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APPROVED ENG2025-0054 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT ' City of• • . :i 1 11 •4 www.edmondswa.gov i Description: PUD - REPLACE 1 BO POLE ISSUED: 03/03/2025 Address: 1424 OLYMPIC VIEW DR EDMONDS WA 98020-2690 EXPIRES: 09/03/2025 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00531904400002 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 CHRISTOPHER & WARE ME WARE 1424 OLYMPIC VIEW DR, EDMONDS WA 98020 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: 03/03/2025 Printed: Monday, March 03, 2025 3:52:51 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMIJBE 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: Monday, March 03, 2025 3:52:51 PM 2 of 2 RECEIVED Lti�y of Epiy04o� 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. FEB 07 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. General Info Project Name 1. BAD ORDER POLE WORK ORDER 100092668 Site Address or if no site address use Property Address at NW corner of project area: 1424 OLYMPIC VIEW DR. Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company SNOHOMISH COUNTY PUD Franchise Ordinance No: Point ofContactANDREW RIFE Title PROJECT MANAGER III Address 1802 75TH ST SW CityEVERETT State WA Zip 98203 Phone 425-783-8559 EmailASRIFE@SNOPUD.COM & permits@snopud.com Contractor and Authorized Agent of •wner (see note below)• Name of Company SNOHOMISH COUNTY PUD • • During Construction Primary Name ANDREW RIFE Agent Name ANDREW RIFE Title PROJECT MANAGER III Title PROJECT MANAGER III Mobile 425-239-8210 Address 1802 75TH ST SW EmailASRIFE@SNOPUD.COM CityEVERETT State WA Zip 98203 Secondary Name Phone 425-783-8559 Title Ema"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 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) 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.) 1. PUD CREWS WILL BE REPLACING 1 BAD ORDER POLE IN EDMONDS FOR SYSTEM MAINTENANCE. o tree trimming. PLEASE REFERENCE EXPIRED PERMIT 2024-0040 RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF JxJ LF SF 0 Alley 72 hours + LF JxJ F SF 0 Parking 72 hours + LF JxJ LF SF 0 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 d power ❑ gas ❑ water ❑ sewer ❑ storm 1. CompletedDetails of Work to be Does the utility owner have existin overhead infrastructure in the area of work? X • 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? %< 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? x Are the additions for the purpose of serving a single-family residential subdivision? x Details of • to be Completed No 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: 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 1 3 How many are to be added? 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? Replacing like for like. 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? 11 1 What is the height of the poles after? 45' 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: �� DATE: 2i5i2025 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 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM RECEIVED PUBLIC UTILITY DISTRICT NOA OF SNOHOMISH COUNTY LOCATION 1424 OLYMPIC VIEW DR LYNNWOODAREA POLE NO. 166 SE1/4S 13 T 27 R03 DATE 03/05/22 ORDER 100092668 REASON FOR WORK REPLACE BAD ORDER POLE ENGINEER A. RIFE OPERATION 0030 FOR PUD PRl-5 DRAFTER U.G. NO. SCALE WPROVED_ DATE PRINTED DATE WORK COMPLETED FOREMAN FEES REQ'D OYES INNO PRIMARY OVERHEAD ❑ RESIDENTIAL O COMMERCIAL LEO NO. SECONDARY OVERHEAD NESC VIOLATIONS BASIC FEE f ■ NO ❑ YES (SEE NOTES) 'Qf '•f PERMITS (DATE GRANTED) METER/CONV.POLE f ❑TREE TRIM PRIMARY UNDERGROUND ❑ STATE ❑ RESIDENTIAL ❑ COUNTY ❑ COMMERCIAL ■ CITY EDMONDS BASIC FEE S ❑ LEU NO. EASEMENTS 'as '•f ❑ REQUIRED ❑ NOT REQUIRED SECONDARY UNDERGROUND BASIC FEE E 'as .f DATE RELEASED UNDERGROUND PLAT FOREIGN CONTACTS BASIC FEE f 0 JPN• 100092668 4 FT.Qf '.f ❑ JOINT TRENCH ZIPLY f CATV STREET LIGHTING ❑JOINT BORE ZIPLY 4 CATV 4 FT.f ❑ 10009266E POLE STENCILING WORK IN RIGHT OF WAY FROM TO ❑ PRIMARY TAKE OFF POLE ❑ SECONDARY F FT.Qf .f PRE-CONST. REOUIRMENTS MISCELLANEOUS FEES ❑ TREE TRIM ❑ PUD LOCATOR VAULT f 0 BACKHOE ■ FLAGGING ■ ONE CALL DATE PERMIT f No. f STREET LIGHTING s ■ YES ❑ NO f MLR I IAS-RUILT TOTAL DUE s DATE PAID GIS OC RECEIPT NO. I IGIS Phi SERVICE ORDER ND. ILOCATION MAP P/ LEGEND: O EXISTING POLE 0 EXISTING POLE -TO BE REMOVED • NEW POLE )1( NEW POLE TO REPLACE EXISTING POLE SUBSTATION MPL CIRCUIT NO. 12-343 PHASE 123 ENGR'S1425 TEL. 425-783-8559 ENGR'S CELL 425-239-8210 N LOC A-PLI-166 SET 45FT POLE T.E. OF EXISTING POLE SET POLE 6.5FT DEEP FRAME POLE PER CS-12F303 AND 12F603 TRANSFER OVHD SEC SVC'S AND SL-115978-A INSTALL NEW STAND-OFFS AND TRANSFER EXISTING SEC PARALLEL RISER'S TRANSFER EXISTING 120/208/240V THREE PHASE BANK WIRE XFRM BANK PER T8,D GUIDELINES 4-13-8.0 PH-2 UTCO 50-370223 SERO PH-3 UTC* 15-16466 SERa PH-1 UTCO 15-16467 SERO STRIP POLE AND ABANDON TO COMM MPL 12-343 (3)*4CU SOL PRI (1)04CU SOL NEUT 1 2 3 15 5 15 SCHEMATIC NTS OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE Applicant shall repair/replace all OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING damage to utilities or frontage ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY improvements in City right-of-way UTILITIES MAY REQUIRE A SEPERATE PERMIT. per city standards that is caused or occurs during the permitted project. FEB 07 2025 CITY OF EDMONDS SERVICES DEPARTMENT 0 SHEET OF ENGINEERING DIVISION APPROVED AS NOTED JPJJ WQ✓JfS,04z 02/28/2025 HOS )M 2E]A� IHM oaji oa nj )ddSNI IMAINOO 0lAAV?Jl LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) ROhD W20-1 WORK AHEAD X M LANE W20-4 ROAD T AHEAD x I— • Lv W20-7A ■� LW X Z r O 5m O oa O Nv) O f o 0a wo zI- ~3 0 U zW r) � W o 2E JZ_ o —J Ln O o O O O O O X G20-2 EHO ROAD NORK 48" x 24" (OPTIONAL) 48" x 24" NE im 0-1 ROAD'+WORK G20-2 X, , (OPTIONAL) 0 0 9 w :mm Lo X s W20-7A X ONE LANE i ROAD W20-4 AHEAD X ROAD s WORK W20-1 AHEAD W20-76 uE PREPAflEO TO STOP OPTIONAL IF 40 MPH OR LESS RECEIVED FEB 07 2025 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED CITY OF EDMONDS Right -of -Way Application #1610775 - WO 100092668 FEB 07 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 1424 OLYMPIC VIEW DR City Zip Code County Parcel Number EDMONDS 98020 00531904400002 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 Christopher & Ware Megan Ware Number Street Apartment or Suite Number 1424 OLYMPIC VIEW DR 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: 2/6/2025 Submitted By: Moe Matthews Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1610775 - WO 100092668 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 100092668 Description of Work: WO 100092668: PUD crews to replace BO pole. No tree work. New pole to be place tight east of existing. Closing NE bound lane of Olympic View Dr. Project Details Project Information Job Number WO 100092668 Page 2 of 2