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APPROVED ENG2024-0178 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds :0• LM www.edmondswa.gov i IL Description: COMCAST - RISER DOWN POLE PULL THROUGH EXISTING CONDUIT ISSUED: 06/18/2024 Address: 8215 236TH ST SW EDMONDS WA 98026 EXPIRES: 12/18/2024 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00576700002614 NAME TYPE NAME ADDRESS PHONE APPLICANT JESSAMIN SANTOS 1701 JOHN F KENNEDY BLVD, PHILADELPHIA PA 19108 (206)401-2188 CONTACT CABLECOM LLC 1429 AVENUE D 339, SNOHOMISH WA 98291 (360)670-4291 CONTRACTOR CABLECOM LLC 19910 NORTHCREEK PARKWAY N, BOTHHELL WA 98011 (363)608-6700 OWNER ELCFA LLC 5830 EVERGREEN WAY, EVERETT WA 98203 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $264.00 $264.00 ROW - MINOR - 4.1.24 $132.00 $132.00 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: 06/18/2024 Printed: Tuesday, June 18, 2024 2:52:05 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMIBE 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 E-7 TRAFFIC CTRL X-2 ENGINEERING FINAL** Printed: Tuesday, June 18, 2024 2:52:05 PM 2 of 2 RECEIVED of EUAgoy APR 29 2024 RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION CITY OF EDMONDS DEVELOPMENT Complete and submit this Application in accordance with the Submittal SERVICES DEPARTMENT INc. 100 Requirements outlined in Right -of -Way permit Handout E6�. 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 Info Project Name COMCAST- JB0001636021 Site Address or if no site address use Property Address at NW corner of project area: 8215 236TH ST SW EDMONDS WA 98026 Associated Permits: BLD PLN ENG • applicable) Name of CompanyCOMCAST CABLE HOLDING Franchise Ordinance No: Point of Contact J ESSAM IN SANTOS Title PERMIT COORDINATOR Address 1701 JOHN F KENNEDY BLVD City PHILADELPHIA State PA Zip 19108 Phone206-401-2188 Email WACONSTRUCTION JOINTUSE@COMCAST.COM Contractor and Authorized Agent of Owner (see note below) Name of Company CABLECOM LLC Contractor Contacts During Construction Primary Name CABLECOM LLC - MIKE FINCH Agent NameLEAH IHLENFELDT Title CONSTRUCTION SUPERVISOR Title PERMIT SUPERVISOR Mobile360-965-5085 Address 1323 AVENUE D #339 Email MICHAEL.FINCH@CABLECOMLLC.NET CitySNOHOMISH State WA Zip98290 Secondary Name Phone 360-670-4291 Title Email SNOHO MISH.PERM ITTING@CABLECOMLLC. NET Mobile City of Edmonds Business License No: N R-021818 Email State License No: CABLEL`971 DP yJ Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC18.6o.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 \-� 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.) 'TIE IN AT POLE AND RISER DOWN AND PROOF AND PULL 241' EAST TO EXISTING PED. FROM PED CONTINUE PROOF AND PULL NORTH 10T INTO PRIVATE PROPERTY. SPLICE PER DESIGN. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF x LF SF Alley 72 hours + LF x LF SF Parking 72 hours + LF JxJ LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. 1. The work in the right of way is on or for the following type of facilities: ❑ telecommunications d cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm Details of Work to be Completed 1. Does the utility owner have existin overhead infrastructure in the area of work? Yes No 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? If yes, describe: 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 existingunderground common utilitysystem? X 5. Does the work involve proposed additions to an aboveground utility system? If es: Are the additions for the purpose of serving new commercial development? Are the additions for the purpose of serving a single-family residential subdivision? Details of Work to be Completed Yes No 6. 1Does your project involve rebuilding or replacing utility equipment which currently serves more X than one lot or commercial development? City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 If yes, answer the following questions related to project area, i.e. the actual area in which the project is proposed: 6a. Does your project involve wires/cables/lines? If yes: X How many are existing? I I How many are to be added? 6b. Does your project involve poles? If yes: X How many poles are existing in the project area? What is the height of the existing poles? How many poles are to be removed? Are additionalpoles to be laced? How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: 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: 4- 5� C 9�ez�f DATE: 4/22/2024 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 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM ROUTE OVERVIEW Completed By: LEN ENRIQUEZ Address: 8215236TH STSW EDMONDS WA98026 Completion Date: 4/22/2024 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: JB0001636021 Legend Provide Clear Right of Way Construction Details RECEIVED TIE IN AT POLE AND RISER DOWN AND PROOF AND PULL 241' EAST TO EXISTING PED. FROM FED CONTINUE PROOF AND PULL NORTH 10T INTO PRIVATE PROPERTY. SPLICE PER DESIGN. APR 29 2024 New Ped NEW PS ❑V CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Existing U/G 2331rci St SW ya 1 ! Existing Aerial New U/G ----- - — - - - — - — ;n ! 0 Maple III New Aerial Q Interior Path v 00 Exterior Building Path M a J ron a L ri Footage Break I I � I Fiber Splice Point _ 235th PI SW CD _ r Storage Loop ® ❑ Riser St SW ® �^J ❑ Pole z Q Lock Box ----- L co 150- co Footage Text Box Text "1 � Callout Arrow �] A 238th I St SW _ _ _ —T 238ef, �t sw New Tap ❑1 . Phase Identifier Power Suppy 3 Applicant shall repair/replace all damage to utilities or frontage ENGINEERING DIVISION improvements in City right-of-way APPROVED AS NOTED Hard Surface Cut ¢' per city standards that is caused or L occurs during the permitted project. ^lQ�� i�lQ✓��.nnp 06/07/2024 mVV AS B U I LT COVER Completed By: LEN ENRIQUEZ �- s Completion Date: 4/22/2024 Address: 8215 236TH ST SW EDMONDS WA 98026 Job Type: Select Job Subtype: Select Footages Entered On Right of Way, Private Exterior, and Private Interior tabs.7. Footages are summarized on Survey Rollup tab. Survey Scope: Post -Sale Project Manager: - Are Additional Pages Needed: No Select Source System: JB0001636021 Legend Provide Clear Route Overview Construction Details RECEIVED New Ped El TIE IN AT POLE AND RISER DOWN AND PROOF AND PULL 241' EAST TO EXISTING PED. FROM FED CONTINUE PROOF AND PULL NORTH 10T INTO PRIVATE PROPERTY. SPLICE PER DESIGN. APR 29 2024 New Vault V❑ CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Existing LII Existing Aerial For St t' � d New U/G ----- --, ;S ®9 r w`.._ _ - 220th - St SW - New Aerial ----- Interior Path 1 , 3 3 L•,p•>rance F'ark Exterior Building Path ' Q a r Q 2241h St SW 72 Interurban frail Park u7 CM Footage Break (-- —•, c °' `° __ Fiber Splice Point t j �16th PI SW r— -> Edmonds ! 228th St SW Storage LoopCC) + ¢ ! �p<`� I R O t Riser ► 230tn St Sw z Mountlal -'31St St SW ;' y TerracE Pole Rc�,�, 232nd St SW /• 15 > C Lock Box S a _ 150' 234th St SW Footage Text Q Text Box I - 2351h St 1SW c �3t Callout Arrow 0 238th St SW New Tap a 4 - -� Lake Phase Identifier r o z sorb St sw Ballinger ■ �Q Power Suppy • 241nd St SW 99 Hard Surface Cut _— SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM TRAFFIC CONTROL Completed By: LEN ENRIQUEZ Address: 8215 236TH ST SW EDMONDS WA 98026 Completion Date: 4/22/2024 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: JB0001636021 Legend New Ped ❑ New Vault ❑� Existing U/G Existing Aerial New U/G New Aerial Interior Path Exterior Building Path Footage Break Fiber Splice Point Storage Loop Riser Pole Lock Box 150' Footage Text Text Box Callout Arrow New Tap Phase Identifier PS' Power Suppy • Hard Surface Cut 1 Provide Clear Private Exterior Construction Details E IN AT POLE AND RISER DOWN AND PROOF AND PULL 241' EAST TO EXISTING PED. FROM FED CONTINUE PROOF AND PULL NORTH 10T INTO PRIVATE PROPERTY. SPLICE PER DESIGN. TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP BUFFER DATA LONGITUDINAL BUFFER SPACE = B SPEED (MPH) 25 30 35 40 45 50 55 60 65 70 LENGTH (11W 155 200 250 305 MO 425 4% 570 GAS 730 TRANSPORTABLE ATTENUATOR ROLL AHEAD DISTANCE = R HOST VEHICLE WEIGHT 9.900 TO 22.000 Ibs. HOST VEHICLE WEIGHT > 22.00D Ibs. < 45 MPH 45.55 MPH > 55 MPH < 45 MPH 45-55 MPH > 55 MPH 100' 123' 172' 74' •C:• 15C' PROTECTIVE VEHICLE (WORK VEHICLE) = R NO SPECIFIED DISTANCE REQUIRED X I X I X I X ONE LANE RDAD AHEAD 4F 0' W20-4 48' W20-7A ROAD BE WORK PREPARED RHEAD 10 s1oP 401 48' Mf28.1 W20-78 W20.70 (OPTIONAL If 40 MPH OR LESS) LEGEND FLAGGING STATION p TEMPORARY SIGN LOCATION a CHANNELVING DEVICES ® 1'ROTECTIvE VEHICLE 9•VJ.� R Pa awsl.ne.•a.,z-v ., s 1:or,•. Pr ti SIGN SPACING = X (1) RUPAI HIG-(WAYS 60165 MPH swa RURAL ROADS 45 155 MPH SOD. RURAL ROADSS a URBAN ARTERIALS 35 140 MP" 330 L RURAL N.. URBAN ARTERIALS 2S 130 MP" RESIOENTLAL A BUSINESS DISTRICTS 20Da t4 URRAN STREETS 7S MPR OR LESS 107a r4 115 ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERSECTIONS AND URIVE'WAYS ii?'NIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS '0V TO IW wTO 100' e DEvI�CE 6 DEVICE � IJI�� I I R B IVIN, 212 At OO O O 236TH ST SW �A 84TH AVE W > RECEIVED APR 29 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT W70-78 :OPTIONAL IF 46 MPH OR LESS) 44• 44' BE ROAD PREPARED WORK To STOP AHEAD !6• a8• a8' 44P' ■ yF7B ONE LANE W20-1 \ ROAD AHEAD W2114A W20.4 x 1 x x x ENGINEERING DIVISION APPROVED AS NOTED fill LVI,.1r1,44p 06/07/2024 VV ONE -LANE, TWO-WAY TRAFFIC CONTROL WITH FLAGGERS NOT TO SCALE CHANNELIZATION DEVICE SPACIN IFE 1/PH 1 -APFR 1 TANGENT uC1 10 '.: SJ 60 14.45 1 10 70 N 1 60 25•3' 1 10 TC 20 40 NOTES 1. ALI. SIGNS ARF BLACK ON ORANGE Z EXTENDING THE CHANNELIZING DEVICE TAPER ACROSS SHOULDER IS RECOMMENDED. 3. NIGHT WORK REQUIRES ADDITIONAL ROADWAY LIGHTING AT FLAGGING STATIONS. SEE THE STANDARD SPECIFICATIONS FOR ADOITIONAL DETAILS. 4. SEE SPECIAL PROVISIONS FOR WORK HOUR RESTRICTIONS. 7i Wasnington State ,.. ..� Department of Transportation TC1 TRAFFIC CONTROL PLAN 1 RECEIVED APR 29 2024 CITY OF EDMONDS M BuildingPermitxom CITY OF EDMONDS Right -of -Way Application #1477280 - COMCAST - JB0001636021 SERVI ESLOPMENT DEPARTMENT 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 1429 AVENUE D 339 City State Zip Phone Number Extension SNOHOMISH WA 98290 (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 8215 236TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00576700002614 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 * ELCFA LLC Number Street Apartment or Suite Number 5830 EVERGREEN WAY City State Zip EVERETT WA 98203 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 4/22/2024 Submitted By: JESSAMIN SANTOS Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1477280 - COMCAST - JB0001636021 Project Contact Company CABLECOM LLC Name: Name: LEAH IHLENFELDT Email: SNOHOMISH.PERM ITTING@CABLECOMLLC.NET Address: 1429 AVENUE D 339 Phone (360) 670-4291 AVENUE D 339 #: SNOHOMISH WA 98291 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: COMCAST - JB0001636021 Description of TIE IN AT POLE AND RISER DOWN AND PROOF AND PULL 241' EAST TO EXISTING Work: PED. FROM PED CONTINUE PROOF AND PULL NORTH 103' INTO PRIVATE PROPERTY. SPLICE PER DESIGN. Project Details Project Information Job Number JB0001636021 Page 2 of 2