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ENG2023-0207 ROW PERMIT0V EIDM �~ o�RIGHT OF WAY EUC PERMIT o , EdmondsCity of Edmonds PERMIT NU 121 5th Ave N, 98020 1 1 1 www.edmondswa.gov i Description: COMCAST - OVERLASH 274' FORM POLE TO BUILDING IN ALLEY ISSUED: 06/06/2023 Address: 514 MAIN ST EDMONDS WA 98020-3148 EXPIRES: 12/06/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434212000500 CONTACTS NAME TYPE NAME ADDRESS PHONE APPLICANT JESSAMIN SANTOS 1701 JOHN F KENNEDY BLVD, PHILADELPHIA PA 19108 (206)401-2188 CONTACT CABLECOM LLC 19910 NORTHCREEK PARKWAY N, SUITE 100, BOTHELL WA (360)670-4291 98011 CONTRACTOR CABLECOM LLC 19910 NORTHCREEK PARKWAY N, BOTHHELL WA 98011 (363)608-6700 OWNER GREG & DEBORAH WILSON PO BOX 1298, EDMONDS WA 98020 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 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: 06/06/2023 Printed: Tuesday, June 06, 2023 11:57:55 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 E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL" Printed: Tuesday, June 06, 2023 11:57:55 AM 2 of 2 RECEIVED APR 20 2023 p1n INC. i S90 SECTION A RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right-of-Wgy permit Handout E6�. 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 COMCAST - JB0001368337 Site Address or if no site address use Property Address at NW corner of project area: 514 MAIN ST ST EDMONDS WA 98020 Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company: COMCAST CABLE HOLDING Franchise Ordinance No: Point of Contact: JESSAMIN SANTOS Title: PERMIT COORDINATOR Address: 701 John F. Kennedy Blvd. City: Philadelphia State PA Zip 191o8 Phone: (2o6)401 - 2188 Email: WACONSTRUCTION_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 Name: LEAH IHLENFELDT Title: CONSTRUCTION SUPERVISOR Title: PERMIT SUPERVISOR Mobile: (36o)965-5o85 Address: 19910 NORTHCREEK PARKWAY N, STE too Email: MICHAEL.FINCH@CABLECOMLLC.NET City: BOTHELL State: WA Zip: 98011 Secondary Name Phone (360)670-4291 Title Email SNOHOMISH.PERM ITTING@CABLECOMLLC. NET Mobile City of Edmonds Business License No: N R-021818 Email State License No: CABLEL*971DP V Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC18.6o.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) 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.) TIE-IN AT POLE W/ NO POLE NUMBER, EAST OF THE TARGETED LOCATION. OVERLASH A TOTAL OF 274', AND CONTINUE WORK INTO PRIVATE PROPERTY. 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 + I LF JxJ LF I SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. 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 Details of Work to be Completed 1. Does the utility owner have existin overhead infrastructure in the area of work? Yes No 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 X 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 Work to be Completed Yes No 6. 1 Does your project involve rebuilding or replacing utility equipment which currently serves more X 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: 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 additionalpoles 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 fees. APPLICANT SIGNATURE: // /) DATE: 04/13/2023 APPLICANT PRINTED NAME: LENAIZA ENRIOUEZ APPLICANT T 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: 514 MAIN ST EDMONDS WA98020 Completion Date: 4/12/2023 Right of Way Footages: Job Type: Metro E Retail 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: Fiber Survey Scope: Post -Sale Project Manager: Select Source System: JB0001368337 Legend Provide Clear Right of Way Construction Details RECEIVED 1)TIE-IN AT POLE W/ NO POLE NUMBER, EAST OF THE TARGETED LOCATION. OVERLASH A TOTAL OF 274, AND CONTINUE WORK INTO PRIVATE PROPERTY. APR 20 2023 New Ped ❑ New Vault �V CITY OF EDMONDS DEVELOPMENT Existing U/G SERVICES DEPARTMENT ' J i 4 1 w' •' Existing Aerial New U/G� MF r 7 ,1'41111AT1s � 1 1 J� j� ►'f1� �IIIIIIIIr New Aerial Interior Path _____ ,� d _ t� _; � � v r 40 Exterior Building Path 1 I '1 •"r Footage Break �] 7 � •I I Fiber Splice Point Storage Loop VJ I. f,7 • _ — 4, 71 _410co Riser ® ' • - • I Pole ® , 8 6 Ili << / �� 1 "'t - •—•-! _ 1" Lock Box 150' I + ' � - ► , 107• 118 1 4 X , ..� I �r Footage ► 1 i c : N A T Text Box Text �" �� ' . Callout Arrow New Tap SO Phase Identifier- 1 Power Suppy • (� ,� Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way ENGINEERING DIVISION APPROVED AS NOTED Hard Surface Cut yt� St per city standards that is caused or � Jell 05/31/2023 occurs during the permitted project. AS B U I LT COVER Completed By: LEN ENRIQUEZ N _ `w `E s Completion Date: 4/12/2023 Address: 514 MAIN ST EDMONDS WA 98020 Job Type: Metro E Retail Job Subtype: Fiber 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: JB0001368337 Legend Provide Clear Route Overview Construction Details RECEIVED 1)TIE-IN AT POLE W/ NO POLE NUMBER, EAST OF THE TARGETED LOCATION. OVERLASH A TOTAL OF 274, AND CONTINUE WORK INTO PRIVATE PROPERTY. APR 20 2023 New Ped El New Vault V❑ CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Existing U/G Existing Aerial New U/G j Yin Vla. , New Aerial a Interior Path -' r" "a• ""' " z ■ Exterior Building Path 01` Footage Break T u.. sl a �• 4�+ s Fiber Splice Point ! 07 4"46, �` , Caren• `+t U Storage Loop �• eo,�, ' �, it, _ S? oN �. a Riser ® ,Ir+ems '�� 4° • -• �• � Main 5t Pole t Edmonds ,., j.,M� Oa t. << y r _ Lock Box M aplc Nay ` Footage ` � Al nr• �i• ` Text r Text Box 3 •° walnut si Callout Arrow �^• �� S �,, > 'Nay New Tap A `"� W _ N V. > SI•IL[• NI 5 1••, o :1 L l [+ T.•. N .� H eC Phase Identifier `n � I—-L 11cr � 5 Ps ,'V'y ✓ ..car N l , l a.. • it + a•ti Power Suppy .n .• t•. M SW Pine S1 ✓.nc 11 Hard Surface Cuts.. ROUTE OVERVIEW Completed By: LEN ENRIQUEZ Address: 514 MAIN ST EDMONDS WA98020 Completion Date: 4/12/2023 Right of Way Footages: Job Type: Metro E Retail 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: Fiber Survey Scope: Post -Sale Project Manager: Select Source System: JB0001368337 Legend Provide Clear Right of Way Construction Details 1)TIE-IN AT POLE W/ NO POLE NUMBER, EAST OF THE TARGETED LOCATION. OVERLASH A TOTAL OF 274, AND CONTINUE WORK INTO PRIVATE PROPERTY. New Ped El New Vault Existing U/G 1 EXISTING 2 3 Existing Aerial STORAGE New U/G TIE-IN AT New Aerial SP9918.WALY Interior Path a 49' Exterior Building Path Break Footage Break Fiber Splice Point Storage Loop , CONTINUE OVERLASH, BYPASS THIS POLE Riser ® NO POLE NO POLE ® NUMBER NO POLE NUMBER Pole NUh16ER Lock Box 150' Footage Text Text Box Callout Arrow 0 New Tap 0 RECEIVED Phase Identifier APR 20 2023 Ps Power Suppy Hard Surface Cut CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT TRAFFIC CONTROL Completed By: LEN ENRIQUEZ Address: 514 MAIN ST EDMONDS WA 98020 Completion Date: 4/12/2023 Private Exterior Footages: Job Type: Metro E Retail 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: Fiber Survey Scope: Post -Sale Project Manager: Select Source System: JB0001368337 Legend Provide Clear Private Exterior Construction Details 1)TIE-IN AT POLE W/ NO POLE NUMBER, EAST OF THE TARGETED LOCATION. OVERLASH A TOTAL OF 274, AND CONTINUE WORK INTO PRIVATE PROPERTY. New Ped SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM New Vault Existing U/G NOT TO SCALE Existing Aerial TRAFFIC CONTROL PLAN #1 OF 1 TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP New U/G New Aerial ALLEY R114 CLOSED Sao® AHEAD O Interior Path • � � HIU TMIC 0 Exterior Building Path __j O 1 STH AVE S Footage Break IIIIIII LEGENDS ALLEY CLOSED Fiber Splice Point ------------ AHEAD N ADVANCE WARNING Storage Loop SIGN LOCATION ® ® WORK VEHICLE Riser ■REPLACE BROKEN VAULT LOCATION at,� Pole R11-2 ROAD CLOSED z z LOCATION m Lock Box 150' Footage Text+o ENGINEERING DIVISION Text Box a ALLEY APPROVED AS NOTED Callout Arrow B CLOSED 5070 AHEAD 1 ,l X tV,&,, jj, ,04z 05/31 /2023 VV 0 Haul New Tap Phase Identifier 0 - - - -=1111111 eTHAVEs RECEIVED � APR 20 2023 Power $U ppy ALLEY STREET LOSED • AHEAD CLOISED Hard Surface Cut ;; �l 1,1, CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT RECEIVED APR 20 2023 CITY OF EDMONDS M BuildingPermit.com CITY OF EDMONDS DEVELOPMENT Right -of -Way Application #1299116 - COMCAST - JB0001368337 SERVICES DEPARTMENT Applicant First Name Last Name Company Name JESSAMIN SANTOS COMCAST Number Street Apartment or Suite Number E-mail Address 1701 JOHN F KENNEDY BLVD WACONSRUCTION JOINTUSE@COMCA City State Zip Phone Number Extension PHILADELPHIA PA 19108 (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 514 MAIN ST City Zip Code County Parcel Number EDMONDS 98020 00434212000500 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 Greg & Deborah Wilson Number Street Apartment or Suite Number PO BOX 1298 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: 4/13/2023 Submitted By: JESSAMIN SANTOS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1299116 - COMCAST - JB0001368337 Project Contact Company CABLECOM LLC Name: Name: LEAH IHLENFELDT Email: SNOHOMISH.PERM ITTING@CABLECOMLLC. NET 19910 NORTHCREEK Phone Address: PARKWAY N, SUITE #: (360) 670-4291 100 BOTHELL WA 98011 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: COMCAST - JB0001368337 Description of TIE IN AT POLE W NO POLE NUMBER, EAST OF THE TARGETED LOCATION. Work: OVERLASH A TOTAL OF 274' AND CONTINUE WORK INTO PRIVATE PROPERTY. Project Details Project Information Job Number JB0001368337 Page 2 of 2