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
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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