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ENG2023-0635 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds 98020 ENG2023-0635 www.edmondswa.gov i Description: PUD - REAPPLYING FOR EXPIRED PERMIT ENG2023-0028 ISSUED: 01/12/2024 Address: 21626 88TH AVE W EDMONDS WA 98026-7830 EXPIRES: 07/12/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00602600000800 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)783-8262 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER STANFIELD DAVID M 21626 88TH AVE W, EDMONDS WA 98026-7830 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: 01/12/2024 Printed: Friday, January 12, 2024 9:16:24 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NU �!BEJ 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: Friday, January 12, 2024 9:16:24 AM 2 of 2 WO# 100057676 of EOMotio� Reapplying for Expired Permit: ENG2023-0028 RECEIVED RIGHT OF WAY CONSTRUCTION DEC 18 2023 PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS P pp DEVELOPMENT /Iv . i s'0 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 Info Project Name BO Pole 14502 Site Address or if no site address use PropertyAddress at NW corner of project area: 21626 88th Ave W Edmonds, WA 98026 Associated Permits: BLD PLN ENG • Name of Company applicable) Snohomish County PUD Franchise Ordinance No: N/A Point of Contact Andy Tran Title Senior Design Engineer Address PO Box 1107 city Everett State WA zip 98206-1107 Phone 425-783-1000 Email AXTran@snopud.com ContractorOwner Name of Company Same info as above Primary Name Agent Name Title Title Mobile Address Email City State zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: Email State License No: 313-005-741 g' 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? dOther, please specify: Pole Replacement ❑ 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.) Reapplying for permit ENG2023-0028: PLI 14502 in front of 21626 88th Ave W Edmonds is a Bad Order pole and needs to be replaced. Proposed new pole location is T W of the existing pole, making it 8' away from the edge of the traveled lane. Vegetation trimming was completed under the previous ROW permit at the end of Nov 2023. Moving the pole further back to 10' from the edge of the traveled lane would result in additional trimming of the tree at 8804 216th St SW. Southbound lane will be closed for 4-8hrs between 8AM-3:30PM. Existing 3" conduit will need to be extended to the new pole location. No boring. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF I x LF SF Alley 72 hours + LF Ix I LF SF Parking 72 hours + LF I x 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 Wpower ❑ gas ❑ water ❑ sewer ❑ storm Details 1. of Work to be Completed Does the utility owner have existing overhead infrastructure in the area of work? Yes No 2. 1 Will any equipment be added underground or above ground (e.g. 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? 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? 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? I I How many are to be added? 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? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? 1 1 1 What is the height of the poles after? 45' Describe the modification rebuild: 45' Pole Replacement 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: " 2Za� DATE: 12/18/2023 APPLICANT PRINTED NAME: APPLICANT TITLE: Senior Design Engineer 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 SNO_O_I II COUNTY p T� PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 21626 88TH AVE W EDMONDS WA 98026 LYNNWOODAREA POLE NO. 14502 NW1/4S 30 T27 R 04E DATE 12/18/2023 ORDER 100057676 REASON FOR WORK BQ POLE PLI 14502 ENGINEER AXTRAN OPERATION 0030 DRAFTER U.G. NO. NA SCALE 1"=100' APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REO'D ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. '@$ '=$ SECONDARY OVERHEAD BASIC FEE $ METER/CONV.POLE $ PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE S LEU NO. SECONDARY UNDERGROUND BASIC FEE S UNDERGROUND PLAT BASIC FEE S CE FT.@$ '=$ STREET LIGHTING CL FT.@$ _$ WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONDARY (� FT.@$ _$ MISCELLANEOUS FEES VAULT 8 PERMIT ;; TOTAL DUE S DATE PAID RECEIPT NO. SERVICE ORDER NO. I FC;FNn: NESC VIOLATIONS ■ NO ❑ YES (SEE NOTES) PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ CITY El EASEMENTS ❑ REQUIRED ■ NOT REQUIRED DATE RELEASED FOREIGN CONTACTS ■ JPN# ❑ JOINT TRENCH FRONTIER & CATV ❑ JOINT BORE FRONTIER & CATV EI POLE STENCILING FROM TO TAKE OFF POLE PRE-CONST. REQUIRMENTS ■ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ❑ FLAGGING ■ ONE CALL DATE No. STREET LIGHTING ❑ YES ■ NO M&R AS -BUILT GIs GIs QC M&R GIs Ph JOINT USE LOCATION MAP PAGE 454-J7 O EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION 5CR CIRCUIT NO. 1285 PHASE 1 ENGR'S TEL. # 425-783-8262 ENGR'S CELL # 425-359-1123 N VICINITY MAP TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. O POLE PLI # 14502/STENCIL# ECF-5, NEW PLI #-------- SET 45' CL 2 POLE (PW2045, N0110), 7' W SET DEPTH = 6.5' USE 5/8" GRVL BCKFLL, CMPCT IN 6" LFTS FRAME POLE AS 1PH VERTICAL TANGENT (12V101). FRAME POLE WITH 1PH UG SEC RISER OU705). RMV 25 KVA OH XFMR UTC #----------------- SER # ----------------- HANG 50 KVA OH XFMR (12V601, BA21R) UTC #----------------- SER # ----------------- EXT AND XFR OH SEC SVCES FOR 21617, 21621, AND 8730 216TH ST SW. RMV EXISTING UG SEC RISER. RMV EXISTING UG SEC WIRE FROM RISER TO EXISTING PIED. EXT AND XFR EXISTING 3" CONDUIT TO NEW POLE LOCATION. RUN 115' OF NEW 350 KCMIL UG SEC TPX TO EXISTING PED. c-Tnrn .D I rRlr AA�I\ Tnn 11%vE) - O nni r rno nnulii iAilt-ATTnKIC U'1`I 11./ I IVIY J. 21626 8803 PLAN VIEW 8804 5 8730 25-9122 D2 o' 21617 W I- 00 00 - PUD TO ENFORCE POLE ATTACHMENT AGREEMENT. - PUD IS RESPONSIBLE FOR ENSURING THAT THE OLD POLES ARE REMOVED. 21621 OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. SCHEMATIC BEFORE SCHEMATIC AFTER TO CKT 5CR 12-1285 25 KVA TO CKT 5CR 12-1285 H = a_ � U = aF z o zW � 0J U'V) W Q � of 50 KVA u'Ln Q UU UU Y 0= 0 Y q 0_ 0 00 00 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. ENGINEERING DIVISION APPROVED AS NOTED ,l11 (,ilQ J,1,..,,nQ 01 /11 /2024 Vill RECEIVED DEC 18 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM WORK ON SOUTHBOUND SHOULDER OR PARKING LANE FOR 4-8 HRS BETWEEN 8AM-3PM. FOR PARKING LANE CLOSURE, NO PARK BARRICADES REQUIRED + t 48" x 24" END N s G20-2 WITHIN CLOSURE AREA I ROAD WORK AORRO, P x (OPTIONAL) TO 0 TOW AWAY AREA I MIN. • • I 50' (100' FOR SPEED LIMIT 45 M P H W • OR ABOVE) DISPLAYED 72 HOURS IN ADVANCE OF CLOSURE Q • ® OPLI 14502 001 • 0o NO ENCROACHMENT ON THIS • TRAVELED LANE IS PERMITTED. IF ENCROACHMENT IS NECESSARY, • LANE SHALL BE CLOSED. • m W20-301 SHALL BE USED FOR • J SPEED LIMITS 45 MPH OR ABOVE • SHOULDER CLOSED • I x SHOULDER W s WORK W21-5 W20-301 x IF USED, W20-301 SHALL BE PLACED � s W20-1 n BETWEEN W20-1 AND W21-5 USING N SPACING DISTANCE (X) I RECEIVED ENGINEERING DIVISION DEC 18 2023 TRAFFIC CONTROL INSPECTION SHALL BE APPROVED AS NOTED REQUIRED WHENEVER WORK ZONE IS SET UP vv CITY OF EDMONDS DEVELOPMENT SNOHOMISH COUNTY SERVICES DEPARTMENT pFI-Fl® TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO 1 PROJECT BO POLE 14502 LOCATION 21628 88TH AVE W EDMONDS, WA 98026 ENGINEER ANDY TRAN DATE 12/4/2023 ORDER 100057676 PHONE 425-783-8262 CELLULAR 425-359-1123 RECEIVED DEC 18 2023 CITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS DEVELOPMENT Right -of -Way Application #1418428 - WO 100057676 - BO Pole 14502SERVICES DEPARTMENT 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 City Zip Code County Parcel Number Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location ROW in front of 21626 88th Ave W, Edmonds Property Owner First Name Last Name or Company Name Number Street Apartment or Suite Number City State Zip 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: 12/18/2023 Submitted By: Moe Matthews Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1418428 - WO 100057676 - BO Pole 14502 Project Contact Company Name: Snohomish County PUD Name: Andy Tran Email: permits@snopud.com Address: PO Box 1107 Phone #: (425) 783-8262 Everett WA 98206 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: WO 100057676 - BO Pole 14502 Reapplying for expired permit ENG2023-0028. PLI 14502 in front of 21626 88th Ave W, Edmonds is a bad order pole and needs to be replaced. Proposed new pole location is 7' W of Description of the existing pole, making it 8' away from the edge of the traveled lane. Vegetation trimming was Work: completed under the previous ROW permit at the end of November 2023. Moving the pole further back to 10' from the edge of the traveled lane would result in additional trimming of the tree at 8804 216th St SW. Southbound lane will be closed for 4-8 hours between 8AM-3:30pm. Existing 3" conduit will need to be extended to the new pole location. No boring. Project Details Project Information Job Number 100057676 Page 2 of 2