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APPROVED ENG2025-0059 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT :i 1 11 ' www.edmondswa.gov i Description: PUD - REPLACE 1 BO POLE ISSUED: 03/06/2025 Address: 8403 TALBOT RD EDMONDS WA 98026-5044 EXPIRES: 09/06/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00594400001400 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)783-4174 CONTRACTOR SNOHOMISH COUNTY PUD PO BOX 1107, EVERETT WA 98206 (425)783-4353 OWNER JASON CUMMINGS 8403 TALBOT RD, EDMONDS WA 98026-5044 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: 03/06/2025 Printed: Thursday, March 06, 2025 3:37:46 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 E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL** Printed: Thursday, March 06, 2025 3:37:46 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. FEB 10 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• Project Name Replace BO Pole PLI 4539 Site Address or if no site address use Property Address at NW corner of project area: 8403 Talbot Rd, Edmonds, WA 98026 Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company Public Utility District No. 1 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 98206 Phone (425) 783-4174 Email permits@snopud.com Contractor and Authorized Agent of • Name of Company • - •• •w) Contractor ContactsDuring 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: 31-005-741 Email State License No: a 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 11� 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.) The PUD needs to replace BO distribution pole PLI 4539. Work is expected to take 1-2 business days. Lane closure will be needed along the westbound lane of Talbot Rd to replace this pole, though we will try to complete as much work as we can off of the road to minimize lane closure time. Tree trimming is needed for this project. Pole will be set in soft surface, no pavementlasphalt cuts are expected. New pole will be a 50' 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 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 8 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? 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 Me 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? 14 1 How many are to be added? 1 0 6b. Does your project involve poles? If yes: X How many poles are existing in the project area? 1 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? 1 1 1 What is the height of the poles after? 1 50' 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. byD-1 W, og Daniel Luu Ulysqne APPLICANT SIGNATURE: - 2025M06164 58 DATE: zisizoz5 APPLICANT PRINTED NAME: Daniel Lim 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 8403 TALBOT RD, EDMONDS, WA 98026 AREA LYNNWOOD POLE No. PLI 4539 SE1/4S 07 T 27 R 04 DATE 1/30/2025 ORDER 100143464 REASON FOR WORK REPLACE BO POLE PLI 4482 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 ❑ 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 PRE-CONST. REQUIRMENTS PERMIT ❑ BACKHOE ❑ FLAGGING $ ■ ONE CALL DATE $ No. $ FIBER TOTAL DUE $ ❑ YES ■ NO DATE PAID STREET LIGHTING RECEIPT NO. ❑ YES ■ NO ENGINEER DANIEL LUU M&R IN AS -BUILT PHONE (425) 783-4174 GIS M&R OUT CELLULAR (425) 315-3529 GIS QC JOINT USE F(,FNF): 0 EXISTING POLE X EXISTING POLE -TO BE REMOVED NEW POLE DATE SUBSTATION PERRINVILLE CIRCUIT NO. 12-92 PHASE 2,1,3 RECEIVED FEB 10 2025 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT N SCHEMATIC NTS BEFORE & AFTER (NO CHANGES) 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 # 4539 SET 50' CL 1 WOOD POLE (PW1050, N0110), TIGHT NORTHWEST OF EXISTING LOCATION AS STAKED SET DEPTH = 7' USE 5/8'' GRVL BCKFLL, CMPCT IN 6'' LFTS FRAME 30 DOUBLE DEADEND ASSEMBLY (12F311) INSTALL 20 TRANSFORMER BANK (12F602, E1008), XFR XFMRS 25-403097 & 25-403098 XFR EXISTING SEC RISER AND PED, IF POSSIBLE. IF NOT: INSTL 3'' SEC RISER & 5 POS PED OU705) RUN 350 KCMIL TPX TO PED L= 60' XFR PRI, NEUT, AND OH SVCS, MATCH EXISTING TENSION - PUD TO ENFORCE POLE ATTACHMENT PLAN VIEW AGREEMENT. 1" = 100' - PUD IS RESPONSIBLE FOR ENSURING THAT THE OLD POLES ARE REMOVED. 25 0 07 37 F40 37 F25 25 F40 W — 15 25 25 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE 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. ENGINEERING DIVISION APPROVED AS NOTED J&%��,yt�t�Q 03/05/2025 Lv 307 37-1024 403 A- 728 5-2159 8233 A-1503 3 -12131 14 E-196 1 51 3810 16 15 : 51/08 8311 1881 KD 511oa 15 C-196 8311 SL-130866- SL-130870-A 5403098 GCIJ-16 FU 0 O PRV 2 GCIJ-17 23323 403097 25-� 92 0 37-2703 15-1986 F 4539 PFU40 4481 4 A 00 RD -0-0© 229073 TALBOT o 68 71 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM LANE CLOSURE ON A TWO-LANE ROAD (TWO FLAGGER OPERATION) ROAD W20-1 WORK AHEAD O z O � O � = ONE LANE W 2 0- 4 ROAD = 0 RECEIVED AHEAD O FEB 10 2025 • 0 ■ ~ 4$„ x 24„ W20-7A 0 = ROADNWORK G 2 0- 2 O CITY OF EDMONDS J O (OPTIONAL) DEVELOPMENT Z_x Q O SERVICES DEPARTMENT O oO O NM O O ® TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP _1 O ® _ DO NOT BLOCK Qo O RESIDENTIAL DRIVEWAYS. �3uj o 0 z O GUIDE PEDESTRIANS J J OUGH WORK AREA, O ® JZ ASRNE DEW V) O OLo OCif ZQ O w ag O � �O O 7 O O O O • G20-2 ROADNWORK� = i TW20-7A W20-76 48" x 24' (OPTIONAL) O 0 ONE LANE BE s ROAD W 2 0- 4 PREPARED AHEAD TO STOP ENGINEERING DIVISION O o APPROVED AS NOTED ROAD OPTIONAL IF s WORK W20-1 40 MPH OR LESS AHEAD j%f/ tV1,zjj,.44.t 03/05/2025 vv SNOHOMISH COUNTY G-DCUM D) TRAFFIC CONTROL PLAN PUBLIC UTILITY DISTRICT NO 1 PROJECT REPLACE BO POLE PLI 4539 LOCATION 8403 TALBOT RD, EDMONDS WA 98026 ENGINEER DANIEL LUU DATE 2/6/2024 ORDER 100143464 PHONE (425) 783-4174 CELLULAR (425) 315-3529 RECEIVED FEB 10 2025 ITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS DEVELOPMENT Right-of=WiisAVOT16511on #1611752 - WO 100143464 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 8403 TALBOT RD City Zip Code County Parcel Number EDMONDS 98026 00594400001400 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 Jason Cummings Number Street Apartment or Suite Number 8403 TALBOT RD City State Zip EDMONDS WA 98026-5044 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: 2/10/2025 Submitted By: Moe Matthews Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1611752 - WO 100143464 Project Contact Company Name: Snohomish County PUD Name: Daniel Luu Email: permits@snopud.com Address: PO Box 1107 Phone #: (425) 783-4174 Everett WA 98206 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: WO 100143464 Description of Replace bad order pole. Work expected to take 1-2 days with lane closure along the Work: westbound lane of Talbot RD. Tree trimming will be required and pole will be set in soft surface with no pavement/aspalt cuts. Project Details Project Information Job Number 100143464 Page 2 of 2