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APPROVED ENG2024-0483 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER of • • . ILCity www.edmondswa.gov i Description: PUD - INSTALL NEW UNDERGROUND SERVICE ISSUED: 10/25/2024 Address: 23310 HUMBER LN EDMONDS WA 98020-6157 EXPIRES: 04/25/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00571300101000 I 11-14111 a iiiiiii 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)238-7372 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER BERNARD T & FEDERMAN SHEN 417 NW 132ND ST, SEATTLE WA 98177 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: 10/25/2024 Printed: Friday, October 25, 2024 3:21:50 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 7:00am 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** E-7 RESTOR LIMITS Printed: Friday, October 25, 2024 3:21:50 PM 2 of 2 A4- pF'o40RIGHT OF VJAY CONSTRUCTION PERMIT AIPIPLICATION 11 Complete and submit this Application in accordance with the Submittal "Nc. i seo Requirements outlined in Right -of -Way permit Handout E6.i. 1N3W1NVd34 S301n213S 1N3Wd0l3n34 If any field is not applicable to your project, write "N/AR t 1bf leaving blank. All fields required. Incomplete Applications Vftbq d d. a3AI3a3U SECTION A General Info Project Name gore and XFMR Upgrade for Shen Site Address or if no site address use Property Address at NW corner of project area: 23310 Humber Ln, Edmonds 98020 Associated Permits: BLD PLN ENG Owner and Entity Holding.ee e Name of Company Snohomish County PUD Franchise Ordinance No: N/A Point of Contact Karl Haack Title Sr Engineering Technician Address 21014 63rd Ave W City Lynnwood State WA Zip 98036 Phone 425-238-7372 Email kjhaack@snopud.com/permits@snopud.com Contractorof • Name of Company Same as above •w) 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 theApplication 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) ❑ Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page i of 3 Updated 3/25/2021 —MROJect 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.) Upgrade existing overhead transformer on pole to accommodate new solar service at 23310 Humber Ln. Bore 3" HOPE from pole on east side of Humber Ln to west side to feed new service underground. Install service pedestal on private property. Install riser conduit on existing pole to bring new service underground. Work site at 23310 Humber Ln. 3 separate day partial lane closure of north bound Humber Ln. Traffic control by PUD. Asphalt cut required to install utility pot holes. Pot holes to be installed at all city utility crossings. Restoration by PUD. Work to take place between the hours of 8:00am - 4:00pm. No tree trimming required. 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 a power ❑ gas ❑ water ❑ sewer ❑ storm Details of • to be CompletedNo 1 Does the utility owner have existing overhead infrastructure in the area of work? Yes 1. 2. 1 Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? Yes If yes, describe: Conduit, pedestal 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? N O 4. Does the work involve rebuilding or relocating an existing aboveground utility system which' connects a lot or commercial development to an existingunderground common utilitystem? N O 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 • 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: Yes How many are existing? 1 0 1 How many are to be added? 1 underground City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. I Does your project involve poles? If yes: N o 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: Yes How many? 1 1 1 What is the height of the poles after? same Describe the modification rebuild: Install riser conduit 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: "4gVDATE: 10r3124 Karl Haack Sr Engineering Technician 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 RECEIVED PUBLIC UTILITY DISTRICT N0.1 OF SNOHOM]SH COUNTY CONSTRUCTION NOTES: Oct 07 2024 LOCATION 23310 NUMBER LN, EDMONDS WA 98020 LYNNWOODAREA POLE No. PLI 203206 NW1/4S 36 T 27 R 3 DATE 10/3/24 ORDER 100125474 OA AT POLE PLI 203206: CITY OF EDMONDS DEVELOPMENT SERVICES REASON FOR WORK INSTALL SECONDARY BORE ENGINEER K HAACK OPERATION 0060 DEPARTMENT AND 10 3" RISER/PED ASSY DRAFTER U.G. No. INSTALL (1) 10 3" SECONDARY RISER ASSY AS1U705 ON POLE. FOR DLHINC SCALE 1" = 100' ©INSTALL SM SEC PED APPROX 48- WEST AND 31- N AS STAKED ON PROPERTY LINE. APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D ■ YES ❑ No PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO NO. SECONDARY OVERHEAD BASIC FEE S METER/CONV. POLE s PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ COMMERCIAL BASIC FEE S LEU NO. SECONDARY UNDERGROUND BASIC FEE S UNDERGROUND PLAT BASIC FEE S q FT.0 '=$ STREET LIGHTING FT.0 '=$ WORK IN RIGHT OF WAY ❑ PRIMARY ❑ SECONDARY �- FTAS '=$ MISCELLANEOUS FEES VAULT S PERMIT S RISER/PED S BORE s S s TOTAL DUE S DATE PAID RECEPT NO. SERVICE ORDER NO. NESC VIOLATIONS ■ NO ❑ YES (SEE NOTES) PERMITS (DATE GRANTED) ❑ TREE TRIM ❑ STATE ❑ COUNTY ■ CITY EDMONDS EASEMENTS ❑ REQUIRED ■ NOT REQUIRED DATE RELEASED FOREIGN CONTACTS ❑ JPN# ❑ JOINT TRENCH ZIPLY & CATV ❑ JOINT BORE ZIPLY & CATV ■ N/A POLE STENCILING FROM TO TAKE OFF POLE PRE-CONST. REQUIRMENTS ❑ TREE TRIM ❑ PUD LOCATOR ❑ BACKHOE ■ BORE ■ ONE CALL DATE 1/19/24 No. 24020118 STREET LIGHTING ❑ YES ■ NO M&R AS -BUILT GIS GIS QC M&R GIS Ph JOINT USE LOCATION MAP PAGE 474-172 DATE INSTALL (3) 5-POS TERM BARS (CU T1522). SUBSTATION RICHMOND PARK RUN 110' OF 350KCMIL AL TPX FROM POLE PLI 203206 TO NEW SM SEC PED. CIRCUIT No. 12-232 PHASE 2 WORK WITH ATTACHED EQUIPMENT RECORD FOR TRANSFORMER UPGRADE. ENGR'S TEL. # 425-670-3208 ENGR'S CELL # 425-238-7372 DUCT BY PUD CONTRACTOR N OA 48' OF (1) 3" HDPE BY CUSTOMER © 30' OF (1) 3" PVC I I 23226 Utility patches shall be combined and full width or half width overlay will be required depending on the extent of disturbance. Where utility patches fall entirely within one travel lane, the overlay shall extend to the (ROAD BORE) centerline of roadway. Where utility patches extend into both travel lanes then a full width overlay is required. RESTORATION LIMITS TO BE DETERMINED BY CITY ENGINEERING INSPECTOR 23302 BORE P TS (TYP) o��o 23313 p = B A z 23310 I n v P-6615-T N PLI 203206 I I I I 23320 o�� o I I = 23330 LEGEND: o EXISTING POLE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING S�( EXISTING POLE -TO BE REMOVED ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. • NEW POLE X NEW POLE TO REPLACE EXISTING POLE I� M r Z I I I 23225 1 10702 10626 10616 23303 \\ 23305 I — I \ I 23313 23301 \ I FRIAR TUCK 23321 23304 / 23308 23329 I — LN LAYOUT 1" = 100' OWNER/CONTRACTOR IS RESPONSIBLE FOR 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 JX (,ilQ.iX u.,,np 10/25/2024 VV SHEET 1 OF 1 t dVd3a 3wdo]3A3a I z1O Ailo '_0100 333Z Mal I PUBLIC UTILITY DISTRICT No.1 FOREMAN: DATE COMPLETED: EQUIPMENT RECORD (Note: Use Two Forms If Necessary) TO: ENGINEERING MAPS & RECORDS, 03 HEADQUARTERS: ❑EVT DATE:03-Oct-24 16:24 ❑OPS ❑SN ■LYN ❑STNWD ❑ARL ❑MO REASON FOR ❑ WORK SKETCH ❑ CAR/POLE/EQUIPMENT DAMAGE ORDER No. OPERATION No. MOT MOVEMENT ❑STORM DAMAGE ■OTHER INCREASE CAPACITY 100135768 0100 ❑ BAD ORDER " see instructions below" EQUIPMENT ❑ 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 2032I06 KV.A 2 P-6615-T 76A261705 WESTINGHOUSE 240/120 ■ REMOVED ■ HUNG 0 El SET 2032I06 K 2 240/120 ❑ REMOVED []HUNG ❑ SET ❑ REMOVED LOCATION ADDRESS AND/OR POLE No. 23310 HUMBER LN, EDMONDS 98020/PLI 203206 CUSTOMER NAME (IF APPLICABLE) NEIL (425)-733-6838 QUARTER SECTION TOWNSHIP RANGE NW 36 27 3 MAP PAGE 474-F2 DAMAGED POLE REPLACED? ❑ YES If YES, complete below: ❑ NO 23226 POLE No. POLE DATE OLD POLE NEW POLE 25-2392 88 23225 POLE SIZE PLI 203205 OLD POLE SL-130630-A NEW POLE / Z 23302 OTHER UTILITIES ATTACHED? J ❑ ZIPLY ❑ TV CABLE 23303 ❑ NONE ❑ FIBER LiJ _ 23310 P-6615-T PL1 203206 23313 LAYOUT M&R As -Built GIS GIS QC M&R 1" = 60, GIS Ph JOINT USE SUPERVISOR REVIEW: ENGINEER NAME/PHONE: KARL HAACK/425-238-7372 Complete when more thon 1 phose LANE CLOSURE ON A TWO-LANE LOW -VOLUME ROAD (ONE FLAGGER OPERATION) ROAD W20-1 WORK = AHEAD x ONE LANE W20-4 Rona = AHEAD x • W20-7A �� x r1 Z Ld m 2 m Z 0 W 0 Lno 0 WORK SITE VICINTY MAP N NORTH I 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. 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 I 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 1N URBAN AREAS TO FIT ROADWAY CONDITIONS. I P'(_P'Kir): x TABLE 1 0 CHANNELIZING DEVICE • CHANNELIZATION DEVICE. r FLAGGING STATION • W20-7A SPACING (FEET) im PORTABLE SIGN AND SUPPORT x MPH TAPER TANGENT ONE LANE �® WORK VEHICLE WITH FLASHING i AROAD HEAD W20-4 50-65 10 TO 20 80 LIGHT x 35-45 10 TO 20 60 ROAD 25-30 10 TO 20 40 WORK AREA s WORK W20-1 AHEAD ENGINEERING DIVISION APPROVED AS NOTED %1l LU gl.ti,04,g 10/25/2024 vv RECEIVED Oct 07 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT cm z w m 2 RECEIVED Oct 07 2024 CITY DEVELO MFENTSOERVICES NDS CITY OF EDMONDS MyBuildingPermit.com DEPARTMENT Right -of -Way Application #1557473 - WO 100125474 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 23310 NUMBER LN City Zip Code County Parcel Number EDMONDS 98020 00571300101000 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 Bernard T & Federman Catherine D Shen Number Street Apartment or Suite Number 417 NW 132ND ST City State Zip SEATTLE WA 98177 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: 10/4/2024 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1557473 - WO 100125474 Project Contact Company Name: Snohomish County PUD Name: Karl Haack Email: kjhaack@snopud.com Address: PO Box 1107 Phone #: (425) 238-7372 Everett WA 98206 Project Type Utility Purveyor Project Name: WO 100125474 Activity Type Utility Work Scope of Work Disturbance of Surface WO 100125474: PUD crews to upgrade an existing transformer on a pole to accommodate a new solar service. PUD crews to bore from pole on east side of Humber Lane to west side to Description of feed new UG service. Will install service pedestal on private property and install riser conduit on Work: existing pole to bring new service underground. Will need 3 separate day partial lane closure of northbound Humber Lane to complete work. Asphalt cut required to install utility pot holes. Pot holes to be installed at all city utility crossings. Restoration by PUD. Work will take place between 8am and 4pm. No tree trimming needed. Project Details Project Information Job Number WO 100125474 Page 2 of 2