ENG2022-0576 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of • • .
oc��
98020 ENG2022-0576
www.edmondswa.gov i
1 1
Description: ZIPLY - SMALL SIDEWALK REPAIR TO MOVE RISER ISSUED: 12/22/2022
Address: 660 BELL ST EDMONDS WA 98020-3020
EXPIRES: 06/20/2023
Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00434209801900
wI 11-14111 a
NAME TYPE NAME ADDRESS PHONE
APPLICANT VICTORIA COMER 1800 41ST ST STE N-100, EVERETT WA 98230 (830)513-6614
CONTACT ZIPLY FIBER 1800 41ST ST STE N-100, EVERETT WA 98230 (402)670-8384
CONTRACTOR ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230
OWNER JAMES R IRWIN 2507 NW 202ND, SEATTLE WA 98177
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
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: GRN
DATE: 12/22/2022
ENGINEERING DIVISION
"DTED
0V 2/22/2022
Printed: Thursday, December 22, 2022 9:35:48 AM 1 of 2
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RIGHT OF WAY EUC PERMIT
J
PERMIT NUMBE
City of Edmonds
Edmonds : ENG2022-0576
www.edmondswa.gov
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
E-7 TRAFFIC CTRL
X-2 ENGINEERING FINAL**
Printed: Thursday, December 22, 2022 9:35:48 AM 2 of 2
❑ 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.)
Telecommunications and broadband provider Ziply Fiber to Make minor sidewalk replacement to
to extend conduit into existing riser bundle -
RIGHT -OF -WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
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Alley 72 hours +
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Parking 72 hours +
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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 ❑ 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?
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?
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?
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? I I What is the height of the poles after?
Mimi
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�6� � Z�)¢'� DATE: 11 /30/2022
APPLICANT PRINTED NAME: Christopher DeLisle
APPLICANT TITLE: Traffic Control Plan & Permit 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
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zlply.
fiber
WHO: Ziiply Fiber
WHAT: Disconnected conduit
WHERE: 660 Bell St, Edmonds, WA 98020
WHEN: 11/25/2022
WHY: Conduit is disconnected from existing pole.
HOW: Minor sidewalk replacement (marked in red) to extend
2" PVC conduit (marked with arrow) into existing riser bundle.
APPROVED PROJECT
Mike HaKahan
Ziply OSP Engineer
mike. hakahanpAply.com
42 5-949-0230
z' I
pY
fiber
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
,Jeff Whatmore 12/21/2022
RECEIVED
DEC 01 2022
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Exchange: 51419 Halls Lake
Project: 5512148-61
Sidewalk replacement
660 Bell St, Edmonds, WA 98020
ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN, N
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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ATCO COMMUNICATIONS SERVICES. LLC
www.atcoteiecom.com
360.563.9000
708 First Street
Snohomish, WA 98290
Sprague St zipIY fibe,
Everett, WA 98206
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DATE: 11.30.2022
REVIEWED BY: D. LAFLEUR
WSTCS# 013259
A Irimr Qt DESIGNED BY: C.DELISLE
ATCO CONTACT: 425.299.5494
RECEIVEDchristopher.delisle0atcotelecom.com
DEC 01 2022 SCALE: SHEET:
VICINITY MAP NOT TO
CITY OF EDMONDS SCALE 01
DEVELOPMENT
SERVICES DEPARTMENT NO: 1 OF 2
RECEIVED
CITY OF EDMONDS
Right -of -Way Application #1236578 - 5512148-61
DEC 01 2022
MyBuildingPermik.com
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Applicant
First Name Last Name Company Name
Victoria Comer Ziply Fiber
Number Street Apartment or Suite Number E-mail Address
1800 41st St Ste N-100 victoria.comer@ziply.com
City State Zip Phone Number Extension
Everett WA 98230 (830) 513-6614
Contractor
Company Name
ZIPLY FIBER NORTHWEST LLC
Number Street Apartment or Suite Number
1220 75th St SW
City State Zip Phone Number Extension
Everett WA 98203 (425) 231-3928
State License Number License Expiration Date UBI # E-mail Address
ZIPLYFN782L3 5/25/2024 iyini i4gn caitlin.reid@Ziply.com
Project Location
Number Street Floor Number Suite or Room Number
660 BELL ST
City Zip Code County Parcel Number
EDMONDS 98020 00434209801900
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
James R Irwin
Number Street Apartment or Suite Number
2507 NW 202ND
City State Zip
SEATTLE WA 98177
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: 11/30/2022 Submitted By: Victoria Comer
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1236578 - 5512148-61
Project Contact
Company Name: Ziply Fiber
Name: Arianne Mommsen Email: Arianne.Mommsen@ziply.com
Address: 1800 41 st St Ste N-100 Phone #: (402) 670-8384
Everett WA 98230
Project Type
Utility Purveyor
Activity Type
Utility Work
Scope of Work
Disturbance of Surface
Project Name: 5512148-61
Description of Work: Minor sidewalk replacement to extend conduit into existing riser bundle.
Project Details
Project Information
Job Number
5512148-61
Page 2 of 2