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ENG2023-0540 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT of EdmondsNUMBER City IL www.edmondswa.gov Description: PUD - INSTALL UG POWER FOR SCHOOL CAMERA AT SCRIBER LAKE HS ISSUED: 11/02/2023 Address: 23200 100TH AVE W EDMONDS WA 98020 EXPIRES: 05/02/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00610700201401 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 JOHN P & KANON FOSTER MARKER 23124 100TH AVE W, EDMONDS WA 98020 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: 11/02/2023 Printed: Thursday, November 02, 2023 1:10:59 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMIJBE 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: Thursday, November 02, 2023 1:10:59 PM 2 of 2 Of ED% RIGHT OF WAY CONSTRUCTION PERAIiIT APPLICATION Complete and submit this Application in accordance with the Submittal ''vc. 1690 Requirements outlined in Right -of -Way permit Handout E6i. If any field is not applicable to your project, write "N/A" instead of leaving blank. All fields required. Incomplete Applications will be denied. SEC110N A -- ral Info Project Name RISER PEDESTAL INSTALL 23124 100TH AVE W 23200 Site Address or if no site address use Property Address at NW corner of project area:.�.}g#.I OOTH AVE W, 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 HAAC K Title DESIGNER Address 21014 63RD AVE W City LYNNWOOD State WA Zip 98036 Phone 425-238-7372 Email KJHAACK@SNOPUD.COM Contractor and Authorized Agent of Owner Name of Company SAME AS ABOVE (see note below) Contractor Contacts During Construction Primary Name 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 ® 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. Type of Development — Check ALL that apply ❑ Multifamily residential e Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? e Other, please specify: 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.) INSTALL (1) 3" RISER ON EXISTING POLE AND INSTALL PEDESTAL 9' WEST. UPGRADE EXISTING OVERHEAD SERVICE LINE CROSSING 100TH AVE W. WORK SITE DIRECTLY EAST OF 23124 100TH AVE W AT INTERSECTION OF 100TH AVE WAND 232ND ST SW. PARTIAL SOUTHBOUND LANE CLOSURE ON 100TH AVE W TO INSTALL NEW RISER CONDUIT, PARTIAL NORTHBOUND LANE CLOSURE ON 100TH AVE W TO UPGRADE EXISTING OVERHEAD CONDUCTOR. NO TREE TRIMMING REQUIRED, NO PAVEMENT CUT. SOFT SURFACE WORK. ALL WORK TO TAKE PLACE BETWEEN THE HOURS OF 8:00AM-4:00PM PARTIAL SIDEWALK CLOSURE ON 100TH AVE W BETWEEN 232ND ST SW AND EDMONDS WAY. DETOUR PROVIDED BY PUD. 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 • 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.)? YES If yes, describe: CONDUIT, PEDESTAL YES 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 existingunderground common utilitystem? N 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 ro osed: 6a. Does your project involve wires/cables/lines? If yes: YES How many are existing? 1 1 1 How many are to be added? 1 1 UNDERGROUND City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. I 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: YES How many? 1 1 1 What is the height of the poles after? SAME Describe the modification rebuild: INSTALL RISER CONDUIT SEMON 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: 4�Z APPLICANT PRINTED NAME: KARL HAACK APPLICANT TITLE: DESIGNER NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 10/20/23 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM O PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY CONSTRUCTION NOTES: LOCATION 23124 100TH AVE W. EDMONDS 98026 LYNNWOODAREA POLE No. PLI 279883 NE1/4S 36 T 27 R 3 DATE 8/8/23 ORDER 100118143 O RMV OH #2 AL TPX FROM POLE PLI 2098 TO POLE PLI 279883. REASON FOR WORK UPGRADE OH CONDUCTOR ENGINEER K HAACK OPERATION 0030 RMV OH #2 AL TPX FROM POLE PLI 279883 TO POLE PLI 274609. AND INSTALL RISER PED FOR VERA DRAFTER U.G. NO. CONNECTED LOAD= 2 KW SCALE 1" = 60' RUN APPROX 115' OF 4/0 AL TPX FROM POLE PLI 2098 TO POLE PLI 279883. APPROVED & DATE PRINTED RUN APPROX 60' OF 4/0 AL TPX FROM POLE PLI 279883 TO POLE PLI 274609. DATE WORK COMPLETED N DATE FOREMAN FEES REQ'D ■ YES ❑ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. SECONDARY OVERHEAD BASIC FEE S METER/CONV.POLE 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 3 @$ I_$ DATE RELEASED UNDERGROUND PLAT FOREIGN CONTACTS ❑ JPN# BASIC FEE S � FT.@$ '=$ ❑ JOINT TRENCH ZIPLY & CATV ElJOINT BORE ZIPLY & CATV STREET LIGHTING POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY ri FT.@$ '=$ PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR MISCELLANEOUS FEES ❑ BACKHOE ❑ FLAGGING VAULT 9 ■ ONE CALL DATE 8/16/23 PERMIT 3 No. 23329289 COST ESTIMATE $ 6,604.14 STREET LIGHTING $ ❑ YES ■ NO s M&R AS -BUILT GIS TOTAL DUE s 6,604.14 DATE PAID 10/16/23 GIS QC M&R RECEPT NO.1800055255 GIS Ph JOINT USE SERVICE ORDER NO. LOCATION MAP PAGE 474-G1 SUBSTATION WESTGATE © AT POLE PLI 274609: CIRCUIT No. 12-404 PHASE 231 INSTALL 10 RISER PED ASSY AS1U705. ENGR'S TEL. # 425-670-3208 ENGR'S CELL # 425-238-7372 N INSTALL SM SEC PED 9' WEST AS STAKED. INSTALL (3) 5-POS TERM BARS (T1522). RUN 50' OF 350 KCMIL AL TPX FROM POLE PLI 274609 TO NEW SM SEC PED. I I 23107 I 23122 O = 9927 9917 I I � m 23124 PLI 274609 I I i ------------- P PLI 2 79883 SL-115822-A I I i ��----_-D,/ 232ND ST SW F_ I I � I F(;FNVn: o EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE X NEW POLE TO REPLACE EXISTING POLE I I I I I 23114 RESUB ENGINEERING DIVISION APPROVED AS NOTED Oct 31 2023 CITY OF EDMONDS 11Q1/ 1"k—A y04z 11 /01 /2023 DEVELOPMENT SERVICES vv DEPARTMENT P-5293-X PLI 2098 LAYOUT 1" = 60' o� W a 0 0 0 0 N / Co Ln Co In i In o 9909 9903 w / PLI 287077 SL-109745-A o 0 / 0 0 0 a / �CY) o� 0 r� Y M / N U �o U � SHEET OF __ja �o SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM LANE CLOSURE BEYOND AN INTERSECTION (WORK AREA ON THE SIDE ROAD) ROAD W20-1 WORK 9w AHEAD x ONE LANE W20-4 ROAD AHEAD x W20-7A x 00 N rn �, N NORTH I 48" x 24" i ROADNWORK G 2 O- 2 x (OPTIONAL) IN VICWTY MAP o W20-4 0 W20-7A ONE LANE W20_1 ROAD AHEAD ROAD 1n' WORK AHEAD X X X 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. TRAFFIC CONTROL INSPECTION SHALL BE STOP REQUIRED WHENEVER WORK ZONE IS SET UP 4 4 232ND ST SW X i �� W20-7A x ONE LANE ROAD W20-4 AHEAD X ROAD i WORK W2 0 - 1 AHEAD W20-78 BE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS ENGINEERING DIVISION APPROVED AS NOTED jell LVl,,j,$,042 11/01/2023 vv TABLE 1 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. 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 FC,FNn: O CHANNELIZING DEVICE r FLAGGING STATION PORTABLE SIGN AND SUPPORT �® WORK VEHICLE WITH FLASHING LIGHT WORK AREA SNOHOMISH COUNTY pCOF-M TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO 1 PROJECT VERA CAM - 23124 100TH AVE W LOCATION 23124 100TH AVE W, EDMONDS WA 98020 ENGINEER K HAACK DATE 10/19/23 ORDER 100118143 PHONE 425-670-3208 CELLULAR 425-238-7372 SIDEWALK CLOSURE (PEDESTRIAN DETOUR) V � ROAD WORK W 20-1 — AHEAD 0 SIDEWALK CLOSED �► S P - 6 USE OTHER SIDEZI THIS PLAN MAY BE MIRRORED FOR OPPOSITE SIDE OF ROADWAY USING BARRICADE, TYP I SAME SIGNS AND SPACING. YES ■ NO ❑ INITIAL KJH LJ SIDEWALK Q CLOSED ROAD WORK W 2 0— 1 0 O I AHEAD SIDEWALK CLOSED S P - 5 DSE OTHER SIDE 232ND ST SW i ROAD WORK W20-1 AHEAD SNOHOMISH COUNTY [FUMD TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO I PROJECT VERA CAM - 23124 100TH AVE W LOCATION 23124 100TH AVE W, EDMONDS WA 98020 ENGINEER K HAACK DATE 10/19/23 ORDER 100118143 PHONE 425-670-3208 CELLULAR 425-238-7372 Q N O J N U F— U w z z 0 U C O O (n O U N 0 .o U_ a — a Q� / Ln v� 0 cN 3i 0 0 i'o ?. 0 ww J ~ Q <L CJ CITY OF EDMONDS M BuildingPermit.com Right -of -Way Application #1392953 - WO 100118143 OH tpx and Install riser ped for 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 23124 100TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00610700201401 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 John P & Kanon Foster K Marker Number Street Apartment or Suite Number 23124 100TH AVE W City State Zip EDMONDS WA 98020 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: 10/20/2023 Submitted By: Moe Matthews Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1392953 - WO 100118143 OH tpx and Install riser ped for 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 No Disturbance of Surface Project Name: WO 100118143 OH tpx and Install riser ped for Vera WO 100118143 Crews will install (1) 3" riser on existing pole and install pedestal 9' west. Upgrade existing OH service line crossing 100th Ave W. Work site directly east of 234124 100th Description of Ave W at intersection of 100th Ave W and 232nd St SW. Partial SB lane closure on 100th Ave Work: W to install new riser conduit, partial NB lane closure on 100th Ave W to upgrade existing OH conductor. No tree trimming required, no pavement cuts and soft surface work. All work to take place between the hours of 8am to 4pm. Partial sidewalk closure on 100th Ave W between 232nd St SW and Edmonds Way. Pedestrian detour provided. Project Details Project Information Job Number 100118143 Page 2 of 2