6620 170TH PL SW.PDF964
6620 170TH PL SW
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CITY OF EDMONDS
121 5TH AVENUE NORTH.- EDMONDS.WA 98020
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PHONE: (425) 771-0220 - FAX: (425) 771-022
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*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20090044
RIGHT OF WAY PERM IT (7-EUC Standard)
Permit Number: ENG20090044 Expiration Date: 4/14/2009
Job Address: 6620 170TH PL SW, EDMONDS Location:
COMCAST OF WA, LLC COMCAST OF WA, LLC
1525 75TH AVE SW 1525 75TH AVE SW
Attn: Betty Attn: Betty
EVERETT, WA 98203 EVERETT, WA 98203
LICENSE #: EXP:
.JOB DESCRIPTION
Bore/trench in the shoulderof the ROW approx5 ft, bore driveway 12 ft,trench/bore 64 ft, set carson to e)dend and bury CATVservice
drop to 6620 - 170th P1 SW.
DISRUPTION INFORMATION
ASSESSED VALUE: $0.00 PROPERTYAREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: 0 x 0
PARKING: OX0 DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00
ALLEY: OX0 DURATION IN MONTHS: 0 FEE: $0.00
INDEMNITY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessftom injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorneyfees by reason ofgranting this permit.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THEWORK.
Traffic Control and public saf6ty 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 perrait application.
CALL DIALA-DIG (1 -800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOT A PERMT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Friday, February 13, 20C
RELEASED BY
Ud
DATE
-1 FILE COPY APPLICANT COPY
r t4aPECTOR COPY F
7111�
STATUS: ISSUED
ENG20090044
Restore ROW to City standards
Restore Landscape to like or better conditions.
Call for locates of underground utilities prior to any excavation.
Alert affected residents and/or businesses prior to work start.
Conforrn to approved working drawings and Traffic Control plan.
Public utffities maintain 5'separation from City Utilities.
Verify clear bore crossings
Utility patch restoration to be in accordance with Edmonds Standard detail E2.3
Maintain erosion & sedimentation control. Keep street clean.
Construction hours are Monday -Friday 7am-6pm and Saturdays 10am-6pm No work on Sundays or Federal Holidays.
Call for required inspections as noted.
Applicant shall repair/replace all damage to utflities or frontage improvements in City night -of -way per City standards that is
caused by or occurs during the permitted project.
I INSPECTIONS
0 E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL- NOTES:
FINAL INSPECTION APPROVED DATE: —3Z
INITIA��f�_
Boreltrench in the shoulder of the
ROW approx 6 ft, bore driveway 12
ft, trench/bore 64 ft, set carson to
extend and bury CATV service drop
to 6620 1700'PI SW
OWNER/CONTRACTOR IS RESPONSIBLE
FOR FROSION CONTROL AND DAMAGE
24 HR. NOME RRQ.
W
�T
FOR ONSPECTION
Applicant shall repalr/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.
6620
2'
\�X
1 2- ts
P
Driveway
64'
---o n
APPR BY ENGINEERING
"' 6614
N
Comcast of Edmonds Inc. Al-) W E
152575 th Street SW 1 7Z��
Suite 200 Date: 2/u/001 S
Everett, WA 98203
Contact: Judie Gross 425-263-5331 NORTH NOT TO
North Drop
Node: EM05 WO# 698822 SCALE
6620 170th p, SW _ City of Edmonds
Work Details
Bore/trench in the shoulder of the ROW approx 5 ft, bore driveway 12 ft, trench/bore 64 ft, set carson to extend and bury
CATV service drop to 6620 170th Pi SW
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 basinsIlLhere necessary. Keep
drainage system clean and functioning. Remove all debris from the work site. Streets and roads wl leaned both
during and after installation of work.
A5 WELLAS PM*I(m
CAMSTUCTIOM louceb ArVA #4613OAty —Fawftj -7A"-4*Pr4 Aub VILTM S.0" I K)
"4-(#Pf4- No "644 8?4 5"04YS, OIL 04MEMIL V&AIDAYS. ChTc.14 I&ASIP
comcast,
PROJECT'S TIMELINE AND PROPOSED HOURS OF OPERATION:
0 Timelmie - Up to 30-days past the issue date-
0 Work Hours -The entire project area will 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 Traffic Control Plan shall be on -site with all
contractors during the projea
3. All contractors 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 -
IEros -ion Control Rules -- #1
If curb and gutters in p -
I roject area:
. Fifferbags will be Placed incatchbasinsdownstrearr, of work site. and
. Small check dams of pe2 gravel filled sandbag, will Placed within the
.Utter upsArearn of the catchbasin-
Traffic control
M3W
for minor encroachment
Traffic control set-up for lane closure
!�Oms NM
30/
FtAGGf
a 6
Depth, Cleaning, Containment,
Compaction, and Restoration
T''
Depth ---.
36-inch
minimum
C:)mpatible
w/
other
utilities
Slioring
required
at
4-ft +
Pavement
Cuts
T-cut
1-ft wider
th
in trench
0
N
at -line saw -cut
r.
0,
ack hammered
e dil
e
%'Comt.
0 All trench backfill shall be mechanically
compacted to 95 percent of maximum density
using I -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 S5 percent rate.
As a i alternative, CDF can be used in a design
mixtire approved by the Engineer.
ccomcast
CLEANING: All Streets and roads are required to
be cleaned and swept both during and after the
installation work.
* Mechanical Vacuum is preferred method
CONTAINMENT: All un-restored shoulders or
material storage areas are required to be contained
with reflective barricades,
SIR-
. XV'u�
All disturbed areas shall be restored to
existing or better conditions
Trench parallel to road:
0 Shoulder - Match existing surface conditions
0 Pavement - 6 1/2 inches of crushed surfacing material
and asphalt concrete Class B at 2-.inches minimurn or
same thickness if greater.,
Trench across road (inunediate cold rrlix patch):
0 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 Il of III cement, within 30 days,
V"
APPLICATION
for
The City of Edmonds $EDE SEWER PERYaT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 11) 1 an I (:&,*")
,-J. F= (=NNNE52, 4471
OWNER-------------------------------------------------------------------------------------------------------------- CONTRACTOR -------------------------------------------------------------------------------------------------- PERMIT No . ......................
-S� E!�,
................... -74 LEGAL DESCRIPTION: LOT No . .............. ...............................
ADDRESS ............................................................... EL40CR No . ............................................
NAME OF ADDITION ..... vIbh-t-4=�A &r%=WTlQtA-%6
...................................................................................................................................
. . ...... .. .. -'I'll . ....... . ..
(cez:
DATE.
al),x 0-0 , , -
APPLICATION
for
The.City of Edmonds SME SEWER PERMIT
EASEMENT No . ..........................................
NEW CONSTRUCTION;�-M� REPAIRS
t. /Z-D
OWNER ..... T-� ..... E.- ........ P..
x ................................................. CONTRACTOR .... ........................................................... PERMIT No.
74—
ADDRESS �k6.P�R ------- /-7V ........ 4��111Q ............................. LEGAL DESCRIPTION: LOT No. 0 .......................................... BLOCK No . ............................................
0
NAME OF ADDITION -.3 ............ PO-OB-La ...... lap ........ 2
...............................
M
Approved:
DATE................................................ By ......................................................................
NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
to, the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
may not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT a
PERMIT
Call 7�76-1107 for side sewer inspections BEFORE covering any Portion of the cnstruction.N
Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION ........... ... . ..............
..... ......................................................................... . .......................................................
PROPERTY LEGAL DESCRIPTION ......
........................................................
. ........................................................................................................................
.................................................. . ....................... ........................................................................ ............... . .................................. . ..................................................
.................................................. ------------- O1VNERJ%2M/OR BUILDER ........ ....... P-,�.0 k ...... . .................................. . .......................................................
CONTRA&OWS NAME & ADDRESS ...............................
'.*..n .............................................. . .............................. . ... .......................................................
Permission Is granted .......... ----------- 119 ... for repair and/or connection of a side sewer to the city Sanitary sewer
system In accordance with City of Edmonds ordinances.
--NTION IS CALLED TO THE FOLLOWING:
�jNo. I —The owners of the property may obtain a permit to construct sewer inside Property line. A licensed Side Sewer Contractor must be employed to construct
side sewer in street a-rea. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtaInable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. . ,
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property 1 . Ine; minimum grade of 2%. No bends in grade
sharper than 'A will be permitted.
NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall 'be responsible for failure due to improper
work which may develop within one year of completion.
NOTE] No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the madn sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED E] Date ... . ............. By ................ Date ................ . ... .............. BY Pat& ------------------------------------ BY ----------------
APPROVED 1K Date .... .... BY --- - ------- . ...................................................
R,emarks: ....... . ................................... .. . ...........................................
...................................................................... . ........................................................................................ . .................................. . ..............................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I ................... Z04 ...................... .... hereby certify that the side sewer installation constructed under this permit
(Owner of Contracting Firm Performing Construction)
1—Ninstalled in accordance with all governing ordinances of the City of,Edmonds.
Dated this ........ 1.4 ......... day of .......... IV. V ............................................. 197
V Check BEFORE you dig for: Water F], Gas E], Telephone E], Power [3, Sewer 0, Other