ENG2022-0570 ROW PERMITRIGHT PERMIT
City of Edmonds PERMIT NU M
Edmonds WA 98020 ENG2022-025
www.edmondswa.gov / 425.1 1
Description: PUD-TREE TRIMMING ON LAKE BALLINGER WAY
ISSUED: 12/01/2022
Address: 7011 LAKE BALLINGER WAY EDMONDS WA 98026-8544
EXPIRES:06/01/2023
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00488800801100
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)268-5233
CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353
OWNER PAUL M & NANCYTRIEU 7011 LAKE BALLINGER WAY, EDMONDS WA 98026
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00
RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $110.00
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: 12/01/2022
Printed: Thursday, December 01, 2022 11:43:13 AM 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
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL"
Printed: Thursday, December 01, 2022 11:43:13 AM 2 of 2
ofEOMotio� RECEIVED
RIGHT OF WAY CONSTRUCTION NOV 21 2022
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
ZDEVELOPMENT
/Ivc. i s')3 Requirements outlined in Right -of -Way permit Handout E6�. 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 •
Project Name PUD maintenance tree work
Site Address or if no site address use Property Address at NW corner of project area: 7011 Lk Ballinger Way
Associated Permits: BLD PLN ENG
Owner and Entity Holding Franchise (if applicable)
Name of Company Snohomish County PUD Franchise Ordinance No: N/A
Point of Contact Josh Perez
Title Line Clearance Coordinator
Address 1802 75th St SW
City Everett
State WA
zip 98203
Phone425-268-5233
Email jrperez@snopud.com
Contractor and Authorized Agent of Owner
Name of Company same Info as above
(see note below)
Contractor Contacts During Construction
Primary Name
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: 313-005-741
Contractor verifies it is currently bonded
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.
❑ Multifamily residential ❑ Commercial ❑ City project
❑ Single family residential subdivision o 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 welt
❑ 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.)
PUD to close one lane of eastbound traffic at 7011 Lk Ballinger Way for the purpose of maintenance tree work. Work will be completed in one
My.
No disturbance of surface will take place.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
I x
LF
SF
Alley 72 hours +
LF
Ix
I LF
SF
Parking 72 hours +
LF
Ix
I LF
SF
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C.
1. The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable z power ❑ gas
❑ water ❑ sewer ❑ storm
Details of Work to be Completed
1. Does the utility owner have existing overhead infrastructure in the area of work?
Yes
No
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 develo ment?
V
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 Work to be Completed Yes
No
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: existing overhead electrical conductors
How many are existing? I multiple I How many are to be added? 10
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?
2
What is the height of the existing poles?
50'
How many poles are to be removed?
0
Are additional poles to be laced?
0
How many? I I What is the height of the additionalpoles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
` /
v
How many? 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 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 is application.
Fees. The Applicant is responsible for all permit fees.
APPLICANT SIGNATURE:
APPLICANT PRINTED NAME:
APPLICANT TITLE:
Josh Perez
Line Clearance Coordinator
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
11 /21 /22
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SIGN SPACING = X
FREEWAYS & EXPRESSWAYS 55 170 MPH
15001±
RURAL HIGHWAYS 60 /65 MPH
800'1
RURAL ROADS 45 / 55 MPH
500'±
RURAL ROADS & URBAN ARTERIALS 35 140 MPH
350'±
RURAL ROADS & URBAN ARTERIALS 25 / 30 MPH
RESIDENTAL & BUSINESS DISTRICTS
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.
MINIMUM LANE CLOSURE TAPER LENGTH = L (feet)
LANE
Posted Speed (mph)
WIDTH
(feet)
25
30
35
40
45
50
55
60
1 65
70
10
105
150
205
270
450
500
550
-
-
-
11
115
165
225
295
495
550
605-
12
125
180
245
320
540
600
660
720
780
840
TABLE (1)
CHANNELIZATION DEVICE
SPACING feet
MPH
TAPER
TANGENT
50/7O
40
80
35/45
30
60
25/30
20
40
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
TRAFFIC CONTROL INSPECTION SHALL BE
REQUIRED WHENEVER WORK ZONE IS SET UP
MANDATORP(
PEDESTRIAN ESCORT: Stop work, secure passable ADA compliant
pedestrian access on existing sidewalk (4' min.). Clear zone must
be free of overhead hazards when pedestrians are moving through
POSTED work area.
SPEED
LIMIT
PED
SPEED n ESCORT
ALIMIT
CFO TAPER = L
OVERGROWN LANDSCAPE
NO ENCROACHMENT ON THIS TRAVELED LANE IS
PERMITTED. IF ENCROACHMENT IS NECESSARY,
LANE SHALL BE CLOSED.
NEW TCP APPROVAL REQUIRED FOR ADDITIONAL
LANE CLOSURE.
Typical Right Lane Closure
O Right lane closed on W/B NE 205th St west of
5fth Ave NE.
O Onsifte escort will assist pedestrians (through
work area.
O Parking lane not present.
O Bicycle lane not present.
O METRO route present but unaffected.
O REASON: Landscape trimming operation
ROAD
WORK
AHEAD
\ W20.i
M1M ■J M Ll ■ lJ MJLM � • �M M ■LJ— — — — — — — — — — — — — — — — —
t1MJLM�M
MANDATORY
DURING NONWORKING HOURS, TRAFFIC CONTROL SHALL BE
REMOVED AND ROW SHALL BE OPENED TO ITS FULL WIDTH
GENERAL NOTES:
1. ALL SIGNS AND SPACING SHALL CONFORM TO THE MUTCD.
2. NOTIFY LOCAL EMERGENCY SERVICES OF CLOSURE TIMES AND
DATES (optional).
ALERT KING COUNTY METRO CONSTRUCTION 5 DAKS IN ADVANCE
OF CLOSURE: 206,477,1140 (optional)
4. SIGN SPACING MAN BE REDUCED IN URBAN AREAS TO FIT ROAD
CONDITIONS.
5. PROTECTIVE VEHICLE RECOMMENDEDPMAK BE A WORK TRUCK.
6. ALL SIGNS MIN.48" K.48" UNLESS OTHERWISE SPECIFIED.
7. CHANNELIZATION DEVICES ARE 28" REFL. CONES (see TABLE
(1) for spacing distances).
8. ALL SPACING MAN BE ADJUSTED TO ACCOMMODATE AT,GRADE
INTERSECTIONS AND/OR DRIVEWAYS.
i 28" REFL. CONE
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.
1 L!•L\Ir%
WORK AREA
■■■■■ 28" REFL. CONE
44 SIGN LOCATION
V6-- EKISTING TRAFFIC FLOW
0 SEQUENTIAL ARROWBOARD
NE 205 ST
W
z
W
LO
ENGINEERING DIVISION
APPROVED AS NOTED
Jell U1441, ,44 12/01 /2022
Vill
RECEIVED
NOV 21 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
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6601 2.44th St SW
Mountlake Terrace, WA 980.43
TRAFFIC CONTROL PLAN
EDMONDS, WA N
W -<�- E
S
NOT TO SCALE
ADVANCE WARNING SIGNS
SPACED @ (K) OR AS PER
SITE CONDITIONS.
REFER TO SIGN SPACING CHART
I -N RIGHT LANE ROAD
CLOSED WORK
AHEAD AHEAD
V 4 W20.5R W20.5
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•7011 Lake Ballinger
Way, Edmonds, WA...
NE 205th St
Google
N
NE 205th St
RECEIVED
NOV 21 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
RECEIVED
NOV 21 2022
CITY OF EDMONDS M BuildingPerrriit.com
CITY OF EDMONDS
DEVELOPMENT
Right -of -Way Application #1232900 - WO 900139 Tree Trimming 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
7011 LAKE BALLINGER WAY
City Zip Code County Parcel Number
EDMONDS 98026 00488800801100
Associated Building Permit Number Tenant Name
N/A
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Paul M & Nancy Trieu
Number Street Apartment or Suite Number
7011 LAKE BALLINGER WAY
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: 11/21/2022 Submitted By: Moe Nave
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1232900 - WO 900139 Tree Trimming
Project Contact
Company Name: Snohomish County PUD
Name: Josh Perez Email: jointuse@snopud.com
Address: PO Box 1107 Phone #: (425) 268-5233
Everett WA 98206
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: WO 900139 Tree Trimming
Description of PUD crews to close one lane of eastbound traffic at 7011 Lake Ballinger Way, Edmonds fo
Work: rthe purpose of maintenance tree work. Work will be completed in one day. No disturbance
of surface will take place.
Project Details
Project Information
Job Number
900139
Page 2 of 2