HomeMy WebLinkAboutMFP24001186.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP24001186
IVR Number: 24001186
Permit Information
Permit Name: Puget Sound Energy - Electric
Address/Location:03/07/2024Application Date:3340404960Parcel Number: 708 SW 13TH ST
Permit Type:05/02/2024Issue Date:Franchise
Permit Work Class:05/02/2025Expiration Date:Minor Utility
Job Number: 101171807Franchise Type:Electric
Description: Puget Sound Energy Electric CREW TO REPLACE EXISTING POLE AT 317376 165568. NO HS CUTS
ANTICIPATED
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
101171807
708 SW 13TH ST
EVAN HYETT 253-820-5166
MFP24001186
Scott Warlick CED
Monday - Friday 8:00AM - 3:00PM
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
DRIVEWAYDRIVEWAYDRIVEWAYDRIVEWAYSW 13TH ST SENECA AVE SWRAYMOND AVE SWSW 12TH ST
ONE LANE
ROAD
AHEAD
BEPREPAREDTO STOP
ROADWORK
AHEAD
ROADWORKAHEAD
100'+/-100'+/-SPEEDLIMIT
25 100'+/-100'+/-ROAD
WORK
AHEAD
SPEED
LIMIT
25
Legend
Cone
Flagger
PoleBEPREPAREDTO STOP W3-4 Be Prepared To StopROADWORKAHEADW20-1 Road Work Ahead
ONE LANEROADAHEAD W20-4 One Lane Road Ahead
W20-7a flagger
Work Area
PLEASE SCHEDULE
WITH DISPATCH
@ 800-343-4049 OPT.1
AND PROVIDE A
COPY OF THE APPROVED
TRAFFIC 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)
OFFICE: 800-343-4049
DIRECT: 425-923-9086
WATCP@KNDSERVICES.NET
CUSTOMER:
CONTACT:
LOCATION:
DATE:W/O #
EVAN HYETT
253-820-5166
02/29/24
DESIGNED BY: WHITNEY PATERNO
WSTCS#012693
11989401
...
708 SW 13TH ST
RENTON, WA 98057
Notes:
1. Maintain ped. access to
and through crosswalks
2. Maintain Min. 10' lanes
3. Maintain local access
4. Notify Transit Authority
at least 48 hrs. in advance
of bus stop closure
5. Traffic control plan and all
devices shall comply with
MUTCD, PROWAG & WSDOT
6. DEVICE SPACING
Flag Taper 20'
Signs per WSDOT
Tapers per WSDOT
7. 28" Cones
36" Barrels
48" Signs
24" Paddle
8. Adjust to field conditions
PLACE SPOTTER AT ANY OPEN DRIVEWAY OR
ENTRANCE LOCATED WITHIN THE WORK ZONE TO
ASSIST TRAFFIC OUT OF WORK ZONE.
MAINTAIN DRIVEWAY ACCESS, IF UNABLE TO NOTIFY
HOMEOWNERS OF TEMPORARY CLOSURE.
Closure affects resident
driveway.
Property owner permission
required to block driveway.
Notify affected residents of
work times and dates.
P01
www.invarion.com
MFP24001186
40T
X1557
SW 13TH S
T
708
P# 3340404960P# 3340404945 P# 3340404970
I-405 S
I-405 N
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: 2305E076
SCALE: 6" = 1 MILE
Additional Work Order Code Numbers:
WO#: 101171807, 108154070, 593256905, 594159188
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
E. HYETT 253-820-5166 2/21/24
L. NEELY 253-569-2523 2/21/24
---
E. HYETT 253-820-5166 2/21/24
REQ RENTON
EAR13 CREW2 708 SW 13TH
REPLACE POLE
708 SW 13TH ST, RENTON WA, 98057
O-780819 N/A
N/A 101171807
AS SHOWN 1/1
KING N/A N/A QCSOKE
SE-05-19-23 N/A N/A
2305E074 2305E076 2305E074SW EAR-13
COMCAST
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
N/A N/A N/A
N/A N/A N/A
Potelco, Inc.DESIGNED BY
SITE SPECIFIC NOTES
-P01
-REPLACE 40 CL 3 POLE W/ NEW 45' CL 2 POLE (6010.1000 PD452)
-REPLACE DBL WD XARM W/ 3Ø DE (6011.1010 ARD2S11)
-TRANSFER 1Ø DE TAP W/ JUMPER
-REPLACE FEEDER TERM @ X1557 W/ NEW 3Ø OH/UG TERM KIT
(6043.1020 TSU3DF1)
-TRANSFER EXIST. OH SEC TRIPLEX
-TRANSFER EXIST. STREETLIGHT SLAG7006
-TRANSFER PRI & NEU DG LEADS & ATTACH TO EXIST. ANCHOR
SITE PLAN
SCALE: 1:50
No
No
No
Yes
Yes
Yes
"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.SAP W.O.: 101171807 POLE RETIREMENT TABLE TEMP TRANSFERS ST. LIGHT TRANSFERS
SITE
#
POLE DATA POLE
TEL TV FIBER TRAN RMVD ID NUMBER
GRID #HEIGHT CLASS YEAR TOPPED RMVD
P01 317376-165568 40 3 UNK SLAG7006
POLE TABLE (NEW)
Site
#
Pole Data
Grid #Height Class Year Remarks / Location Ref.
P01 317376-165568 45 2 PSE Equip #
JOB SITE
MFP24001186
RESTORATION PER CITY OF RENTON STANDARDS