HomeMy WebLinkAboutMFP25000916.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP25000916
IVR Number: 25000916
Permit Information
Permit Name: Puget Sound Energy Gas Permits
Address/Location:02/25/2025Application Date:7224000675Parcel Number: 444 PARK AVE N
Permit Type:03/12/2025Issue Date:Franchise
Permit Work Class:03/12/2026Expiration Date:Minor Utility
Job Number: 109156864Franchise Type:Natural Gas
Description: PSE Gas CREW TO WORK AT THE INTERSECTION OF PARK AVE N & N 5TH ST. CREW WILL TIE INTO EXISITING
MAIN AND INSTALL APPROX 210' OF 2" MPE IP MAIN. CREW WILL TEST AND TIE OVER TWO SERVICES AND ONE
RPL.
Contacts
Name Address PhoneTypeBilling
Corrie Rydberg
Puget Sound Energy
3702 71st Ave W
University Place, WA 98466
C: (253) 905-5031ApplicantX
Vicki Henson
Potelco Inc
8001 212th St S
Kent, WA 98032
B: (253) 863-0484Contractor
Business License Number: 5109Electrical Contractor: POTELI*344O4
Construction Contractor: POTELI*227PL
Puget Sound Energy Inc 10885 NE 4th Street, PSE08-N08
Bellevue, WA 98009
B: (888) 225-5773Emergency
Contact
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
Owner
Corrie Rydberg
Puget Sound Energy
3702 71st Ave W
University Place, WA 98466
C: (253) 905-5031Specialized
Billing
General Conditions & Signature
Permission is hereby given for the work described on this permit according to the conditions hereon and according to the
approved plans and specifications pertaining thereto, subject to compliance with the Ordinance of the City of Renton.
Ÿ
This permit and plans must be posted at the job site at all times.Ÿ
I hereby certify that no work is to be done except as described above and in approved plans, and that work is to conform to
Renton Trench Restoration and Street Overlay Requirements.
Ÿ
Call 425.430.7203 or go to: https://permitting.rentonwa.gov one working day in advance to schedule an inspections and for ANY
work in the Right of Way.
Ÿ
Call 8 1 1 to locate underground utilities at least two full business days prior to any excavation.Ÿ
In accordance with RCW 19.122.033(4) the permit holder is required to contact (Williams Northwest Pipeline at 425.868.1010)
(Olympic Pipeline at 425.235.7736) (Puget Sound Energy at 425.375.3397) to request a consultation with the transmission
pipeline company prior to performing any construction or excavation activities. This requirement to consult with the
transmission pipeline company is in addition to the requirement to Call before You Dig as required in RCW 19.122.
Ÿ
(Date)(Signature)
Page 1 of 1THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
DEPARTMENT OF PUBLIC WORKS
Page 1 of 3 | Published: 10/27/2021
Transportation Division | 1055 South Grady Way, 5th Floor | Renton, WA 98057 | 425-430-7380
Website: rentonwa.gov
TRAFFIC CONTROL PLAN APPLICATION
Published: 10/27/2021
TRAFFIC CONTROL PLAN (TCP) MUST BE SUBMITTED TO PUBLIC WORKS TRANSPORTATION DIVISION
FOR REVIEW/APPROVAL AT LEAST FIVE (5) WORKING DAYS BEFORE THE DATE OF WORK.
The City of Renton requires any contractor, firm, corporation, or other public/private agency to prepare a traffic control
plan (TCP) and obtain city's approval of that plan when construction, repair, or maintenance work is to be conducted
within the city's right-of-way.
1. Fill out the Traffic Control Plan (TCP) Application form and prepare required submittal documents.
2. The following items are all required for submittal of the TCP Application:
☐Electronic Copy of the TCP Application
☐Electronic Copy of the TCP Layout, on 11” X 17” paper size format, which shall:
Include map(s) showing the location of the project and work area.
Be legible lettering and clear, contrasting, symbols of viewing or printing.
Must indicate street names, and north arrow and scale.
Types of plans required:
o Work hour plan – show all mobility impacts during construction hours.
o Non-work plan - show all mobility impacts after work hours when limited or no work is
happening in the right-of-way (ROW), if applicable.
o Changing construction phases – show construction sequence and each construction phase
change even if the traffic control is not modified, if applicable.
o Pedestrian access/detour plan, if applicable.
- Shall conform to the Washington State Traffic Control Flagger Certification handbook, by the
Evergreen Safety Council.
3. Submit Application via email to TCP@rentonwa.gov with the subject line “TCP Application – [Project Name].”
Project Name: Permit #:
Site Address:
Work Date: From _____________ To _____________ Work Time: Start ______________ End ______________
Construction Company:
Contact Name: Phone/Cell: _________________________
Business Address: City/State: Zip:
Description of Work:
Approval By: _________________________________________________ Date:____________________
Transportation Engineering
INFRASOURCE, INC
6905 S 228TH ST KENT, WA 98032
PLEASE SEE ATTACHED
109156864
444 PARK AVE N
JEFF MCCOY 425-429-5821
MFP25000916
Monday Friday 8:00am 3:00pm
Scott Warlick CED 3/12/2025
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
Page 2 of 3 | Published: 10/27/2021
PERMIT HOLDER AGREES TO ALL THE FOLLOWING:
Must have approved Traffic Control Plan (TCP) prior to commencing the work.
Maintain existing pedestrian access. The work on pedestrian facilities, shall be limited to one corner at a time,
with the least possible inconvenience or delay to pedestrians.
WORK TIME begins when any street or travel lane is fully or partially closed. This includes set up within the
traveled way.
Comply with all traffic regulations of the City of Renton and the State of Washington.
Prepare a traffic control plan and obtain City approval of that plan. That plan shall be implemented for all street
and lane closures, and the plan shall be performed in compliance with the Manual on Uniform Traffic Control
Devices.
Notify emergency services (253-852-2121) twenty-four (24) hours before any street or lane closures.
Contractor or entity must call Renton School District (425-204-4455) or any public/private agency, including public
transit, to be affected by a temporary lane or road closure a minimum of five business days (excluding weekends
and holidays) prior to starting any work.
Contractor or entity must notify King County Metro in writing at construction.coord@kingcounty.gov a minimum
of five business days (excluding weekends and holidays) prior to starting any work impacting bus stops, a
temporary lane or road closure. Work requiring removing a bus shelter or sign requires notification in writing a
minimum of 30 business days (excluding weekends and holidays). Please call King County Metro at 206-477-1140
with any questions.
Any lane or street closures not in conformance with the approved traffic control plan and/or without notification
of emergency services may result in receiving a citation for violation of R.C.W. 47.36.200 Signs or Flaggers at
thoroughfare work sites and R.C.W. 9A.36.050 Reckless Endangerment, and other applicable State and City codes.
Indemnify and hold harmless the City of Renton from any and all claims, actions, and judgments, including all
costs of defense and attorney’s fees incurred in defending against same, arising from and related to
implementation of the approved traffic control plans including claims arising from towing of private vehicles and
the acts of the Permit Holder’s agents and employees.
The City of Renton shall be entitled, in its reasonable discretion, to settle claims prior to suit or judgment, and in
such event shall indemnify and hold harmless the City for any such claims paid, including the City’s reasonable
attorney’s fees and litigation costs incurred resulting from such claim.
In the event any claim or suit is brought against City within the scope of this Agreement, Permit Holder will pay for
legal counsel chosen by the City to defend against same.
Flagger and sign placement are subject to revision by the City Inspector on site, if needed to address traffic or
pedestrian safety or travel.
All permit conditions shall be met.
NOTES:
Total road closure lasting more than twenty-four (24) hours is subject to the approval by the City Council.
Work Zone Traffic Control shall be in accordance with the Manual on Uniform Traffic Control Devices (MUTCD)
and shown by a traffic control plan layout or reference to WSDOT.
Approved Temporary Traffic Control Plan must be at the work site during work hours.
Complete assistance and accommodation shall be provided to all kinds of pedestrian traffic when sidewalk or
walkway is impeded to safely redirect pedestrians around a work zone.
Signage shall be used to warn motorcyclists/bicyclists of the potential hazards on any uneven surfaced or slippery
road conditions during work and non-work hours.
Any vehicle, equipment, barricade, or portable tow-away sign used within the work area must display a company
logo or any legally acceptable sign showing the company name, address, and telephone number at a conspicuous
place on the vehicle or equipment.
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
Page 3 of 3 | Published: 10/27/2021
In the case of Temporary No Parking Zones, all the following apply in addition to previous:
Contractor must complete form to show limits of Temporary No Parking Zone identifying barricade locations for
vacate parking or curb lane usage.
Contractor must post notice of dates and time of Temporary No Parking Zone with at least two signs per block
seventy-two (72) hours in advance of effective date and time.
The cover sheet of this Traffic Control Plan form must be attached to each Temporary No Parking Sign on the
project site.
Temporary traffic control devices must be removed immediately when work is done or no construction activities
are going on. If deemed abandoned, City crews will remove and store them at the City’s maintenance shop (3555
NE 2nd Street).
I certify that the information on this application and within the submittal documents are accurate to the best of my
knowledge and I acknowledge all the requirements on this application.
Applicant’s Signature Date
Applicant’s Name (Print)
CORRIE RYDBERG
444 Park Ave N Renton WA 98057 USAN 5TH STPARK AVE N
11111111111111111111111111111311111818PARK AVE N
GARDEN AVE NN 5TH STONLYONLY
12 12 12
KEEP
R4-7B
RIGHTKEEPR4-7BRIGHTCONETOPPERW4-119W4-119W20-1ROADWORKAHEADRIGHT LANECLOSEDAHEADW20-5RW4-2RX'≥X'≥X'≥W20-1ROADWORKAHEADX'≥X'≥X'≥RIGHT LANECLOSEDAHEADW20-5RW1-4LW20-1ROADWORKAHEADX'≥X'≥W1-4RW20-1
ROADWORKAHEADX'≥
W20-1ROADWORKAHEAD
X'≥S/WCLOSEDR9-9 C/WCLOSEDR9-3S/W
CLOSEDR9-9DETOURM4-9BPLACE PDETOUR SIGNS ATCROSSWALK/ INTERSECTIONEAST / SOUTH OF PARK AVE N& N 6TH STS/WCLOSEDR9-9PLACE PDETOUR SIGNS ATCROSSWALK/ INTERSECTIONEAST / NORTH OF PARK AVEN & N 4TH STDETOURM4-9B DETOURM4-9BS/WCLOSEDR9-9
RESIDENT(S) WILL BE INFORMED OFTEMPORARY DRIVEWAY CLOSURENSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040Project Address:PagePSEPUGETSOUNDENERGYDesigner:Job #REVSafaa Al Neema(425) 398-6077safaa.alneema@pse.com1 OF 2444 Park Ave N, Renton, WA 980570 12012824 01/07/2025Notes:1. All signs and spacing to conform to theMUTCD and City of Renton standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated,if indicated use ADA compliant channelization.3. Channelizing devices are 28" traffic cones.Use traffic drums (barrels) with steady burningType C lights on all State State Routes and Hwys.4. Sign size can be a minimum of 36" x 36" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 10' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place during approved work hours asper jurisdictional requirements. (Generally between 9a.m. and 4 p.m. on non-arterials and from 9 a.m. to 3p.m. on arterials. If night time work is approved,signaling and flaggers shall conform to WAC296-155-305. Night time work to take place between_____________and ______________.)8. All Flagger and Downstream tapers shall be 50'-100'.LEGEND28" TRAFFIC CONESIGN LOCATIONTRAFFIC FLOWWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYWORK AREACHEVRONARROW BOARDFLAGGERUNIFORMEDPOLICE OFFICERPOLICESTOPWORK PITMINIMUM TAPER LENGTH=L (FT.)LANEWIDTH101112207075802510511512530150165180352052252454027029532045475495540POSTED SPEED (MPH)505005506005555060566060-66072065--78070--840TEMPORARY TRAFFIC CONTROL PLANPuget Sound EnergyTraffic Control Supervisor:Safaa Al NeemaCard No. IS 6 100072Card Exp. 10/10/2028Safaa.alneema@pse.com(425)398-6077MFP25000916
444 Park Ave N Renton WA 98057 USAN 5TH STPARK AVE N
11111111111111111111111111111311111818PARK AVE N
GARDEN AVE NN 5TH STONLYONLY
12 12 12
W4-119RESIDENT(S) WILL BE INFORMED OFTEMPORARY DRIVEWAY CLOSURECONETOPPERCONETOPPER
S/W
CLOSEDR9-9DETOURM4-9BS/WCLOSEDR9-9DETOURM4-9BW20-1ROADWORKAHEADX'≥X'≥X'≥W20-1ROADWORKAHEADX'≥X'≥X'≥RIGHT LANECLOSEDAHEADW20-5RW1-4LW20-1ROADWORKAHEADX'≥X'≥W1-4RW20-1
ROADWORKAHEADX'≥
W20-1ROADWORKAHEAD
X'≥Project Address:PagePSEPUGETSOUNDENERGYDesigner:Job #REVSafaa Al Neema(425) 398-6077safaa.alneema@pse.com2 OF 2444 Park Ave N, Renton, WA 980570 12012824 01/07/2025Notes:1. All signs and spacing to conform to theMUTCD and City of Renton standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated,if indicated use ADA compliant channelization.3. Channelizing devices are 28" traffic cones.Use traffic drums (barrels) with steady burningType C lights on all State State Routes and Hwys.4. Sign size can be a minimum of 36" x 36" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 10' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place during approved work hours asper jurisdictional requirements. (Generally between 9a.m. and 4 p.m. on non-arterials and from 9 a.m. to 3p.m. on arterials. If night time work is approved,signaling and flaggers shall conform to WAC296-155-305. Night time work to take place between_____________and ______________.)8. All Flagger and Downstream tapers shall be 50'-100'.LEGEND28" TRAFFIC CONESIGN LOCATIONTRAFFIC FLOWWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYWORK AREACHEVRONARROW BOARDFLAGGERUNIFORMEDPOLICE OFFICERPOLICESTOPWORK PITMINIMUM TAPER LENGTH=L (FT.)LANEWIDTH101112207075802510511512530150165180352052252454027029532045475495540POSTED SPEED (MPH)505005506005555060566060-66072065--78070--840TEMPORARY TRAFFIC CONTROL PLANPuget Sound EnergyTraffic Control Supervisor:Safaa Al NeemaCard No. IS 6 100072Card Exp. 10/10/2028Safaa.alneema@pse.com(425)398-6077NSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040MFP25000916
6.00' @ 7.50%6.00' @ 7.50%4.00
'
@
0
.75%0.75%0.84%8.37%4.15%4.00' @ 1.50%4.00
'
@
0
.75%
0.77%7.46' @ 2.01%3.96' @ 5.31%1.61
'
@
3
.72%1.49' @ 2.02%5.86' @ 1.54%3.55' @ 1.97%
6.8
4
'
@
1
.
0
2
%6.96' @ 3.16%FL, BR EL 32.72STA 3+16.42OFF 18.60FL, BR EL 32.75STA 3+12.99OFF 20.65LD EL 33.17STA 3+19.77OFF 24.18LD EL 33.20STA 3+16.34OFF 26.24LD EL 33.23STA 3+21.83OFF 27.61LD EL 33.26STA 3+18.40OFF 29.67FL EL 32.92STA 3+09.12OFF 27.96FL EL 32.66STA 3+23.45OFF 17.85MATCH EXTOCEL 33.42FL EL 32.97STA 3+09.03OFF 34.46MATCH EXBOC EL 33.07STA 3+06.03OFF 34.46MATCH EXEL 32.75STA 3+23.45OFF 14.85MATCH EXTOCEL 33.38MATCH EXTOCEL 33.10MATCH EXSW EL 33.17STA 3+23.33OFF 21.90SW EL 33.26STA 3+23.31OFF 27.76SW EL 33.30STA 3+17.01OFF 30.50SW EL 33.53STA 3+17.09OFF 34.45MATCH EX2.01%4.00' @ 1.50%FL, PC EL 32.94STA 3+09.03OFF 29.77FL, PT EL 32.69STA 3+20.57OFF 17.84SW EL 33.49STA 3+28.31OFF 27.78MATCH EXSW EL 33.37STA 3+28.33OFF 21.93MATCH EX5.00' @ 4.00%5.85' @ 2.05%5.00' @ 4.60%0+001+002+003+004+005+006+007+007+33CR1ADA CURB RAMP GRADING PLAN1OF% REVIEW SUBMITTALIF NOT, SCALE ACCORDINGLYONE INCH AT FULL SCALE.PUGET SOUND ENERGYDUPONT PIPE REPLACEMENT444 PARK AVE NCITY OF RENTON, WA1100719 2nd Avenue, Suite 200 • Seattle, WA 98104Ph: 206.394.3700EACH ADA ELEMENT SHALL MEET APPLICABLECROSS SLOPE AND RUNNING SLOPE ADASTANDARDS. ELEMENTS NOTED ON PLANS AREFOR REFERENCE ONLY.GRADING NOTES:RAMPLANDINGSIDEWALKCROSSWALKRLSWCWADA ELEMENT:LEGEND:BR-BOTTOM OF RAMPEL-ELEVATIONEX-EXISTINGFL -FLOWLINELD -LANDINGOFF-OFFSETPC -POINT OF CURVATUREPT -POINT OF TANGENCYSTA-STATIONSW -SIDEWALKTOC-TOP OF CURBGENERAL NOTES:1.2.3.4.5.6.7.APPROXIMATE SURVEYED EXISTING ELEVATIONS ARE SHOWN.CONTRACTOR SHALL CONSTRUCT RAMPS AND SIDEWALK TO MEETALL ADA SLOPE REQUIREMENTS IF FIELD ELEVATIONS DO NOT MATCHTHOSE SHOWN.RADIUS CALLOUTS ARE TO FACE OF CURB.RAMP GRADING POINTS REPRESENT ONE METHOD OF MEETING RAMPADA STANDARDS. IT IS THE RESPONSIBILITY OF THE CONTRACTOR TOMAKE FIELD ADJUSTMENTS AS NECESSARY TO ENSURE RAMPS MEETALL ADA REQUIREMENTS.CONTRACTOR SHALL PROVIDE SURVEY STAKING TO THE LEVEL OFSURVEY ACCURACY NECESSARY TO SUPPORT THE CONSTRUCTIONOF SIDEWALK, CURBS, CURB RAMPS AND RELATED PROJECTELEMENTS. TRADITIONAL SURVEY AND STAKING METHODS SHALL BESUPPLEMENTED IN THE FIELD BY THE CONTRACTOR THROUGH THEUSE OF A CONTRACTOR-SUPPLIED, CALIBRATED, 4-FOOT LONG"SMART" LEVEL TO DIGITALLY MEASURE SLOPES.EXISTING STORM STRUCTURES AND UTILITY STRUCTURES ARESHOWN FOR REFERENCE.RAMP SLOPES ON THIS SHEET ARE CALCULATED FROM THE LANDINGTO FRONT EDGE OF DETECTABLE WARNING SURFACE. CONSTRUCTDEPRESSED CURB AND GUTTER IN FRONT OF DETECTABLE WARNINGSURFACE PER CITY OF RENTON STD PLAN - 101.INSTALL INLET PROTECTION ON ALL DOWNHILL CATCH BASINS WITHIN200 FEET OF THE WORK AREA PER WSDOT STD PLAN I-40.20-00.CONSTRUCTION NOTES:CONSTRUCT CEMENT CONC. CURB RAMP TYPE PERPENDICULAR APER WSDOT STD PLAN F-40.15-04CEMENT CONC. TRAFFIC CURB AND GUTTER PER CITY OF RENTONSTD PLAN - 101DETECTABLE WARNING SURFACE PER WSDOT STD PLAN F-45.10-051230ALIGNMENT PLANSCALE IN FEET3060PT #1003PT #1002PROJECT CONTROLPT #10021003NORTHINGEASTING181843.691302444.90ELEV32.05DESCRIPTIONFOUND MONUMENT181856.371301712.3532.75HORIZONTAL DATUM FOR THIS SURVEY IS NAD 1983(11),WASHINGTON STATE PLANE NORTH ZONE COORDINATE SYSTEM,U.S. SURVEY FEET, BASED ON THE RTK GPS MEASUREMENTSCONSTRAINED TO THE WASHINGTON STATE REFERENCE NETWORK.HORIZONTAL DATUM:VERTICAL DATUM FOR THIS SURVEY IS NAVD 88 BASED ON THEWASHINGTON STATE REFERENCE NETWORK (WSRN) WITHVERIFICATION TIES TO THE FOLLOWING MONUMENTS PUBLISHED BYWSDOT.POINT DESIGNATION: WSDOT #IS17165ELEVATION: 35.715VERTICAL DATUM:0ADA CURB RAMP PLANSCALE IN FEET24RLSWSWCWROWROW R=11.5'LEGEND:HMA CL 12 IN. PG 64-22EX FACE OF GUTTEREX FACE OF CURBEX BACK OF CURBEX SIDEWALKEX SIDEWALK SAWCUTEX LANDSCAPINGNE 5TH STPARK AVE N PARK AVE N
NE 5TH STWORK AREA123CEMENT CONC. SIDEWALK PER CITY OFRENTON STD PLAN - 102DETECTABLE WARNING SURFACERAMP EXTENTSPROTECT EXISTINGCATCH BASIN IN PLACE2'FOUND MONUMENTBEGIN2END2SW6/20/25
Owner / Developer Contact Info
officeATTN:
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL 811 2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)
109158896
108654051
108654050
GAS
PROJECT PHASE Notification #Order #
Main Retire
SVC Retire
SAP Superior
Service/Meter
Service/Meter
HP Svc/MSA
Dis. Reg. / FT
Ind. MSA
Ind. Service
Service/Meter
Service/Meter
LEGEND
FIELD NOTES:
FIELD DESIGNER:
CELL:
EMAIL:
CONSTRUCTION QUESTIONS:
PROJECT CONTACT INFORMATION:
CONST MANAGER:
CELL:
EMAIL:
PROJ MANAGER:
CELL:
EMAIL:
FOR MAIN DESIGNS REALIGNMENTS - FIELD DESIGNER
SHALL BE CONTACTED:
BILLING QUESTIONS:
425-429-5821
JEFF MCCOY
jeff.mccoy@pse.com
206-255-4824
STEVE MELLINGER
steve.mellinger@pse.com
425-429-5821
JEFF MCCOY
jeff.mccoy@pse.com
SAP BATCH YEAR & FOOTAGE
ACTUAL
LENGTH OF
RETIREMENT
MATERIAL
RETIRED
ORIGINAL
JOB
ORIGINAL
YEAR
PROPOSED
LENGTH OF
RETIREMENT
SIZE OF
RETIRED
MAIN
Cell Phone:
"Locates Required"
"Flagging Required"
Yes No
Yes No
E-Mail:
Manager:
Project Manager Contact Information:
JEFF MCCOY
425-429-5821
jeff.mccoy@pse.com 109156864HOLE HOG/BORE TABLE
CALLOUT LOCATION DEPTH LENGTH
BP1 START
BP2 END
BP3 START
BP4 END
BP5 START
BP6 END
BP7 START
BP8 END
BP9 START
BP10 END
BP11 START
BP12 END
BP13 START
BP14 END
BP15 START
BP16 END
BP17 START
BP18 END
BP19 START
BP20 END
BP21 START
BP22 END
BP23 START
BP24 END
STOP TIME
START TIME
GAS MAIN PRESSURE & TESTING
TESTED BY
GAS MAIN INSTALLATION/RETIREMENT
SOAP AIR NITROGEN WATER
SOAP AIR NITROGEN WATER
STOP TIME
START TIME TESTED BY
TEST RESULTS P F
TESTED BY PSE PRESSURE CONTROL, SEE FORM 1928
P F
Type/Work ManufacturerPipe Size Type Est Length Act Lgth
TYPE TEST
/ /
DATE OFF
PRESSURE
DATE ON
DATE OFF
TYPE TEST
PRESSURE
SYS MAOPDESIGN PRESS
DATE ON
2023 02/18
TEST RESULTS
/ /
/ /
/ /
Verify Testing Requirements, Chart vs Gauge
GOS 2525.3300 sec. 5, Table 5-1 and sec. 5.5
GASSED UP PIPELINE
PIPE
SEGMENT
FOREMAN'SDATENAME
INSTALL 2"MPE 5'
INSTALL 2"MPE 205'
RETIRE 2"PE-A 194'
60 45 PSIG
Inspected Steel and PE pipe per GOS 2450.1400 and 2450.1500
Reviewed and complied with all construction notes.
Recorded all required information on the as-built per GOS 2500.1700.
Completed post installation inspection per GOS 2525.1200 and 2525.2700.
Left the work area in a clean and safe condition.
FITTER'S CHECKLIST
Foreman's Name (printed) ___________________________________
Foreman's Signature________________________________________
Company: __________________________ Date ______________
(CHECK BOX TO CONFIRM COMPLETION)
4680 06/11 DESIGNED BY
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC OP MAP
Emer Sect GAS WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
CP APPROVAL
MAPPING
SCALE PAGE
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY CONTACT PHONE NO DATE
Drawing Number
SAP Sup Order Nbr
PC APPROVAL
J.MCCOY 425-429-5821 .
J.MCCOY 425-429-5821 .
R.BECK 425-424-6483 .
D.DAO 425-424-6426 .
M.JANSSON 425-466-9047 .
B.JOHNSON 206-571-8519 11/18/24
...
N/A RENTON
DUPONT PIPE REPLACEMENT
444 PARK AVE N
RENTON, WA 98057
PUGET SOUND ENERGY
109156864
109156864
1" = 20'-0"1/3
KING 498 SYSGGIN
SW 08-23-05 E 204.080 207.082
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
10915686412012824
STANDARD GAS CONSTRUCTION NOTES:
1.FIELD LOCATE ALL UNDERGROUND UTILITIES. EXCAVATOR TO CALL "ONE-CALL" TWO WORKING DAYS PRIOR TO
CONSTRUCTION, IN WESTERN WASHINGTON CALL: 1-800-424-5555. OR CALL NATIONWIDE: 811
2.NOTIFY APPROPRIATE PERMITTING AGENCY PRIOR TO JOB START (SEE PERMIT REQUIREMENTS).
3.ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES.
4.EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPORARY
EROSION AND SEDIMENT CONTROL AND ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
5.NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYS
PRIOR TO BEGINNING CONSTRUCTION. USE iSi TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HAND DELIVER
FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT THE
OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED PER GAS
OPERATING STANDARD 2550.1600. ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE.
6.ANY CHANGE IN ROUTE, PIPE SIZE/TYPE, TIE-IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY THE
APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
7.COMPLETE "PIPE CONDITION REPORT" ON ALL METALLIC PSE FACILITIES. CHECK BOX ON REPORT FOR WIRE BOX (TEST
LEAD) INSTALLATION.
8.PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS
OPERATING STANDARD 2525.2500.
9.INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY
THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525.2600 FOR ALL HP VALVES IF THE LOCATION IS NOT READILY
ACCESSIBLE, AND FOR ALL VALVES WHERE PERSISTENT SNOWFALL MAY OBSCURE THE VALVE BOX.
10.TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS
SHOWN ON THIS DESIGN UNLESS APPROVED BY APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
11.SYSTEM MAOP DENOTED BY: SYSTEM MAOP = 45 PSIG
12.GAUGE AND MONITOR USE OF ALL STOPPERS TO ENSURE ADEQUATE FEED.
13.RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL OR BETTER CONDITION.
14.PURGE POINTS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525.3400.
15.MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300 AND 2525.3400.
16.IF METALLIC PIPE IS INVOLVED, COORDINATE INSTALLATION WITH CP TECH.
____B.JOHNSON__________________________, PHONE___206-571-8519___________.
17.NOTE ALL ACTUAL FOOTAGE, LOCATION AND MATERIAL CHANGES ON THE AS-BUILT IN RED. ( ') DENOTES FOOTAGE
BETWEEN FITTINGS.
18.EXCESS FLOW VALVE TO BE INSTALLED ON ALL NEW RESIDENTIAL SERVICES PER GOS 2500.2200. (RECORD ALL
INFORMATION ON D-4 CARD)
STANDARD IP & LP GAS
REPLACEMENT CONSTRUCTION NOTES
1.NOTIFY GAS CUSTOMERS, OR DISTRIBUTE FLYER #1443 A MINIMUM OF TWO WORKING DAYS PRIOR TO A PLANNED
OUTAGE.
2.INSTALL ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE. INSTALL ANODE AND TEST LEAD WIRES PER PSE GAS
OPERATING STANDARD 2525.2300.
3.MAINTAIN CATHODIC PROTECTION FOR STEEL MAINS BY THE USE OF CONTINUITY BONDS OR OTHER MEANS DETERMINED
BY THE PSE CORROSION ENGINEER PER PSE GAS OPERATING STANDARD 2600.1300.
4.INSTALL ANODES AND TEST LEAD WIRES AS REQUIRED PER PSE GAS FIELD PROCEDURES 4515.1000 AND 4515.1020 AND
PSE GAS OPERATING STANDARD 2600.1200. TEST LEAD WIRES ARE REQUIRED ON ALL TRANSITION FITTINGS.
5.INSTALL CURB VALVE AT PROPERTY LINE OR 5/8" PE WHIP AT MAIN (AS REQUIRED) ON NEW AND EXISTING SERVICES PER
PSE GAS OPERATING STANDARD 2550.1600.
6.REFER TO PSE GAS OPERATING STANDARD 2525.1700 FOR MAIN AND SERVICE COVER REQUIREMENTS.
7.MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300 AND 2525.3400
AND PSE GAS FIELD PROCEDURE 4700.1500.
8.PROJECT MANAGER TO MAKE AN ACTIVE SERVICE RUN IMMEDIATELY PRIOR TO STARTING CONSTRUCTION.
9.INSTALL REPLACEMENT MAINS PER PSE GAS OPERATING STANDARD 2525.2100.
10.PLUG ENDS OF DEACTIVATED OR INSERTED MAINS AND SERVICES IN ACCORDANCE WITH PSE GAS OPERATING
STANDARDS 2525.2100 AND 2525.3600.
11.REMOVE OR RENDER INOPERABLE DEACTIVATED VALVES ON CASING WHERE MPE PIPE IS INSERTED.
12.INSIDE METER SETS SHALL BE MOVED OUTSIDE WHENEVER POSSIBLE OR SET REGULATORS AND VENTS OUTSIDE PER
PSE GAS OPERATING STANDARDS 2575.2300 AND 2550.1700.
13.REPLACE EXISTING ACTIVE SERVICES PER PSE GAS OPERATING STANDARDS 2525.2100 AND 2575.2300.
14.REPLACE ALL "NO RECORD" SERVICES AND 1-1/8" PE SERVICES INSTALLED PRIOR TO 1985.
15.ACTIVE SERVICES TO BE REPLACED DENOTED BY:
16.MAINS AND SERVICES SHALL BE CONSTRUCTED IN ACCORDANCE WITH 2525.1200.
17. PIPE SQUEEZING SHALL BE DONE IN ACCORDANCE WITH GOS 2525.1200 AND GAS FIELD PROCEDURES 4700.1300 AND
4700.1310.
18.WHEN INSTALLING, DEACTIVATING, REPAIRING, OR OTHERWISE MODIFYING A PIPELINE THAT IS LOCATED WITHIN 200
FEET OF ANY ACTIVE REGULATING STATION, PRESSURE RELIEF AND LIMITING DEVICE, OR SINGLE SERVICE FARM TAP
WHERE GAS SYSTEM ENGINEERING REVIEW AND APPROVAL IS REQUIRED PER GAS OPERATING STANDARDS. SEE
REVIEW DOCUMENTS, PROVIDED BY ENGINEERING.
19.FIELD TO VERIFY THAT ALL PROPER SERVICE ACTIONS (FOLLOWING THE KEY TO SERVICE ACTION LEGEND) HAVE BEEN
ACCOUNTED FOR PER THE "SERVICE CHECKLIST". IF A RISER IS FOUND IN THE FIELD AND WASN'T ACCOUNTED FOR,
FIELD PERSONNEL SHALL CONFIRM WHETHER THE RISER IS AN ABANDONED OR IDLE RISER:
19.1 IF IT IS AN ABANDONED RISER, CONTACT THE POINT DESK TO REQUEST GFR TO REMOVE IT.
19.2 IF IT IS AN IDLE RISER, REPORT THE RISER TO THE PROJECT MANAGER SO THAT THE PROJECT MANAGER MAY
CONFIRM WITH THE CUSTOMER WHETHER THEY WOULD LIKE TO KEEP THE SERVICE AND RISER. THE PROJECT
MANAGER MAY INSTRUCT TO TEST AND TIE THE SERVICE IF THE CUSTOMER WANTS GAS OR DOESN'T PROVIDE
PSE A RESPONSE IN A TIMELY MANNER.
###
1.ALL DUPONT AND STW PIPES SHALL BE RETIRED PER SCOPE OF WORK.
2.NOTIFY PROJECT MANAGER IF ADDITIONAL DUPONT AND/OR STW MATERIALS ARE FOUND DURING
CONSTRUCTION, INCLUDING AT OR BEYOND THE CONNECTION POINTS.
###
T&T
###
KEY TO SERVICE ACTION
T&T
C&C
RWM
###
###
###
###
METHOD OF CONSTRUCTION
ARTERIAL
MFP25000916
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL 811 2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)
Cell Phone:
"Locates Required"
"Flagging Required"
Yes No
Yes No
E-Mail:
Manager:
Project Manager Contact Information:
JEFF MCCOY
425-429-5821
jeff.mccoy@pse.com
Inspected Steel and PE pipe per GOS 2450.1400 and 2450.1500
Reviewed and complied with all construction notes.
Recorded all required information on the as-built per GOS 2500.1700.
Completed post installation inspection per GOS 2525.1200 and 2525.2700.
Left the work area in a clean and safe condition.
FITTER'S CHECKLIST
Foreman's Name (printed) ___________________________________
Foreman's Signature________________________________________
Company: __________________________ Date ______________
(CHECK BOX TO CONFIRM COMPLETION)
4680 06/11 DESIGNED BY
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC OP MAP
Emer Sect GAS WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
CP APPROVAL
MAPPING
SCALE PAGE
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY CONTACT PHONE NO DATE
Drawing Number
SAP Sup Order Nbr
PC APPROVAL
J.MCCOY 425-429-5821 .
J.MCCOY 425-429-5821 .
R.BECK 425-424-6483 .
D.DAO 425-424-6426 .
M.JANSSON 425-466-9047 .
B.JOHNSON 206-571-8519 11/18/24
...
N/A RENTON
DUPONT PIPE REPLACEMENT
444 PARK AVE N
RENTON, WA 98057
PUGET SOUND ENERGY
109156864
109156864
N.T.S.2/3
KING 498 SYSGGIN
SW 08-23-05 E 204.080 207.082
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
GAS OPERATIONS MAP
SCALE: N.T.S.
MFP25000916
N 5TH ST GARDEN AVE NPARK AVE N12" STW HP 22'S
783165 1978 8" STW HP 9'W31 195712" STW HP 17'W783165 19784" STW HP 14'S
889003406 2011
12" STW HP 21'S
783165 19782" STW IP 22'W6974 19642" STW IP 9'S
6974 1964
8" STW HP 9'W31 19575/8" MPE IP 222'S
1999
19'S,49'W NR43'W10'W43'W,19'S
10'W22'S38'S 14'S,9'W//////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////
P
2" STW IP 28'S
802-050 1979
2" STW IP 21'W
6974 19642" STW IP 22'W6974 1964 29'S
(____)1218
T&T(____)500(___')225'EIP GAS FLOW
IP GAS FLOW
IP GAS FLOW IP GAS FLOW12" STW HP 22'S
783165 1978
2" PE-A IP 28'S
802-050 1979
1 1/4" MPE IP 223'E
2008T&T(____)420//////////////
12" STW HP 22'S
2" STW
IP 28'S
2" PE-A IP 28'S(___')(___')30'ETHIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL 811 2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)
PLAN VIEW
SCALE: 1" = 20'-0"
Cell Phone:
"Locates Required"
"Flagging Required"
Yes No
Yes No
E-Mail:
Manager:
Project Manager Contact Information:
JEFF MCCOY
425-429-5821
jeff.mccoy@pse.com
Inspected Steel and PE pipe per GOS 2450.1400 and 2450.1500
Reviewed and complied with all construction notes.
Recorded all required information on the as-built per GOS 2500.1700.
Completed post installation inspection per GOS 2525.1200 and 2525.2700.
Left the work area in a clean and safe condition.
FITTER'S CHECKLIST
Foreman's Name (printed) ___________________________________
Foreman's Signature________________________________________
Company: __________________________ Date ______________
(CHECK BOX TO CONFIRM COMPLETION)
4680 06/11
DESIGNED BY
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC OP MAP
Emer Sect GAS WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
CP APPROVAL
MAPPING
SCALE PAGE
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY CONTACT PHONE NO DATE
Drawing Number
SAP Sup Order Nbr
PC APPROVAL
J.MCCOY 425-429-5821 .
J.MCCOY 425-429-5821 .
R.BECK 425-424-6483 .
D.DAO 425-424-6426 .
M.JANSSON 425-466-9047 .
B.JOHNSON 206-571-8519 11/18/24
...
N/A RENTON
DUPONT PIPE REPLACEMENT
444 PARK AVE N
RENTON, WA 98057
PUGET SOUND ENERGY
109156864
109156864
1" = 20'-0"3/3
KING 498 SYSGGIN
SW 08-23-05 E 204.080 207.082
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/APARK AVE NN 5TH ST(ARTERIAL)GARDEN AVE NPARK AVE N(ARTERIAL)GARDEN AVE NScale: N.T.S.
TIE-IN DETAIL1
1
-
MFP25000916
RESTORATION PER CITY OF RENTON STANDARDS
BOM for WO:
ITEM QTY DESCRIPTION PART NO.
2 CP TEST BOX PLUS TEST LEAD, SLEEVE, AND WELD METAL MOLD 5000307
2 CAP 2" MDPE 5200649
1 ELBOW 2" X 90 MDPE 6000484
1 ELL 2" 90 DEGREE WELD STD 6000500
210 PIPE 2" COIL MED DENSITY 7000261
20 PIPE 2" STRAIGHT MED DENSITY 7000263
2 CP COPPER ADAPTER SLEEVE 7600540
1 STOP-B/O 2" X 150 PSIG, MUELLER H-17160 7600741
1 TEE-PUNCH, SERV 1/2" X 5/8" X 125 PSIG, PE OUTLET, 1/4" CUTTER 7800575
1 TRANSITION, 2" X 0.154" X SDR-11, GR B, WELD X FUSE 7800809
2 WELD METAL CATHODIC MOLD 8500080
20 CP WIRE #10 COPPER 8500930
210 WIRE #14 COPPER TRACER 8500940
MFP25000916