ENG2024-0002 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
www.edmondswa.gov i
Description: PUD - CLEAR BRUSH AND STRAIGHTEN POLE ISSUED: 01/18/2024
Address: 716 DALEY ST EDMONDS WA 98020-3025
EXPIRES: 07/18/2024
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434208400400
I 11-14111 a
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)238-7372
CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353
OWNER MITCHELL REVOCABLE LIVING TRUST 716 DALEY ST, EDMONDS WA 98020-3025
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENG - INSPECTIONS
$126.00 $126.00
RIGHT-OF-WAY PERMIT - MINOR $126.00 $126.00
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: 01/18/2024
Printed: Thursday, January 18, 2024 11:52:23 AM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT
NUM1BE
City of Edmonds
...
- •:� 1 111 .
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: Thursday, January 18, 2024 11:52:23 AM 2 of 2
Of EDA,1040
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
ANC. 1590 Requirements outlined in Right -of -Way permit Handout E5 Y11JVd3a
S301nil38 iN3Wd013n3a
If any field is not applicable to your project, write "N/A" isnMeacT 'heaving blank.
All fields required. Incomplete Applications will �Wr
a3AI3a3H
SECTION A WO 100106479
General
ProjectNameSTRAIGHTEN POLE PLI 197557
Site Address or if no site address use Property Address at NW corner of project area: 716 DALEY ST, EDMONDS WA 98020
Associated Permits: IBLD PLN 771 ENG
OAvner and Entity Holding Franchise (if applicable)
Name of Company SNOHOMISH COUNTY PUD NO. 1 Franchise Ordinance No: N/A
Point of Contact KARL HAACK
Tide DESIGNER
Address 21014 63RD AVE W
CityLYNNWOOD State WA Zip 98036
Phone 425-238-7372
EmailKJHAACK@SNOPUD.COM & permits@snopud.com
Contractor and Authorizedof •
Name of Company SAME AS ABOVE
- •w)
Contractor ContactsDuring Construction
Primary NameSAME AS ABOVE
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
® Contractor verifies it is currently bonded
o 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 well
a Traffic Control Only (no associated development)
e Utility Franchise Work (no associated development)
City of Edmonds ROW constriction permit Application --Page i 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.)
PUD TO TRIM BRUSH ALONG HILL NORTH OF 716 DALEY ST TO CREATE ACCESS TO AND 10' WORK AREA AROUND EXISTING POLE
PLI 197557. PUD TO ROCK-AND-RAKE(STRAIGHTEN POLE, TAMP COMPACTED GRAVEL AROUND POLE. WORK SITE SOUTH SIDE OF
DALEY ST, EAST OF 7TH AVE N (CROSS STREET). BRUSH CLEARING AND RESTORATION TO BE PERFORMED BY PUD. 2 (SEPERATE)
DAY PARTIAL LANE CLOSURE ALONG EASTBOUND DALEY ST ON NORTH SIDE OF 716 DALEY ST. NO PEDESTRIAN DETOUR RQD,
NO PAVEMENT CUT. NO INSTALLATION OF NEW FACILITIES. TRAFFIC CONTROL BY PUD. ALL WORK TO TAKE PLACE MON-FRI
BETWEEN THE HOURS OF 8:OOAM-4:OOPM.
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
SECTTON 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 Work to be Completed
1 Does the utility owner have existing overhead infrastructure in the area of work?
Yes
YES
No
2.
1 Will any equipment be added underground or above ground (e.. 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?
NO
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 O
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
NO
project is proposed:
6a.
Does your project involve wires/cables/lines? If yes:
NO
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.
I 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'
How many poles are to be removed?
No
Are additional poles to be laced?
No
How many? I I What is the height of the additional poles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
NO
How many? 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.
1
APPLICANT SIGNATURE: : � . DATE: 12/26/23
APPLICANT PRINTED NAME: KART
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
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 716 DALEY ST, EDMONDS WA 98020 LYNNWOODAREA
POLE No. PLI 197557 SW1/4S 24 T 27 R 3 DATE 12/14/23 ORDER 900689
REASON FOR WORK ROCK AND RAKE POLE PLI 197557 ENGINEER K HAACK OPERATION
BACKFILL WITH CRUSHED GRAVEL DRAFTER U.G. NO.
SCALE 1" = 60'
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ❑ YES ■ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
@$ _$
SECONDARY OVERHEAD
BASIC FEE 5
@$ '=$
METER/CONV.POLE S
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COMMERCIAL
BASIC FEE 3
LEU NO.
SECONDARY UNDERGROUND
BASIC FEE S
NESC VIOLATIONS
■ NO ❑ YES (SEE NOTES)
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE
❑ COUNTY
■ CITY EDMONDS
EASEMENTS
❑ REQUIRED ■ NOT REQUIRED
I@$ .=$
DATE RELEASED
UNDERGROUND PLAT
FOREIGN CONTACTS
❑ JPN#
BASIC FEE
5
FT.99 '=$
❑ JOINT TRENCH ZIPLY & CATV
❑ JOINT BORE ZIPLY & CATV
STREET LIGHTING
'-$
■ N/A
(� FT.@S
POLE STENCILING
WORK IN RIGHT OF WAY
FROM TO
❑ PRIMARY
TAKE OFF POLE
❑ SECONDARY
PRE—CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
CE FT. Lag _$
MISCELLANEOUS FEES
❑ BACKHOE ■ FLAGGING
VAULT
S
■ ONE CALL DATE
PERMIT
S
No.
$
STREET LIGHTING
❑ YES ■ NO
M&R
AS -BUILT
S
GIS
TOTAL DUE 9
GIS QC
M&R
DATE PAID
GIS Ph
JOINT USE
RECEPT NO.
SERVICE ORDER NO.
LOCATION MAP PAGE 454-G5
LEGEND:
o EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
lei NEW POLE TO REPLACE EXISTING POLE
DATE
SUBSTATION FIVE CORNERS
CIRCUIT NO. 12-1283 PHASE 3
ENGR'S TEL. #
425-670-3208
ENGR'S CELL #
425-238-7372
N
CONSTRUCTION NOTES:
GAT POLE PLI 197557:
RESTORATION CLEAR BRUSH FOR ACCESS TO POLE AND CLEAR
10' WORK AREA AROUND POLE
LINE CREWS ROCK AND RAKE TO STRAIGHTEN POLE. BACKFILL W/CRUSHED
CRUSHED ROCK TAMPED IN 6" LIFTS.
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING OWNER/CONTRACTOR IS RESPONSIBLE FOR
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY EROSION CONTROLAND DRAINAGE
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
I
I
701 711
Z
Ld
I a
�w--------\V�_.
I— w--------- -
PLI 276606 I r-_ P R I764-S�
SL-128673-B A-,' 5------ ---
717
725
---wX
----DALEYw ST_,
-1H�------c�------------
U) P
i
I
I
414 716 1 726 1 730 1
I I I I
I I I i
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.
LAYOUT
1" = 60'
731
I I I
I I I
--------D--------------
tl5-391630694
-102294-A-,-'------W---------------W---
—S----—---------- S--------------- S--—---
742
RECEIVED
I
Jan 02 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
ENGINEERING DIVISION
APPROVED AS NOTED SHEET OF
,&a LV,(,U.44,P 01/16/2024
LANE CLOSURE ON A TWO-LANE ROAD
(TWO FLAGGER OPERATION)
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
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.
GENERAL NOTES:
SHALL MAINTAIN 11'
MIN. LANE WIDTH D AL E Y S T
H
O O O O O O O O O
O 00 O
X X X TAPER B R 100' X
50' MIN -0.■ 100' MAX -u
E
W20-78 x
z N
_ 0
a a 6E N _
o m PREPARED O
N N TO STOP
O O N
y OPTIONAL IF
® 40 MPH OR LESS
ENGINEERING DIVISION RECEIVED THIS PLAN MAY BE MIRRORED FOR
AOPPOSITE SIDE OF ROADWAY USING
APPROVED As NOTED Jan 02 2024
SAME SIGNS AND SPACING.
CITY OFLOPM ETSERVI YES ■ NO ❑ INITIAL KJH
�p�� WQ✓..ya,..nnp 01 /16/2024 DEVELOPMENT SERVICES
vv DEPARTMENT
N
NORTH
I
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
30
35
40
45
50
55
60
65
70
LENGTH (FEET)
155
200
250
305
360
425
495
1 570
1 645
1 730
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 MPH
> 55 MPH
100' 1
123' 1
172'
74' 1
100' 1
150'
TABLE 1
CHANNELIZATION DEVICE
SPACING (FEET)
MPH
TAPER
TANGENT
50-65
10 TO 20
80
35-45
10 TO 20
60
25-30
10 TO 20
40
LEGEND:
O
CHANNELIZING DEVICE
(—
FLAGGING STATION
PORTABLE SIGN AND SUPPORT
�®
WORIT VEHICLE WITH FLASHING
LIGWORK
AREA
RECEIVED
Jan 02 2024
\ CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
CITY OF EDMONDS
Right -of -Way Application #1421091 - WO 100106479
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
716 DALEY ST
City Zip Code County Parcel Number
EDMONDS 98020 00434208400400
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
MITCHELL REVOCABLE LIVING TRUST
Number Street Apartment or Suite Number
716 DALEY ST
City State Zip
EDMONDS WA 98020-3025
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: 12/27/2023 Submitted By: Moe Matthews
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1421091 - WO 100106479
Project Contact
Company Name: Snohomish County PUD
Name: Karl Haack Email: kjhaack@snopud.com
Address: PO Box 1107 Phone #: (425) 238-7372
Everett WA 98206
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: WO 100106479
Description of WO 100106479: PUD crews to clear brush for access to a pole in order to rock and rake to
Work: straighten pole. Work to occur on south side of Daley St. Lane closure needed along
eastbound on Daley for two separate days of work.
Project Details
Project Information
Job Number
WO 100106479
Page 2 of 2