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ENG2021-0322 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT 98020 1 1 www.cityofedmonds.gov Description: COMCAST-BORE 2" CONDUIT ISSUED: 08/31/2021 Address: 18806 86TH PL W EDMONDS WA 98026-5906 EXPIRES: 03/01/2022 it Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00645600000200 I 11-14111 a W NAME TYPE NAME ADDRESS PHONE APPLICANT COMCAST 1525 75TH ST SW, EVERETT WA 98203 (425)921-8201 CONTRACTOR SOUND DRILLING LLC , SEDRO WOOLLEY WA 98284-8309 (425)244-2303 OWNER KUBLER ANDREW N & RACHELE A 18806 86TH PL W, EDMONDS WA 98026-5906 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00 ENGINEERING INSPECTION FEE $110.00 $0.00 RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $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. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 08/31 /2021 :»•>/F9:1H ]1 DATE Printed: Tuesday, August 31, 2021 9:11:49 AM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • •:• •ENG2021-03,12 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. 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. 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. TRAFFIC CONTROL Traffic Control per approved plan and MUTCD. All Flaggers shall be certified. 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. INSPECTIONS INSPECTION TYPE DATE RESULT COMPLETE A-1 JOB START X-2 ENGINEERING FINAL" E-7 RESTOR LIMITS Printed: Tuesday, August 31, 2021 9:11:49 AM 2 of 2 ENG2021-0322 of EDMOtios RECEIVED RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION AUG 12 2021 Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS /'Vc. i sa° Requirements outlined in Right -of -Way permit Handout E6�. DEVELOPMENT SERVICES DEPARTMENT 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 Info Project Name 18806 86th PI W, Edmonds, WA 98026 Job Site Address or if no site address use Property Address at NW corner of project area: 18806 86th P1 W, Edmonds, WA 98U26 Associated Permits: BLD PLN ENG Owner and Entity Holding Name of Company Comcast Franchise Ordinance No: Point of Contact Yvonne Jerdee Title N/A Address 1525 75tht SW City Everett State WA Zip 98230 Phone N/A Email onne 'erdee comcast.com ContractorAgent of • • •Construction Name of Company Sound Drilling LLC Agent Name Kolton Palmer Primary Name Same as Contractor Title Title Owner Mobile Address 224499 E State Street Email City Sedro-Woolley I State WA Zip 98284 Secondary Name Phone 425 244-2303 Title Email kolton@sounddrillingllc.com Mobile City of Edmonds Business License No: 604138-001-0001 Email State License No: SOU N DD L821JQ X 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) 9 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.) Bore 2" conduit for Comcast from 18806 to ped located E of property and near 18802, 18805 and 18802 86th PI W. Sidewalk will be open.No road closures, drill and crew will be set up on owner's property. No traffic control plan 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 x 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 X 2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? X if Yes, describe: con ui or omcas 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? X 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? X 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? X Are the additions for the purpose of serving a single-family residential subdivision? X 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 X project is proposed: 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 1 0 1 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: X 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: x 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: �-�^j DATE: 817/2021 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 ALL UG UTILITIES SHALL BE POTHOLED PRIOR TO BORING. OWNER/CONTRACTOR IS RESPONSIBLE FOR SCHEDULE ALL INSPECTIONS THROUGH 5 1 EROSION CONTROL AND DRAINAGE MYBUILDINGPERMT.COM 18802 18801 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. 18805. 18806 00 00 5 5 -602 Applicant shall repair/replace all damage to utilities or frontage Q RECEIVED improvements d City is caused per city standards that is caused or loccurs during the permitted project. AUG 12 2021_ 18807 d o 810 HS 93 CITY OF EDMON S 100 PSI ENGINEERING DIVISION _ DEVELOPMENT APPROVED AS NOTED SERVICES DEPARTMENT ,I'M W41, ,,4Q os/z7/zoz1 RECEIVED AUG 12 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT G20-2 (V) Sm • Nouvis 111300VtA w • 120' Sr1ADOW VEHICLE RE OUIRE D SEE NOTE 4 FLAGGER STATION SEE NOTE 2 SEE NOTE 1 Ak 1 W3-4 SF F NOTE 9 ENGINEERING DIVISION APPROVED AS NOTED ,1,11 (1/Q✓.7u.nnp 08/27/2021 vv 0