HomeMy WebLinkAboutA_Franchise_Permit_20170502_v2DEPARTMENT OF COMMUNITY CITY of
AND ECONOMIC DEVELOPMENT a tO
Planning Division 11055 South Grady Way, 61h Floor I Renton, WA 98057 1 42S-430-7200
Email: franchise ermitsrentonwa.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;go . 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: Comcast Cable Communications Management, LLC.
Franchise Job Number: 152004 Phone: 253.254.9088
Contact Name: Ken Pontelandolfo
Email: ken"elhjmtelandoHo@mble.comeaetcorn
Job Site Address: 3600 Lind Ave SW Renton, WA 98057 Project Name: Summit Contracting
Description of Work: Comcast to tie in at vault on east side or Lind Ave SW. Proof and place approx. 604 feet of coax in
existing vault. Bare (2) 2' PVC at 36" min depth. Set (1)17" x 30" vault. Begin boring east of newly placed vault onto private property.
Please check all that apply:
❑ New Construction ❑ Repair/Relocate N Underground ❑ Overhead ❑ Sidewalk ❑ Street
❑ Open Trench N Bore # of feet: 604
Contractor Name: SEFNCO Communications Phone: 253.254.8558
State Contractors License #: SEFNCI*994P9 City of Renton Business License #: BL.029666
"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 j K[ _ahi Date 5/1/2017
INSPECTIONS SHALL BE REQUESTED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE
INSPECTION LINEAT 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 a114 days prior to the Job start date.
Plan Review/Development Engineering Date F1 Approved as submitted
E] Pre -Construction Meeting required
Site Construction Inspector Date F1 Approved with comments or redlines
F1 Camera Inspection of utilities required
Development Engineering Manager Date
Page 1 Published: 3/30/2017