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ENG2023-0401 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT :i 1 141 www.edmondswa.gov i Description: PUD - REMOVE 1 BO POLE ISSUED: 09/06/2023 Address: 7315 212TH ST SW EDMONDS WA 98026-7610 EXPIRES: 03/06/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00566900500600 I 11-14111 a 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)238-7372 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER GAHC4 EDMONDS WA MOB LLC 18191 VON KARMAN AVE, IRVINE CA 92612 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: MAJ DATE: 09/06/2023 Printed: Wednesday, September 06, 2023 3:44:38 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,... Ave N, Edmonds WA•:020 1 141 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, September 06, 2023 3:44:38 PM 2 of 2 RECEIVED Of EDtit °tio�, AUG 7 2023 -- — RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION CITY OF EDMONDS DEVELOPMENT Complete and submit this Application in accordance with the Submittal SERVICES DEPARTMENT INC. ls90 Requirements outlined in Right -of -Way permit Handout E61. 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 WO 100104488 General• Project Name REMOVE DISPUTED POLE ACROSS FROM PLI 221835 Site Address or if no site address use Property Address at NW corner of project area: 7315 212TH ST SW, EDMONDS WA 98026 Associated Permits: BLD PLN ENG i Owner and Entity Holding Franchise (if applicable) Name of Company SNOHOMISH COUNTY PUD NO. 1 Franchise Ordinance No: N/A Point of Contact KARL HAACK Title ASSISTANT DESIGNER Address 21014 63RD AVE W City LYNNWOOD State WA Zip 98036 Phone425-238-7372 EmailKJHAACK@SNOPUD.COM &permits@snopud.com Contractor and Authorized Agent of Owner Name of Company SAME AS ABOVE (see note below) Contractor Contacts During Construction Primary Name SAME AS ABOVE Agent Name Title Title Mobile Address Email City State Zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: Email State License No: 313-005-741 a Contractor verifies it is currently bonded ® Contractor verifies it currently has general liability insurance NOTE: ECDC18.6o.02o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. Type of Development — Check ALL that 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 e Traffic Control Only (no associated development) e 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.) REMOVAL OF (1) DISPUTED WOOD POLE ON THE EAST SIDE OF 74TH AVE WEST, ON THE WEST SIDE OF THE EDMONDS PROFESSIONAL CENTER. WORK TO BE DONE AS MAINTENANCE. NO TREE TRIMMING REQUIRED, NO PAVEMENT CUT. NO INSTALLATION OF NEW FACILITIES. PARTIAL SIDEWALK CLOSURE ALONG 74TH AVE W BETWEEN 210TH ST SW AND 212TH ST SW. ALL WORK TO BE DONE BETWEEN THE HOURS OF 8:OOAM - 4:0013M. APPROX 1 HOUR PARTIAL NORTHBOUND LANE CLOSURE ON 74TH AVE WEST. TRAFFIC CONTROL BY PUD. ATTN: **JEFF WHATMORE. THIS PERMIT IS ASSOCIATED WITH SHARED SPREADSHEET SENT TO PUD JOINT USE FOR 7315 212TH ST SW (ON 74TH AVE W).** RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF N/A Alley 72 hours + LF x LF SF N/A Parking 72 hours + LF x LF SF N/A 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 e power ❑ gas ❑ water ❑ sewer ❑ storm Details of Work to be CompletedNo 1. Does the utility owner have existing overhead infrastructure in the area of work? YES 2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? NO 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? NO 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? NO 5. Does the work involve proposed additions to an aboveground utility system? If es: NO 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 N O project is proposed: 6a. Does your project involve wires/cables/lines? If yes: NO How many are existing? I I 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: YES How many poles are existing in the project area? a What is the height of the existing poles? 35'-45' How many poles are to be removed? 1 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: NO 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: DATE: 7121/23 APPLICANT PRINTED NAME: APPLICANT TITLE: HAACK 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 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM po PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY CONSTRUCTION NOTES • LOCATION 7315 212TH ST SW. EDMONDS WA 98026 LYNNWOODAREA STRIP AND RMV DISPUTED POLE EAST OF PLI 221835. POLE NO. PLI 221835 SW1/4520 T 27 R 4 DATE 7/21/23 ORDER 100104488 REASON FOR WORK RMV DISPUTED POLE ENGINEER K HAACK OPERATION 0120 TRANSFER OF UTILITIES. REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT FOR CITY OF EDMONDS DRAFTER U.G. No.. SCALE 1" = 40' WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. APPROVED BAS DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQID ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. La '=$ SECONDARY OVERHEAD BASIC FEE S �S .-R 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 @$ =$ ❑ REQUIRED ■ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE S DATE RELEASED 1@$ -$ UNDERGROUND PLAT FOREIGN CONTACTS ■ JPN# BASIC FEE S q FT,0 _$ ❑ JOINT TRENCH ZIPLY & CATV STREET LIGHTING ❑ JOINT BORE ZIPLY & CATV FT.0 _$ ❑ POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR q FT.@$ `_$ MISCELLANEOUS FEES ❑ BACKHOE ■ FLAGGING VAULT S ■ ONE CALL DATE 7/27/23 PERMIT s No. 23292119 STREET LIGHTING $ $ ❑ YES ■ NO S M&R AS -BUILT s GIS TOTAL DUE 8 DATE PAID GIS QC M&R GIS Ph JOINT USE RECEPT NO. LOCATION MAP PAGE 455—A6 SERVICE ORDER NO., LEGEND: o EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE X NEW POLE TO REPLACE EXISTING POLE DATE 8/2/23 SUBSTATION ESPERANCE CIRCUIT NO. 12-688 PHASE 1 ENGR'S TEL. # 425-670-3208 ENGR`S CELL # 425-238-7372 21022 N 21026 _ I I I � 21034 21034 PLI 221835 T-2934—X OWNER/CONTRACTOR IS RESPONSIBLE FOR PLI 10162 EROSION CONTROLAND DRAINAGE C M I I I I OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. I I I I I I I I I I � I i I I � I 1 I I I I I OI I I I �'C �o � I I I I I I I I I I I I I I 1 I � 7315 Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. ENGINEERING DIVISION APPROVED AS NOTED Jill "J UWQ 08/31/2023 VV 21034 RECEIVED I I 7407 50-373566 ECI-1 PLI 10164 SL-130270-A LAYOUT 1" = 40' AUG 7 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SHEET 1 OF 1 LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) *>x- ONE W20-1 LANE W20-4 ROAD AHEAD x � s W20-7A x zQ 00 00 CV M -a f — -mr LiJ a r = H d- x G2 0 - 2 I ROADNWORK 48" x 24" (OPTIONAL) ENGINEERING DIVISION APPROVED AS NOTED %l/ iA/Q.iX H. inp 08/31 /2023 vv 48" x 24" im END G20-2 ROAD WORK X,, (OPTIONAL) 0 0 N NORTH I WORK SITE VICINTY MAP 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 1 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. r LO 7 x .m •� W20-7A X ONE LANE AL ROAD W20-4 AHEAD x ROAD i WORK W20-1 AHEAD W20-78 DE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS RECEIVED AUG 7 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT THIS PLAN MAY BE MIRRORED FOR OPPOSITE SIDE OF ROADWAY USING SAME SIGNS AND SPACING. YES ■ NO ❑ INITIAL KJH 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 1 40 1 45 50 55 1 60 65 70 LENGTH (FEET)l 155 1 200 1 250 1 305 1 360 425 495 1 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 LBS. HOST VEHICLE WEIGHT > 22,000 LEIS. < 45 MPH 45-55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100' 123' 1 172' 74' 100' 150' TABLE 1 CHANNELIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50-65 10 TO 20 80 35-45 10 TO 20 60 25-30 10 TO 20 40 I rnpwn- O CHANNELIZING DEVICE r FLAGGING STATION i PORTABLE SIGN AND SUPPORT �® WORIT VEHICLE WITH FLASHING LIGWORK AREA RECEIVED CITY OF EDMONDS Right -of -Way Application #1358812 - WO 100104488 AUG 7 2023 MyBuildingPermiit. co. — 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 7315 212TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00566900500600 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 GAHC4 EDMONDS WA MOB LLC Number Street Apartment or Suite Number 18191 VON KARMAN AVE City State Zip I RVI N E CA 92612 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: 8/7/2023 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1358812 - WO 100104488 Project Contact Company Name: Snohomish County PUD Name: Karl Haack Email: kjhaack@snopud.com Address: PO Box 1107 Phone #: (425) 238-7372 Everett WA 98206 Project Type Utility Purveyor Project Name: WO 100104488 Activity Type Utility Work Scope of Work Disturbance of Surface WO 100104488: Attn: Jeff Whatmore. This permit request is associated with the shared Description of spreadsheet sent to PUD Joint Use for 7315 212th St SW (on 74th Ave W). PUD crews to Work: remove pole on east side of 74th Ave W. No tree work. Partial sidewalk closure along 74th Ave W between 210th St SW and 212th St SW. Work to be completed between 8am and 4pm. Approximately 1-hour partial northbound closure on 74th Ave W. Project Details Project Information Job Number WO 100104488 Page 2 of 2