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ENG2022-0545 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT o f of Edmonds PERMIT NUM 121 5th Ave N, Edmonds WA 98020 ENG2022--A05I -. •.City www i Description: COMCAST-PULL THROUGH EXISTING CONDUIT ISSUED: 12/05/2022 Address: 21600 HIGHWAY 99 EDMONDS WA 98026 EXPIRES:06/05/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00580700002900 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT JESSAMIN SANTOS 410 VALLEY AVE NW, PUYALLUP WA 98371 (206)401-2188 CONTACT CCI SYSTEMS 105 KENTST, IRON MOUNTAIN MI49801 (615)962-4402 CONTRACTOR CABLECOM LLC 19910 NORTHCREEK PARKWAY NORTH, SUITE 100, BOTHELL (360)863-2628 WA 98011 OWNER PUBLIC HOSPITAL DISTRICT 2 4710 196TH ST SW, LYNNWOOD WA 98036-5517 SNOHOMISH CO 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. RELEASED BY: MAJ DATE: 12/05/2022 Printed: Monday, December 05, 2022 12:59:18 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 E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL" Printed: Monday, December 05, 2022 12:59:18 PM 2 of 2 of EpM04O� SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E6�. RECEIVED Nov 14 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 JB-1107241 -1 Site Address or if no site address use Property Address at NW corner of project area: 21600 HIGHWAY 99, STE 26o, EDMONDS, WA 98026 Associated Permits: BLD PLN ENG Owner and Entity Holding Name of Company Comcast Cable Communications Management, LLC. Franchise Ordinance No: Point of Contact Jessamin Santos Title Permit Coordinator Address 410 Valley Ave NW City Puyallup State WA Zip 98371 Phone (2o6) 401-2188 Email jessamin_santos@cable.comcast.com Contractor and Authorized Agent of Owner Name of Company Cablecomm, LLC (see note below) Contractor Contacts During Construction Primary Name CHRIS ATKINSON Agent Name Leah Ihlenfeldt Title Construction Supervior Title Permit Coordinator Mobile 36o-926-3437 Address 1316 BONNEVILLE AVE ,BLDG A, Email CHRIS.ATKINSON@CABLECOMLLC.NET City Snohomish State wA Zip 98290 Secondary Name Phone (36o) 668-1300 Title Email leah.ihlenfeldt@cablecomllc.net Mobile City of Edmonds Business License No: NR-o21818 Email State License No: CABLE-971DP ® 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) X 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.) Comcast JB 1107241 The proposed in the ROW is to access existing Comcast vault on north side of 216thSt SW proof exisitng conduit pull new 12ct fiber 6S' south to existing doghouse to address 21600 HIGHWAY 99, STE 26o, EDMONDS, WA 98026. * No disturbance of surface. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF NA Alley 72 hours + LF x LF SF NA Parking 72 hours + LF x LF SF NA 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 X cable (fiber) ❑ 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 X 2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? X If yes, describe: Adding (1) 12ct fiber in existing underground Comcast conduit 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? If yes, answer the following questions related to project area, i.e. the actual area in which the X project is proposed: 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? 1 1-2 1How 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? 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: 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 responsibleforall permit fees. APPLICANT SIGNATURE: Je SaW(n , Saht0S APPLICANT PRINTED NAME: Jessamin Santos APPLICANT TITLE: Permit Coordinator NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 11/9/2022 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: Nathan Lindae-Fregoso Address: 21600 HIGHWAY 99 STE 260 EDMONDS WA 98026 Completion Date: 9/16/2022 Right of Way Footages: Job Type: Metro E Retail New Aerial Coax: New Aerial Fiber: 0 Overlash Coax: 0 0 Over'ash Fiber: 0 New UG Fiber: 65 Existing UG Fiber: 0 Job Subtype: Fiber Survey Scope: Post -Sale Empty Conduit Only: 0 New UG Coax: 0 Existing UG Coax: 0 Project Manager: C O M C A S T P21D: JB0001107241 Are Additional Pages Needed: No Legend TIE IN Al — SP.WALY.0489. W f v Existing Doghouse Pole EXISTING Vault y Lock Box LOCATED IN EXISTING VAULT - _--- - PROOF AND PULL THROUGH EXISTING NS /G Existing U Footage IS0' 216TH ST SW `, 65' * 6S l � CONDUIT 65' TO EXISTING J DOG HOUSE Existing Aerial � New U/G New Aerial _ Text Box Callout Arrow Tex Mot--'W - - L 192' _ Interior Path New Tap Phase Identifier A 1 >� PROOF AND PULL THROUGH EXISTING 2" _ � _ MAIN Footage Break 1 V UC Fiber Splice Point H Power Supply PP y ■ CONSUME NT L TO BASEMENT UC 80' U-BEGIN NEW INTERIOR PATH THROUGH CEILING FOLLOWING Storage Loop co Hard Surface Cut • i 2' I EXISTING COAX DROP 80' TO G CUSTOMER STE UC. PLACE PROPER Riser ® Abandoned Cable �1�� is _ r!:- •: --- FIBER EQUIPMENT _ STE 260 -s -- - UC _ r Provide Clear Construction Details 1. TIE IN AT SP.WALY.0489. 2. BEGIN PROOF AND PULL THROUGH EXISTING 2" CONDUIT 25T INTO MAIN DEMARC / UC. 3. BEGIN NEW INTERIOR PATH THROUGH CEILING ♦� FOLLOWING EXISTING COAX DROP 80' TO CUSTOMER STE 'JP i— UC. 4. PLACE PROPER FIBER EQUIPMENT IN CUSTOMER = r ~ n A UC. w P -r M • 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 11ga LW,,;t j$ 04z 11 /30/2022 VV RECEIVED ►MLy,LOYxa CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Private Exterior Completed By: Completion Date: V COI • A C A S Job Type: Job Subtype: Survey Scope: Project Manager: P2ID: Legend Existing Doghouse Pole Existing Vault v Lock Box Existing U/G Footage 150' Existing Aerial Text Box Text New U/G Callout Arrow New Aerial _____ New Tap 0 Interior Path _ _ _ _ _ Footage Break Phase Identifier ❑I Fiber Splice Point u IMF Power Supply ■ Storage Loop Hard Surface Cut • Riser ® Abandoned Cable Provide Clear Construction Details 1. TIE IN AT SP.WALY.0489. 2. BEGIN PROOF AND PULL THROUGH EXISTING 2" CONDUIT 25T INTO MAIN DEMARC UC. 3. BEGIN NEW INTERIOR PATH THROUGH CEILING FOLLOWING EXISTING COAX DROP 80' TO CUSTOMER STE UC. 4. PLACE PROPER FIBER EQUIPMENT IN CUSTOMER UC. ,r Nathan Lindae-Fregoso Address: 9/16/2022 Metro E Retail New Aerial Coax: 0 Fiber New Aerial Fiber: 0 Post -Sale Empty Conduit Only: 0 JB0001107241 Are Additional Pages Needed: TIE IN AT SP.WALY.0489. LOCATED IN EXISTING VAULT -- ; 4N . 65 AL Wn....... . \11.1�� 14 21600 HIGHWAY 99 STE 260 EDMONDS WA 98026 Private Exterior Footages: Overlash Coax: 0 New UG Fiber: 0 Overlash Fiber: 0 Existing UG Fiber: 0 New UG Coax: 0 Existing UG Coax: 0 No RECEIVED Nov 14 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 To LENGTH (feet) 155 200 250 305 360 — -- — — -- TMA ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 Ibs. HOST VEHICLE WEIGHT > 22,000 Ibs. <45 MPH 1 45-55 MPH > 55 MPH <45 MPH 45-55 MPH > 55 MPH 100' 74' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED SIGN SPACING = X (FEET) ( 1 ) RURAL ROADS & URBAN ARTERIALS 35 / 40 MPH 350't RURAL ROADS, URBAN ARTERIALS 25 / 30 MPH RESIDENTIAL & BUSINESS DISTRICTS 200't (2) URBAN STREETS 25 MPH OR LESS 100't (2) ALL SIGNS ARE 48" x 48" BLACK ON ORANGE UNLESS OTHERWISE DESIGNATED. (1) All spacing may be adjusted to accommodate interchange ramps, at -grade intersections, and driveways. (2) This spacing may be reduced in urban areas to fit roadway conditions. 216TH ST SW (EOP - ' 44' width) MINIMUM SHOULDER TAPER LENGTH = U3 (feet) SHOULDER Pceted Speed (mph) WDTH (fie0 25 30 35 1 40 1 45 1 50 1 55 1 60 1 65 1 70 g 40 40 60 90 120 130 150 160 170 190 1', 40 60 90 90 1E0 1]0 190 200 220 240 USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THEN 8'. CHANNELIZING DEVICE SPACING (FEET) MPH TAPER TANGENT 35 / 40 30 60 25 / 30 20 1 40 Z 0 XASHOULDER X L/3 B R 100' ROAD *Spotter to assist pedestrians through work zones WORK ^^7 \ % NOTE W2000-11 W2111-55 Contractor to place no parking signs along north and 1. When used, device spC.acing for the downstream south side of 216th St SW, 72 housr in advance with taper should be 20' O. date and time posted for road side parking in front of existing vault/ dogouse for proof and pull (approx 2 LEGEND parking stalls for each location) a SIGN LOCATION ®®® CHANNELIZING DEVICES PROTECTIVE VEHICLE - RECOMMENDED ` • PARKING AFTER TOW —AWAY AREA ENGINEERING DIVISION APPROVED AS NOTED JX W,41$,44 11 /30/2022 VV RECEIVED Nov 14 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED CITY OF EDMONDS Right -of -Way Application #1227297 - J13-1107241 -1 M BuildingPermit.com Nov 14 2022 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Jessamin Santos Comcast Number Street Apartment or Suite Number E-mail Address 410 Valley Ave NW jessamin—santos@cable.comcast.com City State Zip Phone Number Extension Puyallup WA 98371 (206) 401-2188 Contractor Company Name Cablecom LLC Number Street Apartment or Suite Number 1316 BONNEVILLE AVE BLDG A, City State Zip Phone Number Extension SNOHOMISH WA 98290 3606681300 (360) 454-3163 State License Number License Expiration Date UBI # E-mail Address CABLEL*971 DP 8/21/2023 Rn99R.SS79 leah.ihlenfeldt@cablecomllc.net Project Location Number Street Floor Number Suite or Room Number 21600 HWY 99 City Zip Code County Parcel Number EDMONDS 98026 00580700002900 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 * PUBLIC HOSPITAL DISTRICT 2 SNOHOMISH CO Number Street Apartment or Suite Number 4710 196TH ST SW City State Zip LYN N WOOD WA 98036-5517 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: 11/9/2022 Submitted By: Jessamin Santos Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1227297 - JB-1107241 -1 Project Contact Company Name: CCI SYSTEMS Name: Joshua Day Email: cci@cartobiz.co Address: 105 Kent St Phone #: (615) 962-4402 Iron Mountain MI 49801 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: JB-1107241 -1 Comcast JB 1107241 The proposed in the ROW is to access existing Comcast vault on north Description of side of 216thSt SW proof exisitng conduit pull new 12ct fiber 65' south to existing doghouse Work: to address 21600 HIGHWAY 99, STE 260, EDMONDS, WA 98026. * No disturbance of surface. Project Details Project Information Job Number J 13-1107241-1 Page 2 of 2