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ENG2024-0031 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT of EdmondsNUMBER City Edmonds WA 98020 ENG2024-0031 IL www.edmondswa.gov Description: ZIPLY - ACCESS MH & PULL NEW FIBER THRU EXISTING TC/ONLY ISSUED: 02/15/2024 Address: 437 5TH AVE S 2A EDMONDS WA 98020-3460 EXPIRES: 08/15/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00952100000201 NAME TYPE NAME ADDRESS PHONE APPLICANT BF MDU ENG ZIPLY 1800 41ST N100, EVERETT WA 98203 (530)333-3907 CONTACT ZIPLY FIBER 1800 41ST N100, EVERETT WA 98203 (530)333-3907 CONTRACTOR ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230 OWNER THE GOCHE FAMILY TRUST 437 5TH AVE S 2A, EDMONDS WA 98020-3460 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: 02/15/2024 Printed: Thursday, February 15, 2024 10:00:57 AM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,...Ave N, Edmonds WA 9:0ENG2024-0031 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 E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL** Printed: Thursday, February 15, 2024 10:00:57 AM 2 of 2 RECEIVED 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. JAN 26 2024 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: 5521489 - 437 5TH AVE S, EDMONDS WA 98020 Site Address or if no site address use Property Address at NW corner of project area: 437 5TH AVE S, EDMONDS WA 98020 Associated Permits: BLD: NA PLN: NA ENG: NA Owner and Entity Holding Franchise(if aapplicable) Name of Company: ZIPLY FIBER Franchise Ordinance No: Point of Contact: KRISTIN ERICKSON Title: PERMITTING PM Address: P.O BOX 1127 City EVERETTE State WA Zip 98206 Phone: 530-333-3907 Email: KRISTIN.ERICKSON@ZIPLY.COM Contractor and Authorized Agent of •wner Name of Company: NA (see note below) Contractor ContactsDuring Construction Primary Name Agent Name Title Title Mobile Address Email City State Zip Secondary Name Phone Title Email Mobile City of Edmonds Business License No: Email State License No: ❑ 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) X 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.) ACCESS MH @ S/W CORNER OF WALNUT ST & 5TH AVE S (ROSALYNN SUMMERS BLVD) SPLICE AND PUSH FIBERS FROM EXISTING 24ct FIBER OPTIC CABLE 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: x 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: 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 ®i 6. Does your project involve rebuilding or replacing utility equipment which currently serves more X than one lot or commercial development? City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 If yes, answer the following questions related to project area, i.e. the actual area in which the project is proposed: 6a. Does your project involve wires/cables/lines? If yes: How many are existing? How many are to be added? 0 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 additional poles to be laced? How many? I I What is the height of the additionalpoles? dd 6c. Are any poles to be modified/rebuilt/replaced? If yes: x How many? I I What is the height of the poles after? Mimi 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: &.W. APPLICANT PRINTED NAME: KRISTIN ERICKSON APPLICANT TITLE: PERMITTING PM NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE 1 /24/2024 City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM EXISTING 6-PORT TERMINAL T1 HLLKWAXX FT - 240902 Q_�) 2A)) ')n1 (342') 500' IN:HLLKWAXX FT500,37-38+ HLLKWAXX FT500,39-42 SERVING ADDRESS: 437 5TH AVE S, EDMONDS UNITS: 2A, 2B, 2C, 2D, 2E 3A, 3B, 3C, 3D, 3E EXISTING 6F TERMINAL TAIL C9FTP-740303 2422.201 HLLKWAXX FT500,37-38+ ALDER ST — Eoo EOP EOP EOP ��o '(1) F1 FT500,38 - RESERVED FOR SITE i IDF ACCESS POINT AND NOT IN USE ENTRANCE TO IDF ROOM IS '(4) F1 FT500,39-42 - VACANT AND AVAILABLE LOCATED OUTSIDE GROUND AT NEAREST MH FC PED LEVEL (GREEN DOOR) 2505P7S1 (1)2"-95' I CERTIFY THAT THE WORK I COMPLETED ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) 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# �,—A�—A�� aw m BECK�LN a �_ —Aw� a�—aw—Aw—a�� aw—a�_R„—A„—a�—aw—Aw ® NO JPN REQUIRED POLE JPN JPN OWNER TO FROM Lu IDF ❑ ❑ ❑ POWER o� ❑ ❑ ❑ CATV N Z I i T1 PLACE AND MOUNT ❑ ❑ ❑ FRONTIER Z TO IDF ROOM BACKBOARD WALL ACCOUNT CODES Q (1) ONT RACK ❑ 2411.001 POLES ® 2422.201 UG FIBER N I (1) POWER STRIP 0 USE OPEN PORTS ON EXISTING TERM 02421.101 OH COPPER ❑ 2441.001 CONDUIT i McGREGOR PLACE TO FEED NEW ONT'S ❑ 2421.201 OH FIBER ❑ 34XX.XXX REMOVAL BLDG. 437 I ❑ 2422.101 UG COPPER ❑ 64XX.XXX MAINT. Lu i (10) UNITS REVISIONS = LO I I 11- 15-231 ZIPLY BF MDU FIBER GjS MH 10X5X7 _ HLLKWAXX1 WALNUT ST 0 i9 H — — � ACAUTION 1 w—aw_A,._a�,_aw_Aw—_Aw—aw_Rw—Aw—aw_Rw—aw_aw_aw—Aw_aw—Aw_aw—aw_Aw_Rw—Aw_A�_a�—Aw_a�.—Rw_aw_R�_Rw—a�—a_av—a�_Rw—aw Know whars below. Call before you dig. abler ad 4 LT\1 LT 12(4) I I SOURCE CABLE RECEIVED EXISTING 24F OPTIC CABLEdamage to uApplicant shall repair/replace all or frotage C9FTP-740302 improvements tinities City rightnof--way JAN 26 2024 ziply"fiber HEAT -UP POINT I I 2422 201 per city standards that is caused or MH @ S/W CORNER OF WALNUT ST & occurs during the permitted project. 5TH AVE S (ROSALYNN SUMMERS BLVD) XD,1-12 SPLICE AND PUSH FIBERS FROM I I HLLKWAXX FT500,37 42+ CITY OF EDMONDS HLLKWAXX BF MDU 10_MCGREGOR PLACE EXISTING 24ct FIBER OPTIC CABLE TO I HLLKWAXX FT500,43-48 DEVELOPMENT ENGINEERING DIVISION SERVICES DEPARTMENT 437 5th Ave S, Edmonds, 98020 EXISTING 6-P TERMINAL TAIL i i APPROVED AS NOTED PROJECT 5521489 C.O. AREA: C95ES NUMBER: EXCH. CODE: HALLS LAKE JillUlY✓.,y�.�,n2 02/13/2024 DRAWN DATE: ENGR: RENEEVALENCIA CNTY: SNOHOMISH 1117/2023 PHONE: 951443.6296 FILE: 5521489 RECOVER.DWG VV 3 SCALE: 1:50 TAX DISTRICT: MOTSN DWG 3 OF 3 11WNSHP: T27N RNG: R03E SEC: 24 SWSW 02] Hl 01l0D d S N 1 ""11ff 05feet) LANE Posted Speed (mph) WIDTH (feet) 25 30 35 40 45 50 55 60 65 70 10 105 150 205 270 450 500 550 - - - 11 115 165 225 295 495 550 605 660 12 1 125 180 1 245 1 320 540 600 660 1 720 SIGN SPACING = X (1) 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 RESIDENTAL & BUSINESS DISTRICTS 200' (2) URBAN STREETS 25 MPH OR LESS 100' (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE (2) THIS SPACING MAY INTERSECTIONS IN URBAN AREAS TO FIT FRtOADWAY CONDITIONS. CHANNELIZATION DEVICE SPACING (feet) MPH TAPER TANGENT 50/70 40 80 35/45 30 60 25/30 20 40 NE LAN ROAD WORK G BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH (feet) 155 200 250 305 360 425 495 570 645 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9,900 TO 22,000 Ibs. HOST VEHICLE WEIGHT > 22,000 Ibs. < 45 MPH 45-55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100, 123' 172' 74' 100, 150' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED W20-4 x m BE OPREPARED w TO STOP H �1 Z T4*1 �0211 0 :ID f J ¢ ¢ ¢ d h a O x W20-7A 04 WALNUI 5I. ® ® WORK PARKINGa a ® ® AREA a a X X X X R m X m Q' ROAD BE w WORK PREPARED CD 0 HEAD TO STOP z .M .M Y Z 7O O 4 ¢ �I Y20-1 V0o-� o w ONE LAN . 41 _ ROAD W20-7A ,~" W20-4 W20-7A LEGEND d♦ FLAGGING STATION 14 TEMPORARY SIGN LOCATION ® CHANNELIZING DEVICES PROTECTIVE VEHICLE - RECOMMENDED 0 TEMPORARY SIGN LOCATION (5' MOUNTING HEIGHT) NOTES 1. RECOMMEND EXTENDING DEVICE TAPER (L/3) ACROSS SHOULDER. 2. IF A SIGNAL IS PRESENT, IT SHALL BE SET TO "RED FLASH MODE" OR TURNED OFF DURING FLAGGING OPERATIONS. 3. FOR SPEED LIMIT OF 30 MPH OR LESS USE SIGN W1-3 IN LIEU OF SIGN W1-4. 4. MAINTAIN A MINIMUM OF ONE ACCESS POINT FOR EACH BUSINESS WITHIN WORK AREA LIMITS. 5. ALL SIGNS ARE BLACK ON ORANGE UNLESS OTHERWISE DESIGNATED. L 004 xI W2O-7A BEBE PREPARED .TO STOP. JE LAN ROAD I X I X X I X I DI ® ® PARKNG WALNUT ST. BET__ PREPATO ST PARKNG x N\��/�02Idd`d RBI I®t�12� E E N 10 N E WORK NTERSECTDN LANE CLOSURE -TWO LANE ROADWAY NOT TO SCALE I CERTIFY THAT THE WORK I COMPLETED ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) W.O. DRIVER CONSTRUCTION START ❑ ETHERNET ❑ CIAC IN SERVICE DATE ❑ DAMAGE M OTHER CONSTRUCTION 19 FLAGGING ❑ BRUSHING ❑ CONTRACTOR PERMITS MUNICIPALITY: ❑ BLANKET ® TCP/TRAFFIC ❑ DETAILED (NOT BLANKET) ❑ NO PERMIT REQUIRED JOINT POLE JFN/NJUNS# IN NO JPN REQUIRED POLE JPN JPN OWNER TO FROM ❑ ❑ ❑ POWER ❑ ❑ ❑ CATV ❑ ❑ ❑ FRONTIER 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. REVISIONS 111-15-231 ZIPLY BF MDU FIBER GJS Know what's below. ACAUTION Overhead qk.P eallbefure you dig. cables RECEIVED JAN 26 2024 = . 1.., 1.00ft� . CITY OF MONDS HLLKWAXX— BF MDU 10— McGREGOR PLACE DEVELOPMENT SERVICES DEPARTMENT 437 5th Ave S, Edmonds, 98020 5521489 C.O. AREA: 095ES NUMBER: EXCH.CODE: HALLS LAKE DRAWN DATE: ENGR RENEEVALENCIA CNTY: SNOHOMISH 1117323 PHONE:951443&% FILE: 5521489 RECOVER.DWG E: 1 SCALE: N/A TAX DISTRICT: MOTSN DWG 2 OF 2 I TWNSHP: T27N RNG: R03E SEC: 24 SWSW allll• D �t 49 C Engineen Panca e'HaU c ne.• PAM F • S �1 rlmnnris Rmwl McGREGOR PLACE 437 5TH AVE S, EDMONDS, WA. 98020 HLLKWAXX_5521489_BF MDU 10_BLDG 1 120v POWER AVAILABLE PENETRATION RATE 26.7% 1 i Win Cellars Win or •s A e t .W alr,ut;St s Imp, n o a o ----v mp OL�i� 5-111"a1iR. a-• 1 am --I I CERTIFY THAT THE WORK I COMPLETED ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) W.O. DRIVER CONSTRUCTION START ❑ ETHERNET ❑ CIAC IN SERVICE DATE ❑ DAMAGE Z OTHER CONSTRUCTION I@ 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 ❑ ❑ ❑ POWER ❑ ❑ ❑ CATV ❑ ❑ ❑ FRONTIER 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. REVISIONS 11- 15-231 ZIPLY BF MDU FIBER GiS Know what's below. ACAUTION Overhead Call before you dig. cables ZIPLY FIBER CONTACT LIST PROPERTY ACCESS: ZIPLY FIBER CORP INFORMATION OSP ENG CONTACT: RENEE VALENCIA RECEIVED PROPERTY CONTACT: COMPANY NAME: ZIPLY FIBER ziply"fiber 951-443-6296 MANAGER PHONE: ADDRESS: 8840 SW BURNHAM RENEE.VALENCIA1@ZIPLY.COM TRIGARD, OR 97223 HLLKWAXX BF MDU 10 McGREGOR PLACE OSP ENG CONTACT: DAVID REED JAN 26 2024 - - 352-345-2348 437 5th Ave S, Edmonds, 98020 ZIPLY.COM PROJECT 5521489 C.O. AREA: C95ES DAVID.REED1 @ CITY OF EDMONDS NUMBER: EXCH.CODE: HALLS LAKE DEVELOPMENT DRAWN DATE: ENGR: RENEEVALENCIA CNTY: SNOHOMISH SERVICES DEPARTMENT 1117/2023 PHONE:951443.6296 FILE: 5521489 RECOVER.DWG SCALE: N/A TAX DISTRICT: MOTSN I DWG 1 OF 3 ITWNSHP: T27N RNG: R03E SEC: 24 SWSW CONSTRUCTION NOTES: 1. CAUTION: Facilities shown on this plan were obtained from records and/or visual surface inspection. 2. Some facilities may be omitted, or shown at an incorrect location. Exact location of all facilities must be determined prior to start of construction. 3. All materials, methods of placement and restoration must meet the requirements for City of EDMONDS and SNOHOMISH County. 4. Construction must replace and restore any landscape area disturbed during construction back to its original or better then condition. 5. Contractor is to place all new UG Facilities per work plan, Contractor will need to notify the area ZIPLY Inspector and/or the Engineer for making any additional field changes. McGREGOR PLACE APARTMENTS - EDMONDS, WA. 98020 10 unit apt. complex is being installed with 1G capable GPON build for expansion of existing plant. PUSH FIBERS TO EXISTING FIBER TERMINAL PLACE DROPS AND EQUIPMENT FOR EXISTING APARTMENT BUILDING AT 437 5TH AVE S. SERVING ADDRESS: BLDG. 437 - (10) Living Units 1st - Commercial Units 2nd - 2A, *(2B), *(2C), 2D, 2E 3rd - 3A, 3B, 3C, 3D, 3E *Per Spotfire (2) Units have Existing Fiber Service. SHEETINDEX 1 -COVER SHEET 2 - NOTES AND DETAILS 3 - PROJECT LOCATION SPLICING DIAGRAM C9FTP-740302 2422.201 C9FTP-820603 C9FTP-740303 856' 2422.201 2422.201 XD,1-12 3359' 342' HLLKWAXX FT500,37-38+ XD,1-12 HLLKWAXX FT500,37-38 HLLKWAXX FT500,39-42+ HLLKWAXX FT500,1-48+ HLLKWAXX FT500,39-42 HLLKWAXX FT500,43-48 XD,49-96 MH 10X5X7 HLLK WAXX1 MATERIALS LIST ZIPLY Mat ID DESCRIPTION 'i UOM MAJ/MIN Qty SRW08UBRKT BRACKET WALL MOUNT BRACKET SMALL SWITCHES AND PATCH PANELS EA MINOR 1 3FE49327AA ONT XS-01OS-Q XGS SFP EA MINOR 3 DTK-8FF POWER STRIP 8 OUTLET W/RJ11MODSURGE PRO 6FT EA MINOR 1 SPLICING TASK PAGE# ACTIVITY# ACCOUNT CITY UNIT , DESCRIPTION 3 1 2422.201 2 ea MANHOLE SETUP 3 1 2422.201 1 ea FIBER UG/VAULT- SETUP EXISTING CLOSURE 3 1 2422.201 1 ea DE-RIBBONIZING FIBER CABLE 3 1 2422.201 4 ea SPLICE FIBER (LOOSE TUBE) 3 1 2422.201 5 ea BIDIRECTIONAL FITESTING(C.O. to FSAI or C.O. to C.O.) 3 1 2422.201 5 ea BIDIRECTIONAL F2 MPU TESTING (FSAI to MPU ) REMOTE CO C 9EDM EDMNWAXERS3 EDMONDS RSU SITE I CERTIFY THAT THE WORK I COMPLETED ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) W.O. DRIVER CONSTRUCTION START ❑ ETHERNET ❑ CIAC IN SERVICE DATE ❑ DAMAGE ® OTHER CONSTRUCTION I@ 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 ❑ ❑ ❑ POWER ❑ ❑ ❑ CATV ❑ ❑ ❑ FRONTIER 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. REVISIONS 11- 15-231 ZIPLY BF MDU FIBER GiS • Know what's below. ACAUTION Call before you dig. abler ad RECEIVED JAN 26 2024ziply-fiber CITY OF EDMONDS HLLKWAXX—BF MDU 10_McGREGOR PLACE DEVELOPMENT SERVICES DEPARTMENT 437 5th Ave S, Edmonds, 98020 5521489 C.O. AREA: C95ES EXCH.CODE: HALLS LAKE 2INUMBER: DRAWN DATE: ENGR RENEE VALENCIA CNTY SNOHOMISH 1117/2023 PHONE: 951443.6296 FILE: 5521489 RECOVER.DWG SCALE: N/A ITAXIDISTRICT MOTSN I DWG 2 OF 3 ITWNSHP: T27N RNG: R03E SEC: 24 SWSW TRAFFIC CONTROL PLAN TO ACCESS MANHOLE McGREGOR PLACE 437 5TH AVE S, EDMONDS, WA. 98020 I � _ ► unrceo states vvA 5nonomisn co. tomor ilotII 9Fifth Avenue Anlmal Hospital l cl)I ; Arista Wine > a Cellars Alder St Alder St - > Alder m SITOCATION Lotus Wellness Emerald Sea Dive Club Studio IrBeck Ln Beck L 437 5th Ave S, ■ @ Chase Bai t Edmonds, WA 98 0 w Walnut St Wa ut St Walnut St Walnut <CL ucn Walnut Stree (D Coffe Girardi's 9NAGELsport MANHOLE HILLWAXX 1 WalnOsteria �Woodway Wellness ®Bodyworks ''7— T Edmonds 15 Pancake Haus D Furl Chinese Holly Dr Holly Dr 4W (A Restaurant Edmonds Bowl I I Ace Hardware ZIPLY FIBER CONTACT LIST OSP ENG CONTACT: RENEE VALENCIA 951-443-6296 RENEE.VALENCIA1 @ZIPLY.COM OSP ENG CONTACT: DAVID REED 352-345-2348 DAVID.REED1 @ZIPLY.COM MANHOLE ACCESS MAP #01 SITE ID: #HILLWAXX-5521489-BF-TPC PROPERTY ACCESS: PROPERTY CONTACT: MANAGER PHONE: ZIPLY FIBER CORP INFORMATION COMPANY NAME: ZIPLY FIBER ADDRESS: 8840 SW BURNHAM TRIGARD, OR 97223 RECEIVED JAN 26 2024 I CERTIFY THAT THE WORK I COMPLETED ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH ZIPLY QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. (SIGNATURE AND DATE) W.O. DRIVER CONSTRUCTION START ❑ ETHERNET ❑ CIAC IN SERVICE DATE ❑ DAMAGE 0 OTHER CONSTRUCTION DL FLAGGING ❑ BRUSHING ❑ CONTRACTOR PERMITS MUNICIPALITY: ❑ BLANKET ® TCP/TRAFFIC ❑ DETAILED (NOT BLANKET) ❑ NO PERMIT REQUIRED JOINT POLE JFN/NJUNS# N NO JPN REQUIRED POLE JPN JPN OWNER TO FROM ❑ ❑ ❑ POWER ❑ ❑ ❑ CATV ❑ ❑ ❑ FRONTIER ACCOUNT CODES ❑ 2411.001 POLES 0 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. REVISIONS 11-15-23 ZIPLY BF MDU FIBER GJS Know what's below. - 1-0 ►CAUTION Overhead cables CITY OF EDMONDS HLLKWAXX_BF MDU 10_McGREGOR PLACE DEVELOPMENT SERVICES DEPARTMENT 437 5th Ave S, Edmonds, 98020 PROJECT 5521489 C.O. AREA C95ES EXCH. CODE: HALLS LAKE DRAWN DATE: 1117/2023 ENGR: RENEEVALENCIA PHONE: 951-443-6296 CNTY: SNOHOMISH FILE: 5521489 RECOVER.DWG 1 SCALE: N/A ITWNSHR TAX DISTRICT: MOTSN DWG i OF 2 T27N RNG: R03E SEC: 24 SWSW RECEIVED JAN 26 2024 CITY OF EDMONDS M BuildingPermi1:.corn CITY OF EDMONDS Right -of -Way Application #1432983 - 5521489 - 437 5th Ave S SERVICESLOPMENT DEPARTMENT Applicant First Name Last Name Company Name BF MDU ENG ZIPLY Ziply Fiber Number Street Apartment or Suite Number E-mail Address 1800 41st N100 grp_bf permitting preconstruction_@groups City State Zip Phone Number Extension Everett WA 98203 (530) 333-3907 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 437 5TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00952100000201 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 THE GOCHE FAMILY TRUST Number Street Apartment or Suite Number 437 5TH AVE S 2A City State Zip EDMONDS WA 98020-3460 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: 1/24/2024 Submitted By: BF MDU ENG ZIPLY Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1432983 - 5521489 - 437 5th Ave S Project Contact Company Ziply Fiber Name: Name: BF MDU Email ENG ZIPLY 1800 Al st grp_bf_permittingpreconstruction_@groups.ziply.com Address: N100 Phone #: (530) 333-3907 Everett WA 98203 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: 5521489 - 437 5th Ave S Description of Work: ACCESS MH @ S/W CORNER OF WALNUT ST & 5TH AVE S (ROSALYNN SUMMERS BLVD) SPLICE AND PUSH FIBERS FROM EXISTING 24ct Project Details Project Information Job Number 5521489 Page 2 of 2