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HomeMy WebLinkAboutFactory and N 3rd - ROW App - North Sky - Level 3DEPARTMENT OF COMMUNITY CITYOF
AND ECONOMIC DEVELOPMENT Rento 0
Planning Division 1 1055 South Grady Way, 6`" Floor I Renton, WA 98057 1425-430-7200
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: LFyi-:,— C i�c��--� C--►-���LAr,�4
Franchise Job Number: X3'1 `1 ?'"1 Lb
Contact Name: „lkvv�-✓�i(L✓L
Job Site Address: IFA c-1 c�v_"� !v 3R D tV
Description of Work: vet'ax'
Phone �i'1 Lity ' Ll Sri 4a
Email: �i3':✓�Esz.cr`3 Y`�e��'ri�s� cca.c.�h.
Project Name: kJ3-1 7 ',301 cd
Please check all that apply:
❑ New Construction ❑ Repair/Relocate ❑ Underground ❑ Overhead ❑ Sidewalk ❑ Street
❑ Open Trench ❑ Bore # of feet: (Tvvw.a : h=t-r--,s-
Contractor Name: s v� •-t' Phone: -Y-1 I - '-100-'1
State Contractors License #: i Qc'k 11______Aty of Renton Business License #:
"I certify that I am the owner or p licant's authoriz a and do hereby agree to abide to the terms and conditions set forth
under this permit and shall co pl vi City of Re qrench Restoration and Street Overlay Requirements. "
r"
Signature I r. Date
INSPECTION SHALL BE REQUEST D04 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE
INSPECTION L/NEAT 425-430-7203 OR BY GOING TO MYBUILD/NGPERMIT.COM
Jobs are required to be called in for job start, re -inspection and project final. Re -inspection fees are billed at $75/hour.
An Pre-consrrucrion meerings sna❑ ve scneauwea or a maximum of 14 nays prior ro rnejov srarr aare.
Plan Review/Development Engineering Date
Site Construction Inspector
Development Engineering Manager
Date
Date
❑ Approved as submitted
n Pre -Construction Meeting required
❑ Approved with comments or redlines
❑ Camera inspection of utilities required
Page 1 I Published: 3/30/2017
CITY OF RENTON
TRAFFIC CONTROL PLAN
PROJECT NAME: N377898
Print Farm Reset Form
CONSTRUCTION COMPANY: NORTH SKY COMMUNICATIONS
CONTACT NAME: DAVID BYKERK
ADDRESS: 10860 SW CLUTTER RD, SHERWOOD OREGON 97140
PERMIT#
PHONE#: 971-400-4596
PHONE#: SAME
CELL#: SAME
E-MAILADDRESS: DBYKERK@NORTHSKYCOMM.COM Fax#:
PROJECT LOCATION:408 HOUSER WAY/FACTORY & N 3RD ST N/E/S/W OF:
WORK TIME: 8AM-5PM APPROVED BY: _E , 5eLE0
WORK DATE: 5/7/18 TO 5/11/18 APPROVAL DATE: 0y 30 /4—
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 NAM E:
SIGNATURE:
©italmm
OFFICE COPY T• ip
CONTRACTOR
DEV. SERVICE, INSPECTION
P. MI LER
M. SERVICE, PLAN RMV W
B.BANNWARTH
POLICE
CHARLES KARL Ma
FIRE
FIRE MAR 5HALL FS 413
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 2"d Street).
SKETCH
-- NORTH --
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NARRATIVE — N.377898
FIELD ENG: Krishna Mitchell — 720-387-3342
DESCRIPTION: This work is to verify conduit/splice locations within
Renton City
FIBER: N/A
CUSTOMER REQUIREMENTS: N/A
PERMITS REQUIRED: City of Renton
TOTAL FOOTAGE (EXCLUDING LOOPS): N/A
ENGINEERS WO —150163 (PROJECT CODE)
EWO/PROJECT TRACKING — N377898
CUSTOMER NAME — PACCAR MULTISITE
WIRE CENTER - KRLDWAKW-BLLVWABC-RNTNWAPV-
RNTNWAGC
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(Netbuild #)
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number, wire center, WC CLLI, TIRIS
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PRELIMINARY TRAFFIC CONTROL PLAN 501
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I REQUESTED DATES: I ADDRESS: I PERMIT -
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WORK HOURS: Renton, WA 88057 II
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PRIOR TO WORK•' CURRENTMUTCD•-