ENG2022-0610 ROW PERMITRIGHT OF WAY EUC PERMIT
PERMIT NUMBER
City of • • .
Edmonds:i 1 1. 1
www.edmondswa.gov i
Description: COMCAST - BORE NEW 2 INCH SERVICE W/HANDHOLD ISSUED: 01/17/2023
Address: 9920 242ND PL SW EDMONDS WA 98020-5786
EXPIRES: 07/17/2023
rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00746900000300
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 JAMES W & JULIANNE M ANNEBERG 9920 242ND PL SW, EDMONDS WA 98020
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: MAJ DATE: 01/17/2023
Printed: Tuesday, January 17, 2023 4:04:52 PM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUMBE3
City of Edmonds
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
X-2 ENGINEERING FINAL**
E-7 RESTOR LIMITS
Printed: Tuesday, January 17, 2023 4:04:52 PM 2 of 2
RECEIVED
of EDA404"
"Nc. 1890
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 E6-1.
Dec 28 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 792531 - 9920 242ND PL SW
Site Address or if no site address use Property Address at NW corner of project area: 9920 242ND PL SW
Associated Permits: BLD PLN ENG
Owner and Entity Holding Franchise (if applicable)
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 JESSAMIN SANTOS@CABLE.COMCAST
Contractor and Authorized Agent of • • - •- •w)
Name of Company INFRAWEST INC
Contractor ContactsDuring Construction
Primary Name VINICIUS FREITAS
Agent Name VINICIUS FREITAS
Title
Title
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:
Email
State License No: INFRAI*793NP
® 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 well)
❑ 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.)
WILL BE DIRECTIONAL DRILLING 2" COMCAST SERVICE CONDUIT FROM THE COMCAST PEDESTAL, BORE
20' OF SOFT SURFACE FROM THE COMCAST PEDESTAL TO THE SIDEWALK. BORE 5' UNDER THE
SIDEWALK, BORE 30' UNDER THE ROAD (242ND PL SW) FROM THE SIDEWALK, BORE 5' UNDER THE
SIDEWALK, BORE T OF SOFT SURFACE FROM THE SIDEWALK TO WHERE THE NEW COMCAST HANDHOLE
WILL BE INSTALLED. HAND HOLE MEASURING 11 INCHES IN DIAMETER AND 12 INCHES DEEP. FROM THE
COMCAST HANDHOLE WILL CONTINUE TO BORE IN PRIVATE PROPERTY TO THE POWER METER OF
HOUSE 9920 242ND PL SW. 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 DISTURBED AREAS WILL BE RESTORED TO ORIGINAL OR BETTER CONDITIONS.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
Alley 72 hours +
LF
x
LF
SF
Parking 72 hours +
LF
x
LF
SF
SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC.
. The work in the right of way is on or for the following type of facilities:
* telecommunications N 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
x
2. Will any equipment be added underground or above ground (e.g. 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 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 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? 1 How many are to be added? 7 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 responsible for all permit fee
APPLICANT SIGNATURE: DATE: 12/27/22
APPLICANT PRINTED NAME: VINICIUS FREITAS
APPLICANT TITLE:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021
EXISTING UTILITIES PLAN PAGE 2 OF 2
SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM
Utility patches shall be combined and full width or half
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
centerline of roadway. Where utility patches extend into
both travel lanes then a full width overlay is required.
RESTORATION LIMITS TO BE DETERMINED
BY CITY ENGINEERING INSPECTOR
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
Jl /J (, 441,H,,W 01/12/2023
RECEIVED
SITE PLAN 792531 - 9920 242ND PL SW, EDMONDS
Dec 28 2022
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
WILL BE DIRECTIONAL DRILLING 2" COMCAST SERVICE CONDUIT FROM THE COMCAST
PEDESTAL, BORE 20' OF SOFT SURFACE FROM THE COMCAST PEDESTAL TO THE
SIDEWALK. BORE 5' UNDER THE SIDEWALK, BORE 30' UNDER THE ROAD (242ND PL
SW), BORE 5' UNDER THE SIDEWALK, BORE 3' OF SOFT SURFACE FROM THE
SIDEWALK TO WHERE THE NEW COMCAST HANDHOLE WILL BE INSTALLED. HAND
HOLE MEASURING 11 INCHES IN DIAMETER AND 12 INCHES DEEP. FROM THE
COMCAST HANDHOLE WILL CONTINUE TO BORE IN PRIVATE PROPERTY TO THE
POWER METER OF HOUSE 9920 242ND PL SW. WILL BORE WITH A DIRECTIONAL DRILL
AT MINIMUM DEPTH OF 36 INCHES. WILL MAINTAIN A MINIMUM OF 5 FEET
HORIZONTAL AND 12 INCHES VERTICAL SEPARATION BETWEEN ALL UTILITIES. ALL
DISTURBED AREAS WILL BE RESTORED TO ORIGINAL OR BETTER CONDITIONS.
PAGE 1 OF 2
.1r_
s a ECT►7A
COMCAST
_ DATL JOB
ADDRESS
, OITY
792531
9920 242nd pi sw
Edmonds
CREW CUSTOMER
NAME
LOCATE • / CLEAR DATE
FREITAS
ROE
YES
No
,p
STH (CAO) I _%=_,#__ I REPAIR (607)
DROP 100'
Rom'`' 63'
DW BORE
RD BORE 30'
1ND DROP
SW BORE 10,
PERMIT YES
SW eORE
Legend
■ Comcast pedestal
QComcast Hand Hole
® Electric Meter of House
® Utility Pole
_ Proposed Path
SS = Soft Surface
DW = Driveway Bore
SW = Sidewalk Bore
RD = Road Bore
r 1 r�►
RECEIVED
Dec 28 2022
Figure 6H-11. Lane Closure on Two -Lane Road CITY OF EDMONDS
DEVELOPMENT SERVICES
with Low Traffic Volumes DEPARTMENT
<#5>7T
1
(optional)
(See Section 3B.16)
ENGINEERING DIVISION
APPROVED AS NOTED
30 m (100 ft) MAX.
Buffer Space (optional)
Buffer Space pace (optional)
rM
C1
i
ROAD
WORK
AHEAD
,lpI/ LVIL,,10,44z 01/12/2023
RECEIVED
Dec 28 2022
-_ CITY OF EDMONDS ,
DEVELOPMENT SERVICES CITY OF EDMONDS MyBuildingPermit.com
DEPARTMENTMENT
Right -of -Way Application #1246619 - 792531 - 9920 242ND PL 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 (954)756-0230
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
9920 242ND PL SW
City Zip Code County Parcel Number
EDMONDS 98020 00746900000300
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 W & Julianne M Anneberg
Number Street Apartment or Suite Number
9920 242ND PL SW
City State Zip
EDMONDS WA 98020
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: 12/28/2022 Submitted By: VINICIUS FREITAS
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1246619 - 792531 - 9920 242ND PL SW
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 792531 - 9920 242ND PL SW
Name:
WILL BE DIRECTIONAL DRILLING 21NCHES COMCAST SERVICE CONDUIT FROM THE
COMCAST PEDESTAL, BORE 20FT OF SOFT SURFACE FROM THE COMCAST PEDESTAL
TO THE SIDEWALK. BORE 5FT UNDER THE SIDEWALK, BORE 30FT UNDER THE ROAD
Description (242ND PL SW) FROM THE SIDEWALK, BORE 5FT UNDER THE SIDEWALK, BORE 3FT OF
of Work: SOFT SURFACE FROM THE SIDEWALK TO WHERE THE NEW COMCAST HANDHOLE
WILL BE INSTALLED. HAND HOLE MEASURING 11 INCHES IN DIAMETER AND 12 INCHES
DEEP. FROM THE COMCAST HANDHOLE WILL CONTINUE TO BORE IN PRIVATE
PROPERTY TO THE POWER METER OF HOUSE 9920 242ND PL SW.
Project Details
Project Information
Job Number 792531
Page 2 of 2