ENG2022-0333 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT
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EdmondsCity of Edmonds PERMIT NU M
121 5th Ave N, 98020 1 1
www.edmondswa.gov i
Description: ZIPLY-RISER DOWN POLE BORE 55 FT INSTALL FLOWER POT
ISSUED: 11/14/2022
Address: 541 3RD AVE N EDMONDS WA 98020-3112
EXPIRES: 05/14/2023
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27032400205400
CONTACTS
NAME TYPE NAME ADDRESS PHONE
APPLICANT VICTORIA COMER 1800 41ST. STE N-100, EVERETT WA 98230 (830)513-6614
CONTACT ATCO TELECOMUNICATIONS 1800 41ST. STE N-100, EVERETT WA 98230 (402)670-8384
CONTRACTOR ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230
OWNER FIELD & KARNIK RYNA CADY 541 3RD AVE N, EDMONDS WA 98020-3112
FEE INFORMATION
11
DESCRIPTION AMOUNT PAID
CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00
ENGINEERING INSPECTION FEE $220.00 $220.00
RIGHT OF WAY STANDARD - EUC PERMIT FEE $330.00 $330.00
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
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.
RELEASED BY: MAJ DATE: 11/14/2022
Printed: Monday, November 14, 2022 3:33:31 PM 1 of 2
RIGHT PERMIT
PERMIT NUM
City of Edmonds
Edmonds WA 98020
www.edmondswa.gov / 425.1 1
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
X-2 ENGINEERING FINAL"
E-7 TRAFFIC CTRL
E-7 CONCRETE SIDEWALK
E-7 RESTOR LIMITS
Printed: Monday, November 14, 2022 3:33:31 PM 2 of 2
RECEIVED
Lti�y of ED%�O�
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 N 24 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 Name 152763
Site Address or if no site address use Property Address at NW corner of project area: 541 3RD. AVENUE N. EDMONDS, WA
Associated Permits: BLD PLN ENG
Owner and Entity Holding•• .• -
Name of CompanyZiply Fiber Northwest LLC. Franchise Ordinance No: WN U-17
Point of Contact Chisum Sifford
TitleENGINEER
Address 1800 41ST ST. SUITE N 100
City EVERETT
State WA
Zip 98203
Phone 425-949-0230
Email chisum.sifford@ziply.com
Contractor and Authorized Agent of Owner
Name of Company Ziply Fiber Northwest LLC.
(see note below)
Contractor Contacts During Construction
Primary Name Chisum Sifford
Agent Name Chisum Sifford
Title ENGINEER
Title E N G I N EER
Mobile 425-949-0230
Address 1800 41 ST ST. SUITE N 100
Email chisum.sifford@ziply.com
CityEVERETT
State WA
Zip 98203
Secondary Name
Phone 425-949-0230
Title
Email Chisum.sifford@Ziply.com
Mobile
City of Edmonds Business License No: 313-013-420
Email
State License No: ZI PLYF*800L5
W1 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
❑ 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.)
RISER DOWN POLE THEN BORE APPROX. 55' THEN INSTALL FLOWER POT.
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:
0 telecommunications ❑ cable ❑ power ❑ gas
❑ water ❑ sewer ❑ storm
Details
1.
of Work to be CompletedNo
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: FLOWER POT
3.
Does the proposed work connect a lot or commercial development with utilities that serve more
than one lot or commercial development?
%�
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?
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 N/A How many are to be added? 1
6b.
Does your project involve poles? If yes:
X
How many poles are existing in the project area?
N/A
What is the height of the existing poles?
N/A
How many poles are to be removed?
X
Are additional poles to be laced?
X
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: RISER DOWN POLE THEN BORE APPROX. 55 THEN INSTALL FLOWER
rqT
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: /r_&Iqle� 1741e_�_K DATE: 6/23/2022
APPLICANT PRINTED NAME: Rogelio Meraz
APPLICANT TITLE: TCP SPECIALIST
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
City of Edmonds Map Title
RESTORATION LIMITS TO BE DETERMINED
WGS_1984 Web_ Mercator_Auxiliary Sphere BY CITY ENGINEERING INSPECTOR
V City of Edmonds
This map isa usergenerated static output from an Internetmapping
site and is for reference only. Data layers thatappear on this map may
THIS MAP IS NOT TO BE USED FOR DESIGN OR CONSTRUCTION
Legend
Storm Catch Basins
p Edmonds
a Private
■ Infiltration
Storm Manholes
• Edmonds
0 Private
0 Infiltration
® Detention Facilities
Culvert
<all othervalues-
Yes
Facility Feature
Creeks
Storm Line
— -all other values-
- No, BNSF; No, COUNTY; No, LYNI
MOUNTLAKE TERRACE; No, POF
SHORELINE; No, STATE; No, WO
— Yes, EDMONDS, Yes, PRIVATE; 1
Facility Lines
Storm Ditch
Hydrants
Edmonds
« Other
8 PRV
Valves
0 OPEN
CLOSED
® Blowoffs
■ AirVac
Fittings
COUPLING
BURIED VALVE
❑ DOMESTIC
n OVERLAP
ALTITUDE VALVE
❑ Fireline
1: 189
a]
OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING
ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY
UTILITIES MAY REQUIRE A SEPERATE PERMIT.
OWNER/CONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE
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
JX (Al41,,,.wz 11 /09/2022
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LEGEND:
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SIGNALIZED INTERSECTION
OCONE
(CANDLESTICK)
®
TYPE III BARRICADE
WORKTRUCK
WORK ZONE LIMITS
OWE
WARNING SIGN
ARROW BOARD
REQUIRED)
(WHERE
DIRECTION OF TRAFFIC
(NOT PAVEMENT MARKINGS)
FLAGGER
(AS NEEDED)
ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN,
MAKES NO REPRESENTATION AS TO ITS' GENERAL ADEQUACY OR BEING APPROVED FOR IMPLEMENTATION.
APPROVAL MUST RESULT FROM THE TRAFFIC ENGINEER OR OTHER PUBLIC OFFICIAL HAVING STATUTORY
ENFORCEMENT AUTHORITY IN THE JURISDICTION. UTILIZATION AND IMPLEMENTATION OF THIS PLAN
SHALL BE A RESULT OF THE APPROVAL. REF. MUTCD 2009 6A - 01 (10)
PHASE 1
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
SIGN LEGEND:
ROAD SHOULDER
WORK WORK
AHEAD
> <
W20-1 W21-5
WORK DETAILS:
0 RISER DOWN POLE
INSTALL NEW FLOWER POT
w SPOTTER NEEDED FOR PEDESTRIAN
TRAFFIC AND DRIVEWAY ACCESS.
60'
SHOULDER (L/3
2 xl x,
WORK W21-5 W20-1
AREA
SIDEWALK oiucvVAL
PARKING SHOULDER _rx_klwklll" 0 -01 PARKING SHOULDER
TRAFFIC CONTROL INSPECTION SHALL BE
REQUIRED WHENEVER WORK ZONE IS SET UP
1 J IWAMI&II-\I
PARKING SHOULDER
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AT CO COMMUNICATIONS SERVICES, LLC
www.atcoteiecom.com
360.563.9000
708 First Street
Snohomish, WA 98290
ziPylfiber
Everett, WA 98206
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BUFFER AREA
LONGITUDINAL BUFFER SPACE = B
POSTED SPEED (MPH)
25
30
35
40
45
50
55
60
64
70
LENGTH (feet)
155
200
250
305
360
425
495
570
645
730
TRANSPORTABLE ATTENUATOR ROLL AHEAD DEVICE = R
HOST VEHICLE WEIGHT (Ibs)
9,900 TO 22,000
HOST VEHICLE WEIGHT (Ibs)
> 22,000
< 45 MPH
45 - 55 MPH
> 55 MPH
< 45 MPH
45 - 55 MPH
> 55 MPH
100,
123'
172'
74'
100,
150'
NOTE:
MON. - FRI. = 7:00am TO 4:00pm
CHANNELIZATION DEVICE
SPACING (feet)
MPH TAPER
TANGENT
50/70 40
80
35/45 30
60
25/30 20
40
MINIMUM SHOULDER TAPER LENGTH = L/3 (feet)
SHOULDER
POSTED SPEED (MPH)
WIDTH
(feet)
25 30 35
40
45
50
55
60
65
70
8
40 40 60
90
120
130
150
160
170
190
10
40 60 90
90
150
170
190
220
220
240
USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THAN 8'
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VV
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
SIGN SPACING = X (1)
FREEWAY & EXPRESSWAYS 55 / 70 MPH
1500' ±
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 MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE RAMPS,
AT -GRADE INTERSECTIONS AND DRIVEWAYS
(2) THIS SPACE MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS.
DATE:
6.21.2022
REVIEWED BY: J. MILLER
WSTCS# 012911
DESIGNED BY:
R. MERAZ
ATCO CONTACT: 469.395.7057
roger.meraz@atcotelecom.com
SCALE:
= 4F
SHEET:
02
NO: 2OF2
ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN,
MAKES NO REPRESENTATION AS TO ITS' GENERAL ADEQUACY OR BEING APPROVED FOR IMPLEMENTATION.
APPROVAL MUST RESULT FROM THE TRAFFIC ENGINEER OR OTHER PUBLIC OFFICIAL HAVING STATUTORY
ENFORCEMENT AUTHORITY IN THE JURISDICTION. UTILIZATION AND IMPLEMENTATION OF THIS PLAN
SHALL BE A RESULT OF THE APPROVAL. REF. MUTCD 2009 6A - 01 (10)
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CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
MARMTME
ATCO COMMUNICATIONS SERVICES. LLC
www.atcotelecom.com
360.563.9000
708 First Street
Snohomish, WA 98290
ziPIy fiber
Everett, WA 98206
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DATE:
6.21.2022
REVIEWED BY:
J. MILLER
WSTCS# 012911
DESIGNED BY:
R. MERAZ
ATCO CONTACT:
469.395.7057
roger.meraz@atcotelecom.com
SCALE:
SHEET:
NOT TO
01
SCALE
NO: 1 OF 2
RECEIVED
CITY OF EDMONDS
Right -of -Way Application #1163886 - 152763
J U N 24 2022
MyBuildingPermit.com
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Applicant
First Name Last Name Company Name
Victoria Comer Atco Telecomunications
Number Street Apartment or Suite Number E-mail Address
1800 41 St. Ste N-100 victoria.comer@atcotelecom.com
City State Zip Phone Number Extension
Everett WA 98230 (830) 513-6614
Contractor
Company Name
ZIPLY FIBER
Number Street Apartment or Suite Number
135 Lake St S Ste 155
City State Zip Phone Number Extension
KIRKLAND WA 98033 (425) 284-8155 (425) 263-4020
State License Number License Expiration Date UBI # E-mail Address
ZI PLYF*800L5 6/2/2024 RD4477g7D caitlin.reid@Ziply.com
Project Location
Number Street Floor Number Suite or Room Number
541 3RD AVE N
City Zip Code County Parcel Number
EDMONDS 98020 27032400205400
Associated Building Permit Number Tenant Name
152763
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Field & Karnik Ryna Cady
Number Street Apartment or Suite Number
541 3RD AVE N
City State Zip
EDMONDS WA 98020-3112
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: 6/23/2022 Submitted By: Victoria Comer
Page 1 of 2
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1163886 - 152763
Project Contact
Company Name: Atco Telecomunications
Name: Arianne Mommsen Email: Arianne.mommsen@Ziply.com
Address: 1800 41 St. Ste N-100 Phone #: (402) 670-8384
Everett WA 98230
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work Disturbance of Surface
Project Name: 152763
Description of Work: Riser down pole then bore approx. 55' then install new flower pot.
Project Details
Project Information
Job Number
152763
Page 2 of 2