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APPROVED ENG2025-0027 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NU�IBE City of Edmonds Edmonds WA 980201 11 www.edmondswa.gov i Description: ZIPLY - OVERLASH 183 FEET RISER DOWN AND BORE 83' ISSUED: 02/04/2025 Address: 21011 HILLCREST PL EDMONDS WA 98026-6916 EXPIRES: 08/03/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: MINOR Parcel Number: 00373600500610 NAME TYPE NAME ADDRESS PHONE APPLICANT ARIANNE MOMMSEN 426 E CASINO ROAD, EVERETT WA 98208 (402)670-8384 CONTACT ZIPLY FIBER NORTHWEST LLC 426 E CASINO ROAD, EVERETT WA 98208 (402)670-8384 CONTRACTOR PACIFIC CABLE CONSTRUCTION PO BOX 573, WOODINVILLE WA 98072 (425)346-2083 OWNER GREGORY J & MADELINE BUCHANAN 21011 HILLCREST PL, EDMONDS WA 98026-6916 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $49.00 $49.00 ENG - INSPECTIONS-1.1.25 $137.00 $137.00 ROW - MINOR-1.1.25 $137.00 $137.00 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: 02/04/2025 Printed: Tuesday, February 04, 2025 2:00:15 PM 1 of 2 RIGHT OF WAY EUC PERMIT PERMIT NUMBE3 City of Edmonds ,...Ave N, Edmonds WA 9:0ENG2025-0027 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** Printed: Tuesday, February 04, 2025 2:00:15 PM 2 of 2 ❑ 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.) Telecommunications and broadband provider Ziply Fiber to Project 191805 OVIER1,CH 183 FT FROM P01F ON' I EFT OF ADDRESS ,20919 TO POLE ON RIGHT OF 21104 RISER DOWN BORE NORTH 86 FT CROSS STREET TO THE LEFT OF 21011 PLACE NEW HH 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: * telecommunications ❑ cable ❑ power ❑ gas ❑ water ❑ sewer ❑ storm 1. CompletedDetails of Work to be 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: Installing new HH on left of 21011 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? Are the additions for the purpose of serving a single-family residential subdivision? 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: X How many are existing? I I How many are to be added? 1183 FT 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? 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? 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: DATE: 01/20/2025 APPLICANT PRINTED NAME: Dorothy Graham APPLICANT TITLE: TCP & Permit Specialist 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 JAN 28 2025 LEGEND: j D EXISTING TERMINAL FTM-1 PROPOSED TERMINAL EXISTING UTILITY POLE ® PROPOSED NEW POLE H H 1 EXISTING HANDHOLE H H PROPOSED NEW HANDHOLE [2'x3'] M H EXISTING MANHOLE M H PROPOSED NEW MANHOLE 0 EXISTING FLOWER POT I© PROPOSED NEW FLOWER POT - — EXISTING UNDERGROUND UTILITY PROPOSED UNDERGROUND CONSTRUCTION [HAND DIG, BORE] EXISTING AERIAL SPAN PROPOSED AERIAL SPAN CENTER LINE - - PARCEL LIMITS [PROPERTY LINE] EOP EDGE OF PAVEMENT ROW RIGHT OF WAY WATER SANITY SEWER STORM SEWER STREET CROSSINGS EX. GRADE IV AV AV AV AV 48" MIN 12" MIN BORE PIT FROM EX. UTILITIES RECEIVE PIT PLACE END MARKER WITH UTILITY OWNER'S NAME DESCRIBING CONDUIT BORE PIT TO BE BACKFILLED AND COMPACTED IN 12" LIFTS WITH MATERIAL REMOVED FLOW OF ANY NEARBY DRAINAGE MUST BE MAINTAINED AT ALL TIMES PROTECT ROOTS AT ALL TREE LOCATIONS, FIELD ADJUST AS NECESSARY TYPICAL BOREDETA/LS WORK DETAILS: OVERLASH 183 FT FROM POLE ON LEFT OF ADDRESS 20919 TO POLE ON RIGHT OF 21104 RISER DOWN BORE NORTH 86 FT CROSS STREET TO THE LEFT OF 21011 PLACE NEW HH HAND DIG TO 21011 EDMONDS CITY CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT VICINITY MAP 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. O ATCO COMMUNICATIONS SERVICES, LLC www.otcoteiecom.com 360.563.9000 708 First Street Snohomish, WA 98290 Kfiber yett, WA 98206 LO CD CD a, 00 z a a U) Q 0 z z a O a 0 � o U) WW J o_ U CO J DJ = U J J_ S 0 N ii u U � LU m w � g p Lu z Q ~ z U U U w w Lu � ry O O a w w LLI 0- D- z I) 3 a C14 LID OD rn a 6i a z w J_ LL DATE: 01 /15/2025 DESIGNED BY: D.GRAHAM ATCO CONTACT: DOROTHY. GRAHAM@atcotelecom.com SCALE: GENGINEERING Know what's belowNOT TO Callbefore ym ld1% DIVISION SCALE APPROVED AS NOTED - ddl L1/Q✓..yii.Wg 02/04/2025 SHEET: 01 NO: 1 OF 1 LEGEND: ATCO COMMUNICATIONS SERVICES, LLC AS THE DESIGNER OF THIS TRAFFIC CONTROL PLAN, O SIGNALIZED INTERSECTION MAKES NO REPRESENTATION AS TO ITS GENERAL ADEQUACY OR BEING APPROVED FOR IMPLEMENTATION. PHASE APPROVAL MUST RESULT FROM THE TRAFFIC ENGINEER OR OTHER PUBLIC OFFICIAL HAVING STATUTORY O ENFORCEMENT AUTHORITY IN THE JURISDICTION. UTILIZATION AND IMPLEMENTATION OF THIS PLAN TRAFFIC SAFETY DRUM SHALL BE A RESULT OF THE APPROVAL. REF. MUTCD 2009 6A - 01 (10) ® TYPE III BARRICADE ATCO COMMUNICATIONS SERVICES, LLLLC www.otcoteiecom.com WORK TRUCK 360.563.9000 708 First Street WORK ZONE LIMITS Snohomish, WA 98290 PORTABLE SIGN WI f i b e Q EXISTING SIGN x 20-1 Z I P y ® DRIVEWAY Everett, WA 98206 ARROW BOARD x W20-3 K-6664 (WHERE REQUIRED) CONTRACTOR TO PLACE NO � Q H m PARKING SIGNS ON BOTH o c"I U) SIDES OF THE STREET 72 00 DIRECTION OF TRAFFIC HOURS PRIOR TO START 0 rn rn Z ui (NOT PAVEMENT MARKINGS) WORK ,� Q < Z 0-0 p FLAGGER-SPOTTER CONTRACTOR TO NOTIFY ffTZ RESIDENCES OF ROAD Z Q a CLOSURE 72 HOURS PRIOR � U CL TO START WORK � I ~ FLAGGER STATION W LU W Q a 0 J J O 20919 = N W L0 WORK DETAILS: of N = z J OVERLASH 183 FT FROM POLE ON LEFT OF ADDRESS 20919 J O TO POLE ON RIGHT OF 21104 RISER DOWN BORE NORTH 86 = N FT CROSS STREET TO THE LEFT OF 21011 PLACE NEW HH HAND DIG TO 21011 20914 HH r , SPOTTER NEEDED FOR DRIVEWAY ACCESS u_ 00 u_ 21011 W W /r m \` tY M Z Q Z W H I - NOTE: w w z _-) Q MON. - FRI. = 7:00am TO 4:00pm O O U W of fy- ENGINEERING DIVISION a a o LL SIGN LEGEND: CHANNELIZATION DEVICE APPROVED AS NOTED SPACING (feet) MPH TAPER TANGENT ,Wl (A/�.�X��02/04/2025 50 / 70 40 80 ROAD ROAD 35 / 45 30 60 WORK CLOSED 25 / 30 20 40 AHEAD AHEAD W20-1 21104 w20-3 RECEIVED CLOSED JAN 28 2025 LOCAL TRAFFIC CITY OF EDMONDS K-6664 R8-3a SERVICESDEVELOPMENT DE DEPARTMENT SIGN SPACING = X (1) FREEWAY &EXPRESSWAYS 55 / 70 MPH 1500' ± 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 RESIDENTIAL &BUSINESS DISTRICTS 200' ± (2) URBAN STREETS 25 MPH OR LESS 100'± (2) (1) ALL SPACING MAY BE ADJUSTED TO ACCOMMODATE INTERCHANGE RAMPS, AT -GRADE INTERSECTIONS AND DRIVEWAYS (2) THIS SPACE MAY BE REDUCED IN URBAN AREAS TO FIT ROADWAY CONDITIONS. DATE: 01 /15/2025 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: D.GRAHAM ATCO CONTACT: DOROTHY.GRAHAM@atcotelecom.com SCALE: SHEET: 1 "=50' 02 NO- 20F2 EDMONDS CITY Main St: f 1 im VICINITY MAP WORK AREA RECEIVED JAN 28 2025 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT ATCO COMMUNICATIONS SERVICES. LOLC www.atcotelecom.com 360.563.9000 708 First Street Snohomish, WA 98290 ziPy I fiber Everett, WA 98206 Lo ( m 04 00 o c/) 3 00 Z O rn rn Q U) 00 In z 0 Q z a U d U 0 H 2 ~ W Lu W W a U � J J_ W 2 v / ry J J _O li N Lu O U W W m �o Z Q w z U U O 2 Q z 0� U J d L1 J LL DATE: 01 /15/2025 REVIEWED BY: M. LUNA WTCS# 013184 DESIGNED BY: D.GRAHAM ATCO CONTACT: DOROTHY.GRAHAM@atcotelecom.com SCALE: SHEET: NOT TO O SCALE NO: 1 OF 2 RECEIVED JAN 28 2025 CITY OF EDMONDS MyBuildingPermit.com CITY OF EDMONDS DEVELOPMENT Rig ht-a4;i;Wwp ration #1603188 - ZIPLY - 21011 Hillcrest PL Edmonds -PROJECT Applicant First Name Last Name Company Name Arianne Mommsen Ziply Fiber Northwest LLC Number Street Apartment or Suite Number E-mail Address 426 E Casino Road grpatcopermits@ziplyfiber.com City State Zip Phone Number Extension Everett WA 98208 (402) 670-8384 Contractor Company Name PACIFIC CABLE CONSTRUCTION INC Number Street Apartment or Suite Number PO Box 573 City State Zip Phone Number Extension Woodinville WA 98072 (425) 348-7735 State License Number License Expiration Date UBI # E-mail Address PACIFCC954PJ 10/21/2025 F=5877nq luke@paccab.com Project Location Number Street Floor Number Suite or Room Number 21011 HILLCREST PL City Zip Code County Parcel Number EDMONDS 98026 00373600500610 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 Gregory J & Madeline J Buchanan Number Street Apartment or Suite Number 21011 HILLCREST PL City State Zip EDMONDS WA 98026-6916 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: 1/23/2025 Submitted By: Arianne Mommsen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1603188 - ZIPLY - 21011 Hillcrest PL Edmonds -PROJECT Project Contact Company Name: Ziply Fiber Northwest LLC Name: Arianne Mommsen Email: grpatcopermits@ziplyfiber.com Address: 426 E Casino Road Phone #: (402) 670-8384 Everett WA 98208 Project Type Activity Type Scope of Work Utility Purveyor Utility Work No Disturbance of Surface Project Name: ZIPLY - 21011 Hillcrest PL Edmonds -PROJECT 191805 Description of OVERLASH 183 FT FROM POLE ON LEFT OF ADDRESS 20919 TO POLE ON RIGHT OF Work: 21104 RISER DOWN BORE NORTH 86 FT CROSS STREET TO THE LEFT OF 21011 PLACE NEW HH HAND DIG TO 21011 Project Details Project Information Job Number 191805 Page 2 of 2