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ENG20180377-APPROVED PERMIT.pdfEDMONDS, 121 5TH AVENUENORTH - EDMONDS, WA 98020 ,M b PHONE: (425) 771-0220 - FAX: (425) 771-0221 *PERMIT MUST BE POSTED ON JOBSI'E* STATUS: ISSUED ENG20170377 W. • Permit Number: ENG20170377 Expiration Date: 12/05/2018 Job Address: 16404 75TH PL W, EDMONDS Location: 16404 75TH PL W COMCAST OF WA, LLC 410 Valley Ave NW Suite 12 Bld C Puyallup, WA 98371 PACIFIC CABLE? CONSTRUCTION INC C/O TIMOT IHY JONES PO BOX 573 WOODINVILLE, WA 98072 (425)348-7735 LICENSE 4: PACIFCC954PJ EXP: 10/18/2.017 Install CATV service line, bore a total of 126ft in the ROW. 96 ft soft surface , 30 ft hard surface crossing 75th. ASSESSED VALUE: $0 00 PROPERTY AREA: 0 SIDEWALK: (OXO) DURATION IN MONTHS: 0 FEE $0.00 STREET DISRUPTION TRENCH CUT: (() X O ) PARKING: ( OXO ) DURATION IN MONTHS: 0 FEE $0 00 YEAR OF OVERLAY: 2017 FEE: $0 00 ALLEY: (OXO I DURATION IN MONTHS : 0 FEE:, $0 00 INDEMNITY- The Applicant has signed an application which stales he/she holds the City of Edmonds harmless from injuries, damages or claims ofany kind or description ivhatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any ofils 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 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 have certification verifying completion ofthe 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 (l-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS "nIIS APPLICATION IS NOTA PERMITUN"IM SIGNED BY'DiE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE. PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDE' D G[ A.'td (/S, RELEASED BY Printed„ Ttie dav, June 05, 20 DATE ❑ FILE COPY ❑ INSPECTOR COPY ❑ 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 prior to work stai1. • 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 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 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 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 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 DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE:...............�.........................�.�...�.�..��.�.�...�.�.�.�.�.�.�.�.�.�.�.�.�.�.�.�.�.�.�.�....�.��_�. INITIAL: .............................. NOTES: FINAL INSPECTION APPROVED DATE: . _ .. ................ II�IITIAL: -11 of EDAlj-� . 1 BUILDING RIGHT-OF-WAY SO' E5 2017 ROW PERMIT NO.: ENG d — d3-27 ISSUE DATE: CONSTRUCTION PERMIT APPLICATION PROJECT NAME: COMCAST CONTACT: BREANNA SWIFT CONTRACTOR: Phone #: 425-348-7735 PACIEn -CA .. 1 LDO Mailing AddressPO BOX 573 WOODINVILLE WA 98072 Fax #: 425-348-7966 State License #: PACIFCC954PJ Email #: BREANNA@PACCAB.COM City Business License #: G � Liability Insurance Bonded N R-02-2 �0 04.3 4 7 ADDRESS OR INTERSECTION OF CONSTRUCTION: 16404 75TH PL W ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: 0 Commercial Subdivision City Project 0 Traffic Control (Only) ❑ Multi -Family ❑ Single Family X EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? F-1 Other ❑ Yes ® No ANY ASSOCIATED PERMITS? BLD# mmm ENG# DESCRIPTION OF PROPOSED WORK (Be Specific) : INSTALL CATV SERVICE LINE, BORE A TOTAL OF 126FT IN THE ROW. 96FT SOFT SURFACE, 30FT HARD SURFACE CROSSING 75TH [WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES .. ......... �5) - w NO Year: PAVEMENT CUT: El Yes 0 No If yes, indicate size of cut: x CONCRETE CUT: F-1 Yes ❑ No If yes, indicate size of cut: x RIGHT-OF-WAY DURATION CLOSURE AREA TOTAL (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF . ...... . . . . ........................ ---------------- 111, . -',""I'll, [11-1- . . . . . . . ................ . . . ............. - 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 544a wa, DATE 9-23-2017 Cont actor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE F rc w LL LL m w � wow u hmW I LL R 8 �orc xo x U � N Z O Iwi I a Y 0 u z > Z Z. 3 z � 2 V w m � r Vxi�S G Zx �I g f J O K j 4 2 LL �Mo I Nry Vrr,, ry I 4 C C a m S � S w s %�+ It 9 " 4YI ., December 2000 Page 6H-25 Figure 6H-10e Lane Closure on Two -Lane Road Using Flaggers (TA-10) OR Note: See Tables 6H-2 and 6H-3 for the meaning of them C symbols and/or letter codes used in this figure. ' option X/mr,00, �M B OR (optloruj tONa ...... M11M rlti- � z5l�<11 30 m ('100 ft) MAXIMUM One Lane Two -Way Traffic Taper 30 m (100 it) MAXIMUM A es tional xX itlt per. OR METHR� i , m, (optional) �. (optional) '„�-- B tttt t AfNOftRR' ROAD' OR ROAD Ft tt O 0040 ROAD WORff OR WORK XX tt Typical Application 10 Sect. 6H.01