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ENG2024-0037 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NU BE City of Edmonds Edmonds WA 98020 ENG2024-0037 www.edmondswa.gov i Description: PUD - REPLACE 1 BO POLE (EXPIRED PERMIT ENG2022-0107) ISSUED: 02/20/2024 Address: 17315 72ND AVE W EDMONDS WA 98026-5103 EXPIRES: 08/20/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00513100013801 NAME TYPE NAME ADDRESS PHONE APPLICANT MOE MATTHEWS PO BOX 1107, EVERETT WA 98206 (425)783-5681 CONTACT PUD PO BOX 1107, EVERETT WA 98206 (425)239-8210 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER DONALD RICHARD TTEE WALKER 17315 72ND AVE W, EDMONDS WA 98026-5103 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: 02/20/2024 Printed: Tuesday, February 20, 2024 2:08:43 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,...Ave N, Edmonds WA 9:0ENG2024-00371 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, February 20, 2024 2:08:43 PM 2 of 2 RECEIVED of EPA10� RIGHT OF WAY CONSTRUCTION JAN 26 2024 PERMIT APPLICATION CITY OF EDMONDS Complete and submit this Application in accordance with the Submittal DEVELOPMENT 7NC. 1 g9() 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 Reapplying for expired ENG2022-0107. WO 100092602 General Project Name PUD-REPLACE BAD ORDER POLE Site Address or if no site address use Property Address at NW corner of project area: 17315 72ND AVE W EDMONDS WA 98026-5103 Associated Permits: BLD ROW EUC PLN TCP/CONST ENG Owner Name of Company SNOHOMISH COUNTY PUD DIST k 1 Franchise Ordinance No: N/A Point of Contact ANDREW RIFE Title ENG TECH III Address 1802 75TH ST SW City EVERETT State WA Zip 98206 Phone 425-783-8559 Email ASRIFE@SNOPUD.COM ownerContractor and Authorized Agent of Name of Company SNOHOMISH COUNTY PUD Primary Name Agent Name ANDREW RIFE Title Title ENG TECH III Mobile Address 1802 75TI I ST SW Email City EVERETT State WA Zip 98206 Secondary Name Phone 425-783-8559 Title Email PERMITS@SNOPUD.COM Mobile City of Edmonds Business License No: Email State License No: 313-005-741 IX Contractor verifies it is currently bonded EX Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o.020 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) [$Traffic Control Only (no associated development) XUtility 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.) PUD CREW WILL BE REPLACING 1-BAD ORDER POLE IN EDMONDS ROW. THE CREW WILL SET UP FACING NORTH IN THE NORTH BOUND LANE. POLE REPLACEMENT SHOULD TAKE APPROXIMATELY 8 HRS TO COMPLETE. NO TREE TRIMMING REQUIRED AND NO IMPACT TO PEDESTRIAN FOOT TRAFFIC. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF Alley 72 hours + LF x LF SF 0 Parking 72 hours + LF x LF I SF 0 SECTION B -If you are not a utility company performing work in the City ROW, skip to SECTION C. Type of Utilit.N7 Facilities i. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable [Xpower ❑ gas ❑ water ❑ sewer ❑ storm Details of • to be• •. 1. Does the utilityowner have existing overhead infrastructure in the area of work? Yes Nom i< ' 2. Will any equipment be added underground or above ground (e.g. 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? 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? 5. Does the work involve proposed additions to an aboveground utility system? If es: Are the additions for the purpose of serving new commercial development? Are the additions for the purpose of serving a single-family residential subdivision? x' Details of • to be Completed Does your project involve rebuilding or replacing utility equipment which currently serves more 6. 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 ro'ect is proposed: 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 1 2 1 How many are to be added? 1 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? 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: X How many? 1 I 1 What is the height of the poles after? 45FT Describe the modification rebuild: LIKE FOR LIKE BEING INSTALLED/REPLACED 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 maybe 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: '4Ke4"'t- � DATE: 1/25/24 ANDREW S. RIFE ENG TECH III NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 ENGINEERING DIVISION 30 13 3HS 02/15/2024 .1d], ��.� � USSO-3 Applicant shaUxepw4rep1ace- damage to utilities or fronta improvements in Ci y rig - per city stand ds that is ca occurs during they mitted I �--------------------- - — sed o� rojectc' �� z K zt (� 9i Oi d-66it 1S £ 9I 9££L C IUT b WNER/C CTOR I NS BLE FOR Z ERO ION C6 ROLGI R GE LOi O NER/CQ$ tj]&4 IRESP IBLE FOR ALL N SITE UTILIT'11=S RELO A UTILITIES MAY RE DIRE A SEPERA I ` £0£Li d- b8Zi-1S i TING SIN OliVh3HOS - PUD TO ENFORCE POLE ATTACHMENT AGREEMENT. - PUD IS RESPONSIBLE FOR ENSURING THAT THE OLD POLES IS REMOVED. ; In3N 8SOVZ#(0 18d ?JSOVZ#(Z) I Z6-ZL A23d Z l 310d ONIISIX3 3OV1d3N 01 310d M3N X 310d M3N • 03AOV438 38 01-310d ONIISIX3 310d ONIISIX3 0 =aN303-1 1-U99TT-39Vd dvw NOILV301 'ON 83090 MIAM3S 'ON 1d13338 OIVd 31Va 3Sn 1NIOr ud SID a91104 o0 SID f 3n0 1v101 SID f f f 111n8-S1l sin, ON ■ S3A O ONUH011 13381S f f 11w83d .ON 31V0 llvo 3NO ■ f 1 VIVA 'JNIJJVl3 ■ 3OHH:)V8 0 S333 Sn03Nd1133SIY4 wwool and 0 wlal 33a1 0 AaVON003S 0 Aavwlad o S1NW48inO38 '1SN00-38d 310d 330 3NY►1 01 woa� JIVM 30 1HJ121 H2i0M NI DNIIIDN31S 3�Od SM. 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Lc)o X *T, W20-7A X �, ONE LANE = ROAD W20-4 AHEAD X ROAD = WORK W20-1 AHEAD W20-76 RE PREPARED TO STD OPTIONAL IF 40 MPH OR LESS RECEIVED JAN 26 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT vzoz/S 6/ZO GAi0N S`d GAA0add`d NOISIA10 ONND3 INION3 RECEIVED CITY OF EDMONDS Right -of -Way Application #1433647 - WO 100092602 JAN 26 2024 MyBuildingPermit.com CITY OF EDMONDS DEVELOPMENT SERVICES 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 17315 72ND AVE W City Zip Code County Parcel Number EDMONDS 98026 00513100013801 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 Richard Ttee Walker Number Street Apartment or Suite Number 17315 72ND AVE W City State Zip EDMONDS WA 98026-5103 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: 1/25/2024 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1433647 - WO 100092602 Project Contact Company Name: PUD Name: Andy Rife Email: asrife@snopud.com Address: PO Box 1107 Phone #: (425) 239-8210 Everett WA 98206 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: WO 100092602 WO 100092602: PUD crews will be replacing one BO pole. Crew will set up facing north Description of Work: in the northbound lane. Job should take 8 hours. No tree trimming or pedestrian impact. Project Details Project Information Job Number 100092602 Page 2 of 2