HomeMy WebLinkAboutMFP17004134DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP17004134
IVR Number: 17004134
Permit InformaƟon
Permit Name:Puget Sound Energy Gas Permits
Address/LocaƟon:09/01/2017ApplicaƟon Date:3342700440Parcel Number:3731 PARK AVE N
Permit Type:09/08/2017Issue Date:Franchise
Permit Work Class:09/08/2018ExpiraƟon Date:Minor UƟlity
Job Number:107054559Franchise Type:Natural Gas
DescripƟon:EXTEND NEW 2" PE GAS MAIN FROM EXISTING MAIN ON N 38TH ST. ONE ASPHALT CUT ANTICIPATED AND SIDEWALK
WORK. ALL RESTORATION PER CITY OF RENTON STANDARDS .
Contacts
Name Address PhoneTypeBilling
ANISH KUMAR
PUGET SOUND ENERGY ‐ GAS ‐ BILLING
6905 S 228th St
Kent, WA 98032
B: (253) 208‐2183Applicant
Stuart BenneƩ
Infrasource Services LLC
14103 Stewart Rd
Sumner, WA 98490
B: (303) 419‐8755
H: (425) 677‐5197
C: (713) 985‐6489
Contractor
Business License Number: BL.036742ConstrucƟon Contractor: INFRASL871C2
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057‐3232
Owner
ANISH KUMAR
PUGET SOUND ENERGY ‐ GAS ‐ BILLING
6905 S 228th St
Kent, WA 98032
B: (253) 208‐2183Specialized
Billing
X
General CondiƟons & 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 AN
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 2THIS 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
Puget Sound Energy
107054559
Anish Kumar
253-208-2183
anish.kumar@pse.com
3731 Park Ave N 98056
One at a time occupying E bound lane of N 38th St & S bound lane of Park Ave
N to extend South new 2" PE gas main (243' in ROW, 302' in private rd) from existing main on
N 38th st. 1 3'x5' cut asphalt cut and 5 cuts on sidewalk anticipated.
PSE/Infrasource 253-208-2183
INFRASL871C2 BL.036742
8/15/2017
MILLER SFR
Restoration per City of Renton Standards
MFP17004134
Holly Powers
Justin Johnson
9-8-2017
9-8-2014
CITY OF RENTON
TRAFFIC CONTROL PLAN
PROJECT NAME: PERMIT#
CONSTRUCTION COMPANY: PHONE#:
CONTACT NAME: PHONE#:
ADDRESS: CELL#:
E-MAIL ADDRESS: FAX#:
PROJECT LOCATION: N/E/S/W OF:
WORK TIME: APPROVED BY:
WORK DATE: APPROVAL DATE:
OFFICE COPY T-
CONTRACTOR
DEV. SERVICE, INSPECTION P. MILLER
DEV. SERVICE, PLAN REVIEW B. BANNWARTH
POLICE CHARLES KARLEWICZ
FIRE FIRE MARSHALL FS #13
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: DATE:
SIGNATURE:
Reset FormPrint Form
107054559
PSE/Infrasource
Kevin Haibeck 206-604-5448
6905 S 228th St, Kent 98032
kevin.haibeck@pse.com
3731 Park Ave N S of N 38th St
TBD
10/16/2017
Anish Kumar 8/15/2017
MFP17004134
Justin Johnson
9-8-2017
8:00 AM to 3:00 PM
SKETCH
I
-- NORTH --
I
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 of Temporary 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 2nd Street).
N 38TH STPARK AVE N1212
1010N 38TH STSTOPFLAGG
ER
ONE LANE
ROAD
AHEAD W20-4ROAD
WORK
AHEAD W20-1W20-7A100'100'100'ONE LANEROADAHEADW20-4ROADWORKAHEADW20-1W20-7A100'100'100'STOPFLAGG
ERSTOPFLAGGER
STOPFLAGG
ER ONE LANEROADAHEADW20-4ROADWORKAHEADW20-1W20-7A100'100'100'ONE LANEROADAHEADW20-4ROADWORKAHEADW20-1 W20-7A100'100'100'ROAD
WORK
AHEAD W20-1N 37TH ST#3719#3725#3731PARK AVE NR9-9SIDEWALKCLOSEDR9-11SIDEWALKCLOSEDAHEADFLAGGERS WILL ASSISTPEDESTRIANS WITHSIDEWALK CLOSUREFLAGGERS WILL ASSISTPEDESTRIANS WITHSIDEWALK CLOSURER9-11SIDEWALKCLOSEDAHEADR9-9SIDEWALKCLOSEDFROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PARKJob#1070545593731 Park Ave N, Renton WAJuly 20, 2017Sheet 1 of 2 ryan.honeysett@pse.com(425) 457-5381CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NPSEPUGETSOUNDENERGYNotes:1. All signs and spacing to conform to the MUTCDand City of Renton standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.4. Sign size can be a minimum of 48" x 48" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 11' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place between 9 a.m. and 4 p.m.8. Work area will be approx. from 14'-105' S of C/L of N38th ST & 12' W of C/L of Park Ave N.BORE PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWWORK VEHICLESIGN LOCATIONWARNING FLAGFLAGGERSTOPSHEET IS FORMATTEDFOR 11 X 17MFP17004134
N 38TH STPARK AVE N1212
1010N 38TH STSTOPFLAGG
E
R ONE LANEROADAHEADW20-4ROADWORKAHEADW20-1W20-7A100'100'100'STOPFLAGG
E
RSTOPFLAGG
ER
STOPFLAGG
ER
ONE LANEROADAHEADW20-4ROADWORKAHEADW20-1 W20-7A100'100'100'N 37TH STBE
PREPARED
TO
STOP W3-4ROAD
WORK
AHEAD W20-1W20-7A100'100'100'STOPFLAG
GE
R
BE
PREPARE
D
TO
STOP W3-4ROAD
WORK
AHEAD W20-1W20-7A100'100'100'BEPREPAREDTOSTOPW3-4ROADWORKAHEADW20-1W20-7A100'100'100'RESIDENT(S) WILL BE INFORMEDOF POSSIBLE TEMPORARYDRIVEWAY CLOSURE#3719#3725#3731PARK AVE NR9-9
SIDEWALKCLOSEDR9-11SIDEWALKCLOSEDAHEADR9-11SIDEWALKCLOSEDAHEADR9-9SIDEWALKCLOSEDFLAGGERS WILL ASSISTPEDESTRIANS WITHSIDEWALK CLOSUREJob#1070545593731 Park Ave N, Renton WAJuly 20, 2017Sheet 2 of 2 ryan.honeysett@pse.com(425) 457-5381CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NPSEPUGETSOUNDENERGYNotes:1. All signs and spacing to conform to the MUTCDand City of Renton standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.4. Sign size can be a minimum of 48" x 48" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 11' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place between 9 a.m. and 4 p.m.8. Work area will be approx. from 105'-231' S of C/L of N38th ST & 12' W of C/L of Park Ave N.BORE PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWWORK VEHICLESIGN LOCATIONWARNING FLAGFLAGGERSTOPSHEET IS FORMATTEDFOR 11 X 17
882081
2" PE IP 14'S 9023682" PE IP 11'E 902835
2" PE IP 12'S 882016
2" PE IP 14'S 20161 1/8" MPE 88'N5/8" MPE 489'E
52'N TAPPING TEE 2" UNKNOWN
SE 86TH ST PARK AVE NIP GAS FLOW
3805
N
Vicinity Map
N/A
Owner / Developer Contact Info
officeATTN:
PAUL MILLER
3731 PARK AVE N
RENTON, WA 98056
PAUL MILLER 206.954.1137
Inspected Steel and PE pipe per GOS 2450.1400 and 2450.1500
Reviewed and complied with all construction notes.
Recorded all required information on the as-built per GOS 2500.1700.
Completed post installation inspection per GOS 2525.1200 and 2525.2700.
Left the work area in a clean and safe condition.
FITTER'S CHECKLIST
Foreman's Name (printed) ___________________________________
Foreman's Signature________________________________________
Company: InfraSource Construction Date ______________
(CHECK BOX TO CONFIRM COMPLETION)
4680 06/11
503963067 107054559
504737836 106326305
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
GAS
PROJECT PHASE Notification #Order #
Retirement
Relocate
SAP Superior
Service/Meter
Service/Meter
HP Svc/MSA
Dis. Reg. / FT
Ind. MSA
Ind. Service
Service/Meter
Service/Meter
SYSTEM MAOP DENOTED BY: SYSTEM MAOP = ___ PSIG
BOX (TEST LEAD) INSTALLATION.
THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525.2600 FOR ALL HP VALVES IF THE LOCATION IS
TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS
SHOWN ON THIS DESIGN UNLESS APPROVED BY APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL OR BETTER CONDITION.
MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300 AND 2525.3400.
PURGE POINTS AND PRESSURE TAPS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525.3300, AND 2525.1200.
ANY CHANGE IN ROUTE, PIPE SIZE/TYPE, TIE-IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY
COMPLETE "PIPE CONDITION REPORT" ON ALL METALLIC PSE FACILITIES. CHECK BOX ON REPORT FOR WIRE
INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY
THE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED
PER GAS OPERATING STANDARD 2550.1600. ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE.
DELIVER FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT
PRIOR TO BEGINNING CONSTRUCTION. USE iSi TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HAND
NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYS
EROSION AND SEDIMENT CONTROL AND ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPORARY
ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES.
TO CONSTRUCTION, IN WESTERN WASHINGTON CALL: 1-800-424-5555. OR CALL NATIONWIDE: 811
FIELD LOCATE ALL UNDERGROUND UTILITIES. EXCAVATOR TO CALL "ONE-CALL" TWO WORKING DAYS PRIOR TO
STANDARD GAS CONSTRUCTION NOTES:
14.
13.
15.
10.
11.
THE APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
9.
6.
7.
5.
4.
3.
1.
60
16. IF METALLIC PIPE IS INVOLVED, COORDINATE INSTALLATION WITH CP TECH.
------------------
NOTIFY APPROPRIATE PERMITTING AGENCY PRIOR TO JOB START (SEE PERMIT REQUIREMENTS).2.
8.PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS
OPERATING STANDARD 2525.2500.
NOT READILY ACCESSIBLE, AND FOR ALL VALVES WHERE PERSISTENT SNOWFALL MAY OBSCURE THE VALVE BOX.
GAUGE AND MONITOR USE OF ALL STOPPERS TO ENSURE ADEQUATE FEED.12.
___________________________, PHONE______________.
NOTE ALL ACTUAL FOOTAGE, LOCATION AND MATERIAL CHANGES ON THE AS-BUILT IN RED. ( ') DENOTES17.
FOOTAGE BETWEEN FITTINGS.
18.EXCESS FLOW VALVE TO BE INSTALLED ON ALL NEW RESIDENTIAL SERVICES PER GOS 2500.2200. (RECORD ALL
INFORMATION ON D-4 CARD)
HOLE HOG TABLE
CALLOUT LOCATION DEPTH LENGTH
BP1 START
BP2 END
BP3 START
BP4 END
BP5 START
BP6 END
BP7 START
BP8 END
BP9 START
BP10 END
BP11 START
BP12 END
BP13 START
BP14 END
BP15 START
BP16 END
BP17 START
BP18 END
BP19 START
BP20 END
PLOT PLAN
SCALE: 1" = 40'-0" 107054559STOP TIME
START TIME
GAS MAIN PRESSURE & TESTING
TESTED BY
GAS MAIN INSTALLATION/RETIREMENT
SOAP AIR NITROGEN WATER
SOAP AIR NITROGEN WATER
STOP TIME
START TIME TESTED BY
TEST RESULTS P F
TESTED BY PSE PRESSURE CONTROL, SEE FORM 1928
P F
Type/Work ManufacturerPipe Size Type Est Length Act Lgth
TYPE TEST
/ /
DATE OFF
PRESSURE
DATE ON
DATE OFF
TYPE TEST
PRESSURE
SYS MAOPDESIGN PRESS
DATE ON
2023 03/10
TEST RESULTS
/ /
/ /
/ /
SCAT 2"MPE-7 243'
PLAT 2"MPE-7 302'
60 IP 081-60
DESIGNED BY PUGET SOUND ENERGY
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC OP MAP
Emer Sect GAS WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
CP APPROVAL
MAPPING
SCALE PAGE
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY CONTACT PHONE NO DATE
Drawing Number
SAP Sup Order Nbr
C. FUNG 425.625.6055
K. HAIBECK 206.604.5448
K. HAIBECK 206.604.5448
"Locates Required"
"Flagging Required"
Yes No
Yes No
Cell Phone:
Project Manager Contact Information:
E-Mail:
Name:
206.604.5448
kevin.haibeck@pse.com
KEVIN HAIBECK
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL 811 AT LEAST 2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)
"Locates Required"
"Flagging Required"
Yes No
Yes No
Cell Phone:
Project Manager Contact Information:
E-Mail:
Name:
REQUIED RENTON
PAUL MILLER SFR
2" MPE IP MAIN EXTENSION
3731 PARK AVE N, RENTON 98056
SAPSUP
N/A
1"=40'1/1
KING 30 CSPSKGPM
NW 32-25-05E 200.080 202.082
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
END OF MAIN
CAP 2" MPE
231'S C/L & 327'W C/L
____'S C/L & ____'W C/L
CP TEST LEAD BOX COMPLETE
(BRING WIRE UP IN BOX)
____'S C/L & ____'W C/L
(____')(____')(____')END OF MAIN
CAP 2" MPE
231'S C/L & 12'W C/L
____'S C/L & ____'W C/L
CP TEST LEAD BOX COMPLETE
(BRING WIRE UP IN BOX)
____'S C/L & ____'W C/L
TIE IN
TEE 2"X2" INLINE TEE
228'S C/L & 12'W C/L
____'S C/ & ____'W C/L
PROPOSED PIPE 2" MPE IP MAIN
12'W C/L, ____'W C/L
PROPOSED PIPE 2" MPE IP MAIN
12'W C/L, ____'W C/L
PROPOSED PIPE 2" MPE IP MAIN
INSERTED IN CUSTOMER PROVIDED
4" YELLOW CONDUIT
231'S C/L, ____'S C/L
END OF CONDUIT
____'W C/L
END OF CONDUIT
____'W C/L
TIE IN
TEE HV 2"X2" MPE
14'S C/L & 12'W C/L
____'S C/L & ____'W C/L
PROPOSED SERVICE 1-1/8" MPE
PROPOSED EASEMENT
TYPICAL GAS MAIN LINE TRENCH DETAIL
RESIDENTIAL
Excavated Dirt Pile
24" Min
NOTE: Install 12" shading
if the backfill contains rocks
greater than 6" dia.
24"
Min
Cover
Gas Service Line
SIDE
ACCESS
VEHICLE
Final Grade
4" Sand Bedding
12" Min. of
Acceptable Backfill
(See Definition Above)
6" Sand Shading
12"-18"
Min
Backfill for Direct Bury - The final backfill may be soil-based select material or native soil, but
free of construction debris and shall not contain rocks larger than 10"-in. diameter to prevent
impedence of gas system maintenance.
Not to scale
WORK AREA
MFP17004134
Est. Start Date:
&
&
&
Puget Sound Energy Gas Pre-Inspect Form
Job #:107054559
Date:6/21/17 Address:
10/2/17 PM / Inspector:Kevin Haibeck 206-604-5448
3731 PARK AVE N
RENTON, 98056
206-954-1137
Est. Duration:6 + Days
Jurisdiction:Renton City / Zip:
ROW Permit:Yes Customer:PAUL MILLER
Plat (Conduit)
PLAT Map:202.082
N
Work Location Surface Type
Job Description / Scope of Work
New Construction:
Yes
Construction Method
Tie-in to 2" PE Main (902268); Install 545' of 2" PE Main (243' Scat ROW & 302' Plat in pvt road
esmt); Install 55' of 1-1/8" PE Plat SVC with 2600 EFV; Set A425 MSA w/regulator MID 7400191
Size of Cut
of CL PARK AVE N asphalt
231'South of CL N 38TH ST 12'West
14'South of CL N 38TH ST 12'West 3' X 5'
3' X 5'
of CL approx. 4 borepits conc s/walk
Service Information Street Information
of CL PARK AVE N conc s/walk
of CL 12'West
Job Type
2' X 2'
EFV:1-1/8" - 2600 - 9996743 Police #:TCP:Yes
Diameter:1-1/8" PE Flaggers #:Arterial:Yes
Mtr Hoods #:
Meter:A425 Speed Limit:
Route #'s:Bollards:2.5" #4" #ADA Ramps #:
Del Press:6" W.C.Traffic Signal:Bus Stop:
No Parks #:
Meter Loc:08 - OR
New Res. Main & Svc
Trolley Lines:Sidewalk N 38TH ST PARK AVE N EXISTING GAS MAIN 2" PE IP 14' S (asphalt) C/L
P/L
P/L
P/L
A
C/L
C/L
C/L
WORK
AREA
WORK
AREA
NOTE: ESTIMATE FOUR (4) ADDITIONAL
EXCAVATIONS (BORE PITS) FOR
TRENCHLESS MAIN INSTALLATION
3731 3725 3719
(asphalt)
902268
MFP17004134