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ENG2024-0040 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds www.edmondswa.gov i Description: PUD - REPLACE 1 BO POLE; REAPPLYING FOR EXPIRED ENG2022-0098 ISSUED: 02/20/2024 Address: 1424 OLYMPIC VIEW DR EDMONDS WA 98020-2690 EXPIRES: 08/20/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00531904400002 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 CHRISTOPHER & WARE ME WARE 1424 OLYMPIC VIEW DR, EDMONDS 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: 02/20/2024 Printed: Tuesday, February 20, 2024 2:33:59 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,...Ave N, Edmonds WA 9:01 1141 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, February 20, 2024 2:33:59 PM 2 of 2 of EpMp�O� RECEIVED RIGHT OF WAY CONSTRUCTION JAN 29 2024 PERMIT APPLICATION CITY OF EDMONDS Complete and submit this Application in accordance with the Submittal DEVELOPMENT /'V . is') 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 • Project Name REPLACE BAD ORDER POLE. Site Address or if no site address use Property Address at NW corner of project area: 1424 OLYMPIC VIEW DR Associated Permits: BLD PLN TCP/CONSTRUCTION ENG Owner and Entity Name of Company Holding SNOHOMISH COUNTY PUD Franchise Ordinance No: Point of Contact ANDREW RIFE Title ENGINEERING TECH III Address 1802 75TH ST SW City EVERETT State WA Zip 982o6 Phone 425-783-8559 Email ASRIFE@SNOPUD.COM Contractor and Authorized Agent of Owner Name of Company SNOHOMISH COUNTY PUD (see note below) Contractor Contacts During Construction Primary Name ANDREW RIFE Agent Name ANDREW RIFE Title ENG TECH III Title ENG TECH III Mobile 425-239-8210 Address 1802 75TH ST SW Email ASRIFE@SNOPUD.COM City EVERETT State WA Zip 982o6 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 EX 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: ❑ Utility Franchise Work associated with development (check one of the above boxes as welt L: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.) THE PUD WILL BE REPLACING 1 BAD ORDER POLE W/CREW SETTING UP IN THE NE BOUND LANE. NO TREE WORK AND NO IMPACT TO PEDESTRAIN TRAFFIC. PLEASE REFERENCE EXPIRED PERMIT ENG 2022-098 RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF I x LF SF 0 Alley 72 hours + LF Ix I LF SF 0 Parking 72 hours + LF Ix I LF SF 0 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 Xpower ❑ 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 existing underground common utility stem? X 5. Does the work involve proposed additions to an aboveground utility stem? If es: 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? 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 3 1 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: X How many? I 1 I What is the height of the poles after? 50FT Describe the modification rebuild: LIKE FOR LIKE 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. Alzw� APPLICANT SIGNATURE: APPLICANT PRINTED NAME: ANDKP;W K1Ph APPLICANT TITLE: 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 AW won �N9H91r11SY1 �1N•T Y POLE NO. 166 SE1/4S 13 T 27 R 03 DATE 03/05/22 ORDER 100092668 REASON FOR WORK REPLACE BAD ORDER POLE ENGINEER A. RIFE OPERATION 0030 FOR PUD PRI-5 DRAFTER u.G. NO. SCALE APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REO'D OYES ■NO PRIMARY OVERHEAD O RESIDENTIAL O COMMERCIAL LEO NO. 'Qs '-s SECONDARY OVERHEAD BASIC FEE s 'os '.s METER/CONV. POLE s PRIMARY UNDERGROUND O RESIDENTIAL O COMMERCIAL BASIC FEE s LEU NO. 'Qs '•s NESC VIOLATIONS ■ NO E3 YES (SEE NOTES) PERMITS (DATE GRANTED) O TREE TRIM O STATE E3 COUNTY ■ CITY EDMONDS E3 EASEMENTS O REOUIRED O NOT REOUIRED DATE SUBSTATION MPL CIRCUIT NO. 12-343 PHASE 123 ENGR'S TEL. • 425-783-8559 ENGR'S CELL • 425-239-8210 N SECONDARY UNDERGROUND SI S3�Od 0�0 BASIC FEE s AIOISNOdSA2] SI and - 'Qs '-s D L 1N�W��2�JV UNDERGROUND PLAT FOREIGN 11V Od Aa2JOJNA Ol and - BASIC FEE s ■ IN.1 q FT.02 '.s O JOINT TRENCH ZIPLY & CATV STREET LIGHTING OJOINT BORE ZIPLY & CATV rt FT.05 '.s O 100092668 POLE STENCILINGFROM WORK 1N RIGHT OF WAY TO ' O PRIMARY TAKE OFF POLE O SECONDARY q FT.QS '.s PRE-CONST. REQUIRMENTS MISCELLANEOUS FEES O TREE TRIM O PUD LOCATOR E3BACKHOE ■ FLAGGING VAULT f ■ ONE CALL DATE PERMIT s No. s LOC A-PLI-166 SET 45FT POLE T.E.OF EXISTING POLE SET POLE 6.5FT DEEP FRAME POLE PER CS-12F303 AND 12F603 TRANSFER OVHD SEC SVC'S AND SL-115978-A INSTALL NEW STAND-OFFS AND TRANSFER EXISTING SEC PARALLEL RISER'S TRANSFER EXISTING 120/208/240V THREE PHASE BANK WIRE XFRM BANK PER T&D GUIDELINES 4-13-8.0 PH-2 UTC* 50-370223 SERO PH-3 UTC* 15-16466 SER# PH-1 UTC* 15-16467 SER* MPL 12-343 (3)*4CU SOL PRI (1)*4CU SOL NEUT 1 2 3 15 /// STREET LIGHTING ■YESCHEMATIC s S ONO s M&R AS -BUILT s GIS TOTAL DUE f DATE PAID GIS OC M&R RECEIPT NO. GIS Ph JOINT USE SERVICE ORDER ND. LOCATION MAP PAGE 454H-4 I FC,FNn: O EXISTING POLE 0 EXISTING POLE -TO BE REMOVED • NEW POLE •lIW2J3d 31b2i3d3S V 3bIn03b AVW s3nnIln NEW pO&VW W 1 NQ#I &JPbjI�tI�un 311S NO NTS 9 10 1427 041 1031 �`� �� 16 1 Oil (HWY 524) 2 n� N RECEIVED JAN 29 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 19 15- - �1� 1 3 18 g6G ---1424 15- 67 2 370 W 1-1 6 SL-115978-A E1T6�� 1055- 12 3 37-13046 s 4 N 0 LEU 9435 0 o 11 0o'c4m __r 404 do .bN N b0 3� SHEET OF D'.c �0 3JVNIV210 aNV-1021iNOO NOIS02i3 2J0d D�91SNOdS3b SI 2]OlOV2IiNOO/2J3NM0 loafoad pallivaaad auj 6uianp sin000 ao pasneo sl jeyj spiepuels Alp aad vZOZ/OZ/ZO HAS TRAFFIC CONTROL INSPECTION REQUIRED EVERYTIME WORK ZONE IS SET UP. LANE CLOSURI (TWO ROAD W20-1 WORK AHEAD X ONE LANE W20-4 ROAD AHEAD X W20-7A �� w X z� r 00 On RECEIVED JAN 29 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT X G20-2 I ROADNWORK 48" x 24" (OPTIONAL) ON FLAGGE W Ld (/) . . . rI ,1 f0-LANE ROAD kTION) 48" x 24" AL ROADWORKG20-2 X (OPTIONAL) 0 0 J m O O W Z �o O .- Z/ZO iva 3iON S LcFdlf W20-7A W20-78 N ISIA10 NRJ NI ONE LANE BE = ROAD W20-4 PREPARED AHEAD TO STOP X ROAD OPTIONAL IF I wom > W20-1 40 MPH OR LESS AHEAD RECEIVED JAN 29 2024 CITY OF EDMONDS M BuildingPerrrit.com CITY OF EDMONDS DEVELOPMENT Right -of -Way Application #1434648-100092668 - BO Pole 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 1424 OLYMPIC VIEW DR City Zip Code County Parcel Number EDMONDS 98020 00531904400002 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 Christopher & Ware Megan Ware Number Street Apartment or Suite Number 1424 OLYMPIC VIEW DR 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: 1/29/2024 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1434648-100092668 - BO Pole 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 Disturbance of Surface Project Name: 100092668 - BO Pole Description of Work: PUD is applying from expired permit ENG2022-098 to replace one bad order pole. Crew will be setting up in the northeast bound lane. No impact to pedestrians. Project Details Project Information Job Number 100092668 Page 2 of 2