ENG2022-0380 ROW PERMITOF WAY EUC PERMIT
o
PERMIT NUM
MI
City of Edmonds
"��Q
-038
16—
. -. •. iRIGHT
�
Description: COMCAST-MAINTENANCE SPLICE 2 LOCATIONS NEAR HWY 99 AND 212TH
ISSUED: 09/01/2022
Address: 21108 HIGHWAY 99 EDMONDS WA 98026-7217
EXPIRES:03/01/2023
Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 27042000303600
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT OWEN SHACKEET 410 VALLEY AVE NW, PUYALLUP WA 98371 (253)341-9318
CONTACT CABLECOM LLC 19910 NORTHCREEK PARKWAY N„ BOTHELL WA 98011 (360)454-3163
CONTRACTOR CABLECOM LLC 20021 120TH AVE NE, SUITE 101, BOTHELL WA 98011 (360)863-2628
OWNER KAFE-NEO ALDERWOOD LLC 22007 MAKAH RD, WOODWAY WA 98020-4163
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
09/01 /2022
RELEASED BY
DATE
Printed: Thursday, September 01, 2022 8:48:08 AM 1 of 2
oe e n,y
RIGHT OF WAY EUC PERMIT
PERMIT NU�M
City of Edmonds
EdmondsAd
98020 1 1
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: Thursday, September 01, 2022 8:48:08 AM 2 of 2
RECEIVED
J U L 19 2022
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.
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 Name COMCAST - JB0001000196
Site Address or if no site address use Property Address at NW corner of project area: 21108 HIGHWAY 99 EDMONDS 98026
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.)
21108 HIGHWAY 99
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?
•
2.
Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)?
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?
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?
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
rXthan
one lot or commercial development?
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:
How many are existing? I I How many are to be added?
6b.
Does your project involve poles? If yes:
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:
How many? 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: 07/13/2022
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
Right of Way
Completed By:
LENAIZA ENRIQUEZ
Address:
21108 HIGHWAY 99 EDMONDS 98026
Completion Date:
1/0/1900
Right of Way Footages:
CO�� � fJ""�1` � �
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:
Select Source System:
JB0001000196
Legend
New Ped
❑
Pole
New Vault
❑�
Lock Box
Existing U/G
Footage
150'
Existing Aerial
Text Box
Text
New U/G
Callout Arrow
New Aerial
Q
New Tap
Interior Path
1
❑
Footage Break
Phase Identifier
Fiber Splice Point
Power Supply
PS
O
Storage Loop
w
Hard Surface Cut
®
Riser
Abandoned Cable
Provide Clear Construction Details
MAINTENACE SPLICES AT EXISTING AERIAL AND GROUND
CASES AT THE FOLLOWING 2 LOCATIONS:
21108 HIGHWAY 99
21300 HIGHWAY 99
NO NEW CONSTRUCTION, ALL EXISTING CASES.
RECEIVED
J U L 19 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
210th St SW
212th St SW
213th PI SW
r
r
1
21108 HIGHWAY 99
1 AERIAL
2
21300 HIGHWAY 99
1 AERIAL
3
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.
210th St SW
r
ENGINEERING DIVISION
APPROVED AS NOTED
,1,P]l W&10.,04z 08/24/2022
Route Overview
Completed By:
LENAIZA ENRIQUEZ
N
`lil% __ - E
S
Completion Date:
1/0/1900
Address:
21108 HIGHWAY 99 EDMONDS 98026
I,
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
Select Source System:
JB0001000196
Legend
New Ped
❑
Pole
New Vault
FV�
Lock Box
Existing U/G
Footage
150'
Existing Aerial
Text Box
Text
New U/G
Callout Arrow
New Aerial
Q
New Tap
Interior Path
❑1
Footage Break
Phase Identifier
Fiber Splice Point
Power Supply
PS
O
Storage Loop
Hard Surface Cut
Riser
R
Abandoned Cable
Provide Clear Construction Details
1AINTENACE SPLICES AT EXISTING AERIAL AND GROUND
;ASES AT THE FOLLOWING 2 LOCATIONS:
1108 HIGHWAY 99
1300 HIGHWAY 99
IO NEW CONSTRUCTION, ALL EXISTING CASES.
RECEIVED
J U L 19 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
S! 5
:dmonds=
716fl�- St StV - ��
1
21108 HIGHWAY 99
AERIAL
2
21300 HIGHWAY 99
AERIAL
L
�: leg 1
■
■a■
r
f11li■o ■�
2I099trii vt_°'
i Hall Lake
r
µek..
I
Mountlake 3
Terrace
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
TRAFFIC CONTROL
Completed By:
LENAIZAENRIQUEZ
° �
Completion Date:
1/0/1900
Address:
21108 HIGHWAY 99 EDMONDS 98026
COMCAST
Job Type:
Select
Job Subtype:
YP
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
Select Source System:
JB0001000196
Legend
New Ped
❑
Pole
New Vault
FV�
Lock Box
Existing U/G
Footage
150'
Existing Aerial
Text Box
Text
New U/G
Callout Arrow
New Aerial
n
New Tap
Interior Path
Footage Break
Phase Identifier
Fiber Splice Point
Power Supply
PS
O
Storage Loop
Hard Surface Cut
Riser
R
Abandoned Cable
Provide Clear Construction Details
MAINTENACE SPLICES AT EXISTING AERIAL AND GROUND
CASES AT THE FOLLOWING 2 LOCATIONS:
21108 HIGHWAY 99
21300 HIGHWAY 99
NO NEW CONSTRUCTION, ALL EXISTING CASES.
RECEIVED
JUL 19 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
MINIMUM
SHOULDER TAPER LENGTH = L/3 (feet)
S"OvUot.R
VADTH
00.0
Posted Speed (mph)
25
1 30
1 »
4C
AS
5C
55
EC
65
70
6'
60
10
120
130
t5C
•bC
173
190
10
40
W
90
90
150
170
+4C
2C.0
72I
74--
USE A VIVIV.JV 5 t%'ICLS TAPER FOR SHOJLJL•1 LLSS IHLN C-.
MINIMUM LANE CLOSURE TAPER LENGTH = L (feet)
1 ANF
W4DT7
;JM1;
Posted Speed (mph)
25
30
3S
40
AS
5.^.
5S
60
65
1 70
'0
1D5 I
1W
206
"t,
45C
500
SSC
11
1'.�
165
115
295
'19t,
550
6U5
6A
-
-
t,
t7
-cI
14t.
3CO
6UJ
6AC
72C
I62
n4�
SIGN SPACING = X (1)
1SOOs SS JTO MPH FRFEV"YS a FXPRFSSVAYS
607s W 165 UP" M R-- HIGHWAYS
200'a M 2S t30 MPH RURAL ROADS 6 UR0AN ARTERIALS
RLSTDENTAL 6 BUSINESS DISTRICTS
taro. (2) 25 MPH OR LESS URBAN STREETS
I1)ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCtANGE
NAMPS•AT.GP_AaL INTERSECTIONS AND DRIVVAAYS.
(Z. T.11S SPACING NAY BE REDUCED IN URBAN AREAS TO FIT
RCADVAY CONnITIONS.
CHANNELIZATION DEVICE
SPACING (het)
MPH
TAPER I
TANGENT
5070
40
60
%%145
30
1 W
7' 10
20
40
LEGEND
14
TEMPORARY SIGN LOCATION
0
CIWNNELIZING DEVICES
•
TRAFFIC SAFETY DRUM
SEQUENTIAL ARROW SIGN
TRANSPORTABLE ATTENUATOR
PCMS
PORTABLE CHANGEABLE MESSAGE SIGN
.,V1'wJ ..V
1NA• .IC SVA::1
4••e CO
M
U
a
PCMs
/ 1
RIGHT 1 MILE
ANE AHEAO
CLOSURE
2A SEC 2.0 SEC
FIELD LOCATE 1 MILE _ IN
ADVANCE CF LANE CLOSURE SIGNING.
A"A
TYPICAL SECTION OA
BUFFER DATA
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH)
25
30
1 35 1
40
1 45
1 !.0
55
60
65
70
LENGTH (fort)
ISS
200
1 ZS0 1
305
1 I60
1 425
495
570
61S
73C
TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R
HOST VEHICLE WEIGHT
9 900 TO 22 000 bs.
HOST VEHICLE WEIGHT
> 22 000 be.
c 45 MPH
45.55 MPH
> 55 MPH
< 45 61PH
45.H5 MPH
> 55 MPH
'UJ
-23
-72
74
OAU TRAFFIC CONTROL INSPECTION SHALL BE
NAR wS REQUIRED WHENEVER WORK ZONE IS SET UP
WS•1 A
.:' / 4!•
ROAD
WORK s�
AHEAD
W70.1 49' W4-2(L)
RIGHT LANE
CLOSED
AHEAD
46"
W2Q5R
SINGLE -LANE CLOSURE WITH SHIFT
NOT TO SCALE
"'S• FED,AID PR NO JwJLs
>D • . • •dab ' dab
I
WORK A
SFF NOTE )
HIGHWAY 99
NOTES
1. SEE SPECIAL PROVISIONS I ON HC t KI bl Nl CiIONS.
2. RECOMMEND EXTENDING DEVICE TAPER (Ld3) ACROSS SHOULDER.
3. USE TRANSVERSE DEVICES IN CLOSED LANE EVERY 1.000.L (RECOMMENDED).
4. ALL SIGNS ARE BLACK ON ORANGE.
5. RECOMMEND ADVANCE NOTICE rOR ANY OVER WIDTH LOADS PRIOR TO
LANE CLOSURE FOR ALTERNATE ROUTES IF APPLICABLE.
ENGINEERING DIVISION
APPROVED AS NOTED
,fill 08/24/2022
VV
WI/ TCG17
Washington State
Department of Transportation ..
TRAFFIC CONTROL PLAN
RECEIVED
J U L 19 2022
CITY OF EDMONDS M BuildingPermit.com
CITY OF EDMONDS
DEVELOPMENT
Right -of -Way Application #1172607 - COMCAST - JB0001000196 SERVICES DEPARTMENT
Applicant
First Name Last Name Company Name
OWEN SHACKEET COMCAST
Number Street Apartment or Suite Number E-mail Address
410 VALLEY AVE NW OWEN SHACKETT@CABLE.COMCAST.
City State Zip Phone Number Extension
PUYALLUP WA 98371 (253) 341-9318
Contractor
Company Name
Cablecom LLC
Number Street Apartment or Suite Number
19910 NORTH CREEK PARKWAY NORTH 100
City State Zip Phone Number Extension
BOTHELL WA 98011 (360) 863-2628 (360) 454-3163
State License Number License Expiration Date UBI # E-mail Address
CABLEL*971 DP 8/21/2023 FD99RSS79 SNOHOMISH.PERM ITTING@CABLECO
Project Location
Number Street Floor Number Suite or Room Number
21108 HIGHWAY 99
City Zip Code County Parcel Number
EDMONDS 98026 27042000303600
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
* KAFE-NEO ALDERWOOD LLC
Number Street Apartment or Suite Number
22007 MAKAH RD
City State Zip
WOODWAY WA 98020-4163
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: 7/13/2022 Submitted By: OWEN SHACKEET
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1172607 - COMCAST - JB0001000196
Project Contact
Company CABLECOM LLC
Name:
Name: SUNSHINE CRABBS Email: SUNSHINE.CRABBS@CABLECOMLLC.NET
Address: 19910 NORTHCREEK Phone (360) 454-3163
PARKWAY N, 100 #:
BOTHELL WA 98011
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: COMCAST - JB0001000196
Description of MAINTENACE SPLICES AT EXISTING AERIAL AND GROUND CASES AT THE
Work: FOLLOWING 2 LOCATIONS: 21108 HIGHWAY 99 21300 HIGHWAY 99 NO NEW
CONSTRUCTION, ALL EXISTING CASES.
Project Details
Project Information
Job Number
JB000100196
Page 2 of 2