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24314 87TH PL W
I . Permit No: qJ
City of Edmonds,
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date: 7-io
A. Address or Vicinity of Construction: P1 tJ.
C. Contractor: e c) mr cxs�- ip P k A- Contact: 6'IrW 00,1�xs6n
Mailing Address: P52S T9- Phone: _2162-1-3-54)?,
State License #: Liability Insurance: Bond: $
City Business License #:
D. Building Permit # (if applicable): Side Sewer Permit # (if applicab le):
E. F-1 Commercial 0 Subdivision City Project W EUC (PUD, VERIZON, PSE, C2!LCdST OV . RSD)
El �Multi-Family Single Family F-1 Other
INSPECTOR: ILIC (_ (�-_ /V /V'�::
F. PAVEMENT CUT: El YES 0
CONCRETE CUT: [3 YES to
G. X-Mail Approved Permit F] Call for Pickup
/I
G. SIZE OF CUT x
INDEMNITY. Applicant understands by his/her signature to this application helshe 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 attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION.AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED B Y CITY FORCES, A T WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
* 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. 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.
I HA VE READ
THATIMUST
Signature:
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
HE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
'AKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
1-1 J04 Date: 1,0/1!5
FOR ITY USE ONLY
Approved by: Rig4�-qf-.way,Fee: _v��
Time Authorized: V6id-After 2''g0j0 15 Disruption- Fee/.Fiind;',,fi
SpeciAtCouditions: 7�� �r, 7-0 A,,-- 1A,1 Inspection Feet��aA-a
A At 1-_� oz R F L�)'& t D 1 7- Total:*,ee- 46 i421=1�` 0
.7)
1:; Receiot'No:... /7
21 71 7 x 1 :3 0 iL
REQUIRED INSPECTIONS: 41V —/'P'ASr7r/'r
(2) 1 N A( 4&��
M
Call 425-771-0220, Ext. 1326for a 24-hour voice -recorded inspection request line.
V(- 6_'D
FINAL APPROVAL OF PERMITTED,WORK: DATE:
'Z
Insplector's Signature
, i — " —
CADocurnents and SettingsTunis\My Documents\Fonns\Engnrng\ROWpermit_.doc
Rcvised 10/01/03
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24314
Comcast of Washington, LLC
1525 75th Street SW
Suite 200
Everett, WA 98203
Contact: Gary Clawson 425-263-5412
North Drop
Node: EM42
24314 87th PI W - City of Edmonds
Open trench in
shoulder of ROW
for approx 16',
bore d/w for 17'
APPROVED AS NOTED
, BY ENGINEE5!NG
N
W + E
S
NORTH NOT TO
SCALE
Work Details
Open trench in shoulder of ROW for approx 16 feet, bore driveway for approx 17 feet m/I to extend and bury CATV service drop
to 24314 87th PI W.
Install cable at 36" depth.
All disturbed areas will be restored to existing or better conditions.
Backfill material will be mechanically compacted to 95% of maximum density as specified by the City of Edmonds. In tight
corridors hand trenching will be utilized to ensure protection of other utilities. Contractor must locate all existing utilities
impacted by this project.
Please see attached plans for restoration, erosion control and traffic control. Erosion control will consist of placing filter fabric
fence and/or sandbags along curbs and catch basins where necessary. Keep drainage system clean and functioning. Remove
all debris from the work site. Streets and roads will be cleaned both during and after installation of work.
Ccomicast
PROJECT'S TIMELINE AND PROPOSED HOURS OF OPERATION:
a Timeline — Up to 30-days past the issue date.
0 Work Hours —The entire project areawill be conducted from 7:00 AM to 7:00 PM or
as specified by the Inspector.
Traffic Control Plans
1. The standards and guides of the latest version of the MUTCD or as set-up per
Code shall be followed at all times.
2. A copy of the Permit and Traff ic Control Plan shall be on -site with all
contractors during the project.
3. All contract * ors will avoid parking on sidewalks and shoulders and will take the
lane and follow the proper traffic control set-up for the given situation.
4. Pedestrian access shall be maintained through or detoured around all work
sites.
5. Please find attached the traffic control plans for the various types of work
sites that will be encountered during our project.
6. Flaggers will be used only when all other methods of traffic control are
inadequate to warn and direct drivers. Only licensed flaggers will be used on
the project.
7. If situations occur when'questions arise about proper traffic control set-up the
solution will be determined in the field with the Comcast Construction Rep.
and the Inspector.
If curb and gutters in project area:
Filter bags will be placed in catchbasins downstream of work site, and
Small check dams of pea gravel filled sandbags will placed within the
goutter upstream of the catchbasin.
Traffic control set-up for minor encroachment
Truck Mounted
Attenuate,
(optionan
Traffic control set-up for lane closure
FLAGGER STATION
001.
Bul
100,
)ace
FLAGGER STATION
IVIN
4
Depth, Cleaning, Containment,
Compaction, and Restoration
Depth =
36-inch minimum
-Compatible w/
other utilities
Shoring required
at 4-ft +
Pavement Cuts
T-cut I -ft wider
than.trench
Neat -line saw -cut
or jack hammered
edge
.:J
-0
-P "ti
com
All trench backfill shall be mechanically
compacted to 95 percent of maximum density
using 1-ft loose lifts with whacker or 2-ft loose
lift with a hoe pack.
• If proper compaction cannot be achieved with the
native material, new import material is required at
the 95 percent rate.
• As an alternativ e, CDF can be used in a design
mixture approved by the Engineer.
Ccomcast.
I
CLEANING: All Streets and roads are required to
be cleaned and swept both during and after the
installation work.
4 Mechanical Vacuum is preferred inethod
CONTAINMENT: All un-restored. shoulders or
material storage areas are required to be contained
with reflective barricades.
-v.
All disturbed areas shall be restored to
existing or better conditions
Trench parallel to road:
* Shoulder - Match existing surface conditions
1* Pavement - 1 6 1/2 inches of crushed surfacing material
and asphalt concrete Class B at 2- inches minimum or
same thickness if greater..
Trench across road (immediate cold mix patch):
• Asphalt - Permanent hot mix patch at same thickness
or 2-inches and sealed within 30 days,
• Concrete - saw cut and pored with mastic joints, eight -
sack mix, either type 11 of III cement, within 30 days.
I