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ENG2023-0112 ROW PERMIT�~ o� RIGHT OF WAY EUC PERMIT o f EdmondsCity of Edmonds PERMIT N UM 98020 ENG20231 www.edmondswa.gov i Description: ZIPLY - REMOVE BO POLE IN SOFT SURFACE ISSUED: 04/20/2023 Address: 9331 224TH ST SW EDMONDS WA 98020 EXPIRES: 10/20/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00544200201402 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT ARIANNE MOMMSEN 1800 41ST ST STE N-100, EVERETT WA 98203 (425)261-6488 CONTACT ZIPLY FIBER 1800 41ST ST STE N-100, EVERETT WA 98203 (425)261-6488 CONTRACTOR ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230 OWNER DONALD ABATECOLA 9331 224TH ST SW, 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 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 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: 04/20/2023 Printed: Thursday, April 20, 2023 11:31:51 AM 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 X-2 ENGINEERING FINAL" Printed: Thursday, April 20, 2023 11:31:51 AM 2 of 2 RESUB Lti�y of ED%�O� ANC. 1 g90 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 E63. Apr 12 2023 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 Info Project Name 5511605-646 Site Address or if no site address use Property Address at NW corner of project area: 9331 224TH ST SW, EDMONDS, WA Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company Ziply Fiber Northwest, LLC Franchise Ordinance No: WN U-17 PointofContact Mike Hakahan Title Engineer Address1800 41 st St., Ste. N 100 city Everett State WA zip 98203 Phone 425-949-0230 Email mike.hakahan@ziply.com AuthorizedContractor and Agent •below) NameofCompany Ziply Fiber Northwest, LLC Primary Name Mike Hakahan Agent Name Mike Hakahan Title Engineer Title Engineer Mobile 425-949-0230 Addressl800 41st St. Ste. N100 Email mike.hakahan@ziply.com city Everett I State WA zip 98203 Secondary Name Phone 425-949-0230 Title Email mike.hakahan@ziply.com Mobile City of Edmonds Business License No: 313-013-420 Email State License No: ZIPLYFN782L3 0 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. ❑ 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) A Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 ❑ 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 PUD WILL PLACE NEW POLE ZIPLY WILL TRANSFER ATTACHMENTS AND DROPS THEN REMOVE EXISTING POLE 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 ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details 1. of Work to be Completed Does the utility owner have existin overhead infrastructure in the area of work? If 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? If yes, describe: Ir 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? 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 ®i 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? 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: How many are existing? I I How many 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: Z'u� DATE: APPLICANT PRINTED NAME: 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 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM PLI 1565 REPLACED W/ 45' POLE, MFG 2022 (XFMR ALREADY UPDATED PER PREVIOUSLY ROUTED EN. FIELDED BY GIS) REMOVED XFMR 25-15003, SERIAL# 77A313374 INSTALLED XFMR 25-463016, SERIAL# 1940941921, ON PH3 OLD POLE STILL IN FIELD w 1567 12 J2311 - 10/1 2317 22315-CDG 0 5 © WSG 13 C 12 18- 8-18 2 323 � � 9331 501 ls2 2321 323 3 25-46 016 6 S 30173-A SL-1138 15-38 25-18852 �E P 56 329 1566 1 C J 00 •-- •--� O O 0 a 224TH ST W .-� FU4 T u7 00 502 2405 40 16 2404 3 25- 180 45-92 C PWR Sup 2409 CC P 77 Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or RECEIVED OWNER/CONTRACTOR IS RESPONSIBLE FOR occurs during the permitted project. EROSION CONTROL AND DRAINAGE MAR 01 2023 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ENGINEERING DIVISION APPROVED AS NOTED ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY CITY OF EDMONDS UTILITIES MAY REQUIRE A SEPERATE PERMIT. Jo�� 04/20/2023 DEVELOPMENT VIA SERVICES DEPARTMENT PV Appendix B 1112-W Rev 01/2004 Joint Pole Notification $ 2,878.77 2022 Year Price List W To: ZIPLY CATV: COMCAST ZIPLY Exchange: 51419 Date: 12/16/22 m w 0 0 — Customer Name:STORM Service Address: 9331 224TH ST SW, EDMONDS M 60 z 0 C*4 Request.: PUD Engineer: PHILLPOTTS PUD Approved cisN LUDWO/Permit 101063 / 10000195167 PUD INTENDS TO PERFORM THE FOLLOWING WORK ON THIS WORK ORDER: Out ❑ Set Poles ❑Tree Trimming (ZIPLY Pay 45%) Replace 1 Poles ❑ Set Additional 8" Helix Anchors In ❑ Eliminate Poles from PUD System ❑ Set Additional 12" Helix Anchors ❑ PUD To Contact ZIPLY Pole(s) At Location(s) ❑ Customer Pay 100% Contacts Free to BM Number ZIPLY Other: ZIPLY Pay 45% Of The Following (Estimates Only) PUD Work Completed:12/01/22 Easement Estimate: ZIPLY Transfer ❑ Y CATV Transfer ❑ Y Tree Trimming Estimate: THE PUD IS ABANDONING ITS USE OF EACH POLE DESIGNATED TO BE REPLACED OR 5392565 ELIMINATED HEREUNDER AND IS REMOVING ITS ATTACHMENTS THEREFROM. PLEASE RETURN TO JOINT USE BY 1/11/23 ZIPLY NEEDS TO TRANSFER YES COMCAST NEEDS TO TRANSFER Ziply to transfer 1 attachment,1 drop, 2 BSW, riser. Remove 3 drops, pole. Flagging required. FOR ZIPLY USE ONLY: X❑ZIPLY ACCEPTS THE FOLLOWING ❑ NO JOINT USE Pole/Location Reference co (IfSize w o ¢ Recovery Cost Size/Year) Pole/Location Reference � w o ¢ Size Recovery Size/Year Cost 1565 X 45 (45-92) 2,878.77 Additional Anchors At The Following Locations WO/USDA Codes Fielded By: Mark Perry Date: 12-26-22 A� e� i 'G�� Date: 12/29/22 • ,t y� I� f 1�1 L st, c) z > D n o m m m D m 0 co ITI--i O J cn Z = Q O m W O o � CIJ D N N PROJECT NUMBER: 5511605-646 PROJECT ADDRESS: 9331 224TH ST SW, EDMONDS, WA LOCATION: 224TH ST SW AND 95TH PL W UTILITY WORK PRINT FILE NAME: 5511605-646 WORK PRINT.dwg ffi t:, 0 0 N z m 0 0 c z m 0 0 m m DX-i-u z' ;;u C tjM Z fT1� Vim X _9 p --i m AM:70-0 -iM r C Z Z D D C C-1N-- TM �;u -0 --' D unz �Pl <:m T z pro � 70 r M=Fq Cn :KM U.N-i-� MDr dZ-< 70= p p V) XM-A m n <o� m<� Imo rT oom D m I Z Z ��0 m U) z v M O j rn O rn C4 v W ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN, 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) RWL Design, Ltd E 9� z "1 2 :nth St SW, Ei:r:IcII Ivsr WA 98020 WORK AREA =r 06 224th St SW 224th St SW Stella & Floyd s Professic'° ; 1 Pet `are... VICINITY MAP N 6 A" O ATCO COMMUNICATIONS SERVICES. LLC www.atcotelecom.com 360.563.9000 708 First Street Snohomish. WA 98290 ziPIy fiber Everett, WA 98206 (.0 in J iT m c H � a rn U LO N 06 co � M > rn a CD rn LO W W cj/ LU 0 U 224th s� w m W o Z Q z w U U O 2 Q w w F- Z af U J_ d 0- J LL DATE: 2.7.2023 REVIEWED BY: D. LAFLEUR WSTCS# 013259 DESIGNED BY: A.LUNA RECEIVED ATCO CONTACT: 304.544.1205 AMBER.LUNA@atcotelecom.com MAR 01 2023 SCALE: SHEET: CITY OF EDMONDS NOT TOSCALE DEVELOPMENT 1 SERVICES DEPARTMENT NO: 1 OF 2 LEGEND: OS SIGNALIZED INTERSECTION OCONE (CANDLESTICK) TYPE III BARRICADE WORKTRUCK WORK ZONE LIMITS OWE WARNING SIGN ARROW BOARD REQUIRED) (WHERE DIRECTION OF TRAFFIC (NOT PAVEMENT MARKINGS) ET FLAGGER (AS NEEDED) ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN, 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) D/W \W20-1 Y__A \W20-4 A \W20-7A Y__A �P, BUFFER AREA LONGITUDINAL BUFFER SPACE = B POSTED SPEED (MPH) 25 30 35 40 45 50 55 60 64 70 LENGTH (feet) 155 200 250 305 360 425 495 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DEVICE = R HOST VEHICLE WEIGHT (Ibs) 9,900 TO 22,000 HOST VEHICLE WEIGHT (Ibs) > 22,000 < 45 MPH 45 - 55 MPH > 55 MPH < 45 MPH 45 - 55 MPH > 55 MPH 100, 123' 172' 74' 100, 150' SIGN LEGEND: ROAD ONE LANE WORK ROAD AHEAD AHEAD W20-1 W20-4 ONE LANE, TWO WAY 9331 50'-100' TRAFFIC =( TAPER I a ° ° o o���.a_II o o b o � 10' MIN. W20-7 0� W20-7A PHASE 1 WORK DETAILS: PUD TO PLACE NEW POLE, ZIPLY TO TRANSFER ATTACHMENTS, DROP AND RISER, THEN ZIPLY TO REMOVE DROPS AND EXISTING POLE. w SPOTTER NEEDED FOR PEDESTRIAN TRAFFIC AND DRIVEWAY ACCESS, ONE LANE, TWO WAY 50'-100' TRAFFIC XA X TAPER W20-7A-\ W20-4-\ 224TH ST SW \\ n (25 MPH) RECEIVED ENGINEERING DIVISION APPROVED AS NOTED MAR 01 2023 1pj/ LWLI,,.,44,g 04/20/2023 VV CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT NOTE: MON. - FRI. = 7:00am TO 4:00pm CHANNELIZATION DEVICE SPACING (feet) MPH TAPER TANGENT 50/70 40 1 80 35/45 30 1 60 25/30 20 1 40 MINIMUM SHOULDER TAPER LENGTH = L/3 (feet) SHOULDER POSTED SPEED (MPH) WIDTH (feet) 25 30 35 40 45 50 55 60 65 70 8 40 40 60 90 120 130 150 160 170 190 10 40 60 90 90 150 170 190 220 220 240 USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THAN 8' b dt"a __N ATCO COMMUNICATIONS SERVICES. LLC www.otcoteiecom.com 360.563.9000 708 First Street Snohomish, WA 98290 ziPylfiber Everett, WA 98206 C.0 6 in H J D- -o C) cn o z a U X in a 06 oz$ W20-1 N M rn >_ D- � p � CD Lr) c LO O a cz z O U W20-, I U w m w z Q Q �� L) L) Z 0 w U U CID O) 0- of 0- 0 J LL SIGN SPACING = X (1) FREEWAY & EXPRESSWAYS 55 / 70 MPH 1500' ± RURAL HIGHWAYS 60 / 65 MPH 800' ± RURAL ROADS 45 / 55 MPH 500' ± RURAL ROADS & URBAN ARTERIALS 35 / 40 MPH 350' ± RURAL ROADS & URBAN ARTERIALS 25 / 30 MPH RESIDENTIAL & BUSINESS DISTRICTS 200' ± (2) URBAN STREETS 25 MPH OR LESS 100'± (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS (2) THIS SPACE MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. DATE: 2.7.2023 REVIEWED BY: D. LAFLEUR WSTCS# 013259 DESIGNED BY: A.LUNA ATCO CONTACT: 304.544.1205 AMBER.LUNA@atcotelecom.com SCALE: SHEET: =5C 02 NO: 2OF2 RECEIVED CITY OF EDMONDS Right -of -Way Application #1273681 - 5511605-646 MAR 01 2023 MyBuildingPermit.com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name ARIANNE MOMMSEN Ziply Fiber Number Street Apartment or Suite Number E-mail Address 1800 41st St Ste N-100 caitlin.reid@Ziply.com City State Zip Phone Number Extension Everett WA 98203 (425) 261-6488 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 9331 224TH ST SW City Zip Code County Parcel Number EDMONDS 98020 00544200201402 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 Donald Abatecola Number Street Apartment or Suite Number 9331 224TH ST 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: 2/24/2023 Submitted By: ARIANNE MOMMSEN Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1273681 - 5511605-646 Project Contact Company Name: Ziply Fiber Name: ARIANNE MOMMSEN Email: caitlin.reid@Ziply.com Address: 1800 41st St Ste N-100 Phone #: (425) 261-6488 Everett WA 98203 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: 5511605-646 Description of Work: POLE REMOVAL Project Details Project Information Job Number 5511605-646 Page 2 of 2