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ENG2023-0482 ROW PERMITRIGHT OF WAY EUC PERMIT UMBE City of • • :01�. www.edmondswa.gov i Description: PUD - REPLACE 1 BO POLE ISSUED: 12/19/2023 Address: 19028 SOUNDVIEW PL EDMONDS WA 98026 EXPIRES: 06/19/2024 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27031300405100 I 11-14111 a i 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 TIMOTHY R & MARY ANNE OSBORN PO BOX 670, EDM0NDS 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: 12/19/2023 Printed: Tuesday, December 19, 2023 11:07:46 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: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: Tuesday, December 19, 2023 11:07:46 AM 2 of 2 PUD WO #100118145-30 Of EDA4041, i Ba J SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way permit Handout E6,,i. RECEIVED Sep 21 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 Replace BO Pole PLI 119 Site Address or if no site address use Property Address at NW corner of project area: 19028 Sound View PI, Edmonds WA 98020 Associated Permits: BLD PLN ENG • • • applicable) Name of Company SNOHOMISH COUNTY PUD Franchise Ordinance No: N/A Point of Contact Richard Dumo Title Distribution Engineer Address 1802 75th St. SW MS-02 City Everett State WA Zip 98206 Phone 425-783-5110 Email rsdumo@snopud.com Contractor and Authorized Agent of Owner Name of Company SNOHOMISH COUNTY PUD (see note below) Contractor Contacts During Construction Primary Name Same as above Agent Name Beth Haskins Title Title Joint Use and Permits Admin Mobile Address 1802 75th St. SW MS-02 Email City Everett State WA Zip 98206 Secondary Name Phone 425-783-4315 Title Email jointuse@snopud.com Mobile City of Edmonds Business License No: Email State License No: 313-005-741 K Contractor verifies it is currently bonded xi 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. ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? m Other, please specify: SNOPUD Electrical Maintenance Work ❑ Utility Franchise Work associated with development (check one of the above boxes as well ❑ Traffic Control Only (no associated development) x 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.) Proposed job will replace bad order pole PLI 119. PUD crew will install 35' Guy pole to replace existing Guy pole with streetlight. Please include tree trimming for permit purposes. RIGHT-OF-WAY CLOSURE AREA Note: Work will not exceed over 72 hours. TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF Alley 72 hours + LF x 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 x 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 system? X 5. Does the work involve proposed additions to an aboveground utility system? If es: X Are the additions for the purpose of serving new commercial development? X Are the additions for the purpose of serving a single-family residential subdivision? X 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? X If yes, answer the following questions related to project area, i.e. the actual area in which the project is proposed: 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 1 1 1 How many are to be added? I None 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? What is the height of the existing poles? How many poles are to be removed? Are additional poles to be laced? How many? 1 1 1 What is the height of the additionalpoles? I No additional poles 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? 1 1 1 What is the height of the poles after? 35' Describe the modification rebuild: Replace old 30' guy pole with 35' pole to make room for Comcast & Ziply. 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: Richard Dumo PUD Distribution NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE DATE: 9/20/2023 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM pEOO PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 19028 SOUND VIEW PL, EDMONDS WA 98020 LYNNWOODAREA POLE NO. PLI 119 SE1/4S 13 T 27N R 03 DATE 9/19/2023 ORDER 100118145 REASON FOR WORK ENGINEER RICH DUMO OPERATION 30 REPLACE BAD ORDER POLE DRAFTER RICH DUMO U.G. NO. PLI 119 SCALE NTS APPROVED SAS & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ■ NO RIMARY OVERHEAD ❑ RESIDENTIAL ❑ OMMERCIAL LEO NO. '@$ '=8 \ SEC NDARY OVERHEAD NESC VIOLATIONS BASIC FEE S ■ NO ❑ YES (SEE NOTES) @$ _$ PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE METER/ ONV. POLE g PRIMARY UNDERGROUND ❑ RESIDENT L ❑ COUNTY ❑ COMMERCI ■ CITY EDMONDS BASIC FEE S ❑ EASEMENTS LEU No. $ _$ ❑ REQUIRED ■ NOT REQUIRED SECONDARY NDERGROUND ASIC FEE S DATE RELEASED @$ _$ UNDERGROUND P AT FOREIGN CONTACTS ■ JPN# 100118145 BAS C FEE S ri FT.0 _$ ❑ JOINT TRENCH ZIPLY & CATV ElJOINT BORE ZIPLY & CATV STREET LIGHTING El POLE STENCILING WORK IN RIGHT OF WAY FROM TO El PRIMARY TAKE OFF POLE ❑ SECONDARY PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR (� FT.0 $ MISCELLANEOUS FEES ❑ BACKHOE ■ FLAGGING VAULT S ■ ONE CALL DATE PERMIT S No. $ STREET LIGHTING $ ■ YES ❑ NO DATE 9/19 SUBSTATION MAPLEWOOD CIRCUIT NO. 12-345 PHASE 1 ENGR'S TEL. # 425-783-5110 ENGR'S CELL # 425-346-8846 _19021 SL-130629-A 11 19028-CDG \ 50 3 59 21 A 291963 IC-9 TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. I z $ M&R AS -BUILT 50-3635 GIS TOTAL DUE 9 GIS QC M&R fz— 118 c DATE PAID a� RECEPT NO. GIS Ph JOINT USE 611 SERVICE ORDER NO. LOCATION MAP PAGE 454-133 LEGEND SL-12837�i-A OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING o EXISTING POLE ALL ON SITE TILIT ES MAY IREQUIRE OA SEIPERA EI PIERMI .ON TO ANY LAYOUT X EXISTING POLE -TO BE REMOVED • NEW POLE X NEW POLE TO REPLACE EXISTING POLE CONSTRUCTION NOTES O AT PL 1 119 EXISTING 30' CLASS 2 GUY POLE INSTALL GROUND PLATE ON NEW 35' CLASS 2 POLE (N0110) SET NEW 35' POLE 2' S OF EXIST AS STAKED (PW2035) INSTALL 8" HLX ANCH NEAR EXIST AS STAKED (A0101) INSTALL 3/8" DOWNGUY (GO113) INSTALL NEW SPANGUY TO POLE IC-9 (G0202) INSTALL NEW 4' STREETLIGHT MAST (L0506) TRANSFER EXISTING STREETLIGHT LUMINAIRE (SL-130629-A) TRANSFER AND CONNECT EXISTING STREETLIGHT WIRE REMOVE OLD 4'STREETLIGHT MAST AT OLD POLE - PUD TO ENFORCE POLE ATTACHMENT AGREEMENT. - PUD IS RESPONSIBLE FOR ENSURING THAT THE FU100 Ci / n _19017 OLD POLES ARE REMOVED. FU100 2919gl ,T 15-463384 CHERRY ST. NTS OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE N NORTH 98 50-388759 z W Q 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. 15-463384 SO MPL 12-345 963 CHERRY ST. 151CA3190 IC-9 50-3635 118 1 2 3 SCHEMATIC AFTER ENGINEERING DIVISION APPROVED AS NOTED Jell (,U&J,«.44z 12/18/2023 VV RECEIVED Sep 21 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT B.O. POLE NEW POLE ENGINEERING DIVISION APPROVED AS NOTED 12/18/2023 I Fr.FNn. m m 101 �tv SO��O W20-7A W3-4 W20-1 * *113 A CHERRY ST. TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP *W20-7A A BE : PREPARED W3-4 i0 SiDP e RDAD i MDRR W20-1 AHEAD NOTE: SPEED SPACING SIGN BUFFER LIMIT A, B,C (FT) (FT) 25 200 55 30 200 85 35 350 120 N NORTH 1. FLAGGERS REQUIRED TO CONTROL TRAFFIC O CONE OR CHANNELIZING DEVICE WHENEVER THE CREW MUST INTERRUPT ®® SERVICE TRUCK/EQUIPMENT TRAFFIC FLOW TO ACCESS THE WORK SITE RECEIVED WITH MATERIALS OR EQUIPMENT. WORK AREA 2. FLAGGERS TO ASSIST PEDESTRIANS CROSSING THE Sep 21 2023 ROAD BACK AND FORTH DURING CONSTRUCTION. CITY OF EDMONDS 3. WORK HOURS: DEVELOPMENT SERVICES OT FLAGGER DEPARTMENT 7AM TO 5PM MONDAY TO THURSDAY SNOHOMISH COUNTY ppU]m) TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO 1 PROJECT REPLACE BAD ORDER POLE PLI 119 LOCATION 19028 SOUND VIEW PL, EDMONDS WA 98020 ENGINEER RICHARD DUMO PHONE 425-783-5110 PAGER/ CELLULAR 425-346-8846 DATE 9/18/2023 WO NO 100118145-30 / / NOTE: " NO SIDEWALK OR CURB A , B.O. POLE CHERRY ST. o NEW POLE ; ; ,, // ,----- - L) ,� �,, --------D------- - -- -------------5----- VV ------D-----V---------- I I I I � I I I I I I I I I I I I I I I I I I I I I I I I I I I Z I I I I II I I c7l) N I I I I I I I I I I NORTH I I I I I I LAYOUT NTS LEGEND RECEIVED ------- W------- - WATER Sep 21 2023 ------- D------- - STORMWATER/DRAIN - - - - - - - S - - - - - - - - SEWER CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT -------- G----- - GAS SNOHOMISH COUNTY ERFLFIED OTHER UTILITY LOCATIONS PUBLIC UTILITY DISTRICT NO 1 PROJECT REPLACE BAD ORDER POLE PLI 119 LOCATION 19028 SOUND VIEW PL, EDMONDS WA 98020 ENGINEER RICHARD DUMO DATE 9/18/2023 ORDER 100118145-30 PHONE 425-783-5110 CELLULAR 425-346-8846 ri 4ft lwt a- in-0;0 1. ��- -W =BE RECEIVED Sep 21 2023 \ CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT CITY OF EDMONDS Right -of -Way Application #1378652 - WO 100118145 MyBuildingPermit.com 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 19028 SOUNDVIEW PL City Zip Code County Parcel Number EDMONDS 98026 27031300405100 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 Timothy R & Mary Anne W Osborn Number Street Apartment or Suite Number PO BOX 670 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: 9/20/2023 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1378652 - WO 100118145 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 100118145 Description of Work: WO 100118145 - PUD to replace BO Pole 119 located at 19028 Soundview Place. PUD will install a 35' guy pole 2' south of the existing and tree trimming is included. Project Details Project Information Job Number 100118145 Page 2 of 2