APPROVED ENG2024-0423 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
- N, Edmonds WA •:ENG2024-0423
www.edmondswa.govi
Description: PUD-INSTALL NEW UG SERVICE PEDESTAL ISSUED: 09/09/2024
Address: 23400 HIGHWAY 99 EDMONDS WA 98026
EXPIRES: 03/08/2025
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00576700002002
iiiI 11-14111 a 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)670-3208
CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353
OWNER GRE EDMONDS LLC 10 INVERNESS DR E 250, ENGLEWOOD CO 80112
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENG - INSPECTIONS - 4.1.24
$264.00 $264.00
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: 09/09/2024
Printed: Monday, September 09, 2024 2:32:22 PM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUMBE3
City of Edmonds
,....
121 Sth Ave
-. •.v / 425.771.0220
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: Monday, September 09, 2024 2:32:22 PM 2 of 2
of EP%ti�r
IUGI- T OF WADI CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
ANC. 1590 Requirements outlined in Right-of-WayE6� _permit Handout .
lavd3a
S301A2l3S 1N3Wd013A34
If any field is not applicable to your project, write "N/A'�inOAdoft'Peaving blank.
All fields required. Incomplete Applications wilAdi74fi-i d
a3AI3a3N
SECTION A
General Into
Project Name Hazel Apartments Edmonds Street Light
Site Address or if no site address use Property Address at NW corner of project area: 23400 Highway 99, Edmonds 98020
Associated Permits: BLD PLN ENG
ONvner and Entity Holding
Name of Company Snohomish County PUD Franchise Ordinance No: N/A
Point of Contact Karl Haack
Title Engineering Technician III
Address 21014 63rd Ave W
City Lynnwood State WA Zip 98036
Phone425-238-7372
Email kjhaack@snopud.com/permits@snopud.com
Contractor and Authorized Agent of Oivner
Name of Company Same as above
(see note below)
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
o Contractor verifies it is currently bonded
® Contractor verifies it currently has general liability insurance
NOTE: ECDC i8.6o.o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city
engineer.
e Multifamily residential ❑ Commercial ❑ City project
❑ Single family residential subdivision ❑ Single family -other ❑ Industrial
❑ Demo and rebuild or from vacant land?
❑ Other, please specify:
s 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 pemiit Application --Page 1 of 3 Updated 3/25/2021
Project 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.)
Install new underground service pedestal outside of existing primary electrical room. New facilities to be placed on private property. Vactor to locate future conduit and intercept.
Work site at 23400 Highway 99, Hazel Apartments. 1 day partial lane closure of soulhbound Highway 99 at 23400 Highway 99. Work to take place between the hours of
8:00am - 4:00pm. No tree trimming required, no pavement cut, soft surface work. 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
NIA
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 a power ❑ gas
❑ water ❑ sewer ❑ storm
Details of Woompleted•
1. Does the utility owner have existing overhead infrastructure in the area of work?
No
2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)?
Yes
If yes, describe: Service Pedestal
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 • • be Completed•
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
N o
project is proposed:
6a.
Does your project involve wires/cables/lines? If yes:
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?
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:
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:
x1e4DATE: 8127/24
Karl Haack
Engineering Technician III
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW constriction permit Applicatiou--Page 3 of 3 Updated 3/25/2021
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
SNOHOMISH COUNTY
a
[7D[0=
PUBLIC UTILITY DISTRICT NO 1
LOCATION 23400 HIGHWAY
99,
EDMONDS 98026
AREA LYNNWOOD
VAULT NO.A-52569
NE1/4S 31 T 27 R 4
DATE 8/23/24 ORDER 100136080
REASON FOR WORK INSTALL SEC
PEDESTAL
ENGINEER K HAACK OPERATION 0060
FOR CITY
OF
EDMONDS SL
DRAFTER UGND NO.
SCALE 1' = 30'
APPROVED
DATE PRINTED
FOREMAN RECORDS
SIGNATURE
DATE WORK COMPLETED
ElRESTORATION REQUIRED
❑ ADDITIONAL WORK REQUIRED
NOTES (i.e. REDLINE INFO):
FEES REQ'D ■ YES ❑ NO
PRIMARY OVERHEAD
❑ RESIDENTIAL
I -]COMMERCIAL
LEO#
S /'=S
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COMMERCIAL
BASIC FEE 3
NESC VIOLATIONS
■ NO ❑ YES (SEE NOTES)
PERMITS
■ CITY EDMONDS
❑ SNO COUNTY (TCP)
❑ SNO COUNTY (BLANKET)
❑ SNO COUNTY (MAJOR)
❑ OTHER:
❑ NO PERMIT REQUIRED
❑ RESTORATION REQUIRED
❑ MULTIPLE JOB PHASES (i.e. OH, UG)
EASEMENTS ❑ REQUIRED
E# ■ NOT REQUIRED
REQUEST NO.
DATE APPROVED
FOREIGN CONTACTS
ElJPN#
[IJOINT TRENCH ZIPLY & CATV
[IJOINT BORE ZIPLY & CATV
■ N/A
LEU#
POLE STENCILING
FROM TO
TAKE OFF POLE
MISCELLANEOUS FEES
VAULT
$
PRE-CONST. REQUIRMENTS
PERMIT
8
■ VACTOR ■ FLAGGING
$
■ ONE CALL DATE
No.
$
FIBER
TOTAL DUE
❑ YES ■ NO
DATE PAID
STREET LIGHTING
RECEIPT NO.
I -]YES ■ NO
ENGINEER
M&R IN
AS -BUILT
PHONE
GIs
M&R OUT
GIS QC
JOINT USE
CELLULAR
LEGEND:
a EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
X NEW POLE TO REPLACE EXISTING POLE
DATE
CONSTRUCTION NOTES:
AO AT VAULT ROOM A-52569:
INTERCEPT UG 4" FUTURE STUB OUTSIDE OF VAULT ROOM. VACTOR AND INSTALL NEW
SM SEC PED (VO101). INSTALL (4) 5-POS TERM BARS (T1522). RUN 30' OF 350KCMIL AL QUAD
FROM XFMR IN VAULT ROOM INTO PED.
USE GALVANIZED STEEL CABLE RACK AS NEEDED.
SUBSTATION BALLINGER
CIRCUIT NO. 12-261 PHASE 123
OWNER/CONTRACTOR IS RESPONSIBLE FOR
N EROSION CONTROLAND 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
l P11 08/29/2024
VV
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
23400
A-52569
1000-456988
LAYOUT
1" = 30'
A-52568
STANDBY GENERATOR o
'BACK OF SIDEWALK/
A-52 O
op567/ /'
A-52566
9D-50111
SW 12-70505
O
O
RECEIVED
a Aug 28 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
SHEET OF
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
LANE CLOSURE ON A MULTI -LANE ROAD
OPTIONAL
YES ❑ NO ❑
PCMS
1
2
2.0 SEC
2.0 SEC
MESSAGE TBD BY
SNOHOMISH COUNTY
PUBLIC WORKS
NO ENCROACHMENT ON THIS
TRAVELED LANE IS PERMITTED.
IF ENCROACHMENT IS NECESSARY,
LANE SHALL BE CLOSED.
THIS TCP MAY BE MIRRORED FOR
A FAR LEFT LANE CLOSURE USING:
LEFT
LANE 4�1
CLOS€D
AHEAD
W20-51L W4-2R
YES ❑ NO ❑
(X) SPACING SHALL REMAIN THE SAME
ENGINEERING DIVISION
APPROVED AS NOTED
^%I/ tV1..iX j,,o4p 08/29/2024
vv
48" x 24"
s fND C20-2
Raaa roAK
X,, (OPTIONAL)
O
0
:.
J
RECEIVED
Aug 28 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
N
NORTH
I
TRAFFIC CONTROL INSPECTION SHALL BE
REQUIRED WHENEVER WORK ZONE IS SET UP
x I W4-2L
`
x I
RIGHT
= LANE W
CLOSED20-5R
AHEAD
x
ROAD
_f ; WORK W20-1
PCMS
MINIMUM LANE CLOSURE TAPER LENGTH = L (FEET)
LANE WIDTH
POSTED SPEED (MPH)
(FEET)
25
1 30
35
40
45
50
55
1 60
65
70
10
105
150
205
270
450
500
550
-
-
-
11
115
165
225
295
495
550
605
660
-
-
12
125
180
245
320
540
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 1N 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)
1 25
1 30
1 35
1 40
1 45
1 50
1 55
1 60
1 65
70
LENGTH (FEET)l
155
1 200
1 250
1 305
1 360
1 425
1 495
1 570
1 645
1 730
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 MPH
> 55 MPH
< 45 MPH
45-55 MPH
> 55 MPH
100' 1
123' 1
172'
74' 1
100' 1
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
1 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
20
40
I rnr mn-
O CHANNELIZING DEVICE
PORTABLE SIGN AND SUPPORT
�® WORK VEHICLE WITH FLASHING
LIGHT
WORK AREA
0 SEQUENTIAL ARROWBOARD
..
n3n3a
11�
inV
SIDEWALK
CLOSURE
(PEDESTRIAN WALKWAY
PROVIDED)
I
I
N
NORTH
I
230TH ST SW
� I
�
—j I
�_--BARRICADE, TYP
�QI
r0
= I
o
�-
Fl
234TH ST SW
ROAD
WORK W20-1
al+Eao
SNOHOMISH COUNTY
EFFOEM
TRAFFIC
CONTROL PLAN
PUBLIC UTILITY DISTRICT NO 1
ROJECT HAZEL APARTMENTS EDMONDS STREETLIGHT
LOCATION 23400 HIGHWAY 99, EDMONDS WA 98026
ENGINEER K HAACK DATE 8/27/24 ORDER 1001036080
PHONE 425-670-3208
CELLULAR 425-238-7372
I
b
D
T
T
N
U
RECEIVED
Aug 28 2024
DEVELO MFEEDMNDS NTSOERVCES CITY OF EDMONDS MyBuildingPermit.com
DEPARTMENT
Right -of -Way Application #1539170 - 100136080 - Hazel Apartments UG Service
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
23400 HIGHWAY 99
City Zip Code County Parcel Number
EDMONDS 98026 00576700002002
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
GRE EDMONDS LLC
Number Street Apartment or Suite Number
10 INVERNESS DR E 250
City State Zip
ENGLEWOOD CO 80112
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: 8/28/2024 Submitted By: Moe Matthews
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1539170 - 100136080 - Hazel Apartments UG Service
Project Contact
Company Name: Snohomish County PUD
Name: Karl Haack Email: permits@snopud.com
Address: PO Box 1107 Phone #: (425) 670-3208
Everett WA 98206
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work Disturbance of Surface
Project Name: 100136080 - Hazel Apartments UG Service
Install new underground service pedestal outside of existing primary electrical room. New
Description of facilities are to be placed on private property. Vactor to locate future conduit and intercept.
Work: Work will take 1 day partial lane closure of southbound lane of Hwy 99 near 23400 block.
Work to take place between 8am-4pm. Soft surface ground disturbance.
Project Details
Project Information
Job Number
100136080
Page 2 of 2