Issued ROW Permit ENG20190261.pdfOV rY'�ti
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
no. tag
o PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20190261
RIGHT OF WAY PERMIT (6-EUC)
Permit Number: ENG20190261 Expiration Date: 12/18/2019
Job Address: 702 4TH AVE S, EDMONDS
SNOHOMISH COUNTYPUD
GO Jake Webb
P.O. BOX 1107
EVERETT, WA 98206
SNOHOMISH COUNTY PUD
CIO Jake Webb
P.O. BOX 1107
EVERETT, WA 98206
(425) 670-3216
LICENSE #: EXP:
Installing a riser on a PUD pole and placing an underground pedestal as shown on sketch.
Location: 702 4th Ave S
DISRUPTION INFORMATION
ASSESSED VALUE: $0.00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
PARKING: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
ALLEY: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00
INDEMATTY The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE W O RK.
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
possesion.
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.
Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAlrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT.1326
24 HOUR NO TICE REQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
BY
DA7
Printed: Tuesday. June 18.201
❑ FILE COPY ❑ INSPECTOR COPY 0 APPLICANT COPY
STATUS: ISSUED ENG2O19O261
• Restore ROW to City standards
• Restore Landscape to like orbetter conditions.
• Call for locates of underground utilities prior to any excavation.
• Alert affected residents and/or businesses prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• Verify clearbore crossings
• Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
• Maintain erosion & sedimentation control. Keep street clean.
• Call for required inspections as noted.
• Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
• Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:OOam to 6:OOpm on weekdays and 10:00am and 6:OOpm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to inderrmify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents fromany and all claims for damages of
whatever nature, arising directly or indirectly fromthe issuance of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
• E-Traffic Control
• E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
-
6N
4Mc. 189
-ROW PERMIT NO.: ENG C)zk
A I 000ti •% 1797 ISSUE DATE:
V0
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION JUN 06 9nia
Vis_eWpej
PROJECT NAME:
,
CONTRACTOR: pun
'
Mailing Address: . C)X i l U7 . a
State License #: �, W Q
City Business License #:
CONTACT: `
EI-Glg�ERING DIVISION
I a `e �eb
Phone #: t-) Z5 _ / %U ' 3Z 9 L� L�
,iFax#: 425 - b�-
Email #:
Liability Insurance ❑ Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 702 ql� Ave 5
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
El Commercial Subdivision City Project 2L Traffic Control (Only)
❑ Multi -Family ❑ Single Family ❑ Other
0 EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes ( No
ANY ASSOCIATED PERMITS? BLD# ENG#
�
DESCRIPTION OF PROPOSED WORK (Be Specific) :g�c,1 1nn • cl�
rsf'r 46
S
WAS STREET OVERLAYED WITHIN THE LAST FIVES YEARS? YES.❑ NO. Year:
PAVEMENT CUT:
❑ Yes
® No
If yes, indicate size of cut:. x
CONCRETE CUT:
0 Yes
0 No
If .yes, indicate site of cut: x
RIGHT-OF-WAY _ - - DURATION
CLOSURE AREA TOTAL (NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF XLLF]
SF
Alley 72 Hrs + LF X SF
Parking 72 Hrs + LF X SF
APPLICANT TO READ AND SIGN
*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 is to 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.
Indemnity: The Applicant has signed an application which states he/she hold 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 defense costs and attorney fees by reason
of granting this permit.
I have read the above statements and understand the permit requirements and aclmowledge that I must
follow all requirement in order for the permit to be valid. J
SIGNATURE DATE / //
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
ROAD
DN-AWAD IUN
•AHEAD
( 33D0 SEE NOTE 1
ROAD
NARROWS
(W5 .I)
30SEE NOTE I
TAPER LENGTH
(TABLE A)- -
TABLE A
TAPEi32
SPEET
(MPH)
OFFS
10'
W40
25
i00
30
150
35
200
40
270
45
450
540
45
NEITE:
1. DISTANCE BETWEEN SIGNS SHALL
BE 100' FOR RESIDENTIAL
STREETS (25 MPH), AND
200' FOR' ARTERIAL ROADWAYS
2. FLASHING BEACON SHALL BE
INSTALLED' AT EACH SIGN FOR
NIGHT-TIME USE,
3, DISTANCES MAY VARY AS. APPROVED
BY THE ENGINEER.
4. .FLAGGERS REQUIRED TO CONTROL
TRAFFIC WHENEVER THE CONTRACTOR
MUST INTERRUPT TRAFFIC FLOW
- TO ACCESS THE WORK SITE WI•TH
MATERIALS OR EQUIPMENT.
LEGEND
El. -CONE ❑R CHANNEL'IZING DEVICE
(SEE STD 7-14)
o
ti• ,�;•,;
.. ;
^PPRCAIED AS N
• ��� - -- - 7�slq' CtII�I�i
F �3 PLALOP eN r•Rg" DR,
WORK AREA
Q° o
I] TRUCK WITH
FLASHING OR WITH
BEACON
MIN N 30'
9
. Q T
a Io�
TAPER LENGTH
(TABLE A)
o
o T .
SEE NOTE 1
(WI-4 Q
SEE NOTE 1 30'
ROAR
TRUCTIDN
AHEAD
( �_ �)
TRAFFIC: CONTROL PLAN
2 LANE ROADWAY: PARTIAL LANE CLOSURE _
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 702 4TH AVE S. EDMONDS LYNNWOODAREA
POLE N0. 1687 _ NE1%4S 26 T 27 R 03 DATE 06/04/2019 ORDER 100047144
REASON FOR WORK -PLACING RISER PEDESTAL TO ENGINEER JAKE WEBB OPERATION 60
CONVERT FROM OVERHEAD DRAFTER U.G. No.
TO UNDERGROUND SCALE V=60'
—-- -- - -- -- — -- - APPROVED
& DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REQ'D ■ YES
PRIMARY OVERHEAD
❑ RESIDENTIAL
❑ COMMERCIAL
LEO NO.
SECONDARY OVERHEAD
BASIC FEE S
@$ '=$
METER/CONY. POLE s
PRIMARY UNDERGROUND
❑ RESIDENTIAL
❑ COMMERCIAL
BASIC FEE S
LEU NO.
_ ENG AS —BUILT VERIFICATION DATE
❑ PHASING, TAPS & FUSING SUBSTATION MPL
❑ POLE & VAULT STENCILS
❑ NO ❑CABLE TAGS CIRCUIT No. 1?-343 PHASE 1_
❑ FRAMING
❑ EQUIPMENT LOCATION
ENGR'S TEL. #
VERIFIED BY 425-670-3248
DATE _ - ENGR'S CELL #
NESC VIOLATIONS 425-330-9043 ^ I
■ NO ❑ YES (SEE NOTES) I V
PERMITS (DATE GRANTED)
❑ TREE TRIM
❑ STATE
❑ COUNTY
■ CITY EDMONDS <�
DATE RELEASED
FOREIGN CONTACTS
❑ JPN#
❑ JOINT TRENCH FRONTIER & CATV
❑ JOINT BORE FRONTIER & CATV
❑.
POLE STENCILING
FROM TO
TAKE OFF POLE
PRE—CONST. REQUIRMENTS
❑ TREE TRIM ❑ PUD LOCATOR
❑ BACKHOE ❑ FLAGGING
■ ONE CALL DATE
No.
STREET LIGHTING
■ YES ❑ NO
M&R AS -BUILT
CIS
DATE PAID GIS QC M&R
RECEIPT NO. GIS Ph JOINT USE
SERVICE ORDER NO. LOCATION MAP PAGE 454 F6
LEGEND:
O EXISTING POLE
X EXISTING POLE -TO BE REMOVED
• NEW POLE
)11 NEW POLE TO REPLACE EXISTING POLE
QQ POLE 1687
INSTALL SEC RISER PER ASSEMBLY 1U705
PLACE SMALL PED 2.5' E OF POLE AS STAKED
RUN 45' OF 350 AL TPX FROM XFMR 37-393768 TO PEDI
°
EASEMENTS
'@$ '=$ ❑ REQUIRED ■ NOT REQUIRED -ff hV S-c MAfIV 7, -0IV .4 Mdt IMvpt of.- 5
SECONDARY UNDERGROUND
BASIC FEE s 2333.0(
@8 .="y
UNDERGROUND PLAT
BASIC FEE S
CL FT.@$ '=$
STREET LIGHTING
CL FT.@$ _$
WORK IN RIGHT OF WAY
❑ PRIMARY
❑ SECONDARY
CL FT.@$ _$
MISCELLANEOUS FEES
VAULT 8
PERMIT s 343
s
8
TOTAL DUE s 2676.0(
1rl�iL�LsIV'[�L a- t' Vf*'-FI(+L sr21,4atfioN
A-31916
O ERBEN DR -
'w SL-1(2163-A I
10 31-393168
p O 687 _303
7-1
----- MPL 711
15-23475 � 12
6 1686 -
= Ill-M-CDG
7 21/ 4 � i
I
727
:128148-A 15-13716
1633�9_L i - - 1700
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