ENG20170046.pdfSTATUS: ISSUED
I
1215TH AVENUE NORTH -EDMONDS, WA 98020'
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSTE*
ENG20170046
Permit Number: ENG20170046 Expiration Date: 08/17/2017
Job Address: 8115 240TH ST SW, EDMONDS Location: 8115 240TH ST SW
APPLICANT ('ONTRACTOR
COMCAST OF WA, LLC CablecomLLC
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*971DP EXP: 08/21/2017
on 111 IS 11116",
I Ie in at ppoie, nser ao,
ASSESSED VALUE:
SIDEWALK: (OXO)
PARKING: ( 0X0 )
I pole 25' with 2" conduit. Bore from pole North across
$0,00 PROPERTY AREA: 0
DURATION IN MONTHS: 0 FEE: $0„00
DURATION IN MONTHS: 0 FEE: $0,00
14' to private property,
STREET DISRUPTION TRENCH CUT: ( 0 X 0 )
YEAR OF OVERLAY: 0 FEE: $0;00
71VDEMNITY The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries
damages or claims ofany kind or description I+,hatsoever, 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
attorney fees by reason ofgranting this permit.
THECONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FORA PERIOD OFONEYEARFOLLOWING 'THE FINAL
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 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 NOTiCEREQUIRED FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA'PERNI]TUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY- AND FEES ARE P
SPACE PROVIDED,
F
FILE COPY
(,% GlJau 2-117,
DATE
INSPECTOR COPY ❑ APPLICANT COPY
17,20
17
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Call for locatesof 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 fi•ontage 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 asla result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes 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 ofthis 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-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION' DATE: INITIAL: NOTES'
FINAL INSPECTION APPROVED DATE: INITIAL:
-9 of rIVA4,-,.
SCANNED
EB 09 2011
ROW PERMIT NO.: ENGCqo
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: Great Kids Academy - 146912 CONTACT: Comcast - Cody Shackett
Cablecom LLC -
CONTRACTOR: Cablecom LLC
Mailing Address: 1316 Bonneville A--ve -Bldg A
Snohomish, Wa 98290
State License #: CABLEL"971 DP
City Business License #: NR -021818
Phone #:
Fax #: 360-454-3163
Email #:Comcnt mw Wac6n§irUction—joinuse @c—alre —comcast com
Cablecom LLC -
Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 8115 240th St SW
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial Subdivision sion City -Project Traffic Control (Only)
I El
F-1 Multi -Family El Single Family
S( EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
R Other
El Yes Ej No
ANY ASSOCIATED PERMITS9 BLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific):
Tie in at pole, riser down pole 25' with 2" conduit. Bore from pole North across 240th St SW 44' to private _
property, ............
... . ................ . ..... . ................ mmITITITITITITITITITITmm
..
WAS STREET OVERLAYED WITHINTHE ST FIVE (5) YEARS?_ YES NO
PAVEMENT CUT: E] Yes E] No If yes, indicate size of cut: -3 x 3
CONCRETE CUT: E] Yes XNo If yes, indicate size of cut: x
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
*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 � DATE 2/8/17
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
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