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APPROVED ENG2024-0321 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NU BE City of Edmonds - N, Edmonds WA 98020 ENG2024-032 www.edmondswa.govi Description: PUD-UPGRADE TRANSFORMER ON POLE ISSUED: 08/14/2024 Address: 740 15TH ST SW EDMONDS WA 98020-5172 EXPIRES: 02/14/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00390000000100 I 11-14111 a NAME TYPE NAME ADDRESS PHONE APPLICANT KARL HAACK 21014 63RD AVE W, LYNNWOOD WA 98036 (425)238-7372 CONTACT SNOHOMISH COUNTY PUD 21014 63RD AVE W, LYNNWOOD WA 98036 (425)238-7372 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER ADRIAN C SHAW 740 15TH ST S W, EDM0NDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $132.00 $132.00 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: 08/14/2024 Printed: Wednesday, August 14, 2024 11:06:49 AM 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: Wednesday, August 14, 2024 11:06:49 AM 2 of 2 Of E°tlo4' M(GHT OF WAY C®NS`PRUC 11 MIJ PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal ,Nc. Is) 0 Requirements outlined in Right -of -Way permit Handout E63.ed30 S301AN3S 1N3 WdOl3A30 If any field is not applicable to your project, write "N/AS°ins?ea°d ofleaving blank. All fields required. Incomplete Applications wW W agr011. C13AI303H SECTlION A Project Name Upgrade Transformer - 740 15th St SW Site Address or if no site address use Property Address at NW corner of project area: 740 15th St SW, Edmonds 98020 Associated Permits: BLD PLN ENG • ••ing Franchise (if applicable) Name of Company Snohomish County PUD Franchise Ordinance No: Point of Contact Karl Haack Title Engineering Technician II Address 21014 63rd Ave W City Lynnwood I State WA Zip 98036 Phone 425-238-7372 Email kjhaack@snopud.com Contractor and Authorized Agent of ONvner Name of Company Same as above (see note below) Contractor Contacts During Construction Primary Name Same as above Agent Name Ede Title Mobile Address Email City State Zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: 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: ECDC18.6o.ozo 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 well) ❑ Traffic Control Only (no associated development) e 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 10 WA to 25 WA on existing pole. Work site at 74015th St SW, in intersection of 15th St SW, 8th Ave Sand 7th PIS. 1 day partial lane closure of northbound 8th Ave Sand westbound 15th St SW in intersection for approximately 4 hours between the hours of 8:00am - 4:00pm. 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 N/A 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 SECTIONC. 1. The work in the right of way is on or for the following type of facilities:: ❑ telecommunications ❑ cable e power ❑ gas ❑ water ❑ sewer ❑ storm Details 1. of • to be Completed 1 Does the utility owner have existing overhead infrastructure in the area of work? Yes Yes No 2. 1 Will any equipment be added underground or above ground (e.. 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 stem? 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 • 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 Yes project is proposed: 6a. Does your project involve wires/cables/lines? If yes: N o 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: NO How many poles are existing in the project area? What is the height of the existing poles? 09M R__ - How many poles are to be removed?''• - Are additional poles to be laced? How many? What is the height of the additional poles? 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. P . APPLICANT SIGNATURE: DATE: 6124/24 APPLICANT PRINTED NAME: Kad Haack APPLICANT TITLE: Engineering Technician II NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW constriction permit Application --Page 3 of 3 Updated 3/25/2021 SNOHOMISH COUNTY Pun - EQUIPMENT RECORD (Note: Use Two Forms If Necessary) ios TO: ENGINEERING MAPS & RECORDS, 03 FOREMAN: DATE COMPLETED. HEADQUARTERS: ❑EVT DATE:21-Jun-24 13:16 ❑OPS ❑SN ■LYN ❑STNWD ❑ARL El MO REASON FOR ❑ WORK SKETCH ❑ CAR/POLE/EQUIPMENT DAMAGE ORDER No. OPERATION No. MOT MOVEMENT ❑ STORM DAMAGE ■ OTHER INCREASE CAPACITY 100121791 0330 ❑ 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 CONNECTED DISTRICT No. SERIAL No. MANUFACTURER SECONDARY VOLTAGE ❑ HUNG ❑ SET PLI 1456 K1 � A 1 J - 2 9 3 3 - X 1655934 LINMAT 120/240 ■ REMOVED ■ HUNG El SET PLI 1456 KVA 1 120/240 ❑ REMOVED ❑ HUNG ❑ SET ❑ REMOVED LOCATION ADDRESS AND/OR POLE No. 740 15TH ST SW, EDMONDS 98020/PLI 1456 CUSTOMER NAME (IF APPLICABLE) ERIC PETTERSEN (206)-255-8208 QUARTER SECTION TOWNSHIP RANGE s \A/ �� 7 3 MAP PAGE 4 7 4- G 1 'DAMAGED POLE REPLACED? ❑ YES If YES, complete below: ■ NO WSG W 12> O POLE No. 406 POLE DATE < > OLD POLE O = NEW POLE LU \ 0 / 0 1439 > POLE SIZE J-2933-X Q 1N3Ni2]Vd3Q'LD POLE PLI 1456 3301AH3S1N3WdM3n30 SL-130522-A ;' _ saNOwa3dOAt6W POLE ((�� — C9 ~ 77 1l11 �ZOZ 9 HVR UTILITIES ATTACHED? U 15 ST SW 00 3A130l311 ❑ TV CABLE /� x ❑ NONE ❑ FIBER /�� 740 PLI 1456 25 KVA 804 I _ _ I AMPSFU 1504 50167 ay) buunp sin000 ;pjepuels Alio Aad _ /L w sluawanojdwi Alin of ewep - SCHEMATIC i ju eys lueoilddy , M&R As -Built \` NTS AA GIS LAYOUT GIS QC M&R 1" = 100' Iddf/ GIS Ph JOINT USE 10N::I SUP RVISORREVIEW: ENGINEER NAME/PHONE: KARL HAACK/425-238-7372 2Complete whV.0.ha iIEkk%P (3q:I S1 21010b211NOO/aANM0 LANE CLOSURE IN ADVANCE OF AN INTERSECTION (WORK AREA ON THE SIDE ROAD) N NORTH ROAD W20-1 WORK = AHEAD x ONE LANE W20-4 ROAD = AHEAD x W20-7A x STOP 15TH ST SW M M M STOP X X X r^ ROAD � v J WORK �� AHEAD J ONE LANE W20-1 ROAD W20-7A T AHEAD y W20-4 RD� WORK M_ 00 48" x 24" i ROADNWORK G 2 0- 2 x (OPTIONAL) W20-4 0 W20-7A DNRoaD NE W20-1 AHEAD . ROAD O O O WORK O AHEAD O X X X O ® STOP O O 0 O 0 °O O o O o o° 15TH ST SW k i RDAD K'DRK AHEAD W20� DR�q� HE i k AHEAD W20 - 4 ,wr _ W2p_�q ENGINEERING DIVISION APPROVED AS NOTED i ✓. ,u,,44z 07/24/2024 vv VICINITY MAP: RECEIVED Jun 25 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 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. 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 50-65 10 TO 20 80 35-45 10 TO 20 60 25-30 10 TO 20 40 LEGEND: CHANNELIZING DEVICE FLAGGING STATION PORTABLE SIGN AND SUPPORT WORK VEHICLE WITH FLASHING LIGHT WORK AREA SIDEWALK CLOSURE (PEDESTRIAN DETOUR) i V I ROAD WORK W20-1 w I AHEAD NORTH I < I SIDEWALK CLOSED SP-6 USE OTHER SIDE 00 BARRICADE, TYP SIDEWALK CLOSED I i ROAD WORK W20- 1 SIDEWALK CLOSED AHEAD 15TH ST SW �— sP-5 15TH USE OTHER SIDE ST SW vIl a� ROAD ERR SNOHOMISH COUNTY GDMMD TRAFFIC 433 lO CONTROLTv' ' "3 N PUBLIC UTILITY DISTRICT NO 1 PROJECT UPGRADE TRANSFORMER - 740 15TH ST SW LOCATION 740 15TH ST SW - EDMONDS 98020 ENGINEER K HAACK DATE 6/24/24 ORDER 100121791-0330 PHONE 425-670-3208 CELLULAR 425-238-7372 RECEIVED Jun 25 2024 CITY OF EDMONDS , MyBuildingPermit.com DEVELOPMENT SERVICES CITY OF EDMONDS DEPARTMENT Right -of -Way Application #1508806 - WO 100121791-0330 Upgrade Transformer Applicant First Name Last Name Company Name Karl Haack Snohomish County PUD Number Street Apartment or Suite Number E-mail Address 21014 63rd Ave W permits@snopud.com City State Zip Phone Number Extension Lynnwood WA 98036 (425) 238-7372 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 740 15TH ST SW City Zip Code County Parcel Number EDMONDS 98020 00390000000100 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 Adrian C Shaw Number Street Apartment or Suite Number 740 15TH ST S W 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: 6/24/2024 Submitted By: Karl Haack Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1508806 - WO 100121791-0330 Upgrade Transformer Project Contact Company Name: Snohomish County PUD Name: Karl Haack Email: permits@snopud.com Address: 21014 63rd Ave W Phone #: (425) 238-7372 Lynnwood WA 98036 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: WO 100121791-0330 Upgrade Transformer PUD to upgrade existing overhead transformer from 10 kVA to 25 kVA on existing pole. Work Description of site at 740 15th St SW, in intersection of 15th St SW, 8th Ave S and 7th PL S. 1 day partial lane Work: closure of northbound 8th Ave W and westbound 15th St SW in intersection for approximately 4 hours between the hours of 8:00am-4:00pm. No tree trimming required. No pavement cuts. Aerial work only. Traffic control and pedestrian detour by PUD. Project Details Project Information Job Number 100121791-0330 Page 2 of 2