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ENG2022-0060 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds -0060 www.cityofedmonds.gov• • Description: COMCAST-DIRECTIONAL BORE SERVICE ISSUED: 03/17/2022 Address: 7709 173RD ST SW EDMONDS WA 98026-5017 EXPIRES: 09/17/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00681600000200 I 11-1411 a i NAME TYPE NAME ADDRESS PHONE APPLICANT VINICIUS FREITAS 11335 NE 122ND WAY 105, KIRKLAND WA 98034 (425)949-9293 CONTACT COMCAST 1525 75TH ST SW, EVERETT WA 98203 (425)921-8201 CONTRACTOR INFRAWEST INC 11335 NE 122ND WAY 105, KIRKLAND WA 98034 (425)949-9293 OWNER JOHN BRIAN DUFFY 7709 173RD ST SW, EDMONDS WA 98026 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 ENGINEERING INSPECTION FEE $110.00 $110.00 RIGHT OF WAY STANDARD - EUC PERMIT FEE $330.00 $330.00 • 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 03/17/2022 RELEASED BY DATE Printed: Thursday, March 17, 2022 8:41:17 AM 1 of 2 -KRWOF WAY EUC PERMIT PERMITNUMBER, City of Edmonds www.cityofedmonds.gov• • CONDITIONS CONDITION TYPE ALERT RESIDENTS ALERT AFFECTED RESIDENTS AND OR BUSINESSES PRIOR TO WORK START. 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. 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. SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT. INSPECTIONS www.mybuildingpermit.com POTHOLING VERIFY CLEAR BORE CROSSINGS. 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. 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 RESTOR LIMITS Printed: Thursday, March 17, 2022 8:41:17 AM 2 of 2 of EpM04O� SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E63. RECEIVED Feb 17 2022 CITY OF EDMONDS 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. General Info Project Name 185396-7709173RD ST SW Site Address or if no site address use Property Address at NW corner of project area: 7709 173RD ST SW Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company COMCAST Franchise Ordinance No: Point of Contact BRENDA MCLENNAN Title PERMIT COORDINATOR REPRESENTATIVE Address 1525 75th st sw suite #200 City Everett State WA Zip 98203 Phone 425 967-1158 Email brenda mclennan@comcast.com Contractor and Authorized Agent of Owner (see note below) Name of Company INFRAWEST INC Contractor Contacts During Construction Primary Name VINICIUS FREITAS Agent Name VINICIUS FREITAS Title DIRECTOR OF OPERATIONS Title OWNER Mobile (425) 949-9293 Address 11335 NE 122ND WAY ste 105 Email VINNY.FREITAS@INFRAWEST.NET City KIRKLAND State WA Zip 98034 Secondary Name Phone (425) 949-9293 Title Email VINNY.FREITAS@INFRAWEST.NET Mobile City of Edmonds Business License No: 604.7701552 Email State License No: INFRAI*793NP p 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) m 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.) WILL DIRECTIONAL DRILL 2" COMCAST SERVICE CONDUIT FROM THE COMCAST PEDESTAL IN THE ROW ON THE EAST SIDE OF 77TH AVE W IN BETWEEN LOTS 17215 AND 17217, 18' OF SOFT SURFACE TO THE ROAD, 24' BORED UNDER THE ROAD (77TH AVE W), 30' OF SOFT SURFACE FROM THE ROAD TO THE COMCAST MANHOLE THAT WILL BE INSTALLED IN THE ROW ON THE WEST SIDE OF 77TH AVE W IN BETWEEN LOTS 17214 AND 7709. ON THE PRIVATE PROPERTY (7709) WILL DIRECTIONAL DRILL A 3/4" SERVICE CONDUIT 58' FROM THE MANHOLE TO THE DRIVEWAY OF HOUSE 7709 AND 10' BORED UNDER THE DRIVEWAY AND 2' OF SOFT SURFACE UP TO THE EAST WALL OF HOUSE 7709 WHERE THE POWER METER IS LOCATED. 2 (1'Xi') CUTS ON THE ROAD (77TH AVE W) TO POTHOLE THE WATER MAIN AND THE 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 SECTIONC. 1. The work in the right of way is on or for the following type of facilities: x 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 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? 1 1 1 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: 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: 02/17/2022 APPLICANT PRINTED NAME: VINICIUS FREITAS APPLICANT TITLE: CONTRACTOR NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 aa1aw a APPROVED AS NOTED 'H ISe3WOO 03/16/2022 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. yled pasodOM — — — islsoped jseowo3 . MCI�16 4 g , TJ o fU) Utility patches shall be combined and full width or half 1� 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 �c centerline of roadway. Where utility patches extend into both travel lanes then a full width overlay is required. SS A£ r L �PJI Z�CEI Feb 1 CITY OF ED DEVELOPMENT J CM ik J IV Z a6ed uo uMogs selumn ALIMGAlaQ = Ma P80H = db aoelans 11os = SS sal;!Il;n lie uaaen;aq uo!;eaedas ie3!JJ8A wnwluiw ,ZL sal;!Ign lie ueemleci uoi;eaedas le;uozlaoLl wnwiulw ,9 «9£ to gjdap wnwlulw a IV II!aa leuo!}oaallnn a q;aaoq II!M sal}lign elogjod of JS Z =Ino 31egdSV 3H08 MS ON S3A IIWH3d 3808 Ms dOH(1 ONd 1'bZ 3808 OH 10 L 3HOB Ma �� 1ZL MOH • 71',-, I cZt, L doaa OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY ) HIVd3a MoH (OVO) His UTILITIES MAY REQUIRE A SEPERATE PERMIT. INC)zn)HI7 ON I ON I II5H S3A e s r i K0w SVU3Hd 31V0 HV310 / # 3iVO01 3MN H3Wolsno M3HO spuowp3 MS 1S PAU l 60LL 96691HEDUL 1S` DWO:) 748% ALL IN Ar House7 00 wv� I y5 T • 6' Proposed path 177A 1, x 1, Cut t Stormwater Pothole 1, x 1, Cut Pothole for water main 41 Figure 6H-11. Lane Closure on Two -Lane Road with Low Traffic Volumes av3vc A8Oavo J — T B av3Hv — av0a 3Nv13NO EL O 0J (optional) (See Section 3B.16) (optional) �80M OV08 1 T aN3 ENGINEERING DIVISION APPROVED AS NOTED jX tV1,,,7 j ,,n2 03/16/2022 vv 7- PP C � �1111 MW '[END � ROAD WORK (optional) 30 m (100 ft) MAX. Buffer Space (optional) Buffer +Space (optional) \ YIELD 30 m (100 ft) MAX. + J. $4.6m(15ft) TO ONCOMING A TRAFFIC T Q B i ONE LANE 1 ROAD AHEAD C i ROAD WORK AHEAD RECEIVED Feb 17 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED -, Feb 17 2022 CITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1094502 - 185396 - 7709 173RD ST SW EDMONDS Applicant First Name Last Name Company Name VINICIUS FREITAS INFRAWEST INC Number Street Apartment or Suite Number E-mail Address 11335 NE 122ND WAY 105 vinny.freitas@infrawest.net City State Zip Phone Number Extension KIRKLAND WA 98034 4259499293 Contractor Company Name INFRAWEST INC Number Street Apartment or Suite Number 11335 NE 122ND WAY 105 City State Zip Phone Number Extension KIRKLAND WA 98034 4259499293 State License Number License Expiration Date UBI # E-mail Address INFRAI*793NP 7/23/2023 BD477f115g vinny.freitas@infrawest.net Project Location Number Street Floor Number Suite or Room Number 7709 173RD ST SW City Zip Code County Parcel Number EDMONDS 98026 00681600000200 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 John Brian Duffy Number Street Apartment or Suite Number 7709 173RD ST SW City State Zip EDMONDS WA 98026 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: 2/17/2022 Submitted By: VINICIUS FREITAS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1094502 - 185396 - 7709 173RD ST SW EDMONDS Project Contact Company Name: INFRAWEST INC Name: VINICIUS FREITAS Email: vinny.freitas@infrawest.net Address: 11335 NE 122ND WAY 105 Phone #: 4259499293 KIRKLAND WA 98034 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project 185396 - 7709 173RD ST SW EDMONDS Name: WILL DIRECTIONAL DRILL 2" COMCAST SERVICE CONDUIT FROM THE COMCAST PEDESTAL IN THE ROW ON THE EAST SIDE OF 77TH AVE W IN BETWEEN LOTS 17215 AND 17217, 18' OF SOFT SURFACE TO THE ROAD, 24' BORED UNDER THE ROAD (77TH AVE W), 30' OF SOFT SURFACE FROM THE ROAD TO THE COMCAST MANHOLE THAT Description WILL BE INSTALLED IN THE ROW ON THE WEST SIDE OF 77TH AVE W IN BETWEEN LOTS of Work: 17214 AND 7709. ON THE PRIVATE PROPERTY (7709) WILL DIRECTIONAL DRILL A 3/4" SERVICE CONDUIT 58' FROM THE MANHOLE TO THE DRIVEWAY OF HOUSE 7709 AND 10, BORED UNDER THE DRIVEWAY AND 2' OF SOFT SURFACE UP TO THE EAST WALL OF HOUSE 7709 WHERE THE POWER METER IS LOCATED. 2 (1'X1') CUTS ON THE ROAD (77TH AVE W) TO POTHOLE THE WATER MAIN AND THE STORMWATER. Project Details Project Information Job Number 185396 Page 2 of 2