ENG20160469.pdfSTATUS: ISSUED
CITY
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSM*
ENG201604,69
Permit Number: ENG20160469 Expiration Date: 08/07/2017
Job Address: 143 5TH AVE N, EDMONDS Location: 143 5th Ave N
APPLICANT CONTRACTOR
COMCAST OF WA, LLC Cablecom LLC
1525 75TH AVE SW, #200; 1316 Bonneville Ave
Attn:'Mike Fontenot Bldg, A
EVERETT, WA 98203 Snohomish, WA 98290
4: CABLEL*971DP EXP: 08/21/2017
tie in at pole, overlash l span 43', riser down pole 25' then place 22" conduit approx 30', set vault and continue on to
DISRtIPTION INFORMATION
ASSESSED VALUE: $0,,,00 PROPERTY AREA;; 0
SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE; $0,00 STREET DISRUPTION TRENCH CUT: ( 3 X 3 )
PARKING: ( 0X0) DURATION IN MONTHS: 0 FEE° $0,00 YEAR OF OVERLAY: 0 FEE: $0,00
ALLEY: ( OX0'J DURATION IN MONTHS: 0 FEE; $0,00
INDEMNITY- The Applicant has signed an application which stales he/sheholds 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 OFONEYEAR 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.
THIS APPLICATION IS NOTA
CALL DIAL A-DIG(1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS
3RMITUNM SIGNED BY THE CITY
RELEASED BY
INEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED
SPACE PROVIDED,;
❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
20/7
• 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 permitted project.
• Sound/Noise originating from temporary constructionsites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:OOam'to 6:OOpm on weekdays and 10:OOam 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 from the issuance of this permit. Issuance of this pen-nit 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.
INSPFUTIONS
• &Traffic Control
• E -Sidewalk Pre -Pour
• E -Engineering Final
• E -Sidewalk Post -Pour
PARTIAL INSPECTION DATE: INITIAL: NOTES:-
PPARTIAL INSPECTION. DATE: INITIAL: NOTES:'.
FINAL INSPECTION APPROVED DATE: _;INITIAL:
ROW PERMIT NO.: ENG OIL
ISSUE DATE:
RIGHT ,)FW'' Y CONSTRUCTION k` i
A.,,
PERMIT APPLICATION ,b. 1 20141J,
Comcast - Cody Shackett'-a�'°;�
PROJECT NAME:EDMONDS LAW CENTER - JT#215421 CONTACT: Cablecom Lu'„^ -
1----_._.._._1,11-11,11,11"..........__ .�._ m -_.__ .._-----
CONTRACTOR: Cablecom_LLC............. .. � ....���_ ..m�..,������..n�m._..,..— --
Phone #: 360-454-3163
— —
Mailing
Address:
13evAve
Bldg A Fax #:
98290
360-836-3174
1omhWa .
a.c
onst uuctioJointuse@cable.comcast.66rr -'
State License #: CABLEL"971DP Email #. Cablecom LLC -
sunshine crabbs@ca-
b
9�comllc,net
City Business License #:NR -021818 ,Liability InSurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 143 5th Ave North
ROW WORK ASSOCI_ATED_WITH THE FOLLOWING TYPE OF . (....)
X Project
j Traffic Control (Only)
[_ ] Multi -Family Single Family Other
J,. EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes ❑ No
ASSOCIATED
mm
D PERMITS � BSO#
ANY SOCIAIE
CNG# .... �I
DESCRIPTION OF PROPOSED WORK (Be Specific) : Tie in at pole, overlash� span 4 riser
down pole 25' tp
henlace 2 2''nduit approx 30
co ', set vault and contunue on to private property.
mµmmm
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS YES ["NO � Year
PAVEMENT CUT: [ Yes ❑ No
CONCRETE CUT:...X] Yes ❑ No
If yes, indicate size of cut: _ x
If yes, indicate size of cut:
'" x 3.'�.
RIGHT-OF-WAY DURATION
CLOSURE AREA TOTAL (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
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*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 1 must
follow all requirements in order for the permit to be valid.
SIGNATURE L ;Z DATE 11/12/2016
C tractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
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Page 652
Notes for Figure 6H-10—Typical Application 10
Lane Closure on a Two -Lane Road Using Flaggers
Option
2009 Edition
1. For low-volume situations with short work zones on straight roadways where the flagger is visible to road
users approaching from both directions, a single flagger, positioned to be visible to road users approaching
from both directions, may be used (see Chapter 6E).
2. The ROAD WORK AHEAD and the END ROAD WORK signs may be omitted for short -duration
operations.
3. Flashing warning lights and/or flags may be used to call attention to the advance warning signs.
A BE PREPARED TO STOP sign may be added to the sign series.
Guidance:
4. The buffer space should be extended so that the two-way traffic taper is placed before a horizontal
(or crest vertical) curve to provide adequate sight distance for the flagger and a queue of'stopped
vehicles.
Standard:
5. At night, flagger stations shall be illuminated, except in emergencies.
Guidance:
6. When used, the BE PREPARED TO STOP sign should be located between the Flagger sign and the
ONE LANE ROAD sign.
7. When a grade crossing exists within or upstream of the transition area and it is anticipated that queues
resulting from the lane closure might extend through the grade crossing, the TTC zone should be extended
so that the transition area precedes the grade crossing.
8. When a grade crossing equipped with active warning devices exists within the activity area, provisions
should be made for keeping flaggers informed as to the activation status of these warning devices.
9. When a grade crossing exists within the activity area, drivers operating on the left-hand side of the
normal center line should be provided with comparable warning devices as for drivers operating on the
right-hand side of the normal center line.
10. Early coordination with the railroad company or light rail transit agency should occur before work
starts.
Option:
11. A flagger or a uniformed law enforcement officer may be used at the grade crossing to minimize the
probability that vehicles are stopped within 15 feet of the grade crossing, measured from both sides of the
outside rails.
Sect. 6H.01 December 2009
2009 Edition
Figure 61-1-10. Lane Closure on a Two -Lane Road Using Flaggers (TA -10)
Note: See Tables 6H-2 and 6H-3
for the meaning of the
symbols and/or letter
codes used in this figure.
50 to 100 ft
Typical Application 10
Page 653
21
December 2009 Sect. 6H.01
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