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APPROVED ENG2024-0538 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of • • . 98020 ENG2024-0538 www.edmondswa.gov i Description: COMCAST - UNDERGROUND NEW SERVICE WITH PAVEMENT CUTS ISSUED: 01/06/2025 Address: 710 10TH PL S EDMONDS WA 98020 EXPIRES: 07/05/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 27032500108800 NAME TYPE NAME ADDRESS PHONE APPLICANT LILIA OVIEDO 3527 121ST STREET SW, LYNNWOOD WA 98087 (425)353-2078 CONTACT NETVISION 3527 121ST STREET SW, LYNNWOOD WA 98087 (425)353-2078 CONTRACTOR NETVISION INC 3527 121st ST SW, Lynnwood WA 98087 1 (425)353-2845 OWNER EDNAMAE K OLUFSON-SMITH 710 10TH PL S, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $45.00 $45.00 ENG - INSPECTIONS - 4.1.24 $264.00 $264.00 ROW - STANDARD - 4.1.24 $396.00 $396.00 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: 01/06/2025 Printed: Monday, January 06, 2025 4:06:44 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NU �!B E 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 X-2 ENGINEERING FINAL** E-7 RESTOR LIMITS Printed: Monday, January 06, 2025 4:06:44 PM 2 of 2 RECEIVED Lti�y of EpiyO�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. NOV 25 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 Comcast 356208 710 10th PI S Site Address or if no site address use Property Address at NW corner of project area:710 10th PI S, Edmonds, WA 98020 Associated Permits: BLD PLN ENG N/A Name of Company Comcast Franchise Ordinance No: N/A Point of Contact Julissa Davalos Title Address 1525 75th St SW City Everett State WA Zip 98203 Phone(408)644-1694 E-ailjulissa_davalos@comcast.com Contractor and Authorized Agent of Owner Name of Company Netvision (see note below) Contractor Contacts During Construction Primary Name Cole Ramirez Agent Name Lilia Oviedo Title Field Supervisor Title Permit Coordinator Mobile (509)820-9504 Address 3527 121st St SW Email cole.ramirez@i-t-g.net City Lynnwood State WA Zip 98087 Secondary Name Phone (425)353-2078 Title Emaillilia@netvisionunderground.com Mobile City of Edmonds Business License No: 603499411 Email State License No: NETVI I*849MA X 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. XMultifamily 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 XUtility 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.) Underground horizontal directional boring using surface launched drill to install 2" Comcast conduit to 710. Starting at telephone pole located near NW corner of 707's property, crew will bore W approx 23' crossing under 10th PI S to row boundary. Route will finish on private property NW to an existing carson and SW approx 53' to 710's connection. Pothling is needed for utilities. 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? )( 2. Will any equipment be added underground or above ground (e.g. pedestals, vaults, etc.)? �( If yes, describe: 2" conduit + fiber line. 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: 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 Me 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? r 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: 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 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? AN 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: /�I n, "'i DATE: 11 /23/2024 APPLICANT PRINTED NAME: Lilia Oviedo 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 RECEIVED DATE JOB ADDRESS CITY 11/23/2024 356208 710 10TH PL S EDMONDS, WA 98020 CREW CUSTOMER PHONE # NAME LOCATE # / CLEAR DATE NETVISION 206-914-3927 HARVEY SMITH CABLE TYPE ROW CUTOVER NO? WHY? NOTES RG6 YES YES RG11 NO No OWNER/CONTRACTOR RESPONSIBLE JOB CODES OWNER/CONTRACTOR IS RESPONSIBLE FOR ALL ON SITE UTILITIES. RELOCATION/F CIRCLE ONE EROSION CONTROL AND DRAINAGE UTILITIES MAY REQUIRE A SEPER, STH (CAO) ROW (DBA,DBB) REPAIR (607) I TYPE FOOTAGE DROP 76' ROW 23' - existing Carson 23' row bore DW BORE t I RD BORE SW BORE 53' priv prop ore STH 53' - tie in point PERMIT YES NO telephone pole LEGEND 10pothole needed ■ Comcast pedestal QComcast Hand Hole ® Electric Meter of House ® Utility Pole Proposed Path / SS=SOFT SURFACE _ DW=DRIVEWAY BORE SW=SIDEWALK BORE RD=ROAD BORE - N RESTORATION LIMITS TO Bf w E 0 15 30ft I BY CITY ENGINEERING INSF s Utility patches shall be combined and full width or half width overlay will be required depending on the extent Applicant shall repair/replace all of disturbance. Where utility patches fall entirely within damage to utilities or frontage ENGINES one travel lane, the overlayshall extend to the en improvements in City right-of-way APPRO) per city standards that is caused or centerline of roadway. Where utility patches extend into occurs during the permitted project. both travel lanes then a full width overlay is required. NOV 25 2024 CITY OF EDMONDS DEVELOPMENT iERVICES DEPARTMENT FOR LOCATING REVISION TO ANY ATE PERMIT. DETERMINED 'ECTOR =RING DIVISION /ED AS NOTED z 12/31 /2024 111/23/20241 356208 1 710 10TH PL S EDMONDS, WA 98020 CREW I CUSTOMER PHONE # I NAME LOCATE # / CLEAR DATE NETVISION 206-914-3927 HARVEY SMITH CABLE TYPE ROW CUTOVER NO? WHY? NOTES RG6 YES YES RG11 NO NO JOB CODES CIRCLE ONE STH (CAO) ROW (DBA,DBB) REPAIR (607) TYPE FOOTAGE DROP 76' ROW 23' DW BORE RD BORE SW BORE STH 53' PERMIT YES I NO LEGEND 10 pothole needed ■ Comcast pedestal QComcast Hand Hole ® Electric Meter of House ® Utility Pole — — — Proposed Path SS=SOFT SURFACE DW=DRIVEWAY BORE SW=SIDEWALK BORE RD=ROAD BORE N W E S RECEIVED NOV 25 2024 CITY OF EDMONDS DEVELOPMENT ERVICES DEPARTMENT RECEIVED NOV 25 2024 CITY OF EDMONDS M BuildingPermitxom CITY OF EDMONDS DEVELOPMENT Right -of -Way Application #1582099 - Comcast 356208 710 10th PI S SERVICES DEPARTMENT Applicant First Name Last Name Company Name lilia oviedo Netvision Number Street Apartment or Suite Number E-mail Address 3527 121 st street SW Iilia@netvisionunderground.com City State Zip Phone Number Extension lynnwood WA 98087 (425) 353-2078 Contractor Company Name NETVISION INC Number Street Apartment or Suite Number 3527 121 ST STREET SW City State Zip Phone Number Extension LYNNWOOD WA 98087 (425) 353-2078 State License Number License Expiration Date UBI # E-mail Address NETVII*849MA 7/19/2026 Rni4Qg411 lilia@netvisionunderground.com Project Location Number Street Floor Number Suite or Room Number 710 10TH PL S City Zip Code County Parcel Number EDMONDS 98020 27032500108800 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 Ednamae K Olufson-Smith Number Street Apartment or Suite Number 710 10TH PL S City State Zip EDMONDS WA 98020 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: 11/23/2024 Submitted By: lilia oviedo Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1582099 - Comcast 356208 710 10th PI S Project Contact Company Name: Netvision Name: lilia oviedo Email: lilia@netvisionunderground.com Address: 3527 121st street SW Phone #: (425) 353-2078 lynnwood WA 98087 Project Type Activity Type Scope of Work Utility Purveyor Utility Work Disturbance of Surface Project Name: Comcast 356208 710 10th PI S Underground horizontal directional boring using surface launched drill to install 2" Comcast Description of conduit to 710. Starting at telephone pole located near NW corner of 707's property, crew will Work: bore W approx 23' crossing under 10th PI S to row boundary. Route will finish on private property NW to an existing carson and SW approx 53' to 710's connection. Pothling is needed for utilities. Project Details Project Information Job Number 356208 Page 2 of 2