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ENG2023-0098 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT o fM. City of Edmonds PERMIT NU�M 00 www.edmondswa.gov i Description: PUD-REAPPLYING FOR EXPIRED PERMIT ENG2022-0230 ISSUED: 03/13/2023 Address: 20103 88TH AVE W EDMONDS WA 98026-6621 EXPIRES:09/13/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 27041900206400 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT MOE MATTHEWS PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTACT PUD PO BOX 1107, EVERETT WA 98206 (425)512-3526 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER JOSEPH P HOAG 20103 88TH AVE W, 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: 03/13/2023 Printed: Monday, March 13, 2023 12:25:00 PM 1 of 2 RIGHT PERMIT PERMIT NUM City of Edmonds • Edmonds A':1 1 00•' 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, March 13, 2023 12:25:00 PM 2 of 2 ofEOMotio� RECEIVED RIGHT OF WAY CONSTRUCTION FEB 22 2023 PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS zDEVELOPMENT /'1'c. 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. Resubmittal for expired permit ENG2022-0230. SECTION A WO 100095252 General • Project Name Replace (2) B/O Poles Site Address or if no site address use Property Address at NW corner of project area: 20103 88th Ave W, Associated Permits: BLD PLN ENG Owner and Entity Holding Name of Company Snohomish County PUD #1 Franchise Ordinance No: N/A Point of Contact Andrea Nelson Title Lead Designer Address P.O BOX 1107 City Everett State WA Zip 982o6 Phone 425-512-3526 Email ajnelson@snopud.com &jointuse@snopud.com Contractor and Authorized Agent of Owner Name of Company same (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 Ex Contractor verifies it is currently bonded ❑X Contractor verifies it currently has general liability insurance NOTE: ECDC18.6o.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? ❑ Other, please specify: ❑ Utility Franchise Work associated with development (check one of the above boxes as welt ❑ Traffic Control Only (no associated development) ENUtility 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.) Replace (2) B/O Poles Brush Trimming at pole B (private property) Strip, top and enforce pole attachment agreement Communications on pole is Ziply and Comcast Replacement should take 2 days 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 EXpower ❑ 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.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 existing underground common utility stem? x 5. Does the work involve proposed additions to an aboveground utility stem? If es: x 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 x project is proposed: 6a. Does your project involve wires/cables/lines? If yes: x How many are existing? 1 2 1How many are to be added? o 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? 2 What is the height of the existing poles? 45 How many poles are to be removed? 2 Are additional poles to be laced? no How many? I 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? same Describe the modification rebuild: replace 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. 2/21/2023 APPLICANT SIGNATURE: Andrea Nelson DATE: � APPLICANT PRINTED NAME: Andrea Nelson APPLICANT TITLE: Lead Designer 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 0 PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 20103 88TH AVE W, EDMONDS WA LYNNWOODAREA POLE NO. 9587 & 9582 NW1/4S 19 T 27 R 4 DATE 4/28/22 ORDER 100095252 REASON FOR WORK REPLACE BO POLES ENGINEER A,NELSON OPERATION 0030 DRAFTER U.G. NO. SCALE 1"=100' APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. .@$ 1=$ \ SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE $ ■ NO ❑ YES (SEE NOTES) '@$ =$ PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE METER/CONV. POLE g PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ■ CITY EDMONDS BASIC FEE S ❑ EASEMENTS LEU NO. La _$ ❑ REQUIRED ■ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE DATE RELEASED @$ =$ UNDERGROUND PLAT FOREIGN CONTACTS ■ JPN# BASIC FEE FT.@$ _$ ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV STREET LIGHTING � FT.@$ '=$ Cl POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY PRE—CONST. REQUIRMENTS ❑ TREE TRIM ■ PUD LOCATOR � FT.@$ '=$ MISCELLANEOUS FEES ❑ BACKHOE ❑ FLAGGING VAULT S ❑ ONE CALL DATE PERMIT s 8 TOTAL DUE S DATE PAID RECEIPT NO. SERVICE ORDER NO. F(.FNn: No. STREET LIGHTING ❑ YES ■ NO M&R AS -BUILT GIS GIS QC M&R GIS Ph JOINT USE LOCATION MAP PAGE DATE SUBSTATION MAPLEWOOD CIRCUIT NO. 12-346 PHASE 1 ENGR'S TEL. # ENGR'S CELL # 425-512-3526 �97�5956 0 FU25 I 12 F- E-08097 0 50-367904 A-3630 20104 o . ---------- ---- - - 20/14 U i ;7--20021*CDG FU40 \ J A-37967 92 SL-8129482-A ��— ,20103 120114 9581 20/144 I 0 37-15 i N P _ o 9531 2( A-8610 SL-129459-A FU40 OA POLE PL1 # 9587 W 37-10226 SET 45' CL 2 POLE (PW2045,NO110), TIGHT NW FRAME (12V113) 1 PHASE TANGENT W/ LATERAL INSTL (1) 3/8" SG (GO102) TO PLI 9588-SOUTH XFR OH SVCS STRIP, TOP & ENFORCE POLE ATTACHMENT AGREEMENT ©POLE PL 1 # 9582 SET 45' CL 2 POLE (PW2045,NO110), TIGHT WEST FRAME (12V101) 1 PHASE TANGENT FRAME (12U111) 1 PHASE UG TERM, FU40 XFR UG PRIMARY SEE UG DWG # 2690-2 XFR OH SVCS XFR ST LT # SL-129482-A STRIP, TOP & ENFORCE POLE ATTACHMENT AGREEMENT TO MPL CKT 21-346 37 A-37967 121 139 /20029 0 15-3 5511 A-37968 E-46381 9583 0 15-229743 221986 j ' E- i 8629 8625 707 11/14 SL-129448-A 1 15-357162 >-226360 197496 9587 221987 - 9588 \J n n n R 111FUe%-r 11. - 3371 L-B 1/16 20208 SL-128393-A = Q 20209 Q 2021 2 85 1 4118 O0 O0 37-395102 A-2540 O0 11/14 1 20217 El i i O FU40 OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE 15 RECEIVED �T OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING FU40 7 ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY FEB 22 2023 UTILITIES MAY REQUIRE A SEPERATE PERMIT. - PUD TO ENFORCE POLE ATTACHMENT O EXISTING POLE AGREEMENT. X EXISTING POLE -TO BE REMOVED - PUD IS RESPONSIBLE FOR ENSURING THAT TH?5 OLD POLES ARE REMOVED. • NEW POLE � NEW POLE TO REPLACE EXISTING POLE 15 O 15 ❑1 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 CITY OF EDMONDS APPROVED AS NOTED DEVELOPMENT SERVICES DEPARTMENT .lilt U/Z,, J,,$,.,, 4z 03/08/2023 Vill SHEET OF LANE CLOSURE ON A TWO—LANE ROAD (TWO FLAGGER OPERATION) ROAD W20-1 WORK AHEAD X ONE LANE W20-4 ROAD = AHEAD X • I LJ 48" x 24" W20-7A �� I NLJ (If s ROADWORKG 2 0- 2 X ~ X (OPTIONAL) ZX r o O o 0o O o oo T O O® �= O Z ~ H 3 O Z W Z O m Q J J J Z O N O O m O O W ZQ a O a O X X G20-2 ROADNWORK = s W20-7A T> A4 W20-76 48 x 24 X (OPTIONAL) ONE LANE BE s ROAD W 2 0- 4 PREPARED AHEAD TO STOP X ROAD OPTIONAL IF = WORK W20-1 40 AHEAD MPH OR LESS SNOHOMISH COUNTY TIMM TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO 1 PROJECT REPLACE (2) B/O POLES LOCATION 20103 88TH AVE W, EDMONDS WA ENGINEER ANDREA NELSON DATE 4/29/22 ORDER 100095252 PHONE CELLULAR 425-512-3526 C C (n N 0 co J a N Ln N Ln rn 0 O 0 co L) 0) J a N N L 0 0 0 0 s U O N N O N / N O d H O N N 0 N dS N 0 N / 0 Ld O a 0 m 0 d c 0 a z / 0 N c 0 .N E 0 / a� O L N U N Y ON / C LJ I /rn 07 N ww J ~ �a LL o ENGINEERING DIVISION APPROVED AS NOTED jell LV,& j ,...nnLV,&X,u..44z 03/08/2023 vv RECEIVED FEB 22 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED CITY OF EDMONDS Right -of -Way Application #1272077 - WO 100095252 FEB 22 2023 MyBui[di ngPermit.com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Moe Matthews 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 20103 88TH AVE W City Zip Code County Parcel Number EDMONDS 98026 27041900206400 Associated Building Permit Number Tenant Name WO 100095252 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Joseph P Hoag Number Street Apartment or Suite Number 20103 88TH 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: 2/21/2023 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1272077 - WO 100095252 Project Contact Company Name: PUD Name: Andrea Nelson Email: ajnelson@snopud.com Address: PO Box 1107 Phone #: (425) 512-3526 Everett WA 98206 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: WO 100095252 Description of WO 100095252: We are reapplying for expired permit ENG2022-0230. PUD crews to Work: replace two BO poles. Brush trimming to occur at Pole B (private property). Replacements should take 2 days. Project Details Project Information Job Number WO 100095252 Page 2 of 2