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ENG2023-0534 APPROVED REVISION 1RIGHT 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 REVISION 1 ISSUED: 10/30/2023 Address: 7600 212TH ST SW EDMONDS WA 98026-7556 EXPIRES: 04/30/2024 mit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27043000104800 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)783-5681 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 ENG - REVISION REVIEW $126.00 $126.00 RIGHT-OF-WAY PERMIT - STANDARD $378.00 $378.00 REQUIREMENTSMJ 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 �0 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 Revision 1 - Job moved a few spans north and no longer requires a pavement cut. Approval of Revision 1 issued to applicant on 11/7/23. Printed: Tuesday, November 07, 2023 2:42:12 PM 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: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** E-7 RESTOR LIMITS E-7 TRAFFIC CTRL E-7 TRAFFIC CTRL 11/6/2023 PARTIAL 12:00:00 AM APPROVAL Printed: Tuesday, November 07, 2023 2:42:12 PM 2 of 2 of EDLI04,, MGHT OF WAY CONSTRUCTION -, PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal INC. 1890 Requirements outlined in Right -of -Ma permit Handout E6.,i. 1N3Ni2Nd34 SDOINtES 1N3WdM3n34 If any field is not applicable to your project, write "N/X'ins'&01Uf4Vd4Ang blank. All fields required. Incomplete Applications will beZMW1WN NOISIA3E SECTION A General Info 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 ONvner and Entity Holding Franchise (if Name of Company SNOHOMISH COUNTY PUD NO.1 applicable) Franchise Ordinance No: N/A Point of Contact KARL HAACK Title DESIGNER Address 21014 63RD AVE W City LYNNWOOD State WA Zip 98036 Phone 425-238-7372 Email KJHAACK@SNOPUD.COM& ermitS sno ud.com Name of Company SAME AS ABOVE 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: NSA Email State License No: 313.005-741 ® Contractor verifies it is currently bonded ® 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. of Development ❑ 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. 1 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 ROSE RIDGE CONDOS. PARTIAL SIDEWALK CLOSURE ON WEST SIDE OF 76TH AVE W BETWEEN 215TH ST SW AND 212TH ST SW. PEDESTRIAN DETOUR AND TRAFFIC CONTROL BY PUD. PUD TO INSTALL (1) SECONDARY RISER ON EXISTING POLE AND (1) SECONDARY PEDESTAL 2' WEST OF POLE. NO TREE TRIMMING REQUIRED. NO PAVEMENT CUT, SOFT SURFACE WORK Reference ENG2023-0534. 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 a power ❑ gas ❑ water ❑ sewer ❑ storm Details 1. of • • be Completed Does the utility owner have existing overhead infrastructure in the area of work? Yes YES No 2. Will any equipment be added underground or above ground (e.. pedestals, 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 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 proposed: 6a. Does your project involve wires/cables/lines? If yes: YES How many are existing? I I 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: N O 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, 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: > 1/1123 APPLICANT PRINTED NAME: RL HAACK ' 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 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM LPURP PUBLIC UTILITY DISTRICT NOA OF SNOHOMISH COUNTY LOCATION 7600 212TH ST SIN, EDMONDS WA 98026 LYNNWOODAREA POLE NO. PLI 274444 NE1/4S 30 T 27 R 4 DATE 11/1/23 ORDER 100119961 REASON FOR WORK INSTALL NEW RISER PED ENGINEER K HAACK OPERATION 0060 FOR VERA MOBILITY DRAFTER U.G. NO. CONNECTED 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) Q3 '=S PERMITS (DATE GRANTED) METER/CONY. POLE s ❑ TREE TRIM PRIMARY UNDERGROUND ❑ STATE ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ■ CITY EDMONDS BASIC FEE $ ❑ LEU NO. EASEMENTS @$ _$ ❑ REQUIRED ■ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE S @$ -$ DATE RELEASED UNDERGROUND PLAT FOREIGN CONTACTS ❑ JPN# BASIC FEE S FT.@9 '-$ ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV STREET LIGHTING ■ N/A cL FT.@S ,=$ POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY rL FTAS '=3 PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR MISCELLANEOUS FEES ❑ BACKHOE ■ FLAGGING VAULT $ ■ ONE CALL DATE 11/1/23 PERMIT 9 234A 1727 COST ESTIMATE s13.213.40 S S TOTAL DUE S 13,213.4 0 DATE PAID 10/16/23 RECEPT NO.1800055255 SERVICE ORDER NO. LEGEND: o EXISTING POLE X EXISTING POLE -TO • NEW POLE No. STREET LIGHTING ❑ YES ■ NO M&R AS -BUILT GIS GIS QC M&R GIS Ph JOINT USE LOCATION MAP PAGE 455-A6 BE REMOVED 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 CONSTRUCTION NOTES: AO AT POLE PLI 274444: PLI 274443 GC-297 SW 12-349 I i I I 15-310423 PLI 274444 GC-298 SL-128945-H EDGE OF PAVEMENT ENGINEERING DIVISION APPROVED AS NOTED P11 W4Z,1..44z 11 /06/2023 Vill I I I I INSTALL NEW 10 RISER PED ASSY AS1U705. INSTALL SM SEC APPROX 2' WEST AS STAKED. INSTALL (3) 5-POS TERM BARS (T1522). RUN 55' OF 350 KCMIL AL TPX FROM POLE PLI 14352 TO NEW SM SEC PED. 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. G ::�i OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROLAND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. 21311 21315 LAYOUT 1" = 60' 21313 — — I 21317 I 21317 I 21317 SHEET REVISION Nov 02 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 1 OF 1 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM LANE SHIFT ON A THREE -LANE, TWO-WAY ROAD W2o W -1 ROAD ORK AHEAD CENTER x W20-5MOD LANE CLOSED � AHEAD x I N W1-4L i m I° l I ° I ° I � 0 101 001 01 Q °1 = ® OI OI 01 01 01 ® 0I OI ° 1 d ° 1 OI ° 1 0 I 10 1 I I I�I I�I t i N -I K■ N J M N J 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 1 125 180 245 320 540 600 660 720 780 840 ENGINEERING DIVISION APPROVED AS NOTED ldl 11 /06/2023 VIV REVISION Nov 02 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 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 1 35 40 45 50 55 60 765 70 LENGTH (FEET) 155 1 200 1 250 305 360 425 495 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: 0 CHANNELIZING DEVICE PORTABLE SIGN AND SUPPORT WORK VEHICLE WITH FLASHING LIGHT WORK AREA SIDEWALK CLOSURE (PEDESTRIAN DETOUR) I I ROAD WORK W20-1 AHEAD s S P - 6 SIDEWALK CLOSED USE OTHER DE BARRICADE, TYP I I � SIDEWALK I Q CLOSED I= Q0 I SIDEWALK CLOSED S P - 5 USE OTHER SIDE I s ROAD WORK W20-1 REVISION AHEAD Nov 02 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SNOHOMISH COUNTY G�CUM D) TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO 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 CELLULAR 425-238-7372 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