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ENG2023-0267 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT of EdmondsNUMBER City 121 Sth Ave N, Edmonds WA 980201 C 1 www.edmondswa.gov i Description: ZIPLY - INSTALL 125' OF 2" CONDUIT FROM POLE TO BUILDING ISSUED: 07/03/2023 Address: 7924 212TH ST SW 101 EDMONDS WA 98026-7572 EXPIRES: 12/30/2023 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00799900010100 NAME TYPE NAME ADDRESS PHONE APPLICANT CHRIS HARDING 6074 N DISCOVERY WAY STE125, BOISE ID 83713 (208)576-4031 CONTACT MOUNTAIN LTD 6074 N DISCOVERY WAY STE125, BOISE ID 83713 (208)576-4031 CONTRACTOR MOUNTAIN LTD 6074 N DISCOVERY WAY STE125, BOISE ID 83713 (208)576-4031 OWNER BETTY MARCUCCI 7924 212TH ST SW 101, EDMONDS WA 98026-7572 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS $252.00 $252.00 RIGHT-OF-WAY PERMIT - STANDARD $378.00 $378.00 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 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: WHJ DATE: 07/03/2023 Printed: Monday, July 03, 2023 3:29:32 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NU �!B E City of Edmonds www.edmondswa.gov • • CONDITIONS CONDITION TYPE 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:OOam to 6:OOpm on SOUND AND NOISE weekdays and 10:OOam and 6:OOpm 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 COMPLETE A-1 JOB START X-2 ENGINEERING FINAL** E-7 TRAFFIC CTRL Printed: Monday, July 03, 2023 3:29:32 PM 2 of 2 RECEIVED 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. J U N 06 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• Project Name 551o682 Site Address or if no site address use Property Address at NW corner of project area: 7924 212th St SW Associated Permits: BLD PLN ENG Owner and Entity Holding Franchi .• .• - Name of Company Ziply Fiber Franchise Ordinance No: Point of Contact Salman Ashfaq Title Network Planning Engineer Address 1800 41st St City Everett State WA Zip 98203 Phone 310-347-7885 Email salman.ashfaq@ziply.com Contractor and Authorized Agent of • • - •• •w) Name of Company Zlply Fiber Contractor ContactsDuring Construction Primary Name Karl Peterson Agent Name Karl Peterson Title Manager Title OSP Construction SR Mobile 425-577-1247 Address 135 Lake st S STE 155 Email City Kirkland State WA Zip 98033 Secondary Name Phone 425-577-1247 Title Email karl.petersoniii@ziply.com Mobile City of Edmonds Business License No: Email State License No: 604477970 ❑ 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) ❑ Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 rx 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 #10 PLACE NEW 25' RISER, HAND TRENCH 25' 1o0 MDF ROOM, PLACE NEW 2 #lo. RUN TERMINAL TAIL BACK 125'TO POLE #lo, RISER UP AND OVERLASH 43' WEST TO EXISTING SPLICE CASE MID SPAN. SPLICE FIBER STRANDS HLLKWAXX H5oo2,73-76 FROM EXISTING 24CT FIBER CABLE TO TERMINAL TAIL DAT#1808502 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: ca telecommunications ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details 1. of Work to be CompletedNo Does the utility owner have existin overhead infrastructure in the area of work? x 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? x If yes, describe: Placing 2 conduit back to pole 10 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: x Are the additions for the purpose of serving new commercial development? x Are the additions for the purpose of serving a single-family residential subdivision? x 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? x 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 1 I How many are to be added? 1 6b. Does your project involve poles? If yes: x How many poles are existing in the project area? 1 What is the height of the existing poles? How many poles are to be removed? o Are additional poles to be laced? no How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: no 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: Chris Hardtng APPLICANT PRINTED NAME: Chris Harding APPLICANT TITLE: —Engineering Assistant NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 6/2/23 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 filI"l�J _ -- JIVV�I.J�B�JIV�o o� OP OP --$D SD D — — ---------------- C/L '92 d d0 a Boc —Boc _ Boc —Boc _hoc —B(L— _ Mc —Boc_—B)N UTILITIES II , SEWER (S) STORM DRAIN (SD) WATER (W) TYPICAL BORE TYPICAL DETAIL " "A aorta eEa �6„�w°e)%..muvurr -11T11 I—E xr.s. io ly Pf� iber to i 1 z do 0+00 �e0c'"'"—Boc �Boc M" Boc =eoc Boc =Boc �BB`W—BOC d0 d0 d0 d0 d0 d0 d0� SD D D SD SD SD SD D W W W W W W W W CQ CQ co 212TH ST SW d' � 02 —s s OP EOP OP OP - 0+00 BOC 130czz!c POLE BOc BOC— BOc— Boc— Boc— BC (,�,�—BOZIROC r--- --- wW --- R/W --- wWRLA�T� FOR nr� ° II I U m� w Q 0 00 o I 0 II o ' I� :J 9 II 1�1&13d 31`d tl3dDS V 3?11f1032i xviN S311nI1n ,NV OOISIA3WNOIIV001321-S311nin 311S NO �-IV UNI 301210=1 3-181SNOdS3b 2]O-LOd JIN002i3NMO ?10=l 3-181SNOdS32I SI bOlO`db1NOO/?13NMO NOTE: THE RIGHT-OF-WAY SHOWN HAS NOT BEEN SURVEYED OR TIED. RIGHT-OF-WAY LOCATION IS ASSUMED WITH REFERENCE TO ONLINE DATA SOURCE MATERIALS. CONTRACTOR TO VERIFY ALL RIGHTS OF WAY AND/OR EASEMENTS PRIOR TO CONSTRUCTION. EXISTING UTILITY LOCATIONS ARE SHOWN APPROXIMATELY. EXACT LOCATIONS TO BE N DETERMINED BY CONTRACTOR DURING CONSTRUCTION. A 60 FOOT FIBER COIL MUST REMAIN IN ALL VAULTS UNLESS OTHERWISE NOTED. ALL BURIED INFRASTRUCTURE MUST BE ACCOMPANIED WITH A TRACER WIRE. ALL DOWN GUYS NEED TO BE BONDED TO MESSENGER. CALL TWO WORKING DAYS BEFORE YOU DIG 811 i EOP S SOP OP Boc — Boc — Boc — Boc Boc — Boc — BOc — Boc — Boc — Boc -RIW - -- RfW wW - -- wW ;o'aay} np sinoooafodpaswypae}s (}lo aadao pasneo }e 6u CeM }o;y�}anoadwl a�eabe;uoa4 Jo sIII;n wep IleyullddVIle aoeldaaaed 4310N S`d 031Ag4dd`d NOISIAIG ONR133 rIDN3 0 10' 20' 40' 80' SCALE: 1 "=40' FIELDED BY: FIELDER DESIGNED BY: MOUNTAIN LTD DATE: RECEIVED J U N 06 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT CITY: EDMONDS SEC: 30 STATE: WASHINGTON TWP: 27N COUNTY: SNOHOMISH RNG: 4E PROJECT: 5510682 WORKORDER: N/A JOB: N/A SH 3 OF 3 ESTIMATED TOTALS TOTAL EXISTING CONDUIT USED: TOTAL NEW BORE: TOTAL NEW DIRT TRENCH TOTAL NEW S/W TRENCH: TOTAL NEW ASPHALT TRENCH: SIDEWALK (PCC) R&R: ASPHALT (AC) R&R: ly PfT iber CONTACTS: CUSTOMER: TOWN SQUIRE 0' L.F. 0' L.F. ADDRESS: 7924 212TH ST SW EDMONDS WA 98026 0' L.F. 0' S.F. SCOPE OF WORK: POF: PLACE 125' OF NEW 2" CONDUIT. PULL NEW 6 PORT MDU TERMINAL TAIL 500' IN NEW 0' S.F. I CONDUIT TO MDF ROOM. RECEIVED J U N 06 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT CALL TWO WORKING DAYS BEFORE YOU DIG 811 FIELDED BY: FIELDER DESIGNED BY: MOUNTAIN LTD DATE: CITY: EDMONDS SEC: 30 STATE: WASHINGTON TWP: 27N COUNTY: SNOHOMISH RNG: 4E PROJECT: 5510682 WORKORDER: N/A JOB: N/A SH 1 OF 3 AERIAL LEGEND EXISTING EQUIPMENT LEGEND - — CENTERLINE ANC ANCHOR CABLE ARM ATTACHMENT LOCATION: ® TELEPHONE BULLET PEDESTAL M ELECTRIC PEDESTAL/CABINET — TRAFFIC LANE CA ARM CABLE ARM TF TOP FIELD SIDE ® TELEPHONE REPEATER �, ELECTRIC TRANSFORMER BIKE/FOG LANE CAN CABLE TV TS TOP STREET SIDE ® TELEPHONE PEDESTAL Q ELECTRIC METER -- anv RIGHT OF WAY DG DOWN GUY TIP TOP INSIDE POSITION 0TELEPHONE VAULT/HANDHOLE C ELECTRIC VAULT/HANDHOLE PR PROPERTY LINE DGA DOUBLE GUARD ARM TIS TOP INSIDE STREET SIDE M TELEPHONE CABINET OO ELECTRIC MANHOLE — — EASEMENT FGA FIBER GLASS ARM TMP TOP MIDDLE POSITION O TELEPHONE MANHOLE 8 ELECTRIC J-BOX s/c CURB & GUTTER F/S FIELD SIDE TOP TOP OUTSIDE POSITION ® TELEPHONE COOL PIED C STREETLIGHT oP EDGE OF PAVEMENT GA GUARD ARM TOS TOP OUTSIDE STREET SIDE iXl TELEPHONE SAI OO SEWER MANHOLE SIDEWALK HOA HEIGHT OF ATTACHMENT BF BOTTOM FIELD SIDE M TELEPHONE USAM o WATER METER RAILROAD M/R MAKE READY BS BOTTOM STREET SIDE Q TELEPHONE OWNED POLE ® WATER VALVE ti o 0 0 0 0 o FENCE OHG OVERHEAD GUY BIP BOTTOM INSIDE POSITION 0 JOINT USE POLE FIRE HYDRANT � TELCO R/S ROAD SIDE BIS BOTTOM INSIDE STREET SIDE ® CAN PIED© WATER MANHOLE E ELECTRIC SLAN LIGHT OR POWER COMPANY INVENTORY NUMBER BMP BOTTOM MIDDLE POSITION CD CAN VAULT/HANDHOLE ® STORM DRAIN CATCH BASIN CAN SWA SIDEWALK ANCHOR AND GUY BOP BOTTOM OUTSIDE POSITION EXISTING DOWNGUY & ANCHORS ® STORM DRAIN INLET T TELEPHONE BOS BOTTOM OUTSIDE STREET SIDE ® STORM DRAIN MANHOLE TERM TERMINAL >~ TRANS TRANSFORMER CONSTRUCTION NOTES 1. CALL UTILITY LOCATE AT 811 72 HOURS PRIOR TO TRENCHING OR DIGGING. 2. THE EXISTENCE AND LOCATION OF ANY UNDERGROUND UTILITY PIPES OR STRUCTURES SHOWN ON THESE PLANS WERE OBTAINED BY FIELD INSPECTION AND A SEARCH OF THE AVAILABLE CITY OR COUNTY RECORDS. SINCE THE ACTUAL LOCATION AND NATURE OF THE UNDERGROUND FACILITIES MAY BE SOMEWHAT DIFFERENT FROM THAT SHOWN, THE CONTRACTOR IS REQUIRED TO VERIFY PRIOR TO EXCAVATION. 3. FOR UNDERGROUND ACTIVITY: TEST AND VENTILATE MANHOLE/UTILITY VAULT PRIOR TO ENTRY, PLACE WARNING DEVICES AND WORK AREA PROTECTION AS REQUIRED, AND USE EYE AND HEAD SAFETY PROTECTION PER FEDERAL, STATE, AND LOCAL REGULATIONS. 4. ALL EXCAVATION, TRENCHING, AND SHORING IS TO ADHERE TO THE CODE OF FEDERAL REGULATIONS (CFR) 1926.650 SUBPART P. o. PROVIDE ALL PITS WITH 1'x1' SLOPE AT ONE END OF EXCAVATION FOR TECHNICIAN INGRESS/EGRESS. b.EXCAVATED SPOILS ARE TO BE NO LESS THAN 24" FROM EDGE OF PIT OR TRENCH. c. BARRICADE ALL OPEN PITS AND TRENCHING FOR PUBLIC SAFETY. ALL BARRICADES MUST BE EQUIPPED WITH FLASHING LIGHTS FOR NIGHT VISIBILITY. d. FOR PITS GREATER THAN 4' IN DEPTH, USE APPROPRIATE SHORING FOR WALL STABILITY. 5. TRENCH COVER IS TO BE 36" MINIMUM AND FREE OF ROCKS, DEBRIS, AND CLODS. THE TRENCH IS TO BE A MINIMUM OF 36" COVER IN DEVELOPED AREAS AND A MINIMUM OF 48" OF COVER IN UNDEVELOPED AREAS (ANY VARIANCE FROM THESE STANDARDS WILL BE SPECIFIED ON THE PLANS). 6. ALL ASPHALT/CONCRETE AND LANDSCAPING REMOVED, DISTURBED, OR DAMAGED AS A RESULT OF CONSTRUCTION SHALL BE RESTORED TO ORIGINAL CONDITION OR BETTER. 7. NORMAL/GUIDED-BORING METHOD RECOMMENDED WHEN BORING. 8. ADHERE TO AIRTIGHT GUIDELINES UNLESS OTHERWISE NOTED. 9. BOND BURIED/AERIAL FACILITIES AS REQUIRED BY JURISDICTIONAL AGENCY(S). 10. AERIAL FACILITIES ARE TO BE TESTED PRIOR TO BEGINNING WORK PER STATE AND LOCAL REGULATIONS. 11. ALL WORK AREA PROTECTIONS FOR TRAFFIC CONTROL IS TO BE WITH APPROVED WARNING DEVICES AND PLACED PER STATE DEPARTMENT OF TRANSPORTATION AND/OR PUBLIC WORKS ENGINEERING DEPARTMENT STANDARDS AND SPECIFICATIONS. IF REQUIRED, A TRAFFIC CONTROL PLAN SHALL BE SUBMITTED TO THE REQUESTING PERMITTING AGENCY. PRIOR TO BEGINNING WORK, PERMITTING AGENCIES MUST BE NOTIFIED 48 HOURS IN ADVANCE OF CONSTRUCTION ACTIVITIES. 12. EXISTING PEDESTRIAN CROSSWALKS AND WALKING AREAS SHALL BE MAINTAINED AT ALL TIMES. AS NECESSARY, TEMPORARY PEDESTRIAN CROSSWALKS AND WALKING AREAS SHALL BE PROVIDED AND MAINTAINED PER STATE DEPARTMENT OF TRANSPORTATION AND/OR PUBLIC WORKS ENGINEERING DEPARTMENT STANDARDS AND SPECIFICATIONS. 13. THE FOLLOWING FOOTAGES ARE ESTIMATES. FOOTAGES TO BE VERIFIED PRIOR TO CONSTRUCTION. TM RECEIVED JUN 06 2023 ITY OF Pf i be r CDEVELOPMEONT S SERVICES DEPARTMENT PROPOSED EQUIPMENT LEGEND IRRIGATION METER m IRRIGATION VALVE GAS METER GAS VALVE TRAFFIC SIGNAL VAULT/HANDHOLE TRAFFIC SIGNAL POLE C/L MONUMENT 0 QD TREES 0 SHRUB « TRAFFIC ARROW " TURN ARROWS e SIDEWALK ANCHOR & DOWN GUY - — — — — — — — — — — - PARKWAY TRENCH 11 2'x2' RECEIVING PIT D— ANCHOR & DOWN GUY 4'x4' BORE PIT BORE BORE BORE DOWN GUY XI SAI XXX' ASPHALT TRENCH FOOTAGE Kxxxxxxxxxxxxxxxxxxxxxxx ASPHALT TRENCH ® COOL PEDESTAL XXX' DIRT OR S/W TRENCH FOOTAGE UNDERGROUND BUILD M ELECTRIC PEDESTAL AERIAL BUILD XXX' BORE FOOTAGE UNDERGROUND BUILD -SLACK ® TELCO HANDHOLE XXX' AERIAL FOOTAGE AERIAL BUILD -SLACK SPAN ® TELCO FLOWERPOT OX POLE ITEM NO. ® TELCO PEDESTAL AERIAL STRAND M TELCO CABINET O TELCO MANHOLE CALL TWO WORKING DAYS BEFORE YOU DIG 811 FIELDED BY: FIELDER DESIGNED BY: MOUNTAIN LTD DATE: CITY: EDMONDS SEC: 30 STATE: WASHINGTON TWP: 27N COUNTY: SNOHOMISH RNG: 4E PROJECT: 5510682 WORKORDER: N/A JOB: N/A SH 2 OF 3 5510682 - TOWN SQUIRE 7924 212TH ST SW , EDMONDS 98026 HLLKWAXX - BF - MDU 42 - 1 BLDG - ISP READYLINKS BUILD 120V POWER AVAILABLE - PENETRATION RATE 7%. r k;: emoved upgrade card and corrected terminal to 6 port. pdated terminal naming convention. 8.23 (GjS) - Update WP per CPP and Cx markup I CERTIFY THAT THE WORK I COMPLETD ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) TOTAL ALLOTTED HOURS CONTACT SUPERVISOR IF ADDITIONAL HOURS ARE REQUIRED TO COMPLETE PROJECT CAP. X-TIME MAINT CREW 0 0 0 SPLICING 0 0 0 W.O. DRIVER CONSTRUCTION START ❑ ETHERNET ❑ CIAC IN SERVICE DATE ❑ DAMAGE ® OTHER CONSTRUCTION ® FLAGGING ❑ BRUSHING ❑ CONTRACTOR PERMITS MUNICIPALITY: ❑ BLANKET ® TCP/TRAFFIC ❑ DETAILED (NOT BLANKET) ❑ NO PERMIT REQUIRED JOINT POLE JFN/NJUNS# ® NO JPN REQUIRED POLE JPN JPN OWNER TO FROM ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ACCOUNT CODES ❑ 2411.001 POLES ® 2422.201 UG FIBER ❑ 2421.101 OH COPPER ❑ 2441.001 CONDUIT ❑ 2421.201 OH FIBER ❑ 34XX.XXX REMOVAL ❑ 2422.101 UG COPPER ❑ 64XX.XXX MAINT. POINT OF CONTACT WPI COMMUNITIES 206-701-1479 SCHEDULING: JOHN WOOD PHONE: 425-261-1412 ENGINEER: DAVID REED PHONE: 352-345-2348 FACILITIES: JEANETTE CHISHOLM PHONE: 425-263-4011 FIELDED BY: OSP CONSTRUCTION Know what's below. ACAUTION Call before you dig. cables ad cables RECEIVED ziply-fiber J U N 06 2023 HLLKWAXX - MDU 42, TOWN SQUIRE 7924 212TH ST SW, EDMONDS, WA 98026 PROJECT 5510682 C.O,AREA: 962 NUMBER: EXCH. CODE: 51419 CITY OF EDMONDS DRAWN DATE: ENGR: DAVID REED CNTY, SNOHOMISH DEVELOPMENT 12/15/2021 PHONE, 352-345-2348 FILE: 5510682.DWG SERVICES DEPARTMENT I SCALE: 1:100 TAX DISTRICT lDWG 1 OF 5 TWNSHP: T27N RNG: R4E SEC: S30 FIBER SPLICING DIAGRAM HUB H5002 1574 11.2007 432 FDH 465 11.2007 RBN 48 RBN 216 HLLKWAXX FC1031, 709-726+JZ HLLKWAXX H5002, 1-84+ XD, 19-24 1- 432 XD, 85-120 212TH ST SW ONSTRUCTION NOTES: PLACE (2) RED JUMPER PATCH CABLE AT EXISTING HUB H5002 PLACE (1) 12-PORT 500' MDU TERMINAL AT BLDG #7924 PLACE (1) 12 PORT READYLINKS EQUIPMENT AT BLDG #7924 ALL 2" CONDUIT WITH 50%CLEARANCE SPLICE 1 @ POLE #9 (2F) SPLICE 2 @ POLE #10 (4F) MAJOR MATERIAL (1) 6-PORT 500' - MDU TERMINAL - MDU121F3126C MINOR MATERIALS (1) 12 PORT SWITCH -1U INDUSTRIAL 19" CHASSIS (EIA-310) - GL-12xT-240D-RV (1) Bi-Di SFP CARDS (1) 12 PORT MDU TERMINAL 50OFT HLLKWAXX H5002 73-76 CONSTRUCTION NOTES (WP-3):- PLACE (2) RED PATCH CORD DAT #1814502 AND CONNECT F1, FC1031, 721-722 TO F2, EXISTING FIBER CABLE DAT #147578 H5002, 73-76 TO TURN THESE TWO STRANDS INTO A FEEDER CABLE. AT POLE#9 HH TELCO HANDHOLE PLACE NEW (1) RED FIBER JUMPER CABLE DAT #1814502 RECEIVED FDH H5002 (PATCH THROUGH) SPLICE F1: FC1031, 721-722 O RISER J U N 06 2023 F2: H5002, 73-76 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SPLICING TASK 1O 2422.201 - 2 - RUN JUMPER O2 2422.201 - 1 - FIBER SETUP 2422.201 - 4 - SPLICE FIBER CABLES O 2422.201 - 1 - PLACE FIXED COUNT TERMINAL PLACING CODE O1 2421.201 - 43' - OVERLASH CABLE O2 2422.201 - 1 - PLACE RISER 2422.201 - 25'- HAND DIG TRENCH 2422.201 - 25'- PLACE FIBER CABLE IN CONDUIT O3 2422.201 - 100' - BORE (UP TO 2") 2422.201 - 100' - PLACE CABLE IN NEW CONDUIT ® 2422.201 - 1 -CORE DRILL -CONCRETE WALL CONSTRUCTION NOTES: (WP-5):- AT BLDG 7924 PLACE NEW TO INTERIOR WALL (1) 6 PORT 500' MDU TERMINAL (1) 12-PORT READYLINKS SWITCH (1) UPGRADE CARD (1) BiDi SFP CARD AT POLE #10 PLACE NEW 25' RISER, HAND TRENCH 25' SOFTSCAPE AND BORE 100' ACCROSS PARKING LOT TO MDF ROOM, PLACE NEW 2" CONDUIT BACK TO POLE #10. RUN TERMINAL TAIL BACK 125' TO POLE #10, RISER UP AND OVERLASH 43' WEST TO EXISTING SPLICE CASE MID SPAN. SPLICE FIBER STRANDS HLLKWAXX H5002,73-76 FROM EXISTING 24CT FIBER CABLE TO TERMINAL TAIL DAT#1808502 I CERTIFY THAT THE WORK I COMPLETD ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) TOTAL ALLOTTED HOURS CONTACT SUPERVISOR IF ADDITIONAL HOURS ARE REQUIRED TO COMPLETE PROJECT CAP. X-TIME MAINT CREW 0 0 0 SPLICING 0 0 0 W.O. DRIVER CONSTRUCTION START ❑ ETHERNET ❑ CIAC IN SERVICE DATE ❑ DAMAGE ® OTHER CONSTRUCTION ® FLAGGING ❑ BRUSHING ❑ CONTRACTOR PERMITS MUNICIPALITY: ❑ BLANKET ® TCP/TRAFFIC ❑ DETAILED (NOT BLANKET) ❑ NO PERMIT REQUIRED JOINT POLE JFN/NJUNS# ® NO JPN REQUIRED POLE JPN JPN OWNER TO FROM ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ACCOUNT CODES ❑ 2411.001 POLES ® 2422.201 UG FIBER ❑ 2421.101 OH COPPER ❑ 2441.001 CONDUIT ❑ 2421.201 OH FIBER ❑ 34XX.XXX REMOVAL ❑ 2422.101 UG COPPER ❑ 64XX.XXX MAINT. POINT OF CONTACT WPI COMMUNITIES 206-701-1479 SCHEDULING: JOHN WOOD PHONE: 425-261-1412 ENGINEER: DAVID REED PHONE: 352-345-2348 FACILITIES: JEANETTE CHISHOLM PHONE: 425-263-4011 FIELDED BY: OSP CONSTRUCTION ACAUTION Knowwhat'sbelow Call before you dig. o�erneaa cables • zI m I e r HLLKWAXX - MDU 42, TOWN SQUIRE 7924 212TH ST SW, EDMONDS, WA 98026 PROJECT 5510682 C.O,AREA: 962 I NUMBER: EXCH. CODE: 51419 DRAWN DATE: ENGR: DAVID REED CNTY, SNOHOMISH 12/15/2021 PHONE 352-345-2348 FILE: 5510682.DWG SCALE: 1:100 TAX DISTRICT I DWG 2 OF 5 TWNSHP: T27N RNG: R4E SEC: S30 0 J W 1 0 TO FIELD OA EXISTING FIBER CABLE FD EXISTING FDH DAT #146167 I P I D #79214 1574 11.2007 HLLKWAXX H5002 RBN 48 FDH 48/432 HLLKWAXX FC1031,709-726+ IN:HLLKWAXX FC1031,709-712+ XD,19-24+ XD,128-437+ HLLKWAXX FC1031,733-744+ HLLKWAXX FC1031,713-722 XD,37-48 OUT:HLLKWAXX H5002,1-432 O EXISTING FIBER CABLE ©NEW RED JUMPER FIBER DAT #147578 DAT #1814502 465 11.2007 2 - RED JUMPER CORD RBN 216 HLLKWAXX H5002,1-84+ HLLKWAXX FC1031, 721-722 XD,85-120+ HLLKWAXX H5002,121-124+ XD,125-216 50011.2007 FTTP MULTIPORT 12 HLLKWAXX H5002,160-171 0 11.2007 FDT A STRN 4 PORT 4 HLLKWAXX H5002,172-174+ XD,4 514 04.2009 RIB CT DIELECTRIC 12 XD,1-6+ HLLKWAXX H5002,403-408 582 11.2007 RBN 216 HLLKWAXX H5002,193-372+ XD,181-216 1000 11.2007 FTTP MULTIPORT 8 HLLKWAXX H5002,373-380 Know what's below. ACAUTION OverhCall before you dig. cables as cables 0 m ziplyfiber 4 1� RECEIVED HLLKWAXX - MDU 42, TOWN SQUIRE J U N 06 2023 7924 212TH ST SW, EDMONDS, WA 98026 PROJECT 5510682 C,0 AREA: 962 NUMBER: EXCH.CODE 51419 CITY OF EDMONDS DRAWN DATE, ENGR: DAVID REED CNTY, SNOHOMISH 12/15/2021 PHONE 352-345-2348 FILE 5510682.DWG DEVELOPMENT SCALE: 1:50 TAX DISTRICT DWG 3 OF 5 SERVICES DEPARTMENT TWNSHP T27N RING: R4E SEC: S30 0 EXISTING FIBER CABLE DAT #146167 1574 11.2007 RBN 48 HLLKWAXX FC1031,709-726+ XD,19-24+ HLLKWAXX FC1031,733-744+ XD,37-48 OB EXISTING FIBER CABLE DAT #147578 465 11.2007 RBN 216 HLLKWAXX H5002,1-84+ XD,85-120+ HLLKWAXX H5002,121-124+ XD,125-216 20011.2007 FTTP MULTIPORT 12 HLLKWAXX H5002,112-120+ XD,10-12 500 11.2007 FTTP MULTIPORT 12 HLLKWAXX H5002,160-171 011.2007 FDT A STRN 4 PORT 4 HLLKWAXX H5002,172-174+ XD,4 Know what'sbelow. ACAUTION Call before you dig. cables as cables ;EKED ziply-fiber 062023 )F EDMONDS =LOPMENT SERVICES DEPARTMENT HLLKWAXX - MDU 42, TOWN SQUIRE 7924 212TH ST SW, EDMONDS, WA 98026 PROJECT 5510682 C,0 AREA: 962 NUMBER: EXCH.CODE 51419 DRAWN DATE, ENGR: DAVID REED CNTY, SNOHOMISH 12/15/2021 PHONE 352-345-2348 FILE 5510682.DWG SCALE: 1:50 TAX DISTRICT DWG 4 OF 5 TWNSHP T27N RNG: R4E SEC: S30 w Q 0 I Ii-9 of I J I W U- O 213TH ST SW I- - - 1 P-P=43' e 1 r POLE #10 2 SPL 2 F - - - -I (1)2"-25'_ 2 - - (1)2"-100',; F_1 RECEIVED J U N 06 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT O EXISTING FIBER CABLE DAT #146167 1574 11.2007 RBN 48 HLLKWAXX FC1O31,7O9-726+ XD,19-24+ HLLKWAXX FC1O31,733-744+ XD,37-48 O EXISTING FIBER CABLE DAT #147578 465 11.2007 RBN 216 HLLKWAXX H5OO2,1-84+ XD,85-120+ HLLKWAXX H5OO2,121-124+ XD,125-216 212TH ST SW 1574 11.2007 RBN 48 HLLKWAXX FC1O31,7O9-726+ XD,19-24+ HLLKWAXX FC1O31,733-744+ XD,37-48 256 01.2012 RBN 24 HLLKWAXX FC1O31,727-732+ XD,7-24 379 11.2007 RBN 216 HLLKWAXX H5OO2,1-84+ XD,85-216 0 J w U- O I- O NEW 6 PORT MDU TERMINAL 500' DAT# 901602 193' 12-FIBER 12 C9GHN GN-901602 HLLKWAXX H5002, 73-76+ XD, 5-6 SERVING ADDRESS: 42 UNITS 7924 214TH ST SW, WA 98026 BLDG 7924 (42 UNITS), 101-114, 201-214, 301-314. 46511.2007 RBN 216 HLLKWAXX H5OO2,1-84+ XD,85-120+ HLLKWAXX H5OO2,121-124+ XD,125-216 362 07.2009 RBN 0 HLLKWAXX H6O11,94-99+ XD,7-24 379 11.2007 RBN 216 HLLKWAXX H5OO2,1-84+ XD,85-216 570 01.2012 RBN 0 HLLKWAXX FC1O31,727-732+ XD,7-24 1096 10.2007 RBN 144 HLLKWAXX H6O11,37-113+ HLLKWAXX FC1O32,175-176+ HLLKWAXX H6O11,116-168+ XD,133-144 Know what'sbelow. ACAUTION Call before you dig. cables ad cables ziply-fiberl HLLKWAXX - MDU 42, TOWN SQUIRE 7924 212TH ST SW, EDMONDS, WA 98026 PROJECT 5510682 C,0 AREA: 962 NUMBER: EXCH.CODE 51419 DRAWN DATE, ENGR: DAVID REED CNTY, SNOHOMISH 12/15/2021 PHONE 352-345-2348 FILE 5510682.DWG SCALE: 1:50 TAX DISTRICT DWG 5 OF 5 TWNSHP T27N RNG: R4E SEC: S30 Trench/Overlash 212TH ST SW EDMONDS,WA 98026 Page SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM "� RECEIVED J U N 06 2023 NNOM avoa � rw�•. fe a�: rim 90 ft - .200 ft Ott Stl TRAFFIC CONTROL INSPECTION SHALL BE -`` ± } _'' -•_, --��, REQUIRED WHENEVER WORK ZONE IS SET UP " i CITY OF EDMONDS DEVELOPMENT y j SERVICES DEPARTMENT mot. 2p0 �• a; LLJWW � o 20s ' w? a aCia • � �` rt,�-,� 'i. 200ft 200ft T w�'AW ii a CJW rtn*(s' IiC�UCJ.S�A uubzu � - T .,, 14 WORK �.� w ( �• • AHEAD 1 I 1 1 r /- .. , . ✓ Am,.... ; t r ENGINEERING DIVISION APPROVED AS NOTED Plan Scale �� ` 06/28/2023 ...VV 1: 1800 (1" = 150') 11 I I I Date: 5/18/2023 Author: Josh Meguiar Project: 5510682 Traffic Control Company: Traffic Control Consultants Phone: 541-548-3165 Address: PO Box 1827 Redmond, OR 97756 Contractor Name: Trench/Overlash 212TH ST SW EDMONDS, WA 98026 Contractor Phone:: N/A Permit #: TBD TCC Job #: 2023-0307 Est. Start Date: Will begin upon approval of TCP or per Contractor's directive. ConV'r'�"1twts '' Comments: Consultants - ALL TRAFFIC CONTROL MUST MEET MUTCD and WSDOT SPECIFICATIONS -TO DETERMINE SIGN SPACING USE " SIGN SPACING AND BUFFER TABLE" PROPRIETARY: THIS PLAN IS PROPERTY OF TRAFFIC CONTROL CONSULTANTS Reed Tree Speed Distance Between Advance Warring Signs* Axx gxx Cxx Dxx Rraawaysa �D LSOOft.a/-or asoo ft.a/-or tsoo ft.a/-Or tsoon.a/-or Fxpresways per Ne per the 1e he MUrCD. per the 55 .M,D. MMM MMCD. Rural Highways 65 aw ft.*/- 8w ft,a/- 800 Ra/- MfL-/- N Rural Roads 55 5w ft.-/- SOD fta/- 500 fta1- 500 ft+, 45 Rural Road-od ad 350 ft.a/- 350 Ra/- 350 Ra/. N/A Urban Arterials 35 Rural Roads. Urban w 200 ft— 2w tL*** 2w ft— N/A 5tree[s, Residential Business Di#rlc4 25 Urban Stree[s 25 less 100 R*** t00ft*** tW ft:*** N/A Trench/Overlash 212TH ST SW EDMONDS,WA 98026 RECEIVED Page J U N 06 2023 A www.invarion.co Manifest f 41 x Cone 28 in *� 1 rE ELOPME 6 x Road Work Ahead ` Y t qr ERVICDEPF M i 1 x Left Turn Lane Closed Ahead � r,� vc ., - 1 x Right Lane Closed Ahead 4 1 x Shift Left viT �•' 1 x Shift Right y • fit. "��•�..!' R c •■■■Me* ■o 9**solo■ Its avaNv r ;- ' ` �� �.. .. T ' •• ■ • • • ■ y� MHOM avow 1 '���5, •i•'� �, r�', F� '_+1 •^'i,.. '' 2�OOft --200ft - T� W ` �. 9• 3 1 m a m n Der- e �• O � m°ni jjj�• • fVA♦ . 4! p s o t � j �, -- r•'a _ ROAD .tom r "-g ��rrRRR, �A t WORK i. AHEAD , a Rw N Plan Scale•• 1 : 1800 1 " = 150' k Date: 5/18/2023 Author: Josh Meguiar Project: 5510682 Traffic Control Company: Traffic Control Consultants Phone: 541-548-3165 Address: PO Box 1827 Redmond, OR 97756 Contractor Name: Trench/Overlash 212TH ST SW EDMONDS, WA 98026 Contractor Phone:: N/A Permit #: TBD TCC Job #: 2023-0307 Est. Start Date: Will begin upon approval of TCP or per Contractor's directive. V 1-- Contts Comments: Consultants - ALL TRAFFIC CONTROL MUST MEET MUTCD and WSDOT SPECIFICATIONS -TO DETERMINE SIGN SPACING USE " SIGN SPACING AND BUFFER TABLE" PROPRIETARY: THIS PLAN IS PROPERTY OF TRAFFIC CONTROL CONSULTANTS R"ed Tree Speed Distances Be .. Advance Waming5lgns" A- 6- Cz: D. Rraawaysa 2D LSBOft.a/-or tsoo ft.a/-or t,w R.+/-or t,500fta/-or Expressways 55 per the MMM per the MUTCD. Pe he MUrCD. per the MMCD. Rural Highways 65 800ftn/- 8w fl.+/- 8 ft+/- MfL-/- N RUrdl Roads 55 45 —ftn/- 5.ft+/- —R+1- —ft.+l- Rural Roadsand 4U 350ft+1- —1— -- —ft Urban Arterials 35 Rural Roads. Urban W 21ft,' ",q 200ft"` N/A 5tree[s, Residential Business Di#rlcls 25 Urban 51ree[s 25 100ft.*** iWft.*** iW ft.*** NIA RECEIVED CITY OF EDMONDS Right -of -Way Application #1327842 - 5510682 JUN 06 2023 MyBui ldi ngPermi t. com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Chris Harding Mountain LTD Number Street Apartment or Suite Number E-mail Address 6074 N DISCOVERY WAY STE125 permitting@mountainitd.com City State Zip Phone Number Extension boise ID 83713 (208) 576-4031 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 7924 212TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00799900010100 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 Betty Marcucci Number Street Apartment or Suite Number 7924 212TH ST SW 101 City State Zip EDMONDS WA 98026-7572 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: 6/5/2023 Submitted By: Chris Harding Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1327842 - 5510682 Project Contact Company Name: Mountain LTD Name: Chris Harding Email: permitting@mountainitd.com Address: 6074 N DISCOVERY WAY Phone #: (208) 576-4031 STE125 boise ID 83713 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: 5510682 AT POLE #10 PLACE NEW 25' RISER, HAND TRENCH 25' SOFTSCAPE AND BORE 100, Description of ACCROSS PARKING LOT TO MDF ROOM, PLACE NEW 2" CONDUIT BACK TO POLE #10. Work: RUN TERMINAL TAIL BACK 125' TO POLE #10, RISER UP AND OVERLASH 43, WEST TO EXISTING SPLICE CASE MID SPAN. SPLICE FIBER STRANDS HLLKWAXX H5002,73-76 FROM EXISTING 24CT FIBER CABLE TO TERMINAL TAIL DAT#1808502 Project Details Project Information Job Number 5510682 Page 2 of 2