ENG2021-0415 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBIER,
City of Edmonds
...0iENG2021-041515
www.cityofedmonds.gov
Description: COMCAST-REAPPLYING FOR EXPIRED PERMIT ENG2020-0300
ISSUED: 11/01/2021
Address: 21727 80TH AVE W EDMONDS WA 98026-7809
EXPIRES: 05/01/2022
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00461000101104
NAME TYPE NAME ADDRESS PHONE
APPLICANT COMCAST 1525 75TH ST SW, EVERETT WA 98203 (425)921-8201
CONTRACTOR CABLECOM LLC 20021 120TH AVE NE, SUITE 101, BOTHELL WA 98011 (360)668-1300
OWNER EDMONDS 4-PLEX LLC 6009 PRINCETON AVE NE, SEATTLE WA 98115
FEE INFORMATION
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00
RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $0.00
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
a. 11 /01 /2021
RELEASED BY DATE
Printed: Monday, November 01, 2021 8:16:56 AM 1 of 2
-KRWOF WAY EUC PERMIT
City of Edmonds
...• •ENG2021-0415
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.
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.
•
INSPECTION TYPE
DATE RESULT
NOTES
COMPLETE
A-1 JOB START
X-2 ENGINEERING FINAL"
Printed: Monday, November 01, 2021 8:16:56 AM 2 of 2
ENG2021-0415
Of E01,101!> RECEIVED
RIGHT OF WAY CONSTRUCTION
PERMIT APPLICATION OCT 19 2021
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
/,Vc. I S90 Requirements outlined in Right -of -Way permit Handout E6,1. 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 WASNEM001
Site Address or if no site address use Property Address at NW corner of project area: 21727 80th AVE W
Associated Permits: BLD PLN ENG 2020-0300
• pp
Name of Company COMCAST CABLE HOLDINGS Franchise Ordinance No:
Point of Contact JOURDEN LAWRENCE
Title PERMIT COORDINATOR
Address 1525 75TH ST SW
City EVERETT
State WA
Zip 98203
Phone 425-921-8201
Email Jourden Lawrence comcast.com
Contractor and Authorized Agent of Owner (see note below)
Contractor Contacts During Construction
Name of Company CABLECOM LLC
Primary Name CABLECOM LLC - BRENT DIXON
Agent Name LEUA HUGHES
Title CONTRUCTION SUPERVISOR
Title PERMIT COORDINATOR
Mobile 425-870-4407
Address 20021 120th Ave NE Suite 101
Email brent.dixon@cablecomllc.net
City BOTHELL
I State WA
Zip 98011
Secondary Name
Phone 360-312-3259
Title
Email snohomish.permitting@cablecomIIc.net
Mobile
City of Edmonds Business License No: NR - 021818
Email
State License No: CABLEL*971 DP
Contractor verifies it is currently bonded
v/ 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 well)
❑ 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.)
STARTING AT POLE 1 NEAR 21727 80TH AVE W, BEGIN OVERLASH APPROX. 260' WEST TO POLE 4 NEAR 8009 218TH ST SW.
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:
❑ telecommunications cable ❑ power ❑ gas
❑ water ❑ sewer ❑ storm
Details
1.
of • to be Completed
Does the utility owner have existing overhead infrastructure in the area of work?
Yes
No
2.
1 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 • 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.
I 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: / 4"'al DATE: 10/19/2021
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
Legend
Detail View (2)
Construction Notes.
STARTING AT POLE 1 NEAR 21727 80TH AVE W,
BEGIN OVERLASH APPROX. 260' WESTTO
POLE 4 NEAR 8009 218TH ST SW.
MAINTENANCE SPLICE PER MARKED
LOCATION.
BUFFER DATA
LONGITUDINAL BUFFER SPACE - B
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t4
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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.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
ONE -LANE. TWO-WAY TRAFFIC CONTROL
WITH FLAGGERS
NOT _, SCA-E
P
KEEP AT LEAST ONE
LANE OF TRAFFIC
OF 80TH AVE W
OPEN DURING
OVERLASH. UTILIZE
FLAGGERS FOR
NORTH -SOUTH
THROUGH TRAFFIC.
ENGINEERING DIVISION
APPROVED AS NOTED
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CHAMBUZATION DE CE
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Walkout ID# JB0000359203 Project Name WASNEM001 Address 21727 80th AVE W EDMONDS
Prepared By: Edwin Pineda Rev. Date Sheet Number:
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Date: Open
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Legend
New Ped ❑
Pole 0
New Vault L 1
Lock Box ❑
Existing U/G
Footage 150'
Existing Aerial — — — —
Text Box Text
215th PI Syy
New U/G
Callout Arrow
New Aerial
New Tap L�
Existing Interior
Phase Identifier
New Interior
216th St< SW
216th St W4 ,
Route Overview (2)
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Construction Notes:
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STARTING AT POLE 1 NEAR 21727 80TH AVE W,
BEGIN OVERLASH APPROX. 260' WEST TO POLE
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4 NEAR 8009 218TH ST SW. MAINTENANCE
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Walkout
P2 Task ID
JB0000359203
Project Name
WASNEM001
Address
21727 80th AVE W
EDMONDS
;V
Prepared By:
Edwin Pineda
Rev.
Date
Sheet Number:
Open
C3Date:
ASBUILD
ENGINEERED FOR:
0
Project Manager:
Chris Olsen
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Legend
New U/G
Pole
Existing U/G
Lock Box
New U/G
Footage 150'
(private)
Text Box Text
Existing U/G
(private)
Callout Arrow
0
New Riser
New Tap
Legend
Existing Riser
Phase Identifier
Construction Notes:
New Building
New Ped
STARTING AT POLE 1 NEAR 21727 80TH AVE W,
Exterior
Existing Ped
BEGIN OVERLASH APPROX. 260' WEST TO POLE
Existing Building
4 NEAR 8009 218TH ST SW. MAINTENANCE
Exterior
New Vault E]
SPLICE PER MARKED LOCATION.
New Aerial
Existing Vault
Existing Aerial
New Doghouse/
Cathouse
New Interior
Existing Doghouse/
Existing Interior
Cathouse
New Node Ped
Existing Node Ped
Core Drill .
New Fiber Case X
Existing Fiber Case a
Walkout
P2 Task ID
JB0000359203
Project Name
WASNEM001
Address
21727 80th AVE W
EDMONDS
Prepared By:
Edwin Pineda
Rev.
Date
Sheet Number:
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Date:
Open
ENGINEERED FOR:
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Chris Olsen
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P2 Task ID JB0000359203 Project Name WASNEM001 Address 21727 80th AVE W EDMONDS
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Date: Open
C3ENGINEERED FOR: 0 Project Manager: Chris Olsen Route Overview
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Legend
New Ped Pole
n
New Vault ❑ Lock Box
150
216th
Existing U/G Footage
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216th
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Existing Aerial — — — — Text Box Text
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Right of Way
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Construction Notes:
STARTING AT POLE 1 NEAR 21727 80TH AVE W,
m
BEGIN OVERLASH APPROX. 260' WEST TO POLE
--
4 NEAR 8009 218TH ST SW. MAINTENANCE
- --
SPLICE PER MARKED LOCATION.
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JB0000359203
Project Name
WASNEM001
Address
21727 80th AVE W
EDMONDS
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Prepared By:
Edwin Pineda
Rev.
Date
Sheet Number:
Date:
Open
ENGINEERED FOR:
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Project Manager:
Chris Olsen
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Right
of Way
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212th SW
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Edmonds WA 98026
JB0000359203
Project Name
21727 80th AVE W
Prepared By:
Sheet Number:
C3ENGINEERED
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Detail View
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