APPROVED ENG2024-0077 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
of • • .
Edmonds:iENG2024-0077
ILCity
www.edmondswa.gov i
Description: PUD - REPLACE BO POLE WITH TREE WORK ISSUED: 03/27/2024
Address: 16706 74TH PL W EDMONDS WA 98026-5115
EXPIRES: 09/27/2024
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00513100010300
iiii I 11-14111 a 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 TIMOTHY & MACLACHLAN AMEN 16706 74TH PL W, EDMONDS WA 98026
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: 03/27/2024
Printed: Wednesday, March 27, 2024 2:39:58 PM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUMBE3
City of Edmonds
,...Ave
N, Edmonds WA 9:0ENG2024-00771
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 27, 2024 2:39:58 PM 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
General •
Project Name REPLACE BAD ORDER POLE
Site Address or if no site address use Property Address at NW corner of project area: 16707 74TH PL W
Associated Permits: BLD PLN ENG
Owner and Entity
Name of Company
Holding
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 DREW 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 ASRIFE@SNOPUD.COM
Mobile
City of Edmonds Business License No:
Email
State License No: 313-005-741
N 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?
❑ Other, please specify:
❑ Utility Franchise Work associated with development (check one of the above boxes as well)
X 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. WORK WILL REQUIRED TREE TRIMMING TO ACCESS POLE AND LINES
NO ASPHALT/CONCRETE CUTS REQUIRED.
SOFT SURFACE WORK AREA
WORK HOURS 7:ooAM-3:3oPM
PUD WILL REPLACE POLE LIKE FOR LIKE
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
O
Alley 72 hours +
LF
x
LF
SF
O
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 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
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
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? 1 2 1 How many are to be added? 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? 1
What is the height of the existing poles? 45
How many poles are to be removed? 1
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: REPLACE
X
How many? 1 1 1 What is the height of the poles after? 45Fr
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.
APPLICANT SIGNATURE:
APPLICANT PRINTED NAME:
APPLICANT TITLE:
.�� '57 DATE: 2/18/24
ANDREW 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
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 16706 74TH PL W LYNNWOODAREA
POLE NO. 4726 NW1/4S08 T 27 R04 DATE 03/15/22 ORDER 100092601
REASON FOR WORK REPLACE BAD ORDER POLE FOR ENGINEER A. RIFE OPERATION 0030
PUD PRI-4 DRAFTER U.G. NO.
SCALE 1" =100'
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REO'D O YES ■ NO
PRIMARY OVERHEAD
O RESIDENTIAL
O COMMERCIAL
LEO NO.
'as '-s
SECONDARY OVERHEAD
BASIC FEE S
'tat '=i
METER/CONY. POLE S
PRIMARY UNDERGROUND
O RESIDENTIAL
O COMMERCIAL
BASIC FEE S
LEU NO.
NESC VIOLATIONS
■ NO O YES (SEE NOTES)
PERMITS (DATE GRANTED)
O TREE TRIM
O STATE
O COUNTY
■ CITY EDMONDS
O
EASEMENTS
ws =s
O REQUIRED ■ NOT REOUIRED
SECONDARY UNDERGROUND
BASIC FEE S
'as 'MS
DATE RELEASED
UNDERGROUND PLAT
FOREIGN CONTACTS
■ JPN• 100092601
BASIC FEE S
Ct FT.0 'MS
O JOINT TRENCH ZIPLY & CATV
OJOINT BORE ZIPLY & CATV
STREET LIGHTING
O
q FT.ft 'MS
POLE STENCILINGFROM
WORK IN RIGHT OF WAY
TO
O PRIMARY
TAKE OFF POLE
O SECONDARY
rt FTA% =S
PRE-CONST. REQUIRMENTS
MISCELLANEOUS FEES
O TREE TRIM O PUD LOCATOR
O BACKHOE ■ FLAGGING
VAULT S
■ ONE CALL DATE
PERMIT S
No.
S
STREET LIGHTING
_
■ YES O NO
f
M&R
AS -BUILT
S
GIS
TOTAL DUE S
DATE PAID
GIS OC
M&R
RECEIPT NO.
GIS Ph
JOINT USE
SERVICE ORDER NO.
LOCATION MAP PAGE 435A-7
I F(.FNn:
DATE
SUBSTATION MDL
CIRCUIT NO. 12-1839 PHASE 3
ENGR'S TEL. •
425-783-8559
ENGR'S CELL •
425-239-8210
0 EXISTING POLE ENGINEERING DIVISION
0 EXISTING POLE -TO BE REMOVED APPROVED AS NOTED
• NEW POLE Jl11 i�Q✓..Xu.iy+d 03/15/2024
VV
)1( NEW POLE TO REPLACE EXISTING POLE
CONSTRUCTION NOTES:
A SET 45FT POLE T.SE OF EXISTING POLE
SET POLE 6.5FT DEEP
FRAME POLE PER CS-12V102
TRANSFER OVHD PRI/NEUT (1)#2ACSR PRI & (1)#2ACSR NEUT
TRANSFER OVHD SEC SVC AND SL-130789-A
INSTALL NEW 3/8" DWONGUY AND 12" SIGLE HELIX ANCHOR
W/L-10FT
STRIP T r+ •.0
POLE
T� n
P A1V V POLE T O CI .
NOTE: TREE WORK AND TREE RMV FOR DOWNGUY REQUIRED
- PUD TO ENFORCE POLE ATTACHMENT
AGREEMENT.
- PUD IS RESPONSIBLE FOR ENSURING THAT THE
OLD POLES ARE REMOVED.
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.
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
2167
37-1 65
CIDA-3
SL 0803-A
103 6706
A
4726
SL-1307�914-
1
7417
SL-130790-A
15-20666
4729
4723
X 37-6834
SL-111160-A
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
RECEIVED
FEB 21 2024
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
SHEET OF
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
LANE CLOSURE
ON
A TWO-LANE ROAD N
(TWO FLAGGER
OPERATION)
ROAD
W20-1 WORK
AHEAD
X
I
ONE LANE
W20-4 ROAD =
RECEIVED
AHEAD
x
FEB 21 2024
•
Lli
48" x 24"
I
W20-7A ��
W
END
af
s
ROADWORK G 2 O- 2
X
�
CITY OF EDMONDS
X (OPTIONAL) DEVELOPMENT
ZQ r
O SERVICES DEPARTMENT
O O
oO
O
O
TRAFFIC CONTROL INSPECTION SHALL BE
THIS ROAD IS VERY NARROW SO
O ® REQUIRED WHENEVER WORK ZONE IS SET UP
IF 1 V LANE WIDTH CAN NOT BE
O
MAINTAINED THAT A TRAFFIC
=
zo
CONTROL REVISION SHALL BE
O
REQUIRED FOR A FULL CLOSURE
Zli,
J
O
WITH A FULL DETOUR ROUTE
mi
O
z
N�
O
O m
O
zX
O
W
a
O u')o
O
x
x
G20-2 R AEND ° D=
s W20-7A
A OTW20-76
48" x 24"
x
(OPTIONAL)
ONE LANE BE
s ROAD W 2 0- 4 PREPARED
AHEAD TO STOP
ENGINEERING DIVISION
x
APPROVED AS NOTED
s WORK OPTIONAL IF
W20-1
40 MPH OR LES
AHEAD
03/15/2024
vv
SNOHOMISH COUNTY
per®
TRAFFIC
CONTROL PLAN
PUBLIC UTILITY DISTRICT NO 1
PROJECT REPLACE 1-BAD ORDER POLE
LOCATION 16706 74TH PL W
ENGINEER ANDREW RIFE DATE
02/18/24 ORDER 100092601
PHONE 425-783-8559
CELLULAR 425-239-8210
RECEIVED
CITY OF EDMONDS
Right -of -Way Application #1446041 - WO 100092601
MyBuildingPermit
FEB 21 2024
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
16706 74TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00513100010300
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
Timothy & Maclachlan Stephanie A Amen
Number Street Apartment or Suite Number
16706 74TH PL W
City State Zip
EDMONDS WA 98026
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 #1446041 - WO 100092601
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 100092601
Description of Work: WO 100092601: PUD to replace BO pole. Tree work required to access pole and
lines.
Project Details
Project Information
Job Number
WO 100092601
Page 2 of 2