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ENG2023-0077 ROW PERMIToff' EIDM �~ o�RIGHT OF WAY EUC PERMIT o , EdmondsCity of Edmonds PERMIT NUM 98020 1 11 www.edmondswa.gov i Description: COMCAST-RESAG STRAND ON CROSS MEMBER AT POLE ISSUED: 02/27/2023 Address: 23916 100TH AVE W EDMONDS WA 98020-5784 EXPIRES:08/27/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00589100001900 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT JESSAMIN SANTOS 410 VALLEY AVE WA, PUYALLUP WA 98371 (206)401-2188 CONTACT CABLECOM 19910 NORTHCREEK PARKWAY N„ BOTHELL WA 98011 (360)670-4291 CONTRACTOR CABLECOM LLC 1316 BONNEVILLE AVE, BLDG A, SNOHOMISH WA 98290 (360)668-1300 OWNER PATRICK E & AMY L HIEBEL 1002 8TH AVE S, EDMONDS WA 98020 FEE INFORMATION DESCRIPTIONWINAMOUNT 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 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: 02/27/2023 Printed: Monday, February 27, 2023 12:30:03 PM 1 of 2 o� e pM 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, February 27, 2023 12:30:03 PM 2 of 2 RECEIVED � of EDLIO FEB 10 2023 RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION CITY OF EDMONDS DEVELOPMENT Complete and submit this Application in accordance with the Submittal SERVICES DEPARTMENT "NC. i s9° Requirements outlined in Right -of -Way permit Handout E63. 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 - JB0001302600 Site Address or if no site address use Property Address at NW corner of project area: 23916 100TH AVE W EDMONDS WA 98020 Associated Permits: BLD PLN ENG Owner and Entity Holding•• •- Name of CompanyCOMCAST CABLE HOLDING Franchise Ordinance No: Point of Contact J ESSAM IN SANTOS Title PERMIT COORDINATOR Address410 VALLEY AVE NW City P UYALLU P State WA Zip 98371 Phone (206)401 - 2188 EmailWACONSTRUCTION JOINTUSE@COMCAST.COM Contractor and Authorized Agent of Owner (see note below) Name of Company CABLECOM LLC Contractor Contacts During Construction Primary Name CABLECOM LLC - MICHAEL FINCH Agent NameLEAH IHLENFELDT Title CONSTRUCTION SUPERVISOR Title PERMIT SUPERVISOR Mobile (360)965-5085 Address 19910 NORTHCREEK PARKWAY N, STE 100 Email MICHAEL.FINCH@CABLECOMLLC.NET City BOTH ELL State WA Zip 98011 Secondary Name Phone (360)670-4291 Title Email SNOHCMISH.PERMITTING@CABLECOMLLC. NET Mobile City of Edmonds Business License No: N R-021818 Email State License No: CABLEL*971 DP yJ 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. Type of Development - Check ALL that apply ❑ 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 V� 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.) RESAG STRAND AND PLACE ON CROSS MEMEBER FROM 7 7 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: ❑ telecommunications d 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? V 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? V 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? Are the additions for the purpose of serving a single-family residential subdivision? Details of • to be Completed Me 6. Does your project involve rebuilding or replacing utility equipment which currently serves more _ than one lot or commercial development? V 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: ` / v How man are existing? How man are to be added? 6b. Does your project involve poles? If yes: 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? 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: ■d0/_\r/_\d01VrelII .4 KIM 0=0:9 ► RI r•: 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 ROUTE OVERVIEW Completed By: LEN ENRIQUEZ Address: 23916 100TH AVE W EDMONDS WA98020 Completion Date: 2/7/2023 Right of Way Footages: �� � � � T COI Job Type: Select New Aerial Coax: Overlash Coax: New UG Fiber: New Aerial Fiber: Overlash Fiber: Existing UG Fiber: Empty Conduit Only: New UG Coax: Existing UG Coax: Are Additional Pages Needed: No Job Subtype: Select Survey Scope: Post -Sale Project Manager: Select Source System: JB0001302600 Legend New Ped ❑ Pole New Vault ❑V Lock Box Existing U/G Footage 150' Existing Aerial Text Box Text New U/G Callout Arrow New Aerial New Tap Interior Path Footage Break Phase Identifier Fiber Splice Point Power Supply Ps O Storage Loop Hard Surface Cut ® Riser Abandoned Cable Provide Clear Construction Details RESAG STRAND AND PLACE ON CROSS MEMEBER FROM POLE AT 23916 100TH AVE W 397' TO POLE AT 24017 101 ST AVE W RECEIVED FEB 10 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT , Z-11IIII■ - IL -2 210 187 40 pplicant 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. t �.�L 11 a. . A ENGINEERING DIVISION APPROVED AS NOTED 1p11 W41,,.04p 02/21/2023 AS B U I LT COVER Completed By: LEN ENRIQUEZ N zv _ • � • � `S Completion Date: 2/7/2023 Address: 23916 100TH AVE W EDMONDS WA 98020 I, All IAd COMCAST Job Type: Select Job Subtype: Select Footages Entered On Right of Way, Private Exterior, and Private Interior tabs. Footages are summarized on Survey Rollup tab. Survey Scope: Post -Sale Project Manager: _ Are Additional Pages Needed: No Select Source System: JB0001302600 Legend New Ped ❑ Pole New Vault ❑V Lock Box Existing U/G Footage 150' Existing Aerial Text Box Text New U/G Callout Arrow New Aerial n New Tap Interior Path 1 ❑ Footage Break Phase Identifier Fiber Splice Point 04 Power Supply Ps Co Hard Surface Cut O Storage Loop ® Riser 1 Abandoned Cable Provide Clear Construction Details RESAG STRAND AND PLACE ON CROSS MEMEBER FROM POLE AT 23916 100TH AVE W 397' TO POLE AT 24017 101 ST AVE W RECEIVED FEB 10 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 1/a It.,9 n_ r J ) - S75tn P� S:Y 11 236 w Pi -1 J —fi fi 'J r �z36e- _SW i2381h St SW 71 _ xa c.sw - s- -� Caytr Ln totem enle_� s E I i NINE t � „ ..Edmonds 2 I 23Bth St SW ,V1 \ V SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRAFFIC CONTROL Completed By: LEN ENRIQUEZ Address: 23916 100TH AVE W EDMONDS WA98020 Completion Date: 2/7/2023 Private Exterior Footages: O� k A A r% T UIV Q..' I Job Type: Select New Aerial Coax: Overlash Coax: New UG Fiber: New Aerial Fiber: Overlash Fiber: Existing UG Fiber: Empty Conduit Only: New UG Coax: Existing UG Coax: Are Additional Pages Needed: No Job Subtype: Select Survey Scope: Post -Sale Project Manager: - Select Source System: JB0001302600 Legend New Ped ❑ Pole New Vault ❑V Lock Box Existing U/G Footage 150' Existing Aerial Text Box Text New U/G Callout Arrow New Aerial New Tap Interior Path 1 ❑ Footage Break Phase Identifier Fiber Splice Point Power Supply Ps Hard Surface O Storage Loop Cut ® Riser Abandoned Cable Provide Clear Construction Details RESAG STRAND AND PLACE ON CROSS MEMEBER FROM POLE AT 23916 100TH AVE W 39T TO POLE AT 24017 101 ST AVE W RECEIVED FEB 10 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH (1660 155 200 250 305 360 425 495 570 645 1 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9.9W TO 22.000 IbIL HOST VEHICLE WEIGHT > 22.000 IbL < 45 MPH 45.55 MPH > 55 MPH < 45 MPH 4%65 MPH > 55 MPH 1W 123' 17Z 74' 100 150' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED x x I X ONE LANE 0 ROAD " '� AHEAD W20-4 48' W28.7A BE PREPARED TO STOP 48. W20.711 W:0.78 (OPTIONAL Ir 40 MPH OR LESS) h SIGN SPACING = X (1) RURAL NIC'7.VA"S 60 16S MPH 607. RURAL ROADS 45 155 MPH 5W A RURAL ROADS A URBAN ARTERIALS 35140 MPH 330L RURAL ROADS. URBAN ARTERIALS 15 130 MPH RESIOENTIAL A BUSINESS DISTRICT'S 2W& (2) URBAN STREETS 2S AIPH OR LESS 100A (2) )ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERSEC-1.^.NS AND DRIVEWAYS. (2) - 115 SPACING WAY BE REDUCED IN LRBAN AREAS TO FIT ROADL•AY CONDITIONS SV TO 107 6 DEVICE v AREARG Q.7 Q7 WTO tar 6 DEVICE e 1 MN. 100TH AVE W W20-78 (OPTIONAL IF 40 MP11 OR LESS) 4B• 4(/' M ROAD PREPARED WORK ra s7oP AHEAD 40• 18• 48' 491 . lllt0.70 ONE LANE WZO-T ROAD AHEAD 48• 48' W20-7A W20-4 X 1 x x 1 x o- D V, n�• it _ O TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP CHANNELIZATION DEVICE SPACING(FEET) MPH TAPER TANGENT S0q! 10 TO 20 b 35N5 1 10 TO 20 1 60 2Sh0 1 10 TO 20 1 40 I. ALLI. SIGNS ARE BLACK ON ORANGE LEGEND 2. EXTENDING THE CHANNELIZING DEVICE TAPER ACROSS SHOULDER IS RECOMMENDED. 44 FLAGGING STATION 3. NIGHT WORK REQUIRES ADD17IONAL ROADWAY LIGH71NO AT II TEMPORARY SIGN LOCATION ONE -LANE, TWO-WAY TRAFFIC CONTROL FLAGGING THE STANDARD SPECIFICATIONS FOR ADOITIONAL DETAILS. CHANNELIZING DEVICES WITH FLAGGERS ® PROTECTIVE VEHICLE 4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. NOT TO SCA F Tim 1:'r,•4 1•W FED.AID PROJ.NO, .w. ..• DATE "7.'7D1. � PLOTTED BY 11 wlr ` WAS W// TC 1 OrSISMrO BY ENTERED BY Wd5•Iington State ••• CHECKED Br ...�..... ,.,. .,., ..� Department of Trarspo•tatlon ,. PROD. rNOR. • - TRAFFIC CONTROL PLAN w•• RECOONAL ADM. REVISICN DATE BY ENGINEERING DIVISION APPROVED AS NOTED T7X i�lo%A,eti..IL31 02/21/2023 RECEIVED FEB 10 2023 CITY OF EDMONDS M BuildingPermitxorn CITY OF EDMONDS DEVELOPMENTRight-of-Way Application #1265437 - COMCAST - JB0001302600 SERVICES DEPARTMENT Applicant First Name Last Name Company Name JESSAMIN SANTOS COMCAST Number Street Apartment or Suite Number E-mail Address 410 VALLEY AVE WA WACONSTRUCTI0N JOINTUSE@COMC City State Zip Phone Number Extension PUYALLUP WA 98371 (206) 401-2188 Contractor Company Name Cablecom LLC Number Street Apartment or Suite Number 19910 NORTH CREEK PARKWAY NORTH 100 City State Zip Phone Number Extension BOTHELL WA 98011 (360) 863-2628 (360) 454-3163 State License Number License Expiration Date UBI # E-mail Address CABLEL*971 DP 8/21/2023 FD99RSS79 SNOHOMISH.PERM ITTING@CABLECO Project Location Number Street Floor Number Suite or Room Number 23916 100TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00589100001900 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 Patrick E & Amy L Hiebel Number Street Apartment or Suite Number 1002 8TH AVE S 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: 2/7/2023 Submitted By: JESSAMIN SANTOS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1265437 - COMCAST - JB0001302600 Project Contact Company CABLECOM Name: Name: LEAH IHLENFELDT Email: SNOHOMISH.PERM ITTING@CABLECOMLLC. NET Address: 19910 NORTHCREEK Phone (360) 670-4291 PARKWAY N, 100 #: BOTHELL WA 98011 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: COMCAST - JB0001302600 Description of Work: RESAG STRAND AND PLACE ON CROSS MEMEBER FROM POLE AT 23916 100TH AVE W 39T TO POLE AT 24017 101 ST AVE W Project Details Project Information Job Number JB0001302600 Page 2 of 2