ENG20170043.pdf4t,"o,o
COITY OF EDMONDS
1215THAVENUENORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBS TE*
STATUS: ISSUED ENG20170043
Permit Number: ENG20170043 Expiration Date: 08/23/2017
Job Address: 21827 76TH AVE W, EDMONDS Location: 21827 76TH AVE W
COMCAST OF WA, LLC Cablecom LLC
1525 75TH AVE SW, #200 C/O STEVEN NIELSEN
Attn: Mike Fontenot 1316 Bonneville Ave
EVERETT, WA 98203 Bldg, A
Snohomish, WA 98290
(360);668-1300
LICENSE #: CABLEL*971 DP EXP: 08/21/2017
Keplace aamagea conault coming aown pole. rroor ani
property to e)asting ped.
ASSESSED VALUE:
$0 00 PROPERTY A
SIDEWALK: (OXO)
DURATION IN MONTHS: 0
?ARKING: '(.0X0)
DURATION IN MONTHS: 0
NLLEY: _ ( 0X0)
DURATION IN MONTHS: 0
II cable in e�asting conduit Ilio private property, continue on
0
FEE: $0;;00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
FEE: $0,00 YEAR OF OVERLAY: 0FEE: $0,00
FEE: $0,00
INDEMNITY The Applicant has signed an application Ivhich states he/she holds the City ofEdmonds harmless from°injuries,
damages or claims ofany kind or description tit,hatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofils departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
allorney fees by reason ofgranling this permit.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OFTHEWORK
• 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 havecertification verifying completion of the required training in their
posseson.
• 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 pen -nit application.
THIS APPLICATION IS NOTA
CALL DIALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICE RF )U1RED FOR ALL INSPECTION REOUESTS
SIGNED BY THE CITY ENGINEER OR HIS/HER
SPACE PROVIDED,
�)1
AND FEES ARE PAID, AND RECEIPTIS
EJ FILE COPY M INS PECTOR COPY M APPLICANT COPY
IN
STATUS: ISSUED
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Alert affected residents and/or businesses prior to work start.
• Conformto approved working drawings and Traffic Control plan.
• 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. Referto 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 construction sites as a result of construction activity are exempt fiomthe 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 originatingfrom 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 pen -nit. 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.
INSPW,'FIONS
• E -Traffic Control
•,' E -Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
94F9,1111IMN100h
. 1. S9
SCANNED
B 1"17 2017
ROW PERMIT NO.: ENG 120
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: 21827 76TH AVE W - 229598 CONTACT: Comcast - Cody Shackett
Cablecom LLC -
CONTRACTOR: Cablecom LLC Phone #:
Mailing Address: 1318 Bonneville Ave, Bldg A- Fax #: 360-454-3163
Snohomish, Wa 98290
State License #: CABLEL*971 DP Email #: omcas - waconstructionJomtuse cab e.comcast.com
Cablecom LLC -
City Business License #: NR -021818 _ Liability Insurance 61 Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 21827 76TH AVE W
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
El Commercial E Subdivision ❑f City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family
Sf EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
❑ Other
❑ Yes ❑ No
[ANY ASSOCIATED PERMITS? BLD# ................. ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) : REPLACE DAMAGED CONDTUIT COMING
DOWN POLE. PROOF AND PULL CABLE IN EXISTING CONDUIT 1 V TO PRIVATE PROPERTY
CONTINUE ON PRIVATE PROPERTY TO EXISTING PED,
_....................... _ ..... ...-..-..-.........
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES NO Year:
• x
PAVEMENT CUT: ❑Yes X No If yes, indicate size of cut: ,
CONCRETE CUT: ❑ Yes ❑X No If yes, indicate size of cut: x
RIGHT-OF-WAY DURATION
AREA TOTAL
CLOSURE (NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF X LF SF
Alley 72 Hrs + LF X LF SF
....�..�.�W.............Parking
...72... Hrs
...+......................�W�W�........LFW.............X....�.............�W�...........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 C DATE
Contractor or Agent
2/7/2017
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
MAINTAIN 11' MIN,.
LANE WIDTH
28" TRAFFIC
CONES
LEGENDS
REQUESTING PERMISSION TO PROOF AND PULL NEW COMCAST COAX THROUGH
SPOTTER
SITNG 2" CONDUIT. STARTING FROM THE UTILITY POLE LOCATED ON THE NE
STATION
19TH ST SW ' SITNG C ONDUIT HEADING T
CORNEOF 76TH AVE AND ROOTO
TEM .TRAFFIC
ON THE NORTH SIDE OF/7-19TH?ST SW APPROX. PRIVATE PROPERTY, CONTINUE
DIRECTION
gym " T THE: EXISTING COMCA T PEDESTAL AND PULL IN NEW 625 COAX CABLE. ALSO FIX
CHANNELIZING
TING DAMAGED RISER LOCATED AT THE POLE CALLED OUT ABOVE. THERE WILL BE
DEVICE
NO TRENCHING OR EXCAVATING WITH THIS PROJECT.
ADVANCE WARNING
N
coomcast. w�B
SIGN LOCATION
PROJECT LOCATED AT s
WORK VEHICLE
21827 76th Ave W NOT TO SCALE
FEBRUARY 16, 2017
Edmonds W20-1 TRAFFIC CONTROL
DURATION OF WORK PLAN #1 OF 1
ROAD � ��.:,
APPROXIMATELY TBD WORK STREET USE PERMIT#
AHEAD
HOURS OF OPERATION
M -F, 9AM-3PM r BUS
JOB NUMBER:
STOP
JT#229598
I I
W20-1
Sunshine CrabbsI
sunshine.crabbs@cablecomllc.net
l
Poke
0:360.863.2628X214�AD
<'OAD
MAINTAIN 11' MIN,.
LANE WIDTH
28" TRAFFIC
CONES
DWY
CHANNELIZING DEVICES SPACING ( FEET )
LEGENDS
TANGENT
SPOTTER
40
STATION
WORK
TEM .TRAFFIC
Afi�,EA.D
DIRECTION
CHANNELIZING
DEVICE
N
ADVANCE WARNING
SIGN LOCATION
WORK VEHICLE
DWY
CHANNELIZING DEVICES SPACING ( FEET )
MPH TAPER
TANGENT
20/30 20
40
kir
NOTE: 220th St SW
1. SPOTTER TO ASSISTS PEDESTRIANS
ACROSS/AROUND WORK ZONE.
2. ALERT METRO TRANSIT PRIOR START OF WORK.
Ped
Y l DWY
219th St SW
W1 -4L 90
SHIFT
P VED ASw
,.
W20-1
ROAD
WORK
Afi�,EA.D
TRAFFIC CONTROL SERVICES
FELIPE J. MACIAS,TCS #008890
jack@trafficcontrolservices.net
OFFICE # (425) 658.3656
FEBRUARY 16, 2017
Cc6mcast,
Gj w EASBUILD
om
PROJECT LOCATION
# 229598 JIFILE NAME 21827 76TH AVE W
DATE: 2/7/2017
SHEET 1 OF 4
NUMBER:
21827 76TH AVE W: EM01
229598
21827 76TH AVE W
EDMONDS
CONTACT PERSON:
CableCom LLC Comcast
--T
Supervisor Joe Fordon - (425)
T
Jason Archey-(360) 319-4968
319-8966 410 Valley Ave NW Suite 12
5602 Maltby Rd BLDG C
Woodinville, Wa 98072 Puyallup, Washington 98371
SHEET INDEX:
1 -COVER SHEET/PROJECT LOCATION
2 - PLAN VIEW & STANDARD DETAIL
3 - DETAILS
4 -TCP
Cc6mcast,
Gj w EASBUILD
om
PROJECT LOCATION
# 229598 JIFILE NAME 21827 76TH AVE W
DATE: 2/7/2017
SHEET 1 OF 4
NUMBER:
229596 21827 76TH AVE W EM01 21827 76TH AVE W
Prepared By: rnv,xe4uax+r+ravry nwwn Rev Date
Lb
!Y fIRWr lAED FOR: Spa Aa pl m*
ableC # " Joe Fordan-(425)319-4968
!I�Lp I{7 7 mMcastA .........._
�„„ a.ixellgapq Opt
..
EDMONDS 9 Overview Ma
G 2" CONDUIT. STARTING FROM THE UTILITY POLE LOCATED ON THE NE
E OF 76TH AVE W AND 219TH STSW , PROOF EXISITNG CONDUIT HEADING EAST
NORTH SIDE OF 219TH ST SW APPROX. 11' TO PRIVATE PROPERTY, CONTINUE
EXISTING COMCAST PEDESTAL AND PULL IN NEW 625 COAX CABLE. ALSO FIX
G DAMAGED RISER LOCATED AT THE POLE CALLED OUT ABOVE. THERE WILL BE