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ENG2021-0437 ROW PERMITRIGHT OF WAY EUC PERMIT PERMITNUMBER, City of Edmonds ...0i 1 1 www.cityofedmonds.gov Description: COMCAST-REAPPLYING FOR EXPIRED PERMIT ENG2021-0112 ISSUED: 11/22/2021 Address: 24126 100TH AVE W EDMONDS WA 98020-5704 EXPIRES: 05/22/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00555000000100 i 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 UNKNOWN UNKNOWN, UNKNOWN WA 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 11 /22/2021 RELEASED BY Awu� DATE Printed: Monday, November 22, 2021 3:01:58 PM 1 of 2 -KRWOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds ...• •ENG2021-0437 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 22, 2021 3:01:58 PM 2 of 2 ENG2021-0437 of EpMO4O� RIGHT OF WAY CONSTRUCTION RECEIVED PERMIT APPLICATION Nov 09 2021 NDS Complete and submit this Application in accordance with the Submittal DEVELOPMENT FDSERVICES /'Vc. i sa° Requirements outlined in Right -of -Way permit Handout E6�. 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 JB0000588728 Site Address or if no site address use Property Address at NW corner of project area: 24126 100th AVE W, EDMONDS, WA. 98026 Associated Permits: BLD PLN ENG ENG2021-0112 Owner and Entity Holding Name of Company COMCAST Franchise Ordinance No: Point of Contact TERESA STEMLER Title PERMIT COORDINATOR Address 1525 75TH ST City EVERETT State WA Zip 98203 Phone 425-770-0020 Email TERESA_STEMLER@COMCAST.COM Contractor and Authorized Agent of Owner (see note below) Name of Company CAB LECOM Contractor Contacts During Construction Primary Name LEUA TOFAEONO Agent Name Title PERMIT COORDINATOR SUPERVISOR Title Mobile 360-622-5388 Address20021 120TH AVE NE EmailLEUA.HUGHES@CALBECOMLLC.NET City BOTHELL State WA Zip 98001 Secondary Name PUNA TALO Phone Title PERMIT COORDINATOR Email SNOHOMISH.PERM ITTING@CABLECOMLLC.NET Mobile City of Edmonds Business License No: NR - 021818 Email PUNA.MCILWAIN@CABLECOM.NET State License No: CABLEL*971 DP x Contractor verifies it is currently bonded 2g 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.) AERIAL MAINTANCE SPLICE NEAR 24126 100TH AVE W ON THE WEST SIDE OF THE STREET JB0000588728 RE -APPLYING FOR EXPIRED PERMIT ENG2021-0112 NO CHANGE IN SCOPE OF WORK. 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 m 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 X No 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? X 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? 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: X 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? X 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: X How many are existing? 11 1 How many are to be added? 10 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: DATE: 11 /08/2021 APPLICANT PRINTED NAME: LENAIZA ENRIQUEZy (/y APPLICANT TITLE: PERMIT COORDINATOR NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 Right of Way Completed By: Scott Vermeys SCHEDULE INSPECTIONS ON MYBUILDINGPERMIT.COM Completion Date: 3/3/2021 Address 24126 1 00th Ave W, Edmonds COMCAST Survey Revision Date: Survey Revision Task ID: Footages Entered On Route Overview Sheet Engineered For: Project Manager: - P2 ID: JB0000588728 Additional Pages Needed No Legend New Ped ❑ Pole New Vault ❑V Lock Box Existing U/G Footage 150' Existing Aerial Text Box Text New U/G Callout Arrow New Aerial New Tap Interior Path Phase Identifier 0 Footage Break Power Supply PS Fiber Splice Point H C(D Hard Surface Cut O Right of Way Provide Clear Detail about the Project Construction Notes: AERIAL MAINTANCE SPLICE NEAR 24126 100th AVE W ON THE WEST SIDE OF THE STREET RECEIVED Mar 30 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SIGN SPACING ■ x (1) "AL pop" a UABAM ARTERIALS Is 148 ANTI )WA AURAL FAMOS LRIM ARTERLKS 2$ 06 W" Mi 1,21 AEb10RMAL t IU'SMESS 01STAKTS URSAh STREETS n MF1+ OR -ESS •OC s t21 III ALL SPA`W WAY 9G A"STF0 TO ACC0uM4QAtE IINft[Cr*%hd AND COSY& {AM III "S SPAICINO WAY Ot IIp0=0 IN WEAN ARMS TO AT RQADNWY C040rnoNs MMNIMUM SHOULDER TAPER LENGTH ■ U3 (1w) s►+oArxcER Posted Sp"d Imph) YN71N IhM) r N a to r, v 40 ust A T remCFS TAPFR %CA SMOULOtRi L&SS T149N P MAINTAIN TWO 11' TRAVEL LANES, OTHERWISE USE SINGLE LANE CLOSURE TCP MEASURES WITH FLAGGERS. LEGEND 0C TWORARY SIGN LOCATIO', O CH&%NEUJAG OEv10ES %oE►1CLE 100th Ave W BUFFER DATA LONGITUDINAL BUFFER SPACE s B SPEED JIMPHI 25 30 1 35 IO 455 E4 0 70 LENGTH (%*0 Iss 200 750 305:±Id OS S70 WS 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE s R HOST VEHICLE WWHT 9.900 TO 000 floc HOST VEHICLE MIGM > 22.000 b5. < K MPn s}SS MPH > 56 MIVH < 45 NPN 45.55 MPH F SS MOH tar 12Y 172' 7C IX, -F-1w PROTECTIVE VEHICLE (WORK VEHICLE) ■ R NO SPECIFIED DISTANCE AIcaUIRED - - - - - - - - - - - - - - - - - - - - - - - n a oo � � T�t� 1 � MbAK AREA C B CHANNEL1ZATION DEVICE 9 ACING A"I KI" TW Ilt TA VC!NT ;*A$ >9 40 L!' 49• Applicant shall repair/replace all ROAD damage to utilities or frontage / SHOUIDER improvements in City right-of-way ENGINEERING DIVISION V.ORK 1 _ _ per city standards that is caused or APPROVED AS NOTED AIJEAD WOPX � ' ' occurs during the permitted project. Ar 11 /17/2021 xia, wtLa ° _ . OWNER/CONTRACTOR IS RESPONSIBLE FOR •'•._fin, EROSION CONTROL AND DRAINAGE SHOULDER CLOSURE • LOW SPEED (40 MPH OR LESS) NOT I(T •.r.A! NOTES I DEVICE SPACING FOR TrE OOVdYSTREAV TAPER SHALL RF 5V(FT) Z ALL SIGNS ARE BLACK ON GRAWE Overview Completed By: Scott Vermeys N �^ tc _ �• - E _ o _ S Completion Date: 3/3/2021 F- Address 24126 100th Ave W, Edmonds Survey Revision Date: Survey Revision Task ID: Footages Entered On Route Overview Sheet Engineered For:COMCAST Project Manager: - P2 ID: JB0000588728 Additional Pages Needed No Legend New Ped ❑ Pole New Vault Lock Box Existing U/G Footage 150' Existing Aerial Text Box Text New U/G Callout Arrow New Aerial New Tap Interior Path Phase Identifier 0 Footage Break Power Supply PS Fiber Splice Point Hard Surface Cut O Right of Way Provide Clear Detail about the Project Construction Notes: AERIAL MAINTANCE SPLICE NEAR 24126 100th AVE W ON THE WEST SIDE OF THE STREET SCHEDULE INSPECTIONS ON MYBUILDINGPERMIT.COM RECEIVED Mar 30 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT ENGINEERING DIVISION APPROVED AS NOTED 11 /17/2021 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 I r 40 0 C 3 3 W � 1=--PTFFM- I i - - 2401h PI SW G 0 I J3 � " G 6 � o 0 if 243rd PI SW trt 1 \ 238th St SW 3 ?cif PI tiN 240th St SW 240th PI SW 241 st PI SW 243rd PI 3 a '51h PI SW ' 950 Riht of Wa g y Completed By: Scott Vermeys N , _ _ p - E = " \ S Completion Date: 3/3/2021 Address 24126 1OOth Ave W, Edmonds Survey Revision Date: Survey Revision Task ID: Footages Entered On Route Overview Sheet Engineered For:COMCAST Project Manager: - P2 ID: JB0000588728 Additional Pages Needed No