APPROVED ENG2024-0516 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NU BE
City of • • .
98020 ENG2024-05
www.edmondswa.gov i
Description: PUD - REPLACE 2 POLES ISSUED: 11/25/2024
Address: 20103 88TH AVE W EDMONDS WA 98026-6621
EXPIRES: 05/25/2025
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27041900206400
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)783-5681
CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353
OWNER JOSEPH P HOAG 20103 88TH AVE W, EDMONDS WA 98026
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$45.00 $45.00
ENG - INSPECTIONS - 4.1.24
$396.00 $396.00
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: 11/25/2024
Printed: Monday, November 25, 2024 9:19:12 AM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUMIJBE
City of Edmonds
51
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
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL**
Printed: Monday, November 25, 2024 9:19:12 AM 2 of 2
ofE°M°tios RECEIVED
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION Nov 04 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
Complete and submit this Application in accordance with the Submittal DEPARTMENT
/'Vc. is') Requirements outlined in Right -of -Way permit Handout E6�.
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 Replace (2) B/O Poles WO# 100095252
Site Address or if no site address use Property Address at NW corner of project area: 20103 88th Ave W,
Associated Permits: BLD PLN ENG
Owner and Entity Holding
Name of Company Snohomish County PUD #1 Franchise Ordinance No: N/A
Point of Contact Andrea Nelson
Title Lead Designer
Address P.O BOX 1107
City Everett
State WA
Zip 982o6
Phone 425-512-3526
Email ajnelson@snopud.com
Contractor and Authorized Agent of Owner
Name of Company same
(see note below)
Contractor Contacts During Construction
Primary Name
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
Ex Contractor verifies it is currently bonded
❑X 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 welt
❑ Traffic Control Only (no associated development)
ENUtility 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.)
Replace (2) B/O Poles
Brush Trimming at pole B (private property)
Strip, top and enforce pole attachment agreement
Communications on pole is Ziply and Comcast
Replacement should take 2 days worrung Hours 9-3pm
NO Pedestrian access needed, no escort needed
o disturbance of su ace. all in yards
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
I x
LF
SF
Alley 72 hours +
LF
Ix
I LF
SF
Parking 72 hours +
LF
Ix
I LF
SF
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 EXpower ❑ 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.g. 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?
Are the additions for the purpose of serving a single-family residential subdivision?
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? 1 2 1How many are to be added? o
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? 2
What is the height of the existing poles? 45
How many poles are to be removed?
Are additional poles to be laced? no
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 2 1 What is the height of the poles after? same
Describe the modification rebuild: replace existing
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: Andrea Nell�on _ _ , DATE: 10/31/24
APPLICANT PRINTED NAME—. `t �a Nets,..
APPLICANT TITLE: Project Manager
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
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 20103 88TH AVE W, EDMONDS WA LYNNWOODAREA
POLE NO. 9587 & 9582 NW1/4S 19 T 27 R 4 DATE 4/28/22 ORDER 100095252
REASON FOR WORK REPLACE BO POLES ENGINEER A.NELSON 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 N0,
SECONDARY OVERHEAD
NESC VIOLATIONS
BASIC FEE S
■ NO ❑ YES (SEE NOTES)
@$ '=$
PERMITS (DATE GRANTED)
METER/CONV. POLE s
❑ TREE TRIM
PRIMARY UNDERGROUND
El STATE
❑ RESIDENTIAL
❑ COUNTY
■ CITY EDMONDS
❑ COMMERCIAL
BASIC FEE S
❑
LEU NO.
EASEMENTS
'@$ '=$
SECONDARY UNDERGROUND
BASIC FEE S
UNDERGROUND PLAT
BASIC FEE S
FT.@$ _$
STREET LIGHTING
FT.@$ '=$
WORK IN RIGHT OF WAY
❑ PRIMARY
❑ SECONDARY
FT.@$ '=$
MISCELLANEOUS FEES
VAULT S
PERMIT S
S
S
TOTAL DUE 3
DATE PAID
RECEIPT NO.
SERVICE ORDER NO.
I F(;FNn:
❑ REQUIRED ■ NOT REQUIRED
DATE RELEASED
FOREIGN CONTACTS
■ JPN#
❑ JOINT TRENCH ZIPLY & CATV
❑ JOINT BORE ZIPLY & CATV
n
POLE STENCILING
FROM TO
TAKE OFF POLE
PRE-CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
❑ BACKHOE ■ FLAGGING
■ ONE CALL DATE
No.
STREET LIGHTING
❑ YES ■ NO
M&R AS -BUILT
GIS
GIS QC M&R
GIS Ph JOINT USE
LOCATION MAP PAGE
DATE 2/27
SUBSTATION MAPLEWOOD
CIRCUIT NO. 12-346 PHASE 1
ENGR'S TEL. #
ENGR'S CELL #
425-512-3526
1137-5956,W
FU25 ! 19512 F—
E-08097
W 50-367904 Cn
A-3630 20104
00
------------------- -- 0---0
20/14
120114
20/14
O' i
i
L '
----
------------
A-8610 SL-129459-A FU40
C POLE PLI # 9587 0 37-10226
SET 45' CL 2 POLE (PW2045,NO110), TIGHT NW
FRAME (12V113) 1 PHASE TANGENT W/ LATERAL
INSTL (1) 3/8" SG (GO202) TO PLI 9588-SOUTH
XFR OH SVCS
STRIP, TOP & ENFORCE POLE ATTACHMENT AGREEMENT
O POLE PLI # 9582
SET 45' CL 2 POLE (PW2045,NO110), TIGHT SOUTH
FRAME (12V101) 1 PHASE TANGENT
FRAME (12U111) 1 PHASE UG TERM, FU40
XFR UG PRIMARY
SEE UG DWG # 2690-2
XFR OH SVCS
XFR ST LT # SL-129482-A
STRIP, TOP & ENFORCE POLE ATTACHMENT AGREEMENT
TO MPL
CKT 21-346
37
41
A-37967
O
FU40
4015
FU40
O
O EXISTING POLE 25 15
X EXISTING POLE -TO BE REMOVED
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
• NEW POLE ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
NEW POLE TO REPLACE EXISTING POLE UTILITIES MAY REQUIRE A SEPERATE PERMIT.
❑1
15
20021-M-CDG
- �U40- A-37967
J-- ---- 892 -- -
9582
SL-129482-A
20103
i
%958-1
0 37-157
20121
9531 )n1Qa
W 15-3 5511
A-37968
E-46381
9583
SL-129448-A
1 15-357162
W 15-229743
221986
E-
i
8629 8625
11/14
O
/22119';8
-226360
7
O--------- - ----
- - C", z FU40
9588 VnnnRIr% r,T
- 3371
L-13 1/16 20208
SL-128393-A
Q
20209
Q
2 85
1 4118
_
00
O0
OO
11/14
2
0217
O
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
37-395102
A-2540
RECEIVED
Nov 04 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
JX LV& J,1,442 11 /22/2024
VV SHEET OF
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
LANE CLOSURE ON
A TWO—LANE ROAD
(TWO
FLAGGER OPERATION)
ROAD
W20-1 A°AD
TRAFFIC CONTROL INSPECTION
SHALL BE
x
REQUIRED WHENEVER WORK ZONE IS SET UP
ONE LANE
W20-4 ROAD =
AHEAD
x
•
LLJ
48" x 24"
W20-7A ��
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PREPARED
AHEAD
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x
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OPTIONAL IF
= WORK W20-1 40
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MPH OR LESS
SNOHOMISH COUNTY
pCUMm
TRAFFIC CONTROL PLAN
PUBLIC UTILITY DISTRICT NO 1
PROJECT REPLACE (2) B/O POLES
LOCATION 20103 88TH AVE W, EDMONDS WA
ENGINEER ANDREA NELSON
DATE
4/29/22 ORDER 100095252
PHONE
CELLULAR 425-512-3526
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ENGINEERING DIVISION
APPROVED AS NOTED
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VV
RECEIVED
Nov 04 2024
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
RECEIVED
Nov 04 2024 CITY OF EDMONDS
CITY OF EDMONDS MyBuildingPermit.com
DEVELOPMENT SERVICES
DEPARTMENT
Right -of -Way Application #1570343 - 100095252 - Replace Poles
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
20103 88TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 27041900206400
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
Joseph P Hoag
Number Street Apartment or Suite Number
20103 88TH 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: 11/1/2024 Submitted By: Moe Matthews
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1570343 - 100095252 - Replace Poles
Project Contact
Company Name: Snohomish County PUD
Name: Moe Matthews 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 Disturbance of Surface
Project Name: 100095252 - Replace Poles
Description of Replace two poles. One is on 88th AVAE W and the other is on 202nd ST SW. Will be
Work: performing brush trimming on private property and work should take about 2 days working
9am-3pm.
Project Details
Project Information
Job Number
100095252
Page 2 of 2