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ENG2021-0221 ROW PERMITOF WAY EUC PERMIT PERMITNUMBER, City of Edmonds EdmondsRIGHT 98020 1 1 www.cityofedmonds.gov Description: ZIPLY-REMOVE 2 POLES AND MOVE OH TO UG CONDUIT ISSUED: 07/06/2021 Address: 18828 SOUND VIEW PL EDMONDS WA 98020-2358 EXPIRES: 01/06/2022 Permit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00498400000200 NAME TYPE NAME ADDRESS PHONE APPLICANT ZIPLY FIBER 1800 41ST ST, EVERETT WA 98201 (425)949-0230 CONTRACTOR PACIFIC CABLE CONSTRUCTION PO BOX 573, WOODINVILLE WA 98072 (425)348-7735 OWNER ATHERTON JAY W 1003 NW 179TH PL, SEATTLE WA 98177 (425)742-6044 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $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 07/06/2021 RELEASED BY DATE Printed: Tuesday, July 06, 2021 8:10:00 AM 1 of 2 -KRWOF WAY EUC PERMIT City of • • • •:• •ENG2021-0221 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. 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. TRAFFIC CONTROL Traffic Control per approved plan and MUTCD. All Flaggers shall be certified. 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 RESULT INSPECTION MEN A-1 JOB START X-2 ENGINEERING FINAL" Printed: Tuesday, July 06, 2021 8:10:00 AM 2 of 2 of EpM04O� RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal /'Vc. i sa° 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. SECTION A General • Project Name 51419-5506347 Site Address or if no site address use Property Address at NW corner of project area: 18828 Sound VI@W PI, Edmonds, WA Associated Permits: BLD PLN ENG Owner and Entity Holding Franchise (if applicable) Name of Company Ziply Fiber Franchise Ordinance No: WN U-17 Point of Contact Mike HaKahan Title Engineer Address 1800 41 St St, Ste N 100 city Everett State WA Zip 98203 Phone 425-949-0230 Email mike.hakahan@ziply.com Contractor and Authorized Agent of Owner (see note below) Name of company Pacific Cable Construction Contractor Contacts Primary Name During Construction Danielle Harrera Agent Name Danielle Herrera Title Permit Manager Title Permit Manager Mobile 425-348-7735 Address PO BOX 573 Email danielle@paccab.com City Woodinville State WA Zip 98072 Secondary Name Phone 425-348-7735 Title Email danielle@paccab.com Mobile City of Edmonds Business License No: PACI FCC954PJ Email State License No: 3636CON 1096 Of 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) m 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.) Telecommunications and broadband provider Ziply Fiber to remove 2 poles abandoned by PUD and convert overhead lines to underground as construction activity. Underground conduit placed y private developer. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk 72 hours + LF I x LF SF Alley 72 hours + LF Ix I LF SF Parking 72 hours + I LF Ix I LF I 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: VZtelecommunications ❑ 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 x No 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: 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 Work to be Completed Yes No 6. Does your project involve rebuilding or replacing utility equipment which currently serves more X than one lot or commercial development? 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? 15 1 How many are to be added? 10 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? 2 What is the height of the existing poles? 35' How many poles are to be removed? 2 Are additional poles to be laced? X How many? 10 1 What is the height of the additionalpoles? I n/a 6c. Are any poles to be modified/rebuilt/replaced? If yes: x How many? 10 1 What is the height of the poles after? n/a 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 I V " In N JVA Y V DATE: 6/18/2021 APPLICANT PRINTED NAME: Mike HaKahan APPLICANT TITLE: Engineer NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 Applicant shall repair/replace all ENGINEERING DIVISION dams etoutilitiesorfronta e improam�ents per city stands in City right-of-way ds that is caused or 13MUS 1VI1NMIS3a 0Id3Va11 HINIW APPROVED AS NOTED e jdl. 07/02/2021 occurs during the _6115 permitted p a}op oject. a03 OVOa 30 39a3 1V 43>IHVd 310IH3A NV]d 10�11N0D DIAAVli v,ei »3Nisno T „OOZ ' HdVA 04/SZ S133diS HVIINJOIS3?J Nv&in HdW Ot 99 SHVAJi1JV NVH?jn HdW 99 9t SOVO?J �vdnlJ OWNERICONTRACTOR EROSION IS RESPONSIBLE FOR CONTROL AND DRAINAGE Hdw 99/9s 'JVdS NOIS S VMSS3Hdx3 �' S.lVM 33H� INNER/CONTRACTOR RESPONSIBLE FOR LOCATING 1svi ON SITE UTILITIES. RELOCATION/REVISION TO ANY UTI S M Y REQUIRE A SEPE atl3Htl �aOM OtlOa W00'Si1ME1d9NmI 9AN HonOJHl SNOUO�IdSNI it`d �mGl IHOS �IS`d Ind Id l0spuil A c c� N I HLLKWAXX 81884 IN: HLLKWAXX H6015,44-48+ XD,6 OUT: HLLKWAXX 81881 IN: HLLKWAXX H6015,49-55+ XD,8 OUT: Developer Contact Gary Klick Select Homes LLC gary@selecthomeswa.com 206-730-0670 _ _ U BE SAFE AND HAVE ----------_ WATER ST A GREAT DAY! )------------- — Working Customers Affected by Project Fiber Cable H6015,33 9711 Lindsay PI H6015,34 - 18904 Soundview PI H6015,35 - 9705 Lindsay PI H6015,36 18828 Soundview PI H6015,37 9714 Lindsay PI H6015,38 - 18824 Soundview PI (disconnected) Copper Cable DBR,649 - 18824 Soundview PI (working) HLLKWAXX 81888-A IN: HLLKWAXX H6015,26-32+ ' XD, F OUT/ i Qom/ [INLKWAXX 81887 �LHILLKWAXX H6015,33-43+D,12 J�O i OUT: o1 �P/C9EDM 5252 REMOVE I � 0 LV rn x .32 20034-705259 cO , rn 160' SS 26 24 \� / C9EDM DBR,626-650+ °� XD,26 z��.31 S2 o_ Y_XI�REMOVEI r.1624702 O—P.29S2 TRANSFER from P.30 to 2g 104' P.1624702 AE 50 24 , C9EDM �g829EDM DBR,601-650 CONSTRUCTION NOTES • New home is being built at 18828 Soundview PI. • Homeowner is paying to underground power and communications along Lindsay PI for waterfront view. • Developer has placed new conduits 2-2" PVC for Ziply and 1-2" for Comcast between pole 31S1 and pole 30 in ROW. • Ziply to replace aerial drops with new underground drops as needed: •• see note on working customers, •• developer providing all private property underground pathway assistance as required. • Both of these poles to be removed by Ziply after PUD and Comcast also detach per PUD JPN 77580. _F PERMIT MUNICIPALITY: CITY OF EDMONDS ❑ BLANKET ❑NO PERMIT REQUIRED ❑ TCP/TRAFFIC M DETAILED(NOT BLANKET) JOINT POLE JFN/NJUNS TICKET # 100077580 POLE OWNER: Snohomish PUD TO: Ziply and Comcast FROM:Snohomish PUD CONSTRUCTION REQUIREMENTS ❑ FLAGGING ❑ BRUSHING ® CONTRACTOR DnIAITC nC l nKITA! T SCHEDULING: JOHN WOOD - 425-261-1412 ENGINEER: MIKE HAKAHAN - 425-949-0230 FACILITIES: PATRICK WINKLER - 425-263-4010 CUSTOMER CONTACT: CALL BEFORE YOU DIG! - 811 CONSTRUCTION START: IN SERVICE DA I CERTIFY THAT THE WORK I COMPLETED ON THIS WORK ORDER AND AS -BUILT IS IN COMPLIANCE WITH FRONTIER QUALITY STANDARDS AS IDENTIFIED ON THE IPQIP CHECKLIST. IGNATURE AND DA II UNITS/ACCT CODES I II REVISIONS I ziply HLLK-CIAC OH-UG Conv Select Homes 18828 Sound View PI, Edmonds, WA PROJECT 51419 NUMBER: 5506347 C.O.AREA, WAH EXCH.CODE: WA HALLS LAKE DRAWN DATE: ENGR: MIKE HAKAHAN CNTY: Snohomish 4/21/2021 PHONE: 425.949-0230 FILE: 5506347,DWG SCALE, 1:100 TAX DISTRICT:3748F I DWG 1 OF TWNSHP: 27N RNG: 3E JSEG 13 AT ( RMV SL- 131997-Cq XFMR 37- 158079 AND SEC SVCE TO PED. RMV PRI SVCE AND NEUT FROM PLI 131 TO PLI 129. STRIP TOP AND ABANDON POLE. INSTL 350 KCMIL TPX WIRE IN CUST INST 3" FROM PED AT BASE OF PLI 131 TO NEW UG XFMR AT C) AT SET NEW 45' DISTRIB POLE 3' SW OF PLI 129 AS STAKED. INST DOWNGUY ANCHOR 5' NW OF NEW POLE. XFR PRI SVCE AND NEUT FROM PLI 129 TO NEW POLE. STRIP TOP AND ABANDON POLE. '10 A cc SNOHOMISH COUNTY ORIGINAL UT"nil❑ PA/PPENDI$ PUBLIC UTILITY DISTRICT NO 1 JOINT O POLE NOTIFICATION 1112 Rev.10/20 Yeor Price List To Ziply CATV: ZIPLY Exchange Date COMCAST 2100 4/8/2021 00 N N Customer Name See contact info below. Service Address o n 7 ri GARY KLICK/SELECT HOMES LLC 18828 SOUND VIEW PL EDMONDS, WA 9802 Z0 oo N PUD Order/Operation No. PUD Engineer PUD Approved a_ in ? 100077580/0030 ANDY TRAN/425-359-1123 PUD INTENDS TO PERFORM THE FOLLOWING ON THIS WORK ORDER: Out 4/9/21 ❑ Set Poles ❑ Set Additional 8'' Helix Anchors EReplace (1) 45' Poles El Set Additional12'' Helix Anchors In N Eliminate (1) 45' Poles From PUD System Customer Pay 100% Contacts Free To ZIPLY ❑ PUD To Contact ZIPLY Pole(s) At Location(s) BM Number Other ZIPLY Pay 45Y Of The Following (Estimates Only) PUD Work Completed Easement Estimate ZIPLY Transfer Y❑ CATV Transfer ❑y Gary Klick with Select Homes LLC gary@selecthomeswa.com 206-730-0670 16531 13th Ave W Lynnwood, WA 98037 Return to Joint Use By 4/19/21 PUD DO NOT RELEASE TO Construction until payment verification has been confirmed by Ziply. FOR ZIPLY USE ONLY [:]ZIPLY ACCEPTS THE FOLLOWING [:]NO JOINT USE Pole/Location Reference N N o a N E C o Size Recovery (Size/Year) Cost Pole/Location Reference N o a N 0 £ C 0 o Size Recover y (Size/Year)Cost w ¢ w Additional Anchors At The Following Locations WO/USOA Codes Fielded By: Date: Approved By: Date: