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ENG2023-0072 ROW PERMITRIGHT PERMIT • M. City of Edmonds Edmonds WA 9802000 www.edmondswa.gov / 425.1 1 Description: PUD-REPLACING BO POLE ISSUED: 03/06/2023 Address: 8627 204TH ST SW EDMONDS WA 98026-6650 EXPIRES: 09/06/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27041900209200 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)783-5110 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER CLINTON C LIU 8627 204TH ST SW, EDMONDS WA 98026-6650 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: 03/06/2023 Printed: Monday, March 06, 2023 12:31:20 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: Monday, March 06, 2023 12:31:20 PM 2 of 2 PUD WO #100107430-30 Of EDA4041, /'Vc. i Ba J SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way permit Handout E6,,i. RECEIVED Feb 07 2023 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 Replace BO Pole PLI 9642 Site Address or if no site address use Property Address at NW corner of project area: 8627 204th St. SW, Edmonds WA 98026 Associated Permits: BLD PLN ENG • • • applicable) Name of Company SNOHOMISH COUNTY PUD Franchise Ordinance No: N/A Point of Contact Richard Dumo Title Distribution Engineer Address 1802 75th St. SW MS-02 City Everett State WA Zip 98206 Phone 425-783-5110 Email rsdumo@snopud.com Contractor and Authorized Agent of Owner Name of Company SNOHOMISH COUNTY PUD (see note below) Contractor Contacts During Construction Primary Name Same as above Agent Name Beth Haskins Title Title Joint Use and Permits Admin Mobile Address 1802 75th St. SW MS-02 Email City Everett State WA Zip 98206 Secondary Name Phone 425-783-4315 Title Email jointuse@snopud.com Mobile City of Edmonds Business License No: Email State License No: 313-005-741 K Contractor verifies it is currently bonded xi 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 ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? m Other, please specify: SNOPUD Electrical Maintenance Work ❑ Utility Franchise Work associated with development (check one of the above boxes as well ❑ Traffic Control Only (no associated development) x 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.) Proposed job will replace bad order pole PLI 9642. New pole will be installed 1' west of existing. This is part of overhead maintenance work for Snopud. Other utilities have been marked on the ground for visibility. No tree removal, boring or trenching involved. Please see attached drawing and picture. RIGHT-OF-WAY CLOSURE AREA Note: Work will not exceed over 72 hours. TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF Alley 72 hours + LF x 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 x 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. 1 Will any equipment be added underground or above ground (e.g. 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? X 4. Does the work involve rebuilding or relocating an existing aboveground utility system which connects a lot or commercial development to an existingunderground common utilitysystem? X 5. Does the work involve proposed additions to an aboveground utility system? If es: X Are the additions for the purpose of serving new commercial development? X Are the additions for the purpose of serving a single-family residential subdivision? X 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 X project is proposed: 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 1 4 1 How many are to be added? I None City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. Does your project involve poles? If yes: X 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? How many? 1 1 1 What is the height of the additionalpoles? I No additional poles 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? 1 1 1 What is the height of the poles after? 45 foot pole Describe the modification rebuild: Replace old pole with same height as existing. 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: R 4.41Z.? DATE: 2/6/2023 Richard Dumo PUD Distribution 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 pEOO PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 8627 204TH ST SW, EDMONDS WA 98026 LYNNWOODAREA POLE NO. PLI 9642 NW1/4S 19 T 27N R 04 DATE 1/19/2023 ORDER 100107430 REASON FOR WORK ENGINEER RICH DUMO OPERATION 30 REPLACE BAD ORDER POLE DRAFTER RICH DUMO U.G. NO. PL19642 SCALE NTS APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ❑ NO RIMARY OVERHEAD El RESIDENTIAL ❑ OMMERCIAL LEO NO. SEC NDARY OVERHEAD BASIC FEE S \ ' @$ '=$ METER/ ONV. POLE S PRIMARY UNDERGROUND ❑ RESIDENT L ❑ COMMERCI BASIC FEE S LEU NO. SECONDARY NDERGROUND ASIC FEE S UNDERGROUND P AT BAS C FEE S FT.0 _$ STREET LIGHTING q FT.@3 =$ WORK IN RIGHT OF WAY El PRIMARY ❑ SECONDARY � FT.@$ ' $ MISCELLANEOUS FEES VAULT S_ PERMIT S_ 8 TOTAL DUE DATE PAID RECEPT NO. SERVICE ORDER NO. FC'.FNn: NESC VIOLATIONS ■ NO ❑ YES (SEE NOTES) PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ CITY EDMONDS EASEMENTS ■ REQUIRED ❑ NOT REQUIRED DATE RELEASED FOREIGN CONTACTS ■ JPN# 100107430 ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV El POLE STENCILING FROM TO TAKE OFF POLE PRE—CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ■ FLAGGING ■ ONE CALL DATE No. STREET LIGHTING ■ YES ❑ NO M&R AS -BUILT GIS GIS QC M&R GIS Ph JOINT USE LOCATION MAP PAGE 454-J5 o EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE X NEW POLE TO REPLACE EXISTING POLE DATE 1/26/2023 SUBSTATION 5 CORNERS CIRCUIT NO. 12-1285 PHASE 2 ENGR'S TEL. # 425-783-5110 ENGR'S CELL # 425-346-8846 8625 TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. CONSTRUCTION NOTES O AT PLI 9642 EXISTING 45' CLASS 2 POLE INSTALL GROUND PLATE ON NEW 45' CLASS 2 POLE (110110) SET NEW 45' POLE 1' W OF EXIST AS STAKED (PW2045) INSTALL SINGLE PHASE TANGENT ASSY FOR #2 ACSR DUE EAST -WEST (12V101) INSTALL SINGLE PHASE VERTICAL DOUBLE DEADEND FOR #4 ACSR SOUTH AND #2 ACSR NORTH (12V111) DEADEND NEUTRALS AND ATTACH NEUTRALS INSTALL NEW 14' STREETLIGHT MAST (1-0506) TRANSFER EXISTING STREETLIGHT LUMINAIRE (SL-131014-C) TRANSFER AND CONNECT EXISTING SECONDARY SERVICES REMOVE EXISTING 12' STREETLIGHT MAST LEAVE EXISTING GUYS AND ANCHORS FOR OTHER--� TILITILJ STRIP AND TOP eLD POLE FeR eemmumeATIE) - PUD TO ENFORCE POLE ATTACHMENT AGREEMENT. - PUD IS RESPONSIBLE FOR ENSURING THAT THE OLD POLES ARE REMOVED. 9564 I 9564 00 8611 W 8627 8623 5CR 2 11114 SL-131014-C L-10 33-A 9641 IJBABA-7 2 3 - 6 6 9642 2697 _ N ------ 96 0 �iO .--i �F--- --- NORTH 20408 204TH SW 10114 R;: i J 10 = 8610 00 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY LAYOUT UTILITIES MAY REQUIRE A SEPERATE PERMIT. NTS OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE 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. 37-266036 269723 0 2 t(GE) 204TH ST SW ENGINEERING DIVISION APPROVED AS NOTED ddl LV1,ggJ,,,,44z 03/03/2023 VV 5 COR 12-1285 RECEIVED Feb 2023 SCHEMATIC CITY OFFE EDMONDDSS AFTER DEVELOPMENT SERVICES DEPARTMENT Pole PH 9642 RECEIVED Feb 07 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT LEGEND: ------- W------- - EXISTING WATER ------- D------- - EXISTING DRAIN JOB LOCATION I ------- S------- - EXISTING SEWER - NEW POLE PLI 9642 O *NO SEWER *NO GAS *NO POWER 204TH ST SW LAYOUT EDGE OF ROW NTS � N NORTH I r RECEIVED Feb 07 2023 M CITY OF EDMONDS DEVELOPMENT SERVICES w DEPARTMENT SNOHOMISH COUNTY pCLfl® OTHER UTILITY LOCATIONS PUBLIC UTILITY DISTRICT NO 1 PROJECT REPLACE BAD ORDER POLE PLI 9642 LOCATION 8627 204TH ST. SW, EDMONDS WA 98026 ENGINEER RICHARD DUMO DATE 1/31/2023 ORDER 100107430-30 PHONE 425-783-5110 CELLULAR 425-346-8846 ROAD W20-1 < WORK AHEAD WORK LOCATION SPEED SIGN SPACING BUFFER LIMIT A, B, C (FT) (FT) 25 200 55 30 200 85 35 350 120 9 642 ",--) v '�' • g00 0 0 0 AREA AT AN INTERSECTION W20-7A W3-4 W20-4 W20-1 ONE ROAD LAAO O AHEADBAHEADYA B 204TH ST SW N NORTH I LEGEND: NOTE: O CONE OR CHANNELIZING DEVICE 1. FLAGGERS REQUIRED TO CONTROL TRAFFIC ®� SERVICE TRUCK/EQUIPMENT WHENEVER THE CREW MUST INTERRUPT TRAFFIC FLOW TO ACCESS THE WORK SITE WORK AREA �J ENGINEERING DIVISION WITH MATERIALS OR EQUIPMENT. • APPROVED AS NOTED 2. FLAGGERS TO ASSIST PEDESTRIANS DURING CONSTRUCTION. OT FLAGGER i W20-7A 3. WORK HOURS: Q ✓. .ti..anp 03/03/2023 A vv 7AM TO 5PM MONDAY TO THURSDAY BE i PREPARED W3 - 4 TO STOP SNOHOMISH COUNTY e IFFma) TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO 1 ROAD s WORK W20-1 AHEAD RECEIVED PROJECT REPLACE BAD ORDER POLE PLI9642 LOCATION 8627 204TH ST. SW, EDMONDS WA 98026 Feb 07 2023 ENGINEER RICHARD DUMO DATE 1/31/2023 ORDER 100107430- CITY OFEDMONDS PHONE 425-783-5110 DEVELOPMENT SERVICES DEPARTMENT RECEIVED Feb 07 2023 CITY OF EDMONDS CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT MyBuildingPermit.com Right -of -Way Application #1265155 - WO 100107430 Replace BO Pole 9642 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 8627 204TH ST SW City Zip Code County Parcel Number EDMONDS 98026 27041900209200 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 Clinton C Liu Number Street Apartment or Suite Number 8627 204TH ST SW City State Zip EDMONDS WA 98026-6650 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: 2/7/2023 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1265155 - WO 100107430 Replace BO Pole 9642 Project Contact Company Name: Snohomish County PUD Name: Richard Dumo Email: jointuse@snopud.com Address: PO Box 1107 Phone #: (425) 783-5110 Everett WA 98206 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: WO 100107430 Replace BO Pole 9642 Description of Work: WO 100107430 Replace BO Pole 9642 to be installed VW of existing. No tree removal, boring or trenching involved. Project Details Project Information Job Number 100107430 Page 2 of 2