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ENG2023-0397 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds - N, Edmonds WA 9:01 1 • www.edmondswa.govi Description: PUD - REPLACE 1 BO POLE ISSUED: 10/10/2023 Address: 19227 80TH PL W EDMONDS WA 98026-6218 EXPIRES: 04/10/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00572700001500 iiii I 11-14111 a i 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)783-8209 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER RICE ARLYNE 19227 80TH PL W, EDMONDS WA 98020 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: 10/10/2023 Printed: Tuesday, October 10, 2023 1:39:19 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,...Ave N, Edmonds WA 9:0ENG2023-03971 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 7:00am to 6:00pm on SOUND AND NOISE weekdays and 10:00am and 6:00pm 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: Tuesday, October 10, 2023 1:39:19 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�. Aug 03 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 BO Pole 212163 WORK ORDER 100033452 (REVISED 8/2/23; IGNORE PREVIOUS SUBMISSION) Site Address or if no site address use Property Address at NW corner of project area: 19227 8oth PL W EDMONDS Associated Permits: BLD PLN ENG Owner and Entity Holding Name of Company SNOHOMISH COUNTY PUD Franchise Ordinance No: Point of Contact BLAIR ANDERSON Title DESIGNER Address PO BOX 1107 City EVERETT State WA Zip 982o6 Phone 4253435803 Email BCANDERSON@SNOPUD.COM OR PERMITS@SNOPUD.COM Contractor and Authorized Agent of Owner Name of Company SNOHOMISH COUNTY PUD (see note below) Contractor Contacts During Construction Primary Name SAME Agent Name SELF Title Title Mobile Address PO BOX 1107 Email City EVERETT State WA Zip 982o6 Secondary Name Phone 4253435803 Title Email PERMITS@SNOPUD.COM Mobile City of Edmonds Business License No: Email State License No: 313-005-741 EX 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. ❑ 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 welt Mraffic Control Only (no associated development) XUtility 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.) PUD TO REPLACE (1) BO POLE THAT IS DAMAGED BY WOODPECKERS. POLE TO BE REPLACED AFTER WOODPECKER NESTING N ENDING IN SEPTEMBER. PUD WILL BE REMOVING 1 45 FT WOOD POLE AND INSTALLING (1) 45 FT FIBERGLASS POLE. THIS IS A REPAIR PROJECT. EXISTING POLE HAS SPLITTING ALL THE WAY DOWN THE POLE AS WELL AS HOLES/NESTS AT THE TOP. POLE IS BAD ORDER AND PAST THE POINT OF REPAIR, IT WILL NEED TO BE REPLACED. NO CONCRETE OR ASPHALT WILL BE IMPACTED. PUD WILL DRILL A NEW HOLE IN THE GRASS TIGHT SW OF EXISTING POLE. JOINT UTILITIES WILL REMOVE OLD POLE ONCE UTILITYTRANSFERS ARE DONE. PUD DOES NOT ANTICIPATE ANY ADDITIONAL INFRASTRUCTURE WILL TTTTT IZE EXISTING ANCHOR SYSTEM WHICH IS NEWER - RIGHT -OF -WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF I x LF SF Alley 72 hours + LF Ix I LF SF Parking 72 hours + LF Ix I 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 ?� 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 X No 2. 1 Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? X 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 stem? 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 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? 1 3 1 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: 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? 1 1 Are additional poles to be laced? NO. 1 REPLACEMENT X How many? I 1 RMV 1 ADD I What is the height of the additionalpoles? 45yf 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? I 1 I What is the height of the poles after? 45 Describe the modification rebuild: RMV 1 POLE ADD 1. BOTH 45 FT 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: gz4wle'R �� DATE: 8/2/23 APPLICANT PRINTED NAME: BLAIRANDERSON APPLICANT TITLE: DESIGNER NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM PUBLIC UTILITY DISTRICT N0.1 of slvoHloMISH COUNTYSCHEDULE LOCATION 19227 BOTH PF W, EDMONDS LYNNWOOD AREA CONSTRUCTION NOTES POLE NO. 212163 SE1/4S 18 T 27 R 4 DATE 8/1/23 ORDER 100033452 O PLI 212163 REASON FOR WORK REPLACE (1) BO POLE ENGINEER ANDERSON OPERATION 0030 SET 45' CL2 WOOD POLE W/GND TIGHT SW (PW1050, N0110) DRAFTER U.G. NO. N/A INSTL BROOKSWRAP FROM TOP TO 40'' BELOW NEUTRAL (MID 5000773) SCALE 1"=100' SET DEPTH 6.5 FT APPROVED & DATE PRINTED USE 5/8 GRAVEL BACKFILL, COMPACT IN 6'' LIFTS DATE WORK COMPLETED FOREMAN FEES REQ D ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO ENG AS -BUILT VERIFICATION DATE ❑ PHASING, TAPS & FUSING SUBSTATION MAPLEWOOD ❑ POLE & VAULT STENCILS ❑ CABLE TAGS CIRCUIT NO. 12-344 PHASE ❑ FRAMING ❑ EQUIPMENT LOCATION VERIFIED BY I@$ 1-$ DATE SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE $ ■ NO ❑ YES (SEE NOTES) @$ =S PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE METER/CONV. POLE $ PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ■ CITY EDMONDS BASIC FEE $ ❑ EASEMENTS LEU NO. @$ -$ REQUIRED ❑ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE $ DATE RELEASED 1@$ 1-$ UNDERGROUND PLAT FOREIGN CONTACTS ■ JPN# 100033452 BASIC FEE $ FTAS 13 ❑ JOINT TRENCH FRONTIER & CATV ❑ JOINT BORE FRONTIER & CATV STREET LIGHTING � FT.@S =3 ❑ POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR � FT.@$ =3 MISCELLANEOUS FEES ❑ BACKHOE ❑ FLAGGING VAULT $ ■ ONE CALL DATE PERMIT $ No. STREET LIGHTING $ $ ❑ YES ■ NO $ M&R AS -BUILT $ GIs TOTAL DUE $ GIs QC M&R DATE PAID GIs Ph JOINT USE RECEPT NO. LOCATION MAP PAGE 454-41 SERVICE ORDER NO. i F(,FNno o EXISTING POLE 0 EXISTING POLE -TO BE REMOVED • NEW POLE 0 NEW POLE TO REPLACE EXISTING POLE ENGR'S TEL. # 4257838209 ENGR'S CELL # 4253435803 FRAME POLE FOR 10 VERTICAL ANGLE (12V102) W/SINGLE 0 XFMR (AS12V601) TRANSFER EXST DO TO NEW POLE TRANSFER EXST 25 KVA XFMR 25-362221TO NEW POLE SER# STRIP AND ABANDON TO COMMUNICATIONS ***CONSTRUCTION NOTE: POLE IS WOODPECKER DAMAGED POLE. INSURE �1 WOODPECKERS ARE GONE PRIOR TO WORKING. SHOULD BE WORKED ANY TIME SEPTEMBER 1ST THRU FEB 28TH*** PLAN VIEW 1''=100' NTS (1) #2 ACSR PRI. #2 ACSR NEUT. 25 25 25 TO MAPLEWOOD CIRCUIT 12-344 12KV SCHEMATIC BEFORE AND AFTER ENGINEERING DIVISION APPROVED AS NOTED 10/10/2023 VV 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. RESUB SEPT 13 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SIERRA DR = � SHEET 1 OF 1 LANE CLOSURE ON A LOW VOLUME ROAD (NO FLAGGER, TRAFFIC SELF-REGULATING, 35 MPH OR LESS) SPEED SIGN BUFFER LIMIT SPACING (FT) A, B (FT) 25 200 55 30 200 85 0 0 N N 35 350 120 3: 3: w W ¢ Q ¢ 3 Q 50' MIN > < 100' MAX 10 0' BUFFER TAPER A B • • • • • • • • • 192ND ST SW M M B A w oow �ow Z 0 � NI I 0 0 N N ENGINEERING DIVISION RECEIVED APPROVED AS NOTED Aug 03 2023 II,, ./ CITY OF EDMONDS jell tVL j,i I,44.t. 10/10/2023 DEVELOPMENT SERVICES vv DEPARTMENT SNOHOMISH COUNTY LFDULM TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO 1 PROJECT REPLACE (1) BO POLE LOCATION 19227 80TH PL W, EDMONDS ENGINEER ANDERSON DATE 8/1/23 ORDER 100033452 PHONE 4257838209 CELLULAR 4253435803 RECEIVED Aug 03 2023 CITY OF EDMONDS CITY OF EDMONDS MyBUlldlrlgPermlt.CoroEVELOPMENTSERVICES DEPARTMENT Right -of -Way Application #1356724 - WO 100033452 - BO Pole 212163 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 City Zip Code County Parcel Number Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location ROW at 19227 80th PI W, Edmonds Property Owner First Name Last Name or Company Name Number Street Apartment or Suite Number City State Zip 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: 8/2/2023 Submitted By: Moe Matthews Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1356724 - WO 100033452 - BO Pole 212163 Project Contact Company Name: Snohomish County PUD Name: Blair Anderson Email: permits@snopud.com Address: PO Box 1107 Phone #: (425) 783-8209 Everett WA 98206 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project WO 100033452 - BO Pole 212163 Name: PUD to replace (1) bad order pole that is damaged by woodpeckers. Pole to be replaced after woodpecker nesting season ending in September. PUD will be removing (1) 45 ft wood pole and installing (1) 45 ft ductile iron pole. This is a repair project. Existing pole has splitting all the way down the pole as well as holes/nests at the top. Pole is bad order and past the point of repair. It will need to be replaced. No concrete or asphalt will be impacted. PUD will drill a new hole in the Description grass tight SW of existing pole. Transfer of utilities, removal of pole and final restoration to be of Work: consistent with applicable Pole Attachment Agreement and Joint Ownership Pole Agreement. PUD does not anticipate any additional infrastructure added or removed from existing. Transformer will be transferred to new pole and PUD will utilize existing anchor system which is newer. PUD will have (1) flagger on site to accommodate traffic calming. There are approximately 8 houses impacted by lane/shoulder closure but traffic will be safely ushered around project. Job will be worked during regular daytime hours of 0900-1700 and last approximately 6-8 hours. Project Details Project Information Job Number 100033452 Page 2 of 2