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ENG2021-0536 ROW PERMITOF WAY EUC PERMIT PERMITNUMBER, City of Edmonds EdmondsRIGHT •:• • 1 1 www.cityofedmonds.gov• • Description: ZIPLY-REMOVE BARE POLE ISSUED: 01/12/2022 Address: 9823 238TH ST SW EDMONDS WA 98020-5648 EXPIRES: 07/12/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00446300000500 i NAME TYPE NAME ADDRESS PHONE APPLICANT MIKE HAKAHAN 1800 41ST ST STE N100, EVERETT WA 98203 (425)949-0230 CONTACT ZIPLY FIBER 1800 41ST ST STE N100, EVERETT WA 98203 (425)949-0230 CONTRACTOR PACIFIC CABLE CONSTRUCTION PO BOX 573, WOODINVILLE WA 98072 (425)348-7735 OWNER EDWARD PAUL III & MAR RIEGERT 9823 238TH ST SW, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 RIGHT OF WAY MINOR - EUC PERMIT FEE $110.00 $110.00 1111 • 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 01 /12/2022 RELEASED BY DATE Printed: Wednesday, January 12, 2022 12:32:34 PM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • •:• •ENG2021-05,136 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. 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. INSPECTIONS INSPECTION TYPE DATE RESULT COMPLETE A-1 JOB START X-2 ENGINEERING FINAL" E-7 TRAFFIC CTRL Printed: Wednesday, January 12, 2022 12:32:34 PM 2 of 2 ENG2021-0536 of EDM041.� RECEIVED RIGHT OF WAY CONSTRUCTION DEC 29 2021 PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS /Iv . i s`0 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 • Project Name 5223897-751 Site Address or if no site address use Property Address at NW corner of project area: 9823 238th St SW, Edmonds Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company Ziply Fiber Franchise Ordinance No: WN U-17 Point of Contact Mike HaKahan Title Engineer Address 1800 41 St St, Ste N 100 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 Contractor Contacts Primary Name During Construction Danielle Harrera Agent Name Danielle Herrera Title Permit Manager Title Permit Manager Mobile 425-348-7735 Address PO BOX 573 Email danielle@paccab.com City Woodinville State WA Zip 98072 Secondary Name Phone 425-348-7735 Title Email danielle@paccab.com Mobile City of Edmonds Business License No: PACI FCC954PJ Email State License No: 3636CON 1096 Of 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 ❑��T��raffic Control Only (no associated development) VO tility 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.) Application is to document work completed in the field to remove bare pole. All work is complete, pole removed. Associated with PUD JPN 395528-3 permitted under ENG2016-0369. Tracked on City of Edmonds spreadsheet "EUC Not Complete" on line 15. 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: VZtelecommunications ❑ 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: 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? 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: X How many poles are existing in the project area? 1 What is the height of the existing poles? 30 How many poles are to be removed? 1 Are additional poles to be laced? No. How many? I U I What is the height of the additionalpoles? I NA 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: 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 RECEIVED DEC 29 2021 CITY OF EDMONDS Right -of -Way Application #1069561 - 5223897-751 MyBuildingPerrnit com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Mike HaKahan Ziply Fiber Number Street Apartment or Suite Number E-mail Address 1800 41st St Ste N100 mike.hakahan@ziply.com City State Zip Phone Number Extension Everett WA 98203 425-949-0230 Contractor Company Name PACIFIC CABLE CONSTRUCTION INC Number Street Apartment or Suite Number PO Box 573 City State Zip Phone Number Extension Woodinville WA 98072 425-348-7735 State License Number License Expiration Date UBI # E-mail Address PACIFCC954PJ 10/21/2023 FDD5877Dq danielle@paccab.com Project Location Number Street Floor Number Suite or Room Number 9823 238TH ST SW City Zip Code County Parcel Number EDMONDS 98020 00446300000500 Associated Building Permit Number Tenant Name N/A Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Edward Paul lii & Marissa Kay Riegert Number Street Apartment or Suite Number 9823 238TH ST SW City State Zip EDMONDS WA 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 12/29/2021 Submitted By: Mike HaKahan Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1069561 - 5223897-751 Project Contact Company Name: Ziply Fiber Name: Mike HaKahan Email: mike.hakahan@ziply.com Address: 1800 41st St Ste N100 Phone #: 425-949-0230 Everett WA 98203 Project Type Activity Type Scope of Work Franchise Utility Franchise Utility Work No Disturbance of Surface Project Name: 5223897-751 Description of Application is to document work completed in the field to remove bare pole. All work is Work: complete, pole removed. Associated with PUD JPN 395528-3 permitted under ENG2016-0369. Tracked on City of Edmonds spreadsheet "EUC Not Complete" on line 15. Project Details Project Information Job Number 5223897-751 Page 2 of 2 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM MI 1WAINA 0r�• 'RL a n 1 ENGINEERING DIVISION APPROVED AS NOTED Jill (Al4J,,,,44z 01 /11 /2022 VV 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. ° 4 = fo . e, = +!\r i�1Klt7[J-o5�9fjo17. 6H 3 =r — + M� rwaa R Pf �—S7� PLAN VIEW FTR 716807 T �! `� `n •• �G, ��j �Z� PO1B - 1 - Remove Pole FTR 716726 moss POSA - 1 - Transfer Attachment PO - 1 - Remove Pole Y from 2 Z2 P08A - 2 - Place/Remove Down Guy POSA SA - 3 - Transfer Attachment FTR 716733 FTR 716704 FTR 108968 P221 - 217 � De -lash 8 Re -lash POSH - 2 - Transfer Riser PO18 - 1 - Remove Pole - P36D - 4 Transfer Drop PO1B - 1 -Remove Pole - D368 2 -Remove Drop P078 - 1 -Remove Anchor & DG POSA - 3 - Transfer Attachment SP53 - 1 - Install Pole Tag POSA - 2 - Transfer Attachment P36D - 3 - Transfer Drop P47B - 2 - Place/Remove Down Guy Pllg - 2 -Place Arm P07B - l - Remove Anchor& DG _ SP53 1 -Install Pole Tag P47B - 35 - Tree Trimmg P11D - 1 - Remove Arm 21 POSA - 3 - Place/Remove Down Guy P57A - 10 - Hand Trench P36D - 9 -Transfer Drop FTR 721810 P11B - 2 - Place Arm •^ S SP53 - 1 -Install Pole Tag P47B - 60 - Tree TrimmingPOIB - 1 - Remove Pole P- 2 - Remove Arm ° F FTR 721814 5148 - 3 -Place/Remove NO POSA - 2 - Transfer Attachment P22J 22J - 361 - De -Lash & Re -Lash PO18 - 1 - Remove Pole D SPS3 - 1 - Install Pole Tag PI1D - 2 - Place Arm P36D - 11 - Transfer Drop n[°r,rior P05A - 1 - Transfer Attachment FTR 716702 P11D -I -Remove Arm P47B - 80 - Tree Trimming SP53 - 1 - Install Dole Tag P5AOIB - 1 - Remove Pole 2 P368 - 1 - Remove Drop SP53 - 1 - Install Pole Ta g trrn P05A - 1 - Transfer Attachment FTR 721811 P018 - 1 -Remove Pole P36D - 6 - Transfer Drop P47B - 20 -Tree Trimming ow+ Z3 P11D - 1 -Remove Arm P18A - 6 - Place Strand POSA - 1 - Transfer Attachment S148 - 2 - Place/Remove NID P018 - 1 - Remove Pole [r,tA P36D - 1 - Remove Drop D07B - 2 - Remove Anchor & DG SP53 - 1 - Install Pole Tag P05A - 1 - Transfer Attachment wo [ P36D - IS - Transfer Drop P08A - 1 - Place Down Guy P079 - 1 - Remove Anchor & DG WEP18B S148 - 2 - Place NID - 100 - Remove Strand POSA - 1 - Place Down Guy SP53 - 1 -Install Pole Tag SPS3 - 1 - Install Pole Tag RECEIVED I ` ZI 5223897-751 DEC 29 2021 PAGE 2 OF 2 3 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING CITY OF EDMONDS OWNER/CONTRACTOR IS RESPONSIBLE FOR ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY DEVELOPMENT SERVICES DEPARTMENT EROSION CONTROL AND DRAINAGE UTILITIES MAY REQUIRE A SEPERATE PERMIT. All work completed TCP filler only. BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH ftet) 155 200 250 305 360 425 495 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 Ibs. HOST VEHICLE WEIGHT > 22,000 Ibs- 45 MPH 45-55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100' 123' 172' 74' 100' 15C PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED NE LAN ROAD . AHEAD 0114 � �7A ROAD BE WORK PREPARED HEA TO STOP VAI 11mb-79 W20-]B (OPTIONAL IF 46 MPH OR LESS) LEGEND FLAGGING STATION q TEMPORARY SIGN LOCATION ® CHANNELIZING DEVICES ® PROTECTIVE VEHICLE RECEIVED DEC 29 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SIGN SPACING = % (1) RURAL RURAL ROAOSAVS 45I 55 MPH 500' W20-]B(OPTIONAL IF RURAL ROAD3 S URBAN ARTERIALS 35140 MPH 350' 40 MPH OR LESS) TIRESIDENTIALL& BUSINESS DISTRICURBAN TS 25130 MPH 200' (2) URBAN STREETS 25 MPH OR LESS 100 (2) BE ROAD (INTERIRAI NO SECTIONS AND DRIVEWAYS. TO ACCOMMODATE PREPARED WORK (2�THISWAVCON MAIONSE REDUCED IN URBAN AREAS TO FIT TO STOP HEA .� NE LAND ROAD AHEAD 7A V4 o® BE PREPARED W20-]8(OPTIONAL IF 44 MPH OR LESS) TO STOP IE LAN VANIII-11111 ROAD 4LEAD M-4 ROAD WORK NOTES LEA ONE —LANE, TNfl-1IfYGT gIC CONTROL NOT TO SCALE zzoznno 4310N SV CEAObddV NOISUAId ONI�IEINION:3 1 2 3 4, CHANNELIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50165 10 TO 20 30 35I45 25I30 10 TO 20 40 S-BUILT • Zipberly- f Date4dp-- By &L- Exchange: 51419 Halls Lake Project. 5223897-751 Address. 9823 238th St SW, Edmonds, WA Notes: Pole ' Z4" as referred to on line 15 of City of Edmonds "EUC Not Complete" spreadsheet has been removed and all work is completed in the field. This permit is to close work and recognize completion of PUD JPN 395528-3 associated with ENG2016-0369. Afyll�� PPRROVEDPROJJECT Mike HaKahan Ziply OSP Engineer mike.hakahan(@zir)lv.com 425-949-0230 Aply RECEIVED DEC 29 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT PAGE 1 OF 2 ri AoL�Ly eCb ewowowuw eeuerr G INAL APPIEN00Ed a S. 112& q 3�1 "ter" JOINT POO.IE NOTOPOCAToom /�. 1112 Re, 7/10 Year Price List ro'o ICATV: RONTIER Etcnorlge Dote RONTIERu Irl COMCAST Lt/RVEt<j�g/l/t6,^ rn rI Customer Name Service A,dr;Ac; = �N SNOHOMISH COUNTY PUD $0 P—dJF win, 1 nrA�lnr c i., n PUD WO/Tosk No. / 003 PUD En n+aerT vvy ��9 PUD Aptor eyed395528 YASAMIN ZADEHGOL (425INTENDS TO PERFORM THE FOLLOWING ON THIS WORK ORDER:Out SEP 1 6 20t6l Poles ❑ Set _ Addibonol8• HMAY 0 9 ?w IZ Poles ❑Se t� Add! 7(onReplace I� onoll2's In QZ?ZQI6minote Poles From PUD Syslen• ❑Cuslomer Po, IOO7 Contacts fR To Ccnlod FRONTIER Po'e(sl Al Locotiontsl BM N; mloerOtherFRONTIER Poy /5% Of The Follo IEstim •in9 ales Skcyl PUO Work Completed Easemenl Esrmole FRONTIER Tronsfer� sferr , u.+T� PEASE SEE PAGE 3 OF 4 IN ATTACHED CONSTRUCTION DRAWING RETURN TO JOINT USE BY: PLVA66 ExMDRE 6k.r o� Ld�I'177o� i✓1�/o/.f ���vc�l' IVG►�, Arx-I6K— 'OAStr7o Al p rJ c-.ocr Z2_. Cam tea„ - , StN e � �t/ 7 019 1 zsrtr� - LJC ✓* CJr'f� ON C..{fon+{;C C.J...pt.r.,..'/ 0, i J FOR FRONTIER USE ONLY FRONTIER ACCEPTS THE FOLLOWING [—]NO JOINT USE Pek/Catalan Relerence - i S Srse ReeorerY tyie/Veorl Cost PeeiLocol'on Rererencc w i SZe Recovery (Sae/rears Cosl P361 w 10( 1173.70 117370 V Addit'onol Anchors At The Fo4owing Locations WO/USDA Codes Fielde Date Approved By: