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ENG2023-0368 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NU BE City of Edmonds www.edmondswa.gov i Description: ZIPLY - INSTALL PED, RISER AND DOWN GUY. REMOVE BO POLE ISSUED: 10/27/2023 Address: 7203 MEADOWDALE BEACH RD EDMONDS WA 98026-5110 EXPIRES: 04/27/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00513100011805 NAME TYPE NAME ADDRESS PHONE APPLICANT ARIANNE MOMMSEN 1800 41ST ST STE N-100, EVERETT WA 98230 (402)670-8384 CONTACT ZIPLY FIBER NORTHWEST, LLC 1800 41ST ST STE N-100, EVERETT WA 98230 (425)261-6229 CONTRACTOR ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230 OWNER KEVIN P SMITH 7203 MEADOWDALE BEACH RD, 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 - 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: MAJ DATE: 10/27/2023 Printed: Friday, October 27, 2023 1:30:12 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NU �!B E City of Edmonds ...121 Sth Ave N, Edmonds WA 9:01 1 .: 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 1:30:12 PM 2 of 2 RESUB Oct 13 2023 Lti�y of EDdf04O� 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. CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT If any field is not applicable to your project, write "N/A" instead of leaving blank. All fields required. Incomplete Applications will be denied. General Info Project Name 5511605-257 Site Address or if no site address use Property Address at NW corner of project area: 7203 MEADODALE BEACH RD, EDMON DS, WA Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company Ziply Fiber Northwest, LLC Franchise Ordinance No: WN U-17 PointofContact Mike Hakahan Title Engineer Address426 E Casino Rd city Everett State WA zip 98208 Phone 425-949-0230 Email mike.hakahan@ziply.com AuthorizedContractor and Agent •below) NameofCompany Ziply Fiber Northwest, LLC Primary Name Mike Hakahan Agent Name Mike Hakahan Title Engineer Title Engineer Mobile 425-949-0230 Address426 E Casino Rd. Email mike.hakahan@ziply.com city Everett I State WA zip 98208 Secondary Name Phone 425-949-0230 Title Email mike.hakahan@ziply.com Mobile City of Edmonds Business License No: 313-013-420 Email State License No: ZIPLYFN782L3 0 Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o.02o requires that the Application be signed by a licensed and bonded contractor unless otherwise approved by the city engineer. ❑ Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision ❑ Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: ❑ Utility Franchise Work associated with development (check one of the above boxes as well) A Traffic Control Only (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 ❑ Utility Franchise Work (no associated development) Project Description Include an overall narrative description of the proposed work. Be specific and detailed: Describe infrastructure to be impacted, such as, poles, wires, conduit, utility mains, etc. Include whether this is construction, maintenance, or repair. Include description of proposed construction methods, (e.g., bores, trenches, overhead wires proposed, depth for underground utilities, etc.) Telecommunications and broadband provider Ziply Fiber to Trensfer attachments from old pole to new pole, then remove old pole. Replace damaged 10" pedestal with new 12" x 12" X 36" pedestal RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF JxJ LF SF Alley 72 hours + LF JxJ F SF Parking 72 hours + LF JxJ LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTION C. 1. The work in the right of way is on or for the following type of facilities: * telecommunications ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm 1. CompletedDetails of Work to be 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: Replace existing pedestal, Transfer Attachments to new pole 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 ®i 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 If yes, answer the following questions related to project area, i.e. the actual area in which the project is proposed: 6a. Does your project involve wires/cables/lines? If yes: How many are existing? I I How many are to be added? 6b. Does your project involve poles? If yes: How many poles are existing in the project area? What is the height of the existing poles? How many poles are to be removed? Are additional poles to be laced? How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: How many? 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: wlk r-eM ,41 DATE: 10/13/2023 APPLICANT PRINTED NAME: Michael Comer APPLICANT TITLE: Traffic Controll Specialist NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 LEGEND: ® EXISTING UTILITY POLE ® PROPOSED NEW POLE RE-0 EXISTING PEDESTAL RE-0 PROPOSED NEW PEDESTAL WORK DETAILS: Transfer attachments from old pole to new pole. Then remove old pole. Replace damaged 10' pedestal 4839 with with new 12' x 12' x 36' pedestal. N ENGINEERING DIVISION "OTED p(�� 0/26/2022 RESUB Oct 13 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT ziPylfiber Everett, WA 98206 LO Q 5 N C/) J 1.-:❑ co z = z O 1- F LO 0-) d LO ❑ Y W O = z LO N aw0 I� m w ^ Q IL 0 O Lu r1/ w LL o O N w m w z Q Z O W Q O O U z Lu 0_ W D_ O J J ILL DATE: 7.12.2023 DESIGNED BY: M. COMER SCALE: SHEET: NOT TO O' SCALE NO: 1 OF 1 ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN, MAKES NO REPRESENTATION AS TO ITS' GENERAL ADEQUACY OR BEING APPROVED FOR IMPLEMENTATION APPROVAL MUST RESULT FROM THE TRAFFIC ENGINEER OR OTHER PUBLIC OFFICIAL HAVING STATUTORY ENFORCEMENT AUTHORITY IN THE JURISDICTION. UTILIZATION AND IMPLEMENTATION OF THIS PLAN SHALL BE A RESULT OF THE APPROVAL. REF. MUTCD 2009 6A - 01 (10) 4w �faRol ments 1715t St SW L ;omfort and rm Quilting... 173rd St SW Harmony Adult Care `°p, SW 164th St SW 01 164th PI SW co L Meadowdale 5 a Community Clubhouse m 165th P1 Sw to �a�fc r, a 166th PI SW 1 Meadowdale Playfieldsf g Blaze Warr Mugs �y �fh St SW : _— �Ypr��A� WORK AREA Q. 'p # Integrated Soul 3 A =u t� my a' x� Superior Fibers 175th 5t SW 172nd Street SW 9 Amazing Grace Afh li Temporarily closed Austria Club of Washington, USA St Sw ry a `Oa 14?ij� ly c 164th St SW Northwest C re R f Dadz Electric'l I � lil Pdleadowdalec) Elei -ie,itar r School Meadowdale Middle School �je 3' 3 ro l ru 172nd Street SW t� o vo�a%I The Madrona Group Real Estate 17 174th 5t 5W 't m b Saint Thomas o More Parisl VICINITY MAP RESUB SEP 27 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT O ATCO COMMUNICATIONS SERVICES. LLC www.atcotelecom.com 360.563.9000 708 First Street Snohomish, WA 98290 ziPIy fiber Everett, WA 98206 r` LO N Q >> s o� LO U)CD J d o Lo 2 o � r- Ln w N M Q `n w m III W w Q 0 = 0 0 Cn 0 LU w M O I I ICJ i O U m U w Z Q Z 6i U U O 2 Q z 0� 0� O w d IL J LL DATE: 7.12.2023 REVIEWED BY: K. BUXTON WSTCS# 013250 DESIGNED BY: M. COMER ATCO CONTACT: 830.329.1982 michael.comer@atcotelecom.com SCALE: SHEET: NOT TO U SCALE NO: 1 OF 2 LEGEND: OS SIGNALIZED INTERSECTION OCONE (CANDLESTICK) TYPE III BARRICADE WORKTRUCK WORK ZONE LIMITS OWE WARNING SIGN ARROW BOARD REQUIRED) (WHERE DIRECTION OF TRAFFIC (NOT PAVEMENT MARKINGS) FLAGGER-SPOTTER FLAGGER STATION ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN, MAKES NO REPRESENTATION AS TO ITS' GENERAL ADEQUACY OR BEING APPROVED FOR IMPLEMENTATION. APPROVAL MUST RESULT FROM THE TRAFFIC ENGINEER OR OTHER PUBLIC OFFICIAL HAVING STATUTORY ENFORCEMENT AUTHORITY IN THE JURISDICTION. UTILIZATION AND IMPLEMENTATION OF THIS PLAN SHALL BE A RESULT OF THE APPROVAL. REF. MUTCD 2009 6A - 01 (10) SIGN LEGEND: ROAD ONE LANE WORK ROAD AHEAD AHEAD MEAD 0 WDALE BEACH RD )RIVE AY (25 MPH) c� E �W20-1 \W20-4 � .. I W20-7A W20-4 <i> W20-7A W3-4 50' — 100' NE —LANE, TWO WAY TRAFFIC TAPER ARE PHASE 1 WORK DETAILS: QQ Replace olonaged pedestal 4839, with 12' x 12' x 36' pedestal, x SPOTTER NEEDED FOR PEDESTRIAN TRAFFIC AND DRIVEWAY ACCESS, 50' — 100' E—LANE, TWO WA TRAFFIC TAPER W20-7A\ W20-4\ 0 W20—\ DRIVEWAY Applicant shall repair/replace all MIN. X damage to utilities or frontage MEAD 0 WDALE BEACH RD improvements in City right-of-way per city standards that is caused or ELECTRONIC x (25 MPH) occurs during the permitted project. PRIVACY GATE �W20-7A OWNER/CONTRACTOR IS RESPONSIBLE FOR q ENGINEERING DIVISION EROSION CONTROL AND DRAINAGE a W �W20-4 X " A " " DTED _ 0/26/2023 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY �O a p x UTILITIES MAY REQUIRE A SEPERATE PERMIT. �W20-1 I BUFFER AREA LONGITUDINAL BUFFER SPACE = B POSTED SPEED (MPH) 25 30 35 40 45 50 55 60 64 70 LENGTH (feet) 155 200 250 305 360 425 495 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DEVICE = R HOST VEHICLE WEIGHT (Ibs) 9,900 TO 22,000 HOST VEHICLE WEIGHT (Ibs) > 22,000 < 45 MPH 45 - 55 MPH > 55 MPH < 45 MPH 45 - 55 MPH > 55 MPH 100, 123' 172' 74' 100, 150' I NOTE: MON. - FRI. = 7:00am TO 4:00pm CHANNELIZATION DEVICE SPACING (feet) MPH TAPER TANGENT 50/70 40 1 80 35/45 30 1 60 25/30 20 1 40 MINIMUM SHOULDER TAPER LENGTH = L/3 (feet) SHOULDER POSTED SPEED (MPH) WIDTH (feet) 25 30 35 40 45 50 55 60 65 70 8 40 40 60 90 120 130 150 160 170 190 10 40 60 90 90 150 170 190 220 220 240 USE A MINIMUM 3 DEVICES TAPER FOR SHOULDER LESS THAN 8' RESUB SEP 27 2023 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SIGN SPACING = X (1) FREEWAY & EXPRESSWAYS 55 / 70 MPH 1500' ± RURAL HIGHWAYS 60 / 65 MPH 800' ± RURAL ROADS 45 / 55 MPH 500' ± RURAL ROADS & URBAN ARTERIALS 35 / 40 MPH 350' ± RURAL ROADS & URBAN ARTERIALS 25 / 30 MPH RESIDENTIAL & BUSINESS DISTRICTS 200' ± (2) URBAN STREETS 25 MPH OR LESS 100'± (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS (2) THIS SPACE MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. lit " O ATCO COMMUNICATIONS SERVICES. LLC www.atcoteiecom.com 360.563.9000 708 First Street Snohomish, WA 98290 J ziPylfiber Everett, WA 98206 N >Q > U) 3 p o m U) a o LO O ~ Q LU ^� N C) I� 2 a � LO W m O w J Q CI / I! lam/ O W z co CD UN U w w LL— LL m z 0 U Q U Z O LLI Z O D- O a- O O � LL DATE: 9.27.2023 REVIEWED BY: K. BUXTON WSTCS# 013250 DESIGNED BY: M. COMER ATCO CONTACT: 830.329.1982 michael.comer0atcotelecom.com SCALE: SHEET: =5C 02 NO: 2OF2 RECEIVED Jul 18 2023 CITY OF EDMONDS CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right -of -Way Application #1347883 - 5511605.257 Applicant First Name Last Name Company Name Arianne Mommsen Ziply Fiber Northwest, LLC Number Street Apartment or Suite Number E-mail Address 1800 41st St Ste N-100 Arianne.mommsen@ziply.com City State Zip Phone Number Extension Everett WA 98230 (402) 670-8384 Contractor Company Name ZIPLY FIBER NORTHWEST LLC Number Street Apartment or Suite Number 1800 41 st St City State Zip Phone Number Extension Everett WA 98230 (425) 375-0838 State License Number License Expiration Date UBI # E-mail Address ZIPLYFN782L3 5/25/2024 iyini i4gn Donavon.Lafleur@ziply.com Project Location Number Street Floor Number Suite or Room Number 7203 MEADOWDALE BEACH RD City Zip Code County Parcel Number EDMONDS 98026 00513100011805 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 Kevin P Smith Number Street Apartment or Suite Number 7203 MEADOWDALE BEACH RD 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: 7/17/2023 Submitted By: Arianne Mommsen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1347883 - 5511605.257 Project Contact Company Name: Ziply Fiber Northwest, LLC Name: Cathleen Parr Email: cathleen.parr@ziply.com Address: 1800 41st St Ste N-100 Phone #: (425) 261-6229 Everett WA 98230 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: 5511605.257 Description of Work: Replace 1" pedestal dig fiber riser to new pole. Place new anchor. Transfer attachment and place 1' down guy. Remove anchor and pole. Project Details Project Information Job Number 5511605-257 Page 2 of 2