ENG2022-0090 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMITNUMBER,
City of Edmonds
-0090
_7 121 5th Ave N, Edmonds WA 98020 ENG2022 )i
www.cityofedmonds.gov• •
Description: ZIPLY-TRANSFER 2 ATTACHMENTS AND REMOVE BO POLE ISSUED: 04/06/2022
Address: 136 SUNSET AVE N EDMONDS WA 98020-4134
EXPIRES: 10/03/2022
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434401200701
NAME TYPE NAME ADDRESS PHONE
APPLICANT VICTORIA COMER 1800 41ST ST STE N-100, EVERETT WA 98203 (183)051-3661
CONTACT ZIPLY FIBER 1800 41ST ST, EVERETT WA 98203 (140)267-0838
CONTRACTOR PACIFIC CABLE CONSTRUCTION PO BOX 573, WOODINVILLE WA 98072 (425)348-7735
OWNER SONETT ERIC UNKNOWN, UNKNOWN WA
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
ENGINEERING DIVISION
...,7TED
RELEASED BY — �6-1 ,V 14/06/2022 DATE
Printed: Wednesday, April 06, 2022 8:58:52 AM 1 of 2
-KRWOF WAY EUC PERMIT
PERMITNUMBER,
City of Edmonds
190
www.cityofedmonds. ov/425.771.0220
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.
MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD
ESC REQUIREMENTS
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 or 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 AND 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 and 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
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL**
Printed: Wednesday, April 06, 2022 8:58:52 AM 2 of 2
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 transfer 2 attachments and remove old Bo Pole
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
I x
LF
SF
0
Alley 72 hours +
LF
Ix
I LF
SF
0
Parking 72 hours +
LF
I x
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 existing underground common utility stem?
X
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 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:
X
How many are existing? 1 2 1 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?
What is the height of the existing poles?
40
How many poles are to be removed?
1
Are additional poles to be laced? Already replaced by POWER
X
How many? I I What is the height of the additionalpoles?
X
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
X
How many? I I What is the height of the poles after?
X
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: 3/7/2022
APPLICANT PRINTED NAME: Donavon LaFleur
APPLICANT TITLE: Field Coordinator
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
CONSTRUCTION NOTES
n AT POLE PLI 365
EXISTING 40' CONCRETE POLE Pole set 2' E from edge of existing ramp.
INSTALL NEW 40' CL 2 POLE X EST CAM TH9 EDGE 99 15' East Isting
EXIST RAMI OR AS STAKED (PW2040) 1130+(5
INSTALL GROUND PLATE (NO110)
INSTALL VERTICAL DEADEND ASSY (12V109)
SLACKSPAN *2 ACSR PRI & NEUT FROM PLI 273802
TRANSFER EXISTING 25KVA OH TRANSFORMER
UTC*------------- SER*-------------
SEC VOLT --------------
SPLICE AND TRANSFER EXISTING SERVICES
INSTALL NEW 20' STREET LIGHT MAST (L0509)
TRANSFER EXISTING LED LUMINAIRE FROM OLD POLE
STREETLIGHT * -----------------
AT OLD POLE:
REMOVE ALL PUD RELATED MATERIALS
CONCRETE POLE CANNOT BE TOPPED
*NOTE:
THE CITY OF EDMONDS WANTS THE HOLE TO
BE FILLED IN WITH HOT MIX ASPHALT
ONCE POLE 1S REMOVED.
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LAYOUT
RECEIVED NTS
Mar 07 2022 USE HOT MIX ASPHALT FOR RESTORATION
ONCE BO POLE IS REMOVED. CITY OF
CITY OF EDMONDS
DEVELOPMENT SERVICES EDMONDS TO REPLACE ADA RAMP AT
DEPARTMENT LATER DATE.
�SL-109514-A
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135-M
TRANSFER OF
•�
UTILITIES,
REMOVAL OF POLE,
y
AND FINAL
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RESTORATION TO
BE CONSISTENT
WITH POLE
ATTACHMENT
AGREEMENT.
ENGINEERING DIVISION
...-DTED
�G---WN 14/04/2022
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
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.
SNOHOMISH COUNTY
[FD10
PP
PUBLIC UTILITY
1112 Rev. 7/10
ORIGINAL APPENDIX A $
JOINT POLE NOTIFICATION
1,726.63
2020 Year Price List
To
CATV:
FR04NT&R Exchange
Date
6 N
Z1PLY
COMCAST
ZZ �5/27/20211
MO
Customer Name BO Pole
Service Address
6 LO
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SNOHOMISH COUNTY PUD
BELL ST. & SUNSET AVE N, EDMONDS WA 98020
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PUD WO/Task No.
PUD Engineer
PUD Approved
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100005479-30
RICHARD DUMO 425-783-5110
PUD INTENDS TO PERFORM THE FOLLOWING ON THIS WORK ORDER:
Out 9/16/21
❑Set Poles ❑Set Additional8'' Helix Anchors
6/4/21
® Replace 1 Poles ❑ Set Additional 12" Helix Anchors
In
❑Eliminate Poles From PUD System ❑ Customer Pay 100% Contacts Free To FRONTIER
6/22/21
❑ PUD To Contact FRONTIER Pole(s) At Location(s)
BM Number
Other
FRONTIER Pay 45% Of The Following (Estimates Only)
PUD Work Completed 8/26/21
Easement Estimate
FRONTIER Transfer
CATV Transfer
Pole was set 2' E from edge of existing ramp. km, 9/15/21
4821702
SEE DRAWING
Ziply Transfer 2 Attachments.
Remove Pole. Concrete Pole.
City wants Hot Asphalt patch
in Ramp.
Return to Joint Use By
6/14/21
9/26/21
Ziply accepts location of pole.
FOR FRONTIER USE ONLY ® FRONTIER ACCEPTS THE FOLLOWING E]NO JOINT USE
Pole/Location
Reference
N
o
:�
0
Size
Recovery
(Size/Year)
Cost
Pole/Location
Reference
cn
o
:�
Size
Recovery
(Size/Year
Cost
w
w
A
X
40
(40-74)
1,726.63
Additional Anchors At The Following Locations �0/USOA Codes 9/22/21
Fielded By Date
A ro By Date:
Mark Perry 6/10/21
i 4t 6/22/21
�C
Mark Perry
�00'AFPAi
ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN,
0AKES NO REPRESENTATION AS TO ITS' GENERAL ADEQUACY OR BEING APPROVED FOR IMPLEMENTATION
APPROVAL MUST RESULT FROM THE TRAFFIC ENGINEER OR OTHER PUBLIC OFFICIAL HAVING STATUTORY
ENFORCEMENT AUTHORITY IN THE JURISDICTION. UTILIZATION AND IMPLEMENTATION OF THIS PLAN
SHALL BE A RESULT OF THE APPROVAL. REF. MUTCD 2009 6A - 01 (10)
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RECEIVED
Mar 07 2022
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
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ATCO COMMUNICATIONS SERVICES, LLC
www.otcoteiecom.com
360.563.9000
708 First Street
Snohomish, WA 98290
ziPylfiber
Everett, WA 98206
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DATE: 3.5.2022
REVIEWED BY: J. MILLER
WSTCS# 012911
DESIGNED BY: D.LAFLEUR
ATCO CONTACT: 425.375.0838
donavon.lafleur@atcotelecom.com
SCALE:
SHEET:
NOT TO
01
SCALE
NO: 1 OF 2