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Home My WebLink AboutMFP18001170DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Franchise Permit: MFP18001170 IVR Number: 18001170 Permit Informa!on Permit Name:Century Link Permits Address/Loca!on:03/02/2018Applica!on Date:3343903482Parcel Number:1726 NE 16TH ST Permit Type :03/15/2018Issue Date:Franchise Permit Work Class:03/15/2019Expira!on Date :Minor U&lity Job Number:18030592Franchise Type :Telephone Descrip!on:Permit is for work already completed. Place 35' of BSW from pole to customer, including a 20' Driveway bore, to provide telephone service. Restoration per City of Renton standards. Contacts Name Address PhoneTypeBilling C/O QWEST CORP 1801 CALIFORNIA ST #4600 Denver, CO 80202 Applicant Kim Parker QWest Corpora&on 931 14th St, Suite 1000A Denver, CO 80202 B: (303) 992-0752Contact Heather Binkly Dycom Industries dba North Sky Communica&ons LLC 11770 Us Hwy 1, SUITE 101 Palm Beach Gardens, FL 33408 B: (360) 254-6920 O: (360) 450-3287 Contractor Business License Number: BL.036846Construc!on Contractor : NORTHSC857Q4 CITY OF RENTON ROW 1055 S Grady Way Renton, WA 98057-3232 Owner A?n : Dana Smith QWest /Century Link - Billing 5018 85th Ave E, Bldg F9 Puyallup, WA 98371 Specialized Billing X General Condi!ons & 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. This permit and plans must be posted at the job site at all times. 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. Call (425) 430-7203 or go to: www.MyBuildingPermit.com one working day in advance to schedule an inspections and for ANY work in the Right of Way. Call 8 1 1 to locate underground utilities at least two full business days prior to any excavation. 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 206.510.0575)(Puget Sound Energy at 425.457.5816) 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. (Date)(Signature) Page 1 of 1THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Page 1 | Published: 3/30/2017 Planning Division | 1055 South Grady Way, 6th Floor | Renton, WA 98057 | 425-430-7200 Email: franchisepermits@rentonwa.gov Website: rentonwa.gov FRANCHISE PERMIT APPLICATION Published: 3/30/2017 TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the Traffic Control Application to franchisepermits@rentonwa.gov. Permit cost is $360.50. Inspection fee for trenching more than 60 lineal feet or installation of 6 or more poles will be billed at $60.00 per hour. Franchise Agency: Franchise Job Number: Phone: Contact Name: Email: Job Site Address: Project Name: Description of Work: Please check all that apply: ☐ New Construction ☐ Repair/Relocate ☐ Underground ☐ Overhead ☐ Sidewalk ☐ Street ☐ Open Trench ☐ Bore # of feet: Contractor Name: Phone: State Contractors License #: City of Renton Business License #: “I certify that I am the owner or applicant’s authorized agent and do hereby agree to abide to the terms and conditions set forth under this permit and shall comply with the City of Renton’s Trench Restoration and Street Overlay Requirements. ” Signature Date INSPECTIONS SHALL BE REQUESTED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE INSPECTION LINE AT 425-430-7203 OR BY GOING TO MYBUILDINGPERMIT.COM Jobs are required to be called in for job start, re-inspection and project final. Re-inspection fees are billed at $75/hour. All Pre-Construction meetings shall be scheduled at a maximum of 14 days prior to the job start date. Plan Review/Development Engineering Date Approved as submitted Pre-Construction Meeting required Site Construction Inspector Date Approved with comments or redlines Camera inspection of utilities required Development Engineering Manager Date Qwest Corp. dba Centurylink QC 18030592 Dana Smith (253) 597-5136 dana.smith2@centurylink.com 1726 NE 16th St 18030592 Place approx 35' of BSW from pole to customer, including a 20' driveway bore, to provide telephone service. 15' Northsky Communications (253) 883-1779 NORTHSC857Q4 BL.036846 3/1/18 PLEASE SUBMIT INVOICE TO: Qwest Corp dba Centurylink Attn: Dana Smith 5018 85th Ave E Bldg F9 Puyallup, WA 98371 MFP118001170 Restoration Per City of Renton Standards Scott Warlick 3/8/2018 Justin Johnson 3-14-2018 MFP118001170 Qwest Job # This request for permit is for the placement of underground telephone service wire to our customer at the following address: Legend: Trench in ROW (total footage): _______ ROW Push or Bore 2” PVC or BIP under roadway (total footage): _ _ _ _ _ Bore Path Push or Bore 2” PVC or BIP under driveway(s) (total footage): _ _ _ _ _ Trench Path Trench dimensions: ‘L x 1’W x 3’D _______ Water Proximity of trench/bore to Utilities: Trench Disturbance: _______ Sewer Horizontal clearance ≥ 5’ _______ Stormwater Vertical clearance ≥ 2’ Yd3 Road: Grind/Overlay: Section: Sidewalk: No Cut: Township: N Planter Strip: Arterial: Range: E Curb/Gutter: *All crossings and ROW work at 36 inches. *All pits and trenching require select fill. N 18030592 1726 NE 16th St 10' N/A 5' 10 3 Soft N/A 5' 4' N/A No No No 5 23 5 MFP118001170