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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 mil -yy� yN�ul py-yyyy �Ny Fp MIN M1\1V fO YJ 1111 �Nd i,V u, -lo-W6u Epp u! s,uawano���QQQ�YYy�yII a6elumlio saq!Ipn of a6ew ai s lueo!I Ile4 '� 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 I° o 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