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APPROVED ENG2024-0313 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds 98020 ENG2024-0313 www.edmondswa.gov i Description: ASTOUND -TRANSFER ATTACHMENTS TO 2 POLES ON 7TH ISSUED: 07/30/2024 Address: 310 6TH AVE N EDMONDS WA 98020-3089 EXPIRES: 01/30/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00434210000000 NAME TYPE NAME ADDRESS PHONE APPLICANT MARTA SANCHEZ 4766 1ST AVE S, SEATTLE WA 98134 (425)389-3647 CONTACT ASTOUND BROADBAND 4766 1ST AVE S, SEATTLE WA 98134 (425)389-3647 CONTRACTOR DIVERSIFIED NORTHWEST INC PO BOX 685, LAKE STEVENS WA 98258 (425)710-0753 OWNER CITY OF EDMONDS 700 MAIN ST, EDMONDS WA 98020 (425)771-0230 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $396.00 $396.00 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: 07/30/2024 Printed: Tuesday, July 30, 2024 4:15:34 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: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, July 30, 2024 4:15:34 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 20 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 TK5723971 Site Address or if no site address use Property Address at NW corner of project area: 7th Ave n & Sprague St. 7th Ave N & Alley Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company Astound Broadband Franchise Ordinance No: Point of Contact Marta Sanchez Title Joint Use Administrator III Address 4766 1 st Ave S City Seattle State WA Zip 98134 Phone425.389.3647 Email marta.sanchez@astound.com Contractor and Authorized Agent of Owner (see note below) Name of Company Dlverslvled NorthWest Contractor Contacts During Construction Primary Name Christina Barkley Agent Name Title Safety Coordinator Title Mobile 425-330-3176 Address Email Christina@diversifiednw.com City State Zip Secondary Name Joe Ahmu Phone Title Owner Email Mobile206-571-4216 City of Edmonds Business License No:601-766-647 Email joe@diversifiednw.com State License No:601-766-647 91 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) m'rraffic 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.) Snohomish County PUD has set 2 new utility poles and Astound Broadband need to transfer the comms of each respectivice pole to the new poles. Traffic control will be set up. As is near a playfield contractor will enforce assisting pedestrians, and coning off area for safety. ROW will not be closed, reduced lane plan. Job is about 1.5 hours due to set up and take down of traffic control. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF IxI LF SF NA Alley 72 hours + LF IxI F SF NA Parking 72 hours + LF IxI 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: A 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: Transfer of existing comms to new already set poles 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? NA Are the additions for the purpose of serving a single-family residential subdivision? NA 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? 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: existing Comm on poles X How many are existing? 1 How many are to be added? 11 to new pole 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? No 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: 6.19.24 APPLICANT PRINTED NAME: Marta Sanchez APPLICANT TITLE: Joint Use Administrator III 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 .► 4A - 7� RESTORATION LIMITS TO BE DETERMINED BY CITY ENGINEERING INSPECTOR OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTILITIES MAY REQUIRE A SEPERATE PERMIT. RECEIVED JUN 20 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. ENGINEERING DIVISION APPROVED AS NOTED Jill "J,$,44z 07/24/2024 VV SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM ® 0 Tool: ® �wa r 420H"y Alt-.af ,R,=,r - Q IID _ a O � sib 1. �u7th ..o x.o „exu� Rs A as Ave N ♦ �x.� �p wm, wuu ., un�� w i� ss w»r. ® f • ••, m.� � •�• ��x ••••�• rc wu�•�m..vc arv�rz �� ax.wurc,„arr:e aaxur..x,�i xa sraauxrxvwoe He 10NO .��.....•.. x...., w. �....., .,a•. ,�..r w.. wr..� ALTERNATING 7-LANE, 2-WAY TRAFFIC: FLAGGER-CONTROLLED (HIGH VOLUME HIGHWAYS, 40 MPH OR LESS) T TI 7_1 TRAFFIC CONTROL INSPECTION SHALL BE REQUIRED WHENEVER WORK ZONE IS SET UP C 6- a RECEIVED J U N 20 2024 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT ENGINEERING DIVISION APPROVED AS NOTED JX t [� �yy,4. 07/24/2024 RECEIVED J U N 20 2024 CITY OF EDMONDS Right -of -Way Application #1506670 - TK5723971 MyBuildingPermit com CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Applicant First Name Last Name Company Name Marta Sanchez Astound Broadband Number Street Apartment or Suite Number E-mail Address 4766 1 st Ave S wa-pole@astound.com City State Zip Phone Number Extension Seattle WA 98134 (425) 389-3647 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 City Zip Code County Parcel Number Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Corner of Sprague & 7th Property Owner First Name Last Name or Company Name Number Street Apartment or Suite Number City State Zip 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: 6/19/2024 Submitted By: Marta Sanchez Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1506670 - TK5723971 Project Contact Company Name: Astound Broadband Name: Marta Sanchez Email: wa-pole@astound.com Address: 4766 1 st Ave S Phone #: (425) 389-3647 Seattle WA 98134 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: TK5723971 Description of Snohomish County set 2 new utility poles. Astound is to transfer the comms from the old Work: poles to the new poles at corner of Sprague and 7th Ave N, & 1.5 blocks south at 7th Ave N and an alley. Project Details Project Information Job Number TK5723971 Page 2 of 2