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ENG2023-0361 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER of • • . ILCity -. •. L Description: PUD-REPLACE BO POLE; REAPPLYING FOR EXP PERMIT ENG2022-0129 ISSUED: 08/02/2023 Address: 20426 86TH PL W EDMONDS WA 98026-6614 EXPIRES: 01/29/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00544600000300 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)239-8210 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER MARIE YANG\WILTON WEI 20426 86TH PL W, EDMONDS WA 99999 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $126.00 $126.00 RIGHT-OF-WAY PERMIT - STANDARD $378.00 $378.00 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: 08/02/2023 Printed: Wednesday, August 02, 2023 12:46:13 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 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. 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 X-2 ENGINEERING FINAL** Printed: Wednesday, August 02, 2023 12:46:13 PM 2 of 2 RECEIVED � of EC�Afp � 4��' J U L 14 2023 RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION CITY OF EDMONDS Complete and submit this Application in accordance with the Submittal DEVELOPMENT 4c. Is9u 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. Reapplying for expired ENG2022-0129. No scope change. SECTION A WO 100093228 General Info Project Name Q P LALL A C C, Site Address or if no site address use Property Address at NW corner of project area: Zd 4t 2- g(o 4-1, Associated Permits: BLD PLN TC Cu n, 5.� ENG owner and Entity Holding Franchise (if applicable) Name of Company S' /v0 �(M� S u (D Franchise Ordinance No: N/A Point of Contact Title X S t Address U Z S S� W City vt� State UJ (V I Zip �Zv Phone ZS_ -7 gj S Email S� i S. N '>u o Cdfn & ermits sno ud.com Contractord Authorized Agent of Owner Name of Company �iv L C, /' 1 �L 7u J� J Primary NamefiN'o L During`� � , Agent Name � � � '- r2"Z c C� Title S R - Title Mobile Address � - ` s Email C S ® SS AJ6 j2n City State . Zip C� ` Secondary Name Phone _ S"Z ( J Title Email As t �0 S-0 u Mobile City of Edmonds Business License No: Email State License No: 1 . o o 3- __ 7,1( I tP17 Contractor verifies it is currently bonded 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. •• of •• apply ❑ 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) .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 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.) rO L I LUA.X w l l lc� JuZj C "!2. Lo V,JD(1 JL�' : 1 S—A 6(, a lee.0 R .,. c ly Z l r_.0 S dL Co ✓�; Co RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF JxJ LF SF Alley 72 hours + LF JxJ LF SF E Parking 72 hours + LF JxJ LF I SF SECTION B -If you are not a utility company performing work in the City ROW, skip to SECTIONC. p• of 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable g'power ❑ gas ❑ water ❑ sewer ❑ storm Details of • to be • • . 1. Does the utility owner have existing overhead infrastructure in the area of work? Yes No 2. Will any equipment be added underground or above ground (e.. 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? 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? 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? Are the additions for the purpose of serving a single-family residential subdivision? - Details of • to be • • . 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? I Z_ I How many are to be added? City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. I Does your project involve poles? If yes: How many poles are existing in the project area? What is the height of the existing poles? S How many poles are to be removed? (� Are additionalpoles- to be laced? How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: 11 How many? I ( I What is the height of the poles after? S ' 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 responsil 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 HJ r-1 7 2 II IUnIjtllt� COUNTY POLE NO. 9640 SW1/4S 19 T 27 R 04 DATE 03/25/22 ORDER 100093228 REASON FOR WORK REPLACE BAD ORDER POLE FOR ENGINEER A. RIFE OPERATION 0030 PUD PRI-5 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. 'Qs '■s SECONDARY OVERHEAD BASIC FEE s as '-s METER/CONV. POLE s PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE s LEU NO. NESC VIOLATIONS ❑ NO ❑ YES (SEE NOTES) PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ CITY EDMONDS EASEMENTS 'Qs '.s ❑ REQUIRED ■ NOT REOUIREO SECONDARY UNDERGROUND BASIC FEE s 'Qs 'ms DATE RELEASED UNDERGROUND PLAT FOREIGN CONTACTS lIV BASIC FEE s ■ JPN§ 1 0009322 q FT.@$ '.s ❑ JOINT TRENCH ZIPLY &rv STREET LIGHTING ❑JOINT BORE ZIPLY & C q FT.@$ 'ms ❑ POLE STENCILINGFROM WORK IN RIGHT OF WAY TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY q FT.05 '.s PRE-CONST. REQUIRMENTS MISCELLANEOUS FEES ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ■ FLAGGING VAULT s ■ ONE CALL DATE PERMIT s No. s STREET LIGHTING s ■ YES ❑ NO s M&R AS -BUILT s GIS TOTAL DUE s DATE DATE PAID 1'1'� M&R RECEIPT NO. JOINT USE SERVICE ORDER NO. LOC� n san LEGEND 40-jg51J ;iO ui sjuawanoaduai a6eluoa; ao salp p of abewep Ile eoeldaa/aledaa lleys;ueollddV O EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE )1( NEW POLE TO REPLACE EXISTING POLE SUBSTATION 5CR CIRCUIT 140. 12-1285 PHASE 2_ ENGR'S TEL. • 425-783-8559 ENGR'S CELL • 425-239-8210 CONSTRUCTION NOTES: A SET 45FT POLE T.W. OF EXISTING POLE SET POLE 6.5FT DEEP FRAME POLE PER CS-12V101,12V601,12U111, & 1U705 TRANSFER PRI/NEUT CONDUCTORS #4ACSR BUILD NEW 2" PRI/RISER 12U111. SEE UG#8752 FOR CABLE REPLACEMENT BUILD NEW 1PH SEC RISER AND SET NEW PED 1FT SW OF OF NEW POLE FROM NEX XFMR INSTALL 50FT OF 350 TRIPLEX TO NEW PED AND INSTALL 3-4 POS TERM BARS T1521 TRANSFER SL-129542-A RMV XFMR 50-1383 SER# INSTALL XFMR BAG AND CAUTION TAG ON XFMR MARK SUSPECT PCB'S ON CAUTION TAG STRIP TOP Ad4D ABANDON POLE TO COMM HANG A 1PH 50KVA XFFMR 120/240/7200V UTC# 50- SER# SEC V FUSE XFMR AT 15 AMPS NOTE: SEE UG PRINTS UG#8752 FOR UG CABLE REPLACEMENT AND UG LINE FUSING 3d 31b'2J3d3S b' 32JIf1032J AbW S3111 2 0SIAIWNOIiV00-132J 'S3IlI iiin -1-1`d 1 2103 3­181SNOdSD2I 2J=V0 J1N00/ MO QQ ------------------------* 50 SEE UG# 8752 FU40 ECEIVED JUL 14 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 'a3nOW32J SI S3-10d a-10 3Hi iVHl JNI2Jf1SN3 2J0d 3-18ISNOdSD21 SI and - 1N31NAA219 d 1N3WHOViiV 3-110d 3O2JOdN3 Ol and - A-28693 ; WILL NOT PHASE - - - - 5CR 12-1285 SCHEMATIC NTS 9683 L-B 2/3 U 204TH ST SVV SHEET OF £ZOZ/ 60/90 �HNIHNCI C1NH-10N I N07 NOISON::] ,�� �,�` 2J03 3�81SNOdS3I J SI 2J010`d IiN00/2IDNMO 204TH ST SW LANE CLOSURE ON A TWO—LANE ROAD (TWO FLAGGER OPERATION) RO W20-1 WORK AHEAD x ONE LANE W20-4 ROAD AHEAD x W20-7A x x G2 0 - 2 ROADNWORK 48" x 24" (OPTIONAL) RECEIVED JUL 14 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTME W Lij — V) 48" x 24" i ROAD G 2 D- 2 x (OPTIONAL) 0 0 E. SIGN SPACING = X FREEWAYS & EXPRESSWAYS 55-70 MPH 1500'± RURAL HIGHWAYS 60-65 MPH 800'± RURAL ROADS 45-55 MPH 500'± RURAL ROADS & URBAN ARTERIALS 35-40 MPH 350'± RURAL ROADS & URBAN ARTERIALS RESIDENTIAL & BUSINESS DISTRICTS 25-30 MPH 200'± (2) URBAN STREETS 25 MPH OR LESS 100'± (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS. (2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. w W Loo 7 x W20-7A x i ONELANE E W 2 O- 4 AHEAD x ROAD WORK W20-1 AHEAD W20-76 eE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS THIS PLAN MAY BE MIRRORED FOR OPPOSITE SIDE OF ROADWAY USING SAME SIGNS AND SPACING. YES ❑ NO ❑ INITIAL GENERAL NOTES: 1. ALL SIGNS AND SPACING SHALL CONFORM TO THE MUTCD. 2. NOTIFY LOCAL EMERGENCY SERVICES OF CLOSURE TIMES AND DATES (OPTIONAL). 3. SIGN SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROAD CONDITIONS. 4. PROTECTIVE VEHICLE RECOMMENDED -MAY BE A WORK TRUCK. 5. ALL SIGNS MINIMUM 48" X 48", UNLESS OTHERWISE SPECIFIED. 6. CHANNELIZATION DEVICES ARE 28" REFLECTIVE CONES. SEE TABLE 1 FOR SPACING DISTANCES. 7. ALL SPACING MAY BE ADJUSTED TO ACCOMODATE AT -GRADE INTERSECTIONS AND/OR DRIVEWAYS. BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 1 25 1 30 1 35 40 1 45 1 50 1 55 1 60 65 1 70 LENGTH (FEET)l 155 1 200 1 250 305 1 360 1 425 1 495 1 570 645 1 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 LBS. HOST VEHICLE WEIGHT > 22,000 LBS. < 45 MPH 45-55 MPHI > 55 MPH < 45 MPH 45-55 ME [> 55 MPH 100' 1 123' 1 172' 74' 1 100' 1 150' TABLE 1 CHANNELIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50-65 10 TO 20 80 35-45 10 TO 20 60 25-30 1 10 TO 20 1 40 I rr_p"nln- O CHANNELIZING DEVICE r FLAGGING STATION PORTABLE SIGN AND SUPPORT �® WORK VEHICLE WITH FLASHING LIGHT WORK AREA SNOHOMISH COUNTY [Flom TRAFFIC CONTROL PLAN PUBIC --UTILITY DISTRICT NO 1 PROJECT . REPLACE BAD ORDER POLE LOCATION ENGINEER PHONE 20426 86TH PL W ANDREW RIFE DATE 03/25/22 ORDER 100093228 425-783-8559 CELLULAR 425-239-8210 00 N 0 D oco M 3co U7 O D N c N _a; Y� Ln N �w JIn ~ Q 4310N S`d 43AObddV nlnlolnln nnlly»nllnnl� RECEIVED JUL 14 2023 CITY OF EDMONDS Right -of -Way Application #1346377 - WO 100093228 MyBuildingPermit 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) 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 20426 86TH PL W City Zip Code County Parcel Number EDMONDS 98026 00544600000300 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 Marie Yang\wilton Wei Number Street Apartment or Suite Number 20426 86TH PL W City State Zip EDMONDS WA 99999 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: 7/13/2023 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1346377 - WO 100093228 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 100093228 Description of WO 100093228: Reapplying for expired ENG2022-0129. PUD to replace 45' pole with new Work: 45' pole. No changes to infrastructure. Work should take approx. 2 days to complete. No tree trimming. Project Details Project Information Job Number WO 100093228 Page 2 of 2