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APPROVED ENG2024-0076 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds - N, Edmonds WA 98020 ENG2024-0076 www -. •. i Description: PUD - REPLACE BO POLE FOR EXPIRED PERMIT ENG2023-0288 ISSUED: 03/20/2024 Address: 750 OLYMPIC AVE EDMONDS WA 98020-2959 EXPIRES: 09/20/2024 Permit rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00548900002202 I I � i i 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 WENDELL IHMELS 750 OLYMPIC AVE, EDMONDS WA 98020-2959 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: 03/20/2024 Printed: Wednesday, March 20, 2024 8:56:05 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,...Ave N, Edmonds WA 9:0ENG2024-0076 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: Wednesday, March 20, 2024 8:56:05 AM 2 of 2 RECEIVED �- RIGHT OF WAY CONSTRUCTION FEB 21 2024 PERMIT APPLICATION CITY OF EDMONDS Complete and submit this Application in accordance with the Submittal DEVELOPMENT Requirements outlined in Right -of -Way permit Handout E63. 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 permit ENG2023-0288. General Info Project Name REPLACE BAD ORDER POLE AT 750 OLYMPIC AVE Site Address or if no site address use Property Address at NW corner of project area: 75o OLYMPIC AVE Associated Permits: BLD PLN ENG Owner and Entity Name of Company Holdingapplicable) SNOHOMISH COUNTY PUD Franchise Ordinance No: N/A Point of Contact ANDREW RIFE Tide ENG TECH III Address 1802 75TH ST SW City EVERETT State WA Zip 982o6 Phone 425-783-8559 Email ASRIFE@SNOPUD.COM&permits&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 2 -2 -8210 Address 1802 75TH ST SW Email ASRIFE@SNOPUD.COM City EVERETT State WA Zip g82o6 Secondary Name Phone 425-783-8559 Title Email ASRIFE@SNOPUD.COM Mobile City of Edmonds Business License No: Email State License No: 313-005-741 X Contractor verifies it is currently bonded N 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) N Traffic Control Only (no associated development) X 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.) PUD TO REPLACE 1-BAD ORDER POLE AT 75o OLYMPIC AVE WORK IS OVHD AND WILL NOT DISRUPT PEDESTRIAN TRAFFIC NO TREE WORK AND NO ASPHALT/CONCRETE CUTS WORK WILL TAKE PLACE BETWEEN 7:ooAM-.q:.qoPM EXISTING PERMIT ENG2023-0288 RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF 0 Alley 72 hours + LF x LF SF 0 Parking 72 hours + LF x LF SF o 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 1K 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 X No 2. 1 Will any equipment be added underground or above ground (e.. 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 stem? 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? 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 X 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? I I How many are to be added? City of Edmonds ROW construction permit Application --Page 2 of 3 6b. Does your project involve poles? If yes: X How many poles are existing in the project area? 1 What is the height of the existing poles? 35 How many poles are to be removed? 1 Are additional poles to be laced? X How many? I I What is the height of the additional poles? 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? 35 Describe the modification rebuild: 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. APPLICANT SIGNATURE: APPLICANT PRINTED NAME: APPLICANT TITLE: '4,'td.ur '5 I,; DATE: 02/18/24 7CVbREW RIFE ENG TECH II NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 LIVVIIVLLI\IIVV VIVIVI VIV APPROVED AS NOTED improvements in City right-of-way per city standards that is caused or occurs during the permitted project. vim+ o:* �J,:; op N; Wa w* i� i 0 0 0 o► 0 h �o 0 30 133HS Ol 310d UN 0 310d M3N • 03AON38 38 01-310d ONIISIX3 X 310d ONIISIX3 Q OWNER/CONTRACTOR IS RESPONSIBLE FOR : 4 N 3 J 3 1 EROSI oN''3090 33IA83S OWNER ,QRL-9^`TING UI ALL ON S LuLs nni Tn Anw UTIL TIES MAY� ld1303a WI 9 !P PER T. alvd 31v0 � 3n0 1V1o1 -- s Vline-swl I sinj S ON ■ S3A O S ON11HO11 133HiS : 31Va 11V0 3NO ■ ONI90'V1J 0 30HN0V8 0 i 1S a01V001 and 0 A181 33a10 SIUY48=38 •1SN03-38d 310d Jj0 3HV1 01 MroaJ DNIIION31S 310d 1NEAiNWd34 S3CIA2JES 1NDNd0l3AE4 03d ONIISIX3 Ol X31dldi OW SaN0W43 d0,kil3 30 1351, I-WISNI `X31dl8i 0/1, OHAO W08J Som-SO aid 83SI8 03S On „£ M3N 011n8 OAS 03S OHAO 0/1, 83JSNV61 �ZOZ �Z 83� 10101 100dS 1n3N l# YIVISNI A11118` IS ` HIX3 803 A3N 310d 11VISNI a3AI3:03H 310d ONIISIX3 30 'S 13Z 310d 1392 13S 8Zti-Ild-d 001 - PUD TO ENFORCE POLE ATTACHI AGREEMENT. - PUD IS RESPONSIBLE FOR ENSU OLD POLES IS REMOVED. 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W20-1 ONE LANE W20-4 ROAD AHEAD X W20-7A X z 5> o0 N M r X G 2 0 - 2 ROADNWORK = 48" x 24" (OPTIONAL) LEI LLJ U) 0 0 0 0 t ^= 0 z '- :Z 3 0 Z W 0 i� 0 v, 0 l0 0 0 0 0 iff 48" x 24" END IROAD WORK G20-2 X (OPTIONAL) W d,p 13S SI �INOZ );;�6M 2J3]A�NIHM a�njinoaj o d8 TlVHS NO<AdSNI _1MJiN00 OIAAV2li U n L J m 0 z� W Lo X i �� W20-7A X ONE LANE i ROAD VV20-4 AHEAD X ROAD WORK W20-1 AHEAD W20-78 BE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS RECEIVED FEB 21 2024 CIITYYYOF EDMONDS ��f�VI PPARTME T 4310N S`d G3IAMiddV NOISIAIG JNl2EEINIJN3 RECEIVED FEB 21 2024 CITY OF EDMONDS Right -of -Way Application #1445861 - WO 100092625 MyBuildingPermil:.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 750 OLYMPIC AVE City Zip Code County Parcel Number EDMONDS 98020 00548900002202 Associated Building Permit Number Tenant Name WO 100092625 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Wendell Ihmels Number Street Apartment or Suite Number 750 OLYMPIC AVE City State Zip EDMONDS WA 98020-2959 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: 2/21/2024 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1445861 - WO 100092625 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 100092625 Description of Work: WO 100092625: PUD to replace BO pole. We are reapplying for expired ENG2023-0288. Project Details Project Information Job Number WO 100092625 Page 2 of 2