ENG2022-0418 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of Edmonds
..• • 1 1�
www.cityofedmonds.gov• •
Description: COMCAST-BORE SERVICE FROM PIED TO SUBJECT PROPERTY
ISSUED: 09/27/2022
Address: 7521 172ND ST SW EDMONDS WA 98026-5123
EXPIRES: 03/27/2023
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00513100012203
i
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 CHERYL M TTEE HOUSER 7521 172ND ST SW, EDMONDS WA 98026-5123
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
09/27/2022
RELEASED BY
DATE
Printed: Tuesday, September 27, 2022 11:19:52 AM 1 of 2
-KRWOF WAY EUC PERMIT
City of Edmonds
Edmonds•:• •ENG2022-0418
www.cityofedmonds. 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: Tuesday, September 27, 2022 11:19:52 AM 2 of 2
RECEIVED
of EpM04O�
RIGHT OF WAY CONSTRUCTION AUG 12 2022
PERMIT APPLICATION
CITY OF EDMONDS
Complete and submit this Application in accordance with the Submittal DEVELOPMENT
/'Vc. is') Requirements outlined in Right -of -Way permit Handout E6�. 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 COMCAST JOB 541924 - 7521 172ND ST SW, EDMONDS
Site Address or if no site address use Property Address at NW corner of project area: 7521 172ND ST SW, EDMONDS
Associated Permits: BLD PLN ENG
Owner and Entity Holding
Name of Company COMCAST Franchise Ordinance No:
Point of Contact JESSAMIN SANTOS
Title COORDINATOR 2
Address 410 VALLEY AVE
City PUYALLUP
State WA
Zip 98371
Phone 206-401-2188
Email JESSAMINSANTOS@CABLE.COMCAST.COM
Contractor and Authorized Agent of Owner
Name of Company INFRAWEST INC
(see note below)
Contractor Contacts During Construction
Primary Name VINICIUS FREITAS
Agent Name VINICIUS FREITAS
Title DIRECTOR OF OPERATIONS
Title PRESIDENT
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
p 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 INCH COMCAST SERVICE CONDUIT FROM THE COMCAST PEDESTAL LOCATED IN
THE RIGHT-OF-WAY ON THE EAST SIDE OF 74TH AVE W TO PROPERTY 7521 172ND ST SE, EDMONDS. PROPOSED
BORE PATH IS 12 FT BORE OF SOFT SURFACE FROM THE COMCAST PEDESTAL TO THE ROAD, 74TH AVE W, 33 FT
BORE UNDER THE ROAD, AND 7 FT BORE OF SOFT SURFACE FROM THE ROAD TO THE PROPERTY LINE OF LOTS
7521 AND 17110, WHERE A NEW COMCAST HANDHOLE MEASURING 11 INCHES IN DIAMETER AND 12 INCHES DEEP
WILL BE INSTALLED. FROM THE NEW COMCAST HANDHOLE WILL CONTINUE TO BORE IN PRIVATE PROPERTY TO
THE POWER METER OF HOUSE 7521, WHERE THE CONDUIT WILL BE STUBBED OUT. WILL BORE WITH A
DIRECTIONAL DRILL AT A MINIMUM DEPTH OF 36 INCHES. WILL MAINTAIN A MINIMUM OF 5 FEET HORIZONTAL
AND 12 INCHES VERTICAL SEPARATION BETWEEN ALL UTILITIES. ALL UTILITIES WILL BE POTHOLED. ALL
DISTURBED AREAS WILL BE RESTORED TO ORIGINAL OR BETTER CONDITIONS.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
I x
LF
SF
N/A
Alley 72 hours +
LF
Ix
I LF
SF
N/A
Parking 72 hours +
LF
I x
I 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:
x telecommunications m cable ❑ power ❑ gas
❑ water ❑ sewer ❑ storm
Details of Work to be Completed
1. Does the utility owner have existing overhead infrastructure in the area of work?
Yes
No
2. Will any equipment be added underground or above ground (e.. 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 stem?
X
5.
Does the work involve proposed additions to an aboveground utility stem? 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? 1
What is the height of the existing Poles? 35
How many poles are to be removed? o
Are additional poles to be laced? NO
How many? I N/A I What is the height of the additionalpoles? I N/A
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 fey e�.
APPLICANT SIGNATURE: �=/— C/ n ATF . 08/ 11/2022
APPLICANT PRINTED NAME: VINICNS 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
Eletric
Servic
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
PAGE 2 OF 3 - UTILITY PLAN 541924 - 7521 172ND ST SW, EDMONDS
Utility patches shall be combined and full width or half
i ]Ir
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
Acenterline of roadway. Where utility patches extend into
both travel lanes then a full width overlay is required.
New Comcast
w X
Ac HandholeAV
"- E I le t r i c
Main
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO AN)
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
Water
Meter
r a
Water
Service
�1Jvovrit
;49,
Applicant shall repair/replace all ENGINEERING DIVISION CITY OF EDMONDS
damage to utilities or frontage APPROVED AS NOTED DEVELOPMENT
improvements in City right-of-way SERVICES DEPARTMENT
per city standards that is caused or A� �Q
occurs during the permitted project. JIB 41,1,.,e4z 09/22/2022
SPECTRA
541924
CREW CUSTOMER
FREITAS
RG6 ] vES YES
RG11 NO NO
Inn ! nncc
PAGE 1 OF 3 - SITE PLAN 541924 - 7521 172ND ST SW, EDMONDS
ADDRESS CITY
7521 172nd ST SW Edmonds
NAME LOCATE # / CLEAR DATE
CIRCLE ONE
STH (CAO) I
ROw
REPAIR (607)
124'
52'
33'
YES
N
DROP
ROW
DW BORE
BORE
N
2D DROP
SW BORE
PERMIT
SW BORE
Legend
■ Comcast pedestal
0 Comcast HandHole
® Electric Meter of House
Utility Pole
_ _ _ Proposed Path
SS = Soft Surface
DW = Driveway Bore
SW = Sidewalk Bore
RD = Road Bore
RECEIVED
AUG 12 2022
An
ir
' Sri
i�;
r-
V
'` .. A
COMCAST
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
PAGE 3 OF 3 - SOW 541924 - 7521 172ND ST SW, EDMONDS
WILL DIRECTIONAL DRILL NEW 2 INCH COMCAST SERVICE CONDUIT FROM THE COMCAST PEDESTAL LOCATED IN THE
RIGHT-OF-WAY ON THE EAST SIDE OF 74TH AVE W TO PROPERTY 7521 172ND ST SE, EDMONDS. PROPOSED BORE PATH
IS 12 FT BORE OF SOFT SURFACE FROM THE COMCAST PEDESTAL TO THE ROAD, 74TH AVE W, 33 FT BORE UNDER THE
ROAD, AND 7 FT BORE OF SOFT SURFACE FROM THE ROAD TO THE PROPERTY LINE OF LOTS 7521 AND 17110, WHERE A
NEW COMCAST HANDHOLE MEASURING 11 INCHES IN DIAMETER AND 12 INCHES DEEP WILL BE INSTALLED. FROM THE
NEW COMCAST HANDHOLE WILL CONTINUE TO BORE IN PRIVATE PROPERTY TO THE POWER METER OF HOUSE 7521,
WHERE THE CONDUIT WILL BE STUBBED OUT. WILL BORE WITH A DIRECTIONAL DRILL ATA MINIMUM DEPTH OF 36
INCHES. WILL MAINTAIN A MINIMUM OF 5 FEET HORIZONTAL AND 12 INCHES VERTICAL SEPARATION BETWEEN ALL
UTILITIES. ALL UTILITIES WILL BE POTHOLED. ALL DISTURBED AREAS WILL BE RESTORED TO ORIGINAL OR BETTER
CONDITIONS.
RECEIVED
AUG 12 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Figure 6H-11. Lane Closure on Two -Lane Road
with Low Traffic Volumes
ad3vc
A80avo
J
T
B
OV3HV —
OVOa
3NVl 3NO
0
(optional)
(See Section 3B.16)
(optional)
ON]
l
t
ENGINEERING DIVISION
APPROVED AS NOTED
7-
pp
C
jell (A%�✓.l 09/22/2022
vv
END
i ROAD WORK
(optional)
30 m (100 ft) MAX.
Buffer Space (optional)
Buffer (optional)
30 m (100 ft) MAX. YIELD
y 4.6 m (15 ft) _
TO
ONCOMING
A TRAFFIC
i I
1 v
B
-LA::— ONE LANE
1 ROAD
AHEAD
C
i
ROAD
WORK
AHEAD
RECEIVED
AUG 12 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
RECEIVED
AUG 12 2022
CITY OF EDMONDS
CITY OF EDMONDS M BuildingPermit.com
DEVELOPMENT
SERVICES DEPARTMENT
Right-c{-::'uy rAiNNiia%iwiion #1186783 - COMCAST JOB 541924 - 7521 172ND ST SW,
Applicant
First Name Last Name Company Name
VINICIUS FREITAS INFRAWEST INC
Number Street Apartment or Suite Number E-mail Address
11335 NE 122ND WAY 105 vinny.freitas@infrawest.net
City State Zip Phone Number Extension
KIRKLAND WA 98034 (425) 949-9293
Contractor
Company Name
INFRAWEST INC
Number Street Apartment or Suite Number
11335 NE 122ND WAY 105
City State Zip Phone Number Extension
KIRKLAND WA 98034 4259499293
State License Number License Expiration Date UBI # E-mail Address
INFRAI*793NP 7/23/2023 RD477f115g vinny.freitas@infrawest.net
Project Location
Number Street Floor Number Suite or Room Number
7521 172ND ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00513100012203
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
Cheryl M Ttee Houser
Number Street Apartment or Suite Number
7521 172ND ST SW
City State Zip
EDMONDS WA 98026-5123
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: 8/11/2022 Submitted By: VINICIUS FREITAS
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1186783 - COMCAST JOB 541924 - 7521 172ND ST SW, E
Project Contact
Company Name: INFRAWEST INC
Name: VINICIUS FREITAS Email: vinny.freitas@infrawest.net
Address: 11335 NE 122ND WAY 105 Phone #: (425) 949-9293
KIRKLAND WA 98034
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work Disturbance of Surface
Project COMCAST JOB 541924 - 7521 172ND ST SW, EDMONDS
Name:
WILL DIRECTIONAL DRILL NEW 2 INCH COMCAST SERVICE CONDUIT FROM THE
COMCAST PEDESTAL LOCATED IN THE RIGHT-OF-WAY ON THE EAST SIDE OF 74TH AVE
W TO PROPERTY 7521 172ND ST SE, EDMONDS. PROPOSED BORE PATH IS 12 FT BORE
OF SOFT SURFACE FROM THE COMCAST PEDESTAL TO THE ROAD, 74TH AVE W, 33 FT
BORE UNDER THE ROAD, AND 7 FT BORE OF SOFT SURFACE FROM THE ROAD TO THE
Description PROPERTY LINE OF LOTS 7521 AND 17110, WHERE A NEW COMCAST HANDHOLE
of Work: MEASURING 11 INCHES IN DIAMETER AND 12 INCHES DEEP WILL BE INSTALLED. FROM
THE NEW COMCAST HANDHOLE WILL CONTINUE TO BORE IN PRIVATE PROPERTY TO
THE POWER METER OF HOUSE 7521, WHERE THE CONDUIT WILL BE STUBBED OUT.
WILL BORE WITH A DIRECTIONAL DRILL AT A MINIMUM DEPTH OF 36 INCHES. WILL
MAINTAIN A MINIMUM OF 5 FEET HORIZONTAL AND 12 INCHES VERTICAL SEPARATION
BETWEEN ALL UTILITIES. ALL UTILITIES WILL BE POTHOLED. ALL DISTURBED AREAS
WILL BE RESTORED TO ORIGINAL OR BETTER CONDITIONS.
Project Details
Project Information
Job Number
541924
Page 2 of 2