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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 OV3 T T NROM T OV08 I C 1 T B OV3Htl OV08 3NVl 3NO (optional) (See Section 3B.16) (optional) �IdOM OV08 T ON3 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 may, t 1N3Vgi IJVd3a SAOIA13S I N3N3AdOl3n34 SaNOWd3 d0 Ai13 ZZUZ £Z Uvw a3AI3a3N 1SVDWOD 46% 31Va UV310 / R 31Va01 Z 96ed uo dew selim}n •sa!j!l!}n Ile uaomlaq uo!jeaedes wnw!u!w lea!jaaA ,,Z I. pue lejuoz!aou ,5 '«9£ jo yjdap wnw!u!w a le II!aa leuo!laaa!Q u}lM aaoq II!M aaoa MlemeMs = Ms aaoq peon = as aaelans 3jos = ss 41ed pasodoad --- AjIU3 10 1u10d O aloypueH Iseaw03 MON 0 1e1sapad 1se3w03 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 �, Ziply Handhole d�erse�• 2gP c��potho�e - o�e� pV� p Sso�m 12" Coy°�ete Ma`s Sewer Manhole 1 SF Cut Pothole et e� 0 a � Catch Basin Water Meters 4 iae mower...! .Comte 1050iF1 0429 - Comcast Pedestal ide Sewer 1 SF cut PsF Pothole RECEIVE[ "OMAR 23 2022 - CITY OF EDMONDS DEVELOPMENT \ SERVICES DEPARTMENT