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ENG2022-0175 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT •:• • 1 1 www.cityofedmonds.gov• • Description: ZIPLY - TRANSFER WIRES TO NEW POLE & REMOVE OLD POLE ISSUED: 05/16/2022 Address: 302 6TH AVE S EDMONDS WA 98020-3405 EXPIRES: 11/16/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434212201900 i NAME TYPE NAME ADDRESS PHONE APPLICANT VICTORIA COMER 708 FIRST STREET STE N-100, SNOHOMISH WA 98290 (183)051-3661 CONTACT ZIPLY FIBER 708 FIRST STREET STE N-100, SNOHOMISH WA 98290 (183)051-3661 CONTRACTOR ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230 OWNER CHRIS H PICKERING 2611 NE 113TH ST 300, SEATTLE WA 98125 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 1111 • 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 05/16/2022 RELEASED BY DATE Printed: Monday, May 16, 2022 12:11:17 PM 1 of 2 -KRWOF WAY EUC PERMIT City of Edmonds •:• •ENG2022-01751 . -. 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: Monday, May 16, 2022 12:11:17 PM 2 of 2 RECEIVED yI of yEDA�O�O� RIGHT OF WAY CONSTRUCTION APR 22 2022 - PERMIT APPLICATION CITY OF EDMONDS Complete and submit this Application in accordance with the Submittal DEVELOPMENT SERVICES DEPARTMENT l'vc. Ise0 Requirements outlined in Right -of -Way permit Handout E63. 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 Info Project Name 5513301 Site Address or if no site address use Property Address at NW corner of project area: 302 6TH AVE S EDMONDS,WA Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company Ziply Fiber Northwest, LLC Franchise Ordinance No: WN U-17 PointofContact Mike Hakahan Title Engineer Address1800 41 st St., Ste. N 100 city Everett State WA zip 98203 Phone 425-949-0230 Email mike.hakahan@ziply.com AuthorizedContractor and Agent •below) Name of Company Ziply Fiber Northwest, LLC Primary Name RICH EVANS Agent Name Mike Hakahan Title Engineer Title Engineer Mobile 425-261-6282 Addressl800 41st St. Ste. N100 Email rich.evans@ziply.com city Everett I State WA zip 98203 Secondary Name Phone 425-949-0230 Title Email mike.hakahan@ziply.eom Mobile City of Edmonds Business License No: 313-013-420 Email State License No: ZIPLY*800L5 I, Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o.02o 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: N,� Utility Franchise Work associated with development (check one of the above boxes as well) ❑ Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 ❑ Utility Franchise Work (no associated development) Project Description 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:Existing pole will be removed after the TRANSFER OF ATTACHMENTS.PLACEMENT W ALLEY ARM, TRANSFFR 3 RSW,B, THEN REMOVAL OF OLD POLE. SEE WORK PRINT FOR MORE DATAILED EXPLANATION. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF JxJ LF SF Alley 72 hours + LF JxJ F SF Parking 72 hours + LF JxJ 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: * telecommunications ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm 1. CompletedDetails of Work to be Does the utility owner have existin overhead infrastructure in the area of work? 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? Are the additions for the purpose of serving a single-family residential subdivision? Details of • to be Completed ®i 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? X City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 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? 11 How many are to be added? 11 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? N/A How many poles are to be removed? 1 Are additional poles to be laced? x How many? 11 1 What is the height of the additionalpoles? N/A 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? 11 1 What is the height of the poles after? N/A Describe the modification rebuild: ATTACHMENTS TRANFERED ,PLACE 10' ALLEY ARM,TRANSFER 3 BSW' 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: JOHN LARSEN .TE: 4-21-22 APPLICANT PRINTED NAME: JOHN LARSEN/ZIPLY FIBER APPLICANT TITLE: PERMIT COORDINATOR NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 40-M I 02 ice, �1 A-11187 A-1 1439 ,0 100/10-2 p 40-74 cc Ziply 123 3ISVNIV2Ja aNV_102li 3�81SNOd 3RJ SI 210J ALDER Sl* l SHEET CONSTRUCTION NOTES PLACING -TRANSFER ATTACHMENTS -PLACE 10' ALLEY ARM -TRANSFER 3 13SWwS -REMOVE OLD POLE 303 ilaiumb3H llwa3d spuOwp310 AID FU65 -joefoid pad} mad ay} 6ulanp sin000 ao pasneo sl }eqI spiepueIs Alp aad !eM-;0-jgI5U Aj10 ul Sjuauaanoadual 96eluoa; ao saljlllln o} abewep Ile eoeldaa/aledaa lleys;ueollddV OISMAA VOO/aANM0 OF 7-ZOZ/E 1/9I 431G, .., NOISIAIG ONI?EIDNION3 1N3W12JVd30 SEOI �� 1N3WdOIDA3a SGNOW43 710 Ail CHRIS PICKERING ?n6-459-1227 naniao)a I CERTIFY THAT THE WORK I COMPLETD ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) TOTAL ALLOTTED HOURS CONTACT SUPERVISOR IF ADDITIONAL HOURS ARE REQUIRED TO COMPLETE PROJECT CAP. X-TIME MAINT CREW 0 0 0 SPLICING 0 0 0 W.O. DRIVER CONSTRUCTION START ❑ ETHERNET ® CIAC IN SERVICE DATE ❑ DAMAGE ❑ OTHER CONSTRUCTION I@ FLAGGING ❑ BRUSHING ❑ CONTRACTOR PERMITS MUNICIPALITY:EDMONDS ❑ BLANKET ❑ TCP/TRAFFIC ® DETAILED (NOT BLANKET) ❑ NO PERMIT REQUIRED JOINT POLE JFN/NJUNS#100081845 ❑ NO JPN REQUIRED POLE JPN JPN OWNER TO FROM ® ❑ ❑ POWER ❑ ❑ ❑ CATV ❑ ® ❑ ZIPLY ACCOUNT CODES ❑ 2411.001 POLES ❑ 2422.201 UG FIBER ❑ 2421.101 OH COPPER ❑ 2441.001 CONDUIT ❑ 2421.201 OH FIBER ® 34XX.XXX REMOVAL ❑ 2422.101 UG COPPER 0 64XX.XXX MAINT. POINT OF CONTACT SCHEDULING: PHONE: ENGINEER: PHONE: FACILITIES: PHONE: FIELDED BY: JOHN WOOD 425-261-1412 RICH EVANS 425-261-6282 JEANETTE CHISHOLM 425-263-4011 OSP CONSTRUCTION zipIy fiber HLLK CUST RELO JPN 81845 302 6TH AV S PROJECT 1 C.O. AREA: 967 NUMBER: 5513301 EXCH. CODE: 51419 DRAWN DATE: ENGR: RICH EVANS NTY: SNOHOMISH 4/19/2022 PHONE: 425-261-6282 FILE: SCALE: 1:100 TAX DISTRICT: 3748F DWG 1 OF 1 TWNSHP: T27N RNG: R3E SEC: S24 51419-5513301 302 6TH AV S EDMONDS, WA SHOULDER CLOSURE TORI F 0 SIGN SPACING - - X RURAL HIGHWAYS 60/65 MPH 800't RURAL ROADS 45 55 MPH 500' t URBAN ARTERIALS 35 40 MPH 350' t RESIDENTIAL & BUSINES DIST. 25/30 MPH 200" t URBAN STREETS 25 MPH OR LESS 100"f TART F I MIMNIMUM TAPER LENGTH (L) IN FEET LANE WIDTH (feet) 25 30 Posted Speed 35 40 45 (mph) 50 55 60 65 70 10 105 150 205 270 450 500 550 - I - I - 11 11511651 225 295 495 550 605 660 - I - 12 125 180 245 320 540 600 1 660 720 - CHANNELIZING DEVICE SPACING (FT) MPH TAPER TANGENT 50 70 40 80 35/45 30 60 25/30 20 40 ENGINEERING DIVISION ....,7TED Osv 15/113/2 ROAD 4- WORK AHEAD SHOULDER 4- CLOSED AHEAD IF CLOSING SIDEWALKS. DIRECT PEDESTRIANS TO NEAREST DESIGNATED CROSSWALKS. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE NOTE: 1.FLASHING BEACON SHALL BE INSTALLED AT EACH SIGN FOR NIGHT-TIME USE. 2. DISTANCES MAY VARY AS APPROVED BY THE ENGINEER. 3.FLAGGERS REQUIRED TO CONTROL TRAFFIC WHENEVER THE CONTRACTOR MUST INTERRUPT TRAFFIC FLOW TO ACCESS THE WORK SITE WITH MATERIALS OR EQUIPMENT. LEGEND: CONE OR CHANNELIZING DEVICE (SEE STD 702) RECEIVED Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way APR 22 2022 per city standards that is caused or occurs during the permitted project. CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT IN 0 TRAMC CONTROL- PLAN 2 L_ANE 2 WAY RD: SHOULDER CLOSED D ROAD WORK AHEAD J 3 A y 4/19/2022 date ZIPL_Y WO 5513301 ZIPLY PROJECT 302 6TH"S EDMONDS, WA