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HomeMy WebLinkAboutJT 254352 ROW Permit AppDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT -----~ItentOil ® Planning Division I 1055 South Grady Way, 61h Floor I Renton, WA 98057 I 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: Comcast of WA IV Inc Franchise Job Number: 254352 Phone: 253-864-4663 ~-------------~ Contact Name: Brian Hoback Email: brian _ hoback@comcast.com ~-------------~ Job Site Address: 412 Lind Ave NW Project Name: Description of work: Requesting to open trench/bore 30' in r/w and place 2" PVC . Begin at CATV vault SW corner of 41 O's property bore 22' under driveway and continue trenching 8' to place a 9" flush mount Carson box. See attached. Please check all that apply : !!!!!! New Construction D Repair/Relocate !!!!!! Underground D Overhead D Sidewalk D Street !!!!!! Open Trench !!!!!! Bore # of feet: _2_2_' ______ _ Contractor Name: Prince Telecom LLC Phone : 253-891-2899 State Contractors License#: EC PRINCTL834BF City of Renton Business License#: 29850 --------~ "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 hall comply with the City of Renton 's Trench Restoration and Street Overlay Requirements." Date 08/26/2017 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 Site Construction Inspector Development Engineering Manager Date Date Date D Approved as submitted D Pre-Construction Meeting required D Approved with comments or redlines D Camera inspection of utilities required Page 1 I Published: 3/30/2017 Print Form I I Reset Form 1Erceilli1t@Iffi ® CITY OF RENTON TRAFFIC CONTROL PLAN PROJECT NAME : 412 Lind Ave NW Comcast Job 254352 PERMIT# CONSTRUCTION COMPANY : Prince Telecom LLC PHONE#: 253-891-2899 CONTACT NAME : Ryan Wilkerson PHONE#: 253-261-1882 ADDRESS: 2205 West Valley Hwy E Sumner, WA 98390 CELL#: E-MAIL ADDRESS : ryan.wilkerson@princetelecom.com FAX#: PROJECT LOCATION:412 Lind Ave NW N/E/S/W OF: WORK TIME: 8:30AM -4:30PM APPROVED BY : WORK DATE : 09/25/2017 APPROVAL DATE: Permit Holder agrees to all the following: • 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 fo r 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 . • 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 through 47.36.220, 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, aris ing 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 pa id, i ncluding the City's reasonable attorney's fees and litigation costs incurred resulting from such claim. . In the event any claim or suit is brought aga i nst 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. . By my signatu r e herein, I acknowledge all the above requirements . (1gtM ~ DATE :~P(J J (.::f PRINT NAME: OFFICE COPY T- CONTRACTO R SIGNATURE : -! DEV . SERVICE , INSPECTION P. MILLER i(A / DEV . SERVICE , PLAN REVIEW B. BANNWARTH POLICE CHARL ES KARLEWICT FIRE FIRE MARSHALL FS #13 NOTES : Work Zone Traffic Control shall be in accordance with the Manual on Uniform Traffic Control Devices (MUTCD) and shown by sketch or reference to WSDOT. The plan must be submitted to the City's PW/Transportation Division for review and/or approval at least three working days prior to work. Approved Temporary Traffic Control Plan must be at the work site during work hours. • Contractor or entity must call Renton School District (425-204-4455) or any public/private agency to be affected by a temporary lane or road closure. Complete assistance and accommodation shall be provided to all kinds of pedestrian traffic when sidewalk or walkway is impeded . • Total road closure lasting more than 24 hours is subject to the approval by the City Council. 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. In the case of Temporary No Parking Zones, all the following apply in addition to previous: Contractor must complete form to show limits ofTemporary 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 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 2"d Street). SKETCH --NORTH -- 8/23/2017 412 Lind Ave NW -Google Maps G o gle Maps 412 Lind Ave NW Imagery ©2017 Google , Map data ©2017 Google United States 50 ft https://www.google .com /maps/place/412+Lind+Ave+NW, +Renton , +WA+98057 /@4 7.4886211 ,-122 .22207 49, 106m/data=!3m 1 !1e3!4m5!3m4!1 s0x5490 ... 1/1 ALL s~n spacing and channelization devices shall confonn to these charts ADVANCED WARNING SIGN SPACING DITMttllETll!BUO'IUC!-llill tot.Dm! "' A R ,. 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