APPROVED ENG2024-0435 ROW PERMITDescription: ZIPLY - TRANSFER LINES AND REMOVE 1 BO POLE NJUNS 6164173
Address: 820 OLYMPIC AVE EDMONDS WA 98020-2960
ISSUED: 01/14/2025
EXPIRES: 07/13/2025
Permit Type: RIGHT OF WAY EUC I Permit Subtype: STANDARD I Parcel Number: 00548900002206
NAME TYPE
NAME
ADDRESS
PHONE
APPLICANT
COLTEN HESSELMAN
4155 SW CEDAR HILLS BLVD, BEAVERTON OR 97205
(971)205-9470
CONTACT
ZIPLY FIBER
4155 SW CEDAR HILLS BLVD, BEAVERTON OR 97205
(971)205-9470
CONTRACTOR
ZIPLY FIBER
1800 41ST ST, EVERETT WA 98201
(425)949-0230
OWNER
DANITA A & DAVID W SHNEIDMAN
17356 BEACH DR NE, LAKE FOREST PARK WA 98155
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 /14/2025
Printed: Tuesday, January 14, 2025 3:23:33 PM 1 of 2
RIGHT OF WAY EUC PERMIT
PERMIT NUMBE3
City of Edmonds
,....
121 Sth Ave
-. •.v / 425.771.0220
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 TRAFFIC CTRL
Printed: Tuesday, January 14, 2025 3:23:33 PM 2 of 2
t"F EDAJ()
INC. 1890
SECTION A
RECEIVED
NOV 19 2024
CITY OF EDMONDS
DEVELOPMENT
RIGHT OF WAY CONSTRUCTION SERVICES DEPARTMENT
PERMIT APPLICATION
Complete and submit this Application in accordance with the Submittal
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.
Owner and Entity Holding Franchise (if applicable)
Name of Company Ziply Fiber Northwest Franchise Ordinance No:
Point of Contact Colten Hesselman
Title Program Manager
Address 135 Lake Street S, Suite 155 Kirkland, WA 98033
City Kirkland
State WA
Zip 98033
Phone 971-205-9470
Email colten.hesselman@ziply.com
Contractor and Authorized Agent of Owner (see note below)
Name of Company BEON
Contractor Contacts During Construction
Primary Name
Agent Name Alex Vasilcenco
Title
Title
Mobile
Address 11716 SE 229th PI
Email
City Kent
State WA
I
Zip 98031
Secondary Name
Phone 253-355-3741
Title
Email Alex@beonconnect.com
Mobile
City of Edmonds Business License No: 604691807
Email
State License No: 604691807
;Q Contractor verifies it is currently bonded
X 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)
❑ 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)
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.)
SNOPUD replaced pole. Ziply to complete their aerial transfer for 3 attachments at 820 Olympic Ave Edmonds WA 98020.
RIGHT-OF-WAY
CLOSURE
AREA
TOTAL
DURATION
(Number of Months)
Sidewalk 72 hours +
LF
x
LF
SF
Alley 72 hours +
I LF
x
LF
SF
Parking 72 hours +
I LF
x
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 dcable ❑ power ❑ gas
❑ water ❑ sewer ❑ storm
Details of Work to be Completed
1. Does the utility owner have existing 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?
`�
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.
j 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?
6. IDoes 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?
1 3
How many are to be added?
0
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? 45
How many poles are to be removed?
Are additional poles to be laced? 0
How many?
I
I What is the height of the additionalpoles?
6c.
Are any poles to be modified/rebuilt/replaced? If yes:
X
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: cio-(� DATE: 09/05/2024
APPLICANT PRINTED NAME: Colten Hesselman
APPLICANT TITLE: Program Manager
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
PUBLIC UTILITY DISTRICT 140.1 OF SNOHOMISH COUNTY
LOCATION 750 OLYMPIC AVE LYNNWOODAREA
POLE NO. 428 NE1/4S 24 T 27 R 03 DATE 03/05/22 ORDER 100092625
REASON FOR WORK REPLACE BAD ORDER POLE FOR ENGINEER A. RIFE OPERATION 0030
PUD PRI-5 DRAFTER U.G. NO.
SCALE 1" =100
APPROVED
g, DATE PRINTED
DATE WORK COMPLETED
FOREMAN
FEES REO'D AYES ■NO
PRIMARY OVERHEAD
0 RESIDENTIAL
O COMMERCIAL
LEO NO.
SECONDARY OVERHEAD
BASIC FEE S
t '=i
METER/CONV. POLE S
PRIMARY UNDERGROUND
O RESIDENTIAL
O COMMERCIAL
BASIC FEE S
LIEU NO.
'as 'ms
SECONDARY UNDERGROUND
BASIC FEE S
'®f '.i
UNDERGROUND PLAT
BASIC FEE S
q FT.0 '=s
STREET LIGHTING
q FT.@% 'ms
WORK IN RIGHT OF WAY
0 PRIMARY
0 SECONDARY
q FT.@% 'mS
MISCELLANEOUS FEES
VAULT S
PERMIT S
s
s
S
z
TOTAL DUE S
DATE PAID
RECEIPT NO.
SERVICE ORDER NO.
mirommol
NESC VIOLATIONS
■ NO 0 YES (SEE NOTES)
PERMITS (DATE GRANTED)
0 TREE TRIM
0 STATE
0 COUNTY
■ CITY EDMONDS
0
EASEMENTS
0 REOUIRED ■ NOT REOUIREO
DATE RELEASED
FOREIGN CONTACTS
■ JPN• 100092625
0 JOINT TRENCH ZIPLY & CATV
0 JOINT BORE ZIPLY & CATV
POLE STENCILING
FROM TO
TAKE OFF POLE
PRE-CONST. REOUIRMENTS
0 TREE TRIM 0 PUD LOCATOR
0 BACKHOE 0 FLAGGING
■ ONE CALL DATE
No.
STREET LIGHTING
0 YES ■ NO
M&R I IAS-BUILT
IGIS Phi IJOINT USE
LOCATION MAP PAGE 454H-
0 EXISTING POLE
0 EXISTING POLE -TO BE REMOVED
• NEW POLE
)1( NEW POLE TO REPLACE EXISTING POLE
DATE
SUBSTATION MPL
CIRCUIT NO. 12-346 PHASE 123
ENGR'S TEL. •
425-783-8559
ENGR'S CELL •
,F-425-239-8210J.
LOC A-PLI-428
SET 35FT POLE 2FT S.OF EXISTING POLE
SET POLE DEEP 6.5FT DEEP AND
INSTALL POLE KEY FOR EXTRA STABILITY
INSTALL *1 NEUT SPOOL 10101
TRANSFER 1/0 OVHD SEC SVC
BUILD NEW 3" UG SEC RISER PER CS-1U705
FROM OVHD 1/0 TRIPLEX, INSTALL 45FT OF
350 TRIPLEX TO EXISTING PED
STRIP POLE AND ABANDON POLE TO COMM.
POLE SHALL BE REMOVED ONCE ZIPLY TRANSFERS LINES
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.
ENGINEERING DIVISION
APPROVED AS NOTED
%» WQ✓ j j,,44z 12/04/2024
vv
SL-1
RECEIVED
NOV 19 2024
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
cast
SHEET OF
SCHEDULE ALL INSPECTION
1 EXISTING EXISTING EXISTING
EXISTING
SHOULDER LANE LANE
SHOULDER
LANE OPEN
LANE OPEN
WORK AREA
TO TRAFFIC
TO TRAFFIC
SEE NOTE 3
RECEIVED SECTION A -A
> THROUGH MYBUILDINGPERMIT.COM
RECOMMENDED SIGN SPACING = X (1)
RURAL ROADS & URBAN ARTERIALS 35-40 MPH 350'±
RURAL ROADS & URBAN ARTERIALS 25-30 MPH 200'± (2)
RESIDENTAL & BUSINESS DISTRICTS
URBAN STREETS 25 MPH OR LESS 100'± (2)
(1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE
LONGITUDINAL BUFFER SPACE = B
SPEED (MPH) 1 20 25 30 35 40
B (feet) 115 155 200 256 305
Buffer space may be adjusted (i) based on field conditions.
INTERCHANGE RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS.
(2) THIS SPACING MAY BE REDUCED IN URBAN AREAS TO FIT
ROADWAY CONDITIONS.
PROTECTNE VEHICLE ROLL AHEAD DISTANCE = R
STRATEGICALLY POSITION WORK VEHICLE TO PROTECT WORK CREW.
40'- 80' RECOMMENDED.
NOV 19 2024
TRAFFIC CONTROL INSPECTION SHALL BE
CITY OF EDMONDS REQUIRED WHENEVER WORK ZONE IS SET UP
DEVELOPMENT
SERVICES DEPARTMENT
N
I� H N • •
SEE NOTE 3
X/2 X/2
X/2 X/2 U3
B
SEE NOTE 1
VARIES, SEE NO-
36" MIN 36"
36 "MIN MIN
36"MIN 48
R
30"
�°D � 30,.
36"MIN MIN
SI
OTHER PEC
W20.1
W21.5 W71.15MOD R4.11 IBIW)
120.301 (BINS
USED WITH USED WWITH
SHARED SHARED
(OPTIONAL)
BIKE -VEHICLE BIKE -VEHICLE
LANE ONLY LANE ONLY
SEE NOTE 10(A) SEE NOTE 10(A)
SHOULDER CLOSURE TAPER LENGTH = U3
SHONLDER
SPEED (MPH)
20
2$
30
35
4WIDTH
< 6'
40
40
40
60
60
6'
L/3 (feet)
40
40
40
60
60
10'
40
40
60
90
90
NOTES:
1. IF FEASIBLE, AVOID PLACING SHOULDER CLOSURE TAPER WITHIN OR
IMMEDIATELY FOLLOWING HORIZONTAL AND VERTICAL CREST CURVES. 4. SIGNS ARE BLACK ON ORANGE UNLESS OTHERWISE INDICATED.
2. DISTANCE INCREASES AS WORK AREA MOVES DOWNSTREAM. 5. PLAN IS APPLICABLE TO LANE CLOSURES OF 7 DAYS OR LESS.
LEGEND: 3. 28" TRAFFIC CONES, 36" TRAFFIC CONES, 42" TALL CHANNELIZING DEVICES, 6. ADD W21-30 SERIES SIGNS (36"06" MIN, F HEIGHT) @ X PRIOR TO
N TEMPORARY SIGN LOCATION (1'MIN HEIGHT)
OR TRAFFIC SAFETY DRUMS ALLOWED ON TAPERS AND TANGENTS. FREQUENT CONSTRUCTION VEHICLE INGRESS/EGRESS INTO OPEN LANE(S). ■ CHANNELIZING DEVICE (SEE NOTE 3) SHOULDER CLOSURE
(HIGHWAYS
E a PROTECTIVE VEHICLE , 40 MPH OR LESS
NOT TO SCALE
MAXIMUM CHANNELIZATION
DEVICE SPACING (feet)
MPH
TAPER
TANGENT
35 - 40
30
60
20-30
20
40
(OPTIONAL)
36"
TI
36" MIN
DOUBLE
48"
ROAD
wORx
AXEAD
nao emCes
36" MIN
120.301 (SIM
W20-1
X/z X/2
N
7. PEDESTRIAN ACCOMMODATIONS, WHERE FACILITY OPEN TO PEDESTRIANS:
(A) KEEP ADJACENT SIDEWALK OR PATHWAY OPEN.
(B) CLOSE ADJACENT SIDEWALK OR PATHWAY. PROVIDE PEDESTRIAN DETOUR,
ALTERNATE ROUTE,OR FREE SHUTTLE (WORK TRUCK,VAN,OR BUS OK).
(C)STOP WORK OPS.& ESCORT PEDESTRIANS THROUGH WORK AREA.
(D) ENGINEER TO ACCEPT ANY ALTERNATIVE STRATEGIES.
8. BICYCLIST ACCOMMODATIONS, VMERE FACILITY OPEN TO BICYCLES:
(A) SHARED BICYCLE -VEHICLE LANE. ADD Wl l-15 MOD & R4-11 SIGNS.
(B) BICYCLES PROHIBITED R5-6 SIGN(S). PROVIDE SIGNED DETOUR OR
ALTERNATIVE ROUTE.
(C) BICYCLES PROHIBITED VIA R5-6 SIGN(S). PROVIDE FREE SHUTTLE (WORK
TRUCK, VAN, OR BUS OK) + CONTACT INFORMATION/PHONE BOXILABORER.
(D)STOP WORK OPS & ESCORT BICYCLISTS THROUGH SHOULDER CLOSURE.
(E) ENGINEER TO ACCEPT ANY ALTERNATIVE STRATEGIES.
24"
,dk36" MIN
36" MIN
36" MIN
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UCK$
TRUCKS
WVING
IGXWgY
36"MIN
ENTERING
XIGHWWY
36"MIN
<
76"MIN
(RIB.)
RS-6 RIBIW
PRIOR TO AND
WITHIN
W21-30A
W21-30
W21-308
SHLDR CLOSURE
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APPROVED AS NOTED
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RECEIVED
NOV 19 2024
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
RECEIVED
CITY OF EDMONDS
Right -of -Way Application #1541339 - W0918188
/ NOV 19 2024
MyBuildingPermit.corn
CITY OF EDMONDS
DEVELOPMENT
SERVICES DEPARTMENT
Applicant
First Name Last Name Company Name
Colten Hesselman Ziply Fiber
Number Street Apartment or Suite Number E-mail Address
4155 SW Cedar Hills Blvd chh4038@nwestnetwork.com
City State Zip Phone Number Extension
Beaverton OR 97205 (971) 205-9470
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
820 OLYMPIC AVE
City Zip Code County Parcel Number
EDMONDS 98020 00548900002206
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
Danita A & David W Shneidman
Number Street Apartment or Suite Number
17356 BEACH DR NE
City State Zip
LAKE FOREST PARK WA 98155
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: 9/5/2024 Submitted By: Colten Hesselman
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1541339 - W0918188
Project Contact
Company Name: Ziply Fiber
Name: Colten Hesselman Email: chh4038@nwestnetwork.com
Address: 4155 SW Cedar Hills Blvd Phone #: (971) 205-9470
Beaverton OR 97205
Project Type Activity Type Scope of Work
Utility Purveyor Utility Work No Disturbance of Surface
Project Name: W0918188
Description of Work: SNO PUD has replaced one pole. Ziply to complete their aerial transfer of 3
attachments at 820 Olympic Ave NE Edmonds WA 98020.
Project Details
Project Information
Job Number
W0918188
Page 2 of 2