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HomeMy WebLinkAboutSE04630E BEACON & ABERDEEN_Application Formsmd7 Via email to franchisepermits@rentonwa.gov To: City of Renton Franchise Permits RE: Modification to Existing T -Mobile Wireless Communication Facility T -Mobile Site ID: SE04630E- Beacon & Aberdeen Dear Staff: T -Mobile is proposing to modify an existing wireless communication facility to improve the quality of coverage in the City of Renton. Pro'ect Address: 16022 126'" Ave SE, Renton, WA 98058 Project Description: T -Mobile proposes the following minor modifications to the site referenced above: Swap (1) Ultrasite equipment cabinet for (1) FCOA cabinet. Replace (1) FSMF and (1) FBBC with (1) AMOK, (1) ASIA, and (3) ABIA in ground equipment. - Install (1) Unistrut for Triplexers. Replace (3) Diplexers with (3) Triplexers (1 per sector). - Replace (6) Style 4 TMAs (2 per sector) with (3) Style 3C TMAs (1 per sector) Submittal Documents: Please find the following documents attached to this Franchise permit application to authorize work in the ROW at this site: Franchise Permit Application/Traffic Control Plan Form Electronic set of Construction Drawings Electronic set of Structural Analysis' Electronic Copy of Traffic Control Plan. Project Contact: Brent Sutten Md7 on behalf of T -Mobile 9725 V Ave NE, Suite 410 Seattle, WA 98115 301-752-9750 bsutten@md7.com 9725 Third Avenue NE, Suite 410, Seattle, WA 98115 DEPARTMENT OF COMMUNITYCITY OF AND ECONOMIC DEVELOPMENT R n e ton Planning Division 11055 South Grady Way, 61h Floor I Renton, WA 98057 1425-430-7200 Email: franchisepermits@rentonwa.eov Website: rentonwa.Rov FRANCHISE PERMIT APPLICATION :::] Published: 2/112018 TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the Site Specific Traffic Control Application to frarich isepermits@rentonwa.gorr. Permit cost is $367.50. Inspection fee for trenching more than 60 lineal feet or installation of 6 or more poles will be billed at $60.00 Franchise Agency: T -Mobile Franchise Job Number: SE04630E Phone: 301-752-9750 Contact Name: Brent Sutten, Md7 LLC- Agent of T -Mobile Email: bsutten@md7.com Job Site Address: 16022 126TH Ave SE Project Name: SE04630E-Beacon Aberdeen Description of Work: Swap (1) Ultra Site Cabinet for (1) FCOA cabinet. Replace (1) FSMF and (1) FBBC with (1) AMOB, (1) ASIA, and (3) ABIA in ground equipment. Install Unistrut for Triplexers. Replace (3)Diplexers wl (3) Triplexers (1 per sector). Replace (6) Style 4 TMAs w/ (3) Style 3C TMAs. Swap SARF with SAS. Please check all that apply: ❑ New Construction 0 Repair/Relocate ❑ Underground ❑ Overhead ❑ Sidewalk ❑ Street ❑ Open Trench ❑ Bore # of feet: Contractor Name: To Be Determined 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 10/9/18 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 Fre-consrrucrron meerings snau De scneoufea at a maximum o7 24 days prfor to the job start date. Plan Review/Development Engineering Date ❑ Approved as submitted Site Construction Inspector Development Engineering Manager Date Date ❑ Pre -Construction Meeting required ❑ Approved with comments or redlines ❑ Camera inspection of utilities required Page 1 of 1 I Published: 2/1/2018 CITY OF RENTON TRAFFIC CONTROL PLAN I rinuruiin I ntntaruwni ��1\V,\�}1RilAlJ11�1�`2�.FI PROJECT NAME: SE04630E BEACON AND ABERDEEN-SCL-LIU PERMIT# CONSTRUCTION COMPANY: TBD PHONEM CONTACT NAME: Brent Sutten, MG LLC PHONE#: 971-313-8915 ADDRESS: 6645 NE 78th Ct., Suite C-4 CELL#: 301-752-9750 E-MAIL ADDRESS: bsutten@md7.com FAX#: PROJECT LOCATION:Right-of-Way N/E/S/W OF: 16022 126TH Ave SE WORKTIME: TBD APPROVED BY: WORK DATE: TBD APPROVAL DATE: 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: Brent Sutten- Md7 LLC DATE` 1019118 SIGNATURE: OFFICE COPY T_ CONTRACTOR DEV. SERVICE, INSPECTION P. MILLER 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 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 --