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ENG2022-0490 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT o fM. City of Edmonds PERMIT NU�M , 121 5th Ave N, Edmonds WA 98020 ENG2022--A04I www.edmondswa.gov i Elk Description: PUD-RELOCATE & REMOVE 1 POLE FOR ELLIS STATION ENG2021-0183 ISSUED: 12/05/2022 Address: 23325 EDMONDS WAY - ESPERANCE EDMONDS WA 98026-8643 EXPIRES: 06/05/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00555300400600 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT MOE MATTHEWS PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTACT SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER PACIFIC RIDGE-DRH LLC 17921 BOTHELL EVERETT HWY 100, BOTHELL WA 98012 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 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: 12/05/2022 Printed: Monday, December 05, 2022 12:55:48 PM 1 of 2 RIGHT PERMIT PERMIT NUM City of Edmonds 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: Monday, December 05, 2022 12:55:48 PM 2 of 2 of EOMotio� RECEIVED RIGHT OF WAY CONSTRUCTION OCT 03 2022 PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS P pp DEVELOPMENT /'Vc. is') 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 IFIliq Station - RPlorntP (1) PnIP P. RPmnvP (1) Pnle (WC) 1000930941 Site Address or if no site address use Property Address at NW corner of project area: 123325 Edmonds Way. Edmonds Associated Permits: BLD PLN ENG Owner and Entity Holdingapplicable) Franchise Ordinance No: N/A Name of Company Snohomish County PUD #1 F Point of Contact Cfanhnnia PhAiin Title RZnr nesinner Address PO ROX 107 City 0 State zip 9206 Phone Email sbelwin(cDsnooud.com Contractor and Authorized Agent of Owner Name of Company Same 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: 0 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 X Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: X 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.) This work is for the Constuction of the 29 Lot Plat of Ellis Station. Relocation & removal of PUD equipment from poles should take 1-2 days & old poles will be stripped & topped for communications. Pole removal and final restoration to be completed by the last communications off the old poles. Communications on pole is Ziply and Comcast. No tree trimming required. Job may require a pole hold prior to relocation. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF I x LF SF 0 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 @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 x No 2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? x 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 stem? If es: I Ix Are the additions for the purpose of serving new commercial development? Are the additions for the purpose of serving a single-family residential subdivision? x Details of Worl,, 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: How many are existing? 3 1 How many are to be added? 0 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? 45' How many poles are to be removed? Are additional poles to be laced? no How many? I I What is the heighturThe additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? What is the hei ht of the poles after? 50' X Describe the in 1 'cation rebuild: 0AA1 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: c+e.,►,,, - -1... in APPLICANT TITLE: ISenior Designer NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 a pEOO PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 23325 EDMONDS WAY, EDMONDS 98026 LYNNWOODAREA POLE NO. PLI 15208 NW 1/4S 31 T 27 R 4 DATE 11/28/2022 ORDER 100093094 REASON FOR WORK POLE RELOCATION & REMOVAL ENGINEER S. ELWIN OPERATION 0030 FOR THE PLAT OF ELLIS STATION DRAFTER U.G. NO. SCALE APPROVED SGW & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQID ■ YES ❑ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. '@3 '=8 SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE S ❑ NO ❑ YES (SEE NOTES) @$ .=$ PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE METER/CONV. POLE g PRIMARY UNDERGROUND ❑ RESIDENTIAL ■ COUNTY ❑ COMMERCIAL ❑ CITY BASIC FEE S ❑ EASEMENTS LEU NO. ■ REQUIRED ❑ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE S DATE RELEASED 1@$ .=g UNDERGROUND PLAT FOREIGN CONTACTS ■ JPN# BASIC FEE $ FT.0 '=8 ❑ JOINT TRENCH ZIPLY & CATV El JOINT BORE ZIPLY & CATV STREET LIGHTING El POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR (� FT.0 '=8 MISCELLANEOUS FEES ❑ BACKHOE ❑ FLAGGING VAULT ■ ONE CALL DATE PERMIT No. COST ESTIMATE $22,6 00.00 STREET LIGHTING $ ❑ YES ■ NO DATE 11/28/2022 SUBSTATION WSG CIRCUIT NO. 12-407 PHASE 231 ENGR'S TEL. # 425.783.4356 ENGR'S CELL # 425.737.3987 ONEW PLI 15208 SET NEW CL1 50' P W/GRDS 7' DP 8' E AS STAKED FRAME PER 12F337 INSTIL 8" AHR & 3/8" DIG (AO101 & G0113) L=10'E AS STAKED XFR (3) 336 3PH AAC PRI & 3/0 NEUT CNDCTS OLD PLI 15208 N RMV 25KVA OH XFMR DIST UTC #:25-455604 - PUD TO ENFORCE POLE ATTACHMENT AGREEMENT. - PUD IS RESPONSIBLE FOR ENSURING THAT THE OLD POLES ARE REMOVED. 0 SER #: STRIP, TOP & ABANDON P TO JOINT UTILTIES L I 15208 2-455604 OPLI 15211 TRANSFER OF UTILITIES, REMOVAL OF POLE, 1-n PLI 15209 AND FINAL RESTORATION TO BE CONSISTENT , 0 37-15009 WITH POLE ATTACHMENT AGREEMENT. I PLI 15209 O 37-15009 7 PLI 15208 CD 25-455604 0 0 PLI 15211 CA $ a 0 M&R AS -BUILT $ 22,640.00 GIS PLI 270913 D TOTAL DUE DATE PAID GIS QC M&R 25-363069 0 RECEPT NO. GIS Ph JOINT USE 2 3 1 SERVICE ORDER NO. LOCATION MAP PAGE 474-H2 Applicant shall repair/replace all damage to utilities or frontage LEGEND: improvements in City right-of-way OWNER/CONTRACTOR IS RESPONSIBLE FOR BEFOREper city standards that is caused or EROSION CONTROL AND DRAINAGE occurs during the permitted project. 2 3 1 o EXISTING POLE X EXISTING POLE -TO BE REMOVED OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING AFTER • NEW POLE ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY X NEW POLE TO REPLACE EXISTING POLE UTILITIES MAY REQUIRE A SEPERATE PERMIT. PLI 15208 0 a PLI 270913 25-363069 PL I15209 37-1500c I I ` ,I �I 115211 ENGINEERING DIVISION "DTED p(� 2/05/2022 L=10' I I I 24 I 1 _ I 1 25 I 1 1 I 1 26 I _I I 27 I I I I I I I R B PLI 270913 NOV 282022 25-363069 CITY OF EDMONDS DEVELOPMENT SERVICES SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP LANE CLOSURE ON A FOUR -LANE UNDIVIDED ROAD flplp AxEAU rmwo"; G20-2A x i i x (OPTIONAL) W20-1 O 1 1 N NORTH I I o� I b I b I b7c 23325 EDMONDS WAY I b I a b I � 6® I Q b I 0 16 I 6O I I O I I O G20-2A x I I x /\ awp"BilonK I I s \IW4-2R (OPTIONAL) I I x OLAE s W2D-5LENGINEERING DIVISION �r x " DTED Applicant shall repair/replace all ROAD I I Im damage to utilities or frontage s µ� W20-1 p� I� 2/05/2022 improvements in City right-of-way per city standards that is caused or r13/ occurs during the permitted project. PORTABLE CHANGEABLE MESSAGE SIGN WITH LIGHTED ARROWS OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE - PUD TO ENFORCE POLE ATTACHMENT OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING LIGHTED ARROW AGREEMENT. ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY PUD IS RESPONSIBLE FOR ENSURING THAT THE UTILITIES MAY REQUIRE A SEPERATE PERMIT. BOARD REQUIRED OLD POLES ARE REMOVED. Iffi MISH COUNTY TRAFFIC CONTROL PLAN TILITY DISTRICT NU 1 PROJECT ELLIS STATION RESM LOCATION 23325 EDMONDS WAY, EDMONDS WA 98026 ENGINEER STEPHANIE ELWIN DATE 11/28/2022 ORDER 100093094 NOV 282022 PHONE 425-783-4356 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT CELLULAR 425— 737-3987 SIGN SPEED LIMIT SPACING X (FT) MERGING TAPER tFT) (FOR @'LANE) 6uFFER (FT) 25 200 125 155 30 200 180 200 35 350 245 250 40 350 320 305 45 500 540 360 50 500 600 425 55 500 660 495 RESUB NOV 28 2022 X PUBLIC UTILITY DISTRICT TRANSMITTAL DATE: 11/28/22 TO: Natalie Griggs, Engineering Technician Engineeringpermits@edmondswa.gov FROM: Ben Davis, PE TELEPHONE NO: PROJECT: Application #: ENG2022-0490 Address: 2325 Edmonds Way Project Description: Relocating Pole for Ellis Station COPIES: Stephanie Elwin, file DELIVERY METHOD: CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 425-231-2145 ❑ REGULAR MAIL ❑ OVERNIGHT MAIL ❑ COURIER ❑ E-MAIL ® OTHER ITEM COPIES DATE DESCRIPTION 1 0 11/28/22 Site Plan 2 0 11/28/22 Traffic Control Plan In response permit comments dated November 7, 2022, please see responses below in italics. SITE PLAN 1) The plans show the new pole at location "A" being placed northeast of the existing pole. The notes for "A" note that the new pole will be placed T west of the existing, which would put the pole within the travel lane on Edmonds Way. a. Please clarify and revise the site plan accordingly. The location was incorrectly identified as "W' west instead of `E" east. This has been corrected. See revised Site Plan. 2) This development is required to install a 6-foot-wide sidewalk and 5-foot-wide planter strip. Please confirm the proposed pole will be behind the new sidewalk. Yes. The new pole will be located behind the sidewalk within the utility easement. TRAFFIC CONTROL PLAN 1) A lighted arrow board is required for all work on Edmonds Way; please add this to the traffic control plan. A note for a lighted arrow board has been added. See revised plan. ® FOR YOUR REVIEW File Name: B:\Eng\File Exchange\Ld-Pro Projects\ NOT REVIEWED and ACTIVE\Ellis Station 100085931\PERMIT JPN\Permit Resubmittal 11-28- 22\T 11-28-22_Ellis Permit Response.docx 1802 7511 Street SW Everett Washington 98203