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ENG2023-0622 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of • • . I 98020 ENG2023-0622 IL www.edmondswa.gov i Description: PUD - REPLACE 2 BO POLES IN SOFT SURFACE ISSUED: 01/09/2024 Address: 7801 240TH ST SW EDMONDS WA 98026-9116 EXPIRES: 07/09/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27043100401500 iiiI 11-14111 a 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 JASON A & REBECCA M WARREN 7801 240TH ST SW, EDMONDS WA 98026-9116 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 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: 01/09/2024 Printed: Tuesday, January 09, 2024 11:01:41 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 X-2 ENGINEERING FINAL** Printed: Tuesday, January 09, 2024 11:01:41 AM 2 of 2 of EpM04O� /'V.isa° SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E6�. RECEIVED Dec 04 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 Pole Maintenance - WO: 100109024 Site Address or if no site address use Property Address at NW corner of project area: North of 7623 239th PL SW, Edmonds Associated Permits: BLD PLN ENG Owner and applicable) Name of Company Snohomish County PUD Franchise Ordinance No: N/A Point of Contact Title Address PO BO 1107 City Everett State WA Zip 982o6-1107 Phone Email permits@snopud.com Contractor and Authorized Agent of Owner Name of Company Same as above (see note below) Contractor Contacts During Construction Primary Name N/A Agent Name Title Title Mobile Address Email City State Zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: N/A 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. ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? * Other, please specify: Replacing 2 utility poles for maintenance ❑ 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.) Scope of Work: Remove 2 and install 2 new poles due to maintenance. Ground disturbanc will be in soft surface and on PUD property. Work will not exceed 72 hours. Location: Worksite on parcel: 270431004031oo and north of 7623 239th PL SW, Edmonds No lane closure required; No pedestrian detour required; No traffic control needed; No tree trimming required RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + N/A LF x N A LF N7 SF Alley 72 hours + N/A LF x N/A LF N SF 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 No 2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? 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 existingunderground common utilitystem? X 5. Does the work involve proposed additions to an aboveground utility stem? If es: X 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 X project is proposed: 6a. Does your project involve wires/cables/lines? If yes: X 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: X How many poles are existing in the project area? 2 What is the height of the existing poles? 40' and 30' How many poles are to be removed? 2 Are additional poles to be laced? No How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? 1 2 1 What is the height of the poles after? 40' and 30' Describe the modification rebuild:Removing 2 poles and installing 2 new poles in similar locatio 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 responsib permit f APPLICANT SIGNATURE: DATE: 12/4/2023 APPLICANT PRINTED NAME: Christian Chavez 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 0 PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 7801 240TH ST SW, EDMONDS LYNNWOODAREA POLE NO. 15597 & 15594 SE1/4S 31 T 27 R 4 DATE 11/7/2023 ORDER 100109024 REASON FOR WORK REPLACE BO POLES 15597 ENGINEER C. CHAVEZ OPERATION 0030 AND 15594 DRAFTER U.G. NO. SCALE APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ D ❑ YES ❑ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE $ ❑ NO ❑ YES (SEE NOTES) @$ 1-$ PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE METER/CONV. POLE $ PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ❑ CITY BASIC FEE $ ❑ EASEMENTS LFU NO. @$ -$ ❑ REQUIRED ❑ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE $ DATE RELEASED @$ I-$ UNDERGROUND PLAT FOREIGN CONTACTS ❑ JPN# BASIC FEE $ FT.@$ -$ ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV STREET LIGHTING � FT.@$ '—$ ❑ POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY PRE—CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR FT.@$ '=$ MISCELLANEOUS FEES ❑ BACKHOF ❑ FLAGGING VAULT $ ❑ ONE CALL DATE PERMIT $ No. STREET LIGHTING $ $ ❑ YES ❑ NO $ M&R AS -BUILT $ GIS TOTAL DUE $ GIS QC M&R DATE PAID GIS Ph JOINT USE RECEIPT NO. LOCATION MAP PAGE 475—A2 SERVICE ORDER NO. DATE SUBSTATION RPK CIRCUIT NO. 12-2048 PHASE 1 ENGR'S TEL. # ENGR'S CELL # 425-344-2482 TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. RECEIVED PLI: 15597 Dec 04 2023 CITY OF EDMONDS MENT SET 40' CL 2 POLE TIGHT NORTH OF PLI: 15597 AS STAKED DEVE OPARTMENRVICES SET DEPTH = 6' USE 5/81' GRVL BCKFLL, CMPCT IN 6" LFTS - PUD TO ENFORCE POLE ATTACHMENT AGREEMENT. - PUD IS RESPONSIBLE FOR ENSURING THAT THE OLD POLES ARE REMOVED. OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE LEGEND: SL-130001- 37-1 O EXISTING POLE Applicant shall repair/replace all 15592 damage to utilities or frontage ENGINEERING DIVISION EXISTING POLE —TO BE REMOVED improvements in City right-of-way APPROVED AS NOTED 77 NEW POLE per city standards that is caused or occurs during the permitted project. NEW POLE TO REPLACE EXISTING POLE -VV �� Q✓-x�+Q 01/09/2024 FRAME NEW POLE AS VERTICAL DEADEND (AS12V109) XFR (1) PRIMARY & (1) NEUTRAL XFR 37 KVA XFMR:37-8732 RMV (1) BO CUTOUT FOR XFMR: 37-8732 INSTALL (1) 10A FUSE AND CUTOUT FOR XFMR: 37-8732 XFR (6) OH SEC'D SVCS XFR (1) Y-GUY STRIP TOP AND REMOVE PLI: 15597 (40', CL 2, 1953) PLI: 15594 SET 30' CL 2 POLE TIGHT NORTHEAST OF PLI: 15594 AS STAKED SET DEPTH = 5' USE 5/8'' GRVL BCKFLL, CMPCT IN 6'' LETS INSTALL (1) SPOOL RACK XFR (1) ON SEC'D SVC XFR (1) Y-GUY STRIP TOP AND REMOVE PLI: 15594 (30', CL 2, 1953) 3E SHEET OF 9 LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) ROAD W20-1 WORK AHEAD x ONE LANE W20-4 ROAD AHEAD x W20-7A �� x Z Q 00 00 N M x G 2 0 - 2 ROADNWORK 48" x 24" (OPTIONAL) RECEIVED Dec 04 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT r • 48" x 24' i ENWORK G 2 0- 2 (ROADx (OPTIONAL) 0 0 K. SIGN SPACING 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. z Q aW mm Ln O 7 x s T W20-7A �', ONE LANE s ROAD W20-4 AHEAD x ROAD i WORK W20-1 AHEAD ENGINEERING DIVISION APPROVED AS NOTED %l/ (AIQ.i i'oe,4np 01 /09/2024 vv W20-76 BE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS 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 1 40 1 45 1 50 1 55 1 60 65 1 70 LENGTH (FEET)l 155 1 200 1 250 1 305 1 360 1 425 1 495 1 570 645 1 730 TRANSPORTABLE ATTENUATOR ROES 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 MPH > 55 MPH 100' 123' 172' 74' 100' 150' TABLE 1 CHANNELIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50-65 10 TO 20 80 35-45 10 TO 20 60 25-30 1 10 TO 20 40 • CHANNELIZING DEVICE r FLAGGING STATION AL PORTABLE SIGN AND SUPPORT �® WORKIT VEHICLE WITH FLASHING LIGHWORK AREA SNOHOMISH COUNTY Lpau�D TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO 1 PROJECT REPLACE BO POLES 15597 AND 15594 THIS PLAN MAY BE MIRRORED FOR LOCATION INTERURBAN TRAIL - NORTH OF 7623 239TH PL SW, EDMONDS OPPOSITE SIDE OF ROADWAY USING ENGINEER CHRISTIAN CHAVEZ DATE 12/4/2023 ORDER 100109024 SAME SIGNS AND SPACING. P YES El NO El INITIAL HONE (425) 670-3213 CELLULAR (425) 344-2482 RECEIVED Dec 04 2023 CITY OF EDMONDS CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1412056 - WO 100109024 - Replace PLIs 15597 and 15594 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 7801 240TH ST SW City Zip Code County Parcel Number EDMONDS 98026 27043100401500 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 Jason A & Rebecca M Warren Number Street Apartment or Suite Number 7801 240TH ST SW City State Zip EDMONDS WA 98026-9116 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: 12/4/2023 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1412056 - WO 100109024 - Replace PLIs 15597 and 15594 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 Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: WO 100109024 - Replace PLIs 15597 and 15594 WO 100109024 PUD crews will replace PLI's 15597 and 15594 located at 7801 240th St Description of SW, Edmonds. Ground disturbance will be in soft surface and on PUD property and work will Work: not exceed 72 hours. No lane closure, pedestrian detour, traffic control or tree trimming is required. Project Details Project Information Job Number 100109024 Page 2 of 2