ENG2023-0529 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBE
City of Edmonds
:• 1 1 •
ww -. •. • •
Description: PUD - EMERGENCY REPLACEMENT ALREADY COMPLETED NJUNS
#5392565
ISSUED: 11/28/2023
Address: 9331 224TH ST SW EDMONDS WA 98020
EXPIRES: 05/28/2024
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00544200201402
NAME TYPE NAME orADDRESS 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 DONALD ABATECOLA 9331 224TH ST SW, 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
W INDEMNITY
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: 11/28/2023
Printed: Tuesday, November 28, 2023 11:24:27 AM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUMBE3
City of Edmonds
,...Ave
N, Edmonds WA 9:01 1 •
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: Tuesday, November 28, 2023 11:24:27 AM 2 of 2
RECEIVED
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RIGHT OF WAY CONSTRUCTION OCT 18 2023
PERMIT APPLICATION
CITY OF EDMONDS
Complete and submit this Application in accordance with the Submittal DEVELOPMENT
is') Requirements outlined in Right -of -Way permit Handout E6�. 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.
SECTION A
General •
Project Name Emergency car pole
Site Address or if no site address use Property Address at NW corner of project area: 9331 224thStSW, Edmonds, 98026-4566
Associated Permits: BLD N/A PLN N/A ENG N/A
Owner and Entity Holding
Name of Company Snohomish County PUD applicable) Franchise Ordinance No: N/A
Point of Contact William Graham
Title Design Engineer
Address 1802 75th St SW
City Everett
State WA
Zip 98203
Phone (360)703 1910
Email permits@snopud.com wlgraham@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: NSA
Email
State License No: 313-005-741
pf 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
❑ 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
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.)
Repair - Pole pli 1565 was damaged during a storm and was replaced with a similar 45-foot class 2 wood pole. The
new pole was buried 6.5 ftEDFNILOOHGZLWKFUXVKFMU&Ming 25kVA overhead transformer was also damaged
and replaced with a similar 25kVA overhead transformer. The old pole stub was left on -site so Comcast and Ziply
could move their equipment to the new pole. Ziply to remove pole once their equipment has been transferred to the
new pole.:RUNKDVDOUHDG\EHHQFRPSOHAUi$QQQHPHUJHQF\EDVLVVRQRWUDIILFFRQWUROSODQLVLQFOXGH(
LQWKLVDSSOLFDWLRQ tilde
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
N/A LF
x
N/A LF
N/A SF
N/A
Alley 72 hours +
N/A LF
x
N/A LF
N/A SF
N/A
Parking 72 hours +
N/A LF
x
N/A LF
N/A SF
N/A
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
yes
No
2. Will any equipment be added underground or above ground (e.g. 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?
yes
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 stem? 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
yes
project is proposed:
6a.
Does your project involve wires/cables/lines? If yes:
yes
How many are existing? 1 7 1 How many are to be added? O
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?
1
What is the height of the existing poles?
45 ft
How many poles are to be removed?
0
Are additional poles to be laced?
NO
How many? I N/A I What is the height of the additionalpoles?
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? 45
Describe the modification rebuild: Storm damaged pole replaced w similar 45ft class 2 wood pole
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:
APPLICANT PRINTED NAME:
APPLICANT TITLE:
William Graham
Design Engineer
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
10/17/2023
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
0 PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 9331 224TH ST SW, EDMONDS
POLE NO. PLI 1565 SE 1/4S 25 T27 R 3 DATE
REASON FOR WORK STORM ENGINEER PHILLPOTTS
CONFIRMING SKETCH DRAFTER
PLI 1565 45' 1992
DATE WORK COMPLETED 12/01/2022 NOTIF# 10000195167
FOREMAN HAUGSTAD
FEES REO'D ❑ YES ❑ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO N0,
SECONDARY OVERHEAD
NESC VIOLATIONS
BASIC FEE S
❑ NO ❑ YES (SEE NOTES)
@$ '=$
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE
METER/CONV. POLE $
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COUNTY
❑ COMMERCIAL
❑ CITY
BASIC FEE
❑
EASEMENTS
LEU NO.
❑ REQUIRED ❑ NOT REQUIRED
SECONDARY UNDERGROUND
BASIC FEE S
DATE RELEASED
La . = $_
UNDERGROUND PLAT
FOREIGN CONTACTS
X JPN#
BASIC FEE S
FT.@S '=$
❑ JOINT TRENCH ZIPLY & CATV
❑ JOINT BORE ZIPLY & CATV
STREET LIGHTING
cL FT.0 '=$
❑
POLE STENCILINGFROM
WORK IN RIGHT OF WAY
TO
❑ PRIMARY
TAKE OFF POLE
❑ SECONDARY
PRE—CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
(� FT.@$ '=$
MISCELLANEOUS FEES
❑ BACKHOE ❑ FLAGGING
VAULT S
❑ ONE CALL DATE
PERMIT 3
No.
STREET LIGHTING
s
❑ YES ❑ NO
$
KIP
M&R
100000AS-BUILT
GIS
TOTAL DUE 8
DM
GIS QC
DH
M&R
DATE PAID
nDu
GIS Ph
JOINT USE
RECEIPT NO.
LOCATION MAP PAGE 454-H7
SERVICE ORDER NO.
I FC,FNn:
O EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
NEW POLE TO REPLACE EXISTING POLE
APPROVED RC
DATE 12/16/22
LYNNWOOD AREA
ORDER 100101063
OPERATION 0001
U.G. NO.
SCALE NTS
DATE PRINTED
N/A
SUBSTATION WSG
CIRCUIT NO. 12-406
ENGR'S TEL. #
ENGR'S CELL #
PHASE 1,3
ENGINEERING DIVISION
APPROVED AS NOTED
jX LV1, j,$,04.t 11 /21 /2023
vv
RECEIVED
OCT 18 2023
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
ALL WORK HAS BEEN COMPLETED. THIS PERMIT IS TO VERIFY THAT
THE NEW POLE WAS PLACED IN AN APPROVED LOCATION.
PLI 1565
REPLACED W/ 45' POLE, MFG 2022
(XFMR ALREADY UPDATED PER PREVIOUSLY ROUTED EN. FIELDED BY GIS)
REMOVED XFMR 25-15003, SERIAL# 77A313374
INSTALLED XFMR 25-463016, SERIAL# 1940941921, ON PH3
OLD POLE STILL IN FIELD
fUE
FU4
9 1 /1
RECEIVED
OCT 18 2023
Project Name: Original WO has been closed; please use 100106479. CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Scope of Work: Distribution pole was damaged during storm, along with one of the two overhead
transformers on site. We replaced the pole with a similarly sized one (45-foot class 2) and hung a new
25kVA transformer to replace the damaged one.
No cuts in asphalt were made.
Location: Pole is located at 9331 224t" St SW, Edmonds. (pli 292334)
Work area not in critical area/wetlands
Which lane direction is being closed: (Job has already been worked) Crews would have had to occupy
the westbound lane of 2241" St SW to install the new pole and hang the new transformer.
Hours and Duration at the Location: All work was completed on 12/1/2022, in approximately 8 hours.
Traffic control plan: This job has already been worked on an emergency basis, so no traffic control plan is
included.
Phillpotts, Kathleen
From: New Equipment Record <Do_Not_Reply_EquipmentRecord@SNOPUD.com>
Sent: Thursday, December 1, 2022 2:25 AM
To: Maps&Records; Risk Management Claims; Storm Logistics Team; Env Affairs; Grants;
Kiss, Paul; Rife, Travis; Haugstad, Troy
Subject: New Transformer Equipment Record.
[- COPY OF GIS FIELDING NOTES
- FOR REFERENCE ONLY.
A new Transformer equipment record was created.
ER —ID: 2767
Workorder Number: 100101063
Foreman: Troy Haugstad
Work Date: 12/01/2022
Work Reason: Storm
Location Information:PLI 1565 WSG
Padmount or Submersible: 12-406
Secondary Voltage:120/240
Old Device One Number:387455
Old Device One Phase:1 Road Phase
Old Device One KVA:15
------------------------------------------
Old Device Two Number:15003
Old Device Two Phase:3
Old Device Two KVA:25
Old Device Three Number:
Old Device Three Phase:
Old Device Three KVA:
New Device One Number:
New Device One Phase:
New Device One KVA:
New Device One Serial Number:
New Device One UTC:
New Device One Manuf:
New Device Two Number:463016
New Device Two Phase:3 Center Phase
New Device Two KVA:25 KVA
New Device Two Serial Number:1940941921
New Device Two UTC:
New Device Two Manuf:HOWARD INDUSTRIES
New pole 45'-2022
Old pole still in field
Tel/TV still on old pole
RECEIVED
OCT 18 2023
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
1
New Device Three Number:
New Device Three Phase:
New Device Three KVA:
New Device Three Serial Number:
New Device Three UTC:
New Device Three Manuf:
Comments:
GPS Latitude:
GPS Longitude:
No Photos Available.
RECEIVED
OCT 18 2023
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
RECEIVED
OCT 18 2023
CITY OF EDMONDS CITY OF EDMONDS MyBuildingPermit.com
DEVELOPMENT
Right S-vEN)SA16Talion #1391520 - 100106479 (After action req 9331 224th St SW)
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
9331 224TH ST SW
City Zip Code County Parcel Number
EDMONDS 98020 00544200201402
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
Donald Abatecola
Number Street Apartment or Suite Number
9331 224TH ST SW
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: 10/18/2023 Submitted By: Moe Matthews
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1391520 - 100106479 (After action req 9331 224th St SW)
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 100106479 (After action req 9331 224th St SW)
Name:
This is one of several emergency pole replacement jobs in Edmonds that have already been
worked on an emergency basis without a permit. A traffic control plan is not included because
the work is already complete and work order 100101063 is closed so we are using work order
Description 100106479 to apply for this permit. A distribution pole was damaged during storm, along with
of Work: one of the two overhead transformers on site. Crews replaced the pole, PLI 1565 with a similarly
sized one (45-foot new PLI 292334) and hung a new 25kVA transformer to replace the damaged
one. Crews would have had to occupy the westbound lane of 224th St SW to install the new pole
and hang the new transformer. Work was completed on 12/1/22 in approx. 8 hours.
Project Details
Project Information
Job Number
100106479
Page 2 of 2