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ENG2022-0044 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds -0044 www.cityofedmonds.gov• • Description: ZIPLY TRANSFER CONNECTIONS REMOVE BO POLE ISSUED: 03/07/2022 Address: 8130 242ND ST SW EDMONDS WA 98026-9130 EXPIRES: 09/07/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00491100001503 i NAME TYPE NAME ADDRESS PHONE APPLICANT DONAVON LAFLEUR 1800 41ST ST STE N-100, EVERETT WA 98203 (425)375-0838 CONTACT VICTORIA COMER 1800 41ST ST, EVERETT WA 98203 (183)051-3661 CONTRACTOR PACIFIC CABLE CONSTRUCTION PO BOX 573, WOODINVILLE WA 98072 (425)348-7735 OWNER SEAN COONEY 7F 20313 97TH AVE NE, ARLINGTON WA 98223 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 RIGHT OF WAY STANDARD - EUC PERMIT FEE $330.00 $330.00 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 03/07/2022 RELEASED BY DATE Printed: Monday, March 07, 2022 12:02:45 PM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • Ave•:• • 1 1 1 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. RESTORE LANDSCAPE Restore landscape to like or better conditions. 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. 0 INSPECTION TYPE DATE 7A-1 RESULT NOTES COMPLETE JOB START X-2 ENGINEERING FINAL" Printed: Monday, March 07, 2022 12:02:45 PM 2 of 2 of EpM04O� RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal /'Vc. i sa° Requirements outlined in Right -of -Way permit Handout E6�. 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 Ziply Fiber - 51419-5511929 Site Address or if no site address use Property Address at NW corner of project area: 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 ❑ 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.) Telecommunications and broadband provider Ziply Fiber to -PLACE NEW SPLICE PEDESTAL -TRANSFER ATTACHMENTS -REMOVE (2) OLD POLES 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 X No 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 existingunderground common utilitystem? 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? 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: How many are existing? I I How many are to be added? 1 City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. Does your project involve poles? If yes: Yes How many poles are existing in the project area? 2 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: D�$� �-�� DATE: 02/16/2022 APPLICANT PRINTED NAME: Donavon LaFleur APPLICANT TITLE: Ziply Fiber NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 CIAC - PUD NEW POLE WAS PLACED IN UNAPPROVED LOCATION -NEED TO CUT IN NEW SECTION OF 50 PAIR TO BE ABLE TO TRANSFER ATTACHMENTS TO NEW POLE 315' —� AE 50 24 C9MCA DBT,501-525+ C9MCA DBT,551-575 A PLACE NEW SPLICE PED N ® SPLICE C ** REVISION 1 ** LOC "B" -TRANSFER ATTACHMENTS -REMOVE OLD POLE *** CHARGE TIME FOR *** TRANSFER WORK AT *** LOCATION "B" TO THE *** JOINT POLE BLANKET *** 5511605 17 5' AE 100 24 C9MCA DBT,501-600 (^ � <' J 0 40 �Al �� O B a SPLICE �(�i HAND DIG 2"RISER 5' (HLLKWAXX 15) 40 r AEF 50 24 C9MCA DBT,501-525+551-575 (45-2) (04.2007) CONSTRUCTION NOTES PLACING LOC "A" -PLACE 50' OF 50 PAIR COPPER -PLACE 2" RISER -HAND DIG 5' -PLACE NEW SPLICE PEDESTAL TRANSFER ATTACHMENTS REMOVE OLD POLE SPLICING -SECTION THROW 50 PAIR -PLACE NEW TERM# 1080 *** CHARGE ALL TIME FOR LOC "A" *** TO THIS PROJECT 5511929 i0311IM3111 -UWU3d spuO wp3 jo AI!:) (45-2) (04.2007�- 50CL1 242ND ST SW 50'CL1 HLLKWAXXI4 H LLKWAXX15 lIW2Eld AlVaAcl�]S `d �njinO�2i xvn sAw un ANV Ol NOISIn�]2J/NOIIVOO_lAa sAiii-iiin iilp NO _ V 08130 242nd 8tvSWIO-,I A­19ISNOdSAa 2JOJ- Vall\1OO b�]NMO DDVNIb2J4 GNV�M:UNOO NOISM-El 210d 3­181SNOdSD2l SI 2J=VO : I NOO/2i3NM0 PUD-CIAC DANIEL LUU 425-783-4174 I CERTIFY THAT THE WORK I COMPLETD ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) TOTAL ALLOTTED HOURS CONTACT SUPERVISOR IF ADDITIONAL HOURS ARE REQUIRED TO COMPLETE PROJECT CAP. X-TIME MAINT CREW 0 0 0 SPLICING 0 0 0 W.O. DRIVER CONSTRUCTION START ❑ ETHERNET ® CIAC ❑ DAMAGE ❑ OTHER IN SERVICE DATE CONSTRUCTION I@ FLAGGING ❑ BRUSHING ❑ CONTRACTOR PERMITS MUNICIPALITY:EDMONDS ❑ BLANKET ❑ TCP/TRAFFIC I@ DETAILED (NOT BLANKET) ❑ NO PERMIT REQUIRED JOINT POLE JFN/NJUNS#100074691 ® NO JPN REQUIRED POLE JPN JPN OWNER TO FROM ® ❑ ❑ POWER ❑ ® ❑ CATV ❑ ® ❑ ZIPLY ACCOUNT CODES ❑ 2411.001 POLES ❑ 2422.201 UG FIBER ❑ 2421.101 OH COPPER ❑ 2441.001 CONDUIT ❑ 2421.201 OH FIBER ® 34XX.XXX REMOVAL ® 2422.101 UG COPPER ® 64XX.XXX MAINT. POINT OF CONTACT SCHEDULING: PHONE: ENGINEER: PHONE: FACILITIES: PHONE: FIELDED BY: JOHN WOOD 425-261-1412 RICH EVANS 425-261-6282 JEANETTE CHISHOLM 425-263-4011 OSP CONSTRUCTION zipIy fiber HLLK POLE RELO JPN 74691 8130 242ND ST SW PROJECT 1 C.O. AREA: 967 NUMBER: 5511929 EXCH. CODE: 51419 DRAWN DATE: ENGR: RICH EVANS NTY: SNOHOMISH 1/31/2022 PHONE: 425-261-6282 FILE: SCALE: 1:100 TAX DISTRICT: 3748F DWG 1 OF 1 TWNSHP: RNG: SEC: -ioafoid oamwied aui 6uunD sin000 I ZZOZ/tl0/EO 51419-5511929 8130 242ND ST SW EDMONDS, WA 1 LANE CLOSURE TARI F A SIGN SPACING — — X RURAL HIGHWAYS 60/65 MPH 800'f RURAL ROADS 45 55 MPH 500' t URBAN ARTERIALS 35 40 MPH 350' t RESIDENTIAL & BUSINES DIST. 25/30 MPH 200" t URBAN STREETS 25 MPH OR LESS 1o0"f oI\_immi MIMNIMUM TAPER LENGTH (L) IN FEET LANE WIDTH et 25 30 Posted Speed 35 40 45 (mph) 50 55 60 65 70 10 105 150 205 270 450 500 550 1 — — — 11 11511651 225 295 1495 1550 1605 1660 1 — I — 12 1251 1801 245 320 1 540 1600 1 660 720 — CHANNELIZING DEVICE SPACING (FT) MPH TAPER TANGENT 50 70 1 40 80 35/45 1 30 60 25/30 1 20 40 ENGINEERING DIVISION APPROVED AS NOTED %d/ (,W,, j j, 44.g 03/04/2022 vv NOTE: 1.FLASHING BEACON SHALL BE INSTALLED AT EACH SIGN FOR NIGHT—TIME USE. 2.DISTANCES MAY VARY AS APPROVED BY THE ENGINEER. 3.FLAGGERS REQUIRED TO CONTROL TRAFFIC WHENEVER THE CONTRACTOR MUST INTERRUPT TRAFFIC FLOW TO ACCESS THE WORK SITE WITH MATERIALS OR EQUIPMENT. LEGEND: CONE OR CHANNELIZING DEVICE (SEE STD 702) RECEIVED FEB 04 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT m m o o <9>T ONE NE LA ROAD AHEAD D <i>4— t BE 4— PREPARED TO STOP D oo❑❑ �Oo ❑0° 0 Eg RN Rq 51 Fal 0 O 3 D y H y Z D N qq D TRAFFIC CONTROL PLAN 2 LANE 2 WAY RD: 1 LANE CLOSED (VARIES) 8130 242ND ST SW EDMONDS, WA BE PREPARED TO STOP <i> ONE LANE ROAD AHEAD ROAD WORK AHEAD 5511929 RECEIVED FEB 04 2022 CITY OF EDMONDS M BuildingPermi:.corn CITY OF EDMONDS Right -of -Way Application #1087045 - Ziply Fiber - 51419-5511929 DEVELOPMENT SERVICESDEPARTMENT Applicant First Name Last Name Company Name Donavon LaFleur Ziply Fiber Number Street Apartment or Suite Number E-mail Address 1800 41st St Ste N-100 donavon.lafleur@ziply.com City State Zip Phone Number Extension Everett WA 98203 425-375-0838 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 (206) 730-5945 State License Number License Expiration Date UBI # E-mail Address PACIFCC954PJ 10/21/2023 FDD5877Dq caitlin.reid@Ziply.com Project Location Number Street Floor Number Suite or Room Number 8130 242ND ST SW City Zip Code County Parcel Number EDMONDS 98026 00491100001503 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Sean Cooney Number Street Apartment or Suite Number 20313 97TH AVE NE City State Zip ARLINGTON WA 98223 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: 2/3/2022 Submitted By: Donavon LaFleur Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1087045 - Ziply Fiber - 51419-5511929 Project Contact Company Name: Name: Victoria Comer Email: victoria.comer@ziply.com Address: 1800 41 st St Phone #: 18305136614 Everett WA 98203 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: Ziply Fiber - 51419-5511929 Description of Telecommunications and broadband provider Ziply Fiber to: -PLACE 50' OF 50 PAIR Work: COPPER -PLACE 2" RISER -HAND DIG 5' -PLACE NEW SPLICE PEDESTAL -TRANSFER ATTACHMENTS -REMOVE OLD POLE Project Details Project Information Job Number 51419-5511929 Page 2 of 2