ENG2022-0360 ROW PERMITRIGHT OF WAY EUC PERMIT
o
PERMIT NU
City of Edmonds
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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
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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�
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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
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�r � .,`► �\ -!��� . _ _ ..ems .. s � �. � -. ^`+:
RECEIVED = - _ ., � - - _ � • •L _ __....�.-�„
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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