APPROVED ENG2024-0535 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
98020 ENG2024-0535
www.edmondswa.gov i
Description: PUD - REPLACE 1 BO POLE ISSUED: 01/17/2025
Address: 620 13TH WAY EDMONDS WA 98020
EXPIRES: 07/16/2025
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00539100004000
I 11-14111 a i
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 EMILIA C & HANSON KRI MARTINI 620 13TH WAY SW, EDM0NIDS WA 98020
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: 01/17/2025
Printed: Friday, January 17, 2025 10:29:49 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
X-2 ENGINEERING FINAL**
Printed: Friday, January 17, 2025 10:29:49 AM 2 of 2
ofEOMotio� RECEIVED
RIGHT OF WAY CONSTRUCTION NOV 22 2024
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
ZDEVELOPMENT
/'Vc. i s')3 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 Replace BO Pole 1377
Site Address or if no site address use Property Address at NW corner of project area: 62013th Way SW Edmonds, WA 98020
Associated Permits: BLD PLN ENG
Owner and Entity Holding
Name of Company Public Utility District No. i of Snohomish County Franchise Ordinance No: N/A
Point of Contact Daniel Luu
Title Distribution Engineer
Address PO Box 1107
City Everett
State WA
Zip 982o6
Phone (425)783-4174
Email permits@snopud.com
Contractor and Authorized Agent of Owner
NameofCompany 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. 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)
cK 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.)
The PUD needs to replace BO distribution pole PLI 1377. Work is expected to take 1-2 business days. Lane closure will be needed along the
eastbound lane of isth Way SW to replace this pole. Tree trimming is not needed. Pole will be set in soft surface, no pavement/asphalt
cuts are expected. New pole will be a 5o' wood pole, it will be deep-set to match the aerial height of the existing 4,y' wood pole. Old pole
will be stripped and topped for communications.
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 ® 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?
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 to 1 How many are to be added? I 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? one
What is the height of the existing poles? 45'
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? I One I What is the height of the poles after? 50' (deep-set, visually will look like 45' pole)
Describe the modification rebuild: Replace one BO distribution 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: �a�BZ_," DATE: 11/21/2024
APPLICANT PRINTED NAME: Daniel Luu
APPLICANT TITLE: Distribution Engineer
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
EFD1T=
PUBLIC UTILITY DISTRICT NO 1
LOCATION 620 13TH WY SW, EDMONDS, WA 98020 AREA LYNNWOOD
POLE No. PLI 1377 SW1/4S 25 T 27 R 03 DATE 12/31/2024 ORDER 100138171
REASON FOR WORK REPLACE BO POLE PLI 1377 ENGINEER DCLUU OPERATION 0030
DRAFTER UGND NO.
SCALE AS NOTED
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# ■ 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
❑
LEU#
POLE STENCILING
FROM TO
TAKE OFF POLE
$ _$
MISCELLANEOUS FEES
VAULT 3
PRE-CONST. REQUIRMENTS
PERMIT S
❑ BACKHOE ■ FLAGGING
$
■ ONE CALL DATE
$
No.
$
FIBER
TOTAL DUE $
❑ YES ■ NO
DATE PAID
STREET LIGHTING
RECEIPT NO.
■ YES ❑ NO
ENGINEER DANIEL LUU
M&R INI
IAS-BUILT
PHONE (425) 783-4174
GIS
M&R OUT
CELLULAR (425) 315-3529
GIS QC
JOINT USE
DATE
SUBSTATION WESTGATE
CIRCUIT NO. 12-405 PHASE 2,3
N
•2
�37
O
SCHEMATIC
NTS
BEFORE & AFTER
15
L� 25
�\� F40 ,
(NO CHANGES)
37
5
G
TRANSFER OF UTILITIES, REMOVAL OF POLE AND FINAL RESTORATION TO BE CONSISTENT
WITH APPLICABLE POLE ATTACHMENT AGREEMENT(S) AND JOINT OWNERSHIP POLE AGREEMENT.
CONSTRUCTION NOTES
OA POLE PLI # 1377, NEW PLI#
SET 50' CL 1 WOOD POLE (PW1050, N0110), 5' S OF EXISTING
LOCATION AS STAKED.
POLE MUST BE MINIMUM 5' BEHIND EXISTING CURB, PER
CITY OF EDMONDS
SET DEPTH = 101, RAKE POLE 4'' SOUTH
USE 5/8'' GRVL BCKFLL, CMPCT IN 6'' LFTS
FRAME 20 PRIMARY AS OPEN STAR FLAT DOUBLE DEADEND
ASSEMBLY (12F211)
FRAME 10 END -OF -ARM -TAP ASSEMBLY (12V115), FOR 10 DUE
NW (6TH AVE S)
FRAME 10 DEADEND ASSEMBLY (12V109), FOR 10 DUE E (13TH
WAY SW)
INSTALL (1) 3/8'' PRI DG (G0113), (1) 3/81' NEUT DG (G0111) & (1)
12'' AHR, L= 7' SW (A0102)
INSTALL 8' STREET LIGHT MAST (L0503), TRANSFER LUMINAIRE SL-130511-A
XFR PRIMARY, NEUTRAL, AND OH SVCS
STRIP AND TOP 45' WOOD POLE FOR COMMUNICATIONS
PLAN VIEW
1" - 100'
9
v�
25
1350
—T—/ 1 2
\,
8
2 - 042
26
15-387185
2 205971
355
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25 37
-11090
' ~
27 28
1370
`
1 0�
25 27 9-------
SL-12 0-A 1377
2 5 FU40 15-309020 SL-130511-
� 15-328987
'9O/ 3 37-386109 40 39
P
22574 30
J1371
0 25 13 T H WAY 619
RESUB 00 OWNER/CONTRACTOR IS RESPONSIBLE FOR
s� EROSION CONTROL AND DRAINAGE
LEGEND
0 EXISTING POLE DEC 31 2024 �\��9��
X EXISTING POLE -TO BE REMOVED CITY OF EDMONDS OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
NEW POLE DEVELOPMENT ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
SERVICES DEPARTMENT 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.
694
90 3\
30
29
/13TH-VVY
37
252096
SL-109537
36
697
- 50140
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33
34 681
35
ENGINEERING DIVISION
APPROVED AS NOTED
JeR 01 /17/2025
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LANE CLOSURE BEYOND AN INTERSECTION
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W20- 7A ONE LANE W2O-,
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50' 25'
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6TH PL S
6TH PL S ~
100' 100'
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WORK W2o-, NOV 22 2024
ENGINEERING DIVISION
AHEAD
APPROVED AS NOTED
^EDMONDS
ill WIIAI.,44z 01/17/2025
CITY OPM NT
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SERVICES DEPARTMENT
SNOHOMISH COUNTY
G-DCUM D)
TRAFFIC CONTROL PLAN
PUBLIC UTILITY DISTRICT NO 1
PROJECT REPLACE BO POLE PLI
1377
LOCATION 620 13TH WAY SW, EDMONDS, WA 98020
ENGINEER DANIEL LUU
DATE 11/21/2024 ORDER 100138171
PHONE (425) 783-4174
CELLULAR (425) 315-3529
RECEIVED
NOV 22 2024
CITY OF EDMONDS M BuildingPermit.com
CITY OF EDMONDS
DEVELOPMENT
Right -of -Way Application #1581612 - 100138171 - Pole Replacement SERVICES 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
620 13TH WAY
City Zip Code County Parcel Number
EDMONDS 98020 00539100004000
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
Emilia C & Hanson Kristofer J Martini
Number Street Apartment or Suite Number
620 13TH WAY SW
City State Zip
EDMONDS WA 98020
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: 11/22/2024 Submitted By: Moe Matthews
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1581612 - 100138171 - Pole Replacement
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: 100138171 -Pole Replacement
Description of Replace a bad order pole. Will take approx 1-2 days and will need to close the eastbound
Work: lane of 13th WAY ST to complete work. Pole is set in soft surface with no pavement
restoration required.
Project Details
Project Information
Job Number
100138171
Page 2 of 2