APPROVED ENG2024-0433 ROW PERMITOF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
EdmondsRIGHT
•:0
www.edmondswa.gov i
Description: PUD - INSTALL SECONDARY RISER AND PED FOR NEW SFR
ISSUED: 10/08/2024
Address: 321 ERBEN DR EDMONDS WA 98020-7226
EXPIRES: 04/08/2025
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00409600101100
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)783-5681
CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353
OWNER JAY A & MERRI KEEFER FULTON 7628 222ND ST SW A3, 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 - 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: 10/08/2024
Printed: Tuesday, October 08, 2024 9:45:41 AM 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 7:00am to 6:00pm on
SOUND AND NOISE
weekdays and 10:00am and 6:00pm 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: Tuesday, October 08, 2024 9:45:41 AM 2 of 2
of ECIA4040 RECEIVED
RIGHT OF WAY CONSTRUCTION SEP 06 2024
PERMIT APPLICATION
CITY OF EDMONDS
Complete and submit this Application in accordance with the Submittal DEVELOPMENT
/'1Vc. is') Requirements outlined in Right -of -Way permit Handout E6�. 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.
SECTION A
General •
Project Name RISER PIED - 321 ERBEN DR WO#: 100121830-0290
Site Address or if no site address use Property Address at NW corner of project area: 321 ERBEN DR, EDMONDS WA 98020
Associated Permits: BLD PLN ENG
Owner and Entity Holding
Name of Company SNOHOMISH COUNTY PUD NO. 1 Franchise Ordinance No: N/A
Point of Contact JOSHUA CAPUZZI
Title ENGINEERING TECH 1
Address P.O. BOX 1107
City Everett
State wA
Zip 98206-1107
Phone 425-561-1939
Email JDCAPUZZI@SNOPUD.COM
Contractor and Authorized Agent of Owner
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: 3 1 3-005-74 1
Contractor verifies it is currently bonded
® Contractor verifies it currently has general liability insurance
NOTE: ECDC 18.6o. 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
e Single family residential subdivision ❑ Single family -other ❑ Industrial
❑ Demo and rebuild or from vacant land?
❑ Other, please specify:
e Utility Franchise Work associated with development (check one of the above boxes as welt
❑ 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.)
SCOPE OF WORK: Install 3" secondary riser conduit on exisiting pole, and place ped 4' SW of pole.
LOCATION OF WORK: 321 Erben Dr, Edmonds WA 98020
One day partial south bound lane closure of 4th ave between the hours of 8am and 4pm.
No tree trimming or pavement cutting required. Soft surface work.
Traffic control by PUD, no pedestrian detour.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk '72hours +
LF
I x
LF
SF
N/A
Alley'72 hours +
LF
Ix
I LF
SF
N/A
Parking 72 hours +
LF
I x
I LF
SF
N/A
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C.
1. The work in the right of way is on or for the following type of facilities:
❑ telecommunications ❑ cable in power ❑ gas
❑ water ❑ sewer ❑ storm
Details of Work to be Completed
1. Does the utility owner have existing overhead infrastructure in the area of work?
Yes
x
No
2. 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:
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 Work 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
X
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? 45'
Describe the modification rebuild: pnnimn RIRFR Tfl FYI.qTIN(, PC)I F
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: Joshua capuzzi D. aozno9N0by 8W01.7W DATE: 09iO4/2024
APPLICANT PRINTED NAME: JOSHUA CAPuzzl
APPLICANT TITLE: ENGINEERING TECH 1
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
SNOHOMISH COUNTY
EFDEO=
PUBLIC UTILITY DISTRICT NO 1
LOCATION 321 ERBEN DR, EDMONDS WA AREA SOUTH COUNTY
POLE No. PL1 1688 NE1/4S 26 T 27 R 3 DATE 08/26/24 ORDER 100121830
REASON FOR WORK INSTALL NEW RISER PED ENGINEER JDCAPUZ OPERATION 290
FOR JAY FULTON DRAFTER UGND No.
SCALE 1" = 60'
APPROVED
DATE PRINTED
FOREMAN RECORDS
NESC VIOLATIONS
SIGNATURE
❑ NO ❑ YES (SEE NOTES)
PERMITS
DATE WORK COMPLETED
❑ RESTORATION REQUIRED
■ CITY EDMONDS
❑ ADDITIONAL WORK REQUIRED
❑ SNO COUNTY (TCP)
NOTES (i.e. REDLINE INFO):
❑ SNO COUNTY (BLANKET)
❑ SNO COUNTY (MAJOR)
❑ OTHER:
❑ NO PERMIT REQUIRED
❑ RESTORATION REQUIRED
❑ MULTIPLE JOB PHASES (i.e. OH, UG)
FEES REQ'D ■ YES ❑ No
EASEMENTS ❑ REQUIRED
E# ■ Nor REQUIRED
PRIMARY OVERHEAD
❑ RESIDENTIAL
REQUEST No.
❑ COMMERCIAL
LEO#
DATE APPROVED
@ S /,=S
FOREIGN CONTACTS
■ JPN#
PRIMARY UNDERGROUND
■ RESIDENTIAL
❑ JOINT TRENCH ZIPLY & CATV
❑ COMMERCIAL
❑ JOINT BORE ZIPLY & CATV
BASIC FEE S
❑
LEU#
POLE STENCILING
FROM TO
TAKE OFF POLE
@ S i =$
MISCELLANEOUS FEES
VAULT
PRE-CONST. REQUIRMENTS
PERMIT S
❑ BACKHOE ❑ FLAGGING
■ ONE CALL DATE 9/7-10/19
No. 24372965
$
$
FIBER
❑ YES ■ NO
TOTAL DUE s 5,377.01
DATE PAID 8/22/2024
RECEIPT NO. 1800059970
STREET LIGHTING
❑ YES ■ NO
ENGINEER
MR INI
IAS-R[111T
PHONE
CELLULAR
GIS QC
JOINT USE
LEGEND-
o EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
X NEW POLE TO REPLACE EXISTING POLE
DATE
SUBSTATION MPL (MAPLEWOOD)
CIRCUIT No. 343 PHASE 1
N
CONSTRUCTION NOTES:
OA AT POLE PL1= 1688
INSTALL NEW 3" RISER PED ASSY AS1U705.
INSTALL NEW SM SEC PED (VO101) APPROX 4' SOUTHWEST AS STAKED.
INSTALL (3) 5-POS TERM BARS (T1522).
RUN 45' OF 350 KCMIL AL TPX FROM POLE PLI: 1688 TO NEW SM SEC PED.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
I I I
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543 — —
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558 547
SL-117854-A
— — 25-29099 O I >>
545 P--
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321 V) I I I
555
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---D--------------- D-- -
--------------S----ERBEN DR-------------- S - -
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RECEIVED
SEP 06 2024
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY LAYOUT
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
1" = 60'
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
Ill LVJ&,,J,$,44e 10/03/2024
Vill
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
SHEET 1 OF 1
LANE CLOSURE ON A LOW VOLUME ROAD
(NO FLAGGER, TRAFFIC SELF-REGULATING, 35 MPH OR LESS)
ROAD
W20-1 WORK 9w
AHEAD
x
ONE LANE 11
W20-4 ROAD 9w
AHEAD
x
RECEIVED
SEP 06 2024
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
N
NORTH
I
m
WOR
ZQ SITE
W
uno
ONE LANE
ROAD W20-4
AHEAD
ROAD
WORK W20-1
AHEAD
ENGINEERING DIVISION
APPROVED AS NOTED
jell (,VO. Jk,04z 10/03/2024
vv
THIS PLAN MAY BE MIRRORED FOR
OPPOSITE SIDE OF ROADWAY USING
SAME SIGNS AND SPACING.
YES ■ NO ❑ INITIAL JC
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
i
PORTABLE SIGN AND SUPPORT
�®
WORK VEHICLE WITH FLASHING
LIGHT
WORK AREA
RECEIVED
SEP 06 2024
CITY OF EDMONDS
CITY OF EDMONDS M BuildingPermit.com
DEVELOPMENT
SERVICES DEPARTMENT
Right-of-!^!wy ° Np!iewtion #1542647 - WO 100121830 - 321 Erben Dr Install Riser Ped
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
321 ERBEN DR
City Zip Code County Parcel Number
EDMONDS 98020 00409600101100
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
Jay A & Merri Keefer Fulton
Number Street Apartment or Suite Number
7628 222ND ST SW A3
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: 9/5/2024 Submitted By: Moe Matthews
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1542647 - WO 100121830 - 321 Erben Dr Install Riser Ped
Project Contact
Company Name: Snohomish County PUD
Name: Joshua Capuzzi Email: permits@snopud.com
Address: PO Box 1107 Phone #: (425) 783-5681
Everett WA 98206
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: WO 100121830 - 321 Erben Dr Install Riser Ped
WO 100121830 - Install 3" secondary riser conduit on existing pole (PLI 1688) located at 321
Description of Erben Dr, Edmonds and place ped 4' SW of pole. One day partial south bound lane closure of
Work: 4th Ave between the hours of 8am and 4pm. No tree trimming or pavement cutting required.
Soft surface work. Traffic control by PUD, no pedestrian detour.
Project Details
Project Information
Job Number
100121830
Page 2 of 2