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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