 DRAFTER U.G. N0, SCALE 1"=40' APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REO'D ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. '@$ '=$ BASIC FEE $ METER/CONV.POLE $ PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE S LEU NO. SECONDARY UNDERGROUND BASIC FEE $ UNDERGROUND PLAT BASIC FEE $ CE FT.@$ STREET LIGHTING CL FT.@$ WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONDARY (� FT.@$ _$ MISCELLANEOUS FEES VAULT $ PERMIT TOTAL DUE $ DATE PAID RECEIPT NO. SERVICE ORDER NO. I FC;FNn: NESC VIOLATIONS ■ NO ❑ YES (SEE NOTES) PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ CITY 11 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 11/02/22 No. 22475878 STREET LIGHTING ■ YES ❑ NO M&R AS -BUILT GIs GIs QC M&R GIs Ph JOINT USE LOCATION MAP PAGE 455 A2 O EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION PRV CIRCUIT NO. 12-93 PHASE 2 WORK AREA ENGR'S TEL. # 425-670-3214 ENGR'S CELL # 425-870-9753 TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. - PUD TO ENFORCE POLE ATTACHMENT AGREEMENT. - PUD IS RESPONSIBLE FOR ENSURING THAT THE OLD POLES ARE REMOVED. VICINITY MAP POLE PLI# 8768 SET 45CL 2 POLE 20' SW OF PLI 8768 AT DEPTH OF 7'(PW2045) SL-130654-A FRAME POLE AS 7.2KV VERT TANGENT PER AS12V101 RMV 7 KVA OH XFMR (OBS XFMR CU, 12V601) UTC# ------------------ SER# ------------------- HANG 15 KVA OH XFMR (BA21L,12V601) UTC# ------------------ SER# ------------------- XFR OH PRI& NEUT SVCS XFR 10OW SIZE A STLT (L0210,LO501) STLT # ------------------- RMV 45POLE OVHD 2 PLI 8768 RMV 7 KVA HANG 15KVA • 061FAIIIIII• 18301 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. ENGINEERING DIVISION APPROVED AS NOTED RECEIVED OCT 31 2022 c H F M T T (� I Jell tVo✓J�p 11/17/2022 VV CITY OF EDMONDS N T S DEVELOPMENT OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING SERVICES DEPARTMENT ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY OWNER/CONTRACTOR IS RESPONSIBLE FOR UTILITIES MAY REQUIRE A SEPERATE PERMIT. EROSION CONTROL AND DRAINAGE SHEET OF SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP LANE CLOSURE IN ADVANCE OF AN INTERSECTION (WORK AREA ON THE THROUGH ROAD) �*x- ONE W20-1 LANE W20-4 ROAD � AHEAD x W20-7A �V x 7 7 W20-76 BE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS 48" x 24' g ROADNWORK G 2 0- 2 x (OPTIONAL) W20-4 W20-7A ONE LANE W20-1 p ROAD AHEAD ROAD WORK IN AHEAD X X X `STOP p a PVT ACCESS USPS ONEW POLE xPL I 8768 x L<j'> W20-7A x ONE LANE 8 ROAD W20-4 AHEAD x ROAD g WORK W20-1 AHEAD ENGINEERING DIVISION APPROVED AS NOTED % 11 JAI_ 1rt,44.j 11/17/2022 vv RECEIVED OCT 31 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 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. 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 100'± (2) (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. TABLE 1 CHANNELIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50-65 10 TO 20 80 35-45 10 TO 20 60 25-30 1 10 TO 20 40 LEGEND: O CHANNELIZING DEVICE FLAGGING STATION g PORTABLE SIGN AND SUPPORT �® WORK VEHICLE WITH FLASHING LIGHT WORK AREA RECEIVED CITY OF EDMONDS OCT 31 2022 MyBui ldi ngPermi t. com CITY OF EDMONDS Right -of -Way Application #1222683 - WO 100102487 - BO Pole 87E1&,ERVI ESLOPMENT 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 18301 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00370800300600 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 Ashley & Michael Slagle Number Street Apartment or Suite Number 18301 76TH 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: 10/28/2022 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1222683 - WO 100102487 - BO Pole 8768 Project Contact Company Name: Snohomish County PUD Name: Kenneth Luu Email: jointuse@snopud.com Address: PO Box 1107 Phone #: (425) 870-9753 Everett WA 98206-1107 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: WO 100102487 - BO Pole 8768 Replace bad order pole 8768 with new pole set 20' Southwest of existing location. Hang new transformer and transfer primary and neutral services and streetlight onto new pole. Remove Description of existing transformer and pole. 200' section of Southbound lane of 76th Ave W to be closed for Work: approximately 5 hours between 8am-4pm. Location of closure is on 76th Ave W across from 18301 76th Ave W. Sidewalk closure between Olympic View Dr and private driveway of 18104 76th Ave W. No tree trimming needed. Auger to drill pole into new location. Project Details Project Information Job Number WO 100102487 Page 2 of 2