APPROVED ENG2025-0089 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT
City of Edmonds
J
:01 008
www.edmondswa.gov i
Description: PUD - REPLACE 1 BO POLE ISSUED: 03/20/2025
Address: 180 2ND AVE S EDMONDS WA 98020
EXPIRES: 09/16/2025
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27032300409000
I 11-14111 a i
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 WELLTOWER LANDLORD GROUP LLC 4500 DORR ST, TOLEDO OH 43615
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE - PER PERMIT
$49.00 $49.00
ENG - INSPECTIONS-1.1.25
$548.00 $548.00
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: 03/20/2025
Printed: Thursday, March 20, 2025 2:28:50 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**
E-7 RESTOR LIMITS
Printed: Thursday, March 20, 2025 2:28:50 PM 2 of 2
of EVAJC)
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
"'VC. i oo Requirements outlined in Right -of -Way permit Handout E6�.
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 Info
Project Name REPLACE BAD ORDER POLE AND 1100 UG FEEDERS
Site Address or if no site address use Property Address at NW corner of project area:
Associated Permits: BLD PLN ENG
Owner and Entity Holding•• •-
Nameof Company SNOHOMISH COUNTY PUD Franchise Ordinance No: N/A
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 S N O H O M I S H COUNTY PUD
Contractor Contacts During Construction
Primary Name
Agent Name ANDREW RIFE
Title
Title PROJECT MANAGER III
Mobile
Address
Email
City EVERETT
Stat WA
I
zip98023
Secondary Name
Phone 425-783-8559
Title
Email ASRIFE SNOPUD.COM& permits@snopud.com
Mobile
City of Edmonds Business License No:
Email
State License No: 313-005-741
x 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.)
PUD CREWS WILL SET UP FACING WEST TO REPLACE I -BAD ORDER POLE WITH
THE WORK IS ESTIMATED TO TAKE 5 R1 ISINESS DAYS 40 HRS TO COMPI ETE
NO TREE WORK AND THERE WILL BE TEMPORARY IMPACT TO PEDESTRIAN TRAFFIC
Reapplying tor cancelled 1 1
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
I x
LF
SF
5 DAY
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 (power ❑ gas
❑ water ❑ sewer ❑ storm
Details of Work to be Completed
1. 1 Does the utility owner have existing overhead infrastructure in the area of work?
Yes
No
2.
1 Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)?
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?
W
Details of Work to be Completed Yes No
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:
X
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? 1
What is the height of the existing poles?
How many poles are to be removed?
Are additionalpoles to be laced? NO
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? 50
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: 4/v2�:)4— "" DATE: 03/03/25
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
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 180 2nd AVE S LYNNWOODAREA
POLE NO. 345 SE1/4S 23 T 27 R 04 DATE 03/27/22 ORDER 100092672
REASON FOR WORK REPLACE BAD ORDER POLE FOR ENGINEER A. RIFE OPERATION 0030
PUD PRI-5 1100 FEEDER POLE DRAFTER U.G. NO.
SCALE 1" =100'
APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D o YES ■ NO
PRIMARY OVERHEAD
O RESIDENTIAL
O COMMERCIAL
LEO NO.
'as '-i
SECONDARY OVERHEAD NESC VIOLATIONS
BASIC FEE S ■ NO O YES (SEE NOTES)
'as '=i PERMITS (DATE GRANTED)
METER/CONY. POLE = 0 TREE TRIM
PRIMARY UNDERGROUND O STATE
O RESIDENTIAL O COUNTY
DATE
SUBSTATION MPL
CIRCUIT NO. 12-343 PHASE 123
ENGR'S TEL. •
425-783-8559
ENGR'S CELL •
425-239-8210
OCOMMERCIAL RESTORATION LIMITS TO BE DETERMINED
BY CITY ENGINEERING
INSPECTOR
LEU NO.
'as '=i
O REQUIRED ■ NOT REQUIRED
SECONDARY UNDERGROUND
BASIC FEE S
DATE RELEASED
'as 'MS
UNDERGROUND PLAT
FOREIGN CONTACTS
• JPN• 100092672
BASIC FEE S
Ct FT.0 'MS
O JOINT TRENCH ZIPLY & CATV
OJOINT BORE ZIPLY & CATV
STREET LIGHTING
O
q FT.ft 'MS
POLE STENCILINGFROM
WORK IN RIGHT OF WAY
TO
O PRIMARY
TAKE OFF POLE
O SECONDARY
PRE-CONST. REQUIRMENTS
O TREE TRIM O PUD LOCATOR
q FTA% =i
MISCELLANEOUS FEES
O BACKHOE ■ FLAGGING
VAULT S
■ ONE CALL DATE
PERMIT S
No.
f
STREET LIGHTING
O YES ■ NO
=
f
M&R
AS -BUILT
S
GIS
TOTAL DUE S
DATE PAID
GIS OC
M&R
GIS Ph
JOINT USE
RECEIPT NO.
LOCATION MAP PAGE 454E-6
SERVICE ORDER NO.
CONSTRUCTION NOTES:
A LOC A: MAKE 3'X3' CONCRETE CUT AROUND EXISTING POLE
PLI-345.
SET NEW 50FT CL-1 WOOD POLE IN PLACE
FRAME POLE PER CS-12U314A
TRANSFER OVHD PRI CONDUCTORS (3)336.4AAC PRI & (1)3/0 NEUT
TRANSFER OVHD SEC SVC AND CONNECT TO 1" CUSTOMER
OWNED SEC SVC
TRANSFER SL-101969-A
BUILD NEW 6" PRI/RISER ON W. SIDE OF NEW POLE
INTERCEPT EXISTING 6" PVC AT BASE OF POLE FOR
15KV 1100 PRI CONDCUTOR REPLACEMENT. SEE UG*1997-41 AND S2 DRAWINGS ATTACHED!
MAKE 3'X3' CONCRETE CUT 20FT W OF NEW POLE
FOR ANCHOR SET.
INSTL 1-1/2" PRI & 1-1/2" NEUT DG G0114
INSTL 1-12" SINGLE HELIX ANC L=20FT W A0102
RMV POLE 45FT CL-2 WOOD POLE FROM SYSTEM
B LOC B: PLI-344 CUT IN DEAD-END INSULATORS 7FT WEST
OF ALLEY ARM
INSTALL 3-336.4 PRI JUMPERS TO CUT IN AIRBRAKES TO
TEMP V)
DE -ENERGIZE OH LINE AND U FEED TO WEST.
WHEN WORK COMPLETE RMV AIRBRAKES AND SLEEVE EXT
336.6 AAC PRI LLJ
Q
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
LEGEND: OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
0 EXISTING POLE ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
0 EXISTING POLE -TO BE REMOVED UTILITIES MAY REQUIRE A SEPERATE PERMIT.
• NEW POLE
)1( NEW POLE TO REPLACE EXISTING POLE
(N
65-65-65/12 I
321 I
6
300-319233
O E 43439 SL-129788-A
120609
SL-130538-A 251533
SW 12-1788 SL-10 69-A
45
---------------- ---------------- ---- -�
N.O. SW 12-2678 i n
SW 12-2160 A 1963 `1 ---------------
-------------- -- ISTA-374657 MPL 2500-16--------7------- -- , I
-- - - - --,� A-17626
11 1 x SW 12-,577 1 1
--8 -- T -- ----- �
I EV-5747 '
T ! FU150------- 2-67�
250015 SW 12-2676
A-17627-------+----------- A 176 9
1' ! FU150 11-10 6 I
110-M d' E-24976 `----T-�
O N.O. SW 12-2674
3 N.O. SW 12-2673_________
00
�- SW 12-2672
A-11113 =
Applicant shall repair/replace all ENGINEERING DIVISION
damage to utilities or frontage APPROVED AS NOTED SHEET OF
improvements in City right-of-way per city standards that is caused or
occurs during the permitted project. JA W41,1,44z 03/20/2025
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SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
LANE SHIFT ON A
TWO—WAY
-1
ROAD
7CE
WORK
AHEAD
TER
X
W20-5MOD LANE
CLOSED
AH\ EA�
X
N
J
m
<X�
(OPTIONAL)
(OPTIONAL)
(OPTIONAL)
THREE —LANE,
ROAD
N
J
N
J
SIGN SPACING = X
FREEWAYS & EXPRESSWAYS
55-70 MPH
1500'±
RURAL HIGHWAYS
60-65 MPH
800'±
RURAL ROADS
45-55 MPH
500'±
RURAL ROADS & URBAN ARTERIALS
35-40 MPH
350'±
RURAL ROADS & URBAN ARTERIALS
RESIDENTIAL & BUSINESS DISTRICTS
25-30 MPH
200'± (2)
URBAN STREETS
1 25 MPH OR LESS
100'± (2)
(1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE
RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS
ROADWAY CONDITIONS.
INTERCHANGE
TO FIT
TRAFFIC CONTROL INSPECTION SHALL BE
REQUIRED WHENEVER WORK ZONE IS SET'
a
(OPTIONAL)
x \1-4L
i
N \\\LLL\\\111
J
x CENTER
i LANE W20-5MOD
CLOSED
X / \\EAD
ROAD
i WORK
AHEAD
W20-1
MINIMUM LANE CLOSURE TAPER LENGTH = L (FEET)
LANE WIDTH
POSTED SPEED (MPH)
(FEET)
25
30
35
1 40
45
50
55
60
65
70
10
105
150
205
270
450
500
550
-
-
-
11
115
165
225
295
495
550
605
660
-
-
12
125
180
245
320
540
600
660
720
780
840
GENERAL NOTES:
1. ALL SIGNS AND SPACING SHALL CONFORM TO THE MUTCD.
2. NOTIFY LOCAL EMERGENCY SERVICES OF CLOSURE TIMES AND
DATES (OPTIONAL).
3. SIGN SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROAD
CONDITIONS.
4. PROTECTIVE VEHICLE RECOMMENDED -MAY BE A WORK TRUCK.
5. ALL SIGNS MINIMUM 48" X 48", UNLESS OTHERWISE SPECIFIED.
6. CHANNELIZATION DEVICES ARE 28" REFLECTIVE CONES. SEE TABLE 1
FOR SPACING DISTANCES.
7. ALL SPACING MAY BE ADJUSTED TO ACCOMODATE AT -GRADE
INTERSECTIONS AND/OR DRIVEWAYS.
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
25
1 30
35
40
45
50
55
60
65
1 70
LENGTH (FEET)l
155
1 200
1 250
1 305
360
1 425
1 495
570
1 645
1 730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9,900 TO 22,000 LBS.
HOST VEHICLE WEIGHT
> 22,000 LBS.
< 45 MPH
45-55 MPH
> 55 MPH
< 45 MPH
45-55 MPH
> 55 MPH
100' 1
123' 1
172' 1
74' 1
100' 1
150'
TABLE 1
CHANNELIZATION DEVICE
SPACING (FEET)
MPH
TAPER
TANGENT
50-70
40
80
35-45
30
60
25-30
1 20
40
PROJECT -
LOCATION
ENGINEER
PHONE
CELLULAR
LEGEND:
CHANNELIZING DEVICE
i PORTABLE SIGN AND SUPPORT
®® WORK VEHICLE WITH FLASHING
LIGHT
WORK AREA
DATE
ORDER
ENGINEERING DIVISION
APPROVED AS NOTED
%I/ Ul j,1, I44i 03/20/2025
CITY OF EDMONDS M BuildingPermit.com
Right -of -Way Application #1621723 - WO 100092672
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
180 2ND AVE S
City Zip Code County Parcel Number
EDMONDS 98020 27032300409000
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
WELLTOWER LANDLORD GROUP LLC
Number Street Apartment or Suite Number
4500 DORR ST
City State Zip
TOLEDO OH 43615
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: 3/4/2025 Submitted By: Moe Matthews
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1621723 - WO 100092672
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 100092672
WO 100092672: Reapplying for cancelled ENG2022-0143. PUD crews to replace a BO pole
Description of (45' to 50', same material) and UG feeder cables. Work to take 5 days @ 40 hours total.
Work: There will be two small concrete cuts to replace pole and anchor. No tree trimming or
pedestrian impact.
Project Details
Project Information
Job Number
WO 100092672
Page 2 of 2