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APPROVED ENG2025-0099 ROW PERMITRIGHT OF WAY EUC PERMIT PERMIT NUMBER City of Edmonds www.edmondswa.gov i Description: COMCAST - BORE CABLE SERVICE TO PROPERTY ISSUED: 03/21/2025 Address: 21225 96TH AVE W EDMONDS WA 98020-3319 EXPIRES: 09/17/2025 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00528100000500 NAME TYPE NAME ADDRESS PHONE APPLICANT CAITLIN OVENELL PO BOX 92, SEDRO WOOLLEY WA 98284 (360)922-9936 CONTACT ADVANCED CONCEPTS LLC PO BOX 92, SEDRO WOOLLEY WA 98284 (360)922-9936 CONTRACTOR ADVANCED CONCEPTS LLC PO BOX 92, SEDRO WOOLLEY WA 98284 (425)244-2303 OWNER ROBERT SMITH 7F 21225 96TH AVE W, EDMONDS WA 98020-3319 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE - PER PERMIT $49.00 $49.00 ENG - INSPECTIONS-1.1.25 $274.00 $274.00 ROW - STANDARD - 1.1.25 $411.00 $411.00 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: 03/21/2025 Printed: Friday, March 21, 2025 10:12:44 AM 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 X-2 ENGINEERING FINAL** E-7 RESTOR LIMITS Printed: Friday, March 21, 2025 10:12:44 AM 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. MAR 13 2025 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 572914 21225 96th Ave W Site Address or if no site address use Property Address at NW corner of project area:21225 96th Ave W, Edmonds, WA 98020 Associated Permits: BLD PEN 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 Advanced Concepts LLC (see note below) Contractor Contacts During Construction Primary Name Cody Apple Agent Name Caitlin Ovenell Title Field Supervisor Title Permit Coordinator Mobile (360)922-4295 Address PO BOX 92 Email cody@sounddrillingllc.com City Sedro Woolley State WA zip 98284 Secondary Name Phone (360)922-9936 Title Email caitlin@advancedconceptslic.com Mobile City of Edmonds Business License No: 605586 Email State License No: ADVANCL X Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NUTS: 1 CDC 18.60.020 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 21225. Starting at telephone pole located near SW corner of 21215's property, crew will bore S approx 41' to a placed carson and E/SE/S approx 92' to another placed carson on W side of driveway. Route will finish on private property S/SE approx 37' to 21225's connection. Potholing is needed for project. 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: 3/12/2025 APPLICANT PRINTED NAME: Caitlin Ovenell 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 OWNER/CONTRACTOR RESPONSIBLE FOR LOCATING RESTORATION LIMITS TO BE DETERMINED ALL ON SITE UTILITIES. RELOCATION/REVISION TO ANY BY CITY ENGINEERING INSPECTOR UTILITIES MAY REQUIRE A SEPERATE PERMIT. MAR 13 2025 _W CITY OF EDMONDS DEVELOPMENT PARTMENT DATE JOB ADDRESS CITY SERVICES DE 3/11/2025 572914 21225 96TH AVE W EDMONDS PARTNER CUSTOMER PHONE # NAME LOCATE # / CLEAR DATE Sound 425-327-1572 13URROUGI IS,DONA A CABLE TYPE ROW CUTOVER NO? WHY? NOTES RG6 YES YES Call before dig. Current drop is aerial across neighbors property, re-route new drop underground. Customer located in Cul-de-sac, pole tap near street. G1 NO JOB CODES PERMIT ISSUER: PERMIT #: STH (CAO) CIRCLE ONE O (DBA,DBB) REPAIR (607) _ DROP (TOTAL) 172' STH (TOTAL) 37' HARD SOFT N N ROW 54' (D) (M) 81' (D) (M) STREET 32' (D) (M) (D) (M) DRIVEWAY 22' (D) (M) (D) (M) 1 1- SIDEWALK (D) (M) (D) (M) LANDSCAPE (D) (M) (D) (M) 135' ROW POTHOLE (QTY) 147 PLOW TRENCHER ❑ 1 �.(I ew Carson HAND TOOLS_ " ew Carson PERMIT YES NO O- pothole na N It ' 37' Sth IlkW E $ O 15 30ft III I OWNER/CONTRACTOR IS RESPONSIBLE FC Utility patches shall be combined and full width or half width overlay will be required depending on the extent of disturbance. Where utility patches fall entirely within one travel lane, the overlay shall extend to the centerline of roadway. Where utility patches extend into both travel lanes then a full width overlay is required. J C r[VJIVIV %RUIN 1 Mk L FiIVLJ LJI'C/111V/1VC 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. IR ENGINEERING DIVISION APPROVED AS NOTED tI p V><�lJ,4,g 03/19/2025 t DATE JOB ADDRESS CITY 3/11/2025 572914 21225 96TH AVE W EDMONDS PARTNER CUSTOMER PHONE # NAME LOCATE # / CLEAR DATE Sound 425-327-1572 BURROUGHS,DONA A CABLE TYPE R CUTOVER NO? WHY? NOTES R 6 YES YES Call before dig. Current drop is aerial across neighbors property, re-route new drop underground. Customer located in Cul-de-sac, pole tap near street. RG11 NO JOB CODES PERMIT ISSUER: PERMIT #: CI RCLE ONE STH (CAO) O DBA,DBB) REPAIR (607) DROP (TOTAL) 172' `y ; STH (TOTAL) 37' + SOFT ROW 54' (D) (M) 81(D) (M) STREET 32' (D) (M) (D) (M)- x DRIVEWAY 22' (D) (M) (D) (M) SIDEWALK (D) (M) (D) (M) LANDSCAPE (D) (M) (D) (M) - I' POTHOLE (CITY) — PLOW New Carson TRENCHER - � 32' Street HAND TOOLS PERMIT YES NO _ N ' ss Row _ 6' ss Row Wy E RECEIVED MAR 13 2025 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT �I3 COMC ST DATE JOB ADDRESS CITY 3/11/2025 572914 21225 96TH AVE W EDMONDS PARTNER CUSTOMER PHONE # NAME LOCATE # / CLEAR DATE Sound 425-327-1572 I3URROUGI IS,DONA A CABLE TYPE R,Q,W CUTOVER NO? WHY? NOTES RG6 YES YES Call before dig. Current drop is aerial across neighbors property, re-route new drop underground. Customer located in Cul-de-sac, pole tap near street. RG1 NO NO JOB CODES PERMIT ISSUER: PERMIT #: CIRCLE ONE STH(CAO) RO (DBA,DBB) REPAIR(607) t{A I` DROP (TOTAL) 172' • STH (TOTAL) 37' HARD SOFT ROW 54' (D) (M) 81' (D) (M STREET 32' (D) (M) (D) (M DRIVEWAY 22' (D) (M) (D) (M SIDEWALK (D) (M) (D) (M 7/ LANDSCAPE (D) (M) (D) (M POTHOLE (CITY) PLOW TRENCHER 3' ss Row HAND TOOLS 67' ss Row PERMIT YES NO N W E S RECEI1 ✓ED MAR 13 2025 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT �I3 COMC ST DATE JOB ADDRESS CITY 3/11/2025 572914 21225 96TH AVE W EDMONDS PARTNER CUSTOMER PHONE # NAME LOCATE # / CLEAR DATE Sound 425-327-1572 I3URROUGI IS,DONA A CABLE TYPE ROW CUTOVER NO? WHY? NOTES R 6 YES YES Call before dig. Current drop is aerial across neighbors property, re-route underground. Customer located in Cul-de-sac, pole tap near street. new drop G11 NO JOB CODES PERMIT ISSUER: PERMIT #: CIRCLE ONE STH (CAO) RO (DBA,DBB) REPAIR (607) DROP (TOTAL) 172' STH (TOTAL) 37' Ak HARD SOFT ROW 54' (D) (M) 81' (D) (M) *�t STREET 32' (D) (M) (D) (M) _ 67' ROW DRIVEWAY 22' (D) (M) (D) (M) / �- �►�_ SIDEWALK (D) (M) (D) (M) w LANDSCAPE (D) (M) (D) POTHOLE (CITY) �,T�. • . •- -�-- �� PLOW TRENCHER 1 3 - HAND TOOLS ^ 37' Sth PERMIT YES NO - A N z W E _ _ New Carson J RECEI1 ✓ED MAR 13 2025 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT �IrJc J COi=A51 MC DATE JOB ADDRESS CITY 3/11/2025 572914 21225 96TH AVE W EDMONDS PARTNER CUSTOMER PHONE # NAME LOCATE # / CLEAR DATE Sound 425-327-1572 I3URROUGI IS,DONA A CABLE TYPE R W CUTOVER NO? WHY? NOTES R 6 YES YES Call before dig. Current drop is aerial across neighbors property, re-route new drop underground. Customer located in Cul-de-sac, pole tap near street. G11 NO NO JOB CODES PERMIT ISSUER: PERMIT #: CIRCLE ONE STH (CAO) I RO (DBA,DBB) REPAIR (607) DROP (TOTAL) 172' STH (TOTAL) 37' HARD SOFT ROW 54' (D) (M) 81' (D) (M) STREET 32' (D) (M) (D) (M) DRIVEWAY 22' (D) (M) (D) (M) SIDEWALK (D) (M) (D) (M) LANDSCAPE (D) (M) (D) (M) POTHOLE (OTY) PLOW TRENCHER HAND TOOLS 3' Sw r ^r. f Customer opposed to re routing drop to electric meter, prefers existing connection location. Ground wire in place. I RECEIVED MAR 13 2025 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Series: Standard Series Material: HDPE Box Color: Black Lid Color: Green RECEIVED MAR 13 2025 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT Lid Marking: Communications Box Weight: 2.07 Ibs Lid Weight: 0.75 Ibs Total Weight: 2.82 Ibs Load rating: Pedestrian & lawn care equipment Includes: 5/16" Brass nut Made in the USA A C 111BC Mouse hole: 2 3/8" x 2 15/16" is Box Dimensions Lid Dimensions A. Top inside diameter 9 1/8" A. Top diameter 9 1/2" B. Top outside diameter 9 11/16" B. Bottom diameter 8 11/16" C. Bottom inside diameter 11 11/16" C. Rim thickness 1/2" D. Bottom outside diameter 12 13/16" D. Overall height 1 3/8" E. Height 9 15/16" s A E KtGtIVtU MAR 13 2025 ® CITY OF EDMONDS CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Right -of -wain nnnliration #1625377 - Comcast 572914 21225 96th Ave W Applicant First Name Last Name Company Name Caitlin Ovenell Advanced Concepts LLC Number Street Apartment or Suite Number E-mail Address PO Box 92 caitlin@advancedconceptsllc.com City State Zip Phone Number Extension Sedro Woolley WA 98284 (360) 922-9936 Contractor Company Name ADVANCED CONCEPTS LLC Number Street Apartment or Suite Number PO BOX 92 City State Zip Phone Number Extension SEDRO WOOLLEY WA 98284 (425) 244-2303 State License Number License Expiration Date UBI # E-mail Address ADVANCL760PB 10/2/2026 BD55RFg54 kolton@advancedconceptsllc.com Project Location Number Street Floor Number Suite or Room Number 21225 96TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00528100000500 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 Robert Smith Number Street Apartment or Suite Number 21225 96TH AVE W City State Zip EDMONDS WA 98020-3319 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: 3/12/2025 Submitted By: Caitlin Ovenell Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1625377 - Comcast 572914 21225 96th Ave W Project Contact Company Name: Advanced Concepts LL Name: Caitlin Ovenell Address: PO Box 92 Sedro Woolley WA 98284 Project Type Utility Purveyor Email: caitlin@advancedconceptsllc.com Phone #: (360) 922-9936 Activity Type Utility Work Project Name: Comcast 572914 21225 96th Ave W Scope of Work Disturbance of Surface Underground horizontal directional boring using surface launched drill to install 2" Comcast Description of conduit to 21225. Starting at telephone pole located SW corner of 21215's property, crew will Work: bore S approx 41' to a placed carson and E/SE/S approx 92' to another placed carson on W side of driveway. Route will finish on private property S/SE approx 37' to 21225's connection. Project Details Project Information Job Number 572914 Page 2 of 2