ENG2022-0120 ROW PERMITOF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
AveRIGHT
••• • 1 1 1
www.cityofedmonds.gov• •
Description: COMCAST - BORE NEW SERVICE WITH PAVEMENT CUTS ISSUED: 04/14/2022
Address: 10430 231ST ST SW EDMONDS WA 98020-5105
EXPIRES: 10/14/2022
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00426100001100
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 KENNETH W GUNN 10430 231ST ST SW, EDMONDS WA 98020
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
04/14/2022
RELEASED BY
DATE
Printed: Thursday, April 14, 2022 12:57:30 PM 1 of 2
-KRWOF WAY EUC PERMIT
PERMITNUMBER,
City of Edmonds
...• • 1 1
. -. 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**
E-7 RESTOR LIMITS
Printed: Thursday, April 14, 2022 12:57:30 PM 2 of 2
ofEOMotio� RECEIVED
RIGHT OF WAY CONSTRUCTION MAR 23 2022
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal CITY OF EDMONDS
/'V . is') Requirements outlined in Right -of -Way permit Handout E6�. DEVELOPMENT
q X p 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
Site Address or if no site address use Property Address at NW corner of project area: 10430 231 ST ST SW, E DMON DS
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 COMCAST PEDESTAL LOCATED IN THE
RIGHT-OF-WAY IN BETWEEN LOTS 10429 AND 10503 TO PROPERTY 10430. PROPOSED BORE PATH IS 2FT OF SOFT
SURFACE SOUTH FROM THE COMCAST PED TO THE ROAD, 66FT BORE UNDER THE ROAD, 6FT BORE UNDER THE
SIDEWALK, 4FT BORE OF SOFT SURFACE FROM THE SIDEWALK TO THE PROPERTY LINE BETWEEN LOTS 10430 AND
10502 WHERE A NEW COMCAST HANDHOLE WILL BE INSTALLED. IN PRIVATE PROPERTY WILL BORE 49FT OF SOFT
SURFACE FROM THE COMCAST HANDHOLE TO THE NW CORNER OF THE HOUSE WHERE THE POINT OF ENTRY WILL
BE. 5 SF ASPHALT CUT TO POTHOLE UTILITIES. MINIMUM DEPTH OF 36 INCHES WITH 5 FT HORIZONTAL AND 12 INCHES
VERTICAL MINIMUM SEPARATION BETWEEN ALL UTILITIES.
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
No
X
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?
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: 3/23/22
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
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
Figure 6H-11. Lane Closure on Two -Lane Road
with Low Traffic Volumes
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OV08 I
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(optional)
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(optional)
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OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
END
l t ROAD WORK
(optional)
1 t
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.
ENGINEERING DIVISION
.,7TED
�G_�v 14/12/2022
30 m (100 ft) MAX.
Buffer Space (optional)
Utility patches shall be combined and full width or half
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
centerline of roadway. Where utility patches extend into
both travel lanes then a full width overlay is required.
Buffer (optional)
30 m (100 ft) MAX. rleLo
.6 m (15 ft)
TO
ONCOMING
A TRAFFIC
1
B
i' — ONE LANE
1 ROAD
AHEAD
C
.L L
ROAD
WORK
AHEAD
RECEIVED
MAR 23 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
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OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROLAND DRAINAGE
Comcast Job 252671 - 10430 231 st ST SK Edmonds
ONLY STRAIGHT BORE PATH APPROVED IN ROW, NO JOGS. SEE PAGE 1 OF SITE PLAN FOR APPROVED ROUTE.
10502
Power Transformer
New Comcast Handhole
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Water Meters
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Pothole
RECEIVE[
"OMAR 23 2022 -
CITY OF EDMONDS
DEVELOPMENT
\ SERVICES DEPARTMENT