ENG2021-0343 ROW PERMITOF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
EdmondsRIGHT
98020 1 1
www.cityofedmonds.gov
Description: ZIPLY-BORE AND PLACE NEW FLOWER POT (PED) ISSUED: 10/21/2021
Address: 1147 C AVE S EDMONDS WA 98020-3901
EXPIRES: 04/21/2022
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00568300001200
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 ESTELA JOSE A & PEGGY P 1147 C AVE S, EDMONDS WA 98020-3901
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 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.
THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW
10/21 /2021
:»•>/F9:1H ]1
DATE
Printed: Thursday, October 21, 2021 2:33:25 PM 1 of 2
-KRWOF WAY EUC PERMIT
PERMIT NUMBER
City of • • •
•:• •ENG2021-0343
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.
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 7:00am to 6:00pm on
SOUND OR NOISE
weekdays and 10:00am and 6:00pm 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 MEN
RESULT
A-1 JOB START
X-2 ENGINEERING FINAL"
E-7 RESTOR LIMITS
Printed: Thursday, October 21, 2021 2:33:25 PM 2 of 2
ENG2021-0343
of EDMotios RECEIVED
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION AUG 30 2021
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
""'C.: sa° Requirements outlined in Right -of -Way permit Handout E63. 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 •
Project Name 100688780-1
Site Address or if no site address use Property Address at NW corner of project area: 1147 CAVES EDMONDS
Associated Permits: BLD PLN ENG
Owner and Entity Holding Franchise (if applicable)
Name of Company ZIPLY FIBER Franchise Ordinance No:
Point of Contact MIKE HAKAHAN
Title ENGINEER
Address 1800 41 ST ST
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, Inc
Contractor Contacts During Construction
Primary Name Gisela Gonzalez
Agent Name Gisela Gonzalez
Title PERMIT ASSISTANT
Tide PERMIT ASSISTANT
Mobile
Address PO Box573
Emailgisela@undergroundnet.org
City Woodinville
State
Zip98012
Secondary Name
Phone 425-348-7735
Title
Email PERM ITS@PACCAB.COM
Mobile
City of Edmonds Business License No: PACI FCC954PJ
Email
State License No: 3636CON 1096
d Contractor verifies it is currently bonded
Contractor verifies it currently has general liability insurance
NOTE: ECDCi8.6o.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 well
❑ Traffic Control Only (no associated development)
❑ Utility Franchise Work (no associated development)
City of Edmonds ROW construction permit Application --Page i 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.)
From existing pole bore 65ft in the ROW Crossing c ave s to customers right side of driveway placing new flower pot
Total 65ft in the ROW and one flower pot (ped)
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
Alley 72 hours +
LF
x
LF
SF
Parking 72 hours +
LF
x
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:
V telecommunications ❑ cable ❑ power ❑ gas
❑ water ❑ sewer ❑ storm
Details of • to be CompletedNo
1. Does the utility owner have existing overhead infrastructure in the area of work?
V
2. 1 Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)?
V
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 system?
5.
Does the work involve proposed additions to an aboveground utility system? If es:
V
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 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 oles to be laced?
How many? I What is the height of the additional poles?
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: Y4� Yd���: � DATE: 8/30/2021
APPLICANT PRINTED NAME: Gisela Gonz ez
APPLICANT TITLE: PERMIT ASSISTANT
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
ADDRESS: 1147 CAVES EDMONDS PROJECT# 100688780-1
SITE CONTACT JOSH 425-348-7735
SITE PLAN DETAIL
Drop crew
Pacific Cable 425-348-7735
Power
Gas
Comm
Water
Sewer
Storm
Asphalt cut
Footage
65
A —
Existing flower pot
New flower pot
Existing ped
New line
Exsisting pole
PROJECT DETAIL
CONTRACTOR TO START AT EXISTING
POLE TRENCH LOFT BORE 55 FT TO
CROSSCAVES EXITROWATNEW
FLOWER POT T' x 10" ON
CUSTOMERS PROPERTY LINE.
ALL SUBSTRUCTURE TO HAVE 36"
COVER.UTILITIES TO BE EXPOSED FOR
CROSSING.
Permit contact
PERMIT ASSITANT
Gisela Gonzalez
permitsk@paccab.com
425-348-7735
1147 EDMONDS PROJECT# 1006E
Utility patches shall be combined and full width or half
width overlay will be required depending on the extent
of disturbance. Where utility patches fall entirely within
one travel lane, the overlay shall extend to the
centerline of roadway. Where utility patches extend into
both travel lanes then a full width overlay is required.
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROLAND DRAINAGE
Applicant shall repair/replace all
damage to utilities or frontage
improvements in City right-of-way
per city standards that is caused or
occurs during the permitted project.
RESUB
SEP 30 2021
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
ENGINEERING DIVISION
APPROVED AS NOTED
l P11 "J, $ ,4.t 10/20/2021
VV
SIGN SPACING = X (1)
RURAL ROADS S URBAN ARTERIALS 35 140 MPH 350!
RURAL ROADS. URBAN ARTERIALS, 25 130 MPH 200'2 (2)
RESIDENTIAL B BUSINESS DISTRICTS
URBAN STREETS 25 MPH OR LESS IWI (2)
(1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE
INTERSECTIONS AND DRIVEWAYS.
(21 THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
MINIMUM SHOULDER TAPER LENGTH = L13 (feet)
SHOULDER
Posted Speed (mph)
WOTH
(f-I)
25
]0
75
40
45
50
55
60
65
70
B'
40
40
SO
I -
-
-
-
-
-
-
t0'
40
SO
s0
SO
_
USF A 3 DFVICFS TAPFR FOR SHOULDERS LESS THEN IT
CHANNELIZATION DEVICE
S Ifeet
MPH
TAPER
TANGENT
3L40
30
60
25/30
20
40
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
75
30
35
40
45
50
55
60
65
1 70
LENGTH (Net)
1-
200
250
305
BUFFER VEHICLE ROLL AHEAD DISTANCE = R
TRANSPORTABLE ATTENUATOR
30 FEET MIN.
SHALL BE MOUNTED OR OR ATTACHED TO. A HOST VEHICHLE
TO
THAT COMPLIES WITH THE MANUFACTURER'S RECOMMENDED
100 FEET MAX.
WEIGHT RANGE.
PROTECTIVE VEHICLE
NO SPECIFIED
MAY BE A WORK VEHICLE STRATEGICALLY LOCATED TO SHIELD
DISTANCE
THE NARK AREA
REOUIRED
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
M
q q T C
o ®p woRN AREA o
x ITsw
14B• 4r
ROAD SHOULDER
VRAHM
WORK
RECEIVED
�•
WMI Wxt.5 ENGINEERING DIVISION
APPROVED AS NOTED AUG 30 2021
JQJ/ W .j0IS 4,t 10/20/2021
vv CITY OF EDMONDS
LEGEND DEVELOPMENT
11 TEMPORARY SIGN LOCATION SHOULDER CLOSURE - LOW SPEED SERVICES DEPARTMENT
NOTES:
O CHANNELIZING DEVICES (40 MPH OR LESS)
1. DEICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 20'(F T)
PROTECTIVE VEHICLE
NOT TO SCALE 2. ALL SIGNS ARE BLACK ON ORANGE.
FILE NAME S:lDaa R PS 31431,,, rd*V Ran Shaal L16w 1 Pu61NM0 PSL G woHl 7 11a Tn1Mc Conirq 45 56oukar Cbaun low 40 MP or Laaa)1T45dpn PIOI 1
TIMEAM •"'• I FED.AID PROJ.NO. w rr
DATL al91f014 -/,
PLOTTED BY IWd.11 AS TCS
DESIGNED BY _ ate!• Washington State •�^
EN1EHEp Ev
1HE-LD 6Y •.+..... o Department of Transportation s
PROS. FNG_R. _ TRAFFIC CONTROL PLAN .+.r.
REGIONAL AM. REVISION DATE BY
ADDRESS: I 1147CAVE S EDMONDS I PROJECT# Iloo688 T27N-R3E-S25
SITE CONTACT JJOSH 425-348-7735
SEP 30 2021
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
11500
C AVE
153`
I'll
1140
H 12-, 07
Nc 279
2- 88
� J
RS-10
New flower pot 9" diameter top with 10" diameter bottom hdpe v
base and top cover the 10" will be buried underground
RESUB
SEP 30 2021
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT