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ENG2023-0094 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT o f of Edmonds PERMIT NU M -. •.City www i Description: PUD - REPLACE 1 BO POLE BEHIND SIDEWALK ISSUED: 03/20/2023 Address: 21224 84TH AVE W EDMONDS WA 98026-7300 EXPIRES: 09/20/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00613400000801 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 98206-1107 (425)783-5110 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER SACKETTJEFFREY C/SACKETT CARL W. 21224 84TH AVE W, EDMONDS WA 98026-7300 FEE INFORMATION 11 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: 03/20/2023 Printed: Monday, March 20, 2023 11:52:18 AM 1 of 2 RIGHT OF WAY EUC PERMIT s C ` City of • • • 98020 1 1 1 • www.edmondswa.gov / 425.771i 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 CURB GUTTER E-7 DWY APPROACH E-7 RESTOR LIMITS Printed: Monday, March 20, 2023 11:52:18 AM 2 of 2 PUD WO #100107467-30 ofEDMotio� RECEIVED RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION FEB 17 2023 Complete and submit this Application in accordance with the Submittal /Ivc. i 3a° Requirements outlined in Right -Of -Way permit Handout E6.,I. 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. SECTION A General• Project Name WO 100107467 - Replace BO Pole PLI 14439 Site Address or if no site address use Property Address at NW corner of project area: 21224 84th Ave W, Edmonds WA 98026 Associated Permits: BLD PLN ENG Owiier and Entity Holdingapplicable) 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 and jointuse@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 P.O. Box 1107 Email City Everett State WA Zip 98206-1107 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 N 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 ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? x 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) cg 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 14439. Adjacent property owner refused to grant easement for a guy and anchor so PUD will install a 50 foot pole and set it extra 5' deeper than normal. Old pole is 45' with 38.5' height from grade. New pole will be 50' with 38' height from grade with a slight tilt to the west. Please include tree trimming for permit purposes. 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 Io 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.. 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 system? 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 s 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? 38' tall from grade Describe the modification rebuild: Replace old pole with 50' pole but set extra 5' dee er w/o guy and anchor. 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: Richard Dumo PUD Distribution Enqineer NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE DATE: 2/16/2023 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM pE O PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 21224 84th AVE W. EDMONDS WA 98026 LYNNWOODAREA POLE No. PLI 14439 NW1/4S 30 T 27N R 04 DATE 2/15/2023 ORDER 100107467 REASON FOR WORK ENGINEER RICH DUMO OPERATION 30 REPLACE BAD ORDER POLE DRAFTER RICH DUMO U.G. No. PLI 14439 SCALE NTS APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ❑ No RIMARY OVERHEAD ❑ RESIDENTIAL ❑ OMMERCIAL LEO NO. La '=$ \ SEC NDARY OVERHEAD NESC VIOLATIONS BASIC FEE S ■ NO ❑ YES (SEE NOTES) @$ _$ PERMITS (DATE GRANTED) METER/ ONV. POLE g ❑ TREE TRIM PRIMARY UNDERGROUND ❑ STATE ❑ RESIDENT L ❑ COUNTY ❑ COMMERCI ■ CITY EDMONDS BASIC FEE S ❑ LEU No. EASEMENTS DATE 2/1 5/202 SUBSTATION 5 CORNERS CIRCUIT NO. 12-1285 PHASE 1,2,3 ENGR'S TEL. # 425-783-5110 ENGR'S CELL # 425-346-8846 TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. 5 COR I SW 12 8212 IfiIX 12-1285 SW 12-5603 , 1 1 268292 X X X SCHEMATIC AFTER RESTORATION LIMITS TO BE DETERMINED BY CITY ENGINEERING INSPECTOR Existing sidewalk, curb and/or gutter shall be removed and replaced depending on condition as determined by the engineering inspector. PH3 PH2 PH1 LATERAL OH u PRI nF rncT $ '=$ ■ REQUIRED ❑ NOT REQUIRED SECONDARY NDERGROUND ASIC FEE S @$ _$ DATE RELEASED UNDERGROUND P AT FOREIGN CONTACTS ■ JPN# 100107467 BAS C FEE S FT.0 _$ ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV STREET LIGHTING ❑ POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY FT.0 $ PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR 15- 50- 10" RAKE DUE WEST ---- _ 11' FG BRACELESS WINGARM NEUT 7'FG BRACELESS ARM NEUT za wa STREETLIGHT MAST a MISCELLANEOUS FEES ❑ BACKHOE ■ FLAGGING OWNER/CONTRACTOR IS RESPONSIBLE FOR VAULT S ■ ONE CALL DATE EROSION CONTROL AND DRAINAGE PERMIT S No. $ STREET LIGHTING $ ■ YES ❑ NO $ M&R AS -BUILT $ GIS TOTAL DUE 9 DATE PAID GIS QC M&R RECEPT NO. GIS Ph JOINT USE 1 SERVICE ORDER NO. LOCATION MAP PAGE 454-J6 / LEGEND: RECEIVED o EXISTING POLE FEB 17 2023 X EXISTING POLE -TO BE REMOVED • NEW POLE CITY OF EDMONDS X NEW POLE TO REPLACE EXISTING POLE DEVELOPMENT SERVICES DEPARTMENT 30'FROM CENTERLINE (60'R/W) (3'X3' OH EASEMENT) EDGE OF R/W STREET PARKING & BIKE LANE 2' 2" 2172�'R_111'7 za '5* do SIDEWALK N x as ¢ �m ko ROADWAY CROSS SECTION (84TH AVE W, LOOKING SOUTH; NOT TO SALE) O 14439 FU25 123 Q 00 N NORTH SL-12 14439 LAYOUT NTS Q 00 Applicant shall repair/replace all damage to utilities or frontage CONSTRUCTION NOTES improvements in City right-of-way per city standards that is caused or GA AT POLE PLI 14439 occurs during the permitted project. EXISTING 45' CLASS 2 POLE REMOVE EXISTING 15-9638 & 50-1700 OH TRANSFORMERS UTC#----------------------- UTC#----------------------- SER#---------------------- SER # ---------------------- SEC VOLT ----- /----- /------ SEC VOLT ----- /----- /------ INSTALL GRND PLATE ON A 50' CLS H4 POLE (NO110, PWH4050) SET POLE EXTRA DEEP (11') WITH 10" RAKE, 4' WEST OF EXIST INSTALL 3PH ALLEY ARM ASSY W/ BRACELESS WINGARM (12F337) INTERCEPT EXISTING 3PH 336AAC OVERHEAD WIRES TRANSFER & ATTACH (SLACK SPAN) TO END OF ARM EXISTING 1PH OH LATERAL DUE EAST, TAP PH3 (12V115) INSTALL NEW CUTOUT ASSY AND FUSE 25A (E0204, E1025) INSTALL 7' BRACELESS WINGARM FOR NEUTRAL (X0551) ATTACH END OF ARM NEUTRAL ASSY DUE EAST (12V115) INSTALL CLUSTER MNT BRACKET & ADAPT PLATE (R0303,RO304) INSTALL 15KVA (BA21L) & 50KVA (BA21R) 120/240V OH XFMRS UTC#----------------------- SER#---------------------- UTC#----------------------- SER# ---------------------- SEC VOLT ----- /----- /------ SEC VOLT ----- /----- /------ INSTALL NEW 12' STREETLIGHT MAST (L0505) TRANSFER EXISTING SL LED LUMINAIRE (SL-128830-G) INSTALL NEW 3" SEC RISER (FO106) AND WEATHERHEAD TO EXISTING PEDESTAL (FO1303) TRANSFER EXISTING OVERHEAD 1PH & 3PH SERVICES REMOVE EXISTING 8' STREETLIGHT MAST STRIP AND TOP OLD POLE FOR COMMUNICATIONS ENGINEERING DIVISION APPROVED AS NOTED OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. jdl 03/16/2023 LEGEND: ------- W------- - EXISTING WATER ------- D------- - EXISTING DRAIN ------- S------- - EXISTING SEWER O - EXISTING POLE I I , I I \- - NEW POLE I , , I I , I , � I , I , I o , I I , � I N I , I I , I , NORTH I I I I � ___---T-WI I � I , I , I I I , I C , C I PLI , , I 14439 I I , I II '1° 21224 , �I o i ram---- , I I I I , I I I I , I I w , I I I I , I I , � I � I �I RECEIVED o FEB 17 2023 LAYOUT CITY OF EDMONDS NTS DEVELOPMENT SERVICES DEPARTMENT SNOHOMISH COUNTY ERFLFIED OTHER UTILITY LOCATIONS PUBLIC UTILITY DISTRICT NO 1 PROJECT REPLACE BAD ORDER POLE PLI 14439 LOCATION 21224 84TH AVE W, EDMONDS WA 98026 ENGINEER RICHARD DUMO DATE 2/16/2023 ORDER 100107467-30 PHONE 425-783-5110 CELLULAR 425-346-8846 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM W20-1 WORKROAD = AHEAD e �IPATRID W3-4 PR : TO A W20-7A ■� N NORTH I SPEED SIGN SPACING BUFFER LIMIT A, g, C (FT) (FT) 25 200 55 30 200 85 357 350 120 NOTE: 1. FLAGGERS REQUIRED TO CONTROL TRAFFIC WHENEVER THE CREW MUST INTERRUPT TRAFFIC FLOW TO ACCESS THE WORK SITE WORK LOCATION WITH MATERIALS OR EQUIPMENT. 2. FLAGGERS TO ASSIST PEDESTRIANS CROSSING THE ■ ROAD BACK AND FORTH DURING CONSTRUCTION. O 3. WORK HOURS: 14439 O 7AM TO 5PM MONDAY TO THURSDAY 00 O sp LEGEND: o O CONE OR CHANNELIZING DEVICE 112122411 O ®® SERVICE TRUCK/EQUIPMENT O WORK AREA ■T FLAGGER w Q c— TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP SNOHOMISH COUNTY ER10a) PUBLIC UTILITY DISTRICT NO 1 ENGINEERING DIVISION APPROVED AS NOTED AL ■ W20-7A jell 03/16/2023 vv A I, RECEIVED BE i ;o STOP W3-4 FEB 17 2023 B ROAD CITY OF EDMONDS s woRK W20-1 DEVELOPMENT AHEAD SERVICES DEPARTMENT TRAFFIC CONTROL PLAN PROJECT REPLACE BO POLE PLI 14439 LOCATION 21224 84TH AVE W, EDMONDS WA 98026 ENGINEER RICHARD DUMO DATE 2/16/2023 ORDER 100107467-30 PHONE 425-783-5110 CELLULAR 425-346-8846 RECEIVED FEB 17 2023 CITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS DEVELOPMENT Right-of(YEAWibn #1270751 - WO 100107467 - Replace BO Pole PLI 14439 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 at 21224 84th Ave W, Edmonds 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: 2/17/2023 Submitted By: Moe Nave Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1270751 - WO 100107467 - Replace BO Pole PLI 14439 Project Contact Company Name: Snohomish County PUD Name: Richard Dumo Email: jointuse@snopud.com Address: PO Box 1107 Phone #: (425) 783-5110 Everett WA 98206-1107 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: WO 100107467 - Replace BO Pole PLI 14439 Southbound lane of 84th Ave W closure at 21224 84th Ave W to replace bad order pole PLI Description of 14439. Adjacent property owner refused to grant easement for a guy and anchor so PUD will Work: install a 50' pole and set it extra 5' deeper than normal. Old pole is 45' with 38.5' height from grade. New pole will be 50' with 38' height from grade with a slight tilt to the west. Tree trimming included. Project Details Project Information Job Number WO 100107467 Page 2 of 2