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ENG2023-0126 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT o fM. EdmondsCity of Edmonds PERMIT NU�M 98020 1 1 www.edmondswa.gov i Description: COMCAST - EMERGENCY OVERLASH CABLE BETWEEN 2 POLES ISSUED: 03/27/2023 Address: 22910 EDMONDS WAY EDMONDS WA 98020-5044 EXPIRES:09/27/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 27033600102000 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT JESSAMIN SANTOS 410VALLEY AVE NW SUITE 100, PUYALLUP WA98371 (206)401-2188 CONTACT CABLECOM LLC 19910 NORTHCREEK PARKWAY N„ BOTHELL WA 98011 (360)454-3163 CONTRACTOR CABLECOM LLC 1316 BONNEVILLE AVE, BLDG A, SNOHOMISH WA 98290 (360)668-1300 OWNER CUMBERLAND PLATEAU LLC 6947 COAL CREEK PKWY SE NO 407, NEWCASTLE WA 98059 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $252.00 $252.00 RIGHT-OF-WAY PERMIT - MINOR $126.00 $126.00 REQUIREMENTSJIL 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: 03/27/2023 Printed: Monday, March 27, 2023 9:21:04 AM 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, March 27, 2023 9:21:04 AM 2 of 2 RECEIVED � of EDLIO MAR 03 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 - JB0001352496 Site Address or if no site address use Property Address at NW corner of project area: 22910 EDMONDS WAY EDMONDS WA 98020 Associated Permits: BLD PLN ENG Owner and Entity Holding•• •- Name ofCompanyCOMCAST 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.) 'EMERGENCY JOB REPLACING SPAN. TIE IN AT POLE 1 AND DE/RELASH 96' TO POLE 2. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF IxI LF SF Alley 72 hours + LF IxI F SF Parking 72 hours + LF IxI 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 existingunderground common utilitysystem? 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? 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 [—xthan one lot or commercial develo ment? 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? 1 1 1 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: X How many? 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: .�_- DATE: 3/3/2023 APPLICANT PRINTED NAME: LENAIZA ENRIQUEZ APPLICANT TITLE: PERMIT COORDINATOR 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: 11IDS WAY EDMONDS WA98020 Completion Date: 3/1/2023 Right of Way Footages: Job Type: Select New Aerial Coax: 0 Overlash Coax: 0 New UG Fiber: 0 New Aerial Fiber: 0 Overlash Fiber: 0 Existing UG Fiber: 0 Empty Conduit Only: 0 New UG Coax: 0 Existing UG Coax: 0 Are Additional Pages Needed: No Job Subtype: Select Survey Scope: Select Project Manager: Select Source System: JB0001352496 Legend Provide Clear Right of Way Construction Details EMERGENCY JOB REPLACING SPAN. TIE IN AT POLE 1 AND DE/RELASH 96, TO POLE 2. ENGINEERING DIVISION RECEIVED New Ped El Applicant shall repair/replace all damage to utilities or frontage APPROVED AS NOTED MAR 03 2023 New Vault �V improvements in City right-of-way per city standards that is caused or occurs during the ,II WQ✓X nQ 03/22/2023 permitted project. VV Existing U/G CITY OF EDMONDS SERVICES DEPARTMENT Existing Aerial _ �j► New U/G % New Aerial Interior Path `\ Exterior Building Path Footage Break POLE Fiber Splice Point "•;' Storage Loop ♦ 96 Riser ; Pole. POLE 2 • � Lock Box 4L Footage Text Box Text / xv ' Callout Arrow New Tap s . Phase Identifier Ps ' ' •" - i ti - Power Suppy Hard Surface Cutdir f :� _ . �� AS B U I LT COVER Completed By: LEN ENRIQUEZ r w `E T' s Completion Date: 3/1/2023 Address: I 22910 EDMONDS WAY EDMONDS WA 98020 I 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: Select Project Manager: - IF Are Additional Pages Needed: No Select Source System: JB0001352496 Legend Provide Clear Route Overview Construction Details EMERGENCY JOB REPLACING SPAN. TIE IN AT POLE 1 AND DE/RELASEI 96' TO POLE 2. New Ped El New Vault ❑V Existing U/G 5t s.v Existing Aerial _ = - a to rn P.c•L•-ItL-3ry Pjrk ))a Iv, New U/G New Aerial u4,•• �•v _ t :7Gtn PI svt _ —• Interior Path O I - C OD ... _ ,r• d7i to Pt •s _ I ._'•r- st 5.Y ..- Exterior Building Path I 228th St SW Footage Break 7780. P1 SW - S z 2291" St Fiber Splice Point jl a M Ldmonds Way a j 6 _zyv o sn Storage Loop w I :1Gt•� SI ti'N y Riser � °: t: } _� � , L ;� <�, �: st s.v u C r r. 4 � o m Pole ._7t 5' JN •� 5i1"' I, Lock Box 2 '.7 riot r'1 5'N No•ry ( _' 2 1:+ Footage i 111ra P ---- ---•---1 Text Edmonds Text Box T - t 2 u*n St %A Callout Arrow r L a - - r t er 0 T I T 4 ■ New Tap 0 71Etr ��• =---,°� RECEIVED Phase Identifier MAR 03 2023 Ps' Power Suppy i T - O a CITY OF EDMONDS ^t 238th St SW DEVELOPMENT Hard Surface Cut -� SERVICES DEPARTMENT TRAFFIC CONTROL Completed By: LEN ENRIQUEZ Address: 22910 EDMONDS WAY EDMONDS WA98020 Completion Date: 3/1/2023 Private Exterior Footages: Job Type: Select New Aerial Coax: 0 Overlash Coax: 0 New UG Fiber: 0 New Aerial Fiber: 0 Overlash Fiber: 0 Existing UG Fiber: 0 Empty Conduit Only: 0 New UG Coax: 0 Existing UG Coax: 0 Are Additional Pages Needed: No Job Subtype: Select Survey Scope: Select Project Manager: Select Source System: JB0001352496 Legend Provide Clear Private Exterior Construction Details RECEIVED EMERGENCY JOB REPLACING SPAN. TIE IN AT POLE 1 AND DE/RELASH 96' TO POLE 2. MAR 03 2023 New Ped ❑ New Vault Existing U/G Existing Aerial New U/G New Aerial ----" Interior Path Exterior Building Path Footage Break Fiber Splice Point Storage Loop CD Riser Pole Lock Box 150' Footage Text Text Box Callout Arrow New Tap Phase Identifier PS Power Suppy O Hard Surface Cut MINIMUM LANE CLOSURE TAPER LENGTH = L (feet) LANE Ontl Posted Speed (mph) 25 Y> 3S 40 45 50 55 CC 10 10S I1) 205 270 4SO SOD SSC 11 115 1S5 22S 295 495 S50 605 660 12 125 180 245 no 506W "0 720 760 640 MINIMUM SHOULDER TAPER LENGTH = L/3 (feat) SIIOU_DLR AIDTH ;,x17 Posted Speed (mph) 11 30 15 40 50 55 EC 65 70 6 40 40 60 90 120 1 130 1S0 -60 170 t9p ,1, 40 EO 90 90 150 1 770 19C 2CO 220 240 USE A VIV'J _RJ ! O=VICLS TAPER FOR SHOJ_DER LESS THEN 6. SIGN SPACING = X (1) I REEVBRYS a EAPRLSs.VA's 55 1 TO MPH 15W a. RURAL 1110.FAM"S 60 165 MPH OWL RURAL ROADS 45 ISS MPH SW RURAL ROADS a URBAN ARTERILS 35 140 MPH M. HLRAL ROADS a URBAN ARILRNL5 25 130 MPtI RFSIDFNTIA, 4 BUSINFSS DISTRICTS 207a 12) URBAN STREETS 25 MPH OR LESS 107. 12. 11) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTFRCHA.% :F RAMPS AT -GRADE INTERSECTIONS AND DRNEV4AYS. 12) THIS SPACING VAY BE REDUCED IN URBAN AREAS TO FIT ROADIAKY CONDITION'S. CHANNELIZATION DEVICE SPACING MPH TAPER 7ANGEN' SOF70 10 BO 33M7 30 60 25F70 ?0 40 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH; Y- 10 40 4S 50 Si I 60 I 6S I FNG-H (SM: I •-5 1 230 1 250 )CS 30 475 1 495 1 51,- 1 FAT, TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R H06T VeRcut voG.11 9900 TO 22000 lbw "Oar VENCLE Vwlr"I, s 22000 h•. < 45 MP,/ 45.55 MPH . 55 MPH < 45 M- KM IJPII -m 12T 172' 7f 107 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM PCMS ® • T Is• I w � RIGIII 1 N w • • • wORI( AR[A • LANE CIOSV RL w•w q q q Is • UJ SEE 2,0 SEC 2,0 SEC NOTE . FIELD LOCATE MILE = IY ROAD WORK AHEAD 4d" W20.1 LEGEND H TEMPORARY SIGN LOCATION a TRAFFIC SAFETY DRUM >>> SEOUFNTIAI. ARROW SIGN TRANSPORTABLE ATTENUATOR 'C)A$ PORTABLE C1'ANGEABLE MESSAGE SIGN x x L a R 100': ADVANCE Of LANE CIOSURF SIGNING, da'<1 ENGINEERING DIVISION EDMONDS WAY > APPROVED AS NOTED ■ sae '; � ^l�� l�✓.�,w.,.,nd 03/22/2023 / W42(L) VV 4r' NOTES RIGHT LANE \ S 1. SEE SPECIAL PROVISIONS FOR WORK HOLR RESTRICTIONS. CLOSED N 0, AHEAD 2. EXTEND DEVICE TAPER AT U3 ACROSS SHOULDER. TRAFFIC CONTROL INSPECTION SHALL BE 3. DEVICES SHALL NOT ENCROACH INTO THE ADJACENT LANE. W20.5R REQUIRED WHENEVER WORK ZONE IS SET UP •. use TRANSVERSE DEVICES IN CLOSED LAVE EVERY 1000•(r T: (RECOMMENDED). SINGLE -LANE CLOSURE FOR MULTILANE ROADWAYS 5. 20 c( Ti SPACING FOR THE Do+ne4sTREAM TAPER SHA R 6. ALL SHINS ARE BLACK ON ORANGE. NOT TO SCALE . LL NAME a•�On• R oa SM•31An4.,M Pl., S,..., L •.. •92•�SL won, • r. 'F•rM Tc,-T0,17, 1I.•I- au u .• •. TC-1 n "` WashingtonD Stab D•parbumd of TEanspoABtlon � TC3 ilw •;1.;,1 wM "'--1 FE0.AID PROJ.110, WASI UTTED By B44•r ixsgNrD BY .••-• BY c.ee.1ED By TRAFFIC c:JNIROL PLAN PRo.I. rNow. A. REGIONAL ADM. REVI)1cN DATE RECEIVED CITY OF EDMONDS MAR 03 2023 MyBuildingPermit.corn CITY OF EDMONDS Right -of -Way Application #1277632 - COMCAST - J1300013524911i SERVICESLOPMENT DEPARTMENT Applicant First Name Last Name Company Name JESSAMIN SANTOS COMCAST Number Street Apartment or Suite Number E-mail Address 410 VALLEY AVE NW SUITE 100 JESSAMIN SANTOS@CABLE.COMCAST 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 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 22910 EDMONDS WAY City Zip Code County Parcel Number EDMONDS 98020 27033600102000 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 * CUMBERLAND PLATEAU LLC Number Street Apartment or Suite Number 6947 COAL CREEK PKWY SE NO 407 City State Zip N EWCASTLE WA 98059 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: 3/3/2023 Submitted By: JESSAMIN SANTOS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1277632 - COMCAST - JB0001352496 Project Contact Company CABLECOM LLC Name: Name: LEAH IHLENFELDT Email: SNOHOMISH.PERM ITTING@CABLECOMLLC. NET 19910 NORTHCREEK Phone Address: PARKWAY N, SUITE #: (360) 454-3163 100 BOTHELL WA 98011 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: COMCAST - JB0001352496 Description of Work: EMERGENCY JOB REPLACING SPAN. TIE IN AT POLE 1 AND DE/RELASH 96' TO POLE 2 Project Details Project Information Job Number JB0001352496 Page 2 of 2