HomeMy WebLinkAboutMFP23001718.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP23001718
IVR Number: 23001718
Permit Information
Permit Name: Puget Sound Energy - Electric
Address/Location:04/03/2023Application Date:2223059013Parcel Number: 15205 140TH WAY SE
Permit Type:04/20/2023Issue Date:Franchise
Permit Work Class:04/19/2024Expiration Date:Minor Utility
Job Number: 101155777Franchise Type:Electric
Description: Puget Sound Energy Electric REPLACE XFRM @ 317220 167400; INSTALL MID COND. SPACERS SPAN 1 P01
P02 317324 167287 & 317297 167308; SPAN 2 P02 P03 317297 167308 & 317279 167319; SPAN 3 P03 P04
317279 167319 & 317253 167351; SPAN 4 P04 P05 317253 167351 & 317237 167378; SPAN 5 317237 167378
&317220 167400; P06 P07 317220 167400 & 317210 167410. NO HS CUTS
Contacts
Name Address PhoneTypeBilling
Corrie Rydberg
Puget Sound Energy
3702 71st Ave W
University Place, WA 98466
C: (253) 905-5031ApplicantX
Vicki Henson
Potelco Inc
8001 212th St S
Kent, WA 98032
B: (253) 863-0484Contractor
Business License Number: 5109Electrical Contractor: POTELI*344O4
Construction Contractor: POTELI*227PL
Puget Sound Energy Inc 10885 NE 4th Street, PSE08-N08
Bellevue, WA 98009
B: (888) 225-5773Emergency
Contact
15205 140TH WAY SE APARTMEN PO BOX 1368
CARLSBAD , CA 92018
Owner
Corrie Rydberg
Puget Sound Energy
3702 71st Ave W
University Place, WA 98466
C: (253) 905-5031Specialized
Billing
General Conditions & Signature
Permission is hereby given for the work described on this permit according to the conditions hereon and according to the
approved plans and specifications pertaining thereto, subject to compliance with the Ordinance of the City of Renton.
Ÿ
This permit and plans must be posted at the job site at all times.Ÿ
I hereby certify that no work is to be done except as described above and in approved plans, and that work is to conform to
Renton Trench Restoration and Street Overlay Requirements.
Ÿ
Call 425.430.7203 or go to: https://permitting.rentonwa.gov one working day in advance to schedule an inspections and for ANY
work in the Right of Way.
Ÿ
Call 8 1 1 to locate underground utilities at least two full business days prior to any excavation.Ÿ
In accordance with RCW 19.122.033(4) the permit holder is required to contact (Williams Northwest Pipeline at 425.868.1010)
(Olympic Pipeline at 425.235.7736) (Puget Sound Energy at 425.375.3397) to request a consultation with the transmission
pipeline company prior to performing any construction or excavation activities. This requirement to consult with the
transmission pipeline company is in addition to the requirement to Call before You Dig as required in RCW 19.122.
Ÿ
(Date)(Signature)
Page 1 of 1THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
DEPARTMENT OF PUBLIC WORKS
Page 1 of 3 | Published: 10/27/2021
Transportation Division | 1055 South Grady Way, 5th Floor | Renton, WA 98057 | 425-430-7380
Website: rentonwa.gov
TRAFFIC CONTROL PLAN APPLICATION
Published: 10/27/2021
TRAFFIC CONTROL PLAN (TCP) MUST BE SUBMITTED TO PUBLIC WORKS TRANSPORTATION DIVISION
FOR REVIEW/APPROVAL AT LEAST FIVE (5) WORKING DAYS BEFORE THE DATE OF WORK.
The City of Renton requires any contractor, firm, corporation, or other public/private agency to prepare a traffic control
plan (TCP) and obtain city's approval of that plan when construction, repair, or maintenance work is to be conducted
within the city's right-of-way.
1. Fill out the Traffic Control Plan (TCP) Application form and prepare required submittal documents.
2. The following items are all required for submittal of the TCP Application:
☐Electronic Copy of the TCP Application
☐Electronic Copy of the TCP Layout, on 11” X 17” paper size format, which shall:
Include map(s) showing the location of the project and work area.
Be legible lettering and clear, contrasting, symbols of viewing or printing.
Must indicate street names, and north arrow and scale.
Types of plans required:
o Work hour plan – show all mobility impacts during construction hours.
o Non-work plan - show all mobility impacts after work hours when limited or no work is
happening in the right-of-way (ROW), if applicable.
o Changing construction phases – show construction sequence and each construction phase
change even if the traffic control is not modified, if applicable.
o Pedestrian access/detour plan, if applicable.
- Shall conform to the Washington State Traffic Control Flagger Certification handbook, by the
Evergreen Safety Council.
3. Submit Application via email to TCP@rentonwa.gov with the subject line “TCP Application – [Project Name].”
Project Name: Permit #:
Site Address:
Work Date: From _____________ To _____________ Work Time: Start ______________ End ______________
Construction Company:
Contact Name: Phone/Cell: _________________________
Business Address: City/State: Zip:
Description of Work:
Approval By: _________________________________________________ Date:____________________
Transportation Engineering
PLEASE SEE ATTACHED
POTELCO, INC
6905 S 228TH ST KENT, WA 98032
101155777
15205 140TH WAY SE
BENCE DARE 253-355-6850
MFP23001718
Monday - Friday 8:00AM - 3:00PM
Scott Warlick CED 4/20/2023
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
Page 2 of 3 | Published: 10/27/2021
PERMIT HOLDER AGREES TO ALL THE FOLLOWING:
Must have approved Traffic Control Plan (TCP) prior to commencing the work.
Maintain existing pedestrian access. The work on pedestrian facilities, shall be limited to one corner at a time,
with the least possible inconvenience or delay to pedestrians.
WORK TIME begins when any street or travel lane is fully or partially closed. This includes set up within the
traveled way.
Comply with all traffic regulations of the City of Renton and the State of Washington.
Prepare a traffic control plan and obtain City approval of that plan. That plan shall be implemented for all street
and lane closures, and the plan shall be performed in compliance with the Manual on Uniform Traffic Control
Devices.
Notify emergency services (253-852-2121) twenty-four (24) hours before any street or lane closures.
Contractor or entity must call Renton School District (425-204-4455) or any public/private agency, including public
transit, to be affected by a temporary lane or road closure a minimum of five business days (excluding weekends
and holidays) prior to starting any work.
Contractor or entity must notify King County Metro in writing at construction.coord@kingcounty.gov a minimum
of five business days (excluding weekends and holidays) prior to starting any work impacting bus stops, a
temporary lane or road closure. Work requiring removing a bus shelter or sign requires notification in writing a
minimum of 30 business days (excluding weekends and holidays). Please call King County Metro at 206-477-1140
with any questions.
Any lane or street closures not in conformance with the approved traffic control plan and/or without notification
of emergency services may result in receiving a citation for violation of R.C.W. 47.36.200 Signs or Flaggers at
thoroughfare work sites and R.C.W. 9A.36.050 Reckless Endangerment, and other applicable State and City codes.
Indemnify and hold harmless the City of Renton from any and all claims, actions, and judgments, including all
costs of defense and attorney’s fees incurred in defending against same, arising from and related to
implementation of the approved traffic control plans including claims arising from towing of private vehicles and
the acts of the Permit Holder’s agents and employees.
The City of Renton shall be entitled, in its reasonable discretion, to settle claims prior to suit or judgment, and in
such event shall indemnify and hold harmless the City for any such claims paid, including the City’s reasonable
attorney’s fees and litigation costs incurred resulting from such claim.
In the event any claim or suit is brought against City within the scope of this Agreement, Permit Holder will pay for
legal counsel chosen by the City to defend against same.
Flagger and sign placement are subject to revision by the City Inspector on site, if needed to address traffic or
pedestrian safety or travel.
All permit conditions shall be met.
NOTES:
Total road closure lasting more than twenty-four (24) hours is subject to the approval by the City Council.
Work Zone Traffic Control shall be in accordance with the Manual on Uniform Traffic Control Devices (MUTCD)
and shown by a traffic control plan layout or reference to WSDOT.
Approved Temporary Traffic Control Plan must be at the work site during work hours.
Complete assistance and accommodation shall be provided to all kinds of pedestrian traffic when sidewalk or
walkway is impeded to safely redirect pedestrians around a work zone.
Signage shall be used to warn motorcyclists/bicyclists of the potential hazards on any uneven surfaced or slippery
road conditions during work and non-work hours.
Any vehicle, equipment, barricade, or portable tow-away sign used within the work area must display a company
logo or any legally acceptable sign showing the company name, address, and telephone number at a conspicuous
place on the vehicle or equipment.
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
Page 3 of 3 | Published: 10/27/2021
In the case of Temporary No Parking Zones, all the following apply in addition to previous:
Contractor must complete form to show limits of Temporary No Parking Zone identifying barricade locations for
vacate parking or curb lane usage.
Contractor must post notice of dates and time of Temporary No Parking Zone with at least two signs per block
seventy-two (72) hours in advance of effective date and time.
The cover sheet of this Traffic Control Plan form must be attached to each Temporary No Parking Sign on the
project site.
Temporary traffic control devices must be removed immediately when work is done or no construction activities
are going on. If deemed abandoned, City crews will remove and store them at the City’s maintenance shop (3555
NE 2nd Street).
I certify that the information on this application and within the submittal documents are accurate to the best of my
knowledge and I acknowledge all the requirements on this application.
Applicant’s Signature Date
Applicant’s Name (Print)
CORRIE RYDBERG
15205 140th Way SE
Renton
WA 98058
USA 140TH WAY SEMAP
L
E
V
A
L
L
E
Y
H
W
Y
SE 151
S
T
L
N
140TH WA
Y
S
E
1
4
0
TH
WAY
SE
ONLY
ONLY
12
12
ONLYONLY
ONLY
11 11
1
1
1
2
1
1
1
1
P01
P02
P03
P04121212121212121111ONLY12ONLYONLYONLY
11 11 12 11 11
LEFTKEEPR4-8BBIKESMERGE WITHTRAFFICW4-1BBIKELANEENDSW9-1B500'ROADWORKAHEADW20-1500'ROADWORKAHEADW20
-
1
ROADWORKAHEADW20-1
ONLY
11 11 11 12 11 11FLAGGER
FLAGGER
THE CREW SHALL CEASE
WORK FOR A FLAGGER/SPOTTER
TO ESCORT PEDESTRIANS
AROUND THE WORK AREA
THE CREW SHALL CEASE
WORK FOR A FLAGGER/SPOTTER
TO ESCORT PEDESTRIANS
AROUND THE WORK AREALEFTKEEPR4-8BTEMPORARY TRAFFIC CONTROL PLAN
N
SIGN SPACING
MPH
60/65
45/55
35/40
30
25
"X"
1000'
500'
350'
200'
100'
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
Project Address:
Page
PSE PUGETSOUNDENERGY
Designer:
Job #
REV
Jason Bisenius
425-424-7316
jason.bisenius@pse.com
1 OF 315205 140TH WAY SE, RENTON, WA 98058
0
11905253
03/17/2023
Puget Sound Energy
Traffic Control Supervisor:Gregory Harwood
Card No. 012238
Card Exp. 09/30/2023
gregory.harwood@pse.com
(425)424-6425
Notes:
1. All signs and spacing to conform to the
MUTCD and City of Renton standards.
2. All sidewalks, driveways, exits and egresses
shall be completely clear unless otherwise indicated.
3. Channelizing devices are 28" traffic cones.
Use traffic drums (barrels) with steady burning
Type C lights on all State State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" and
shall not obstruct pedestrian access.
5. Crew is required to leave a minimum of 10' for
traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m.
28" TRAFFIC CONE
TRAFFIC FLOW
SIGN LOCATION
LEGEND
POLE
CHEVRONARROW BOARD
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
MFP23001718
SE 151
S
T
L
N
140TH WA
Y
S
E
1
4
0
TH
WA
Y
SE
ONLY
ONLY
12
12
ONLYON
LY
ON
LY
11 11
1
1
1
2
1
1
1
1
P03
P04
P05BIKESMERGE WITHTRAFFICW4-1BBIKELANEENDSW9-1BROADWORKAHEADW20-1
ONLY
11 11 11 12 11 11THE CREW SHALL CEASE
WORK FOR A FLAGGER/SPOTTER
TO ESCORT PEDESTRIANS
AROUND THE WORK AREA
FLAGGERARRW-BRDRIGHT LANECLOSEDAHEADW20-5RW4-2RROADWORKAHEADW20-1350'350'350'THE CREW SHALL CEASE
WORK FOR A FLAGGER/SPOTTER
TO ESCORT PEDESTRIANS
AROUND THE WORK AREA
FLAGGER
Project Address:
Page
PSE PUGETSOUNDENERGY
Designer:
Job #
REV
Jason Bisenius
425-424-7316
jason.bisenius@pse.com
2 OF 315205 140TH WAY SE, RENTON, WA 98058
0
11905253
03/17/2023
Puget Sound Energy
Traffic Control Supervisor:Gregory Harwood
Card No. 012238
Card Exp. 09/30/2023
gregory.harwood@pse.com
(425)424-6425
Notes:
1. All signs and spacing to conform to the
MUTCD and City of Renton standards.
2. All sidewalks, driveways, exits and egresses
shall be completely clear unless otherwise indicated.
3. Channelizing devices are 28" traffic cones.
Use traffic drums (barrels) with steady burning
Type C lights on all State State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" and
shall not obstruct pedestrian access.
5. Crew is required to leave a minimum of 10' for
traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m.
28" TRAFFIC CONE
TRAFFIC FLOW
SIGN LOCATION
LEGEND
POLE
CHEVRONARROW BOARD
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
TEMPORARY TRAFFIC CONTROL PLAN
N
SIGN SPACING
MPH
60/65
45/55
35/40
30
25
"X"
1000'
500'
350'
200'
100'
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
MFP23001718
SE 154TH
PL140TH WAY SEP05P06P07141411
11
12
11
11
11 BIKESMERGE WITHTRAFFICW4-1BBIKELANEENDSW9-1BTHE CREW SHALL CEASEWORK FOR A FLAGGER/SPOTTERTO ESCORT PEDESTRIANSAROUND THE WORK AREAFLAGGER ARRW-BRD RIGHT LANECLOSEDAHEADW20-5RW4-2RROADWORKAHEADW20-1350'350'350'THE CREW SHALL CEASEWORK FOR A FLAGGER/SPOTTERTO ESCORT PEDESTRIANSAROUND THE WORK AREAFLAGGER
ROAD
WORK
AHEA
D W20-1140TH WAY SE11
11
12
11
11
11
TEMPORARY TRAFFIC CONTROL PLANNSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040Project Address:PagePSEPUGETSOUNDENERGYDesigner:Job #REVJason Bisenius425-424-7316jason.bisenius@pse.com3 OF 315205 140TH WAY SE, RENTON, WA 980580 11905253 03/17/2023Puget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 012238Card Exp. 09/30/2023gregory.harwood@pse.com(425)424-6425Notes:1. All signs and spacing to conform to theMUTCD and City of Renton standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.Use traffic drums (barrels) with steady burningType C lights on all State State Routes and Hwys.4. Sign size can be a minimum of 36" x 36" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 10' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place between 9 a.m. and 4 p.munless otherwise specified. All work for arterialsand major roadways will be from 9 a.m. to 3 p.m.28" TRAFFIC CONETRAFFIC FLOWSIGN LOCATIONLEGENDPOLECHEVRONARROW BOARDWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYMFP23001718
X6734
P# 2223059013
100T
X6769
X8426
14
0
T
H
A
V
E
S
E140TH AVE
SE
SPAN 1
SPAN 2
SPAN 3
SPAN 4
SPAN 5
SPAN 6
P# 2223059013
P# 231430001014100P# 2223059164
15205
ROW = 100'
EOP = 92'101155777MAKE NO CHANGES TO THIS JOB WITHOUT PRIOR APPROVAL
Notify Customers and Service Area
48 HRS Prior To Planned Outages
ORDER#NOTIF#PROJECT PHASE
MAINTENENCE
O & M
SUPERIOR
FAILED SILICONE
REMOVAL
EXPENSE
11905253 101155777
N/A
N/A
583071441
593248568
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
OVERHEAD CIRCUIT MAP
SCALE: 6" = 1 MILE
SITE PLAN: 15205 140TH WAY SE, RENTON, WA 98058
SCALE: 1:100
FOREMAN (CHECK BOX WHEN COMPLETED)
PSE Equipment LOCKED/SECURED & Work Area left in CLEAN/SAFE Condition.
Grid, Cable, and Switch numbers INSTALLED & VERIFIED.
Field Changes RED-LINED on As-built.
Indicate correct FUSE SIZE on As-built & VERIFY proper PHASE.
Foreman's Signature _______________________________________________
Print Name ___________________________________ Date ______________
Material VERIFIED and CHANGES noted on Paperwork.
Total PRIMARY Cable noted on As-built.
Company ID#'s RECORDED in correct location on As-built.
Deviations noted on the As-built and their reason.
I certify that the work performed meets PSE's standards and procedures
and that all quality requirements are met.
POTELCO DESIGN AND
Signature _________________________________________
Print Name _________________________________________
This design complies with PSE
Any/all variations have been
Design/Engineering Standards.
QUALITY ASSURANCE
pre-approved/documented by the
appropriate PSE Representative.
Date _________________
SITE SPECIFIC NOTES
P06
-REMOVE 15kVA 120/240V XFMR BANK
-INSTALL 15kVA 120/240V XFMR BANK (MID# 6208200)
SPAN 1: P01-P02
-INSTALL (2) 36" MID-SPAN CONDUCTOR SPACERS (MID: 9997643)
PER PSE STD 6450.3000
SPAN 2: P02-P03
-INSTALL (2) 36" MID-SPAN CONDUCTOR SPACERS (MID: 9997643) PER
PSE STD 6450.3000
SPAN 3: P03-P04
-INSTALL (2) 36" MID-SPAN CONDUCTOR SPACERS (MID: 9997643) PER
PSE STD 6450.3000
SPAN 4: P04-P05
-INSTALL (2) 36" MID-SPAN CONDUCTOR SPACERS (MID: 9997643)
PER PSE STD 6450.3000
SPAN 5: P05-P06
-INSTALL (2) 36" MID-SPAN CONDUCTOR SPACERS (MID: 9997643) PER
PSE STD 6450.3000
SPAN 6: P06-P07
-INSTALL (2) 36" MID-SPAN CONDUCTOR SPACERS (MID: 9997643)
PER PSE STD 6450.3000
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC
U-MAP NO (POWER)
OP MAP
Emer Sect Gas Wk Ctr POWER WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
FOREMAN #1
FOREMAN #2
MAPPING
INCIDENT MAOP
Gas Order Elect Order
SCALE PAGE
ENGR - POWER
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY
CONTACT PHONE NO DATE
OH CKT MAP CIRCUIT NOUG CKT MAP
R. GALLAHER (253) 395-6829 2/24/23
B. DARE 253-355-6850 2/24/23
N/A N/A N/A
B. DARE 253-355-6850 2/24/23
N/A RENTON
FWD-17 140TH WAY SE
INSTALL SPACERS
15205 140TH WAY SE, RENTON, WA 98058
N/A N/A
N/A 101155777
AS NOTED 1/1
KING N/A N/A QCSOKE
SW 34-05-23 N/A N/A
2305E135 2305E136 2305E135 FWD-17
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
Potelco, Inc.DESIGNED BY
No
No
No
Yes
Yes
Yes
"Flagging Required"
"Outages Required"
"Locates Required"JOB SITERemoved at site:
Grid Number:
kVA Rating:
Foreman to redline the following information
TRANSFORMER REMOVAL
Company ID#:
Primary phase connected to:
Tested Secondary Voltage
P06
317220-167400
15 kVA
Installed at site:
Grid Number:
kVA Rating:
TRANSFORMER INSTALLATION (OH)
Company ID#:
Primary phase connected to:
Tested Secondary Voltage
Material ID#:
Foreman to redline the following information
15kVA 120/240v
6211200
P06
317220-167400
MFP23001718
RESTORATION PER CITY OF RENTON STANDARDS