HomeMy WebLinkAboutMFP23004002.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP23004002
IVR Number: 23004002
Permit Information
Permit Name: Puget Sound Energy - Electric
Address/Location:08/01/2023Application Date:1423900760Parcel Number: 16618 124TH AVE SE
Permit Type:08/14/2023Issue Date:Franchise
Permit Work Class:08/13/2024Expiration Date:Minor Utility
Job Number: 101164347Franchise Type:Electric
Description: Puget Sound Energy Electric EMERGENCY AFTER THE FACT CREW REPLACED DAMAGED HH FED FROM
316826 16806. 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
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
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
EMERGENCY PRE-INSPECTION FORM
Job #:
Date:
Jurisdiction: PM / Insp:
Address:
City / Zip:
Customer: CUSTOMER PHONE NUMBER
PHONE NUMBER Work Description Construction Method
Open Trench
Trenchless
SKETCH
Work Location Size of Cut Surface Type
’N S of CL & ’E W of CL .
’N S of CL & ’E W of CL .
’N S of CL & ’E W of CL .
O#909416 WARREN
1011643477-6-2023RENTON
16618 124TH AVE SERENTON, 98058
34 124TH AVE SE250SE 166TH ST 3 X 3 GRASS
REPLACED HH FED FROM GRID # 316826-166806
MFP23004002
RESTORATION PER CITY OF RENTON STANDARDS
MFP23004002