ROW PERMIT APPLICATIONENG2021-0242
ofEOM°"ems RECEIVED
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION J U N 30 2021
Complete and submit this Application in accordance with the Submitta:
i?ao Requirements outlined in Right -of -Way permit Handout E6�. CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
If any field is not applicable to your project, write "N/A' instead of lea-rinor hlanlr=
All fields required. Incomplete Applications will be denied.
SECTION A
General •
Project Name Comcast Job # 759215
Site Address or if no site address use Property Address at NW corner of project area: 24219104th Ave W Edmonds, WA 98020-5781
Associated Permits: BLD PLN ENG
Owner and Entity Holding
Name of Company Comcast Cable Communications Franchise Ordinance No: 759215
Point of Contact Jourden Lawrence
Tide Comcast Area Coordinator
Address 1525 75th ST SW Suite # 200
City Everett
State WA
Zip 98203
Phone 425-967-1158
Email Jourden_Lawrence@comcast.com
Contractor and Authorized Agent of Owner (see note below)
Name of Company Spectra Broadband Inc // Netvision Inc
Contractor Contacts During Construction
Primary Name Adolfo Loza
Agent Name Maribel Gonzalez Torres
Title NV Field Supervisor
Title Drop Bury Adminstrative
Mobile 425-599-85o8
Address 3527121st SW
Email
City Lynnwood
State WA
Zip 98o87
Secondary Name Marissa Sena
Phone 425-353-2078
Title Spectra Drop Bury Administrative
Email Maribel@netvisionunderground.com
Mobile 801-512-3471
City of Edmonds Business License No: 603-499-411
Email Marissa.sena@spectranow.com
State License No: CC NETVII*849MA
Spectra Broadband Inc
® 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)
® Utility 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.)
We will be installing a 2inch conduit to install Comcast to corner of property 24219. Starting from the pole located in between houses 24203 and
24211, we will bore 144ft south crossing under gravel driveway for house 24211 to place a new flushmount carson box. Then we will bore 20ft east
crossing under 104th AVE W to place a second new flushmount carson box on property line for house 24219. We will then continue within private
property. We will maintain the appropriate clearance for all utilities, 5ft horizontal clearance from utility appurtenances and 2ft vertical clearance
from all substructures. All new substructure to have 36" cover.
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:
® telecommunications ❑ 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?
How many poles are to be removed?
Are additional poles to be laced?
How many? I I What is the height of the additionalpoles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
How many? I I What is the height of the poles after?
Describe the modification rebuild:
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: If "tom' Z-1 DATE: 6/30/2021
APPLICANT PRINTED NAME: Maribel Gonzalez Torres
APPLICANT TITLE: NV Drop Bury Admin.
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
759215
124219 104th Ave W
Edmonds, WA 98020-5781
Bore/Drill New UG = 164'
Trench New UG =
New OH =
Overlash =
Existing UG =
Riser =
New Building Interior=
New Building Exterior =
TOTAL ROW FOOTAGE 164�
CONTACTS:
Spectra Area Manager
Cole Ramirez (503)577-0501
Netvision Office Admin
Marlbel Gonzalez (425)353-2078
On -Site Contact
Fredy Munoz(425)314-8827
LEGEND
Tie in Point
Bore Path in Right of
Way
New Flush Mount
Carson
Asphalt/Concrete Cut
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VER SHEET DATE: BV: REASON:
REVISION DESCRIPTIONS
6/29/2021 Netvision Inc DROP BURY
We will be installing a 2inch conduit to install Comcast to corner of property 24219. Starting from the pole located in between
■II I� houses 24203 and 24211, we will bore 144ft south crossing under gravel driveway for house 24211 to place a new flushmount
m ca st, nr ,rrIIr carson box. Then we will bore 20ft east crossing under 104th AVE W to place a second new flushmount carson box on property
Co
�I 1 line for house 24219. We will then continue within private property. We will maintain the appropriate clearance for all utilities,
III�ImIYN� Sft horizontal clearance from utility appurtenances and 2ft vertical clearance from all substructures. All new substructure to have
36" cover.
a
1
• • • • • • •40 • Cn3
w * • °?y •
24211 r
• 3-21 • ® sE M aC 0 •4 0 • • •N • j? • • • • -•- _-
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C�CffCMONNs
• m • • • • • • • • �+ • e to
13-6
' • • • FLUSH • • p� ��VLI�I MLNI
•
7�NIEW
OUNT hN h IlhhyyppNN pp
• 247.1 • • ARSON � • 1 —.__ NEW FLUSH � w ,1`III`1V`i91 1V`
;'?, • 'BORE PATH FOR 164' OF CONDUIT IN RIGHT OF • • I MOUNT • •
WAY CARSON
• _�� 'TO MAINTAIN 5 FEET HORIZONTAL CLEARANCE • _----- 1 625 �' • i`a • •
FROM UTILITY APPURTENANCES AND 2 FEET
• VERTICAL CLEARANCE FROM ALL • TIE IN r;: - �`' ® �' • i'�
SUBSTRUCTURE pl
• I � "ALL NEW SUBSTRUCTURE TO HAVE 36" COVER. � ® �- ` +$ � •/ • \ '
• + • • d` 5 • • ® • • �_
IVATE 33
01 24225 - 0 • • o
• • dy • 1 S`' 761 •
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•` • e • • • s • • l^a� w �s
Overview Map Comcast p 759215 24219104th Ave Edmonds, WA 98020-5781
KEY:
ATIE IN P PROPOSED ROUTE iARSON Q
TIE IN POINT ®OGRE PIT Q We will be installing a 2inch conduit to install Comcast to corner of property 24219. Starting
<N>
from the pole located in between houses 24203 and 24211, we will bore 144ft south crossing
WATER under gravel driveway for house 24211 to place a new flushmount carson box. Then we will
SEWER � POWERbore 20ft east crossing under 104th AVE W to place a second new flushmount carson box on
property line for house 24219. We will then continue within private property. We will maintain
the appropriate clearance for all utilities, 5ft horizontal clearance from utility appurtenances
and 2ft vertical clearance from all substructures. All new substructure to have 36" cover.
STORM
SIGN SPACING - X (1)
RURAL ROADS & URBAN ARTERIALS 35 f40 UP14 357*
RURAL ROADS. URBAN ARTERIALS. 25 f 30 MPH 2D0'i (2)
RESIDENTIAL & WJSNE53 DISTRKTS
URBAN SIRB-TS 25 MPH OR LESS Wt
(!)ALL SPAGNG MAY Be ADJUSTEO TO A=OMMODATE
INTERSECOONS AND DRNEWAYS,
(2) THIS SPACING MAY M REDUCED IN URBAN AREAS TO PR
ROADWAY CANDMONS.
WNIMUM SHOULDER TAPER LENGTH = L13 (feel)
sHWLDER
1MDTN
Posted Speed (mph)
25
30
;5
40
45
50
55
ai0
65
TO
e`
40
40
6D
90
1(y
40
60
90
90
USE A 3 DEVICES TAPER FOR SNOULDERS LESS THEN C
p q
x
Oar
ROAD SHOULDER
WDRK WDRK
AHEAD
4S
W200.1 W21-5
e e
e
e
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH) 1
25 1
30
1 35 1
40
1 45
1 50
1 55
1 60
1 b5
70
LENGTH {feeQ
155
200
250
305
1 360
425
495
570
595
73p
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9.900 TO 22000 lbs.
HOST VEHICLEI WEIGHT
>
4 4$ MPH
45-55 MPH
> 55 MPH
� 45 MPH
45-55 MPH
a 55 MPH
lov
123'
17Z
74
100'
157
PROTECTIVE VEHICLE (WORK VEHICLE) = R
NO SPECIFIED DISTANCE REQUIRED
CHANNEUZATION DEVICE
SPACING feet
MPH TAPER ITANGEM
wo 3D 6D
254 2D 40
RECEIVED
J U N 30 2021
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
NOTES
LEGEND 1.
a TEMPORARY SIGN LOCAMN SHOULDER CLOSURE -LOW SPEED I DEVICE SPACING FOR THE GRANGE. EPd) TAPER SHALL BE ?D (r n.
2 ALL SIGNS ARE BLACK ON ORANGE
T�IT]- CHANNELRLNG DE ACES (40 MPH OR LESS)
PROTECTS mime
NOT TO SCALE
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DESSNED BY Washington State
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PROSI3VGR. ma ae TRAFFIC CONTROL PLAN
REOWNAL AM REVISION DATE 6Y