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ENG2020-0175RIGHT OF WAY MINOR PERMIT PERMITNUMBER, City of Edmonds 98020 ENG2020-0175 www.cityofedmonds.gov/425.771.0 Description: CRANE AIDING INSTALL OF CELL EQUIPMENT UNDER BLD2019-1057 ISSUED: 05/08/2020 Address: 8505 BOWDOIN WAY EDMONDS WA 98020 EXPIRES: 08/07/2020 Permit Type: RIGHT OF WAY MINOR Permit Subtype: COMMERCIAL Parcel Number: 00373600501802 •!n! NAME TYPE NAME ADDRESS PHONE APPLICANT MAXIM CRANE WORKS 6654 NE 47TH AVE, PORTLAND OR 97218 (971)303-4567 CONTRACTOR MAXIM CRANE WORKS 6654 NE 47TH AVE, PORTLAND OR 97218 (971)303-4567 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $110.00 $110.00 RIGHT OF WAY MINOR PERMIT FEE $110.00 $110.00 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 NGRIGGS 5/8/2020 RELEASED BY DATE Printed: Friday, May 08, 2020 4:53:12 PM 1 of 2 ■ i • WAY MINOR • PERMIT IG Zr City of Edmonds �e www.cityofedmonds.gov CONDITIONS CONDITION TYPE Easement and/or permission from adjacent property owner is required prior to entry or work within ADJACENT PROPERTY an adjacent property. Work approved under this permit may or may not qualify as an essential or allowed activity per the Governors Stay Home, Stay Healthy Order. Refer to the Order and the Citys website for up-to-date information related to development activities during COVID-19. Issuance of this permit does not COVID-19 NOTICE certify that construction is allowed to immediately occur, and inspections may or may not be granted accordingly. Construction activities and all required inspections will resume when the Order has been lifted. 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. ENGINEERING OTHER VERIFY CLEAR BORE CROSSINGS. 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 F OF INSPECTION TYPE DATE RESULT NOTES COMPLETE E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL" Printed: Friday, May 08, 2020 4:53:12 PM 2 of 2 "VC. 1 S`� J ROW PERMIT NO.: ENG ISSUE DATE: RIGHT-OF-WAY CONSTRUCTION PERMIT APPLICATION PROJECT NAME: 8505 Bowdoin Way CONTRACTOR: Maxim Crane Works Mailing Address: 6654 NE 47th Ave Portland OR 97218 State License #: MaximCW838L8 City Business License #: Est. Gross Less than $12,000 CONTACT: Hayden Fergus Phone #: 971-303-4567 Fax #: N/A Email #: hfergus@maximcrane.com N Liability Insurance ❑ Bonded ADDRESS OR INTERSECTION OF CONSTRUCTION: 8505 Bowdoin Way, Edmonds, WA ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: ® Commercial ❑ Subdivision ❑ City Project ❑ Traffic Control (Only) ❑ Multi -Family ❑ Single Family ❑ Other ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD): Is this permit part of a blanket permit? ANY ASSOCIATED PERMITS? ❑ Yes ❑ No BLD# BLD20191057 ENG# DESCRIPTION OF PROPOSED WORK (Be Specific): Maxim Crane Works to provide 50t mobile crane to aid in the installation of cell tower equipment. WAS STREET OVERLAYED WITHIN THE LAST FIVE 5 YEARS? YES ❑ NO ® Year: PAVEMENT CUT: ❑ Yes ® No If yes, indicate size of cut: CONCRETE CUT: ❑ Yes ❑X No If yes, indicate size of cut: x x RIGHT-OF-WAY CLOSURE AREA I TOTAL DURATION (NUMBER OF MONTHS) Sidewalk 48 Hrs + LF X LF SF Alley 72 Hrs + 80 LF X 24 LF 1920 SF 5/7/2020 to 5/11 /2020 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 tTa�ewpe DATE 5/4/2020 Contractor or Agent NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE RECEIVED 5/6/20 '�. s � .. '"�p� � + .3 ;. _ Gil � t .j�yJ �. •�, �� ` __, � '- ' Work zone North of barricades •-.• - • • C Cone off road north of intersection Appltcar�t sF�all repair/replace all Jamaga to uttltttas or Fror--ltaga Improve mal--lts Ir• Clty rlg lit—�f—�� par city star--1 cfarcls that Is taus cf or occurs cluri rig t1-.a parmltta cl project_ Keep intersection free of any obstructions, maintain access for all o o • o residents tE=na C' ■ ^. IF—== IFZ■ fit C' o Mva S M o^a A P P 2 O VIF—=== Crane Link -Belt HTC-8650 Series II 110' Main Boom (Mode B) at 72.8° 51' Offset Fly (2° offset) Base: 100% Outriggers Counterweight: 15,100 Ibs 45.5' Lift Radius (360°) Crane Capacity at 45.5' = 6,200 Ibs Load Block 750 Ibs Rigging 200 Ibs Total Rigging Weight 950 Ibs Load 1,200 Ibs Total Load 2,150lbs 35% of capacity O e U ti�a ON Will cone/tape off work area I O NOT ISSUED FOR CONSTRUCTION Not issued for construction. For pre -planning only. Title Lift Plan Project SFive Corners Fire Station MA �M Customer ess SACAC Wireless Crane Works, L.P. Description 116ft Tower and Man Basket Drawn By Lucas Hufford 5/1/2020 Created with 3D Lift Plan www.3dtiftptan.com CCROWN CASTLE MEMO TO: T-Mobile T-Mobile L600 RTI Memo FROM: Sarah Baird / (206) 336-3204 / Sarah. Baird@crowncastle.com DATE: September 27, 2019 SITE: SE01626B / 824070 8505 Bowdoin Way Edmonds, WA 98026 Crown Order Number: 489087 Building Permit Ready to Issue Equipment Configuration: T-Mobile proposes to replace (3) antennas and (3) RRU's; remove (1) RF module and (3) TMA's; and relocate (3) RF modules on existing tower. T-Mobile also proposes to replace (1) cabinet and (1) CSR; remove (1) cabinet, (2) system modules, and (2) sub -modules; and install (9) modules within existing compound. Crown Castle has confirmed with the jurisdiction that the building permit application for the Scope of Work at the site referenced above has been reviewed and approved. The building permit is ready to be issued as of September 27, 2019, pending the following information: Jurisdiction Requirements: RTI - GC needs to be assigned Fees need to be paid at time of pick up; total owed is $0 Awarded Contactor information: TBD Jurisdiction Contact Information: Jurisdiction: CITY OF EDMONDS, WA / Development Services Department, Building Division Address: 121 5th Ave North, 2nd Floor Edmonds, WA 98020 Contact Name: Christina Wayland Phone: (425) 771-0220 Permit Reference #: BLD20191057 Permitting Services Scope of Work: This Memo will service as notification and confirmation that Crown Castle has satisfied the terms of its agreement to provide Permitting Services, and the Awarded Contractor listed above is responsible for obtaining the building permit from the jurisdiction. It is recommended that the General Contractor contact the jurisdiction prior to their attempt to pick up the Building Permit and verify if any additional information is required to acquire the Permit beyond what is listed a b ove. From: Wayland, Christina To: Baird, Sarah Subject: 8505 BOWDOIN WAY, BLD20191057 Date: Friday, September 13, 2019 9:16:25 AM CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Good morning, Your permit is ready for pick up however, we will need your contractors State and City License information, prior to issuance. There is no balance due. Thank you Christina Wayland Permit Coordinator Development Services City of Edmonds 121 5th Ave North, 2nd floor Edmonds, WA 98020 (425)771-0220 *AS OF 01/01/2017: A 3% SURCHARGE WILL BE ADDED TO ALL CREDIT CARD TRANSACTIONS. THERE IS NO LONGER A $5,000 TRANSACTION LIMIT. Development Services Hours: Monday & Tuesday 8:00 AM — 4:30 PM WEDNESDAYS WALK-IN (counter) hours are 8:30-Noon Thursday & Friday 8:00 AM — 4:30 PM