ENG2023-0534 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of • • .
98020 ENG2023-0534
IL
www.edmondswa.gov i
Description: PUD - INSTALL UG POWER FOR SCHOOL CAMERA AT EWHS
ISSUED: 10/30/2023
Address: 7600 212TH ST SW EDMONDS WA 98026-7556
EXPIRES: 04/30/2024
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27043000104800
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 EDMONDS SCHOOL DIST 15 20420 68TH AVE W, LYNNWOOD WA 98026
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENG - INSPECTIONS
$378.00 $378.00
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: 10/30/2023
Printed: Monday, October 30, 2023 11:34:25 AM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUM11BE
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 7:00am 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
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL**
E-7 RESTOR LIMITS
Printed: Monday, October 30, 2023 11:34:25 AM 2 of 2
of EDtit%
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
1 S90 Requirements outlined in Right -of -Way permit Handout E6.,i.
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
General•
Project Name VERA CAM - 7600 212TH ST SW
Site Address or if no site address use Property Address at NW corner of project area: 7600 212TH ST SW, EDMONDS WA 98020
Associated Permits: BLD PLN ENG
Owner and Entity Holding
Name of Company SNOHOMISH COUNTY PUD NO.1 Franchise Ordinance No:
Point of Contact KARL HAACK
Title DESIGNER
Address 21014 63RD AVE W
City LYNNWOOD State WA Zip 98036
Phone425-238-7372
Email KJHAACK@SNOPUD.COM
Contractorof
Name of Company SAME AS ABOVE
•w)
Contractor Contacts• •
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: NIA
Email
State License No: 313-005-741
o 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?
e Other, please specify: SCHOOL DISTRICT TRAFFIC CAMERA
e 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.)
PROVIDE A NEW SECONDARY UNDERGROUND HANDHOLE FOR SCHOOL DISTRICT TRAFFIC CAMERA. 2 DAY PARTIAL LANE CLOSURE OF SOUTHBOUND
76TH AVE W BETWEEN THE HOURS OF 8AM TO 4PM. WORK SITE: EAST SIDE OF EDMONDS-WOODWAY HIGH SCHOOL PARKING LOT, DIRECTLY WEST OF
SWEDISH HOSPITAL. PARTIAL SIDEWALK CLOSURE ON WEST SIDE OF 76TH AVE W BETWEEN 215TH ST SW AND 216TH ST SW. PEDESTRIAN DETOUR AND
TRAFFIC CONTROL BY PUD. PUD TO INSTALL (1) SECONDARY RISER ON EXISTING POLE AND (1) SECONDARY PEDESTAL 7' WEST OF POLE IN LANDSCAPED
AREA. SIDEWALK PANEL CUT TO LAY 3" PVC. MAXIMUM AMOUNT OF SIDEWALK PANEL CUT- 25 SQFT. PAVEMENT RESTORATION BY PUD. NO TREE TRIMMING
REQUIRED.
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
NIA
Parking 72 hours +
LF
x
LF
SF
NIA
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC.
•• of -
1. The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable a power ❑ gas
❑ water ❑ sewer ❑ storm
Details
1.
of • be CompletedNo
1 Does the utility owner have existing overhead infrastructure in the area of work?
YES
2.
1 Will any equipment be added underground or above ground (e.. p6destals, vaults, etc.)?
YES
If yes, describe: CONDUIT, CONDUCTOR, PEDESTAL
YES
3.
Does the proposed work connect a lot or commercial development with utilities that serve more
than one lot or commercial development?
N 0
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:
YES
How many are existing? I I How many are to be added? I 1 UNDERGROUND
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
6b.
Does your project involve poles? If yes:
NO
How many poles are existing in the project area?
What is the height of the existing poles?
How many poles are to be removed?
Are additional poles to be laced?
How many? I I What is the height of the additional poles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
N O
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, orby 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: %�l�L
APPLICANT PRINTED NAME: KARL HAACK
APPLICANT TITLE: DESIGNER
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
10/17/23
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
0
oPUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 7600 212TH ST SW, EDMONDS WA 98026 LYNNWOODAREA
POLE NO. PLI 14352 NE1/4S 30 T 27 R 4 DATE 8/11/23 ORDER 100119961
REASON FOR WORK HANG NEW XFMR AND INSTALL ENGINEER K HAACK OPERATION 0060
NEW RISER PED FOR MESA DRAFTER U.G. NO.
CONNECT LOAD: 2KW SCALE 1" = 60'
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ■ YES ❑ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
SECONDARY OVERHEAD
NESC VIOLATIONS
BASIC FEE
S
■ NO ❑ YES (SEE NOTES)
@$
_$
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE
METER/CONV. POLE g
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COUNTY
❑ COMMERCIAL
■ CITY EDMONDS
BASIC FEE
$
❑
EASEMENTS
LEU NO.
@$
_$
❑ REQUIRED ■ NOT REQUIRED
SECONDARY UNDERGROUND
BASIC FEE
5
DATE RELEASED
La I-$
UNDERGROUND PLAT
FOREIGN CONTACTS
BASIC FEE
FTAS '-$
9
❑ JPN#
❑ JOINT TRENCH ZIPLY & CATV
STREET LIGHTING
ElJOINT BORE ZIPLY & CATV
POLE STENCILING
FROM TO
TAKE OFF POLE
WORK IN RIGHT OF WAY
❑ PRIMARY
❑ SECONDARY
PRE—CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
■ RESTORATION ■ FLAGGING
CE FT.@$ _$
MISCELLANEOUS FEES
VAULT
S
■ ONE CALL DATE 10/24
PERMIT
3
No. 23423760
STREET LIGHTING
COST ESTIMATE ,13.213.40
s
❑ YES ■ NO
M&R
AS -BUILT
s
$
GIS
TOTAL DUE S
DATE PAID 10/16/23
13,213.40
GIS QC
M&R
GIS Ph
JOINT USE
RECEPT NO.1800055255
SERVICE ORDER NO.
LOCATION MAP PAGE 455-A6
FI;FNn:
o EXISTING POLE
X EXISTING POLE —TO BE REMOVED
• NEW POLE
X NEW POLE TO REPLACE EXISTING POLE
DATE
SUBSTATION FIVE CORNERS
CIRCUIT NO. 12-1284 PHASE 321
ENGR'S TEL. #
425-670-3208
ENGR'S CELL #
425-238-7372
N
PLI 240892
SW 12-5248
GC-30OX
SIDEWALK CUT &
RESTORATION BY PUD
NEW 25 KVA
PLI 14352
GC-301
SL-146129—H
CONSTRUCTION NOTES:
OA AT POLE PLI 14352:
ON WO #100119961-0030:
PLI 221931
GC-302
SL-129345—L
SL-129344—L
INSTALL NEW 10 XFMR MOUNTING AS12V601.
HANG NEW 25KVA 120/240V 10 XFMR:
UTC
SER
TEST VOLTAGE ----
ON WO #100119961-0060:
INSTALL NEW 10 RISER PED ASSY AS1U705.
INSTALL SM SEC PED APPROX 7' WEST AS STAKED. RESTORATION NEEDED TO CUT
SIDEWALK PANEL AND RESTORE SIDEWALK.
INSTALL (3) 5-POS TERM BARS (T1522).
RUN 70' OF 350 KCMIL AL TPX FROM POLE PLI 14352
TO NEW SM SEC PED.
RESTORATION LIMITS TO BE DETERMINED
U— BY CITY ENGINEERING INSPECTOR
21601
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROLAND DRAINAGE
NEW
25 KVA
PLI 14352
GC-301
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
LAYOUT
1" = 60'
0 0 o
2 2 2
0 0 0
O O (_L>
SCHEMATIC
NTS
ENGINEERING DIVISION
APPROVED AS NOTED
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m
C
^1p]/ LV1._AZog,04z 10/30/2023 SHEET OF
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
LANE SHIFT ON A THREE -LANE,
TWO-WAY ROAD
W2o
W
-1
ROAD
WORK
AHEAD
CENTER x
W20-5MOD LANE
CLOSED �
AHEAD x
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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.
N
NORTH
I
WORk
SITE
VICINTY MAP
TRAFFIC CONTROL INSPECTION SHALL BE
REQUIRED WHENEVER WORK ZONE IS SET UP
xOW20-1
sW20-5MOD
x
i
MINIMUM LANE CLOSURE TAPER LENGTH = L (FEET)
LANE WIDTH
POSTED SPEED (MPH)
(FEET)
25
1 30
35
40
45
50
55
60
1 65
70
10
105
150
205
270
450
500
550
-
-
-
11
115
165
225
295
495
550
605
660
-
-
12
125
180
245
320
540
600
660
720
780
840
ENGINEERING DIVISION
APPROVED AS NOTED
jdl 10/30/2023
vv
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)
25
1 30
35
40
45
50
55
60
765
70
LENGTH (FEET)
155
1 200
250
305
360
425
495
1 570
1 645
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 MPH
> 55 MPH
< 45 MPH
45-55 MPHI
> 55 MPH
100' 1
123' 1
172'
74' 1
100' 1
150'
TABLE 1
CHANNELIZATION DEVICE
SPACING (FEET)
MPH
TAPER
TANGENT
50-70
40
80
35-45
30
60
25-30
20
40
LEGEND:
O
CHANNELIZING DEVICE
PORTABLE SIGN AND SUPPORT
WORK VEHICLE WITH FLASHING
LIGHT
WORK AREA
SIDEWALK CLOSURE
(PEDESTRIAN DETOUR)
ROAD
WORK W20-1
AHEAD
i
215TH ST SW
SP — 6 SIDEWAL—��SED
OSE OTHER SIDE
I
BARRICADE, TYP
uj
SIDEWALK I Q
CLOSED
T
I =
I~
Lo
I�
SIDEWALK CLOSED I I
SP-5
USE OTHER IIDE
216TH ST SW
I i
ROAD
WORK W20-1
I � AHEAD
i
I
SNOHOMISH COUNTY
ERUM M
TRAFFIC CONTROL PLAN
PUBLIC UTILITY DISTRICT ND 1
PROJECT VERA CAM - 7600 212TH ST SW
LOCATION 7600 212TH ST SW, EDMONDS WA 98020
ENGINEER K HAACK DATE 10/17/23 ORDER 100119961
PHONE 425-670-3208
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CITY OF EDMONDS M BuildingPermit.com
Right -of -Way Application #1392252 - WO 100119961 - Vera Cam
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
7600 212TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 27043000104800
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
EDMONDS SCHOOL DIST 15
Number Street Apartment or Suite Number
20420 68TH AVE W
City State Zip
LYN N WOOD 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: 10/19/2023 Submitted By: Moe Matthews
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1392252 - WO 100119961 - Vera Cam
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 WO 100119961 - Vera Cam
Name:
WO 100119961 PUD crews will provide a new secondary underground handhole for school
district traffic camera. 2-day partial lane closure of southbound 76th Ave W between the hours of
8am to 4pm. Work site: east side of Edmonds-Woodway high school parking lot, directly west of
Description Swedish Hospital. Partial sidewalk closure on west side of 76thf Ave W between 215th St SW
of Work: and 216th St Sw. Pedestrian detour and traffic control by PUD. PUD to install (1) secondary riser
on existing pole and (1) secondary pedestal 7' west of pole in landscaped area. Sidewalk panel
cut to lay 3" PVC. Maximum amount of sidewalk panel cut - 25 sq ft. Pavement restoration by
PUD. No tree trimming required.
Project Details
Project Information
Job Number
100119961
Page 2 of 2