APPROVED ENG2024-0221 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
98020 ENG2024-0221
www.edmondswa.gov i
Description: PUD-REPLACE 1 BO POLE LIKE FOR LIKE ISSUED: 08/01/2024
Address: 18603 81STAVE W EDMONDS WA 98026-5820
EXPIRES: 01/28/2025
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00371700100900
I 11-14111 a
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)725-0389
CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353
OWNER THEODORE F HAASE 18603 81ST 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: WHJ DATE: 08/01/2024
Printed: Thursday, August 01, 2024 2:27:05 PM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUMBE3
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, August 01, 2024 2:27:05 PM 2 of 2
RECEIVED
.i Of E DAto�O�
C. 1 S90
SECTION A
RIGHT OF WAY CONSTRtUC IOhl
FFRMI'T APPLICATION
Complete and submit this Application in accordance with the Submittal
Requirements outlined in Right -of -Way permit Handout E63.
MAY 10 2024
CITY OF EDMONDS
DEVELOPMENT
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.
General•
Project Name Bad Order Pole Replacement PLI: 8828
Site Address or if no site address use Property Address at NW corner of project area: 18603 81st Ave W
Associated Permits: BLD PLN ENG
• applicable)
Name of Company Sno omlS County PUD Franchise Ordinance No: N/A
Point of Contact Amanda Bennett
Title Engineer Tech 1
Address 21014 63rd Ave W
City Lynnwood State WA Zip 98036
Phone 425-725-0389
Email acbennett@snopud.com/permits@snopud.com
Contractor and Authorized Agent of ON-vner
Name of Company Same as above
(see note beloNv)
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:
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.
❑ 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 weln
❑ Traffic Control Only (no associated development)
* Utility Franchise Work (no associated development)
City of Edmonds ROW construction permit Application --Page i of 3 Updated 3/25/2021
77ro-ject 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.)
of work: Replace depreciated pole PLI 8828. Pole to be replaced like for like.
on the corner
One day partial westbound lane closure on 186th ST SW and Dartial north bound lane closure on 8ist AVE W
to
or
no
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
Alley 72 hours +
LF
x
LF
SF
N/A
Parking 72 hours +
LF
x
LF
SF
N/A
SECTION S - 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 i@ power ❑ gas
❑ water ❑ sewer ❑ storm
Details
1.
of Work to be Completed
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:
s
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 • to be CompletedNo
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
a
project is proposed:
6a.
Does your project involve wires/cables/lines? If yes:
x
How many are existing? 1 s 1 How many are to be added? None
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?
0
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? 1 1 1 What is the height of the poles after? 45' (same as current pole)
Describe the modification rebuild: Replace depreciated pole 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 actor
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:
Engineer Tech 1
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
24
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
pEOO PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 18603 81ST AVE W EDMONDS WA 98026 LYNNWOODAREA
POLE N0. 8828 NE1/4S 18 T 27 R 4 DATE 04/25/24 ORDER 100130966
REASON FOR WORK REPLACE BO POLE ENGINEER ACBENNETT OPERATION 0030
DRAFTER U.G. NO.
SCALE 1" = 100'
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ❑ YES ■ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
I
SECONDARY OVERHEAD NESC VIOLATIONS
BASIC FEE S ■ NO ❑ YES (SEE NOTES)
@$ '=S PERMITS (DATE GRANTED)
METER/CONV. POLE S ❑ TREE TRIM
PRIMARY UNDERGROUND ❑ STATE
❑ RESIDENTIAL ❑ COUNTY
❑ COMMERCIAL ■ CITY
LEU NO.
SECONDARY
BASIC FEE ❑
EASEMENTS
@S _$ ❑ REQUIRED ■ NOT REQUIRED
UNDERGROUND
BASIC FEE S
.@S '=S
DATE RELEASED
UNDERGROUND PLAT
FOREIGN CONTACTS
JPN#
BASIC FEE
S
(L FT.@$ '=S
❑ JOINT TRENCH ZIPLY & CATV
❑ JOINT BORE ZIPLY & CATV
STREET LIGHTING
q FT.0 '=S
❑
POLE STENCILING
WORK IN RIGHT OF WAY
FROM TO
❑ PRIMARY
TAKE OFF POLE
❑ SECONDARY
q FT.@$ '=S
PRE-CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
MISCELLANEOUS FEES
❑ BACKHOE ❑ FLAGGING
VAULT
S
■ ONE CALL DATE 4/20 - 6/1
PERMIT
S
No. 24150385
$
STREET LIGHTING
❑ YES ■ NO
$
M&R
AS -BUILT
$
GIS
TOTAL DUE 3
DATE PAID
GIS QC
M&R
RECEPT NO.
GIS Ph
JOINT USE
SERVICE ORDER NO.
LOCATION MAP PAGE
LEGEND:
o EXISTING
X EXISTING
• NEW POLE
X NEW POLE
POLE
POLE -TO BE REMOVED
TO REPLACE EXISTING POLE
DATE
SUBSTATION PRV
CIRCUIT NO. 93 PHASE 3
ENGR'S TEL. #
425-670-3205
ENGR'S CELL #
425-725-0389
TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT
WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT.
CONSTRUCTION NOTES:
AT PL18828
REMOVE PLI8828
SET NEW 45' CL2 POLE 6.5' DEEP W/ GRNDS IN PLACE OF EXISTING POLE.
FRAME POLE PER ASSY 12V107 (10 VERTICAL 600 - 900 CORNER).
INST NEW 10 XFMR MOUNTING ASSY 12V601 ON NEW POLE.
TRANSFER XFMR 15-10972 TO NEW POLE.
TRANSFER SPAN GUY TO NEW POLE.
TRANSFER (3) OH SVC TO NEW POLE.
TRANSFER (2) SPANS OF #2 ACSR OH PRI AND NEUT TO NEW POLE.
TRANSFER DOWN GUY & ANCHOR TO NEW POLE.
TRANSFER SL-139822-A TO NEW POLE.
WORK WITH COMMS TO REPLACE POLE IN PLACE
AT PL 1221915
RAISE STRIKE KNOB/INSULATOR SPOOL TO PUD WORKING CLEARANCE NEAR TOP OF POLE.
8115 i 8105
i
-
--W--
----CAT¢N
-s-186TH ST SWIM
PL [ 882 7
37-15491
1 8120 18602
W
>
1 N
o 8121 8035 00
I l i i i
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
8035
/ I
I
' 1 221915
PL 18828 - —W- - -
-15-10972 -s----
-SL-139822-A D
18603
18615
I
15-400706
18625
I
18627 1
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
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.
ENGINEERING DIVISION
APPROVED AS NOTED
RESUB
Jul 08 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Jill Ul&U, 44z 08/01/2024
vv SHEET 1 OF 1
LANE CLOSURE IN ADVANCE OF AN INTERSECTION
(WORK AREA ON THE THROUGH ROAD)
M M M
X X X
ROAD
WORK
AHEAD
ONE LANE
W20-1 AOAD W20-7A
W20-4
W20-7B
BE
PREPARED
TO STOP
OPTIONAL IF
40 MPH OR LESS
G
Ld
Q
()
00
7
I
W20-4
ONE LANE W
20-1W20-7ROADXAHEAD
0 ROAD
WORK
AHEAD
X
186TH ST SW
s *T,,,
W20-7A
x
ONE LANE
s ROAD W20-4
AHEAD
x
ROAD
i 1WORK W20-1
AHEAD
N
NORTH
ENGINEERING DIVISION
APPROVED AS NOTED
,l J] i,VQ. j j, 44,g 08/01/2024
vv
RECEIVED
MAY 10 2024
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
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.
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.
TABLE 1
CHANNELIZATION DEVICE
SPACING (FEET)
MPH
TAPER
TANGENT
50-65
10 TO 20
80
35-45
10 TO 20
60
25-30
10 TO 20
40
LEGEND:
O
CHANNELIZING DEVICE
r
FLAGGING STATION
PORTABLE SIGN AND SUPPORT
�®
WORK VEHICLE WITH FLASHING
LIGHT
WORK AREA
RECEIVED
MAY 10 2024
CITY OF EDMONDS
Right -of -Way Application #1486677 - WO 100130966
MyBuildingPermit.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
18603 81 ST AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00371700100900
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
Theodore F Haase
Number Street Apartment or Suite Number
18603 81 ST 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: 5/10/2024 Submitted By: Moe Matthews
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1486677 - WO 100130966
Project Contact
Company Name: Snohomish County PUD
Name: Amanda Bennett Email: acbennett@snopud.com
Address: PO Box 1107 Phone #: (425) 725-0389
Everett WA 98206
Project Type
Utility Purveyor
Activity Type
Utility Work
Scope of Work
Disturbance of Surface
Project Name: WO 100130966
Description of WO 100130966: PUD crews to replace BO pole, like for like. Will need partial wb lane
Work: closure on 186th St SW and partial nb closure on 81st Ave W. Work to be done between
8am and 4pm for 8 hours. No tree trimming or pedestrian detour needed.
Project Details
Project Information
Job Number
WO 100130966
Page 2 of 2