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21905 76TH AVE WIIIIIIIIIIIIII 15119 21905 76TH AVE W City of Edmonds Iiermit No: RIGHT-O&WAY CONSTRUCTION PERMIT Issue Date: Q- - 05- A. `Address or Vicinity of Construction: Z 1 9 ®3' 7C A V c B. Type of Work (be specific): ?-,D j L 0 CA—( G 10 L GC- 1-4 I Sal M !S /W !`� � i� ��' f 5. -r t A q c 1 { 14 � i A �,.6� ��i OWE F, Cog 14AAA AAC-' yJoret�_� � C. Contractor: S r4A. Co. Po b Mailing Address: ;? 10116 4 t Alw W AV 'q9 State License #: r�, m c, w n S. Its) A 9 ® 2 City Business License #: D. Building Permit # (if applicable): E. Commercial ❑ Subdivision ❑ Multi -Family ❑ Single Family Contact: 8 cis K A K A I-, if Y' Phone: 4 z 5 - C.70 " S'Z 4 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): ❑ City Project ❑ Other P ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD) INSPECTOR: -z) 1 Q41 F. PAVEMENT CUT: ❑ YES ❑ NO G. SIZE OF CUT X CONCRETE CUT: ❑ YES ❑ NO G. Mail Approved Permit ❑ Call for Pickup APPLICANT TO 1 AND SIGN INDEMNITY: Applicant understands by his/her signature to this application 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. THE CONTRACTOR' IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. ♦ 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 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. ♦ Three sets of construction drawings of proposed work are required with the permit application. CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE THAT I MUST MAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS Signature: gale Date: •` (Contrac or Agent) .,.: II ire N'Jilmr'. 090 "x a �.•i: ��% fl ... r: _. ..a ,. • -•i a -.%.r � a r � r d:. x .v, _. .�..., #'o(xe g.i __ r"ff% ,,: i -'t 7 i.. 7, (. 1a`�:,1, .7,' 1�l.i-��.�.1.si.t: ,:ak-�I' Call 425-771-0220, Ext. 1326 fora 24-hour ice -recorded inspection request line. FINAL APPROVAL OF PERMITTED WORK: DATE: nspector's S' ature C:\Documents and Settings\CurtisNy Documents\Fomts\Engnmg\ROWpermit_ doc Revised 10/01/03 0 NOT TO SCALE R4 HR NUT -ICE REG. FOR INSPECT 12 /Z��� LEGEND ® w�c•au ♦ WAFRC . W wa.c� � .a+LaunoN Egli 41 IL Notes: 1. AN signs and spoolng to conform to the MUTCD and City of Edmonds Traffic Control specs. 2. ChanneU" devlces are 28• tratllc corms. 3. All signs are 48' x 48' 8/0 unless otherwise sl e&Wled. 4. Alert affected businesses. 5. Maintain two 11' lanes. Wz Owl s —►-y - z Q ct;vc43iUOII / O 219th ST SW ckvamum morAm �cw W" .M Iwam suns ro a uw m m 7d70 20 �D LAYOUT LEGEND: IN PAD MOUNTED TRANSFORMER ® SUBMERSIBLE TRANSFORMER ❑J ABOVE GROUND J-BOX ❑J SUBMERSIBLE J-BOX QS SECONDARY VAULT PULLING VAULT SWITCH CABINET © SMALL SECONDARY PEDESTAL , © LARGE SECONDARY PEDESTAL PRIMARY UNDERGROUND CABLE ---------•- *350 SECONDARY UNDERGROUND CABLE - - - - - - - - 4/0 SECONDARY UNDERGROUND CABLE ......................... 1/0 SECONDARY UNDERGROUND CABLE ---- -STREET LIGHT CABLE SERVICE CONDUIT o POLE AND OVERHEAD LINE - - — PROPERTY LINE — — RIGHT-OF-WAY LINE U EXISTING UNDERGROUND CABLE EXISTING DUCT — — — — FUTURE DUCT ------- S------ SANITARY SEWER/MANHOLE ------- D------ STORM DRAIN/CATCH BASIN ------- W----- 0WATER MAIN/METER Y FIRE HYDRANT + STREET LIGHT - * UNDERGROUND LOCATOR MARKER SCHEMATIC LEGEND: • 10 TRANSFORMER 3 o TRANSFORMER O SUBMERSIBLE TRANSFORMER ❑ 200 AMP J-BOX ■ 6DO AMP J-BOX -�� FUSE PRIMARY UNDERGROUND CABLE OVHD EXISTING OVERHEAD FAULT INDICATORS: AT VAULT A-40330.INSTALL FAULT INDICATOR (CU* D0701) ON CABLES* 57986 THRU 57989 PER CONST.STO.• 4-11-22.0. INSTALL FAULT INDICATOR LABEL ISTK.• 0385220) ON VAULT COVER, USING RTV SILICONE SEALANT (STK.• 955073). A-40332 100- SCHEMATIC NTS TRANSFORMERS 12.470 GRD-Y A- 4 0 3 3 1 37.5 KVA 7200-120/240V A- 4 0 3 3 2 300 KVA 7200-277/480V UTC UTC SER SER MAKE MAKE _- VAULTS BY CUSTOMER A-40330 4'B" x 4'8" x 3'6" CONCRETE VAULT AND _ 4'8" x 4'8" x 6" COVER W/A 3' ■ 3' DIAMOND ' PLATE LID A-40331 42" x 42" x 30" CONCRETE OPEN BOTTOM W/A 21" x 25" ACCESS HOLE A-40332 7' x 4'8" x 4' CONCRETE SPLIT VAULT, 6' x 6'. 6" COVER W/A 15" x 40" ACCESS HOLE AND 4'8" x 4'B" x 6" COVER W/A 3'x 3'DIAMOND PLATE LID CABLE ALL FOOTAGES APPROXIMATE BY PUD OR PUD'S CONTRACTOR FROM POLE TO A-40330 300' OF (3) 1/0 AL CNCTRC NEUT DB JCKTD PRI IN 4" PVC MAKE PO REEL MAKE -PO REEL MAKE PO REEL FROM A-40330 TO A-40332 3DO' OF (3) 1/0 AL CNCTRC NEUT DB JCKTD PRI IN 4" PVC MAKE PO - - REEL _ MARE PO REEL MAKE PO REEL FROM A-40330 TO A-40331 300' OF (1) 62 AL CNCTRC NEUT DB JCKTD PRI IN 2" PVC MAKE PO REEL SECONDARIES AT A-40331 (1)RUN OF 350 KCM WITH 4/0 NEUTRAL BY PUD (XFMR TO DISTRIBUTION PEDESTAL) SECONDARIES AT A-40332 (6) RUNS OF 600 KCM WITH 300 KCM NEUTRAL BY PUD (XFMR TO NEW BLDG) DUCT XINGS BY PIA CONTRACTOR O 60' OF (1) 4" 6 (1) 3" PVC W/(D 90" STEEL ELBOW (ROAD BORE) XWGS TO BE INSPECTED BY PUD LINE PERSONNEL BY CUSTOMER OB 10T OF (1) 4' PVC I I © 6' OF. (1) 2" PVC W/(1) 90• STEEL ELBOW 0. �1 M -----------D------- ---------D------- --- - - i�-- / 219TH ST SW -- V-- - �- - ----- --- - T A O -C 2�905� Tl- 'I a_ ) o FO L E- I o 4 1 S K E'T e tl� N u G (mac ••IMi-E R n� > I = ' I 1!30 t;t ROA5 A-40332 a I a M ;- 220TH Sl SW LAYOUT 1" • 30' a-r- 0-----Q o p LOCATION 21905 76TH AVE W. EDMONDS, 98026 AREA SO COUNTY POLE NO NW V4S 29 T 27 R 4 DATE 1217/OS rwO No 348745 REASON FOR WORK PROVIDE 30 PRIMARY ENGINEER KAKALEY TASK 06 UNDERGROUND SERVICE FOR DRAFTER DUNN UOND NO. 11903 HAMMERWORKS W OVED SCALE NOTED 8-L. KW s DATE WORK COMPLETED FOREMAN DATE ENVIRONMENTAL ANALYSIS SUBSTATION FIVE CORNERS INSPECTOR ■ EXEMPT D MOT EXEMPT PARR 18 ITEM C CIRCUIT NO 12-1284 PHASE 1.2.3 PHONE SSL ACCT• FEES RE O'D ■ YES OVHO CONDUCTOR K\ 0 NO ADD CKT FT Pr ROAD CROSSINGS ONLY PRIMARY OVERHEAD REM CKT FT Pr APPV DATE DESCRIPTION 0 RESIDENTIAL NET CK7 FT 0 COMMERCIAL UGNO CONDUCTOR 12.47 K\ REVISIONS LED• a x. s ADD 739 CKT FT 3 PF APPV NO. DATE DESCRIPTION PRIMARY UNDERGROUND 'REM CKT FT PF NET 7}g CKT FT O RESIDENTIAL 0 COMMERCIAL HERMITS (DATE GRANTED: IAS-BUILT ENGINEER ROBERT KAKALEY PHONE (425) 670-3214 BASIC FEE S LEU• SECONDARY UNDERGROUND BASIC FEES •sJ'.s UNDERGROUND PLAT BASIC FEES ENGINEERING cFT09__s RAT CONSTRUCTION t FT S_ . S STREET LIGHTING CFTOS .i CROSSINGS 4,FTos_.s WORK 1N RICHT OF WAY 0 TREE TRIM 0 STATE ❑ COUNTY 0 CITY EASEMENTS ■ REQUIRED E• O NOT REQURRO REQUEST NO. DATE APPROVED FOREIGN CONTACTS ❑ JPN- 0 JOINT TRENCH VERIZON s CAT% 0 JOINT BORE VERIZON 1. CATV 0 PRIMARY FROM TO 0 SECONDARY TAKE OFF POLE PRE-CONSTR REOUIREMENT'_ 0 TREE TRIM 0 PUD LOCATOR _FT Rs a MISCELLANEOUS FEES VAULT S ❑ BACKHDE O PERMIT S 275.00 0 ONE CALL DATE JOB COST s t READY I PHASING GIS NORKING S TOTAL DUE s 1 LINE I FIKtSHED J01NT 1)SE DATE PAID XING PRINTED PRINTED s VICINITY MAP TAGS c = 0.1. VAULTS: A-40330 THRU A-40332 z CABLES: 57983 THRU 57989 (fl � 04 AJ PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 21906 76th Ave W Edmonds, WA 98026 South Count AREA POLE NO. NW 1/4S 29 T 27 R 04 DATE 9/29/05 W.O. No. 348739 REASON FOR WORK Relocate pole 'for future ENGINEER Kakaley TASK mUltl 3-Aphas6 primary riser for DRAFTER U.G. No. Hammerworks APPROVED eP SCALE nts DATE WORK COMPLETED & DATE PRINTED FOREMAN I ENVIRONMENTAL ANALYSIS I DATE 12—$-0S FEES REQ'D ■ YES ❑ No PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NC. Iraq '=q • PARA. EXEMPT 18 ❑ ITEM NOT EXEMPT O.H. U.G. COND. KV ADD CKT. FT. PH REM CKT. FT. PH NET CKT. FT. O.H. U.G. COND. SECONDARY OVERHEAD ADD CKT. FT. BASIC FEE s REM CKT. FT. $ NET CKT. FT. @$ - METER/CONV. POLE s PERMITS PRIMARY UNDERGROUND ❑ TREE TRIM ❑ RESIDENTIAL ❑ STATE ❑ COMMERCIAL ❑ COUNTY BASIC FEE s ■ CITY LEU NO. ❑ @$ _$ EASEMENTS SECONDARY UNDERGROUND ❑ REQUIRED BASIC FEE s KV PH PH (DATE GRANTED) ■ NOT REQUIRED IC$ I=$ UNDERGROUND PLAT DATE RELEASED BASIC FEE s FOREIGN CONTACTS q FT.@E '=$ ■ JPN* 1411EO5 STREET LIGHTING ❑ JOINT TRENCH VERIZON & CATV q- FT.@$ I=$ ❑ JOINT BORE VERIZON & CATV ❑ WORK IN RIGHT OF WAY POLE STENCILING ❑ PRIMARY FROM TO ❑ SECONDARY q- FT.0 '_$ TAKE OFF POLE MISCELLANEOUS FEES PRE—CONST.REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR VAULT s ■ BACKHOE ■ FLAGGING PERMIT s ■ ONE CALL DATE pole relocaton cost s 7112.00 No. on form s READY PHASING = GIS WORKING TOTAL DUE s 7112.00 1 LINE FINISHED POLE/ GATE PAID XFMR RECEPT NO. JOINT USE SERVICE ORDER NO. LOCATION MAP PAGE 455A-7 I R'FND: SUBSTATION 5 - Corners CIRCUIT NO. 12-1284 PHASE 123 ENGR'S TEL. * 425-670-3214 ENGR'S PAGER 425-787-7523 N BLOW-UP OF AREA i to existing ped 3 N RESTORATION CREW Task 07 - Remove section of sidewalk f rom existing sidewalk to the back edge of the sidewalk(as marked) OH CREW Task 03 - Set 45' pole 4' W of existing pole(behind s/w) Frame per Assembly 12F337 and install pothead arm & LBCO's for future 3-phase primary UG riser Install end -of -arm tap(I0308) for 1-phase tap NE Frame per assembly 12F601 and move xf mr 37.5-8435 to new pole (THIS XFMR WILL BE REMOVED) Transfer primary, neutral, and sidewalk -guy to new pole Strap -top -abandon pole to Verizon/Comcast UG CREW Task 06 - Install 3' sec riser(1U705) & set dist. ped at base of pole Run - 45' of 350kcm Al triplex to f bed new ped Intercept existing 3' sec riser on old pole and re-route existing 350kcm Al triplex to feed out of new dist. ped VERIZON CREW TO RESTORE SIDEWALK 21906 SL-1268-D /0 37-8435 1-47 n o EXISTING POLE I I 1st EXISTING POLE -TO BE REMOVED • NEW POLE X NEW POLE TO REPLACE EXISTING POLE SHEET 1 OF 1 wW �Q �o