ENG20170094-APPROVED PERMIT.pdf(.'JTY0F EDMONDS
121 5TH AVENUE NORTH -EDMONDS, WA 98020
+�d t PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20170094
Permit Number: ENG20170094 Expiration Date: 10/17/2017
Job Address: 7533 OLYMPIC VIEW DR, EDMONDS' Location: 7533 OLYMPIC VIEW DRIVE
APPLICANT CON AC
COMCAST OF WA, LLC CABLECOM LLC
1525 75TH AVE SW, #200 C/O STEVEN NIELSEN
A'ttn:Mike Fontenot 8602 MALTBY ROAD
EVERETT, WA 98203 WOODINVILLE, WA 980728035
(360)668-]300
LICENSE #: CABLEL*97]DP EXP: 08/21/2012
Tie in at pole on the NE corner of intersection 76th Ave W and Olympic View Drive, Riser down pole and bore 134' East, set vault and
continue onto private property.
DISRUPTION INFORMATION Ll
A"$LS I t2 VALUE. $0,00 - PROPERTY AREA: 0
SIDEWALK: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: ( 6 X 3 )
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 ofanykind 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 RESPO NSIBLE FOR WORKMANSHIP AND MATERIALS ,FORA PERIOD 0FO,NEYEAR FOLLOWING THE FINAL
INSPECTION AND AC C EPTANC E 0 F THE W 0 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 pen -nit application.
CALL DIAL A -DIG (1=800-424=5555) BEFOREANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED,FOR ALL INSPECTION REQUESTS
THIS APPLICATION IS NOTA P
ERMITUNTIL SIGNED BY THE CITY ENGINEER OR'HIS/HER DEPUTY:
SPACE PROVIDED,
RELEASED BY
DATE
❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY
ENG20170094
• 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.
• Obtain a separate permit fi•om the City of Lynnwood for work within their right-of-way.
• 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 7:00amto 6:00pmon 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.
0, 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 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.
INSPECTIONS
• E -Sidewalk Pre -Pour
• E -Engineering Final
• E Sidewalk Post -Pour
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: "I'+dOTE&
FINAL INSPECTION APPROVED DATE: INITIAL:
_rr OV- EDA4, .
RECEM 0 qvt "I
MAR � 7 2017 ROW PERMIT NO.: ENG
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
'ERMIT APPLICATION
PROJECT NAME: STAR MINI MART - 179078
CONTRACTOR: Cablecom LLC
Mailing Address: 1316 Bonneville Ave. Bldg A
Snohomish, Wa 98290
State License #: CABLEL*971 DP
City Business License #: NR -021818
CONTACT: Comcast - Cody Shackett
• Cablecom LLC - Sunshine Crabbs
Phone #: 360-454-3163
Fax #: 360-836-3174
......
Email #: omcast - wacon�strucion �oinft se r ca exomcast.com
Cablecom LLC -
Liability Insurance 6A Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 7533 Olympic View Drive
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial _'[
❑ Sub[� division City Project Traffic Control (Only)
E] Multi -Family ❑ Single Family F-1 Other
S( EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes ❑ No
ANY ASSOCIATED PERIVIITS?BLD# mm _ ENG#,
"I'll 1 1.
DESCRIPTION OF PROPOSED WORK (Be Specific) :
Tie in at pole on the NE corner of intersection 76th Ave W and Olympic View Drive, Riser down pole
and Bore 134' East, Set Vault and continue onto private pro
WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS mmmmmm YES NO
Year.
PAVEMENT CUT: ❑ Yes F] No
CONCRETE CUT: R Yes F] No
If yes, indicate size of cut: x,
If yes, indicate size of cut: 6 x 3
RIGHT-OF-WAY DURATION
AREA TOTAL
CLOSURE (NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF 7__X LF SF
----- ....... ....... .....All72 ey Hrs + LF 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 3/17/17
Contractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Page 686
Notes for Figure 611-27—Typical Application 27
Closure at the Side of an Intersection
2009 Edition
Guidance:
1. The situation depicted can be simplified by closing one or more of'the intersection approaches. If this
cannot be done, and/or when capacity is a problem, through vehicular traffic should be directed to other
roads or streets.
2. Depending on road user conditions, flagger(s) or uniformed law enforcement officer(s) should be used to
direct road users within the intersection.
Standard:
3. At night, flagger stations shall be illuminated, except in emergencies.
Option:
4. Flashing warning lights and/or flags may be used to call attention to the advance warning signs.
5. For short -duration work operations, the channelizing devices may be eliminated if a vehicle displaying
high-intensity rotating, flashing, oscillating, or strobe lights is positioned in the work space.
6. A BE PREPARED TO STOP sign may be added to the sign series.
Guidance:
7. When used, the BE PREPARED TO STOP sign should be located before the Flagger symbol sign.
8. ONE LANE ROAD AHEAD signs should also be used to provide adequate advance warning.
Support:
9. Turns can be prohibited as required by vehicular traffic conditions. Unless the streets are wide, it might be
physically impossible to make certain turns, especially for large vehicles.
Option:
10. Vehicle hazard warning signals may be used to supplement high-intensity rotating, flashing, oscillating, or
strobe lights.
Standard:
11. Vehicle hazard warning signals shall not be used instead of the vehicle's high-intensity rotating,
flashing, oscillating, or strobe lights.
�'111"��t�APPI ,,, LAE, 1"I . . . . ..
Sect, 6H.01 December 2009
2009 Edition
Figure 61-1-27. Closure at the Side of an Intersection (TA -27)
See Note 2 for flagger information
Note: See Tables 61-1-2 and 6H-3 for the
meaning of the symbols and/or letter
codes used in this figure.
Typical Application 27
Page 687
December 2009 Sect, 6H.01
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