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APPROVED ENG2025-0042 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NLI�M4BE City of • • Edmonds:i 1 114 www.edmondswa.gov i Description: PUD - REPLACE 1 BO POLE LIKE FOR LIKE ISSUED: 02/19/2025 Address: 1450 OLYMPIC VIEW DR EDMONDS WA 98020-2690 EXPIRES: 08/18/2025 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00531904600100 i NAME TYPE NAME ADDRESS PHONE APPLICANT MOE MATTHEWS PO BOX 1107, EVERETT WA 98206 (425)783-1000 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 GREGG & FRAZIER ALIX ORTEGA 12421 123RD AVE NE, LAKE STEVENS WA 98258 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $49.00 $49.00 ENG - INSPECTIONS-1.1.25 $274.00 $274.00 ROW - STANDARD - 1.1.25 $411.00 $411.00 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: 02/19/2025 Printed: Wednesday, February 19, 2025 1:10:04 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUM11BE 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: Wednesday, February 19, 2025 1:10:04 PM 2 of 2 RECEIVED Lti�y of ED%�O� ANC. 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. JAN 31 2025 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. GeneralInfo Project Name REPLACE 1 BAD ORDER POLE Site Address or if no site address use Property Address at NW corner of project area: 1450 OLYMPIC VIEW DR EDMONDS WA 98026 Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company SNOHOMISH COUNTY PUD Franchise Ordinance No: MM Point of Contact ANDREW RIFE Title PROJECT MANAGER III Address 1802 75TH ST SW City EVERETT State WA Zip 98203 Phone 425-783-8559 Email ASRIFE@SNOPUD.COM Contractor and Authorized Agent of Owner (see note below) Name of Company SNOHOMISH COUNTY PUD Contractor Contacts During Construction Primary Name ANDREW RIFE Agent Name ANDREW RIFE Title PROJECT MANAGER III Title PROJECT MANAGER III Mobile 425-783-8559 Address 1802 75TH ST SW Email ASRIFE@SNOPUD.COM City EVERETT State WA Zip 98203 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 rg 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: ❑ Utility Franchise Work associated with development (check one of the above boxes as well) K Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 d3 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.) 1. PUD CREWS WILL BE REPLACING 1 BAD ORDER POLE IN EDMONDS FOR SYSTEM MAINTENANCE. 2. NO TREE WORK. 3. NO IMPACT TO PEDESTRIAN TRAFFIC 4.NO ASPHALT WORK. :MY091:426]=11►[H•1.1►1:9•10&191;1IIII&I11:77_Cyy1 7y[. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF JxJ LF SF o Alley 72 hours + LF JxJ F SF o Parking 72 hours + LF JxJ LF SF o 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 1. CompletedDetails of Work to be Does the utility owner have existin overhead infrastructure in the area of work? • 2. Will an equipment be added underground or above round (e.g. pedestals, vaults, etc.)? If es, describe: 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial develo ment? tX 4. Does the work involve rebuilding or relocating an existing aboveground utility system which connects a lot or commercial develo ment to an existin under round common utili s stem? 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? x Are the additions for the purpose of serving a single-family residential subdivision? x Details of • to be Completed • 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? X 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: X 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 11 1 How many are to be added? 10 6b. Does your project involve poles? If yes: X How many poles are existing in the project area? What is the height of the existing poles? 45 How many poles are to be removed? 1 Are additionalpoles 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? 11 1 What is the height of the poles after? 145FT Describe the modification rebuild: LIKE FOR LIKE 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: IeC _ w �� DATE: 01/15/2025 APPLICANT PRINTED NAME: ANDREW RIFE APPLICANT TITLE: PROJECT MANAGER III NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 7AYV Hcs, 110 ®#1'CDRdSO4�R'F'-l'O1]0—tn@iiiRE)*NTY LOCATION 1450 OLYMPIC VIEW DR LYNNWOODAREA POLE NO. 159 SEI/4S 13 T 27 R 03 DATE 03/05/22 ORDER 100092624 REASON FOR WORK REPLACE BAD ORDER POLES ENGINEER A. RIFE OPERATION 0030 FOR PUD PRI-5 DRAFTER u.G. NO. SCALE 1' =100' APPROVED SAS DATE PRINTED DATE WORK COMPLETED DATE 4/23/2024 RC 1/13/25 FOREMAN FEES REQ'D oYEs ■NO PRIMARY OVERHEAD O RESIDENTIAL O COMMERCIAL LEO NO. 'as 'ms SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE s ■ NO ❑ YES (SEE NOTES) PERMITS (DATE GRANTED) O TREE TRIM O STATE 'as 'ms METER/CONY. POLE s PRIMARY UNDERGROUND O RESIDENTIAL O COUNTY O COMMERCIAL ■ CITY EDMONDS BASIC FEE s O EASEMENTS LIEU NO. 'Qs '■s O REQUIRED O NOT REOUIRED SECONDARY UNDERGROUND BASIC FEE s DATE RELEASED .Qs .ms UNDERGROUND PLAT FOREIGN CONTACTS ■ JPN• 100092624 EM BASIC FEE s g FT.03 '.s O JOINT TRENCH ZIPLY L CATV O JOINT BORE ZIPLY 6 CATV STREET LIGHTING O Q FT.Os =s POLE STENCILING WORK IN RIGHT OF WAY FROM TO O PRIMARY O SECON SUBSTATION MPL CIRCUIT N0. 12-345 PHASE 123 ,imW jDd 3iiv2j3d3S v 3iano3i 1 xvA S3Iii-iii 1 MISCEL ANV Ol NOISIn32i/NOIiVOO_132J 's3iiinI1f1 311S NO _ V 9NIiV0O_I 210d 3_18ISNOdS32i 2]OlO`d2J1N00/b3NMO rGn�l � s s s s s TOTAL DUE s No. STREET LIGHTING ■ YES O NO LT DATE PAID vl� %ful Imm. RECEIPT NO. IGIS Phi IJOINT USE SERVICE ORDER ND. LOCATION MAP PAGE_!411- FC.FNn: 0 EXISTING POLE X EXISTING POLE -TO BE REMOVED • NEW POLE )1( NEW POLE TO REPLACE EXISAING POLE ENGR'S TEL. • 425-783-8559 ENGR'S CELL • 425-783-8559 FU N DOVNIVJ l GNVO0 J1NOO NOIS02J3 bOd 3_I81SNOdSD2l SI 2:]OlOVJiNOO/2]3NM0 I (3)#4CU SOL PRI 2 (1)*4CU SOL NEUT 3 FL MPL 12-343 MPL 12-343 BEFORE AFTER SCHEMATIC N CONSTRUCTION NOTES: RECEIVED LOC A JAN 31 2025 POLE PLI #159 SET 50ft CL-1 WOOD POLE & INSTL POLE GND N0110 SET DEPTH = 7' USE 5/8" GRVL BCKFLL, CMPCT IN 6" LFTS CITY OFEDMONDS LOC T.N. OF EXISTING POLE DEVELOPMENT FRAME PER CS-12F303,12F601, & 12V115 SERVICES DEPARTMENT TRANSFER #4CU 3PH PRI/NEUT CONDUCTORS HANG LBCU FOR 1PH LAT TO W AND INSTALL 65A FUSE TRANSFER #6CU 1PH PRI/NEUT LAT TO W. INSTL (1) 3A" PRI DG G0113 & (1) SINGLE HELIX 12" AHR A0102, L=8FT EAST TRANSFER 25-20234 KVA OH XFMR UTC#------------------ SER#------------------- XFR OH SVCS INSTALL NEW 1OFT SL-ARM L0504 & TRANSFER STLT #130255 RMV EXIST SEC UG RISER INSTL 3" SEC RISER 1U705 RUN 350 KCMIL TPX FROM NEW POLE TO PED AT LOC C. L=90 RE -USE EXISTING PLASTIC PED & INSTL 5 POS TERM BARS STRIP AND TOP POLE FOR COMMUNICATIONS (3)04CU SOL PRI I (1)#4CU SOL NEUT 2 3 161 1041 9 P 158 lt49 4160 l/""o FU60 1450 5 2 15- 0 ' 25-20234 130255-A 1440 SHEET FA 34078 . 8-18-18 02 a v 3 a o 0 U �M da �N O cN ;�4 OF C,w J` 40 }oafoid pa}}ivaaad ay} 6wanp sin000 GDiON S`d G3IAO Idc!V ao pasneo sIu }ey} spaepue}s !}Io aad �(enn-;o-}y6!}IC uI s}uauaanoadual NOISIAIG JNI2i33NIJN3 I aye}uoa} ao sai}ili}n o} a6ewep HOS WORK IN TRAVEL LANE (MAINTAINING TWO-WAY TRAFFIC, 35 MPH OR LESS) W20-1 < > ROAD WORK 'r AHEAD X ROAD O R NARROWS X W1-4R N J m LL N J LI.J I IN J 0 RECEIVED JAN 31 2025 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT LLJ O ry —0 H O V) O O 00 O co 00 —O O O O 10�00 AIN 0 MIN O O O O O O O O O 101 N J fil x W1-4L x ■■ ROAD s WORK AHEAD W20-1 AA RECEIVED CITY OF EDMONDS Right -of -Way Application #1607669 - WO 100092624 JAN 31 2025 MyBuildingPermit.com CITY OF EDMONDS DEVELOPMENT 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) 783-1000 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 1450 OLYMPIC VIEW DR City Zip Code County Parcel Number EDMONDS 98020 00531904600100 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 Gregg & Frazier Alix J Ortega Number Street Apartment or Suite Number 12421 123RD AVE NE City State Zip LAKE STEVENS WA 98258 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: 1/30/2025 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1607669 - WO 100092624 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 Utility Purveyor Activity Type Utility Work Scope of Work Disturbance of Surface Project Name: WO 100092624 Description of Work: WO 100092624: PUD crews to replace BO pole, like for like. No tree work. Reapplying for one of the poles that was under expired ENG2024-0075. Project Details Project Information Job Number WO 100092624 Page 2 of 2