ENG20170377-APPROVED PERMIT.pdfCITY '"'
1 `F""'MIONDS
LIU 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBS TE*
STATUS: ISSUED ENG20170377
RIGHT OF WAY PERMIT (6.EUC)
Permit 1 Lintbcr:1-°NG20 i 70377 Expiration Date: 12/7718
Job Address: 16404 75TH PL W, EDMONDS Location: 16404 75TH PL W
CONTRACTOR
COMCAST OF WA, LLC PACIFIC CABLE CONSTRUCTION INC
410 Valley Ave NW Suite 12 Bld C C/O TIMOTHY JONI S
Puyallup, WA 98371 PO BOX .57.3
VJOO DINVILLE,WA. 98072
(425) 348 -773 5
LICENSE 4: PACIFCC954PI EDrP: 10/18/2017
JOB DESCRIPTION
Revision: Install CATV service line, bore a total of 56ft in the ROW. 40ft soft surface , 16ft hard surface crossing 16414, pulling through
e)asting conduit under 75th. Not cuts to 75th PI W„
ASSESSED VALUE.: $0.00 PROPERTY AREA, 0
SIDEWALK: ( 0X0) DURATION IN MONTHS: 0 PEE: $0.00 �yI"1dEE,T DISRUPT'I47N T'REiNCH CUT: ( 0 x 0 )
PARKING ( 0X0) DURATION IN MONTH& 0 FEI,: $0 00 YEAR OF OVERLAY: 2017 FEE.: $0.00
ALLEY: 10xO '1 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 ofany kind or description whalsoever, 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.
THECONTRACTOR IS RFSPONSIBLEFOR WORKMANSHIP AND MATERIALS FORA PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THE W ORK.
• 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
`ITIIS APPLICATICIN IS NOTA Pk RIIAITUNIII, SIGNED BY'IHE. CI`IY L:NGIiNEE_.R OR HIS(ETERDE:PUTY: AND FEP.S AREPAID, AND RECEIPT IS ACKNOWL EI)GI D IN
SPACE: PROVIDED
RELEASED BY
FILE COPY INSPECTOR COPY
Printed: "I"hrlrsda June 07,201
ale
DATE
APPLICANT COPY
STATUS: ISSUED ENG20170377
• 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 priorto 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.
• NO CUTS PERMITTED within 75th PI W.
• 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 fi•omtemporary construction sites as a result of construction activity are exempt fi•omthe noise limits
ofECC 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 originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless avariance 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 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-Traffic Control
• E-Engineering Final
PARTIAL INSPECTION DATI,: �w mw INTTTAL: wa NOTES:
PARTIAL INSPECTION DATE:..... INITIA'L: .. .._ NOTES:,
FINAL INSPECTION APPROVED DATE:,..._......... INITIAL: —IT—
'`.
ROW PERMIT NO.: ENG - i 0-; ., 7
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: COMCAST
CONTRACTO '•CIFIC 0
Mailing AddressPO BOX 573 WOODINVILLE WA 98072
State License #:PACIFCC954PJ
City Business License #: NR-023987
CONTACT: BREANNA SWIFT
.. n
Phone #: 425-348-7735
Fax #: 425-348-7966
Email #: BREANNA@PACCAB.COM
❑X Liability Insurance ® Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 16404 75TH PL W
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
❑ Commercial Subdivision ❑ City Project Traffic Control (Only)
❑ Multi -Family F1 Single Family
N EUC (PUD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit?
❑ Other
❑ Yes ® No
ANY ASSOCIATED PERMITS? BLD#
DESCRIPTION OF PROPOSED WORK (Be Specific) : INSTALL CATV SERVICE LINE,
BORE A TOTAL OF 56FT IN THE ROW. 40FT SOFT SURFACE, 16FT HARD SRUFACE CROSSING DRIVEWAY OF 16414
PULLING THROUGH EXISITNG CONDUIT UNDER 75TH
_....... .......
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES NO El Year:
PAVEMENT CUT: ❑ Yes 0 No If yes, indicate size of cut: x
CONCRETE CUT: 0 Yes x�.. No If yes, indicate size of cut: x
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Customer Name
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(3ein the owner of.. b hereby glue my p
. g e above p p , ermission to Comcast, ortheir dui ...authorized
fin bury a Service Itne oh my property Property Owner's Signature
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December 2000
Page 6H-25
Figure 6H-10. Lane Closure on Two -Lane Road Using Flaggers (TA-10)
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Note: See Tables 6H-2 and 6H-3
for the meaning of the,,
symbols and/or letter
codes used in this figure. sfrtic 1
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OR (csfstia to
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('100 ft)
MAXIMUM
One Lane Two -Way Traffic Taper
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Typical Application 10
Sect. 614.01