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ENG2022-0117 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT •:• • 1 1 www.cityofedmonds.gov• • Description: COMCAST - NEW UG SERVICE FROM POLE TO HOUSE ISSUED: 04/12/2022 Address: 502 3RD AVE N EDMONDS WA 98020-3112 EXPIRES: 10/12/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27032400223400 i NAME TYPE NAME ADDRESS PHONE APPLICANT VINICIUS FREITAS 11335 NE 122ND WAY 105, KIRKLAND WA 98034 (425)949-9293 CONTACT INFRAWEST INC 11335 NE 122ND WAY 105, KIRKLAND WA 98034 (425)949-9293 CONTRACTOR INFRAWEST INC 11335 NE 122ND WAY 105, KIRKLAND WA 98034 (425)949-9293 OWNER MICHAEL DWYER 502 3RD AVE N, EDMONDS WA 98020 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 • 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 04/12/2022 RELEASED BY DATE Printed: Tuesday, April 12, 2022 1:54:11 PM 1 of 2 -KRWOF WAY EUC PERMIT City of Edmonds •:• • 1 117 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 X-2 ENGINEERING FINAL** Printed: Tuesday, April 12, 2022 1:54:11 PM 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 E6�. RECEIVED Mar 22 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 236556 - 502 3 R D AVE N Site Address or if no site address use Property Address at NW corner of project area: 502 3 R D AVE N, E D M O N D S 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: 604770152 Email State License No: INFRAI*793NP y 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 NEW 2" COMCAST SERVICE CONDUIT FROM THE UTILITY POLE IN THE FRONT SW CORNER OF LOT 504 125' OF SOFT SURFACE EAST ON THE EASEMENT ALONG THE PROPERTY LINE OF LOTS 504 AND 426 UP TO LOT 502, WHERE A NEW COMCAST HANDHOLE WILL BE INSTALLED. FROM THE COMCAST HANDHOLE WILL DIRECTIONAL DRILL 45' OF SOFT SURFACE AND 5' OF SIDEWALK BORE UP TO THE POWER METER OF HOUSE 502 ON THE SOUTH WALL OF THE HOUSE. MINIMUM DEPTH OF 36". 5' HORIZONTALAND 12" VERTICAL MINIMUM SEPARATION BETWEEN ALL UTILITIES. ALL DISTURBED AREAS WILL BE RESTORED TO ORIGINAL OR BETTER CONDITIONS. NO LANE OR SIDEWALK CLOUSURES. DIRECTIONAL DRILL AND CREW WILL BE ON THE PRIVATE PROPERTY. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF N/A Alley 72 hours + LF x LF SF N/A Parking 72 hours + LF x LF SF N/A 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 x cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details 1. of Work to be Completed 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 system? X 5. Does the work involve proposed additions to an aboveground utility system? 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 1 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: X How many poles are existing in the project area? 1 What is the height of the existing poles? 34' How many poles are to be removed? o Are additional poles to be laced? NO How many? I N/A I What is the height of the additionalpoles? I N/A 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? I N/A I What is the height of the poles after? N/A 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: 3/21 /22 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 COMCAST 11b Utility Pole 0 New Comcast Handhole ® Electric Meter --- Proposed Path SS = Soft Surface SW = Sidewalk Will bore with Directinonal Drill at a minimum Depth of 36" 5' minimum horizontal and 12" minimum vertical separation between all utilities f"TiTit M LOCATE 0 / CLEAR DATE IRGVCI V GV Mar 22 2022 J GITI'OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT wiols ajaa3uo3 669 L aloyuew o .lannas - uiew James alaa3uoo «g 1 G 0 hD 0 ncA lheA- �la;aa13 3Sd WO a 1 • oloyuew ISBOW03 MONtrog — - 1 9zv a aeaa u i Zo5 + Spuouap3 `N 3AV PJC Z05 - 955;9EZ qor SIGN SPACING = X (1) RURAL ROADS & URBAN ARTERIALS 35 140 MPH 350't RURAL ROADS, URBAN ARTERIALS, 25 130 MPH 200't (2) RESIDENTIAL & BUSINESS DISTRICTS URBAN STREETS 25 MPH OR LESS 1001t (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERSECTIONS AND DRIVEWAYS. (2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. MINIMUM SHOULDER TAPER LENGTH = L/3 (feet) SHOULDER Posted Speed (mph) WIDTH (feet) 25 1 30 1 35 1 40 1 45 1 50 1 55 60 65 70 8' 40 40 1 60 1 90 1 - - - - - - 10' 40 60 1 90 1 90 1 _ USE A 3 DEVICES TAPER FOR SHOULDERS LESS THEN 8' BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH (feet) 155 200 250 305 360 425 495 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 lbs. HOST VEHICLE WEIGHT > 22,000 lbs. < 45 MPH 45-55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100, 123' 172' 74' 100, 150' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED CHANNELIZATION DEVICE SPACING feet MPH TAPER TANGENT 35/40 30 60 25/30 20 40 b 4 ® ® �¢ WORK AREA X X L/3 B R 50, 48' 41" ROAD WORK SHOULDER AHEAD WORK 48' 48„ RECEIVED W20-1 W21-5 Mar 22 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT NOTES LEGEND 1. DEVICE SPACING FOR THE DOWNSTREAM TAPER SHALL BE 20'(FT). K TEMPORARY SIGN LOCATION SHOULDER CLOSURE -LOW SPEED 2. ALL SIGNS ARE BLACK ON ORANGE. O CHANNELIZING DEVICES (40 MPH OR LESS) PROTECTIVE VEHICLE NOT TO SCALE FILE NAME S:\Desi n R P& SW-SOndardsl2-Plan Sheet Libra 101-Published PSL\ TC Work Zone Traffic Control\ TC-5 Shoulder Closure - Low Speed 40 MP or Less)\TC-5.dgn Plot 1 TIME 2,59,41 PM —Tr FED.AID PROJ.NO. AmokRux Rv DATE 1/212018 Y�/� PLOTTED BY Ilddslf WAS �I/ TCS� DESIGNED BY Joe xo..ER ENTERED BY Washington State .... CHECKED BY coxTRnm x iounox "". Department of Transportation oR PROJ. ENGR. re " E TRAFFIC CONTROL PLAN REGIONAL ADM. REVISION DATE BY RECEIVED Mar 22 2022 CITYELO M EDMONDS CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1111521 - COMCAST JOB 236556 502 3RD AVE N 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 RD477f115g vinny.freitas@infrawest.net Project Location Number Street Floor Number Suite or Room Number 502 3RD AVE N City Zip Code County Parcel Number EDMONDS 98020 27032400223400 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 Michael Dwyer Number Street Apartment or Suite Number 502 3RD AVE N 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: 3/21/2022 Submitted By: VINICIUS FREITAS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1111521 - COMCAST JOB 236556 502 3RD AVE N 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 COMCAST JOB 236556 502 3RD AVE N Name: WILL DIRECTIONAL DRILL NEW 21N COMCAST SERVICE CONDUIT FROM THE UTILITY POLE IN THE FRONT SW CORNER OF LOT 504 125FT OF SOFT SURFACE EAST ON THE EASEMENT ALONG THE PROPERTY LINE OF LOTS 504 AND 426 UP TO LOT 502 WHERE Description A NEW COMCAST HANDHOLE WILL BE INSTALLED. FROM THE COMCAST HANDHOLE of Work: WILL DIRECTIONAL DRILL 45FT OF SOFT SURFACE AND 5FT OF SIDEWALK BORE UP TO THE POWER METER OF HOUSE 502 ON THE SOUTH WALL OF THE HOUSE. MINIMUM DEPTH OF 361N. 5FT HORIZONTAL AND 121N VERTICAL MINIMUM SEPARATION BETWEEN ALL UTILITIES. ALL DISTURBED AREAS WILL BE RESTORED TO ORIGINAL OR BETTER CONDITIONS. Project Details Project Information Job Number 236556 Page 2 of 2