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APPROVED ENG2024-0194 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds www -. •. i Description: PUD - FINAL RESTORATION ON ADA CURB RAMP NJUNS 5782478 ISSUED: 07/10/2024 Address: 901 SEA VISTA PL EDMONDS WA 98020-3950 EXPIRES: 01/10/2025 Permit rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00637000001600 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)239-8210 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER ADCOCK NANCY J 901 SEA VISTA PL, EDMONDS WA 98020-3950 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $396.00 $396.00 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: 07/10/2024 Printed: Wednesday, July 10, 2024 10:55:54 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** E-7 RESTOR LIMITS Printed: Wednesday, July 10, 2024 10:55:54 AM 2 of 2 <1 of ED,ttpIt/A : - RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal INC. Is9° Requirements outlined in Right-of-Wa37 permit Hal14941_ AW- S301na3S 1N3WdM3n30 SO4XV1' 0A110 If any field is not applicable to your project, write "Nust ad of leaving blank. All fields required. Incomplete Application;INAVnied. a3AI3a3M SECTION A Project Name REPAIR SIDEWALK PANEL T 911 SEA VISTA PL Site Address or if no site address use Property Address at NW corner of project area: 911 SEA VISTA PL Associated Permits: I BLD I PLN I ENG RUMPINIMMMINIMHolding Name of Company SNOHOMISH COUNTY PUD Franchise Ordinance No: Point of Contact ANDREW RIFE Title PROJECT MANAGER III Address 1802 75TH ST SW City EVERETT State WA zip 8203 Phone 4�5-239-8210 Email ASRIFE@SNOPUD.COM Name of Company SNOHOMISH COUNTY PUD Primary Name ANDREW RIFE Agent Name ANDREW RIFE Title PROJECT MANAGER III Title PROJECT MANAGER III Mobile 425-239-8210 Address 1802 75TH ST SW Email ASRIFE@SNOPUD.COM City EVERETT State WA Zip 98203 Secondary Name Phone 425-239-8210 Title Email ASRIFE@SNOPUD.COM 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: ECDC 18.6o.020 requires that the Apphcation be signed by a ncensed and oonaed canducwr «nLUSS C—Le;10'.r uPp' engineer. Type of •• ❑ 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 EXTraffic 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 PrQject Description 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 REPAIR SIDEWALK PANEL AT 911 SEA VISTA PL. PANLE WAS REMOVED TO ACCESS EXISTING PVC. NO TREE/VEG WORK. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF 25 SF 72HRS Alley 72 hours + LF x LF SF Parking 72 hours + LF x LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable iXpower ❑ gas ❑ water ❑ sewer ❑ storm Details of • to be Completed• 1. 1 Does the utility owner have existing overhead infrastructure in the area of work? X 2. 1 Will any equipment be added underground or above ground (e.. pedestals, vaults etc.)? 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 system? If yes. 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 • to be CompletedNo 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? I I How many are to be added? 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? 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 additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? 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: '4,kt�'s /& 04/26 2 DATE: / 4 APPLICANT PRINTED NAME: ANDREW RIFE APPLICANT TITLE: PROJECT MANAGER II NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 pFMEM CONSTRUCTION OPERATIONS AND ENGINEERING REQUEST I --I CZ 4 10 0 A;,O TO FROM DATE KEITH ELLSION/RESTORATION A. RIFE 04/12/24 ADDRESS/LOCATION/POLE NUMBER 911 SEA VISTA PL VAULT A-3005 MAP NO. ORDER N0. OPERATION NO. 454G-7 100093216 0070 ACTION• LOC A EAST OF VAULT A-3005 REPLAIR SIDEWALK PANEL AND CUSTOMER'S STEEL EDGING AROUND FLOWER BEDS LOC B PERMIT FOR TEMP RESTORATION OF SIDEWALK PANEL UNTIL POLE IS REMOVED AND ADA COMPLIANT RAMP IS INSTALLED 113fi 13 1125 1 W 25- 2 01 911 -13503 Q 1131 SL-129149-H SL-115374-A = 16 294919 1 79464140 0 A-3005 A sea vista pI - - _ - _ FU65� i ® -3 06 2 SL-130157-A 1 404 10 11 agjbuunpsin- o For de -energizing customer service for Customer work tZ0Z/ /LO CREW HOURS spiepuels 4110 UI s;uawanoJd a d �_ When completed, coil $HRS a At* P UWbt\*&1t af33-1000 NIIIn of abewep u Keys lueoildd IS0K1(0-ZW111-3W1-JW) osk stomer Signoture Dote for Energy Control 015polch ACTION TAKEN OR OTHER ACTIONREQUIRED APPROVED BY COMPLETED BY 1N3Ni2Nd30 DATE S301A213S 1N3WdM3n30 SONOW03 Distribution: While -Deportment Responsible For Work-Relurn To Ori inolor When Co ff"�dD£ _1315'3, Alter work Lompielion Conory-Department Responsible For Work -File Copy �n 'i SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) 1 wzo-I W20-4— x W 48" • 24" W20-7A O naro �aa G20-2 'x P" O xo (OPTIONAL) _ W-� O §o O 0 G20-: (0 TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP W20-IA W20-7B x W20-4 m v x ionic OPTIONAL IF .Kw W20-1 40 MPH OR LESS RECEIVED Apr 30 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT ENGINEERING DIVISION APPROVED AS NOTED Jill (A/Q.i,7H.,,np 07/05/2024 Minimum Permit Details Ensure these key details are included in your permit submittal application: 100093216 Project Name: Location and Description of Use: • Scope of Work replace 1 sidewalk panel. • Location (at or near) 911 Sea Vista PI. • Which lane direction is being closed W bound lane on Sea Vista PI. • Forecasted Hours and Duration at the location 7:00am-3:30pm Pedestrian Access: Pedestrian access across street on south sidewalk on Sea Vista PI.. No tree work and no asphalt cuts Traffic Control Plan (TCP) • See attached TCP/Design 1N3Ni2Nd30 S301A2J3S 1N3WdM3n30 SONOWO3 d0 AiIO vZOZ OE ady C13AI333N RECEIVED Apr 30 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1480786 - WO 100093216 Replace 1 sidewalk panel 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 911 SEA VISTA PL City Zip Code County Parcel Number EDMONDS 98020 00637000001500 Associated Building Permit Number Tenant Name ENG2022-0125 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Dennis D & Cathleen Katte Number Street Apartment or Suite Number 911 SEA VISTA PL City State Zip EDMONDS WA 98020 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: 4/29/2024 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1480786 - WO 100093216 Replace 1 sidewalk panel Project Contact Company Name: Snohomish County PUD Name: Andrew Rife Email: permits@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 100093216 Replace 1 sidewalk panel Description of WO 100093216 Crews will repair 1 sidewalk panel located at 911 Sea Vista PL, Work: Edmonds. Panel was removed to access existing PVC and there is a temporary impact to pedestrian traffic. Project Details Project Information Job Number 100093216 Page 2 of 2