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HomeMy WebLinkAboutMFP17004502DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Franchise Permit: MFP17004502 IVR Number: 17004502 Permit Informa!on Permit Name:Puget Sound Energy Gas Permits Address/Loca!on:09/07/2017Applica!on Date:0741100010Parcel Number:10802 SE 182ND ST Permit Type :10/10/2017Issue Date:Franchise Permit Work Class:10/10/2018Expira!on Date :Minor U$lity Job Number:887034262Franchise Type :Natural Gas Descrip!on:ER Crew greased and operated 4" STW gas main valve to repair Grade BA leak . Restora$on 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 Benne? 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.036742Construc!on 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 Condi!ons & 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 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. (Date)(Signature) Page 1 of 1THIS 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 MFP17004502 Restoration per City of Renton Standards Scott Warlick 9/25/2017 Justin Johnson 10-4-2017 pothole existing utilites 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 MFP17004502 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). 10101212BUSONLYBUSSTOP11 11 11 1112 10802 SE 182ND ST108TH AVE SE (SR-515)1212 109TH AVE SEARRW-BRD M6-211 11 11 1112 W4-2LROAD WORK AHEAD W20-1RIGHT LANE CLOSED AHEAD W20-5R350'350'350'L See Chart p.2SHOULDERWORKW21-5UTILITYWORKAHEADW21-7100'100'ROADWORKAHEADW20-1350'SE 181ST ST 108TH AVE SE (SR-515)Job#887034262 10802 SE 182nd St, Renton, WA September 21, 2017 Sheet 1 of 2 ina.ustemchuk@pse.com (425) 424-6425 N PSE PUGET SOUND ENERGY PRINT ON 11X17" SHEETS ONLY Notes: 1. All signs and spacing to conform to the MUTCD and City of Renton standards. 2. All sidewalks, driveways, exits and egresses shall be completely clear unless otherwise indicated. 3. Alert affected residents and businesses if existing on WSDOT roadway. 4. Work area will be 27' NCL of NE 182nd St & 26' ECL of 108th Ave SE. 5. See sheet 2 for WSDOT Notes and Tables.BORE PIT 28" TRAFFIC CONE TRAFFIC FLOW WORK VEHICLEWORK VEHICLE SIGN LOCATION WARNING FLAG LEGEND ARROW BOARD Puget Sound Energy Traffic Control Supervisor: Ina Ustemchuk Card No. 010768 Card Exp.06/30/2021 ina.ustemchuk@pse.com (425)398-6063 0'6030 MFP17004502 pothole existing utilities WSDOT NOTES & TABLES Job#887034262 10802 SE 182nd St, Renton, WA September 21, 2017 Sheet 2 of 2 ina.ustemchuk@pse.com (425) 424-6425 PSE PUGET SOUND ENERGY PRINT ON 11X17" SHEETS ONLY ”” – MFP17004502 1820510903109108410834108031081110821108311090310910802108101081810826108TH AVE SE9TH AVE SE4" STW IP 24'W 3087-19614" STWI 27'N4 12" MPE IP 16'S 107014240-20024" STW IP 27'N 1089-19592" PE IP 14'S 8927462" PE-A IP 14'S 802596298'W377'W631'W335'W92'S62'E46'E628'W41'S370'W437'W187'E204'W79'S5/8" PE19835/8" MPE20023/4"5/8" PE19783/4" STW-U19595/8" PE19783/4" STW-U19593/4" STW-U19593/4" STW-U19595/8" PE19773/4" STW19595/8" PE19775/8" PE19805/8" MPE1999TF26'E54'W45'WROPES490'W340'W22'W6'd@51'E3'D19'E-5'd5'd@43'ET19'ETL12" ST Casing656'W30'NT10'W S27'EP64'E 26'E No electric grid information availableS212080, Q214083The information on the attached maps is subject to change without notice. Puget Sound Energy makes no warranty, expressed or implied, concerningthe suitability of this information for any purpose. Recipient agrees to not disclose this confidential information to any other person or entity,unless authorized in writing by Puget Sound Energy. This map is not to be used for determining the actual location of any PSE facilities (call 811).“09-13-2017Scale 1:600Lat\Long=47.4398, -122.196126'ESE 182ND STMFP17004502