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APPROVED ENG2024-0158 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of • • . :0 IL www.edmondswa.gov i Description: PUD - REPALCE 1 BO POLE ISSUED: 05/23/2024 Address: 19117 83RD AVE W EDMONDS WA 98026-6019 EXPIRES: 11/23/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00481600500900 I 11-14111 a 111iiii 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)670-3214 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER DONA K NICHOLS 19117 83RD AVE W, EDMONDS WA 98026 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $132.00 $132.00 ROW - STANDARD - 4.1.24 $396.00 $396.00 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: 05/23/2024 Printed: Thursday, May 23, 2024 11:00:58 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMIBE City of Edmonds 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, May 23, 2024 11:00:58 AM 2 of 2 RECEIVED of EpM04O� RIGHT OF WAY CONSTRUCTION APR 05 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 BO Pole Replacement - PLI 9135 (WO# 100129166) Site Address or if no site address use Property Address at NW corner of project area: Associated Permits: BLD PLN ENG Owner and Entity Holding Name of Company SNOHOMISH COUNTY PUD NO.1 Franchise Ordinance No: Point of Contact KENNETH LUU Title DESIGNER Address 21014 63RD AVE W City LYNNWOOD State WA Zip 98036 Phone 425-670-3214 Email KCLUU@SNOPUD.COM Contractor and Authorized Agent of Owner Name of Company SAME AS ABOVE (see note below) Contractor Contacts During Construction Primary Name SAME AS ABOVE Agent Name Title Title Mobile Address Email City State Zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: N/A Email State License No: 3 1 3-005-74 1 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: e Utility Franchise Work associated with development (check one of the above boxes as welt ❑ Traffic Control Only (no associated development) ❑ 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.) Replace pole at NW corner of 19117 83rd Ave W. Transfer primary, neutral, and service wires, and streetlight onto new pole. Replace existing transformer with new transformer of similar capacity. 50' section of northbound lane of 83rd Ave W to be closed for 8 hours between the hours of 8:00AM - 4:001PM. Tree trimming not needed. Ground disturbance in soft surface only. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF I x LF SF N/A Alley'72 hours + LF Ix I LF SF N/A Parking 72 hours + LF I x I LF SF N/A 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 in 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. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? X If yes, describe: pnl mQ 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? 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 X project is proposed: 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 1 1 1 How many are to be added? 1 0 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? o Are additional poles to be laced? No 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? What is the height of the poles after? All 45' Describe the modification rebuild: Pole replacement adjacent to existing location 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: Kenneth Luu Digitellysign nMN 0423h T DATE: 04/04/2024 D.�:zozab io:azohL,, APPLICANT PRINTED NAME: Kenneth Luu APPLICANT TITLE: Engineering Tech z 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 SNO_O_I II COUNTY p T� PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY LOCATION 19117 83RD AVE W. EDMONDS, WA 98026 LYNNWOODAREA POLE NO. 9135 SE1/4S 18 T 27 R 4 DATE 04/03/2024 ORDER 100129166 REASON FOR WORK PUD MAINTENANCE ENGINEER K. LUU OPERATION 0030 BO POLE - PLI 9135 DRAFTER U.G. N0, SCALE 1= 30' APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ❑ YES ■ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. '@s '=$ yxK�P►UL1:�il�l�:�l�[�'. BASIC FEE S METER/CONV.POLE $ PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE S LEU NO. SECONDARY UNDERGROUND BASIC FEE 8 UNDERGROUND PLAT BASIC FEE S CE FT.@$ STREET LIGHTING CL FT.@$ WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONDARY (� FT.@$ _$ MISCELLANEOUS FEES VAULT 8 PERMIT S ;; TOTAL DUE S N/� DATE PAID N/A RECEIPT NO. SERVICE ORDER NO. NESC VIOLATIONS ■ NO ❑ YES (SEE NOTES) PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ CITY FT EASEMENTS ❑ REQUIRED ■ NOT REQUIRED DATE RELEASED FOREIGN CONTACTS ■ JPN# ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV POLE STENCILING FROM TO TAKE OFF POLE PRE—CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ■ FLAGGING ■ ONE CALL DATE No. STREET LIGHTING ■ YES ❑ NO M&R AS -BUILT GIs GIs QC M&R GIs Ph JOINT USE LOCATION MAP PAGE 454 J3 LEGEND: OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE O EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION MPL CIRCUIT NO. 12-344 PHASE 2 ENGR'S TEL. # 425-670-3214 ENGR'S CELL # 425-870-9753 TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT. VICINITY MAP SET 45' CL2 POLE TIGHT S AT DEPTH OF 6e5' (PW2045) FRAME POLE AS 7e2KV 1PH VERT TANGENT PER 12V101 XFR EXISTING OH PRI, NEUT, OH SVCS, & STLT# SL-129587—A N RMV 25 KVA OH XFMR UTC #25-7213 SER#----------------- HANG NEW 25 KVA OH XFMR (BA21N, 12F60D UTC# ----------------- SER# ----------- STRIP & TOP POLE TO COMMS (45', CL2, 1964) 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. RECEIVED APR 05 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 20/14 ENGINEERING DIVISION APPROVED AS NOTED Jell (NQ✓...7,0,04z 05/22/2024 VV SL-129587-A-- E OVHD PLI 9135 NEW 25 KVA 21 SCHEMATIC NTS 19117 MPL 12 8 19135 \a4 0.00/ OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. SHEET 1 OF 1 LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) ROAD W20-1 WORK AHEAD x ONE LANE W20-4 ROAD AHEAD • x W20-7A •� x Z Q 00 00 N M x G 2 0 - 2 ROADNWORK 48" x 24" (OPTIONAL) RECEIVED APR 05 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT r C•7 48" x 24" s ROADWORKG 2 0- 2 x (OPTIONAL) 0 0 N NORTH I 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 1 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. � za W mm Lno x .m �� , W20-7A x ONE LANE s ROAD W20-4 AHEAD x ROAD i WORK W20-1 AHEAD ENGINEERING DIVISION APPROVED AS NOTED J��1,,10�p 05/22/2024 W20-7B BE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS THIS PLAN MAY BE MIRRORED FOR OPPOSITE SIDE OF ROADWAY USING SAME SIGNS AND SPACING. YES ❑ NO ❑ INITIAL 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 1 60 65 1 70 LENGTH (FEET)l 155 200 1 250 1 305 1 360 1 425 1 495 570 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' 123' 1 172' 74' 1 100' 150' TABLE 1 CHANNELIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50-65 10 TO 20 80 35-45 10 TO 20 60 25-30 1 10 TO 20 40 LEGEND: O CHANNELIZING DEVICE r FLAGGING STATION PORTABLE SIGN AND SUPPORT �® WORK VEHICLE WITH FLASHING LIGHT WORK AREA RECEIVED APR 05 2024 CITY OF EDMONDS MyBuildingPermit.com CITY OF EDMONDS DEVELOPMENT Rig htSFd�'-"BI IVAII#Pftation #1468821 - WO 100129166 BO pole replacement 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 19117 83RD AVE W City Zip Code County Parcel Number EDMONDS 98026 00481600500900 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 Dona K Nichols Number Street Apartment or Suite Number 19117 83RD AVE 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: 4/4/2024 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1468821 - WO 100129166 BO pole replacement Project Contact Company Name: Snohomish County PUD Name: Kenneth Luu Email: permits@snopud.com Address: PO Box 1107 Phone #: (425) 670-3214 Everett WA 98206 Project Type Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: WO 100129166 BO pole replacement WO 100129166 - Crews will replace BO pole 9135 located at the NW corner of 19117 83rd Ave Description of W Edmonds. Transfer primary, neutral, service wires and streetlight onto the new pole. They Work: will replace the existing transformer with a new transformer of similar capacity. 50' section of northbound lane of 83rd Ave W to be closed for 8 hours between the hours of 8am and 4pm. Tree trimming is not needed. Ground disturbance in soft surface only. Project Details Project Information Job Number 100129166 Page 2 of 2