Loading...
ENG2023-0288 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds 98020 NG2023-0288 www.edmondswa.gov i Description: PUD-REPLACE 1 BO POLE REAPPLYING FOR PERMIT ENG2022-0097 ISSUED: 06/29/2023 Address: 750 OLYMPIC AVE EDMONDS WA 98020-2959 EXPIRES: 12/29/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00548900002202 NAME TYPE NAME ADDRESS PHONE APPLICANT MOE MATTHEWS PO BOX 1107, EVERETT WA 98206 (425)239-8210 CONTACT PUD PO BOX 1107, EVERETT WA 98206 (425)239-8210 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER WENDELL IHMELS 750 OLYMPIC AVE, EDMONDS WA 98020-2959 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $252.00 $252.00 RIGHT-OF-WAY PERMIT - MINOR $126.00 $126.00 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: MAJ DATE: 06/29/2023 Printed: Thursday, June 29, 2023 10:32:16 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,...Ave N, Edmonds WA 9:01 1 :: 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. 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:OOam to 6:OOpm on SOUND AND NOISE weekdays and 10:OOam and 6:OOpm 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 E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL** Printed: Thursday, June 29, 2023 10:32:16 AM 2 of 2 of EDtlotio RECEIVED RIGHT OF WAY CONSTRUCTION J U N 21 2023 _,.. PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS /Nr. 1890 Requirements outlined in Right -of -Way permit Handout E6:i. 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 Info Project Name � i0 (A (.t l � �� C' � aril � C►1p � � =-i (ram :�L•l (� �ji �l1( (� l Site Address or if no site address use Property Address at NW corner of project area: 75""42ic tc- Associated Permits: BLD PLN -TC V / (_j`v Sj-R 4c yl ENG Owner and Entity Name of Company Holding pp �V C% tu-i 1AJ0 Franchise Ordinance No: N/A Point of Contact Title 2 SI Address 1lf62-- - mod'\ W City State IVA- Zip 2-03 Phone A z g, 3 _ S e Email © .S" d OPL4 Contractor and Authorized Agent of • Name of Company During Primary Name Agent Name W I'z__ Title SdZ Title Mobile y 2 S— 2_7 f - cf _ Address �f� f, Email Cc S l -_Vyu C` City 9l2 State 6j4— Zip Z k2 Secondary Name Phone 3 J Title Email 61 S 1fl a Mobile City of Edmonds Business License N : Email State License No: ( s _ . / `-i Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance 1VU1C: ECWG 18.bo.02O requires that the Application be signed by a licensed and bonded conk actor 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 well) .d`Traffic Control Only (no associated development) ,Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 Project• 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.) / bLv "kI ri ) 3J f-C �- Reapplying for expired ENG2022-0097. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF 72 hours + LF x LF SF -Alley -Parking 72 hours + ; L LF x 5 0 LF SF SECTION B -If you are not a utility company performing work in the City ROW, skip to SECTIONC. 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ,4 power ❑ gas ❑ water ❑ sewer ❑ storm Details of Workto be CompletedNo 1. 1 Does the utility owner have existing overhead infrastructure in the area of work? 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? 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 system? If es: 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? Details of • 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 project is proposed: 6a. Does your project involve wires/cables/lines? If yes: How many are existing? > How many are to be added? City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. Does your project involve poles? If yes: How many poles are existing in the project area? I What is the height of the existing poles? iCF How many poles are to be removed? ) Are additional poles to be laced? 0 ) How many? 1 11 What is the height of the additionalpoles? -F 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? I I What is the height of the poles after? Describe the modification rebuild: 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. 6/20/23 APPLICANT SIGNATURE: APPLICANT PRINTED NAME: APPLICANT TITLE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 vim+ 0:* v,:; oA N; Wa 04 i� 0 0 0 KIP h �o 0 30 133HS APPROVED AS NOTED improvements in City right-of-way per city standards that is caused or occurs during the permitted project. 8 Ol 310d UN 1N3Ni2]Vd34 S301A2JES 310d M3N • 1N3WdOl3A30 SaNOwa3 :-10AilD 03AOV43H 39 01-310d ONIISIX3 310d ONIISIX3 Q EZOZ �Z Nnr :aN303� .OWNER/CONTRACTOR IS RESPONSIBLE FOR a3AI3a3H OWNNER FOR -ram 'oN a3aao 3I333S o i r�nTinin ALL ON S Eii=4I Tn AW4 �� 1d1303a T. UTIL TIES MAY'tR UI IIW8 PER T_E ;v alvd 31v0 k 3n0 1V1o1 SIO s liln8-Sv a3w s ON ■ S3A O s ON11HO11 13381S : 03d ONIISIX3 Ol X31dldi OW 30 1351, I-WISNI `X31dl8i O/l OHAO W08J Som-SO aid 83Sl8 03S On „£ M3N (nnB OAS 03S OHAO O/l 83JSNV61 LOl01 100dS 1n3N l# TIVISNI A11118` IS ` HIX3 803 A3N 310d 11VISNI OMd 61330 135'9 61330 310d 13S 310d ONIISIX3 30 'S 13Z 310d 1352 13S Htl-Ild-d 001 - PUD TO ENFORCE POLE ATTACH AGREEMENT. - PUD IS RESPONSIBLE FOR ENSU OLD POLES IS REMOVED. N 0lZB-6£Z75Z1r 1130 S.80N3 6195;8-£8L-9Z-V S.a0N3 EZ< 3SV14d 'ON 11n0a10 ldV4 NOI1v1S8nS 31YO 31V0 11Vo 3NO ■ JNI90'V1J 0 30HN0V8 0 a01Vo01 and 0 A181 33a10 S1N3 48=3a •1SNOO-38d 310d Jj0 3HV1 01 MIOaJI DNIIION31S 310d A1V0 9 4k1dIZ 3808 1NIOr 0 AM 1 AldlZ H0N381 AlOr 0 l -Ndr ■ S1Od1NO3 N013803 03SV3138 31YO own03a loN ■ a38lno38 O Ula: S1NYUSd3 O Allo ■ I E AIN= 0 31VIS O n1a1 33a10 (031W80 31va) SlIV483d IS31ON 33S) S3A 0 ON ■ SN0I1d7101A OS3N s LIPINU s 1 VIVA S333 Sn03MV717130SIN Sm. 96'13 5 AWON003S 0 AaVMllad 0 AVM 30 1HO18 NI HaOM s-, s�•1� � ONI1HO17 13381S f 333 oISV8 1Vld W08083aNn f 33J 3ISV8 w080830Nn kMIN033S .ON n31 f 333 01SV8 1VI383MIM403 0 1VILN30IS38 0 W080830W kWY418d S 310d 'ANOO/8313W s■, � s 333 o1SV8 OV3H83AO A8VON003S s■. So, 'ON 031 1V10a3AV400 0 1VILN30IS38 0 0r13H83A0 kSVY418d ON. SUD a,038 S33J NWA380J 0313ldM10o MOM 31V0 031NIad 31ra 03AOad� l = „l 31v3S 'ON •o'n 83LNSO - 8d and NOIlva3do • 3 a V a33NI0N3 803 310d H3080 UV8 30Yld3d HaOM 803 NOSV3a l a3aa0 __ZZ/90/C0 31V0 08 L 1 Sd/l 11 'ON 310d V3WOOOMNNAI 3" OIdWA10 09L NOILY301 A1Nn00 HsSi pUlL611 AkNSFJ&GT In"' -TH UGI rinaE]HOS LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) ROAD j W20-1 WORK I AHEAD X ONE LANE W2 0 - 4 ROAD = AHEAD x F— • W 48" x 24" W20-7A �� W X i ROAD"WORK G 2 0- 2 x x � (OPTIONAL) W Z� r O 00 -o ° O Q ° cV rn O f ° ® u Zo �3 ° 0 ui ° ° �- N O O m O O O uw Z OLo O O .- x X G20-2 ROAD "WORK i W20-7A W20-78 48" x 24' x (OPTIONAL) ONE LANE BE s ROAD W 2 0- 4 PREPARED AHEAD TO STOP X ROAD OPTIONAL IF s WORK W20-1 40 MPH OR LESS AHEAD TRAFFIC CONTROL INSPECTION REQUIRED EVERYTIME WORK ZONE IS SET UP. RECEIVED JUN 21 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT £ZOZ/6Z/90 44 RECEIVED JUN 21 2023 CITY OF EDMONDS Right -of -Way Application #1336077 - WO 100092625 MyBuildingPerriit 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 permits@snopud.com City State Zip Phone Number Extension Everett WA 98206 (425) 239-8210 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 750 OLYMPIC AVE City Zip Code County Parcel Number EDMONDS 98020 00548900002202 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 Wendell Ihmels Number Street Apartment or Suite Number 750 OLYMPIC AVE City State Zip EDMONDS WA 98020-2959 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: 6/20/2023 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1336077 - WO 100092625 Project Contact Company Name: PUD Name: Andy Rife Email: asrife@snopud.com Address: PO Box 1107 Phone #: (425) 239-8210 Everett WA 98206 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: WO 100092625 Description of Work: WO 100092625: PUD crews to replace BO pole. Please include tree trimming. Reapplying for expired ENG2022-0097. Project Details Project Information Job Number WO 100092625 Page 2 of 2