ENG2021-0149 ROW PERMITOF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
EdmondsRIGHT
98020 1 1 .
www.cityofedmonds.gov
Description: ZIPLY-REPLACE FAILING UTILITY POLE ISSUED: 05/03/2021
Address: 109 OLYMPIC AVE EDMONDS WA 98020-2910
EXPIRES: 11/03/2021
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434204002101
i
NAME TYPE NAME ADDRESS PHONE
APPLICANT ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230
CONTRACTOR PACIFIC CABLE CONSTRUCTION PO BOX 573, WOODINVILLE WA 98072 (425)348-7735
OWNER SCHEUERMAN JOHN F 109 OLYMPIC AVE, EDMONDS WA 98020
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT
$40.00 $0.00
ENGINEERING INSPECTION FEE
$220.00 $0.00
RIGHT OF WAY STANDARD - EUC PERMIT FEE
$330.00 $0.00
•
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.
:»•>/F9:1H ]1
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
05/03/2021
DATE
Printed: Monday, May 03, 2021 11:35:41 AM 1 of 2
-KRWOF WAY EUC PERMIT
City of • • •
www.cityofedmonds. ov/425.771.0220
CONDITIONS
CONDITION TYPE
Easement and/or permission from adjacent property owner is required prior to entry or work within
ADJACENT PROPERTY
an adjacent property.
It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in
DAMAGE TO FRONTAGE
City right of Ways or Easements to City Standards caused by or occurring during the permitted
IMPROVEMENTS
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 REQ
Maintain erosion and sedimentation control per City and SWMMW standard requirements.
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
HOLD HARMLESS
issuance for 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 and 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.
All utilities shall be located prior to any excavation. New locates shall be called for if at time of
UTILITY LOCATES
excavation, original locates are no longer identifiable.
INSPECTION TYPE
DATE
RESULT
NOTES
COMPLETE
A-1 JOB START
X-2 ENGINEERING FINAL"
E-7 TRAFFIC CTRL
Printed: Monday, May 03, 2021 11:35:41 AM 2 of 2
ENG2021-0149
of EpM04O�
RIGHT OF WAY CONSTRUCTION RECEIVED
PERMIT APPLICATION
May 03 2021
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
/Ivc. i sa° Requirements outlined in Right -of -Way permit Handout E6�. DEVELOPMENT SERVICES
`i .Li' ppDEPARTMENT
If any field is not applicable to your project, write "N/A' instead of leaving blank.
All fields required. Incomplete Applications will be denied.
SECTION A
General •
Project Name 51419-5506714-2411.001
Site Address or if no site address use Property Address at NW corner of project area: 109 Olympic Ave, Edmonds, WA 98020
Associated Permits: BLD PLN ENG
Owner and Entity Holding Franchise (if applicable)
Name of Company Ziply Fiber Franchise Ordinance No: WN U-17
Point of Contact Mike HaKahan
Title Engineer
Address 1800 41 St St, Ste N 100
city Everett
State WA
Zip 98203
Phone 425-949-0230
Email mike.hakahan@ziply.com
Contractor and Authorized Agent of Owner (see note below)
Name of company Pacific Cable Construction
Contractor Contacts
Primary Name
During Construction
Danielle Harrera
Agent Name Danielle Herrera
Title
Permit Manager
Title Permit Manager
Mobile
425-348-7735
Address PO BOX 573
Email
danielle@paccab.com
City Woodinville
State WA
Zip 98072
Secondary Name
Phone 425-348-7735
Title
Email danielle@paccab.com
Mobile
City of Edmonds Business License No: PACI FCC954PJ
Email
State License No: 3636CON 1096
Of
Contractor verifies it is currently bonded
Contractor verifies it currently has general liability insurance
NOTE: ECDC 18.6o. o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city
engineer.
❑ Multifamily residential ❑ Commercial ❑ City project
❑ Single family residential subdivision ❑ Single family -other ❑ Industrial
❑ Demo and rebuild or from vacant land?
❑ Other, please specify:
❑ Utility Franchise Work associated with development (check one of the above boxes as welt
_❑//Traffic Control Only (no associated development)
VUtility Franchise Work (no associated development)
City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021
Include an overall narrative description of the proposed work. Be specific and detailed:
Describe infrastructure to be impacted, such as, poles, wires, conduit, utility mains, etc.
Include whether this is construction, maintenance, or repair.
Include description of proposed construction methods, (e.g., bores, trenches, overhead wires proposed, depth for
underground utilities, etc.)
Parking at curb like vehicles in the general public to replace a failing Ziply owned utility pole.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
I x
LF
SF
Alley 72 hours +
LF
Ix
I LF
SF
Parking 72 hours +
LF
Ix
I LF
SF
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C.
1. The work in the right of way is on or for the following type of facilities:
VZtelecommunications ❑ cable ❑ power ❑ gas
❑ water ❑ sewer ❑ storm
Details of Work to be Completed
1. Does the utility owner have existing overhead infrastructure in the area of work?
Yes
No
2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)?
If yes, describe:
3.
Does the proposed work connect a lot or commercial development with utilities that serve more
than one lot or commercial development?
4.
Does the work involve rebuilding or relocating an existing aboveground utility system which
connects a lot or commercial development to an existing underground common utility stem?
5.
Does the work involve proposed additions to an aboveground utility stem? If es:
Are the additions for the purpose of serving new commercial development?
Are the additions for the purpose of serving a single-family residential subdivision?
Details
of Work to be Completed
Yes
No
6.
Does your project involve rebuilding or replacing utility equipment which currently serves more
than one lot or commercial development?
If yes, answer the following questions related to project area, i.e. the actual area in which the
project is proposed:
6a.
Does your project involve wires/cables/lines? If yes:
How many are existing? I I How many are to be added?
City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021
6b.
Does your project involve poles? If yes:
How many poles are existing in the project area?
What is the height of the existing poles?
29'
How many poles are to be removed?
1
Are additional poles to be laced?
How many? 11 1 What is the height of the additionalpoles? 29'
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
How many? I I I What is the height of the poles after? 29'
Describe the modification rebuild: replacement
SECTION C
Traffic Control and Public Safety. 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. Restoration shall 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.
Insurance. The City may require the owner or contractor to provide proof of insurance acceptable to the City prior to
any permit approval.
Indemnification. The Applicant agrees to defend, indemnify, and hold harmless the City of Edmonds, its officials,
officers, employees, and agents against any injuries, damages, or claims of any kind or description whatsoever,
foreseen or unforeseen, including defense costs and attorney fees, resulting directly or indirectly from any act or
omission of the Applicant, its subcontractors, anyone directly or indirectly employed by them, and anyone for whose
acts or omissions they may be liable, arising out of, related to, or by reason of the granting of this permit; and
specifically including but not limited to all loss by the failure of the Applicant to fully or adequately perform, in any
respect, all authorizations or obligations under the permit. These indemnification requirements shall survive the
expiration, revocation, or termination of any resulting permit approval.
Acceptance of terms, conditions, and requirements. Applicant accepts the terms, conditions, and
requirements set forth in this Application and agrees they apply to any resulting permit and shall comply with them to
the satisfaction of the City Engineer. Applicant further agrees to comply with the conditions listed on the Submittal
Requirements; with all applicable city ordinances, including but not limited to ECDC Title 18; and with all applicable
requirements of state and federal law.
Statement of Applicant. I declare under penalty of perjury under the laws of the State of Washington that: I am a
licensed and bonded contractor; the information provided herein is correct and complete; and I am authorized by
owner to act on its behalf and have authority to bind the owner to this application.
Fees. The Applicant is responsible for all permit fees.
APPLICANT SIGNATURE:
APPLICANT PRINTED NAME:
APPLICANT TITLE:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SIGN SPACING = X (1)
RURAL ROADS & URBAN ARTERIALS 35 140 MPH 350't
RURAL ROADS, URBAN ARTERIALS, 25 130 MPH 200't (2)
RESIDENTIAL & BUSINESS DISTRICTS
URBAN STREETS 25 MPH OR LESS 1001t (2)
(1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE
INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
Applicant shall repair/replace all
MINIMUM SHOULDER TAPER LENGTH = 1-13 (feet)
SHOULDER
Posted Speed (mph)
WIDTH
(feet)
25
1 30
1 35
1 40
1 45
1 50
1 55
60
65
70
8'
40
40
1 60
1 90
1 -
-
-
-
-
-
10'
40
60
1 90
1 90
1 _
USE A 3 DEVICES TAPER FOR SHOULDERS LESS THEN 8'
damage to utilities or frontage OWNER/CONTRACTOR IS RESPONSIBLE FOR
improvements in City right-of-way EROSION CONTROLAND DRAINAGE
per city standards that is caused or
occurs during the permitted project.
SCHEDULE ALL NOTED INSPECTIONS.
a
48'
ROAD
WORK
48'
Main St
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
25
30
35
40
45
50
55
60
65
70
LENGTH (feet)
155
200
250
305
360
425
495
570
645
730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9,900 TO 22,000 lbs.
HOST VEHICLE WEIGHT
> 22,000 lbs.
< 45 MPH
45-55 MPH
> 55 MPH
< 45 MPH
45-55 MPH
> 55 MPH
100,
123'
172'
74'
100,
150'
PROTECTIVE VEHICLE (WORK VEHICLE) = R
NO SPECIFIED DISTANCE REQUIRED
4 ® ® �¢ WORK AREA
x U3 B R 50,
ae1 *Sidewalk to remain open for pedestrians
SHOULDER \
WORK
48
ENGINEERING DIVISION
W21-5
APPROVED AS NOTED
05/03/2021
RECEIVED
May 03 2021
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
CHANNELIZATION DEVICE
SPACING feet
MPH
TAPER
TANGENT
35/40
30
60
25/30
20
40
APPROVEDr*11111N
PROJECT
Mike HaKahan
Ziply OSP Engineer
m i ke. hakaha n gazi Ov.com
425-949-0230
ziplyfi
-
NOTES
LEGEND
1. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 20'(FT).
K TEMPORARY SIGN LOCATION SHOULDER CLOSURE - LOW SPEED 2. ALL SIGNS ARE BLACK ON ORANGE.
O CHANNELIZING DEVICES
(40 MPH OR LESS)
PROTECTIVE VEHICLE
NOT TO SCALE
FILE NAME S:1Desi n R P& SW-Standardsl2-Plan Sheet Libra 101-Published PSL\ TC Work Zone Traffic Control\ TC-5 Shoulder Closure - Low Speed 40 MPt or Less)1TC-S.dgn Plot 1
TIME 2,59,41 PM —Tr mok
FED.AID PROJ.NO. xnx asr
51419-5506714
DATE 1/2/2018 A3 Tcs�
PLOTTED BY IlddeM VA
DESIGNED BY J0BX.... 109 Olympic Ave
ENTERED BY Washington State sxra.
CHECKED BY C-T—T x iounox xo. Department of Transportation or
PROJ. ENGR. rz o<.E TRAFFIC CONTROL PLAN xx�
REGIONAL ADM. REVISION DATE BY
F---------------------
r
X
X
OD
2421.10T
SS 400 24
1776
288 REIN
KWAXX
---------- - �_ FDH 48/4
BELL ST <<��
2421.10
AE 300 24 �p
W
177 Q i _N
288 REIN
44 1
216 YJD
of I O P.2
"P. IS — 04652
n SN� 0 ISH COUNTY
IfTl
� I
C9EDM D244
r.n ------ P=5 ---_ P.4_ P.3
MAIN ST-------
Construction Note P.16277(
• Please replace 35' class 5 pole "P.2"
with new 35' class 5 pole "P.1627702".
• Be safe and have a great day!
L — —
JJ ODU Z'+
P.11 P.1
I MAIN ST
_PPA S2
SNOHOMISH COUNTY PUD #1
840 2422.101
216 REIN SS 900 24
--- P.2 --
- 2422.101
SS 400 24
I
I
I
I I
I
I
w I I
Q I I
I
2 I
N 1 l
---P.3 ---�— P.4
2422.101 2422.101
SLM 900 26 SS 600 24
WHO: Ziply Fiber
WHAT: Replacing 35'-CL5 pole #2 with similar (35'-CL5)
WHERE: 109 Olympic Ave, Edmonds, WA 98020 at NW corner of Main St & Olympic Ave
WHEN: City of Edmonds requested urgency due to belief this is a safety hazard
WHY: BOP from 1968 is leaning towards the sidewalk and could be rotted at the bottom,
requested by City of Edmonds as a public safety hazard.
HOW: Line crew to replace Ziply solely owned pole and transfer the sole attachment by
Ziply. Pole is not underneath power lines, but power lines are nearby.
PERMIT
MUNICIPALITY: City of Edmonds
[]BLANKET ❑NO PERMIT REQUIRED
❑ TCP/TRAFFIC
® DETAILED(NOT BLANKET)
JOINT POLE
JFN/NJUNS TICKET #
POLE OWNER:
TO:
FROM:
CONSTRUCTION REQUIREMENTS
❑ FLAGGING
❑ BRUSHING
® CONTRACTOR
POINTS OF CONTACT
SCHEDULING: JOHN WOOD - 425-261-1412
ENGINEER: MIKE HAKAHAN - 425-949-0230
FACILITIES: PATRICK WINKLER - 425-263-4010
CUSTOMER CONTACT:
CALL BEFORE YOU DIG! - 811
CONSTRUCTION START:
IN SERVICE DATE:
I CERTIFY THAT THE WORK I COMPLETED ON THIS WORK ORDER AND
AS -BUILT IS IN COMPLIANCE WITH FRONTIER QUALITY STANDARDS AS
IDENTIFIED ON THE IPQIP CHECKLIST.
(SIGNATURE AND DATE)
UNITS/ACCT CODES
II REVISIONS I
zpl1 i y
HLLK-POLE REPL SAFETY
109 Olympic Ave, Edmonds, WA
PROJECT
5506714
C.O. AREA, 51419
EXCH.CODE: WA HALLS LAKE
DRAWN DATE:
ENGR: MIKE HAKAHAN
CNTY: Snohomish
4/30/2021
PHONE: 425.949-0230
FILE: 5506714,DWG
SCALE, 1:100
TAX DISTRICT:3748F
I DWG 1 OF 1
TWNSHP: 27N
PING: 3E
ISEC 24
S301Ail3S 143Wd013A30
SON011403 d0 A110
17n7 (In X0IA1