ENG20130410.PDFIII I�! III
;y OF b MUD
a CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20130410
RIGHT OF WAY PERMIT (7-EUC Standard)
Permit Number: ENG20130410 Expiration Date: 11/06/2013
Job Address: 16200 75TH PL. W, EDMONDS Location:
APPLICANT
CONTRACTOR
—
COMCAST OF WA, LLC
SEFNCO
1525 75TH AVE SW
12303 Cyrus Way
Attn: Betty
EVERETT, WA 98203
Mukilteo, WA 98275
(253)405-5788
LICENSE #: EXP:
U 1
Bore/trench in the shoulder of the ROW approx 60 ft from pole and set a carson to extend and bury CATV service drop to 16200 75th
PL W
NO pavement or concrete cuts
Comcast Job #: 466201
ASSESSED VALUE: $0.00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 . FEE: $0.00 STREET DISRUPTION TRENCH CUT: (OXO)
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
INDEMNITY. • 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.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FORA PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK.
• 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 DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
APPLICATION APPROVAL
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACZZ�
SPACE PROVIDED.
Printed: Tuesday,
RELEASED BY DATE
COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
•
STATUS: ISSUED
ENG20130410
• 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.
• Conform to approved working drawings and Traffic Control plan.
• Public utilities 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 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 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 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays,
excluding Sundays and Federal Holidays. At all other times 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 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 issuance fo 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:
PARTIAL INSPECTION DATE:
FINAL INSPECTION APPROVED DATE:
INITIAL: NOTES:
INITIAL: NOTES:
INITIAL:
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ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: Comcast job #326366
CONTRACTOR: SEFNCO Communications
Mailing Address: 12303 Cyrus Way Mukilteo, WA 98275
State License #: SEFNCI.994P9
City Business License #: NR-016074
CONTACT: Vicki Burns (Comcast)/Beverly Pierce (SEFNCO)
Phone #: 425-263-5461/253-299-8582
Fax #:
Email #: VickiBums2@cable.comcast.com
aiust_ice(acomcast.com
❑x Liability Insurance M Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION16200 75TH PL W - JOB# 466201- PERMIT # ENG20130242
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial ❑. Subdivision ❑ City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family
❑X EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
❑ Other
❑ Yes ❑ No
ANY ASSOCIATED PERMITS? I FBLD# ENG# 120130242
DESCRIPTION OF PROPOSED WORK (Be Specific) :
Scope of work has not changed. Permit ENG20130242 has expired
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year:
PAVEMENT CUT: ❑ Yes ❑ No If yes, indicate size of cut: x
CONCRETE CUT: ❑ Yes R. No If yes, indicate size of cut: X.
0�:
RIGHT-OF-WAY
CLOSURE AREA
TOTAL
DURATION
(NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF
X
LF
SF
Alley 72 Hrs + LF
X
LF
SF
Parking 72 Hrs + LF
X
LF
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 acknowledge that I must
follow all requirements in order for the permit to be valid.
SIGNATURE Auti ea..J-. h4" DATE 8/6/13
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE