HomeMy WebLinkAboutJT 258595 ROW Permit AppDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT ------~ItentOil ®
Planning Division I 1055 South Grady Way, 6th 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 Cable Communications Management LLC
Franchise Job Number: 258595 Phone : 253-864-4663
Contact Name : Brian Hoback Email : brian _ hoback@comcast.com
Job Site Address: 13852 SE 158th ST Project Name :
Description of Work: Requesting to open trench/bore 169' in r/w and place 2" PVC . Begin trenching 65'
from CATV ped SE corner of 13864's property to bore 42' under 13864's driveway , trench 11' to bore
31' under 13858's driveway and continue trenching 20' to place a 9" flush mount Carson box .
Please check all that apply:
I!!!! New Construction D Repa ir/Rel ocate I!!!! Underground D Overhead D Sidewalk D Street
I!!!! Open Trench I!!!! Bore #of feet : _7_3_' ______ _
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 sh comply with the City of Renton's Trench Restoration and Street Overlay Requirements ."
Date / 0 k9/ I =r-
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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
Site Construction Inspector Date
Development Engineering Manager 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
CITY OF RENTON
TRAFFIC CONTROL PLAN
PROJECT NAME: 13852 SE 158th ST
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Comcast Job 258595 PERMIT#
CONSTRUCTION COMPANY: Prince Telecom LLC PHONE#:
~~~~~~~~~~~~~~~~~
CONTACT NAME: Ryan Wilkerson PHONE#:
253-891-2899
253-261-1882
~~~~~~~~~~~~~~~~~~~~~
ADDRESS: 2205 West Valley Hwy E Sumner, WA 98390 CELL#:
E-MAIL ADDRESS: ryan.wilkerson@princetelecom.com FAX#:
PROJECT LOCATION)3852 SE 158th ST N/E/S/W OF:
WORK TIME: 8:30AM -4:30PM APPROVED BY:
WORK DATE : APPROVAL DATE:
r ..
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 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.
• 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, 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.
• By my signature herein, I acknowledge all the above requirements.
PRINT NAME: OFFICE COPY T-
CONTRACTOR
DEV . SERVICE , INSPECTION P. MILLER
SIGNATURE: DEV . SERVICE , PLAN REVIEW B. BANNWARTH
POLICE CHARLES KARLEWICZ
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 ofTemporary 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).
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