ENG2022-0144 REVISION 1 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
- N, Edmonds WA •:0i i
www.edmondswa.govi
Description: PUD - REPLACE BO POLE ISSUED: 04/03/2023
Address: 7407 212TH ST SW EDMONDS WA 98026-7635
EXPIRES: 09/30/2023
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00566900400303
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)783-5681
CONTRACTOR SNOHOMISH COUNTY PUD P.O. BOX 1107, EVERETT WA 98206 (425)670-3216
OWNER SOUND TOWNHOUSE APARTMENTS 16419 SE 24TH ST, BELLEVUE WA 98008
LLC
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $40.00
ENGINEERING INSPECTION FEE
$110.00 $110.00
ENGINEERING REVISION REVIEW FEE
$220.00 $220.00
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
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: GRN DATE: 04/03/2023
Printed: Monday, April 03, 2023 2:26:52 PM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUM11BE
City of Edmonds
www.edmondswa.gov • •
CONDITIONS
CONDITION TYPE
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.
TRANSFER OF UTILITIES, REMOVAL OF POLE, AND FINAL RESTORATION TO BE CONSISTENT WITH POLE
ENGINEERING OTHER
ATTACHMENT AGREEMENT.
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
COMPLETE
A-1 JOB START
X-2 ENGINEERING FINAL"
E-7 TRAFFIC CTRL
Printed: Monday, April 03, 2023 2:26:52 PM 2 of 2
Lti�y of ED%�O�
ANC. 1 g90
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 E63.
RECEIVED
Apr 06 2022
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 pole PLI #10147
Site Address or if no site address use Property Address at NW corner of project area: 7407 212th St SW, Edmonds, WA 98026
Associated Permits: BLD PLN ENG
Owner and Entity Holding Franchise (if applicable)
Name of Company Snohomish County PUD Franchise Ordinance No: N/A
Point of Contact Daniel Luu
Title
Address PO Box 1107
City Everett
State WA
zip 98206
Phone (425) 783-4174
Email dcluu@snopud.com
Contractor and Authorized Agent of •
Name of Company Same info as above
• - below)
C• • • During Construction
Primary Name Same info as above
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
® Contractor verifies it is currently bonded
® Contractor verifies it currently has general liability insurance
NOTE: ECDC 18.6o.02o 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 pole replacement
❑ Utility Franchise Work associated with development (check one of the above boxes as well)
❑ Traffic Control Only (no associated development)
City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021
❑ Utility Franchise Work (no associated development)
Project Description
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.)
The PUD needs to replace BO pole PLI #10147. Work is expected to take 1-2 business days. Lane closure along westbound lane at 212th St SW
& 74th Ave W is needed to complete this work. Tree trimming will be needed for this project.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
JxJ
LF
SF
Alley 72 hours +
LF
JxJ
F
SF
Parking 72 hours +
LF
JxJ
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
1.
CompletedDetails of Work to be
Does the utility owner have existin overhead infrastructure in the area of work?
x
•
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 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?
Are the additions for the purpose of serving a single-family residential subdivision?
Details of • to be Completed
Me
6. Does your project involve rebuilding or replacing utility equipment which currently serves more
X
than one lot or commercial development?
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
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:
X
How many are existing? 1 4 How many are to be added? 0
6b.
Does your project involve poles? If yes:
X
How many poles are existing in the project area?
1
What is the height of the existing poles?
43'
How many poles are to be removed?
0
Are additional poles to be laced?
0
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 1 1 What is the height of the poles after? 43'
Describe the modification rebuild: Replace BO distribution pole.
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: D�' Z-441VI
APPLICANT PRINTED NAME: Daniel Luu
APPLICANT TITLE: Distribution Engineer
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
4/5/2022
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
OPUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY REVISION 2
LOCATION 7407 212TH ST SW, EDMONDS, WA 98026 LYNNWOODAREA
POLE NO. PLI 10147 SW1/4S 20 T 27 R 04 DATE 4/3/2023 ORDER 100088201
REASON FOR WORK REPLACE BO POLE PLI 10147 ENGINEER DANIEL LUU OPERATION 0030
DRAFTER U.G. NO.
SCALE 111 = 100'
DATE WORK COMPLETED
FOREMAN
FEES REQID ❑ YES ■ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
@$ -$
SECONDARY OVERHEAD
BASIC FEE 3
METER/CONV. POLE $
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COMMERCIAL
BASIC FEE 3
LEU NO.
SECONDARY UNDERGROUND
BASIC FEE 3
UNDERGROUND PLAT
BASIC FEE 3
cL FT.0 _$
STREET LIGHTING
AFT.@$ '_$
WORK IN RIGHT OF WAY
❑ PRIMARY
❑ SECONDARY
(� FT.0 =$
MISCELLANEOUS FEES
VAULT 3
PERMIT 3
3
3
3
TOTAL DUE 3
DATE PAID
RECEIPT NO.
SERVICE ORDER NO.
LEGEND:
NESC VIOLATIONS
■ NO ❑ YES (SEE NOTES)
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE
❑ COUNTY
■ CITY
EASEMENTS
❑ REQUIRED ■ NOT REQUIRED
DATE RELEASED
FOREIGN CONTACTS
■ JPN#
❑ JOINT TRENCH ZIPLY & CATV
❑ JOINT BORE ZIPLY & CATV
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 455 A6
O EXISTING POLE
X EXISTING POLE -TO BE REMOVED
NEW POLE
)10 NEW POLE TO REPLACE EXISTING POLE
APPROVED
& DATE PRINTED
DATE
SUBSTATION ESPERANCE
CIRCUIT NO. 12-688 PHASE 1, 2, 3
ENGR'S TEL. #
(425) 783-4174
ENGR'S CELL #
(425) 315-3529
Applicant shall repair/replace all
damage to utilities or frontage
improvements in City right-of-way
per city standards that is caused or
Noccurs during the permitted project.
CONSTRUCTION NOTES
OA POLE PLI 10147:
SET 50 CL1 POLE 7' DEEP, TIGHT EAST OF EXISTING (PW1050, N0110)
INSTALL 30 10' SINGLE ARM TANGENT ASSEMBLY (12F303)
INSTALL 30 BUCK ARM ASSEMBLY (12F318)
INSTALL (3) LOADBREAK CUTOUTS & FUSE 100T (E0202, E1100)
INSTALL 121 STREET LIGHT MAST ARM (10505), TRANSFER LUMINAIRE SL-112800
TRANSFER EXISTING PRIMARY, NEUTRAL, AND SECONDARY CONDUCTORS
TRANSFER OF UTILITIES, REMOVAL OF POLE, AND FINAL RESTORATION TO
BE CONSISTENT WITH POLE ATTACHMENT AGREEMENT.
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
SCHEMATIC
NTS
150 BEFORE
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Apr 03 2023
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
SHEET 1 OF
LANE SHIFT ON A
THREE -LANE,
TWO-WAY ROAD
ROAD
W20-1 WORK
AHEAD
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48" x 24"
WORK HOURS BETWEEN 9 AM AND
3 PM WHEN SCHOOL IS IN SESSION
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200' 200'
TRANSFER OF UTILITIES,
REMOVAL OF POLE, AND FINAL
O
o
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RESTORATION TO BE
CONSISTENT WITH POLE
ATTACHMENT AGREEMENT.
74TH AVE W
Applicant shall repair/replace all
damage to utilities or frontage
improvements in City right-of-way
O
RIGHT LANE
per city standards that is caused or
occurs during the permitted project.
CLOSED AHEAD
O
O
C)
00
N •
0
ET W20-7A
OWNER/CONTRACTOR IS RESPONSIBLE FOR
O
0
"po (OPTIONAL)
O
EROSION CONTROL AND DRAINAGE
0
0
N
0
W1-4L
O
0
0
CREWS TO ROUTE
O
N CENTER
PEDESTRIANS THROUGH
WORK AREA, AS NEEDED
00
0
s LAN 20-SHOD RESUB
ED
O
ROAD Jun 21 2022
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
WORK W20-1
AHEAD CITY OF EDMONDS
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
DEVELOPMENT SERVICES
DEPARTMENT
SNOHOMISH COUNTY
pRflF_M
TRAFFIC
CONTROL
PLAN - REVISION 1
PUBLIC UTILITY DISTRICT NO 1
PROJECT REPLACE BO POLE PLI 10147
LOCATION 7407 212TH ST SW, EDMONDS, WA
98026
ENGINEER DANIEL LUU
DATE
6/21/2022
ORDER 100088201
PHONE (425) 783-4174
CELLULAR (425) 315-3529