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ENG2022-0360 ROW PERMITRIGHT OF WAY EUC PERMIT o PERMIT NU City of Edmonds "��Q 03 16- www.cityofedmonds.gov / i Description: COMCAST - SINGLE MAINTENANCE SPLICE ISSUED: 08/24/2022 Address: 24103 101STAVE W EDMONDS WA 98020-5710 EXPIRES:02/24/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00555000002400 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT SUNSHINE CRABBS 20021 120TH AVE NE SUITE 101, BOTHELL WA 98011 (360)312-5259 CONTACT CABLECOM LLC 20021 120TH AVE NE SUITE 101, BOTHELL WA 98011 (360)312-5259 CONTRACTOR CABLECOM LLC 20021 120TH AVE NE, SUITE 101, BOTHELL WA 98011 (360)863-2628 OWNER SUZANNE CANCLER 24103 101ST W, 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 MINOR - EUC PERMIT FEE $110.00 $110.00 REQUIREMENTS 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 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 08/24/2022 RELEASED BY DATE Printed: Wednesday, August 24, 2022 7:55:25 AM 1 of 2 oe e n,y RIGHT OF WAY EUC PERMIT PERMIT NU�M City of Edmonds Ad www.cityofedmonds.gov / i CONDITIONS CONDITION TYPE NOTES 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 7:00am to 6:00pm on SOUND AND NOISE weekdays and 10:00am and 6:00pm 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 NOTES COMPLETE A-1 JOB START E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL" Printed: Wednesday, August 24, 2022 7:55:25 AM 2 of 2 RECEIVED Lti�y of EDdf04O� ANC. 1 g90 SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way permit Handout E63. J U L 19 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• Project NameJB0000995074 - COMCAST/CABLECOM Site Address or if no site address use Property Address at NW corner of project area: 24103 101 St Ave W Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name ofCompanyCOMCAST CABLE HOLDING Franc hiseOrdinanceNo: Point of Contact OWEN SHACKETT Title PERMIT COORDINATOR Address 410 VALLEY AVE NW City PUYALLUP State WA Zip 98371 Phone253-341-9318 EmailOWEN SHACKETT@CABLE.COMCAST.COM Contractor and Authorized Agent of • • - •• •w) Name of CompanyCABLECOM LLC Contractor ContactsDuring Construction Primary Name CABLECOM LLC - MICHAEL FINCH Agent Name SUNSHINE CRABBS Title CONSTRUCTION SUPERVISOR Title PERMIT COORDINATOR Mobile 360-965-5085 Address 19910 NORTHCREEK PARKWAY NORTH, SUITE 100 Email MICHAEL.FINCH@CABLECOMLLC. NET City BOTHELL State WA Zip 98011 Secondary Name Phone 360-454-3163 Title Email SUNSHINE.CRABBS@CABLECOMLLC. NET Mobile City of Edmonds Business License No: N R - 021818 Email State License No: CABLEL*971 DP 56 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: ❑ 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 vttility 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.) Splice at 24103 101 st Ave W (AERIAL) 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 d 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: 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 • 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? I I How many are to be added? 6b. Does your project involve poles? If yes: X How many poles are existing in the project area? 3 What is the height of the existing poles? How many poles are to be removed? o Are additional poles to be laced? No 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: , 6"d4/a C24A6� DATE: 7/8/2022 APPLICANT PRINTED NAME: Sunshine Crabbs 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 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM Route Overview Completed By: Kimberly Calta � 4�1% - -- O \�- E S Completion Date: 6/26/2022 Address: 24103 101stAve W COMCAST Job Type: Select Job Subtype: Select Footages Entered On Right of Way, Private Exterior, and Private Interior tabs. Footages are summarized on Survey Rollup tab. Survey Scope: Post -Sale Project Manager: Are Additional Pages Needed: No I P2 ID: JB0000995074 Legend New Ped ❑ Pole New Vault ❑v Lock Box Existing U/G Footage Existing Aerial Text Box New U/G Callout Arrow New Aerial New Tap Interior Path Footage Break Phase Identifier Fiber Splice Point Power Supply Storage Loop Hard Surface Cut ® Riser Abandoned Cable Provide Clear Construction Details Splice at 24103 101st Ave W (AERIAL) ■ 150' Text ❑1 Ps O RECEIVED J U L 19 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 23 38th _l • a sr sw a 1 QI 240th St SW 240th PI SW j 141 at PI F s i 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 APPROVED AS NOTED Jell 08/22/2022 Right of Way Completed By: Kimberly Calta Address: 24103 101st Ave W Completion Date: 6/26/2022 Right of Way Footages: COMICAST Job Type: Select New Aerial Coax: Overlash Coax: New UG Fiber: New Aerial Fiber: Overlash Fiber: Existing UG Fiber: Empty Conduit Only: New UG Coax: Existing UG Coax: Are Additional Pages Needed: No Job Subtype: Select Survey Scope: Post -Sale Project Manager: - P2 ID: JB0000995074 Legend ct New Ped ❑ Pole New Vault ❑� Lock Box Existing U/G 150' - f�''�v •' `— ''� } Footage Existing Aerial �► •, • Text Box Text �. -� •. • New U/G Callout Arrow — - �.. r. New Aerial New Tap _ - •` _ . - Interior Path _ Footage Break Phase Identifier Eil - _ 7 :.t;. Ps Fiber Splice Point Power Supply �• Li '� � - - _ ; •�•yi�,r! Storage Loop Hard Surface Cut O ? • _Z, �� Riser Abandoned Cable a Provide Clear Construction Details Splice at 24103 101 st Ave W (AERIAL) jb rCW �r � .,`► �\ -!��� . _ _ ..ems .. s � �. � -. ^`+: RECEIVED = - _ ., � - - _ � • •L _ __....�.-�„ � �. � _ _.•ram. -. � . :rr .R, . �'. . , el CITY OF EDMONDS _ _ _ {�- •� . DEVELOPMENT SERVICES DEPARTMENT • .- •�. `� 7AkV HenMAH1 BUFFER DATA B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH (feet) 155 200 250 305 360 425 495 570 645 1 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 Ibs. HOST VEHICLE WEIGHT > 22,000 Ibs. < 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 �-- 100TH AVE W 25MPH X I X X VAHEEAD . \ 48IiOM / w2-go �� $IN OT9§IM ROAD WORK PREPARED AHEAD TO STOP 48" 48" W20-1 W20-7B W20-713 (OPTIONAL IF 40 MPH OR LESS) LEGEND 64 FLAGGING STATION b TEMPORARY SIGN LOCATION CHANNELIZING DEVICES PROTECTIVE VEHICLE THIS IS A COMCAST DOCUMENT, PROPRIETARY & CONFIDENTIAL REV DESCRIPTION DATE DESIGN: 0 ISSUE FOR PERMIT 7/7/2022 DRAWN BY: ERIC APPROVED: APPROVED: APPROVED: SIGN SPACING = X (1) RURAL HIGHWAYS 60 / 65 MPH 800' +/- RURAL ROADS 45 / 55 MPH 500' +/- RURAL ROADS & URBAN ARTERIALS 35 / 40 MPH 350' +/- RURAL ROADS, URBAN ARTERIALS, 25 / 30 MPH RESIDENTIAL & BUSINESS DISTRICTS 200' +/- (2) URBAN STREETS 25 MPH OR LESS 100' +/- (2) (1) ALL SPACING MAYBE ADJUSTED TO ACCOMMODATE TERSECTIONS AND DRIVEWAYS. (2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. 50' TO 100' 6 DEVICE MIN WORK AREA X I 50' TO 300' 3N�IHM ci 2iu oaj ]MliNOO OIJJVd J1 UK 50' TO 100' 6 DEVICE B MIN. W20-713 (OPTIONAL IF 40 MPH OR LESS) 48" 48" BE ROAD PREPARED WORK TO STOP HEAD 48" 48" 48' 48„ • W20-76 ONE LANE W20-1 •� ROAD AHEAD 48" 48" W20-7A W20-4 X i X X X ONE -LANE, TWO-WAY TRAFFIC CONTROL WITH FLAGGERS NOT TO SCALE IMPORTANT NOTICE Section # 4216/4217 of the Government Code requires a Dig Alert Identification Number to be issued before a "Permit to Excavate" will be valid For your Dig Alert I.D. CALL TOLL FREE 48 HOURS BEFORE YOU DIG UNDERGROUND SERVICE ALERT 1-800-227-2600 CHANNELIZATION DEVICE SPACING (FEET) MPH TAPER TANGENT 50/65 10 TO 20 80 35/45 10 TO 20 60 25/30 10 TO 20 40 NOTES 1 ALL SIGNS ARE BLACK ON ORANGE. 2. EXTE9I@109/1ff&90AN If TW ACROSS SHOULDER IS RECOMMENDED. 3. NIGHT WORn�N Ec DFJI�AA�F W WAY LIGHTING AT FLAGG I NGN&WA4138 PWtj,gf3Nj@W3PECIFICATIONS FOR ADDITIONAL DETAILS. 4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. 24103 101 ST AVE W EDMONDS WA 98020 TRAFFIC CONTROL PROJ#: JB995074 CONSTRUCTION TYPE: MAINTENANCE SPLICE SYSTEM: EDMONDS EMAIL: ERIC.MCDOWELL@CABLECOMLLC.NET SCALE: N.T.S RECEIVED JUL 19 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT TC-1 SHEET: 1 OF 1 RECEIVED JUL 19 2022 CITY OF EDMONDS CITY OF EDMONDS M BuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right-�^f-`NW%AJF °NN!:ecwt;on #1170445 - JB0000995074 - COMCAST/CABLECOM Applicant First Name Last Name Company Name SUNSHINE CRABBS Cablecom LLC Number Street Apartment or Suite Number E-mail Address 20021 120TH AVE NE SUITE 101 SNOHOMISH.PERM ITTING@CABLECOM City State Zip Phone Number Extension BOTHELL WA 98011 (360) 312-5259 Contractor Company Name Cablecom LLC Number Street Apartment or Suite Number 8602 Maltby Rd City State Zip Phone Number Extension Woodinville WA 98072 (360) 863-2628 (360) 454-3163 State License Number License Expiration Date UBI # E-mail Address CABLEL*971 DP 8/21/2023 Rn99RSS79 SNOHOMISH.PERM ITTING@CABLECO Project Location Number Street Floor Number Suite or Room Number 24103 101 ST AVE W City Zip Code County Parcel Number EDMONDS 98020 00555000002400 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 Suzanne Cancler Number Street Apartment or Suite Number 24103 101 ST W 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: 7/8/2022 Submitted By: SUNSHINE CRABBS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1170445 - JB0000995074 - COMCAST/CABLECOM Project Contact Company Cablecom LLC Name: Name: SUNSHINE Email: SNOHOMISH.PERM ITTING@CABLECOMLLC. NET CRABBS Address: 20021 120TH AVE Phone (360) 312-5259 NE SUITE 101 #: BOTHELL WA 98011 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: JB0000995074 - COMCAST/CABLECOM Description of Work: Splice at 24103 101st Ave W (AERIAL) Project Details Project Information Job Number JB0000995074 Page 2 of 2