APPROVED ENG2024-0244 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBE
City of • •
. •: i i .
www.edmondswa.gov i
Description: PUD - UPGRADE TRANSFORMER & CUSTOMER SERVICES
ISSUED: 07/10/2024
Address: 7011 LAKE BALLINGER WAY EDMONDS WA 98026-8544
EXPIRES: 01/10/2025
rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00488800801100
i
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)238-7372
CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353
OWNER PAUL M & NANCYTRIEU 7011 LAKE BALLINGER WAY, EDMONDS WA 98026
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENG - INSPECTIONS - 4.1.24
$264.00 $264.00
ROW - MINOR - 4.1.24 $132.00 $132.00
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: 07/10/2024
Printed: Wednesday, July 10, 2024 9:30:48 AM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUM11BE
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
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL**
Printed: Wednesday, July 10, 2024 9:30:48 AM 2 of 2
Of ED'tfo
s MGPAT OIL WAY CONSTRUCTION
PERPVANTI' APPLICATION
Complete and submit this Application in accordance with the Submittal
_"VC. L s9° Requirements outlined in Right -of -Way permit Handout ua`iwVd30
S301AN3S 1N3 WdOl3A30
SONOW03 30 A110
If any field is not applicable to your project, write "NIG" in h blank.
All fields required. Incomplete Applications wiff b g�aving
a3A133311
SECTION A
General Info
Project Name UPGRADE TRANSFORMER FOR 7011 LAKE BALLINGER WAY
Site Address or if no site address use Property Address at NW corner of project area: 7011 LAKE BALLINGER WAY, EDMONDS WA 98026
Associated Permits: BLD PLN ENG
• • Entity Holding
Name of Company SNOHOMISH COUNTY PUD Franchise Ordinance No: N/A
Point of Contact KARL HAACK
Title ENGINEERING TECHNICIAN II
Address 21014 63RD AVE W
City LYNNWOOD State WA Zip 98036
Phone 425-238 7372
Emai1KJHAACK@SNOPUD.COM & permits@snopud.com
Name of Company SAME AS ABOVE
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:
Email
State License No: 313-005-741
® 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.
•• of Development
❑ Multifamily residential ❑ Commercial ❑ City project
e Single family residential subdivision
❑ Demo and rebuild or from vacant land?
❑ Other, please specify:
❑ Single family -other ❑ Industrial
e Utility Franchise Work associated with development (check one of the above boxes as well)
❑ 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.)
UPGRADE EXISTING OVERHEAD TRANSFORMER FROM 25 KVA TO 50 KVA ON EXISTING POLE. UPGRADE EXST SERVICE LINE TO NEW CUSTOMER INSTALLED
WEATHERHEAD. WORK SITE AT 7011 LAKE BALLINGER WAY. 1 DAY PARTIAL LANE CLOSURE OF WEST BOUND LAKE BALLINGER WAY AT 7011 LAKE BALLINGER
WAY FOR APPROXIMATELY 4 HOURS BETWEEN THE HOURS OF 8:OOAM-4:OOPM. NO TREE TRIMMING REQUIRED, NO PAVEMENT CUT. AERIAL WORK ONLY.
TRAFFIC CONTROL AND PEDESTRIAN DETOUR BY PUD.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
NIA
Alley 72 hours +
LF
x
LF
SF
N/A
Parking 72 hours +
LF
x
LF
SF
N/A
SECTION B - if you are not a utility company performing work in the City ROW, skip to SECHONC.
T)Te of Utility Facilities
1. The work in the right of way is on or for the following type of facilities::
❑ telecommunications ❑ cable a power ❑ gas
❑ water ❑ sewer ❑ storm
Details of • to be CompletedNo
L Does the utility owner have existing overhead infrastructure in the area of work?
YES
2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)?
No
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?
NO
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?
NO
5.
Does the work involve proposed additions to an aboveground utility system? If es:
NO
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 Worl, 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
Y E S
ro'ectis proposed:
6a.
Does your project involve wires/cables/lines? If yes:
NO
How many are existing? I I How many are to be added?
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
6b.
I Does your project involve poles? If yes:
NO
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 additional oles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
NO
How many? I I What is the height of the poles after?
Describe the modification 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:
ENGINEERING TECHNICIAN II
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
5/17124
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SNOHOMISH COUNTY
P w- Mi
EQUIPMENT RECORD
(Note: Use Two Forms If Necessary)
t
IA3a
= V I
FOREMAN:
DATE COMPLETED:
TO: ENGINEERING MAPS & RECORDS, 03
HEADQUARTERS: ❑EVT DATE: 15-Moy-24 15:15
❑OPS ❑SN ■LYN
❑STNWD ❑ARL El MO
REASON FOR ❑ WORK SKETCH ❑ CAR/POLE/EQUIPMENT DAMAGE
ORDER No. OPERATION No.
EOT
MOVEMENT ❑ STORM DAMAGE ■ OTHER INCREASE CAPACITY
100121791 0250
❑ BAD ORDER
•` see instructions below**
EOUIPMENT ❑ REGULATOR ❑ SECTIONALIZER ■ POLE TRANSFORMER ❑ SUBMERSIBLE
TYPE
❑ CAPACITOR ❑ RECLOSER ❑ SWITCH CABINET ■ OVERHEAD ❑ PADMOUNT
EQUIPMENT
WAS
VAULT No. or
POLE No.
SIZE
PHASE
CORNCCF�D
DISTRICT No.
SERIAL No.
MANUFACTURER
SECONDARY
VOLTAGE
❑ HUNG
❑ SET
PLI 160365
25
KVA
3
N-241986-T
77A161700
WESTINGHOUSE
120/240
■ REMOVED
■ HUNG
50
❑ SET
PLI 160365
KVA
3
120/240
El REMOVED
❑ HUNG
❑ SET
❑ REMOVED
LOCATION ADDRESS AND/OR POLE No. 7011 LAKE BALLINGER WAY, EDMONDS 98026
CUSTOMER NAME (IF APPLICABLE) PAUL (206)-321-9514
QUARTER
SECTION
TOWNSHIP
RANGE
S W
�Y
Z 2
J
2 7
4
MAP PAGE 475-83
DAMAGED POLE REPLACED? ❑ YES
If YES, complete below: N NO
POLE No.
POLE DATE
oov
\ —
bZOZ/ /LI ��I�
OLD POLE
I
NEW POLE
G7 tic .
I NOISIhWG ONIHAANIONA
50
POLE SIZE
,Qr,�
I I I \ \ OVHD ::FFCC77�V��AA.. KVA CD
POLE
\
OVHD O
NEW POLE
OVHD
0
OTHER UTILITIES ATTACHED?
I EA-24
I \
❑ ZIPLY ❑ TV CABLE
7025 1 I \
LAKE BALLINGER WAY
7019 7011 \ 7007
❑ NONE ❑ FIBER
SCHEMATIC
I I NITS
I I I \
\ \j
25-241986
\�
PLI 160365 15-389339
EA-24 PL 1 262033
SNOHOMISH COUNTY EA-25SL-129318-H
LAKE BALLINGER WAY
KING COUNTY
LAYOUT
1" OONV,ONINOONOISO?J3
2JOd 3 1 lOdS3TJ SI tJOlOV2J1NOORJ3NMO
M&R
As -Built
GIs
GIs QC
M&R
GIS Ph
SUP RVIS R RE
'laloid 11!w day; 6uunp vroo
epuels Rl!o ad
Vlk-_p"'Ap
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ONI-001 2101 3,91SNOdS3a ?JOlOValN00/a3NM0
KARL HAACK/425-238-7372
Complete when more than 1 phose
LANE CLOSURE ON A MULTI -LANE ROAD
OPTIONAL
YES ❑ NO ❑
PCMS
1
2
2.0 SEC 12.0
SEC
MESSAGE TBD BY
SNOHOMISH COUNTY
PUBLIC WORKS
NO ENCROACHMENT ON THIS
TRAVELED LANE IS PERMITTED.
IF ENCROACHMENT IS NECESSAR
LANE SHALL BE CLOSED.
THIS TCP MAY BE MIRRORED FOR
A FAR LEFT LANE CLOSURE USING:
LEFT
LANE I
CLOSED
AHEAD
W20-5L W4-2R
YES ❑ NO ❑
(X) SPACING SHALL REMAIN THE SAME
Q
c0
L
LU
I
I
f
2' I 0
MINI O
Li
I°
10
IO
IO
IO
IO
0
10
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I0
00
I
RECEIVED
May 21 2024
48" X 24" CITY OF EDMONDS
DEVELOPMENT SERVICES
= RDADNWDRK G2 0 — 2 DEPARTMENT
x (OPTIONAL)
Z�
o °
o =
TRAFFIC CONTROL INSPECTION SHALL BE
REQUIRED WHENEVER WORK ZONE IS SET UP
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROLAND DRAINAGE
Applicant shall repair/replace all
damage to utilities or frontage
m improvements in City right-of-way
per city standards that is caused or
occurs during the permitted project.
J
x
AL Wz
W4-2L
:XtAHEAD
RIGHT
LANE
CLOSED W20-5R
AHEAD
AD
RK W20-1
PCMS
LIGHTED ARROW
BOARD REQUIRED
MINIMUM LANE CLOSURE TAPER LENGTH = L (FEET)
LANE WIDTH
POSTED SPEED (MPH)
(FEET)
25
1 30
35
40
45
50
55
60
1 65
70
10
105
150
205
270
450
500
550
-
-
-
11
115
165
225
295
495
550
605
660
-
-
12 1
125
180 1
245
320
1540
600
660
720
780
1 840
TABLE 1
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
1 55
1 60
65
70
LENGTH (FEET)
155
200
250
305
360
425
1 495
1 570
645
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 MPHI
> 55 MPH
< 45 MPH
45-55 MPH
> 55 MPH
100' 1
123' 1
172'
74' 1
100'
150'
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
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.
CHANNELIZATION DEVICE
SPACING (FEET)
MPH
TAPER
TANGENT
50-70
40
80
35-45
30
60
25-30
1 20
40
I Fr.FNn:
O
CHANNELIZING DEVICE
PORTABLE SIGN AND SUPPORT
�®
WORK VEHICLE WITH FLASHING
LIGHT
WORK AREA
0
SEQUENTIAL ARROWBOARD
SIDEWALK
CLOSURE
(PEDESTRIAN
DETOUR)
TRAFFIC CONTROL INSPECTION SHALL BE I
REQUIRED WHENEVER WORK ZONE IS SET UP I
—0
A
ENGINEERING DIVISION
..."DTED
1ST AVE NE
G'14-V 17/05/2024
SIDEWALK CLOSE
O
SP-6
USE OTHER SIDE
I
Q
BARRICADE, TYP
�I
Q
SIDEWALK
CLOSED
0
zl
COCI
L
SIDEWALK CLOSED
I)-QSP-5
w
USE OTHER SIDE
INTERSTATE 5
OWNER/CONTRACTOR IS RESPONSIBLE FOR I
a'
EROSION CONTROL AND DRAINAGE I
ROAD
WORK W20-1
Applicant shall repair/replace all
AHEAD RESUB
damage to utilities or frontage
improvements in City right-of-way
per city standards that is caused or
occurs during the permitted project.
J u I 02 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
*PEDESTRIAN ESCORT AVAILABLE FOR LOCAL RESIDENTS
SNOHOMISH COUNTY
G�CUM D)
TRAFFIC
CONTROL PLAN
PUBLIC UTILITY DISTRICT NO 1
PROJECT UPGRADE TRANSFORMER - 7011 LAKE BALLINGER WAY
LOCATION 7011 LAKE BALLINGER WAY, EDMONDS WA 98026
ENGINEER K HAACK DATE 5/17/24 ORDER 100121791-0250
PHONE 425-670-3208
CELLULAR 425-238-7372
RECEIVED
May 21 2024
DEVELOPMENT OF
ENDT S°R°CES CITY OF EDMONDS MyBuildingPermit.com
DEPARTMENT
Right -of -Way Application #1490546 - WO 100121791
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
7011 LAKE BALLINGER WAY
City Zip Code County Parcel Number
EDMONDS 98026 00488800801100
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
Paul M & Nancy Trieu
Number Street Apartment or Suite Number
7011 LAKE BALLINGER WAY
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: 5/17/2024 Submitted By: Moe Matthews
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1490546 - WO 100121791
Project Contact
Company Name: Snohomish County PUD
Name: Karl Haack Email: kjhaack@snopud.com
Address: PO Box 1107 Phone #: (425) 238-7372
Everett WA 98206
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: WO 100121791
WO 100121791: PUD crews to upgrade existing OH transformer on existing pole. Also
Description of upgrading existing service line to new customer installed weatherhead. Planning a 1-day
Work: partial lane closure of WB lane of Lake Ballinger Way at 7011 Lake Ballinger Way. Hours of
work are 8am to 4pm for 4 hours. No tree timming needed.
Project Details
Project Information
Job Number
WO 100121791
Page 2 of 2