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ENG2023-0371 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds 98020 ENG2023-0371 www.edmondswa.gov i Description: PUD - INSTALL NEW PIED FOR DEVELOPMENT ISSUED: 08/23/2023 Address: 7606 206TH ST SW EDMONDS WA 98026-6860 EXPIRES: 02/23/2024 it Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00614300000605 I 11-14111 a i W NAME TYPE NAME ADDRESS PHONE APPLICANT MOE MATTHEWS 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 PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER DAMIAN KONASIEWICZ 7606 206TH ST SW, EDMONDS WA 98026 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $252.00 $252.00 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: MAJ DATE: 08/23/2023 Printed: Wednesday, August 23, 2023 12:18:54 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 E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL** Printed: Wednesday, August 23, 2023 12:18:54 PM 2 of 2 RECEIVED of EpM04O� SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E6�. JUL 19 2023 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 SEC'D PED INSTALL - WO: 100116828 Site Address or if no site address use Property Address at NW corner of project area: 7606 206TH ST SW Associated Permits: BLD PLN ENG Owner and Entity Holding Name of Company SNOHOMISH COUNTY PUD Franchise Ordinance No: N/A Point of Contact Title Address PO Bo 1107 City EVERETT State WA Zip 98206-1107 Phone Email PERMITS@SNOPUD.COM Contractor and Authorized Agent of Owner Name of Company SAME AS ABOVE (see note below) Contractor Contacts During Construction Primary Name N/A Agent Name Title Title Mobile Address Email City State Zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: N/A Email State License No: 313-005-741 X Contractor verifies it is currently bonded x Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o. o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. ❑ Multifamily residential ❑ Commercial ❑ City project r5 Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: r5 Utility Franchise Work associated with development (check one of the above boxes as welt ❑ 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 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.) SCOPE OF WORK: Intercept existing secondary riser to place a new pedestal for 7606 206th ST SW. There will be 10 feet of soft surface ground disturbance in the ROW. PUD will be trenchinq 2 feet deep to place conduit for the new pedestal. LOCATION: NW corner of 7606 206th ST SW property LANE DIRECTION: Closing eastbound lane of 206th ST SW for 4 hours between 9AM - 3PM. PEDESTRIAN ACCESS: No Pedestrian detour needed. TRAFFIC CONTROL PLAN: Included. TREE TRIMMING: Not required. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + N/A LF x N/A LF N/A SF N/A Alley 72 hours + N/A LF x N/A LF N/A SF N/A Parking 72 hours + N/A LF x 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 z power ❑ gas ❑ water ❑ sewer ❑ storm Details of Work to be Completed 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.)? X If yes, describe: PEDESTAL 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 stem? 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 Work 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 X project is proposed: 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 11 1 How many are to be added? 10 City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 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? 45' How many poles are to be removed? Q Are additional poles to be laced? NO How many? I I What is the height of the additionalpoles? 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. APPLICANT SIGNATURE: a ()��_z DATE: 7/18/2023 APPLICANT PRINTED NAME: CHRISTIAN CHAVEZ APPLICANT TITLE: ASSISTANT DESIGNER NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING improvements in City right-of-way Aug 11 2023 ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY per city standards that is caused or UTILITIES MAY REQUIRE A SEPERATE PERMIT. OWNER/CONTRACTOR IS RESP AtW&CEriFO� permitted project. 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Description Load Rating Oty MID V0101 Pedestal, Sec Small 13"W x 24"L x 15"H Incidental Non -Vehicular Traffic 1 776015 V0102 Pedestal, Sec Large 17"W x 30"L x 18"H Incidental Non -Vehicular Traffic 1 776031 V0103 Pedestal, Sec Small 13' W x 24"L x 18"H Polymer Concrete Occasional Heavy Vehicle Traffic (See Note 2) 1 1000086 V0104 Pedestal, Sec X-Large 24"W x 36"L x 18"H Polymer Concrete Occasional Heavy Vehicle Traffic (See Note 2) 1 775992 of Eoo CITY OF EDMO S d PLAN REVIEW COMMENTS ------------- ENGINEERING DIVISION (425) 771-0220 hst. 1890 City Website: www.edmondswa„s(aX„N3NI2Wd30 `7 3S 1N3WdM3A34 SONOW03 d0 A110 £ZOZ [ [ bny DATE: August 8, 2023 9 n S 3 N TO: Snohomish County PUD permits@snopud.com FROM: Natalie Griggs, Engineering Technician en ing eeringpermits u,edmondswa. oovv RE: Application #: ENG2023-0371 Address: 7606 206"' St SW Project Description: Install New Pedestal During review of the above noted application, it was found that the following information, corrections, or clarifications are needed. Please submit revised plans/documents through www.MyBuildingPermit.com. SITE PLAN 1) The scope of work is unclear. Please revise the plans to address the following: a. Clearly show where any ground -disturbing work will occur. b. Show if there is an existing conduit where connecting to the existing pedestal across the street or if this will need to be trenched or bored. 2) Please show all City utilities on the site plan. Please refer to the City's GIS Map and revise the plans accordingly. a. Please verify that the pedestal and any conduits from the pole to the pedestal are at least 5' away from all City utilities and appurtenances. b. If a new conduit is proposed to cross 206th, confirm that it is at least 5' away from any City catch basins, manholes, valves, etc. 3) Please show all private services (water, sewer, storm) that are adjacent to the proposed pedestal. a. It appears that this pedestal is proposed near the 6" sewer cleanout at the property line. Please confirm the pedestal will be at least 5' away from the sewer cleanout. 1) a) There will only be ground disturbance between the pole referenced as PLI: 9842 and the new pedestal to be placed on the NW corner of the 7606 206th St SW property, as shown in the sketch. b) There will be no trenching or boring across 206th. 2) a) The new pedestal and conduit will be not be placed in the direction of City utilities. b) There will not be any new conduit placed across 206th. 3) a) The new pedestal is farther then 5' away from the sewer cleanout. LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) *>x- ONE W20-1 W20-4 W3-4W2 zx 00 00 N V� x G20-2 ROAEND D WORK 48'' x 24'' (OPTIONAL) RECEIVED J U L 19 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT U L_ O O H- Q0 O 48'' x 24'' i END G20-2 ROAD WORK x (OPTIONAL) 0 0 .. � zx w Q o0 Lno GENERAL NOTES: ENGINEERING DIVISION 1. ALL SIGNS AND SPACING SHALL CONFORM TO THE MUTCD. .,7TED 2. NOTIFY LOCAL EMERGENCY SERVICES OF CLOSURE TIMES AND p(I� 18/22/2023 DATES (OPTIONAL). 3. SIGN SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROAD Zz- CONDITIONS. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE 4. PROTECTIVE VEHICLE RECOMMENDED -MAY BE A WORK TRUCK. 5. ALL SIGNS MINIMUM 48'' X 48'',UNLESS OTHERWISE SPECIFIED. OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING 6. CHANNELIZATION DEVICES ARE 2811 REFLECTIVE CONES. SEE TABLE 1 ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY FOR SPACING DISTANCES. UTILITIES MAY REQUIRE A SEPERATE PERMIT. 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. Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or x occurs during the permitted project. • s 0� W20-7A W20-7B x ONE LANE BE s ROAD W 2 0- 4 PREPARED AHEAD TO STOP x ROAD i WORK W20-1 AHEAD THIS PLAN MAY BE MIRRORED FOR OPPOSITE SIDE OF ROADWAY USING SAME SIGNS AND SPACING. YES ❑ NO ❑ INITIAL 7. ALL SPACING MAY BE ADJUSTED TO ACCOMODATE AT -GRADE INTERSECTIONS AND/OR DRIVEWAYS. BUTTER DATA LONGITUDINAL BUTTER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH (FEET) 155 200 250 305 360 425 495 570 645 730 TRANSPORTABLE ATTENUATOR ROES AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 LBS. HOST VEHICLE WEIGHT > 22,000 LBS. < 45 MPH 45-55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100' 123' 172' 74' 100' 150' II_1:��i1 CHANNEEIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50-65 10 TO 20 80 35-45 10 TO 20 60 25-30 10 TO 20 40 ���_Nin: • CHANNELIZING DEVICE r FLAGGING STATION PORTABLE SIGN AND SUPPORT �® WORK VEHICLE WITH FLASHING LIGHT WORK AREA RECEIVED J U L 19 2023 CITY OF EDMONDS CITY OF EDMONDS M BuildingPermit.com DEVELOPMENT Right-o �av°A�prAcation #1349120 - 100116828 -Secondary Ped Install 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 7606 206TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00614300000605 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 Damian Konasiewicz Number Street Apartment or Suite Number 7606 206TH ST SW City State Zip EDMONDS WA 98026 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: 7/19/2023 Submitted By: Moe Matthews Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1349120 - 100116828 - Secondary Ped Install Project Contact Company Name: Snohomish County PUD Name: Moe Matthews Email: permits@snopud.com Address: PO Box 1107 Phone #: (425) 783-5681 Everett WA 98206 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: 100116828 - Secondary Ped Install Description of PUD to intercept existing secondary riser to install a new pedestal. There will be 10 ft of soft Work: surface ground disturbance in ROW. PUD will be trenching 2 feet deep to place conduit for pedestal. closing the eastbound lane of 206th ST SW for approx 4 hrs. Project Details Project Information Job Number 100116828 Page 2 of 2