HomeMy WebLinkAboutWWP272829(1) . RECEIVED
King County OCT i 4 2002
Road Services Division CITY OF RENTO , ,
Utility Inspection Unit UTILITY SYSTE, '9
Department of Transportation r 1 1 Pam.
155 Monroe Avenue Northeast ,�
Renton, WA 98056-4199 �?
206-296-8122
October 8,2002
City of Renton
200 Mill Avenue S
Renton,WA 98055
Re: Notification Of Job Completion
Dear Franchise Holder:
Please be advised that the road restoration covered under the permit(s)referenced below has passed our
inspection. Accordingly,King County agrees to accept these streets for maintenance.
This acceptance will not relieve the permittee of any responsibility for damage resulting from this
construction.
Permit Number Location Project Number
S-29-01 80 AVE S&S 130 ST
Sir�cerely, /
Tom Henry,Man er
Utility Inspection Unit
TH:bk
cc:Dorothy Bolar,Property Services Division
•®1202M
King County RECEIVED
Road Services Division 0 C T 4 2002
Utility Inspection Unit %
Department of Transportation CITY OF RENTON, � 17 .
155 Monroe Avenue Northeast UTILITY SYSTEMS .,
Renton,WA 98056-4199 � r��T 0;-
206-296-8122 S ®� 1
October 8,2002 011
yyte
City of Renton `^
200 Mill Avenue S
Renton,WA 98055
Re:Notification Of Job Completion
Dear Franchise Holder:
Please be advised that the road restoration covered under the permit(s)referenced below has passed our
inspection. Accordingly,King County agrees to accept these streets for maintenance.
This acceptance will not relieve the permittee of any responsibility for damage resulting from this
construction.
Permit Number Location Project Number
W-184-01 80 AVE S&S 130 ST
W-415-02 8433 S 124 ST,ET AL
Sincerely,
Tom Henry,Mana
Utility Inspectio nit
TH:bk
cc:Dorothy Bolar,Property Services Division
IT ZI s4QB01202M
`SY O
+�a ,� + CITY OF RENTON PAGE 1
_ 1055 S. GRADY WAY 1?ats... . -..
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N�o� RENTON, WA 98055 05/15/ 11 1180103
VENDOR: 042369 SHIP TO:
K C TREASURER COPY
500 4TH AVE #600
SEATTLE , WA 98104-2387
P
FOB Point: Req. No.:
Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS
Req. Del. Date: Contact: FERKINGSTAD, LINDA
Speciallnst: Confirming? N
Quantdy.;. .. Unit Description ... PriC!� - :fit T...0
..:>::>::>:> .... . :::...: .
., ;::: :::>:>:::.:. R/W Ct�n s t r Perm:;�::::���'�.�..,8�}th S .Se*'
*''r >::>::>::»...%.>::>::>:;;:>;: >;::>::»::>:>:>::>. .......:.:::.:.
Inv. #149 5/9/61 S-22-1, S-29-1.W-184-1
1+1 .. I ** 1+" I . --... 1-1.11 I''
.
SUBTOTAL 190.0
BILL TO:Ci ty of Renton TAX . 0
1055 S GRADY WAY FREIGHT . 00
RENTON, WA 98055-3232 TOTAL 190.0
Account Number V1lorlc Qader t=unct�agNumber Am04!�tII
_. ..
421 . 000400. 018. 5960. 0035.65. 045000 45350%5200 190.0
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ORIGINAL/FILE COPY
UN--A'uthoriiignature PINK WHITE luldrrize
King County
Property Services Division
500 King County Administration Building
500-4th Avenue
Seattle,WA 98104
To: CITY OF RENTON STATEMENT Invoice# 149
3555 NE 2ND STREET 0510912001
RENTON,WA 98056
a
Permit Number Fee
S - 22 - 1 40.00
S - 29- 1 110.00
W- 184 - 1 40.00
PLEASE PAY THIS AMOUNT $ 190.00
RECEIVE
MAY 14 2001
CITY OF RENTO
UTILITY SYSTEMS CONI URRENCE
C 1
INITIAL/DATE
Please make checks payable to: KING COUNTY OFFICE OF FINANCE
Please mail checks to: Property Services Division Please return one copy of this bill when remitting
500 King County Administation Building Please call(206)296-7456 for questions
500 Fourth Avenue concerning this statement.
Seattle,Washington 98104
3Tin County Right of Way Construction Permit
Property Services Division Permits (206)296-7456
500A King County Administration Building (206)296-0916 FAX
Seattle,WA 98104 Job Starts/Inspections (206)296-8122
ENVIRONMENTAL ASSESSMENT
PERMIT NO. S-22-01 JOB NO. ❑Required Date Received
❑ Not Required
❑Existing Assessment
FRANCHISE NO. 93352 KROLL PAGE NO. ❑Replacement
❑Categorically Exempt
D1 ,,.
DATE 3 19/SECTION 13 TWP. L RANGE 4
APPLICANT: CITY OF RENTON PHONE NO. JOHN HOBSON 425-430-7279
3333 NE 2nd ST.
RENTON, WA 98056
ADDRESS: ULID NO.
BOND AMOUNT-
Job Description EMERGENCY CONTACT NAME
JOB ADBRESS: 8050 SW LANGSTON RD
AND PHONE NUMBER:
INSTALLATION OF A NEW SIDESEWER FOR SINGLE FAMILY RESIDENCE AT 8050 LANGSTON RD SOUTH.
SEWER WILL CONNECT INTO AN EXISTING 8" SANITARY SEWER MAIN WITHIN LANGSTON RD SO.
A PRE-CONSTRUCTION CONFERENCE SHALL BE REQUIRED.
OPEN CUT IS ACCEPTABLE IN ACCORDANCE WITH KING COUNTY ROAD STANDARDS,
SECTION 8.03(3)b ON ROAD SHOW ON PLAN.
THIS PERMIT IS FOR KING COUNTY RIGHT OF WAY ONLY
GIVE DISTANCE BY STREET OR ROAD WITH AN ON,FROM AND TO DESCRY fION
ALL WATER MAIN EXTENSIONS MUST HAVE APPROVAL FROM THE FIRE MARSHALL.
ALL UNDERGROUND UTILITY LINES MUST HAVE A MINIMUM 36"COVER.
ALL WORK TO BE DONE SUBJECT TO THE APPROVAL OF THE KING COUNTY ROAD ENGINEER.
ALL WORK SHALL BE PERFORMED IN CONFORMANCE WITH KING COUNTY ROAD STANDARDS.
The undersigned agrees to comply with provisions,conditions and requirements contained in the"Standards of Good Practice for County Road Departments"published by County Road
Administration Board.
All work to be done in conformity with conditions and requirements of King County Code 6.27,13.24 and 14.44,and the petitioner agrees to prosecute with all diligence and speed with
due regard for the rights,interests and convenience of the public. If at the end of 6 months after issuance of permit the grantee shall not have in operation said utilities,then the rights
herein conferred shall cease and terminate,unless specific written provisions are made for a renewal or extension.
The undersigned,its successors and assigns,agrees if granted the above permit,to comply with the provisions,conditions,requirements,regulations and recommendations herein
contained and as may apply to any utility franchise granted the applicant and under whose provisions same is issued. It will respect and protect all property contracts,persons and rights
that might be affected by it.
INDEMNITY AND HOLD HARMLESS: The Permittee agrees to indemnify and hold harmless King County as provided herein to the maximum extent possible under law.
Accordingly,the Permittee agrees for itself,its successors,and assigns,to defend,indemnify, and hold harmless King County its appointed and elected officials and employees from and
against liability for all claims,demands,suits,and judgments,including cost of defense thereof,for injury to persons,death,or property damage which is caused by,arises out of,or is
incidental to Permittee's exercise of rights and privileges granted by this permit. The Permittee's obligations under this permit shall include: (a) Indemnification for such claims whether
or not they arise from the sole negligence of either the County or the Permittee,the concurrent negligence of both parties,or the negligence of one or more third parties;(b)The duty to
promptly accept tender of defense and provide defense to the County at the Permittee's own expense;(c)Indemnification of claims made by the Permittee's own employees or agents;
and(d)Waiver of the Permittee's immunity under the industrial insurance provisions of Title 51 RCW,which waiver has been mutually negotiated by the parties. In the event it is
necessary for the County to incur attorney's fees,legal expenses,or other costs to enforce the provisions of this section,all such fees,expenses,and costs shall be recoverable from the
Permittee. In the event it is determined that RCW 4.24.115 applies to this permit,the Permittee agrees to defend,hold harmless,and indemnify King County to the maximum extent
permitted thereunder,and specifically for its negligence concurrent with that of King County to the full extent of Permittee's negligence. Permittee agrees to defend,indemnify,and hold
harmless the County for claims by Permittee's employees and agrees to waiver of its immunity under Title 51 RCW,which waiver has been mutually negotiated by the parties.
Signature of Applicant
Application Received 3/19/01 Entered 3/22/01 Permit Fee $ 40.00
Permit Issued 4/2/01 BY: TE
Date Permit Clerk
This application is granted subject to the requirements and conditions thereof as listed below and on back of page.
1. A King County inspector will be assigned to the project for inspection of road restoration. Costs of inspection applicable to the project will be reimbursed to the County monthly by
applicant. Permittee is required to notify King County Department of Public Works at 296-8122 between 24 and 72 hours before starting work. Failure to give notice will result in the
assessment of a one hour inspection time charge against the permittee. This assessment is in addition to any other remedy available under law or equity which the County may wish
to pursue and shall not be construed as an election of remedies by the County.
2. All hard surfaced roads to be jacked or bored. Exceptions will be on a case-by-case basis with the express permission of the King County Department of Public Works.
3. One-way traffic at all times. Signs and traffic control will be in accordance with the manual on uniform traffic control devices for streets and highways.
4. Asphalt to be neat line cut 1 foot back from trench. Restoration as a minimum shall include 6 112"of crushed surfacing top course and 2"asphalt Class"B"or replaced to original
condition.
5. It is the responsibility of the grantee to ility distri n private property wners when such property is liable to injury or damage through the performance of the above work.
Call 1-800-424-5555 48 hours in adv c for u ergrou�d location. i on does not relieve the grantee from required notification of county inspectors as specified in
paragraph 1,above. {✓ ,
Approved b , 2
Manager Engineer
(SEE REVERSE SIDE)
REV 6/94 Blue:Original Canary:Billing White:Applicant Pink:Inspector Green:Road File ..PEw RECD
DIRECTIONS REGARDING PERMITS
Note:Right of way shall mean any Street,Avenue,Alley,Road or Lane
Public Place shall mean any Bridge,Trestle,or Wharf
Applicants for permits to occupy County property with utilities,or holders of granted franchise rights,who are planning construction work upon,along,over,under or across
any County right of way or public place must file an application with the King County Property Services Division,500 A King County Administration Building,Seattle,
Washington 98104.
The application shall be accompanied by drawings(in triplicate)drawn to working scale,commonly 50 to 100 feet per inch.It shall describe the nature of the work,and
show the location of same on a map,giving names,or numbers,and width of roads and streets.It must also show location of work with reference to platted subdivisions,
and section,township and range,and must show the location of work relative to existing utility facilities which may be affected.Review of the application must conform to
the County Environmental Policy Act(King County Code 20.44)
Applicants shall specify the type of construction in detail by submitting plans which show the class of material and equipment to be used.All such material and equipment
shall be of the highest quality.The manner of excavation,filling,construction,installation,erection of temporary structures,traffic turn outs,road obstruction and barricades,
shall conform with County standards and shall be approved by the County Engineer in advance of work.
Signs and barricades and traffic control in the vicinity of any work shall conform with provisions of"Part VI Manual of Uniform Traffic Control Devices for Streets and
Highways."
Before the work is accepted for the County by the County Engineer,all of the direct costs and expenses involved in administering said permit must be paid to the County by
the applicant.These include labor charges for examination,inspection and supervision of work in progress by field personnel.
Any deviation from the proposed plan,resulting in what is commonly known as the"As Built"location must be approved in advance by the County Engineer. Change notice
must show"As Built"position relative to grade line and centerline of right of way and any other installations in the right of way.
PERMIT-Terms and Conditions
1. The grantee,its successors and assigns,is given and granted the right and authority to enter upon the right of way or public place for the purpose of performing the
work described in this permit and approved by the County Engineer or the Engineer's agent.
2. Before any work commences the site must be inspected by a County Representative and approved by the County Engineer with respect to:
a. location e. Mode of operation of the installed facility
b. type of construction f. Manner of maintenance of installed facility
c. materials and equipment to be installed g. Method of safeguarding public traffic both during working hours and during non-working hours
d. manner of erection or construction while the project is under construction
3. After the installation,operation,maintenance,or removal of a utility or facility the grantee shall restore all rights of way and public places to the condition which is
equivalent in all respects to the condition they were in before starting work.All work to meet the approval of the County Road Engineer.
4. In the event that any damage of any kind is caused by the grantee in the course of performing work authorized by this permit,the grantee will repair said damage at its
sole cost and expense.Repair work shall begin without delay and continue without interruption until completed.If damage is extensive,the time allowed for repair will
be prescribed by the County Engineer or the Engineer's agent.
5. The County Engineer, his agents or representatives may at any time,do,order,or have done any and all work considered necessary to restore to a safe condition any
area left by the grantee in a condition dangerous to life or property and upon demand the grantee shall pay to the County all costs of such work,materials,etc.
6. When the County deems it advisable to change the alignment or grade of any right of way or public place or structure by widening,grading,regrading,paving,
improving,altering or repairing same,the grantee upon written notice by the County Engineer or the Engineer's representatives will at its own sole cost and expense,
raise,lower,move,change or reconstruct such installations to conform with the plans of work contemplated or ordered by the County Engineer according to a time
schedule contained in the written notice.
7. Penalties up to One Thousand($1,000)dollars per day may be imposed by the County Engineer,if the grantee delays relocation of facilities beyond the time limits
prescribed by the County Engineer.The County Engineer reserves the right to order its own agents or representatives to accomplish the desired change,and all costs
of relocation or removal shall be borne by the grantee.
8. All such changes,reconstruction or relocation by the grantee shall be done in such manner as will cause the least interference with any of the County's work.The
grantee shall have seventy-two(72)hours written notice by the County Engineer or the Engineer's representatives of any blasting contiguous to the grantee's permit
rights in order that it may protect its interests.
9. This grant or privilege shall not be deemed or construed to be an exclusive franchise.It does not prohibit the County from granting other permits or franchise rights of
like nature to other public or private utilities,nor shall it prevent the County from using any of its roads,streets,public places for any and all public use,or affect its
jurisdiction over all or any part of them.
10. All the provisions,conditions,requirements and regulations herein contained shall be binding upon the successors and assigns of the grantee and all privileges of the
grantee shall be given to such successors and assigns as if they were specifically mentioned.
11. The County Road Engineer of Property Services Manger may unilaterally revoke,annul,or terminate,revise or amend this permit without cause and for any reason
including,but not limited to:
(a) Grantee's failure to comply with any provision,requirement,or regulation herein set forth;
(b) Grantee's willful neglect of,or failure to heed or comply with,notices given it;
(c) Grantee's facilities are not installed,operated,or maintained in conformity with conditions herein set forth;
(d) Grantee's failure to conform to any applicable law or regulation as currently exists or may hereafter be enacted,adopted or amended.
12. Grantee by accepting this permit agrees to obtain information from all utility departments regarding location and current status of their installations before starting work.
Private property owners adjoining,or in proximity to the right of way shall be notified when such property is exposed to the possibility of injury or damage through
performance of this project.The grantee shall make all advance arrangements necessary to protect such property and/or utility from injury or damage.
13. The issuance of this permit to the grantee does not in any way relieve the grantee of any other applicable law in performing the work subject to this permit.
14. In all hiring or employment made possible resulting from the granting of this permit,there shall be no discrimination against any employee or applicant for employment
because of sex,sexual orientation,age,race,color,ancestry,religion,national origin,marital status or the presence of any sensory,mental or physical handicap,
unless based upon a bona fide occupational qualification,and this requirement shall apply to but not to be limited to the following:employment,advertising,layoff or
termination,rates of pay or other forms of compensation,and selection for training,including apprenticeship.
No person shall be denied or subjected to discrimination in receipt of the benefit of any services or activities made possible by or resulting from the granting of this
permit on the ground of sex,sexual orientation,race,color,ancestry,religion,national origin,age(except minimum age and retirement provisions),marital status
parental status,or the presence of any sensory,mental or physical handicap.
Any violation of this provision shall be considered a violation of this permit and shall be grounds for cancellation,termination or suspension in whole or in part of
the permit by the County and may result in ineligibility for further County permits.
The permittee shall make the best efforts to make opportunities for employment and/or contracting services available to women and minority persons.The permittee
recognizes that the County has a policy of promoting affirmative action,equal opportunity and has resources available to assist permittee in these efforts.
15. This permit and any underlying franchise does not authorize the cutting of trees with a trunk diameter greater than four(4)inches unless such authorization is
specifically granted in writing by King County.
16. If the permittee fails to perform its obligations herein,vacate the premises,remove its facilities,restore the property as required,or comply with any condition or
applicable regulation or law,the County shall have,at its option,the right to pursue any remedy or remedies available at law or equity including,but not limited to,the
right to proceed under the provisions of Title 59 of the Revised Code of Washington.
K �� T-
>C - 12-,D
King County Right of Way Construction Permit
OProperty Services Division Permits (206)296-7456
O 500A King County Administration Building (206)296-0916 FAX
Seattle,WA 98104 Job Starts/Inspections (206)296-8122
ENVIRONMENTAL ASSESSMENT
PERMIT NO. S-2-9-01 __—_ JOB NO. ❑Required Date Received
❑ Not Required
FRANCHISE NO. 1405E KROLL PAGE NO. 3�w Existing❑❑Replace Assessment
Replacement
Categorically Exempt
DATE4/24/01 SECTION NE 13 -WP 23 RANGE 4
APPLICANT: CITY OF RENTON PHONE NO.
1055 GRUTH GRADY WAY
RENTON, WA 98055
ADDRESS: t;4 ULID NO.
BOND AMOUNT
Job Description EMERGENCY CONTACT NAME
AND PHONE NUMBER:
TO INSTALL APPROXIMATELY 3000 FEET OF SEWER MAIN ON SOUTH 130TH STREET, 80TH AVENUE SOUTH, AND
SOUTH 132ND STREET & SOUTH LANGSTON ROAD
A PRE—CONSTRUCTION CONFERENCE SHALL BE REQUIRED.
LANE CLOSURES SHALL BE RESTRICTED TO BETWEEN THE HOURS OF 9:00 — 3:00 ON SOUTH 132ND STREET
OPEN CUT IS ACCEPTABLE IN ACCORDANCE WITH KING COUNTY ROAD STANDARDS, SECTION 8.03(3)b on ROADS
SHOWIi ON PLANS.
AN EROSION/SEDII4,ENTATION CONTROL PLAN SHALL BE SUBMITTED AND APPROVED PRIOR TO THE
PRE—CONSTRUCITON CONFERENCE.
IN ACCORDANCE WITH K.C. ROAD STANDARDS, SECTION 8.03(2)C, ROADS SHOWN ON PLANS
SHALL BE PATCHED AND OVERLAID FULL WIDTH WITH A MINI14U11 OF 1" COMPACTED STATE SPEC. CLASS
"B" ASPHALT. —
THIS PERMIT IS FOR KING COUNTY RIGHT OF WAY ONLY
GIVE DISTANCE BY STREET OR ROAD WITH AN ON,FROM AND TO DESCRIPTION
ALL WATER MAIN EXTENSIONS MUST HAVE APPROVAL FROM THE FIRE MARSHALL.
ALL UNDERGROUND UTILITY LINES MUST HAVE A MINIMUM 36"COVER.
ALL WORK TO BE DONE SUBJECT TO THE APPROVAL OF THE KING COUNTY ROAD ENGINEER.
ALL WORK SHALL BE PERFORMED IN CONFORMANCE WITH KING COUNTY ROAD STANDARDS.
The undersigned agrees to comply with provisions,conditions and requirements contained in the"Standards of Good Practice for County Road Departments"published by County Road
Administration Board.
All work to be done in conformity with conditions and requirements of King County Code 6.27,13.24 and 14.44,and the petitioner agrees to prosecute with all diligence and speed with
due regard for the rights,interests and convenience of the public. If at the end of 6 months after issuance of permit the grantee shall not have in operation said utilities,then the rights
herein conferred shall cease and terminate,unless specific written provisions are made for a renewal or extension.
The undersigned,its successors and assigns,agrees if granted the above permit,to comply with the provisions,conditions,requirements,regulations and recommendations herein
contained and as may apply to any utility franchise granted the applicant and under whose provisions same is issued. It will respect and protect all property contracts,persons and rights
that might be affected by it.
INDEMNITY AND HOLD HARMLESS: The Permittee agrees to indemnify and hold harmless King County as provided herein to the maximum extent possible under law.
Accordingly,the Permittee agrees for itself,its successors,and assigns,to defend,indemnify, and hold harmless King County its appointed and elected officials and employees from and
against liability for all claims,demands,suits,and judgments,including cost of defense thereof,for injury to persons,death,or property damage which is caused by,arises out of,or is
incidental to Permittee's exercise of rights and privileges granted by this permit. The Permittee's obligations under this permit shall include: (a) Indemnification for such claims whether
or not they arise from the sole negligence of either the County or the Permittee,the concurrent negligence of both parties,or the negligence of one or more third parties;(b)The duty to
promptly accept tender of defense and provide defense to the County at the Permittee's own expense;(c)Indemnification of claims made by the Permittee's own employees or agents;
and(d)Waiver of the Permittee's immunity under the industrial insurance provisions of Title 51 RCW,which waiver has been mutually negotiated by the parties. In the event it is
necessary for the County to incur attorney's fees,legal expenses,or other costs to enforce the provisions of this section,all such fees,expenses,and costs shall be recoverable from the
Permittee. In the event it is determined that RCW 4.24.115 applies to this permit,the Permittee agrees to defend,hold harmless,and indemnify King County to the maximum extent
permitted thereunder,and specifically for its negligence concurrent with that of King County to the full extent of Permittee's negligence. Permittee agrees to defend,indemnify,and hold
harmless the County for claims by Permittee's employees and agrees to waiver of its immunity under Title 51 RCW,which waiver has been mutually negotiated by the parties.
Signature of Applicant
Application Received 03/19/01 Entered 04/05/01 Permit Fee $ 110.00
Permit Issued 4/24/0f' BY: D. BO1AR
Date Permit Clerk
This application is granted subject to the requirements and conditions thereof as listed below and on back of page.
1. A King County inspector will be assigned to the project for inspection of road restoration. Costs of inspection applicable to the project will be reimbursed to the County monthly by
applicant. Permittee is required to notify King County Department of Public Works at 296-8122 between 24 and 72 hours before starting work. Failure to give notice will result in the
assessment of a one hour inspection time charge against the permittee. This assessment is in addition to any other remedy available under law or equity which the County may wish
to pursue and shall not be construed as an election of remedies by the County.
2. All hard surfaced roads to be jacked or bored. Exceptions will be on a case-by-case basis with the express permission of the King County Department of Public Works.
3. One-way traffic at all times. Signs and traffic control will be in accordance with the manual on uniform traffic control devices for streets and highways.
4. Asphalt to be neat line cut 1 foot back from trench. Restoration as a minimum shall include 6 1/2"of crushed surfacing top course and 2"asphalt Class"B"or replaced to original
condition.
5. It is the responsibility of the grantee to notify all utility districts and private property owners when such property is liable to injury or damage through the performance of the above work.
Call 1-800-424-5555 48 hours in advance for underground utility location. This instruction does not relieve the grantee from required notification of county inspectors as specified in
paragraph 1,above.
Approved byd
Manager Engineet,-
(SEE REVERSE SIDE)
REV 6/94 Blue:Original Canary:Billing White:Applicant Pink:Inspector Green:Road File NEDVDLED
-PER
DIRECTIONS REGARDING PERMITS
Note:Right of way shall mean any Street,Avenue,Alley,Road or Lane
Public Place shall mean any Bridge,Trestle,or Wharf
Applicants for permits to occupy County property with utilities,or holders of granted franchise rights,who are planning construction work upon,along,over,under or across
any County right of way or public place must file an application with the King County Property Services Division,500 A King County Administration Building,Seattle,
Washington 98104.
The application shall be accompanied by drawings(in triplicate)drawn to working scale,commonly 50 to 100 feet per inch.It shall describe the nature of the work,and
show the location of same on a map,giving names,or numbers,and width of roads and streets.It must also show location of work with reference to platted subdivisions,
and section,township and range,and must show the location of work relative to existing utility facilities which may be affected.Review of the application must conform to
the County Environmental Policy Act(King County Code 20.44)
Applicants shall specify the type of construction in detail by submitting plans which show the class of material and equipment to be used.All such material and equipment
shall be of the highest quality.The manner of excavation,filling,construction,installation,erection of temporary structures,traffic turn outs,road obstruction and barricades,
shall conform with County standards and shall be approved by the County Engineer in advance of work.
Signs and barricades and traffic control in the vicinity of any work shall conform with provisions of"Part VI Manual of Uniform Traffic Control Devices for Streets and
Highways."
Before the work is accepted for the County by the County Engineer,all of the direct costs and expenses involved in administering said permit must be paid to the County by
the applicant.These include labor charges for examination,inspection and supervision of work in progress by field personnel.
Any deviation from the proposed plan,resulting in what is commonly known as the"As Built"location must be approved in advance by the County Engineer. Change notice
must show"As Built"position relative to grade line and centerline of right of way and any other installations in the right of way.
PERMIT-Terms and Conditions
1. The grantee,its successors and assigns,is given and granted the right and authority to enter upon the right of way or public place for the purpose of performing the
work described in this permit and approved by the County Engineer or the Engineer's agent.
2. Before any work commences the site must be inspected by a County Representative and approved by the County Engineer with respect to:
a. location e. Mode of operation of the installed facility
b. type of construction f. Manner of maintenance of installed facility
c. materials and equipment to be installed g. Method of safeguarding public traffic both during working hours and during non-working hours
d. manner of erection or construction while the project is under construction
3. After the installation,operation,maintenance,or removal of a utility or facility the grantee shall restore all rights of way and public places to the condition which is
equivalent in all respects to the condition they were in before starting work.All work to meet the approval of the County Road Engineer.
4. In the event that any damage of any kind is caused by the grantee in the course of performing work authorized by this permit,the grantee will repair said damage at its
sole cost and expense.Repair work shall begin without delay and continue without interruption until completed.If damage is extensive,the time allowed for repair will
be prescribed by the County Engineer or the Engineer's agent.
5. The County Engineer, his agents or representatives may at any time,do,order,or have done any and all work considered necessary to restore to a safe condition any
area left by the grantee in a condition dangerous to life or property and upon demand the grantee shall pay to the County all costs of such work,materials,etc.
6. When the County deems it advisable to change the alignment or grade of any right of way or public place or structure by widening,grading,regrading,paving,
improving,altering or repairing same,the grantee upon written notice by the County Engineer or the Engineer's representatives will at its own sole cost and expense,
raise,lower,move,change or reconstruct such installations to conform with the plans of work contemplated or ordered by the County Engineer according to a time
schedule contained in the written notice.
7. Penalties up to One Thousand($1,000)dollars per day may be imposed by the County Engineer,if the grantee delays relocation of facilities beyond the time limits
prescribed by the County Engineer.The County Engineer reserves the right to order its own agents or representatives to accomplish the desired change,and all costs
of relocation or removal shall be borne by the grantee.
8. All such changes,reconstruction or relocation by the grantee shall be done in such manner as will cause the least interference with any of the County's work.The
grantee shall have seventy-two(72)hours written notice by the County Engineer or the Engineer's representatives of any blasting contiguous to the grantee's permit
rights in order that it may protect its interests.
9. This grant or privilege shall not be deemed or construed to be an exclusive franchise.It does not prohibit the County from granting other permits or franchise rights of
like nature to other public or private utilities,nor shall it prevent the County from using any of its roads,streets,public places for any and all public use,or affect its
jurisdiction over all or any part of them.
10. All the provisions,conditions,requirements and regulations herein contained shall be binding upon the successors and assigns of the grantee and all privileges of the
grantee shall be given to such successors and assigns as if they were specifically mentioned.
11. The County Road Engineer of Property Services Manger may unilaterally revoke,annul,or terminate,revise or amend this permit without cause and for any reason
including,but not limited to:
(a) Grantee's failure to comply with any provision,requirement,or regulation herein set forth;
(b) Grantee's willful neglect of,or failure to heed or comply with,notices given it;
(c) Grantee's facilities are not installed,operated,or maintained in conformity with conditions herein set forth;
(d) Grantee's failure to conform to any applicable law or regulation as currently exists or may hereafter be enacted,adopted or amended.
12. Grantee by accepting this permit agrees to obtain information from all utility departments regarding location and current status of their installations before starting work.
Private property owners adjoining,or in proximity to the right of way shall be notified when such property is exposed to the possibility of injury or damage through
performance of this project.The grantee shall make all advance arrangements necessary to protect such property and/or utility from injury or damage.
13. The issuance of this permit to the grantee does not in any way relieve the grantee of any other applicable law in performing the work subject to this permit.
14. In all hiring or employment made possible resulting from the granting of this permit,there shall be no discrimination against any employee or applicant for employment
because of sex,sexual orientation,age,race,color,ancestry,religion,national origin,marital status or the presence of any sensory,mental or physical handicap,
unless based upon a bona fide occupational qualification,and this requirement shall apply to but not to be limited to the following:employment,advertising,layoff or
termination,rates of pay or other forms of compensation,and selection for training,including apprenticeship.
No person shall be denied or subjected to discrimination in receipt of the benefit of any services or activities made possible by or resulting from the granting of this
permit on the ground of sex,sexual orientation,race,color,ancestry,religion,national origin,age(except minimum age and retirement provisions),marital status
parental status,or the presence of any sensory,mental or physical handicap.
Any violation of this provision shall be considered a violation of this permit and shall be grounds for cancellation,termination or suspension in whole or in part of
the permit by the County and may result in ineligibility for further County permits.
The permittee shall make the best efforts to make opportunities for employment and/or contracting services available to women and minority persons.The permittee
recognizes that the County has a policy of promoting affirmative action,equal opportunity and has resources available to assist permittee in these efforts.
15. This permit and any underlying franchise does not authorize the cutting of trees with a trunk diameter greater than four(4)inches unless such authorization is
specifically granted in writing by King County.
16. If the permittee fails to perform its obligations herein,vacate the premises,remove its facilities,restore the property as required,or comply with any condition or
applicable regulation or law,the County shall have,at its option,the right to pursue any remedy or remedies available at law or equity including,but not limited to,the
right to proceed under the provisions of Title 59 of the Revised Code of Washington.
King County Right of Way Construction Permit
OProperty Services Division Permits (206)296-7456
O 500A King County Administration Building (206)296-0916 FAX
Seattle,WA 98104 Job Starts/Inspections (206)296-8122
ENVIRONMENTAL ASSESSMENT
PERMIT NO. W-184-01 JOB NO. .__ ❑Required Date Received
❑ Not Required
9352 326 ❑ Existing Assessment
FRANCHISE NO. ___ KROLL PAGE NO. ❑ Replacement
Categorically Exempt
DATE 4/24/01 SECTION NE 13 TWP. 23 RANGE 4
APPLICANT: CITY OF RENTON PHONE NO.
1055 SOUTH GRADY WAY
ADDRESS: RENTON, WA 98055 ULID NO.
BOND AMOUNT
Job Description EMERGENCY CONTACT NAME
AND PHONE NUMBER:
TO INSTALL APPROXIMATELY 330 FEET OF 8 INCH MAIN, FIRE HYDRANT & SERVICES ON 80TH AVENUE
SOUTH AND SOUTH 130TH STREET
A PRE—CONSTRUCTION CONFERENCE SHALL BE REQUIRED.
OPEN CUT IS ACCEPTABLE IN ACCORDANCE WITH KING COUNTY ROAD STANDARDS, SECTION 8.03(3)b on
ROADS SHOWN ON PLANS
IN ACCORDANCE WITH K.C. ROAD STANDARDS, SECTION 8.03(2)C, ROADS AS SHOWN ON PLANS
SHALL BE PATCHED AND OVERLAID FULL WIDTH WITH A MINIIAUM OF 1" COMPACTED STATE SPEC. CLASS
►rB11 ASPHALT.
Ali EROSION SEDIMENTATION CONTROL PLAN SHALL BE SUBMITTED AND APPROVED PRIOR TO THE
PRE—CONSTRUCITON CONFERENCE.
•e
THIS PERMIT IS FOR KING COUNTY RIGHT OF WAY ONLY
GIVE DISTANCE BY STREET OR ROAD WITH AN ON,FROM AND TO DESCRIPTION
ALL WATER MAIN EXTENSIONS MUST HAVE APPROVAL FROM THE FIRE MARSHALL.
ALL UNDERGROUND UTILITY LINES MUST HAVE A MINIMUM 36"COVER.
ALL WORK TO BE DONE SUBJECT TO THE APPROVAL OF THE KING COUNTY ROAD ENGINEER.
ALL WORK SHALL BE PERFORMED IN CONFORMANCE WITH KING COUNTY ROAD STANDARDS.
The undersigned agrees to comply with provisions,conditions and requirements contained in the"Standards of Good Practice for County Road Departments"published by County Road
Administration-Board.
All work to be done in conformity with conditions and requirements of King County Code 6.27,13.24 and 14.44,and the petitioner agrees to prosecute with all diligence and speed with
due regard for the rights,interests and convenience of the public. If at the end of 6 months after issuance of permit the grantee shall not have in operation said utilities,then the rights
herein conferred shall cease and terminate,unless specific written provisions are made for a renewal or extension.
The undersigned,its successors and assigns,agrees if granted the above permit,to comply with the provisions,conditions,requirements,regulations and recommendations herein
contained and as may apply to any utility franchise granted the applicant and under whose provisions same is issued. It will respect and protect all property contracts,persons and rights
that might be affected by it.
INDEMNITY AND HOLD HARMLESS: The Permittee agrees to indemnify and hold harmless King County as provided herein to the maximum extent possible under law.
Accordingly,the Permittee agrees for itself,its successors,and assigns,to defend,indemnify, and hold harmless King County its appointed and elected officials and employees from and
against liability for all claims,demands,suits,and judgments,including cost of defense thereof,for injury to persons,death,or property damage which is caused by,arises out of,or is
incidental to Permittee's exercise of rights and privileges granted by this permit. The Permittee's obligations under this permit shall include: (a) Indemnification for such claims whether
or not they arise from the sole negligence of either the County or the Permittee,the concurrent negligence of both parties,or the negligence of one or more third parties;(b)The duty to
promptly accept tender of defense and provide defense to the County at the Permittee's own expense;(c)Indemnification of claims made by the Permittee's own employees or agents;
and(d)Waiver of the Permittee's immunity under the industrial insurance provisions of Title 51 RCW,which waiver has been mutually negotiated by the parties. In the event it is
necessary for the County to incur attorney's fees,legal expenses,or other costs to enforce the provisions of this section,all such fees,expenses,and costs shall be recoverable from the
Permittee. In the event it is determined that RCW 4.24.115 applies to this permit,the Permittee agrees to defend,hold harmless,and indemnify King County to the maximum extent
permitted thereunder,and specifically for its negligence concurrent with that of King County to the full extent of Permittee's negligence. Permittee agrees to defend,indemnify,and hold
harmless the County for claims by Permittee's employees and agrees to waiver of its immunity under Title 51 RCW,which waiver has been mutually negotiated by the parties.
Signature of Applicant
Application Received 3/19/01 Entered 4/5/01 Permit Fee $ 40.00
Permit Issued 4/24 BY: D. BOLAR -
Date Permit Clerk
This application is granted subject to the requirements and conditions thereof as listed below and on back of page.
1. A King County inspector will be assigned to the project for inspection of road restoration. Costs of inspection applicable to the project will be reimbursed to the County monthly by
applicant. Permittee is required to notify King County Department of Public Works at 296-8122 between 24 and 72 hours before starting work. Failure to give notice will result in the
assessment of a one hour inspection time charge against the permittee. This assessment is in addition to any other remedy available under law or equity which the County may wish
to pursue and shall not be construed as an election of remedies by the County.
2. All hard surfaced roads to be jacked or bored. Exceptions will be on a case-by-case basis with the express permission of the King County Department of Public Works.
3. One-way traffic at all times. Signs and traffic control will be in accordance with the manual on uniform traffic control devices for streets and highways.
4. Asphalt to be neat line cut i foot back from trench. Restoration as a minimum shall include 6 1/2"of crushed surfacing top course and 2"asphalt Class"B"or replaced to original
condition.
5. It is the responsibility of the grantee to notify all utility districts and private property owners when such property is liable to injury or damage through the performance of the above work.
Call 1-800-424-5555 48 hours in advance for underground utility location. This instruction does not relieve the grantee from required notification of county inspectors as specified in
paragraph 1,above.
Approved by
Manager Engineer
(SEE REVERSE SIDE) g6y�
REV 6/94 Blue:Original Canary:Billing White:Applicant Pink:Inspector Green:Road File RECYCLED
PATER
DIRECTIONS REGARDING PERMITS
Note:Right of way shall mean any Street,Avenue,Alley,Road or Lane
Public Place shall mean any Bridge,Trestle,or Wharf
Applicants for permits to occupy County property with utilities,or holders of granted franchise rights,who are planning construction work upon,along,over,under or across
any County right of way or public place must file an application with the King County Property Services Division,500 A King County Administration Building,Seattle,
Washington 98104.
The application shall be accompanied by drawings(in triplicate)drawn to working scale,commonly 50 to 100 feet per inch.It shall describe the nature of the work,and
show the location of same on a map,giving names,or numbers,and width of roads and streets.It must also show location of work with reference to platted subdivisions,
and section,township and range,and must show the location of work relative to existing utility facilities which may be affected.Review of the application must conform to
the County Environmental Policy Act(King County Code 20.44)
Applicants shall specify the type of construction in detail by submitting plans which show the class of material and equipment to be used.All such material and equipment
shall be of the highest quality.The manner of excavation,filling,construction,installation,erection of temporary structures,traffic turn outs,road obstruction and barricades,
shall conform with County standards and shall be approved by the County Engineer in advance of work.
Signs and barricades and traffic control in the vicinity of any work shall conform with provisions of"Part VI Manual of Uniform Traffic Control Devices for Streets and
Highways."
Before the work is accepted for the County by the County Engineer,all of the direct costs and expenses involved in administering said permit must be paid to the County by
the applicant.These include labor charges for examination,inspection and supervision of work in progress by field personnel.
Any deviation from the proposed plan,resulting in what is commonly known as the"As Built"location must be approved in advance by the County Engineer. Change notice
must show"As Built"position relative to grade line and centerline of right of way and any other installations in the right of way.
PERMIT-Terms and Conditions
1. The grantee,its successors and assigns,is given and granted the right and authority to enter upon the right of way or public place for the purpose of performing the
work described in this permit and approved by the County Engineer or the Engineer's agent.
2. Before any work commences the site must be inspected by a County Representative and approved by the County Engineer with respect to:
a. location e. Mode of operation of the installed facility
b. type of construction I. Manner of maintenance of installed facility
c. materials and equipment to be installed g. Method of safeguarding public traffic both during working hours and during non-working hours
d. manner of erection or construction while the project is under construction
3. After the installation,operation,maintenance,or removal of a utility or facility the grantee shall restore all rights of way and public places to the condition which is
equivalent in all respects to the condition they were in before starting work.All work to meet the approval of the County Road Engineer.
4. In the event that any damage of any kind is caused by the grantee in the course of performing work authorized by this permit,the grantee will repair said damage at its
sole cost and expense.Repair work shall begin without delay and continue without interruption until completed.If damage is extensive,the time allowed for repair will
be prescribed by the County Engineer or the Engineer's agent.
5. The County Engineer, his agents or representatives may at any time,do,order,or have done any and all work considered necessary to restore to a safe condition any
area left by the grantee in a condition dangerous to life or property and upon demand the grantee shall pay to the County all costs of such work,materials,etc.
6. When the County deems it advisable to change the alignment or grade of any right of way or public place or structure by widening,grading,regrading,paving,
improving,altering or repairing same,the grantee upon written notice by the County Engineer or the Engineer's representatives will at its own sole cost and expense,
raise,lower,move,change or reconstruct such installations to conform with the plans of work contemplated or ordered by the County Engineer according to a time
schedule contained in the written notice.
7. Penalties up to One Thousand($1,000)dollars per day may be imposed by the County Engineer,if the grantee delays relocation of facilities beyond the time limits
prescribed by the County Engineer.The County Engineer reserves the right to order its own agents or representatives to accomplish the desired change,and all costs
of relocation or removal shall be borne by the grantee.
8. All such changes,reconstruction or relocation by the grantee shall be done in such manner as will cause the least interference with any of the County's work.The
grantee shall have seventy-two(72)hours written notice by the County Engineer or the Engineer's representatives of any blasting contiguous to the grantee's permit
rights in order that it may protect its interests.
9. This grant or privilege shall not be deemed or construed to be an exclusive franchise.It does not prohibit the County from granting other permits or franchise rights of
like nature to other public or private utilities,nor shall it prevent the County from using any of its roads,streets,public places for any and all public use,or affect its
jurisdiction over all or any part of them.
10. All the provisions,conditions,requirements and regulations herein contained shall be binding upon the successors and assigns of the grantee and all privileges of the
grantee shall be given to such successors and assigns as if they were specifically mentioned.
11. The County Road Engineer of Property Services Manger may unilaterally revoke,annul,or terminate,revise or amend this permit without cause and for any reason
including,but not limited to:
(a) Grantee's failure to comply with any provision,requirement,or regulation herein set forth;
(b) Grantee's willful neglect of,or failure to heed or comply with,notices given it;
(c) Grantee's facilities are not installed,operated,or maintained in conformity with conditions herein set forth;
(d) Grantee's failure to conform to any applicable law or regulation as currently exists or may hereafter be enacted,adopted or amended.
12. Grantee by accepting this permit agrees to obtain information from all utility departments regarding location and current status of their installations before starting work.
Private property owners adjoining,or in proximity to the right of way shall be notified when such property is exposed to the possibility of injury or damage through
performance of this project.The grantee shall make all advance arrangements necessary to protect such property and/or utility from injury or damage.
13. The issuance of this permit to the grantee does not in any way relieve the grantee of any other applicable law in performing the work subject to this permit.
14. In all hiring or employment made possible resulting from the granting of this permit,there shall be no discrimination against any employee or applicant for employment
because of sex,sexual orientation,age,race,color,ancestry,religion,national origin,marital status or the presence of any sensory,mental or physical handicap,
unless based upon a bona fide occupational qualification,and this requirement shall apply to but not to be limited to the following:employment,advertising,layoff or
termination,rates of pay or other forms of compensation,and selection for training,including apprenticeship.
No person shall be denied or subjected to discrimination in receipt of the benefit of any services or activities made possible by or resulting from the granting of this
permit on the ground of sex,sexual orientation,race,color,ancestry,religion,national origin,age(except minimum age and retirement provisions),marital status
parental status,or the presence of any sensory,mental or physical handicap.
Any violation of this provision shall be considered a violation of this permit and shall be grounds for cancellation,termination or suspension in whole or in part of
the permit by the County and may result in ineligibility for further County permits.
The permittee shall make the best efforts to make opportunities for employment and/or contracting services available to women and minority persons.The permittee
recognizes that the County has a policy of promoting affirmative action,equal opportunity and has resources available to assist permittee in these efforts.
15. This permit and any underlying franchise does not authorize the cutting of trees with a trunk diameter greater than four(4)inches unless such authorization is
specifically granted in writing by King County.
16. If the permittee fails to perform its obligations herein,vacate the premises,remove its facilities,restore the property as required,or comply with any condition or
applicable regulation or law,the County shall have,at its option,the right to pursue any remedy or remedies available at law or equity including,but not limited to,the
right to proceed under the provisions of Title 59 of the Revised Code of Washington.
CITY OF RENTON
Planning/Building/Public Works Department
J e Tanner,Mayor Gregg Zimmerman P.E.,Administrator
March 15, 2001
King County Property Services
King County Administration Bldg.
500 Fourth Avenue, Room 500
Seattle, WA 98104
SUBJECT: REQUEST FOR KING COUNTY RIGHT-OF-WAY PERMIT
Dear Property Services Manager:
Per King County Ordinance No. 00167 and Franchise No. 9352 the City of Renton is requesting a right-
of-way permit to install sanitary sewer and watermain in 801h Avenue South, South Langston Rd. and
South 130`h St. as shown on the attached plans. Enclosed please find three(3)sets of project plans and
specifications.
The purpose of this project is to provide sanitary sewer service to an area that has been experiencing
septic system failures. The watermain installation is to up-size approximately 330 linear feet of the
existing 4"water main to 8"to increase flow for fire fighting purposes.
The City intends to overlay the portions of these roads that are affected by the construction project. The
overlay will be done under a separate contract as part of the City of Renton's Overlay Program.
Thank you for your review of this project. Please call me at 425-430-7279 if you have any questions.
Since ely,
John Hobson
Wastewater Utility
into
1055 South Grady Way-Renton, Washington 98055 �p
MThlc nanar rnntainc 50%recvcled material.20%nost consumer l.'�tennl
Pivetta Brothers Construction, Inc.
P.O. Box 370
'•, � 1812 Pease Avenue RECEIVED
Sumner, Washington 98390
(253) 862-7890, Fax (253) 863-3568 JUN 2 0 2001
Letter of Transmittal CITY OF RENTON
UTILITY SYSTEMS
Date: 06/16/2001 Project Number: 2001-137
Attn: John Hobson Ship Via:
City of Renton USPS
Adr: 1055 Grady Way Fedex
Renton,WA.98055 0 Airborne
UPS
Courier
Re: City of Renton,80th Ave.South Sewer Extension 0 other
We are sending you: Attached Under Separate Cover the following Items:
Shop Drawing 0 Prints Plans
0 Copy of Letter Change order 0 Specifications
0 Samples 0
Copies Date No. Description
1 06/16/2001 Intent to pay PW(Pivetta)
These are transmitted as checked below:
For approval 0 Approved as submitted O Resubmit_copies
For your use 0 Approved as noted p Submit_copies
As requested 0 Returned for correction for distribution
For review&comment 0 Return
For bids due corrected prints
Prints returned 0
Remarks
Copy to:
06/16/2001 Page 1 Renton 2001137.xls
`!- i
artment of Labor and Industries RECEp`1�a�-� JUN^Prevailing Wage STATEMENT OF INTENT
� i
(360) 902-5335.. r1„��Uy TO PAY PREVAILING WAGES
Public Works Contract
THIS FORM MUST BE TYPED OR PRINTED IN INK
/neomoletefgrms cannot be processed and will be returned without approval. $25.00 Filing Fee Required
Large,bold numbers match instructions on back of form. 2 Project Name 80th Avenue c ntraa k
Poa Moaraminimumoflowartlrgd"forpmaaasirg*=Ise dair#*aprd.ntnaaiw.yaur►rma Sanitary Sewer Ext. WWP-27-2829
ALL FORMS WILL 89.
E MAILED TO THIS ADDRESS Contract Awarding Agency
1 Organization name,address,city,state&ZIP+4 City of Renton
Address
1055 South Grady Way
Pivetta Bros. Construction, Inc. city state ZIP+a
PO Box 370 Renton WA 98055
Sumner, WA 98390 County where work will be performed City where work will be performed
King Renton
Aid due date (mm/dd/yy) Date contract awarded (mm/dd/yy)
#X04 03 01 05 07 01
Prime contractor Contractor Registration No. Do you intend to use subcontractors? Do you intend to use apprentices?
Pivetta. Bros. Construction, Inc. PIVETBC053B9 Yea U No �—J Yes [�J No
Indicate total dollar amount of your contract �,, $ 482,029.00
3 Craft/trade/occupation 4 Rate of Rate of Hourly Estimated Number
Hourly Pay 5 Fringe Benefits 6 of Workers
Operators....�.3....Yds...&...Under)... - ....... .... ............._._.................:..-. ........ 4...50....._....1.......Included..........._ ...................................
Pipelayer '-29.01 2
Topman \28.53 " 1
.. .... ................................................................................................................................. .................... ............................. ::..::..
` Flaggers 23,85 " 2
I hereby certify that the above information is correct and that all workers I 8 Company name
employ on this Public Works Project will be paidno less than the Prevailing Pivetta Bros. Construciton, Inc.
Wage Rate(s)as detemtined by VVJR ial statis an of the Department Address
of Labor and Industries.I ,tQ4a� nd/t�},�a�t afir�ctors ho violate Prevailing
Wage laws,i.e.,incorreo�c s ill /S ol'awrk of workers,improper PC Box 370
a ent of prevailing.
attesab .l firfa�and/or debarment and
will be ued to ag a '��� ,� City State ZIP+4
required p�` �k•�yl�L dl,fYg'w $pk._RCW 39.12.050
•ir moo �► Sumner WA 98390
7 NOTARY: t11eFeArtuiet�d� riae sash page with
Limp _ Phone number Contractor Registration No.
Subscribed and sw;n�Ifefo�s jrlea{ty e: �y�3rn1 O st05 zpires on Signature 862— 89 Title
VETBC063B9
05-28-01 a(, c
Notary Public in and fq President
nun
of Washingto0 OF 1�
�,� •'W A- t`` Amount:
Si acute off Check Number:
L
Issued By:
For L&I Use Only
APPROVED: Department of Labor and Indu ies
'�/'Jt 0 U.e Only �4r
By
Industrial Statistician
F700-029-000 statement of intent to pay 5-98 Distribution of Approved Copies:White-Awarding Agency Canary-L&I Pink-Prime Contractor Goldenrod-Subcontractor
1
INSTRUCTIONS TO COMPLETE THE
STATEMENT OF INTENT TO PAY PREVAILING WAGES
Incomplete forms cannot be processed and will be returned without approval.
Approval of this intent will be based on the information provided by the contractor/subcontractor. It does not signify approval of the
classifications of labor used by the contractor/subcontractor. After the Industrial Statistician has approved the Statement of Intent to Pay
Prevailing Wages, the department will return 3 copies to the organization indicated on the form. Please call (360) 902-5335 if you have
questions.
This form must by TYPED OR PRINTED IN INK, completed in its entirety, and all 4 copies submitted with the processing
fee of$25.00 to:
Note: Please fold in thirds
using marks along the left edge
MANAGEMENT SERVICES so the address will show in a
DEPARTMENT OF LABOR AND INDUSTRIES window envelope.
PO BOX 44835
OLYMPIA WA 98504-4835
NOTE: Please do not submit this form to our office if the"Awarding Agency"is a federal entity.
An approved copy of the Intent form for each employer must be posted at the job site for contracts In excess
_ of$10,000.
Contractors are responsible for ensuring that subcontractors obtain and file Statements of Intent to Pay
Prevailing Wages. This is required by law;payment cannot lawfully be made until such intents are filed.
Complete the form as follows: NOTE: Numbers on instructions match large bold numbers on front of form.
1. The company name and address to which your forms should be mailed.
2. Project Name-The name of the project
Contract Number-This is the number of the contract between the awarding agency and the prime contractor
Contract Awarding Agency-This is the name of the public agency that awarded the contract to the prime contractor.
Address,City,State,ZIP+4-This is the address of the contract awarding agency.
County where work was performed-This is the county in which the actual work will be performed.
City where work was performed-This is the city in which the work will be performed. If the work will be performed outside the limits of any
city,write"Na"in this space v
Bid Due Date This is the date that the bids from prime contractors were due for submission to the contract awarding agency.(month/day/year)
Date Contract Awarded-This is the date the contract was awarded to the prime contractor by the awarding agency. (month/daylyear)
Prime Contractor-This is the company that signed the contract with the contract awarding agency.
Do you intend to use subcontractors?- Indicate"Yes"or"No".
Do you intend to use apprentices?-Indicate"Yes"or"No". If"Yes",please see Note at the bottom of this page.
NOTE: Wages are tied to the"Bid Due Date";if the"Date Contract Awarded"is six months or more after the bid due date,wages will be
based on that award date.
3. List each craft/trade/occupation of workers to be employed on this project. Do not list group number or class codes. If this is residential,landscape,
shipbuilding,or underground sewer and water construction,please state so on the form,otherwise commercial rates apply.
If operating engineers and!or truck drivers will be used,describe the type,and list the size or rated capacity of the equipment.
If the work will be performed by owners/partners,state"Owner/operator"under the"Craft"section,and sections 4 tind•5 need,rlothe.r_ompleted. (Individuals
who own less than 30%of the company are not considered to be owners/operators,and must be paid prevailing wage.)
It all work will be performed by subcontractors,state"all work subcontracted"under"Craft"section,and sections 44 5 & d*_tb,completed.
4. Enter the rate of hourly pay for each craft/trade/occupation classification. This is the wage you will gctually pay.i
5. Enter the rate of hourly fringe benefits. This is the cost of fringe benefits,as defined by RCW 39.12.010,tilatyou will actugiApayi the workers. The
amount listed for"Rate of Hourly Pay"plus the amount listed for"Rate of Hourly Fringe Benefits",if any,mustRglp, he prevailing rate of wage.
t
6. Enter the estimated number of workers for each craft/trade/occupation. °"'"`'
7. "Notary"-Ensure this area is completely filled out and each copy notarized with their seal or stamp.
8. Indicate your company's name,address,phone number and the signature of an authorized representative. Contractor registration number begins with first
letters of company name. Forms without signatures will be returned.
Industrial Statistician
NOTE: Do not list apprentices or apprentice wages to this Statement of Intent. If you intend to use Prevailing Wage
apprentices on this project, they must be listed on the Affidavit of Wages Paid (F700-007-000), and pp Box 44540
registered with the Washington State Apprenticeship and Training Council within 60 days of hiring. Any Olympia WA 98504-4540
workers not registered as such must be paid prevailing journeyman wages. To verify apprenticeship (360)902-5335
registration and status,call (360)902-5324.
King County Right of Way Construction Permit
OProperty Services Division Permits (206)296-7456
500A King County Administration Building (206)296-0916 FAX
Seattle,WA 98104 Job Starts/Inspections (206)296-8122
ENVIRONMENTAL ASSESSMENT
PERMIT NO. S-29-01 JOB NO. ❑Required Date Received
1 ❑ Not Required
FRANCHISE NO. - 14056 KROLL PAGE NO. 'jG 26 �Replacement Existing Assessment
Categorically Exempt
DATE4/24/Ui SECTION "�' 13 TWP. - RANGE
APPLICANT: CITY OF RENTON PHONE NO.
1055 GRUTH GRADY WAY
RENTON, WA 98055
ADDRESS: _ ULID NO.
BOND AMOUNT.
.lob Description m EMERGENCY CONTACT NAME
AND PHONE NUMBER:
TO INSTALL APPROXIMATELY 3000 FEET OF SEWER MAIN ON SOUTh 130TH STREET, 80TH AVENUE SOUTH, AND
SOUTH 132ND STREET & SOUTH LANGSTON ROAD
A PRE-CONSTRUCTION CONFERENCE SHALL BE REQUIRED.
LANE CLOSURES SHALL BE RESTRICTED TO BETWEEN THE. HOURS OF 9:00 - 3:00 ON SOUTH 132ND STREET
OPEN CUT IS ACCEPTABLE IN ACCORDANCE WITH KING COUNTY ROAD STANDARDS, SECTION 8.03(3)b on ROADS
SHOWN ON PLANS.
AN EROSION/SEDIMENTATION CONTROL PLAN SHALL BE SUB14ITTED AND APPROVED PRIOR TO THE
PRE-CONSTRUCITON CONFERENCE.
IN ACCORDANCE WITH K.C. ROAD STANDARDS, SECTION 8.03(2)C, ROADS SHOWN ON FLANS _
SHALL BE PATCHED AND OVERLAID FULL WIDTH WITH A IIINItIUM OF 1" COMPACTED STATE SPEC. CLASS
"B" ASPHALT.
THIS PERMIT IS FOR KING COUNTY RIGHT OF WAY ONLY
GIVE DISTANCE BY STREET OR ROAD WITH AN ON,FROM AND TO DESCRIPTION
ALL WATER MAIN EXTENSIONS MUST HAVE APPROVAL FROM THE FIRE MARSHALL.
ALL UNDERGROUND UTILITY LINES MUST HAVE A MINIMUM 36"COVER. +.>_
ALL WORK To BE DONE SUBJECT TO THE APPROVAL OF THE KING COUNTY ROAD ENGINEER.
ALL WORK SHALL BE PERFORMED IN CONFORMANCE WITH KING COUNTY ROAD STANDARDS.
The undersigned agrees to comply with provisions,conditions and requirements contained in the"Standards of Good Practice for County Road Departments"published by County Road
Administration Board.
All work to be done in conformity with conditions and requirements of King County Code 6.27,13.24 and 14.44,and the petitioner agrees to prosecute with all diligence and speed with
due regard for the rights,interests and convenience of the public. If at the end of 6 months after issuance of permit the grantee shall not have in operation said utilities,then the rights
herein conferred shall cease and terminate,unless specific written provisions are made for a renewal or extension.
The undersigned,its successors and assigns,agrees if granted the above permit,to comply with the provisions,conditions,requirements,regulations and recommendations herein
contained and as may apply to any utility franchise granted the applicant and under*hose)IIMisions same is issued. It will respect and protect all property contracts,persons and rights
that might be affected by it.
INDEMNITY AND HOLD HARMLESS: The Permittee agrees to indemnify and hold harmless King County as provided herein to the maximum extent possible under law.
Accordingly,the Permittee agrees for itself,its successors,and assigns,to defend,indemnify, and hold harmless King County its appointed and elected officials and employees from and
against liability for all claims,demands,suits,and judgments,including cost of defense thereof,for injury to persons,death,or property damage which is caused by,arises out of,or is
incidental to Permittee's exercise of rights and privileges granted by this permit. The Permittee's obligations under this permit shall include: (a) Indemnification for such claims whether
or not they arise from the sole negligence of either the County or the Permittee,the concurrent negligence of both parties,or the negligence of one or more third parties;(b)The duty to
promptly accept tender of defense and provide defense to the County at the Permittee's own expense;(c)Indemnification of claims made by the Permittee's own employees or agents;
and(d)Waiver of the Permittee's immunity under the industrial insurance provisions of Title 51 RCW,which waiver has been mutually negotiated by the parties. In the event it is
necessary for the County to incur attorney's fees,legal expenses,or other costs to enforce the provisions of this section,all such fees,expenses,and costs shall be recoverable from the
Permittee. In the event it is determined that RCW 4.24.115 applies to this permit,the Permittee agrees to defend,hold harmless,and indemnify King County to the maximum extent
permitted thereunder,and specifically for its negligence concurrent with that of King County to the full extent of Per ee's negligence. Permittee agrees to defend,indemnify,and Mid
harmless the County for claims by Permittee's employees and agrees to waiver of its immunity under le 51 RC,W which waiver has been mutually negotiated by the parties.
Signature of Applicant
U3/19/01 / U4/05/01 11UP 0
Application Recewed Entered Permit Fee $
Permit Issued 4/24/U1 BY: D. BOLAZ
Date Permit Clerk
This application is granted subject to the requirements and conditions thereof as listed below and on back of page.
1. A King County inspector will be assigned to the project for inspection of road restoration. Costs of inspection applicable to the project will be reimbursed to the County monthly by
applicant. Permittee is required to notify King County Department of Public Works at 296-8122 between 24 and 72 hours before starting work. Failure to give notice will result in the
assessment of a one hour inspection time charge against the permittee. This assessment is in addition to any other remedy available under law or equity which the County may wish
to pursue and shall not be construed as an election of remedies by the County.
2. All hard surfaced roads to be jacked or bored. Exceptions will be on a case-by-case basis with the express permission of the King County Department of Public Works.
3. One-way traffic at all times. Signs and traffic control will be in accordance with the manual on uniform traffic control devices for streets and highways.
4. Asphalt to be neat line cut 1 foot back from trench. Restoration as a minimum shall include 6 1/2"of crushed surfacing top course and 2"asphalt Class"B"or replaced to original
condition.
5. It is the responsibility of the grantee to notify all utility districts and private property owners when such property is liable to injury or damage through the performance of the above work.
Call 1-800-424-5555 48 hours in advance for underground utility location. This instruction does not relieve the grantee from required notification of county inspectors as specified in
paragraph 1,above.
&2
Approved by �`
- 1
Manager Engineer
(SEE REVERSE SIDE) ggy�
REV 6/94 Blue:Original Canary:Billing White:Applicant Pink:Inspector Green:Road File RECYCLED
<,.- PAPER
DIRECTIONS REGARDING PERMITS
Note:Right of way shall mean any Street,Avenue,Alley,Road or Lane
Public Place shall mean any Bridge,Trestle,or Wharf
Applicants for permits to occupy County property with utilities,or holders of granted franchise rights,who are planning construction work upon,along,over,under or across
any County right of way or public place must file an application with the King County Property Services Division,500 A King County Administration Building,Seattle,
Washington 98104.
The application shall be accompanied by drawings(in triplicate)drawn to working scale,commonly 50 to 100 feet per inch.It shall describe the nature of the work,and
show the location of same on a map,giving names,or numbers,and width of roads and streets.It must also show location of work with reference to platted subdivisions,
and section,township and range,and must show the location of work relative to existing utility facilities which may be affected.Review of the application must conform to
the County Environmental Policy Act(King County Code 20.44)
Applicants shall specify the type of construction in detail by submitting plans which show the class of material and equipment to be used.All such material and equipment
shall be of the highest quality.The manner of excavation,filling,construction,installation,erection of temporary structures,traffic turn outs,road obstruction and barricades,
shall conform with County standards and shall be approved by the County Engineer in advance of work.
Signs and barricades and traffic control in the vicinity of any work shall conform with provisions of"Part VI Manual of Uniform Traffic Control Devices for Streets and
Highways."
Before the work is accepted for the County by the County Engineer,all of the direct costs and expenses involved in administering said permit must be paid to the County by
the applicant.These include labor charges for examination,inspection and supervision of work in progress by field personnel.
Any deviation from the proposed plan,resulting in what is commonly known as the"As Built"location must be approved in advance by the County Engineer. Change notice
must show"As Built"position relative to grade line and centerline of right of way and any other installations in the right of way.
PERMIT-Terms and Conditions
1. The grantee,its successors and assigns,is given and granted the right and authority to enter upon the right of way or public place for the purpose of performing the
work described in this permit and approved by the County Engineer or the Engineer's agent.
2. Before any work commences the site must be inspected by a County Representative and approved by the County Engineer with respect to:
a. location e. Mode of operation of the installed facility
b. type of construction f. Manner of maintenance of installed facility
c. materials and equipment to be installed g. Method of safeguarding public traffic both during working hours and during non-working hours
d. manner of erection or construction while the project is under construction
3. After the installation,operation,maintenance,or removal of a utility or facility the grantee shall restore all rights of way and public places to the condition which is
equivalent in all respects to the condition they were in before starting work.All work to meet the approval of the County Road Engineer.
4. In the event that any damage of any kind is caused by the grantee in the course of performing work authorized by this permit,the grantee will repair said damage at its
sole cost and expense.Repair work shall begin without delay and continue without interruption until completed.If damage is extensive,the time allowed for repair will
be prescribed by the County Engineer or the Engineer's agent.
5. The County Engineer, his agents or representatives may at any time,do,order,or have done any and all work considered necessary to restore to a safe condition any
area left by the grantee in a condition dangerous to life or property and upon demand the grantee shall pay to the County all costs of such work,materials,etc.
6. When the County deems it advisable to change the alignment or grade of any right of way'or public place or structure by widening,grading,regrading,paving,
improving,altering or repairing same,the grantee upon written notice by the County Engineer or the Engineer's representatives will at its own sole cost and expense,
raise,lower,move,change or reconstruct such installations to conform with the plans of work contemplated or ordered by the County Engineer according to a time
schedule contained in the written notice.
7. Penalties up to One Thousand($1,000)dollars per day may be imposed by the County Engineer,if the grantee delays relocation of facilities beyond the time limits
prescribed by the County Engineer.The County Engineer reserves the right to order its own agents or representatives to accomplish the desired change,and all costs
of relocation or removal shall be borne by the grantee.
8. All such changes,reconstruction or relocation by the grantee shall be done in such manner as will cause the least interference with any of the County's work.The
grantee shall have seventy-two(72)hours written notice by the County Engineer or the Engineer's representatives of any blasting contiguous to the grantee's permit
rights in order that it may protect its interests.
9. This grant or privilege shall not be deemed or construed to be an exclusive franchise.It does not prohibit the County from granting other permits or franchise rights of
like nature to other public or private utilities,nor shall it prevent the County from using any of its roads,streets,public places for any and all public use,or affect its
jurisdiction over all or any part of them.
10. All the provisions,conditions,requirements and regulations herein contained shall be binding upon the successors and assigns of the grantee and all privileges of the
grantee shall be given to such successors and assigns as if they were specifically mentioned.
11. The County Road Engineer of Property Services Manger may unilaterally revoke,annul,or terminate,revise or amend this permit without cause and for any reason
including,but not limited to:
(a) Grantee's failure to comply with any provision,requirement,or regulation herein set forth;
(b) Grantee's willful neglect of,or failure to heed or comply with,notices given it;
(c) Grantee's facilities are not installed,operated,or maintained in conformity with conditions herein set forth;
(d) Grantee's failure to conform to any applicable law or regulation as currently exists or may hereafter be enacted,adopted or amended.
12. Grantee by accepting this permit agrees to obtain information from all utility departments regarding location and current status of their installations before starting work.
Private property owners adjoining,or in proximity to the right of way shall be notified when such property is exposed to the possibility of injury or damage through
performance of this project.The grantee shall make all advance arrangements necessary to protect such property and/or utility from injury or damage.
13. The issuance of this permit to the grantee does not in any way relieve the grantee of any other applicable law in performing the work subject to this permit.
14. In all hiring or employment made possible resulting from the granting of this permit,there shall be no discrimination against any employee or applicant for employment
because of sex,sexual orientation,age,race,color,ancestry,religion,national origin,marital status or the presence of any sensory,mental or physical handicap,
unless based upon a bona fide occupational qualification,and this requirement shall apply to but not to be limited to the following:employment,advertising,layoff or
termination,rates of pay or other forms of compensation,and selection for training,including apprenticeship.
No person shall be denied or subjected to discrimination in receipt of the benefit of any services or activities made possible by or resulting from the granting of this
permit on the ground of sex,sexual orientation,race,color,ancestry,religion,national origin,age(except minimum age and retirement provisions),marital status
parental status,or the presence of any sensory,mental or physical handicap.
Any violation of this provision shall be considered a violation of this permit and shall be grounds for cancellation,termination or suspension in whole or in part of
the permit by the County and may result in ineligibility for further County permits.
The permittee shall make the best efforts to make opportunities for employment and/or contracting services available to women and minority persons.The permittee
recognizes that the County has a policy of promoting affirmative action,equal opportunity and has resources available to assist permittee in these efforts.
15. This permit and any underlying franchise does not authorize the cutting of trees with a trunk diameter greater than four(4)inches unless such authorization is
specifically granted in writing by King County.
16. If the permittee fails to perform its obligations herein,vacate the premises,remove its facilities,restore the property as required,or comply with any condition or
applicable regulation or law,the County shall have,at its option,the right to pursue any remedy or remedies available at law or equity including,but not limited to,the
right to proceed under the provisions of Title 59 of the Revised Code of Washington.
King County Right of Way Construction Permit
OProperty Services Division Permits (206)296-7456
O 500A King County Administration Building (206)296-0916 FAX
Seattle, WA 98104 Job Starts/Inspections (206)296-8122
ENVIRONMENTAL ASSESSMENT
PERMIT NO. Af4 184-0. JOB NO. ❑Required Date Received
❑ Not Required
FRANCHISE NO. 9352 KROLL PAGE NO. ❑❑Replace Existing Assessment
Replacement
Q Categorically Exempt
DATE 4/`4/U1 SECTION NE 13 TWP. 4 RANGE
APPLICANT: CITY OF RENTON PHONE NO.
1U55 SOUTH GRADY WAY
ADDRESS: RENTON, WA 98U55 ULID NO.
BOND AMOUNT
Job Description EMERGENCY CONTACT NAME
AND PHONE NUMBER:
TO INSTALL APPROXIMATELY 330 FEET ui u iixLa- & SERViLlca w, oui,i ivzLiu,,
SOUTH AND SOUTH 13UTH STREET
A PRE—CONSTRUCTION CONFERENCE SHALL BE REQUIRED.
OPEN CUT iS ACCEPTABLE IN ACCORDANCE WITH KING COUNTY ROAD STANDARDS, SECTION 8.03(3)b on
ROADS SHOWN ON PLANS
IN ACCORDANCE WITH K.C. ROAD STANDARDS, SECTION 8.U3(2)C, ROADS AS SHOWN ON PLANS
SHALL BE PATCHED AND OVERLAID FULL WIDTH WITh A MINIMUM OF 1" C0111PACTED STATE SPEC. CLASS
"B" ASPHALT.
AN EROSION SEDIMENTATION CONTROL PLAN SHALL BE SUBMITTED AND APPROVED PRIOR TO THE
PRE—CONSTRUCTTON CONFERENCE.
THIS PERMIT IS FOR KING COUNTY RIGHT OF WAY ONLY
GIVE DISTANCE BY STREET OR ROAD WITH AN ON,FROM AND TO DESCRIPTION
ALL WATER MAIN EXTENSIONS MUST HAVE APPROVAL FROM THE FIRE MARSHALL.
ALL UNDERGROUND UTILITY LINES MUST HAVE A MINIMUM 36"COVER.
ALL WORK TO BE DONE SUBJECT TO THE APPROVAL OF THE KING COUNTY ROAD ENGINEER.
ALL WORK SHALL BE PERFORMED IN CONFORMANCE WITH KING COUNTY ROAD STANDARDS. r
The undersigned agrees to comply with provisions,conditions and requirements contained in the"Standards of Good Practice for County Road Departments"published by County Road
Administration Board.
All work to be done in conformity with conditions and requirements of King County Code 6.27,13.24 and 14.44,and the petitioner agrees to prosecute with all diligence and speed with
due regard for the rights,interests and convenience of the public. If at the end of 6 months after issuance of permit the grantee shall not have in operation said utilities,then the rights
herein conferred shall cease and terminate,unless specific written provisions are magp for a renewal or extension.
The undersigned,its successors and assigns,agrees if granted the above permit,to comply with the provisions,conditions,requirements,regulations and recommendations herein
contained and as may apply to any utility franchise granted the applicant and under whose provisions same is issued. It will respect and protect all property contracts,persons and rights
that might be affected by it.
INDEMNITY AND HOLD HARMLESS: The Permittee agrees to indemnify and hold harmless King County as provided herein to the maximum extent possible under law.
Accordingly,the Permittee agrees for itself,its successors,and assigns,to defend,indemnify, and hold harmless King County its appointed and elected officials and employees from and
against liability for all claims,demands,suits,and judgments,including cost of defense thereof,for injury to persons,death,or property damage which is caused by,arises out of,or is
incidental to Permittee's exercise of rights and privileges granted by this permit. The Permittee's obligations under this permit shall include: (a) Indemnification for such claims whether
or not they arise from the sole negligence of either the County or the Permittee,the concurrent negligence of both parties,or the negligence of one or more third parties;(b)The duty to
promptly accept tender of defense and provide defense to the County at the Permittee's own expense;(c)Indemnification of claims made by the Permittee's own employees or agents;
and(d)Waiver of the Permittee's immunity under the industrial insurance provisions of Title 51 RCW,which waiver has been mutually negotiated by the parties. In the event it is
necessary for the County to incur attorney's fees,legal expenses,or other costs to enforce the provisions of this section,all such fees,expenses,and costs shall be recoverable from the
Permittee. In the event it is determined that RCW 4.24.115 applies to this permit,the Permittee agrees to defend,hold harmless,and indemnify King County to the maximum extent
permitted thereunder,and specifically for its negligence concurrent with that of King County to the full extent of Permittee's negligence. Permittee agrees to defend,indemnify,and hold
harmless the County for claims by Permittee's employees and agrees to waiver of its immunity under Title 51 RC which waiver has been mutually negotiated by the parties.
Signature of Applicant
:
Application Received 3/19/01 Entered ,� 4/5/01 Permit Fee $ 40.
4/24/01 D. BOLAR.
Permit Issued BY:
Date Permit Clerk
This application is granted subject to the requirements and conditions thereof as listed below and on back of page.
1. A King County inspector will be assigned to the project for inspection of road restoration. Costs of inspection applicable to the project will be reimbursed to the County monthly by
applicant. Permittee is required to notify King County Department of Public Works at 296-8122 between 24 and 72 hours before starting work. Failure to give notice will result in the
assessment of a one hour inspection time charge against the permittee. This assessment is in addition to any other remedy available under law or equity which the County may wish
to pursue and shall not be construed as an election of remedies by the County.
2. All hard surfaced roads to be jacked or bored. Exceptions will be on a case-by-case basis with the express permission of the King County Department of Public Works.
3. One-way traffic at all times. Signs and traffic control will be in accordance with the manual on uniform traffic control devices for streets and highways.
4. Asphalt to be neat line cut 1 foot back from trench. Restoration as a minimum shall include 6 1/2"of crushed surfacing top course and 2"asphalt Class"B"or replaced to original
condition.
5. It is the responsibility of the grantee to notify all utility districts and private property owners when such property is liable to injury or damage through the performance of the above work.
Call 1-800-424-5555 48 hours in advance for underground utility location. This instruction does not relieve the grantee from required notification of county inspectors as specified in
paragraph 1,above.
Approved by
1 /
Mana r Engineer
(SEE REVERSE SIDE) g6��
REV 6/94 Blue:Original Canary:Billing White:Applicant Pink:Inspector Green:Road File RECYCLED
PAPER
DIRECTIONS REGARDING PERMITS
Note:Right of way shall mean any Street,Avenue,Alley,Road or Lane
Public Place shall mean any Bridge,Trestle,or Wharf
Applicants for permits to occupy County property with utilities,or holders of granted franchise rights,who are planning construction work upon,along,over,under or across
any County right of way or public place must file an application with the King County Property Services Division,500 A King County Administration Building,Seattle,
Washington 98104.
The application shall be accompanied by drawings(in triplicate)drawn to working scale,commonly 50 to 100 feet per inch.It shall describe the nature of the work,and
show the location of same on a map,giving names,or numbers,and width of roads and streets.It must also show location of work with reference to platted subdivisions,
and section,township and range,and must show the location of work relative to existing utility facilities which may be affected.Review of the application must conform to
the County Environmental Policy Act(King County Code 20.44)
Applicants shall specify the type of construction in detail by submitting plans which show the class of material and equipment to be used.All such material and equipment
shall be of the highest quality.The manner of excavation,filling,construction,installation,erection of temporary structures,traffic turn outs,road obstruction and barricades,
shall conform with County standards and shall be approved by the County Engineer in advance of work.
Signs and barricades and traffic control in the vicinity of any work shall conform with provisions of"Part VI Manual of Uniform Traffic Control Devices for Streets and
Highways."
Before the work is accepted for the County by the County Engineer,all of the direct costs and expenses involved in administering said permit must be paid to the County by
the applicant.These include labor charges for examination,inspection and supervision of work in progress by field personnel.
Any deviation from the proposed plan,resulting in what is commonly known as the"As Built"location must be approved in advance by the County Engineer. Change notice
must show"As Built"position relative to grade line and centerline of right of way and any other installations in the right of way.
PERMIT-Terms and Conditions
1. The grantee,its successors and assigns,is given and granted the right and authority to enter upon the right of way or public place for the purpose of performing the
work described in this permit and approved by the County Engineer or the Engineer's agent.
2. Before any work commences the site must be inspected by a County Representative and approved by the County Engineer with respect to:
a. location e. Mode of operation of the installed facility
b. type of construction f. Manner of maintenance of installed facility
c. materials and equipment to be installed g. Method of safeguarding public traffic both during working hours and during non-working hours
d. manner of erection or construction while the project is under construction
3. After the installation,operation,maintenance,or removal of a utility or facility the grantee shall restore all rights of way and public places to the condition which is
equivalent in all respects to the condition they were in before starting work.All work to meet the approval of the County Road Engineer.
4. In the event that any damage of any kind is caused by the grantee in the course of performing work authorized by this permit,the grantee will repair said damage at its
sole cost and expense.Repair work shall begin without delay and continue without interruption until completed.If damage is extensive,the time allowed for repair will
be prescribed by the County Engineer or the Engineer's agent.
5. The County Engineer, his agents or representatives may at any time,do,order,or have done any and all work considered necessary to restore to a safe condition any
area left by the grantee in a condition dangerous to life or property and upon demand the grantee shall pay to the County all costs of such work,materials,etc.
6. When the County deems it advisable to change the alignment or grade of any right of way or public place or structure by widening,grading,regrading,paving,
improving,altering or repairing same,the grantee upon written notice by the County Engineer or the Engineer's representatives will at its own sole cost and expense,
raise,lower,move,change or reconstruct such installations to conform with the plans of work contemplated or ordered by the County Engineer according to a time
schedule contained in the written notice.
7. Penalties up to One Thousand($1,000)dollars per day may be imposed by the County Engineer,if the grantee delays relocation of facilities beyond the time limits
prescribed by the County Engineer.The County Engineer reserves the right to order its own agents or representatives to accomplish the desired change,and all costs
of relocation or removal shall be borne by the grantee.
8. All such changes,reconstruction or relocation by the grantee shall be done in such manner as will cause the least interference with any of the County's work.The
grantee shall have seventy-two(72)hours written notice by the County Engineer or the Engineer's representatives of any blasting contiguous to the grantee's permit
rights in order that it may protect its interests.
9. This grant or privilege shall not be deemed or construed to be an exclusive franchise.It does not prohibit the County from granting other permits or franchise rights of
like nature to other public or private utilities,nor shall it prevent the County from using any of its roads,streets,public places for any and all public use,or affect its
jurisdiction over all or any part of them.
10. All the provisions,conditions,requirements and regulations herein contained shall be binding upon the successors and assigns of the grantee and all privileges of the
grantee shall be given to such successors and assigns as if they were specifically mentioned.
11. The County Road Engineer of Property Services Manger may unilaterally revoke,annul,or terminate,revise or amend this permit without cause and for any reason
including,but not limited to:
(a) Grantee's failure to comply with any provision,requirement,or regulation herein set forth;
(b) Grantee's willful neglect of,or failure to heed or comply with,notices given it;
(c) Grantee's facilities are not installed,operated,or maintained in conformity with conditions herein set forth;
(d) Grantee's failure to conform to any applicable law or regulation as currently exists or may hereafter be enacted,adopted or amended.
12. Grantee by accepting this permit agrees to obtain information from all utility departments regarding location and current status of their installations before starting work.
Private property owners adjoining,or in proximity to the right of way shall be notified when such property is exposed to the possibility of injury or damage through
performance of this project.The grantee shall make all advance arrangements necessary to protect such property and/or utility from injury or damage.
13. The issuance of this permit to the grantee does not in any way relieve the grantee of any other applicable law in performing the work subject to this permit.
14. In all hiring or employment made possible resulting from the granting of this permit,there shall be no discrimination against any employee or applicant for employment
because of sex,sexual orientation,age,race,color,ancestry,religion,national origin,marital status or the presence of any sensory,mental or physical handicap,
unless based upon a bona fide occupational qualification,and this requirement shall apply to but not to be limited to the following:employment,advertising,layoff or
termination,rates of pay or other forms of compensation,and selection for training,including apprenticeship.
No person shall be denied or subjected to discrimination in receipt of the benefit of any services or activities made possible by or resulting from the granting of this
permit on the ground of sex,sexual orientation,race,color,ancestry,religion,national origin,age(except minimum age and retirement provisions),marital status
parental status,or the presence of any sensory,mental or physical handicap.
Any violation of this provision shall be considered a violation of this permit and shall be grounds for cancellation,termination or suspension in whole or in part of
the permit by the County and may result in ineligibility for further County permits.
The permittee shall make the best efforts to make opportunities for employment and/or contracting services available to women and minority persons.The permittee
recognizes that the County has a policy of promoting affirmative action,equal opportunity and has resources available to assist permittee in these efforts.
15. This permit and any underlying franchise does not authorize the cutting of trees with a trunk diameter greater than four(4)inches unless such authorization is
specifically granted in writing by King County.
16. If the permittee fails to perform its obligations herein,vacate the premises,remove its facilities,restore the property as required,or comply with any condition or
applicable regulation or law,the County shall have,at its option,the right to pursue any remedy or remedies available at law or equity including,but not limited to,the
right to proceed under the provisions of Title 59 of the Revised Code of Washington.