ENG2020-0101OF WAY
EUC PERMIT
PERMITNUMBER,
City of Edmonds
AveRIGHT
980
1 1 1 1
www.cityofedmonds.gov
Description: FRONTIER -REAPPLYING FOR EXPIRED PERMIT ENG2019-0301
ISSUED: 03/19/2020
Address: 1428 9TH AVE N EDMONDS WA 98020-2626
EXPIRES: 09/21/2020
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00608300000302
NAME TYPE NAME
ADDRESS
PHONE
APPLICANT Frontier Communications
Attn: Shelley Haugstad, Everett WA 98201 (425)261-0134
CONTRACTOR PACIFIC CABLE CONSTRUCTION
PO BOX 573, WOODINVILLE WA98072
(425)348-7735
OWNER RAETZLOFF TIMOTHY D & JANET E
1428 9TH N, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION
AMOUNT
PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00
$0.00
RIGHT OF WAY MINOR - EUC PERMIT FEE
$110.00
$0.00
REQUIREMENTS
REQUIREMENT TYPE NOTES
TRAFFIC CONTROL 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 posession.
RESTORATION 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
WARRANTY The contractor is responsible for workmanship and materials for a period of one year following
the final inspection and acceptance of the work.
INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM
24 HR NOTICE REQUIRED
INDEMNITY
The Applicant has signed an application which states he/she holds 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 but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of
granting this permit.
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
1..lVhu&tga 3/19/20
RELEASED BY DATE
Printed: Thursday, March 19, 2020 10:48:59 AM 1 of 2
-1RRRTF WAY EUC PERMIT
City of • • •
.,
CONDITIONS
CONDITION TYPE
Easement and/or permission from adjacent property owner is required prior to entry or work within
ADJACENT PROPERTY
an adjacent property.
Contractor/Owner shall be responsible for repair/replacement of all damage to utilities and/or
DAMAGE TO FRONTAGE
frontage improvements in city right of way per city standards that is caused by or occurs during the
IMPROVEMENTS
permitted project.
Alert affected residents and/or businesses prior to work start.
Verify clear bore crossings.
ENGINEERING OTHER
Restore landscape to like or better conditions.
Call for required inspections as noted.
ESC REQUIRED
Maintain erosion & sediment control per city standards.
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
HOLD HARMLESS
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 nor limit in any way the City's ability to enforce any ordinance provision.
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:OOam to 6:OOpm on
SOUND OR NOISE
weekdays and 10:OOam to 6:OOpm 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.
UNDERGROUND UTILITY
Call for locates of underground utilities prior to any excavation.
LOCATES
•
INSPECTION TYPE
DATE RESULT NOTES
COMPLETE
X-2 ENGINEERING FINAL**
E-7 TRAFFIC CTRL
E-7 RESTOR LIMITS
E-7 SEWER MAIN
Printed: Thursday, March 19, 2020 10:48:59 AM 2 of 2
OF E OtitO�Q�
ROW PERMIT NO.: ENG 2020-0101
ISSUE DATE: 3/10/20
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: W0765745
CONTRACTOR: PACIFIC CABLE CONSTRUCTION
Mailing Address: PO BOAC 573 WOODINVILLE WA 98072
State License #: 3636CON1096
City Business License #: PACIFCC954PJ
CONTACT: ADAM DIAZ
Phone #: 425-261.0134
Fax #: N A
Email #: ADAAI.C.DIAZ(q-FTR.CON1
Liability Insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: 1428 9TH AVE N, EDMONDS, WA
ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT:
Commercial LJ Subdivision City Project ❑ Traffic Control (Only)
❑ Multi -Family ❑ Single Family ❑ Other
[l EUC (POD, VERIZON, PSE,
COMCAST, OVWSD):
Is this permit part of a blanket permit? ❑ Yes No
ANY ASSOCIATED PERMITS? EBLD# ENG#
DESCRIPTION OF PROPOSED WORK (Be Specific) • FRONTIER TO FIX CROSS BORE FOUND BY THE CITY
FRONTIER TO OPEN SMALL AREA TO FIX ISSUE:,
CLOSING ONE LANE USING OPPOSITE LANE FOR TRAFFIC.
WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES NO Ll Year:
PAVEMENT CUT:
❑
Yes
®
No
If yes, indicate size of cut: x
CONCRETE CUT:
❑
Yes
LA
No
If yes, indicate size of cut: x
RIGHT-OF-WAY DURATION
AREA TOTIF
CLOSURE UMBER OF MONTHS)
Sidewalk 48 Hrs + LF X LF N/A
Alley 72 Hrs + LF X LF Parking 72 Hrs + LF X LF N/A
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 /10 /70-F0
Contra r or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
[� END t7t=
CZortlD 001Ek-
ENGINEERING DIVISION
APPROVED AS NOTED:
NGRIGGS Date:3/18/2020
."NER/CONTRACTOR IS RESPONSIBLE
,:OR EROSION CONTROL AND DRAINAGE
Applicant shall repalr/replace all damage to
utilitles or frontage improvements in City
right-of-way per city standards that is caused
or occurs during the permitted project,
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W0765745
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CROSS BORE LOCATION
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CONSTRUCTION NOTES
FIX CROSS BORE LOCATION
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1428 9th Ave N, Edmonds, WA 98020
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NO DRIVER
❑ FTTP GROWTH THOMAE E146.
❑ FTTP OVERLAY Mpp
❑ FIBER
❑ CONDUIT ONLY
T. UCT10N START
IN SERVICE DATE ASAP
CONSTRUCTION COMPLETE
CUTS REQUIRED CONSTRUCTION
ElYES N NO
:O:NT TRt1: CN ❑ DIAL. A DIG
❑ YES 00 NO [] FLAGGING
❑ BRUSHING
SOON REQ'D ❑ CONTRACTING
❑ YES NO REQ'D
PERMITS
MUNICIPALITY CITY OF EDMONDS
MUNICIPALITY
❑ BLANKET
Co TCP/TRAFFIC
❑ DETAILED (NOT BLANKET)
❑ NO PERMIT REQUIRED
JOINT POLE
JFN/NJUNS III� N/A__ _
JFN/NJUNS LNI/�A_ _
CC NO JPN REQUIRED
POLO JPN JPN
OWNER TO FROM
❑ ❑ ❑ PDWEA
❑ ❑ ❑ CATV
❑ ❑ ❑ FRON'T26R
POINT OF CONTACC
SCHEDULING PLSS HESSELMAN
PHONE No. 360-656-2260
ENGINEER ADAM DIAZ__
PHONE NO.J 23267-0134 _
TECH—PATRICK_y INKLER
pxoEE Do_�425] 20-4010__
FIELDED BY
f I -tro-lther
CROSSBOREEDMONDS
1428 9TH AVE N
PROJECT I C O AREA: MAuav+K
NUMBER: W0765745 EXCH CODE 51419