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ENG2023-0236 ROW PERMIToff' EIDM �~ o�RIGHT OF WAY EUC PERMIT o , EdmondsCity of Edmonds PERMIT NUM 98020 1 1 www.edmondswa.gov i Description: COMCAST - RISER DOWN AND CONNECT TO EXISTING VAULT ISSUED: 06/06/2023 Address: 23424 100TH AVE W EDMONDS WA 98020-5626 EXPIRES: 12/06/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00554800100201 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„ BOTHELL WA 98011 (360)670-4291 CONTRACTOR CABLECOM LLC 19910 NORTHCREEK PARKWAY N, BOTHHELL WA 98011 (363)608-6700 OWNER JOHN & HARIYANTI BROCKMAN 23424 100TH AVE W, EDMONDS WA 98020-5626 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: 06/06/2023 Printed: Tuesday, June 06, 2023 2:42:37 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: Tuesday, June 06, 2023 2:42:37 PM 2 of 2 RECEIVED pin INC. sago 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�. May 05 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 COMCAST - JB0001439460 Site Address or if no site address use Property Address at NW corner of project area: 23424 100TH AVE W 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.) AT POLE EAST OF 23424 100TH AVE W,PLACE NEW RISER AND TIE IN AT CASE AND RISER DOWN TO EXISTING VAULT. 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 JxJ LF 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: ONE 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: 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. 1Does 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: v 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: 4/27/2023 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 ROUTE OVERVIEW Completed By: LEN ENRIQUEZ Address: 23424100TH AVE W EDMONDS WA 98020 Completion Date: 4/12/2023 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: Post -Sale Project Manager: Select Source System: JB0001439460 Legend Provide Clear Right of Way Construction Details AT POLE EAST OF 23424 100TH AVE W,PLACE NEW RISER AND TIE IN AT CASE AND RISER DOWN TO EXISTING VAULT. RECEIVED New Ped El SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM May 05 2023 New Vault CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Existing U/G Q Existing Aerial New U/G New Aerial y� Interior Path ` R � Exterior Building Path Footage Break Fiber Splice Point Storage Loop Riser ® 235th PI SW 235th PI \e_ly Pole imp Lock Box Footage 150' Text Text Box Callout Arrow — New Tap OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ❑1 ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY Phase Identifier UTILITIES MAY REQUIRE A SEPERATE PERMIT. Power Su ppy PS Applicant shall repair/replace all damage to utilities or frontage ENGINEERING DIVISION CO OWNER/CONTRACTOR IS RESPONSIBLE FOR improvements in City right-of-way APPROVED AS NOTED Hard Surface Cut EROSION CONTROL AND DRAINAGE per city standards that is caused or occurs during the permitted project.%p�� (�Q✓.�u.nn� 06/01/2023 AS B U I LT COVER Completed By: LEN ENRIQUEZ N `E s Completion Date: 4/12/2023 Address: 23424 100TH AVE W EDMONDS WA 98020 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: JB0001439460 •Provide Clear RouteOverview Construction New Ped New Vault 0 Existing U/G Existing Aerial New U/G Interior Path �■ ` 1 ��tQ ��■. i I� ■I Mill■■ `� .II • • ' Exterior Building Path Footage Break Fiber Splice •. III 1lull A�� ■■i' nl I I1� Storage 1■ 3■.. ... .�■ ��.■■■ Riser (D '•' �■ : ' �� on 1� Pole 1111i st ■■ 1�� ■ fill Lock Box Footage Text � � �.�I III �p a ■ - ■�. .I ■ man IText �• .;. ■ ,1 ■ �' Box Callout Arrow New Tap Phase Identifier mom 11111111111112 me IBM Power Suppy sell Hard Surface Cut 0 OTM TRAFFIC CONTROL Completed By: LEN ENRIQUEZ Address: 23424 100TH AVE W EDMONDS WA 98020 Completion Date: 4/12/2023 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: Post -Sale Project Manager: Select Source System: JB0001439460 ILegend I Provide Clear Private Exterior Construction Details AT POLE EAST OF 23424 100TH AVE W, PLACE NEW RISER AND TIE IN AT CASE AND RISER DOWN TO EXISTING VAULT. 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 Riser Pole Lock Box 150' Footage Text Text Box Callout Arrow A New Tap Phase Identifier Power Suppy • Hard Surface Cut SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM MINIMUM LANE CLOSURE TAPER LENGTH = L (feet) LAW fAMy TH Posted Speed (mph) 25 30 35 40 45 50 CC 65 70 10 105 150 205 270 450 SCO S-4 11 115 t�i5 223 n5 AA 5=C 635 663 l: 'S0 245 i�:l '�J� 721i 'h:: t•AO MINIMUM SHOULDER TAPER LENGTH = L13 (feet) Sr _ I1ve1; Potted Speed (mph) 25 !D 3S 40 45 SO 55 60 65 70 40 1 40 1 60 1 90 120 130 153 160 1 170 1 1100 /47 40 1 60 1 90 1 90 150 170 1W 200 1 220 1 240 USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THEN 6. *00 Er. z ROAD WORK AHEAD !4" wxo•I LEGEND q TEMPORARY SIGN LOCATION • TRAFFIC SAFETY DRUM 1?> SEOUENTIAI. ARROW SIGN IP= TRANSPORTABLE ATTENUATOR F2CM$ PORTABLE CIIANGEADLE MESSAGE SIC'J SIGN SPACING = X (1) F RLLVJAYS 6 EXPRESSWAYS 55 170 UP" 1500 s RURAL IIIG•f %AYS 60 165 MPH 600 r. RURAL ROADS 451S5 MPH SW= RURAL ROADS 4 URBAN ARTERIALS 3S 140 MPH 3W. RL.RAL ROADS 6 URBAN ARTLRIALS 25 13D MPII RFSIDFWIA'- 6 BUS14FSS DISTRIC-S 200s T2I URBAN STREETS 23 %IP14 OR LESS 100s R) 41)A1t SPACING MAY BF ADJUSTEO TO ACCOMMODATE INTERCHANGE RAMPS A --GRADE INTERSECTIONS AND ORNEVIAYB. (2) THIS SPACING WAY BE REDUCED IN URBAN AREAS TO FIT ROADAKY COFOITIONS. 100TH AVE W CHANNELIZATION DEVICE SPACING freer E TAPER TANGENT SO7f0 40 0 7SYS 30 60 2sno 20 43 BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPLED ;MPH] 25 30 4. 45 50 SS 60 6S •.. I F.NOTH (%GQ IS5 M M 305 360 425 "5 570 FAS . TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R "DST VEHICLE WEIGHT 9900 TO 22OD0 lew HOST VEHICLE WEIG/lT . 22.000 le.. < 45 MPH 4}S5 MPH > SS MPH < 43 MPH 45•65 MPH ,oa ur nz 7( f00 150 Vi _ - �* TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP s - PC -AS • • • T • • • • • �� 1 2 • • • • JJ 'f R1G1L q • • • p • • 11Fp11K ARLA L 1 MILE LANL Aloe" eLos. KL Ln SEE 2.0 SEC 2.0 sEC NDTF 4 fIElO LOCAT! , MIL! _ M MILE X X L • I< ADVANCE OF 1 ANT DI.D SIGNING, RECEIVED <*49' May 05 2023 CITY OF EDMONDS / !=' W0.2(L) ENGINEERING DIVISION DEVELOPMENTSERVICES NOTES APPROVED AS NOTED RIGHT LANE 1. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. CLOSED AHEAD �J a�J ,1 II /I ../j 06/01/2023 2 EXTEND DEVICE TAPER AT U3 ACROSS SHOULDER. ^/C11 WO✓jj,,44z VV 3. DEVICES SHALL NOT ENCROACH INTO THE ADJACENT LANE. W20.SR 4. USE TRANSVERSE DEVICES IN CLOSED DUNE EVERY tOOP(FT-) (RECOMMENDED). SINGLE -LANE CLOSURE FOR MULTILANE ROADWAYS ' 20' Fn SPACING FOR THE DowNSTREAM TAPER SHALL HF 6. ALL SIGNS ARE BLACK ON ORANGE. NOT TO SCA_E _ >Tw•n' iC,•TGll� y�'1,. O4Y W �nynCM1TC•1 n Wasnl^gton State De Dartment of Irarsportatlon 1 rTC 3• FED.AID PROJACJ, ••• ••• TRAFFIC CONTROL PLAN DATE BY RECEIVED CITY OF EDMONDS M BuildingPermit.com May 05 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1306573 - COMCAST - JB0001439460 Applicant First Name Last Name Company Name JESSAMIN SANTOS COMCAST Number Street Apartment or Suite Number E-mail Address 1701 JOHN F KENNEDY BLVD SUITE 100 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 100 City State Zip Phone Number Extension Woodinville WA 98072 (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 23424 100TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00554800100201 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 John & Hariyanti Brockman Number Street Apartment or Suite Number 23424 100TH AVE W City State Zip EDMONDS WA 98020-5626 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: 4/27/2023 Submitted By: JESSAMIN SANTOS Page 1 of 2