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ENG20140439.PDFOV En,y �A ° CITY OF EDMONDS 121 5TH A VENUE NORTH - EDMONDS, WA 98020 PHONE: 425) 771-0220 - FAX: 425) 771-0221 KCO *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20140439 RIGHT OF WAV PERM IT (6-1,-IUC) Permit Number: ENG20140439 Expiration Date: 03/11/2015 Job Address: 19130 OLYMPIC VIEW DR, EDMONDS APPLICANT CONTRACTOR COMCAST OF WA, LLC PACIFIC CABLE 1525 75TH AVE SW PO Box 573 Attn: Betty EVERETT, WA 98203 Woodinville, WA 98072 (425)485-1515 LICENSE 4: PACIFCC954PJ EXP: 10/18/2015 Place new service drop for resident at given address. 117 feet of work is planned in the ROW. See attachment for details. Location: DISRUPTION INFORiNIATION 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 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 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 RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCEOFTHEWORK. • 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 (1-800424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS 'MISAPPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN SPACE PROVIDED. Printed: Thursday. September 11. 20 BY � FILE COPY INSPECTOR COPY APPLICANT COPY ti STATUS: ISSUED ENG2014O439 • 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. • Verify clear bore 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 pennitted project. • Sound/Noise originating fromtemporary construction sites as a result ofconstruction 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 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 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 • &Engineering Final PARTIAL INSPECTION PARTIAL INSPECTION FINAL INSPECTION APPROVED DATE: INITIAL: DATE: INITIAL: DATE: INITIAL: NOTES: NOTES: �.4 of EDA40 1lvC. 1890 AUG 13 2014 DEVELC�ViEWTSI=R1/I�ES ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: COMCAST CONTACT: DARREN COLE CONTRACTOR PACIFIC CABLE CONSTRUCTIONPhone #: 425-485-1515 Mailing Address: Fax #: PO BOX 573 WOODINVILLE WA 9807 State License #: PAC IFCC954PJ Email #: DARREN@PACCAB.COM City Business License #: ❑X Liability Insurance ® Bonded -oigLoElcf ADDRESS OR INTERSECTION OF CONSTRUCTION: 19130 Olympic View Dr 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 ❑x No ANY ASSOCIATED PERMITS? I BLD# ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : Place new service drop for resident at given address. 117 feet of work is planned in the ROW. See attachment for details. WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ❑ Year: PAVEMENT CUT: ❑ Yes ❑X No If yes, indicate size of cut: x CONCRETE CUT: ElYes ❑ No If yes, indicate size of cut: x 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 require is i order for the permit to be valid. SIGNATURE - DATE% — Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE W 2009 Edition Page 645 Figure 61-11-6. Shoulder Work with Minor Encroachment (TA-6) ab3HV NbOM aeon A m Applicant shall repair/replace all damage to Utilities or frontage improvements in City right-of-way per City standards that is caumd or occurs during the pwffMed project. ,APPROVED AS NOTED BY EN VEERING Date: Cillk OWNERICONTRAC'TOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE IMaOM avom ON3 END ROAD WORK Note: See Tables 61-1-2 and 61-1-3 for the meaning of the symbols and/or letter codes used in this figure. Work vehicle Truck -mounted o 713ufferspace uator nal) 10ft MIN. I ~� I (optional) �. 0 1 /3 L A ROAD J, WORK AHEAD Typical Application 6 W Il December 2009 Sect. 6H.01 P' -. t t. P. a ::d • Bury Drop Form comcast. L.,1 L-.1. �"( Ct storr�er r;�Tr�te _s .�� t •�_...�,e._._. .�. �>. � Troll`,:__.._ . __ . _ ._ Cra.� �i,t l2 s� s ._:-.c 3�...'- t �'�� ! _ ��i- ({ 1•t�C ll t'If i-i�.�•. ifi`id`` r_.�l�r,'�_..._i..�;r` llrs+,..,.' e: (~,1. h r1t_...,. +vut a° Bu MTh r(?^*ape [ RCIW KGotage ; Perri Required YVI Bla bard it i S•;,_ ... u�Planting Strrp - f� Dn:'et':3Y B0'12 ��.. J��.Sid�walk f[�N S°rt �.c ' ,.. -vtscane 13a,� Road Edge. � °yp rain � vim' I ; J Cu b Yfl{ Private a - .:. aa CC S'�.t sxbcc ! , � d } }r.t G �ti�..�e.....T }t �' Fir 3 c L 1 _... t r Tolar gar r t FI : r— a Ca:;c ;:::' ri( i. ot. try 'T; f.. Ca I r. , Q'p_r f t st ice^ , fit -gin cal . ' CUs3O1v;CR C01,`:Tt1:''l );t :rJ Rk:II �VLG? l C)UTfiVG OF NEt1J DROP . YQ� jl NOT Fll'Jiaf , tr l i .L�'tl� } Being t ie owner of the above property, l hereby givE niy perinlscion to Cbrncast, or their duly authoria.ed repo septal.: w! . tb bury a sefvice time on rhy property'. Property Q n.�r's Signature _ - �....y Legend !:. 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