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ENG2022-0608 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT o f City of Edmonds PERMIT NU M 121 5th Ave N, Edmonds WA 98020 ENG2022-026 www.edmondswa.gov i Description: PUD - RELOCATE 2 POLES ISSUED: 02/13/2023 Address: 316 7TH AVE N EDMONDS WA 98020-3010 EXPIRES: 08/13/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434208500100 CONTACTS R 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)670-3216 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER VANHOOSE FREDERICK S & DU 316 7TH AVE N, EDMONDS WA 98020-3010 JIANZHONG FEE INFORMATIO DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $330.00 $330.00 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: 02/13/2023 Printed: Monday, February 13, 2023 1:04:00 PM 1 of 2 RIGHT PERMIT PERMIT NUM City of Edmonds Edmonds A':1 1 06�; 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" E-7 CONCRETE SIDEWALK E-7 RESTOR LIMITS Printed: Monday, February 13, 2023 1:04:00 PM 2 of 2 RIGHT OF WAY CONSTRUCTION PERMIT APPLICADON Complete and submit this Application in accordance with the Submittal �Nc.1 s90 Requirements outlined in Right -of -Way permit Handout E63. ,� - fN3wi2JV 30 ` W If any field is not applicable to your project, write a&leaving blank. All fields required. Incomplete Applications wilt ie°dd&a. ZZOZ ZZ 000 SEMONA a3AI30311 Project Name 1 I(� 4 S�RELOCATE 2 5' POLES FOR EDMONDS ROW IMPROVEMENTS Site Addressor' no site address a opertyAddress at NW corner of project arer-R-GW AT 20& M AV E & 316 7TH AV AN AssociatedPermits: BID PLN ENG • i� R. y Name of Company Franchise Ordinance No: N/A Point of Contact �-k �.gVA J —ACL - %1--<e� Address V0, (S o y, City eL� " —�,\ I state Zip 7,0 Phone Lk-L-Sr 6a Email �,��C-A �4 � � �O -C> AND JOINTUSE@SNOPUD.COM no 01m,111MM 6 Name of Company �C.V� 6 1 �� PrimaryName -Ar �+ AgentName Utle Title Mobile Address Email City State Zip Secondary Name Phone ntle Email Mobile City ofEdmonds Business License No: Email State LicenseNo: `6`,� a.. O� Contractor verifives it is eurrentlybonded Contractor verifies it currently has general liability insurance NOTE. ECDCA6o. o2o requires that theApplication be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. TypeofDevelopment pp ❑ 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 wells Traffic Control Only (no associated development) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permitApplication--Page i of 3 Updated 3/25/2021 - Include an overall narrative description of the proposed work. Be specific and detailed: Describe infrashuc ure 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.) RELOCATE POLES FOR EDMONDS ROW t� y✓11NL.VAG. \ IMPROVEMENTS 0. S a -re- OF ROW AT 200 7TH AVE ► FOR PI 1995 .,. PH 202755 SOUTHBOUND LANE OF 7TH AVE N WILL BE CLOSED TO COMPLETE WORK RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 2 hours + IF I x L IF Alley 72 hours + IF 1XI LF SF Parkin 72 hours + IF I x I LF SF SECTION S - If you are not a utility company performing work in the City ROW,.slcip to SECTIONC. 1. The work in the right of way is on or for the following type of facilities:: ❑ telecommunications ❑ cable ❑ water ❑ sewer M power ❑ storm ❑ gas Details of Work to be Completed 1. Does the utility owner have existing overhead infrastructure in the area of work? 2. Will anequipment be added underground or above ground (e.g. 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? JS, 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 system? 5. Does the work involve proposed additions to an aboveground utilistem? 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? I be-�pldted Does your project involve rebuilding or replacing utility equipment which currently serves more Yes No 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 ro osed: 6a. Does your project involve wires/cables/Iines? Ifyes: '�(r How many are existing? How man are to be City of Edmonds ROW construction permitApplication--Page 2 of 3 Updated 3/25/2021 "6b. IDoes your project involve poles?Ifyes: X How many poles are existing in the project area? What is the height of the existing poles? 45 How many poles are to be removed? Are additional poles to be laced? How many? I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? 1 2 1 What is the height of the poles after? 4 ' Describe the modification rebuild: REPLACE 2-45' POLES SETTING NEW REPLACEMENT POLES 6' W OF EXISTING. TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND SECTION C JOINT OWNERSHIP POLE AGREEMENT. Traffic Control and Public Safety. Traffic control and public safety shall be in accordance with City regulations as required bythe 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 cuttrench work shallbe 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 attorneyfees, 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 maybe 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, ortermination of anyresulting 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 andfederal 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 authorizedby 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:0-4 L DATE: 2' Z ZZ APPLICANT PRINTED NAME: IPA �1 APPLICANT TITLE: < DT- NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application —Page 3 of 3 Updated 3/25/2021 RECEIVED Dr im m.. J� 0.J. o :r D NG N)m Nm 0 OK O) O z a -D 0 r m N a 10 -do Is 3osvad 133HS-DE A4TMENT 310d ONUS1X3 30V1d38 Ol 310d M3N 0( to ZOZ ooz 59Zt£d 1N3W332iJV 310d dIHS213NM0 Applicant shall repair/replace all 310d M3N 6ib5Z£5L 1NIOf(IN`d(S)1N3W33bIPM4%1MA)6L6yV�Uft3lgV IlddVIIilfttilitiesorfrontage 03AOW36 3e O1-310d ONIlSIX3 X HS O L 1N31SIS1�(9�1�® 1 32i improvements in City right-of-way per city standards that is caused or 310d ONIISIX3 0 1VN13 ONV 310d O 1 A W321 �S311I11in 30 213 NVgiduring the permitted project. 02/09/2023 1 1 : a N 3 0 3 � ON �� 1 C 91 1Z8 d VV 90 tSt, 39Vd dVA N01i<)Ol Z8Z58£ L£ 3Sn 1NIOr Hd SIO �� d18A 30 SID OWNER/CONTRACTOR I 'RESPONSIBLE FOR SIO �Z99�Z ET-1S EROSION CONTROL AND He E a'Mw OWNER/CONTRACTOR RESPONSIBLEfOR LcGCA7 ALL ON SITE UTILITIE . RELOCAMWRIEVIM&TC UTILITIES MAY R RMIT. 1-9090£l-1S ZOS50£-t 0 HINZ .L--1'0*0 M3N -11SN1 d-9050E10S 8JX / 00A 33S Z0550E-I■ 8WJX ON1S1X3 ONVH-38 1n3N [Z] ONV lad [Z] adX [•wad 5550X/M wad OOOM 33d1d383 LECRI ONV '109dZ1 "PHAZI ASSn aid 3wd8d ONV M .9 310d 1S10.51F M3N AS CO E8Z1 839 55LZOZ ind O 03d 143N NI S.003S On ON11SIX3 Nna NN03 33S 8d8 9 E/M 310d 30 3Sn8 30 3SV8 1d 03d 011411108iN00 13S ONV 03d 01 8WJX W083 Xdl 33S On in 05E J0.8v Nna 3'10d M3N 01 aHn ONV OTT ONIISIX3 HOViiV-3a S.30AUS Xdl 03S HO [E] 8A T- 110A 33S Z8Z58E-LE■ aw:IX ONVH-38 1n3N 113 ONV tad 113 a.dX [wad 999OX/M wan OOOM 3Od1d383 LEEdZI ONV 'I09d01 'LOM ASSV aid 3wd8d ONV M .9 310d 1SI0.51F M3N AS 10 tot OSM 5Z8 11do N t gZI-l05-5Zti # 1130 S,2JON3 91ZC-0L9-9zJV # '131 S,2JON3 �$ 3SVHd J�$Z[/VOtl 'ON 1In02JIo ?JOG '8 OSM NOI1v1S8nS 31Va a31NI2Jd 31Va '8 a3AOdddV 31va 11VO 3NO ❑ ONIOOVI3 ■ 3OHNOVO ❑ dOlvo01 and ❑ Wl2Jl 13NI ❑ c i n1�1A1MTn1,)-:iL • i cninn_�L� - PUD ISc fF NSPbI5 'ON N3080 301Ad3S ON 1dI33324 (IIVd 31Va 8 Ina 1v101 INN $ ANY $ S lllMd3d S 11nVA S333 SfIOINd1130SIA E ATTACHMENT ),Wallo03S ❑ ANW418d ❑ -no �nlNi�Qi�Hf1l�'h�Ilr�kEOM ED. $=, SWIJ -� ONIlH9I-1 133d1S AIVO 'a A1dIZ 3do0 iNlOr ❑ A1VO '8 A1dIZ HON3d1 1NIOr ❑ S 333 OISve #Ndr ■ S1OVINOO lvJI3d03 iVId aNfl0dod30Nn L a3SV313N 31Va $ $a' �� , S 333 OISVO ONnoN0O11ONn J.ddaN003S am=38 lON ❑ a3aIn03a A S1N3A3SVI 'ON n31 BE Df-:TERPMNED BY GINEE)RIWo INSPECTOR 1VIOd31AIW03 ❑ A1Nn03 ❑ 1VI1N3aIS3d ❑ GNmjod3GNn Jl JVAIdd 31V1S ❑ 1N12J1 3181 ❑ S 330d 'ANOO/d313A (a31NVd9 31da) S1IAd3d $=, $a, (S310N 33S) S3A ❑ ON ■ S 33d OISVB SNOIiV01A OS3N GV31-1d3A0 J.ddON003S 'ON 031 1VIOd3WW03 ❑ 1VI1NMIS321 ❑ CIVIHNIAO JIddAIdd ON ■ S3A ❑ 0,01�1 S31� NVW32iO3 a3131MOO N2JOM 31Va 3WOS 'ON O n NIlJVNG S1N3A3A08dh1 M08 SONOW03 NOI1VN3d0 831SITWON N13NION3 80J S310d ,gib CZ] 31VO01-38 >,dOM NOJ NOSVIN LZ222000L alaao ZZ/L/C 31Va 20 d LZ 1 JvZ St7/LMS 55LZOZ 18 5Z8 'ON 310d V3dvNNAI SCHEDULE ALL0fI9PrM4S-Tfi`R0 A1Nn03 HSIWOHONS 30 VON 13IN1SIa Al[llln oll8nd Agr i^ GINEERING DIVISION 'PROVED AS NOTED _U�FZ,5 1N3ViiNVd3O OZ/Zl I 31Va NOISIA3N 3NON 31VOS £-07—N111 838WnN ONMNO sNpa�,:a�a�rera�u„Ssaverz-a�itorai 3�:jnsoio 3NVI-319NIS S3NVI-Z dOl TRAFFIC C011TR&Z�N CTION SHALL BE REQUIRED HENEV , n K Z IS S ovoa L 31ON 338 -V oa 3NV13N0 L 31ON 336 84 (v L-OZM) L 310N 33S (v El lav1) H1ON-I83dV1 „84 NOOV38 H11M 0 JNIHSVId H11M �4omu- V3W Mom RES Feb 06 CITY OF EDP DEVELOPMENT DEPARTM SCHEDULE ALL INSPECTIONS THR )23 JDS RVICES r UGH AAYBUIL s)laoM oiiand N0l9N I HSVM GOOMNNAI II (L 4 01-a1 'O1S 33S) 3OIA30 JNIZI13NNVHO 210 3N00 ❑�° :(IN3J31 'S310N'cOM1 ind 2lOd S310N IV2AN30 01ddVNl 33S 'Z 'OOlnW 3H1 d0 N0111O31S31V1 aid ONIOVdS L :S31ON 94 045 09V 54 Ot4 OZE OLZ 04 9S 04Z OOZ 5E 06 OSL 04L OE SZ OZL OOL 5Z (1d) H3dV1 ONOW ONIOVdS 3NOO ZL 1 1% (HdIN) 033dS H1aIM 138dd0 (1d) HION31bOdVl " L 310N 33S (v L-OZM) L 31 N 33S (4 OZM) QV314V3N0a1 L 31 N 33S 84 (L-OZM) P 1 T. C OVO*d CITY OF EDMONDS M BuildingPermit.com Right -of -Way Application #1245727 - WO 100088321 Relocate Poles for ROW Improv 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 City Zip Code County Parcel Number Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location ROW on 7th Ave N at 200 7th Ave N and 316 7th Ave N Property Owner First Name Last Name or Company Name Number Street Apartment or Suite Number City State Zip 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: 12/22/2022 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1245727 - WO 100088321 Relocate Poles for ROW Improv Project Contact Company Name: Snohomish County PUD Name: Mary McAllister Email: jointuse@snopud.com Address: PO Box 1107 Phone #: (425) 670-3216 Everett WA 98206 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: WO 100088321 Relocate Poles for ROW Improvements Description of Replace/relocate two 45' poles 6' W of existing poles for Edmonds ROW Improvements. Work: New poles will be same height. No tree trimming required. Southbound lane of 7th Ave N will be closed to complete work. Project Details Project Information Job Number 100088321-0080 Page 2 of 2