HomeMy WebLinkAboutMFP16002852DEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENTRenton
if
Franchise Permit: MFP16002852
IVR Number: 16002852
Permit Name: PSE -Gas
Address/ Location: 3152 NE SUNSET BLVD Parcel Number: 0423059080 Application Date: 05/27/2016
Permit Type: Franchise Issue Date: 05/27/2016
Permit Work Class: Minor Utility Expiration Date: 05/27/2017
Franchise Type: Natural Gas Job Number: 109096620 Est. Completion: 08/05/2016
Description: Gas main replacement. Five 3'x5' asphalt and sidewalk cuts anticipated. NOTE: On site pre con required. Please
call 72 hours prior to schedule. Extra siens needed.
Billing Type
X Contact
Contractor
Owner
Name
Aurelie Johannson
PSE/Infrasource - Billing
INFRASL871C2 / BL6033545
INFRASOURCE SVCS
Construction Contractor: INFRASL871C2
Hannah Miller
Address
1660 Park Ln
Burlinl?ton. WA 98233
Phone
B: (425) 466-4771
B: (206) 949-5846
• 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.
• 1 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.
2 1�
ure) ( ate)
THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES Page 1 of 2
LSI=PR I ME.1vf �>= C4I CitllUNITY l�l�l f� EC�t C�f�llC DV�L Pft t>= � f
[}EVELU�rrYMNI SCMVtLxES U1VLS0CE1V
11JAS1 Mn t�SE/FRAiJCHISE U i�ILITY PEPtiMI T ALF PULATION
Phone: (425) 43EL7265 Fax: (425) 43a7231 franchtsePrentonura.gov
T 0 THE ^ PPLiCi�T: Submit 3 copies of plans with applicatint+. Permit cost is $36D_3D. Inspection r'ee for
trenching more than 6D lineai feet or installation of 5 or mere pales will ire billed at 56D.DD per hour.
For Cite Use On
ct1` PERMttT Na:
Maintain 5 �r . ,r, ;
store effe tcc
RK ORDER NO.: COM Ic-lfc ;
WOSID��' i'
Dote of Applico ion: �11A_� KrancI t Agency: V +_��� J O n� ���1 utvl
t�ai}ing Address fart P^emit:
banioct Mame: i� V I ri_
lob Ntmber:
.lob Site dress:
Please check ail that
1/1
r�
Praiect Game:
ctp: I U L'✓
s
New COnSu UCLlon ❑ Repair/Relocate ❑ Underground ❑ Overhead ❑ Sidewalk ❑ Street
El Open trench El Bore El I; of feet: 7L+ Gas ❑ Electric ❑ Other:
Estimated lob completion date: 2D
Contractor name: Vl— Phone. _ L� — 1�� I
VP
City of Renton Business License Numb% / l &ate Contractors License Number:_ I V L
"1 certify that i am the applicant's
owner or authorized agent and da hereby agree to abide is the terms and conditions set forth
under this p mit and shall amply with th City o4 Renton's Trench Resioration and Street OveriayRegU{remeQhts. " I I �,
Signature DateJ )z 1 W
1TY INSPECTORS A DE NDTIFIED 24 ` URS RIOR TO COMMENCEMENT OF ALL WORK
C4LLING THE INSPECTION LINEAT 4.25430-7203
Jobs are required to be called in for job start, re4nspection and project final,
s
Flan R(ev�eu+/Development-5ervlces bate
`;--(6;irk
Utility Inspector Date
❑ Approved as 5ubrnitted
n -site ?re -ion Required
[Approved AL Bfn 191 r Redlines
� taP Tra f fic Control Fan an -At Atta ed
❑ Camera lnsMW02 Dries Required
Issue IIa^te;DCVELQPIVIENi
}ytrbl;G >��r�:5 t�?ifTtit ��'perklSOr Late PermBr expires -E m5nt s tram isure dal➢ '
2I
e�
- _-
C;TY OP RENTON
TRAFFIC CD)N i ROL P! AKI
PROJECT NAME: I O 110 lep ( L- D
CONSTRUCTION. COiViPANY:
CDNTACT NAME: w r1511OJ r10 Yl V1n) Y)
ADD,^,. , 11X U V I"Gl rf �lwirG
E-#�iA;L ADDRESS;
PROJECT LOCATlOA;
9b N(=
nn5on�W I
PERM} � n
PHONEn �►-64 ly I
PHONE#: /'
CELU /I
�JI E/S/Iry OF
V><ORK 1`rME: Mr i.��t iY► % � �_'J L�c-vK �i 3 �G�it %PROVED SY;
WOr".K D�;TE:
Permit Ho}der agrees to all the f of}owing:
NE I2 I V t tj 0/
r,PPROVA L DOTE: � � � . ;I -p
• Gompfy vrith a}I traffic regulations of the Ciz1� of Renton and the Stats of V�Jashington.
Prepare a traffic control plan and obtain Cry 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 Trai i is Control Devices.
• Notify emergency services (253-952-2121) twenty-four (24) hours before any street or lane closures,
• Any }ane 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, 47.36.260
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 tees incurred in defending against same, arising from and
related to implementation of the approve d traf;ic control pians lrlcfud}ng claims arising from tow}ng 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
I
udgment, 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 }s brought against City within the scope of this Agreement, Permit HDIQer
Will pay for legal counsel chosen by the City to defend against same,
• }=Jagger 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.
PP,I1�T
5
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OCFrpay
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colatracroR
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UEi'_SERV(CE, IkSP�iQN
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DEM SSV]rL PLAF REv1ENY
k RENNINscwi. JUMF1
PZ)UC:
I CL RK WILCOX
flRE
Dk1�ID PARGhR..� STFi> ±.
i��-7��:
UVork Zone Traii'ic Ccrrrsol si•,all br in ac-�r�nce v�Eth i�ne it,an[�I on Unixarm Tra,—;r. Crsrtral �3evics {I�UTi:B)
and shown by sketch or reference to ;NSb+�T.
F i he p}an mist be suhm'r<ied to the uty's PVd/Trarsparatian t�kvision for review and/nt approval at least tirreP
worl3ng says prior to wort
• kpproved Temporary Trffic Control Pian nust ae ai the work site during work hours.
► ContraCior or entity must call.Renton School District (425-2D�-�55) or any publicJprivate agency to be affected
by a temporary lane ar road desvre.
• Complete asci'-tance anu a��.orrkmodation shat( be provided to ail kinds �` pedest-tion tra7sc when sidewalk or
walisv,+ay is impeded.
• Total road cl�su re lasting more than 24 hours is subject to the approval by the Cit)+ Council.
fitly vehicle, eou�ment, barricade, or portable low -away sigr, used within the wort: area must d?splay a .
company logo ar any legal}y acceptable sigr showing the company name, address, and telephflne number zt a
conspicuous pkace on the vehicle or equipment.
in the case o; Temporary leo Parking%anes, all the foJlowir;g apply in addition to previous;
Contractor must complete form to show limits of Temporary 1Jo Parking. Zone identifying barricade locations for
vacate parking or curb lane usage.
• Contra�:lor must post notice o,` dates and time a, Temporry lVo Parking Zone wits at least to+a signs per block
i2 hours In advance of etiective date and time.
F i he cover shEet of this t rabic Control Pian iom rncst be attached io each i emporary tVo Parking Sign on the
pro)2Ct Siie.
• Terrrporary traffic control devices must be removed imn-}ediateiy when work is done. or no construction activities
are going on. 1; deemed abandoned, City crews will remove and stare them at the Ctty's tnalntenance shop
(3555 ►�E 2"0 Street),
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