APPROVED ENG2024-0561 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
98020 ENG2024-0561
www.edmondswa.gov i
Description: PUD - REPLACE 1 BO POLE ISSUED: 01/09/2025
Address: 23577 74TH AVE W EDMONDS WA 98026-8500
EXPIRES: 07/08/2025
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27043200301700
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)783-8262
CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353
OWNER LYLE B & BEATE PETER 23577 74TH AVE W, EDMONDS WA 98026-8500
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: 01/09/2025
Printed: Thursday, January 09, 2025 9:27:07 AM 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
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL**
Printed: Thursday, January 09, 2025 9:27:07 AM 2 of 2
WO# 100072258
OP104
RECEIVED
Lti�y of ED%4,,,
lNC. 1 g90
SECTION A
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
Requirements outlined in Right -of -Way permit Handout E63.
DEC 11 2024
CITY OF EDMONDS
DEVELOPMENT
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.
General Info
Project Name BO Pole Replacement (PLI 251563)
Site Address or if no site address use Property Address at NW corner of project area: 235577 74th Ave W Edmonds, WA 98026
Associated Permits: BLD PLN ENG
Owner and Entity Holding Franchise (if applicable)
NameofCompany Snohomish County PUD Franc hiseOrdinanceNo: N/A
Point of Contact Joint Use
Title
Address PO Box 1107
city Everett
state WA
zip 98206-1107
Phone
Email Permits sno ud.com
Contractor and Authorized Agent of Owner
Name of Company Same as above
(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
❑ Contractor verifies it is currently bonded
Contractor verifies it currently has general liability insurance
NOTE: ECDC 18.6o.02o 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: Pole Replacement
❑ Utility Franchise Work associated with development (check one of the above boxes as well)
❑ Traffic Control Only (no associated development)
City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021
❑ Utility Franchise Work (no associated development)
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.)
PUD to replace BO PLI 251563 and its anchor (guy pole) in the same location. Ground disturbance will only
be in soft surfaces. No bores.
Northbound shoulder lane of 74th Ave W will be closed for 4-8hrs between 7AM-3PM for pole and anchor
replacement. Vegetation trimming will be required to replace the anchor.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
JxJ
LF
SF
Alley 72 hours +
LF
JxJ
F
SF
Parking 72 hours +
LF
JxJ
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 Wpower ❑ gas
❑ water ❑ sewer ❑ storm
1.
CompletedDetails of Work to be
Does the utility owner have existin overhead infrastructure in the area of work?
•
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 system?
X
5.
Does the work involve proposed additions to an aboveground utility system? 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 • to be Completed
Z"
6. Does your project involve rebuilding or replacing utility equipment which currently serves more
X
than one lot or commercial development?
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
If yes, answer the following questions related to project area, i.e. the actual area in which the
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?
6b.
Does your project involve poles? If yes:
V
How many poles are existing in the project area? 1
What is the height of the existing poles? 30'
How many poles are to be removed? 1
Are additional poles to be laced? 1
How many? 1 1 1 What is the height of the additionalpoles? 35'
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
V
How many? 1 1 1 What is the height of the poles after? 35'
Describe the modification rebuild: Replacing 30' wood pole with a 35' wood pOle.
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:
01001M
APPLICANT PRINTED NAME: Andy Tran
APPLICANT TITLE: Engineering Tech III
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
12/10/2024
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
SNOHOMMIISHnCOUNTY
PUBLIC UTILITY DISTRICT NO 1
LOCATION 23577 74TH AVE W EDMONDS, WA 98026 AREA LYNNWOOD
POLE NO. 15895 SW1/4S 32 T 27 R 4 DATE 11/14/2024 ORDER 100072258
REASON FOR WORK PUD TO REPLACE (1) BO POLE. ENGINEER AXTRAN OPERATION 0104
DRAFTER UGND NO.
SCALE 1=100'
FOREMAN RECORDS
NESC VIOLATIONS
FOREMAN
■ NO ❑ YES (SEE NOTES)
PERMITS
DATE WORK COMPLETED
❑ RESTORATION REQUIRED
■ CITY
❑ ADDITIONAL WORK REQUIRED
❑ SNO COUNTY (TCP)
NOTES (i.e. REDLINE INFO):
❑ SNO COUNTY (BLANKET)
❑ SND COUNTY (MAJOR)
❑ OTHER:
❑ NO PERMIT REQUIRED
❑ RESTORATION REQUIRED
❑ MULTIPLE JOB PHASES (i.e. OH, UG)
FEES REQ'D ❑ YES ■ ND
EASEMENTS ❑ REQUIRED
E# ■ NOT REQUIRED
PRIMARY OVERHEAD
❑ RESIDENTIAL
REQUEST NO.
❑ COMMERCIAL
LEO#
DATE APPROVED
$ -$
FOREIGN CONTACTS
■ JPN#
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ JOINT TRENCH ZIPLY & CATV
❑ COMMERCIAL
❑ JOINT BORE ZIPLY & CATV
BASIC FEE
❑
POLE STENCILING
FROM TO
TAKE OFF POLE
LEU#
MISCELLANEOUS FEES
VAULT
PRE-CONST. REQUIRMENTS
PERMIT E
❑ BACKHOE ❑ FLAGGING
$
■ ONE CALL DATE
$
No.
$
FIBER
TOTAL DUE 3
❑ YES ■ NO
DATE PAID
STREET LIGHTING
RECEIPT No.
❑ YES ■ NO
ENGINEER ANDY TRAN
M&R IN
AS -BUILT
PHONE (425) 783-8262
GIS
M&R OUT
CELLULAR (425) 359-1123
GIS QC
JOINT USE
O EXISTING POLE
0 EXISTING POLE -TO BE REMOVED
• NEW POLE
* NEW POLE TO REPLACE EXISTING POLE
APPROVED s
DATE 12/9/2024
SUBSTATION Bi
DATE PRINTED
CIRCUIT NO. 12-260 PHASE 132
TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT
WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT.
OA PLI# 251563
RMV EXISTING SG TO POLE E-197.
RMV EXISTING DG AND AHR.
RMV 30' WOOD POLE.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
SET 35' CL2 WOOD POLE (PW2035, N0110), IN -PLACE.
SET DEPTH = 5.5'
USE 5/8" GRVL BCKFLL, CMPCT IN 6" LFTS
INSTIL (1) 3/8" SG (G0202) TO POLE E-197.
INSTL (1) 3/8" DG & (1) 8" AHR, L= 7' EAST (GO113, A0101).
LAYOUT
1" = 100' N
12
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
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.
19
ENGINEERING DIVISION
APPROVED AS NOTED
d dl (NQ✓. JO, ,44.t 01 /08/2025
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RECEIVED
DEC 11 2024
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
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SCHEDULE ALL INSPECTIONS
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WORK ON SHOULDER
OR PARKING
LANE
N
FOR PARKING LANE CLOSURE,
t
48" x 24"
NO PARK BARRICADES REQUIRED
+
s END G20-2
WITHIN CLOSURE AREA
I
ROAD WORK
ARK
x (OPTIONAL)
FROM
TO 0
TOW AWAY AREA
I MIN-. •
•
50' (100' FOR SPEED
LIMIT 45 M P H
I
W •
OR ABOVE)
DISPLAYED 72 HOURS IN
ADVANCE OF CLOSURE
Q I •®
• P L I 2 5 � 5 63
ZI •
•
I
NO ENCROACHMENT ON THIS
•
TRAVELED LANE IS PERMITTED.
IF ENCROACHMENT IS NECESSARY,
•
LANE SHALL BE CLOSED.
•
o0
•
W20-301 SHALL BE USED FOR
SPEED LIMITS 45 MPH OR ABOVE
•
•
SHOULDER
>
I
x
CLOSED
Of
SHOULDER
s WORK W21-5
W20-301
IF USED, W20-301 SHALL BE PLACED
Q
-
I
x
WORD W20-1
BETWEEN W20-1 AND W21-5 USING
N
AHEAD
SPACING DISTANCE (X)
I
RECEIVED
DEC 11 2024
ENGINEERING
DIVISION
TRAFFIC CONTROL INSPECTION SHALL BE
APPROVED
AS NOTED
REQUIRED WHENEVER WORK ZONE IS SET
UP
CITY OF EDMONDS
�
jdl �i6�
p 01/08/2025 DEVELOPMENT
-Vv
SERVICES DEPARTMENT
SNOHOMISH COUNTY
TRAFFIC CONTROL PLAN
LFDU
PUBLIC UTILITY DISTRICT NO 1
PROJECT BO PLI 251563 REPLACEMENT
LOCATION 23577 74TH AVE W EDMONDS, WA 98026
ENGINEER ANDY TRAM DATE 12/10/2024 ORDER 100072258
PHONE (425) 783-8262
CELLULAR (425) 359-1123
RECEIVED
DEC 11 2024
CITY OF EDMONDS M BuildingPermit.com
CITY OF EDMONDS
Right -of -Way Application #1588599 - 100072258 Replace Pole SERVICESLOPMENT DEPARTMENT
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
23577 74TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 27043200301700
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
Lyle B & Beate Peter
Number Street Apartment or Suite Number
23577 74TH AVE W
City State Zip
EDMONDS WA 98026-8500
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: 12/10/2024 Submitted By: Moe Matthews
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1588599 - 100072258 Replace Pole
Project Contact
Company Name: Snohomish County PUD
Name: Andy Tran Email: permits@snopud.com
Address: PO Box 1107 Phone #: (425) 783-8262
Everett WA 98206
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work Disturbance of Surface
Project Name: 100072258 Replace Pole
Description of Replace
disturbe and anchor ance, no pavement cutperform s. Northbound vegetation
Work: Northbound shoulder of 74th AVE will be closed for 4-8
hours between 7am-3pm.
Project Details
Project Information
Job Number
100072258
Page 2 of 2