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APPROVED ENG2024-0528 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds :0• LM www.edmondswa.gov i Description: PUD-REAPPLYING EXPIRED PERMIT ENG2024-0074 ISSUED: 12/05/2024 Address: 17500 69TH PL W EDMONDS WA 98026-5209 EXPIRES: 06/05/2025 it Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00639200000200 W 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)239-8210 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER MICHAELA HINRICHS 17500 69TH PL W, 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 - 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: 12/05/2024 Printed: Thursday, December 05, 2024 12:17:05 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: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: Thursday, December 05, 2024 12:17:05 PM 2 of 2 10 of EUAivti °'' RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal ANC. Ia9° Requirements outlined in Right -of -Way permit Handout E6�. LN3WLNVd3a If any field is not applicable to your project, write "IftN �N,APPeaving blank. All fields required. Incomplete Applications Reapplying for expired ENG2US33H SECTION A owner and Entity Name of Company Holdingapplicable) Franchise Ordinance No: N/A SNOHOMISH COUNTY PUD Point of Contact ANDREW RIFE Title ENGTECH III Address City 1802 75TH ST SW EVERETT State WA Zip 982o6 Phone 425-783-8559 Email ASRIFE@SNOUPUD.COM & permits@snopud.com • • • •=NameAND • • • • • 1 • • NamHOMISH COUNTY PUD Primary Name ANDREW RIFE AgeREW RIFE Title ENG TECH III Title ENG TECH III Mobile 425-783-8559 Address 1802 75TH ST SW Email ASRIFE@SNOPUD.COM City EVERETT State WA Zip 982o6 Secondary Name Phone 425-783-8559 Title Email ASRIFE@SNOPUD.COM 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 _ A - sl... ..,. d hu tho rih, NOTE: ECDC 18.6o.020 requires that the Application be signed by a ncensea and aonaea Cunu uULUI «I«r33 0 .«. LVI 111 engineer. Type of Development — Check ALL that apply ❑ 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 otthe above boxes as well) X Traffic Control Only (no associated development) NUtility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page i 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.) PUD LINE CREW WILL BE REPLACING 1 BAD ORDER POLE 30 -3:30 - SOFr SURFACE WORKING AREA tY'�NI �YL�I �lw�rn�ol�•11�[!!��•l►['L•YYO��I��i� RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF Alley 72 hours + LF x LF SF Parking 72 hours + LF x LF SF o SECTION B -If you are not a utility company performing work in the City ROW, skip to SECTIONC. Type of Utility Facilities 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications ❑ cable Xpower ❑ gas ❑ water ❑ sewer ❑ storm ' Details 1. Work • •• Does the utility owner have existing overhead infrastructure in the area of work? 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? 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 system? X Does the work involve ro osed additions to an aboveground utility system? 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 No Details• 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 project is proposed: X 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 2 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: How many poles are existing in the project area? l What is the height of the existing poles? How many poles are to be removed? / Are additional poles to be laced? X How many? What is the height of the additional poles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? What is the height of the poles after? r Describe the modification rebuild: A.. r0 1 i ke for like) SECTION cC 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. 17 APPLICANT SIGNATURE:/� `LAG �In—�— DATE: ? y Z APPLICANT PRINTED NAME: APPLICANT TITLE: ��^'�—� �—C =nE NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 HE) Mil Iq!gjL (AldigNIDTjTIlr36iM9 COUNTY LOCATION 17500 69TH PL W LYNNWOODAREA POLE NO. 4862 SWI/4S 08 T 27 R 04 DATE 04/08/22 ORDER 100094421 REASON FOR WORK REPLACE BAD ORDER POLE ENGINEER A. RIFE OPERATION 0030 FOR PUD PRI-5 DRAFTER u.G. NO. SCALE 1" =100' APPROVED & DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D OYES ■NO PRIMARY OVERHEAD O RESIDENTIAL O COMMERCIAL LEO NO. 'as 'ms SECONDARY OVERHEAD BASIC FEE s METER/CONV. POLE s PRIMARY UNDERGROUND O RESIDENTIAL O COMMERCIAL BASIC FEE s LEU NO. �ISVNII NESC VIOLATIONS ■ NO 0 YES (SEE NOTES) PERMITS (DATE GRANTED) 0 TREE TRIM • STATE O COUNTY ■ CITY EDMONDS 0 EAWKWSiNOO NOISO2JA lwfmIff9cldol3KwNQoAmw SECONDARY UNDERGROUND BASIC FEE s 'as .ms DATE RELEASED UNDERGROUND PLAT FOREIGN CONTACTS 0 JPN• 100094421 BASIC FEE s q FT.0 '.s O JOINT TRENCH ZIPLY 6 CATV 0JOINT BORE ZIPLY i CATV STREET LIGHTING 'ms 0 FT.@$ POLE STENCILINGFROM WORK IN RIGHT OF WAY TO 0 PRIMARY TAKE OFF POLE 0 SECONDARY € FT.@$ '•s PRE-CONST. REOUIRMENTS MISCELLANEOUS FEES 0 TREE TRIM 0 PUD LOCATOR 0 BACKHOE ■ FLAGGING VAULT s ■ ONE CALL DATE PERMIT s No. s STREET LIGHTING s ■ YES ONO s M&R AS -BUILT s GIS TOTAL DUE S DATE PAID GIS OC M6R RECEIPT NO. GIS Ph JOINT USE SERVICE ORDER NO. LOCATION MAP PAGE 4558- LEGEND: O EXISTING POLE 0 EXISTING POLE -TO BE REMOVED • NEW POLE )1( NEW POLE TO REPLACE EXISTING POLE DATE SUBSTATION PRV CIRCUIT NO. 12-92 PHASE 1 ENGR'S TEL. • 425-783-8559 ENGR'S CELL • 425-239-8210 dz 50 BEFORE PRV 12-92 CONSTRUCTION NOTES: A-PL14862 SET 45FT POLE IN PLACE. COORDINATE W/ZIPLY SET POLE 6.5FT DEEP FRAME POLE PER CS-12V101AND 12V601 TRANSFER PRI/NEUT CONDUCTORS 02ACSR TRANSFER OVHD SEC SVC'S TRANSFER EXISTING SEC RISER AND SL-130808-A RMV XFMR 50-1439 SER* INSTALL XFMR BAG AND CAUTION TAG ON XFMR MARK SUSPECT PCB'S ON CAUTION TAG RMV OLD POLE FROM SYSTEM HANG A 1PH 37.5KVA XFMR 120/240/7200V UTC* 37.5 SER* SEC V FUSE XFMR AT 10 AMPS * 37.5 AFTER PRV 12-92 SCHEMATIC NTS 7005 7004 7003 0 2 \lA39 17501 VSL-1 808-A 50-1439 A _'�11505 0 J 11/14 � Di = 917 25 � 176T[ 145 SHEET 0� \ 121051 AL-114026-Y �831 [Sig lIW2i3d 31V2i3d3S V 3i ijinD32i IVW s3iiinI1f1 l l fVnlQlA::l>J/fVnl 1H-1n1!_1)4 Qzu i ni i n::i i is N t,ZOZ/t,0/Z 6 LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) ROAD W20-1 WORK AHEAD x ONE LANE W20-4 ROAD AHEAD x W20-7A •� x x G20_2 END ROAD WORK 48" x 24" (OPTIONAL) 48" x 24' ROADNWORK G 2 0 — 2 x (OPTIONAL) 0 0 N NORTH I 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. z'* uj LoO x s •� W20-7A x ONE LANE s ROAD W20-4 AHEAD x ROAD AL WORK W20-1 AHEAD W20-7B BE PREPARED TO STOP OPTIONAL IF 40 MPH OR LESS THIS PLAN MAY BE MIRRORED FOR OPPOSITE SIDE OF ROADWAY USING SAME SIGNS AND SPACING. YES ❑ NO ❑ INITIAL 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. BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 1 25 30 35 40 45 50 55 1 60 65 70 LENGTH (FEET)l 155 200 250 305 360 425 495 1 570 645 730 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' 1 74' 1 100' 1 150' 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 O CHANNELIZING DEVICE FLAGGING STATION PORTABLE SIGN AND SUPPORT ®® WORK VEHICLE WITH FLASHING LIGHT WORK AREA V ZOZ/ V O/Z t (]E]i�JVd3G N3 4310N S`d /ddd ]M`d Wd0�3/�30 13d0Ail0 NOISING ONN2 EINION3 RECEIVED Nov 18 2024 --- CITY OF EDMONDS , DEVELOPMENT SERVICES CITY OF EDMONDS MyBuildingPermit.com DEPARTMENT Right -of -Way Application #1579074 - WO 100094421 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 17500 69TH PL W City Zip Code County Parcel Number EDMONDS 98026 00639200000200 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 Michael A Hinrichs Number Street Apartment or Suite Number 17500 69TH PL 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: 11/15/2024 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1579074 - WO 100094421 Project Contact Company Name: Snohomish County PUD Name: Andy Rife Email: asrife@snopud.com Address: PO Box 1107 Phone #: (425) 239-8210 Everett WA 98206 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: WO 100094421 WO 100094421: PUD reapplying for expired ENG2024-0074 in order of replace pole badly Description of compromised by woodpecker damage and in need of replacement very soon. Is an expedite Work: possible? Work to be done during hours of 7:30am to 3:30pm. No tree work required. Work area is soft surface. Crews will set up facing north on 69th PI W. Project Details Project Information Job Number WO 100094421 Page 2 of 2