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ENG2023-0469 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds :00i • www.edmondswa.gov i Description: COMCAST - TRANSFER ATTACHMENTS TO NEW POLE ISSUED: 10/27/2023 Address: 19221 88TH AVE W EDMONDS WA 98026-6112 EXPIRES: 04/27/2024 it Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 27041800308800 W NAME TYPE NAME ADDRESS PHONE APPLICANT JESSAMIN SANTOS 1701 JOHN F KENNEDY BLVD, PHILADELPHIA PA 19108 (206)401-2188 CONTACT CABLECOM LLC 1323 AVENUE D 1537, SNOHOMISH WA 98291 (360)670-4291 CONTRACTOR CABLECOM LLC 19910 NORTHCREEK PARKWAY N, BOTHHELL WA 98011 (363)608-6700 OWNER LISA A & RYAN KEVIN D GARBERSON 19221 88TH AVE W, EDMONDS WA 98026 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 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: 10/27/2023 Printed: Friday, October 27, 2023 12:19:00 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 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 7:00am 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 COMPLETE A-1 JOB START E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL** Printed: Friday, October 27, 2023 12:19:00 PM 2 of 2 RECEIVED SEPT 15 2023 RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION CITY OF EDMONDS DEVELOPMENT p Complete and submit this Application in accordance with the Submittal SERVICES DEPARTMENT INC. lag') Requirements outlined in Right -of -Way permit Handout E63. If any field is not applicable to your project, write "N/A" instead of leaving blank. All fields required. Incomplete Applications will be denied. SECTION A General• Project Name COMCAST - JB0001596000 Site Address or if no site address use Property Address at NW corner of project area: 19221 88TH AVE W E D MON DS WA 98026 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 Address1701 John F. Kennedy Blvd. City: Philadelphia State PA Zip 191o8 Phone: (2o6)4oi-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: 1323 AVENUE D #1537 Email: MICHAEL.FINCH@CABLECOMLLC.NET City: SWOKOMISH State: WA Zip: 98291 Secondary Name Phone (360)670-4291 Title Email SNOHOMISH.PERMITTING@CABLECOMLLC. NET Mobile City of Edmonds Business License No: N R-021818 Email State License No: CABLEL*971DP 16 Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o.o2o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. ❑ Multifamily residential Pf 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) ProjectDescription 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.) POLE TRANSFER, DELASH AND RELASH FROM OLD POLE TO NEWLY PLACED POLE. 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 x LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C. 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications d cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details of Work to be Completed 1. Does the utility owner have existing 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? 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? 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 Yes No 6. 1Does your project involve rebuilding or replacing utility equipment which currently serves more v 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: How many poles are existing in the project area? What is the height of the existing poles? How many poles are to be removed? Are additional poles to be laced? How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? 1 1 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: 9/12/2023 APPLICANT PRINTED NAME: LENAIZA ENRIQUEZ APPLICANT TITLE: PERMIT COORDINATOR NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 ROUTE OVERVIEW Completed By: LEN ENRIQUEZ Address: 19221 88TH AVE W EDMONDS WA98026 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: JB0001596000 Legend Provide Clear Right of Way Construction Details RECEIVED POLE TRANSFER, DELASH AND RELASH FROM OLD POLE TO NEWLY PLACED POLE. SEPT 15 2023 New Ped New Vault 0 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM CITY OFEDMONDS DEVELOPMENT Existing IJ/G SERVICES DEPARTMENT Existing Aerial New IJ/G New Aerial 1 91 st PI S� 191 st St Sw Interior Path � > Q co Exterior Building Path co Footage Break I I � Fiber Splice Point ^^ (W� \ — 192nd St SW 192nd St sw Storage Loop Riser ® D Pole ® a �, � Z�® 00 00 Lock Box 15o' Footage Text { Text Box Callout Arrow 193rd PI SW 0 New Tap � ❑1 „ ENGINEERING DIVISION Phase Identifier 194th St sw Q APPROVED AS NOTED Power Suppy ^jell LV'G. ,µ.one 10/17/2023 Hard Surface Cut - ' PI SW 194tf� ti_ — ,8sth � Q 194th S AS B U I LT COVER Completed By: LEN ENRIQUEZ N `E s Completion Date: 4/12/2023 Address: 19221 88TH AVE W EDMONDS WA 98026 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: JB0001596000 •Provide Clear RouteOverview Construction New Ped New Vault 0 • • • • Existing U/G Existing Aerial New U/G ri ■1��:� �� ■i s_�WEI all New Aerial Interior Path .■■ -■■■ ■ INS i i■ i■� ■ ■■ ■■memo Exterior Building Path �� ■■ unuuu 1 1■. ■■Footage �� Break �■ ■ !■s■; MRiser �� ■ II��If . Fiber Splice Point Storage Loop (D IN Nil ..Pole . �WE��WOM moms ti,moms ii��i�� 1■ 11�111�= � _� � : Lock Box Footage�.■ tit �� IMMM N ■ C D �� p■�. ■� ra •� _ �� ■■ ■ Text :. Callout Arrow New Tap MR RON-III 'Fill. _ .. ■■ Phase Identifier ■■ i■ psslls _ .. ■■. ■■r■1�■ Power Suppy �� JI■ i1■ �■ �J■ 1 It■ !■!!�� t� i■ � � �� ■A■ ■=ice �� ■ �■ !��! �I ��1■= R ■ �� ■�� i��N■.■■ �!I ■■�. ■■.111.11■ Hard Surface Cut ■ 0011111111 r 1 ! ■■ ■JL■ ■\I �■■ _■ ►\■ _ TRAFFIC CONTROL Completed By: LEN ENRIQUEZ Address: 19221 88TH AVE W EDMONDS WA98026 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: JB0001596000 i Legend I Provide Clear Private Exterior Construction Details New Ped New Vault Existing LI/G Existing Aerial New U/G ---' New Aerial Interior Path Exterior Building Path Footage Break Fiber Splice Point Storage Loop rD Riser Pole Lock Box 150' Footage Text Text Box Callout Arrow 0 New Tap Phase Identifier PS' Power Suppy Hard Surface Cut TRANSFER, DELASH AND RELASH FROM OLD POLE TO NEWLY PLACED POLE. SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 1 65 70 LENGTH (11ee0 155 200 250 305 360 425 495 570 1 6A5 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9.900 TO 22.000 IDS. HOST VEHICLE WEIGHT > 22.000 IDS. < 45 MPH 4555 MPH 55 VI•-1 < 45 IAPH 4S55 MPH 55 MPH 1W 123' 17Z 74' 10D 15C' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED X I X I X ONE LANE ROAD AHEAD 49 40' W20-4 48' ROAD eE WORK PREPARED AHEAD TO STOP 401 48' W20-I VM-78 W20.70 (OPTIONAL IF 40 IAP„ OR LESS) LEGEND FLAGGING STATION I, TEMPORARY SIGN LOCATION CHANNELIZING DEVICES ® PROTECTIVE VEHICLE X 1 :C IU )JJ SIGN SPACING = X (1) RURAI HICOfWAYS 60 16S MPH 6017a RURAL ROADS 4S 155 MPH SODA RURAL ROADS A URBAN ARTERyLL1 Y51401i11 SsoL RURAL ROADS. URBAN ARTERIALS 23 130 MPH RESIDENTIAL A 6US4NESS DISTRICTS 2ODA C2) URBAN STREETS 2S MPH OR LESS 100A (2) 11)ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERSECTIONS AND DRIVEWAY& Qj THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT W ROADAY CONDIIIONS. SD TO IOY '.0TO 'L1 6 DEVICE o LXVICL 1 MNL ' R B MN. AREA I ODD _ ® n O W20-7A . 88TH AVE W W"_78 ;OPTIONAL IF 40 MPH OR LESS) 48' BE ROAD PREPARED WORK TD sroP AHEAD 48• l8' 48' 49' ■ 3vzo 7e ONE LANE 1Y20./ ROAD AHEAD 48' W2(1-7A W20-4 X r X X r x TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP RECEIVED SEPT 15 2023 CHANNEUZATION DEVICE SPACIN IFEET TADFR TAHf:FAT �"P f0 TO 20 03 10 TO 20 63 1 10 TO 20 1cS NOTES I. ILLL SIGNS ARF BLACK ON ORANGE, 2. EXTENDING THE CHANNELIZING DEVICE TAPER ACROSS SHOULDER IS RECOMMENDED. 3. NIGHT WORK REQUIRES ADDITIONAL ROADIWAY LIGHTING AT FLAGGING STATIONS. SEE THE STANDARD SPECIFICATIONS FOR ADDITIONAL DETAILS. 4, SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. plot I IR! I-ED.AIO PROJ.NO. •_•V - r.e. e DATE "W"I4 � PLOTTED BY 11/MIT V.h`1 �I/ Tc,' orslossro BY ••• "-• ENTERED MY Washington State �'• CHECKED By ..-�•• • _ ,��.r- •.. Department of Transportation PROD. SNOB, REGIONAL ACM REVISICR DATE BY TRAFFIC CONTROL PLAN .'��• ENGINEERING DIVISION APPROVED AS NOTED CITY OF EDMONDS jX 10/17/2023 DEVELOPMENT Vill SERVICES DEPARTMENT ONE -LANE, TWO-WAY TRAFFIC CONTROL WITH FLAGGERS NOT TO SCA F Two W. T.., C-4 -I ii i RECEIVED SEPT 15 2023 CITY OF EDMONDS M BuildingPerriit.com CITY OF EDMONDS Right -of -Way Application #1375004 - COMCAST - JB0001596000 DEVELOPMENT SERVICESDEPARTMENT Applicant First Name Last Name Company Name JESSAMIN SANTOS COMCAST Number Street Apartment or Suite Number E-mail Address 1701 JOHN F KENNEDY BLVD WACONSTRUCTI0N JOINTUSE@COMC City State Zip Phone Number Extension PHILADELPHIA PA 19108 (206) 401-2188 Contractor Company Name Cablecom LLC Number Street Apartment or Suite Number 1323 AVENUE D 1537 City State Zip Phone Number Extension SNOHOMISH WA 98291 (360) 670-4291 (360) 454-3163 State License Number License Expiration Date UBI # E-mail Address CABLEL*971 DP 8/21/2025 FD99RSS79 SNOHOMISH.PERM ITTING@CABLECO Project Location Number Street Floor Number Suite or Room Number 19221 88TH AVE W City Zip Code County Parcel Number EDMONDS 98026 27041800308800 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 Lisa A & Ryan Kevin D Garberson Number Street Apartment or Suite Number 19221 88TH AVE W City State Zip EDMONDS WA 98026 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: 9/13/2023 Submitted By: JESSAMIN SANTOS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1375004 - COMCAST - JB0001596000 Project Contact Company CABLECOM LLC Name: Name: LEAH Email: SNOHOMISH.PERM ITTING@CABLECOMLLC.NET IHLENFELDT Address: 1323 AVENUE D Phone (360) 670-4291 1537 #: SNOHOMISH WA 98291 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: COMCAST - JB0001596000 Description of Work: POLE TRANSFER, DELASH AND RELASH FROM OLD POLE TO NEWLY PLACED POLE. Project Details Project Information Job Number JB0001596000 Page 2 of 2