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ENG2021-0169 ROW PERMITOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds EdmondsRIGHT 98020 ENG2021-0169 www.cityofedmonds.gov Description: COMCAST-INSTALL DROP LINE & BORE ACROSS STREET TO POWER ISSUED: 06/30/2021 POLE Address: 1131 B AVE EDMONDS WA 98020 EXPIRES: 12/30/2021 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00619401000802 A AM CONTACTS OL mop NAME TYPE NAME ADDRESS PHONE APPLICANT COMCAST 1525 75TH ST SW, EVERETT WA 98203 (425)921-8201 CONTRACTOR SOUND DRILLING LLC , SEDRO WOOLLEY WA 98284-8309 (425)244-2303 OWNER OFTEDAHL DENNIS & JANICE 1131 B AVENUE, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $0.00 ENGINEERING INSPECTION FEE $220.00 $0.00 RIGHT OF WAY STANDARD - EUC PERMIT FEE $330.00 $0.00 • 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 INDEMNITY 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. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW 06/30/2021 :»•AF9:1H ]1 DATE Printed: Wednesday, June 30, 2021 12:45:23 PM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • www.cityofedmonds. ov/425.771.0220 CONDITIONS CONDITION TYPE Easement and/or permission from adjacent property owner is required prior to entry or work within ADJACENT PROPERTY an adjacent property. 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. Alert affected residents and/or businesses prior to work start. Verify clear bore crossings. ENGINEERING OTHER Restore landscape to like or better conditions. Call for required inspections as noted. ESC REQ Maintain erosion and sedimentation control per City and SWMMW standard 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. Sound/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 OR 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/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. INSPECTION TYPE DATE RESULT NOTES COMPLETE A-1 JOB START X-2 ENGINEERING FINAL" E-7 RESTOR LIMITS Printed: Wednesday, June 30, 2021 12:45:23 PM 2 of 2 of EpM04O� ENG2021-0169 RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal RECEIVED /'Vc. i sa° Requirements outlined in Right -of -Way permit Handout E6�. MAY 12 2021 If any field is not applicable to your project, write "N/A" instead of leavi ag blank. All fields required. Incomplete Applications will be denied. CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT SECTION A General Info Project Name Comcast drop 1131 B Ave S, Edmonds Site Address or if no site address use Property Address at NW corner of project area: 1131 B Ave S, Edmonds Associated Permits: BLD PLN ENG Owner and Entity Holding Name of CompanyComcast Franchise Ordinance No: Point of contact Jerdee, Yvonne Title Address 1525 75th St SW City Everett State WA Zip 98203 Phone Email Yvonne Jerdee comcast.com Contractor and Authorized Agent of Owner (see note below) Name of CompanySound Drilling LLC Contractor Contacts During Construction Primary Name Kolton Palmer Agent Name Kolton Palmer Title Owner Title Owner Mobile425-244-2303 Address 24499 E State St Email kolton@sounddrillingllc.com CitySedro Woolley State WA Zip98284 Secondary Name Phone 425-244-2303 Title Email kolton sounddrillin llc.com Mobile City of Edmonds Business License No;604138621-001-0001 Email State License No:SOUNDDL82IJQ 19 Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance NOTE: ECDC 18.6o. o2o 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 welt ❑ Traffic Control Only (no associated development) ix Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 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.) Install Comcast Drop line from 1131 B ave along City ROW about 100 feet. Then Bore across B ave and to Power Pole next to 1118 B ave's Driveway. City water will be pot holed and a bore shot will have 5 feet of RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + 0 LF x 0 LF 0 SF 0 Alley 72 hours + 0 LF x 0 LF 0 SF 0 Parking 72 hours + 0 LF x 0 LF 0 SF 0 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 2g cable ❑ 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 x 2. Will any equipment be added underground or above ground (e.. pedestals, vaults, etc.)? x 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? 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 stem? x 5. Does the work involve proposed additions to an aboveground utility stem? If es: x Are the additions for the purpose of serving new commercial development? x Are the additions for the purpose of serving a single-family residential subdivision? x Details of Work to be Completed Yes No 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? x 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? 1 0 1 How many are to be added? 1 City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 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? 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: %{—/ DATE: 5/8/2021 APPLICANT PRINTED NAME: APPLICANT TITLE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 ► ouvis 111300VIA RECEIVED MAY 10 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT _ G20-2 M - ENGINEERING DIVISION APPROVED AS NOTED /( , 06/30/2021 w • IOU w • 120' SHADOW VEHICLE RE OUIRE D SEE NOTE 4 FLAGGER STATION f SEE NOTE 2 SEE NOTE 1 Ak 1 W3-4 SF F NOTE 9 OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE 2-1186 BORING SHALL ONLY BE PERPENDICULAR AND PARALLEL IN 1118 ROW 12-1254 1122 6 18 cAfp 11112 1s r ' 1118 1121 c 12-322 POTHOLE FOR WATER MAIN a 1 -19 191122 12-3 23 1125 z U 1126 12-978 1131JFROM 1132 E 12-459 12 72 MAINTAIN rn SEPARATI1134 WATER BL� 12L 1 1 '1p. ellob 1136 er Cr�P �e•c 12 -19 � �