HomeMy WebLinkAboutMFP24002017.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP24002017
IVR Number: 24002017
Permit Information
Permit Name: Puget Sound Energy - Electric
Address/Location:04/16/2024Application Date:0423059247Parcel Number: 3926 NE 12TH ST
Permit Type:05/02/2024Issue Date:Franchise
Permit Work Class:05/02/2025Expiration Date:Minor Utility
Job Number: 108155234Franchise Type:Electric
Description: Puget Sound Energy Electric CREW TO PARK IN ROW AT P01 AND P02. 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
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
108155234
3926 NE 12TH ST
RANDY BLACKIE 4254572614
MFP24002017
Monday - Friday 8:00AM - 3:00PM
Scott Warlick CED 5/2/2024
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
P02
ROADWORKAHEAD
W20-1
ROADWORKAHEAD
W20-1
ROADWORKAHEAD
W20-1
ROADWORKAHEAD
W20-1
ROADWORKAHEAD
W20-1
BE PREPAREDTO STOP
W20-7b
BE PREPAREDTO STOP
W20-7b
BE PREPAREDTO STOP
W20-7b
W20-7A
W20-7A
ONE LANEROADAHEAD
CW20-4 W20-7A
350'350'
350'
350'
350'
100'
100'100'
NE 12th StNE 12th StNE 12th St
NE 11th PlShelton Ave NEOFFICE: 800-343-4049
CELL:425.290.2577
WATCP@KNDSERVICES.NET
CUSTOMER:
CONTACT:
LOCATION:
DATE:W/O #
Randy Blackie
425-457-2614
04.05.24
DESIGNED BY: BRANDON CALLIHAM
514969212
PSE
3926 NE 12th StRenton, Wa
BRANDON CALLIHAMWSTCS#012803EXP:4.30.2025
Legend
Cone
ONE LANEROADAHEAD CW20-4 one lane road ahead
Flagger
Pole
ROADWORKAHEAD W20-1 road work ahead
W20-7A Flagger Ahead
BE PREPAREDTO STOP W20-7b be prepared to stop
Work Area
Manifest
24 x Cone
5 x W20-1 road work ahead
3 x W20-7A Flagger Ahead
3 x W20-7b be prepared to stop
1 x CW20-4 one lane road ahead
1 x Sign
PLEASE SCHEDULEWITH DISPATCH
@ 800-343-4049 OPT.1
AND PROVIDE ACOPY OF THE APPROVEDTRAFFIC CONTROL PLAN
K&D Services, as the preparer of this traffic control plan makes no representation as to its'
general adequacy or being approved for implementation. Approval must result from the Traffic Engineer or other Public Official having statutory enforcement authority
in the jurisdiction. Utilization and implementation of this plan shall be a result of that approval. Ref. MUTCD 2009 6A-01 (10)
NOT TO SCALE
N
S
EW
NOTIFY EMS, FIRE AND POLICE
72 HOURS IN ADVANCE
Union AveUnion AvePlease coordinate with
King County Metro
to relocate bus stop
www.invarion.com
MFP24002017
NE 12TH STREET
NE 11TH PLACETRACT G
TR. O
TRACT BROW 3AROW 4
ROW 3
ROW 2 ROW 1
ROAD A3901
336ACSR 336ACSR 336ACSRCBACBACBA
#2ACSRBTO BE REMOVEDFUTURE
TOWNS AT 12TH
PLAT
DEVELOPER TO PROVIDE
ACCESS TO POLE LOCATION
1" = 50'
N
Vicinity Map
47.5030, -122.1665
Owner / Developer Contact Info
officeATTN:
MADRONA PLACE, LLC
18300 REDMOND WAY, STE 120
REDMOND, WA 98052
ANNA DRUMHELLER 434.944.4996
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)
PSE
No
No
No
Yes
Yes
Yes
No
YesDeveloper
"Flagging Required"
"Outages Required"
"Locates Required"
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.
GAS
PHONE
CABLE TV
514969212 108155234
N/A 593257672
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
PROJECT PHASE
PWR
NOTIF#ORDER#
Superior
OH Modification
Street Lights
Removal
Temporary
Job Order
Distribution
Service Stubs
HP Svc/MSA 108155234N/ADESIGNED BY
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. BLACKIE 425.457.2614 .
C.TRAN .04.01.24
N/A .N/A
S. LEWISON .10.13.23
REDT # ( RW-TBD )RENTON
TOWNS ON 12TH
REMOVE (1) POLE
P# 042305-9063 NE 12TH ST, RENTON, WA 98056
PUGET SOUND ENERGY
N/A N/A
N/A 108155234
AS SHOWN 1 OF 1
KING N/A N/A QCSOKE
04SE-T23N-R05E N/A N/A
2305E016 2305E040 2305E016 HIG-13
LUMEN
ALEX HARB
253.831.0395
RIGHT OF WAY
ROW TBD
TOW TEL TBD
.
.
.
.
.
.
E-Mail:
Cell Phone:
Project Manager Contact Information:
Manager:RANDY BLACKIE
425.457.2614
randy.blackie@pse.com
SITE PLAN
x
x
x
...
...
...
x
CIRCUIT FEET REMOVED: N/A
CIRCUIT FEET ADDED: N/A
ANNA@BLUEFERN.COM
NOT TO SCALE
EX. UNDERGROUND CIRCUIT MAP 2305E016
SCALE: 6" = 1 MILE
EX. OVERHEAD CIRCUIT MAP 2305E040
ARE TO BE INSTALLED, CROSS SECTION DETAILS OF THE TYPICAL EROSION
STRUCTURES, & SPECIAL REQUIREMENTS FOR WORK IN SENSITIVE AREAS.)
EROSION & SEDIMENT CONTROL REQUIREMENTS
NOTES DETAILING WHERE EROSION OR SEDIMENT CONTROL STRUCTURES
(LOCAL JURISDICTIONS MAY HAVE ADDITIONAL REQUIREMENTS INCLUDING
0150.3200 TECHNIQUES FOR TEMPORARY EROSION & SEDIMENT CONTROL
EROSION & SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE
& ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
SITE
S
U
N
S
E
T
B
L
V
D
N
E
UNION AVE NENE 12TH ST
NE 11TH PLREDMOND PL NERETIREMENT POLE TABLE
SITE
#
POLE DATA POLE TRANSFERS REMARKS
GRID #HEIGHT CLASS YEAR XFMR CO.
ID#TOPPED RMVD TEL TV FIBER ST. LIGHT (ADDITIONAL INFORMATION)
P01 318652-167091 30'3 1958 LUMEN
WIRE REMOVAL TABLE
Location
Pri Sec Wire Size & Type Quantity
Length
(ft per
conductor)RemarksFromTo
P01 P02 #2 OH TPX 2 155
Total Feet (#2 OH TPX) Removed 310
SITE SPECIFIC NOTES
AT P01 (318652-167091) 30' CLASS 3, 1958
POLE TO BE REMOVED
-REMOVE POLE & ALL PSE RELATED FACILITIES2-26
SITE
xx
SITE
SEE SCH 73 WORK ORDER 101166021 FOR
FRONTAGE WORK ALONG NE 12TH ST
MFP24002017