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HomeMy WebLinkAboutMFP19005754DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP19005754 IVR Number: 19005754 Permit Informaon Permit Name:Puget Sound Energy Gas Permits Address/Locaon :10/21/2019Application Date:1457500110Parcel Number:14120 160TH AVE SE Permit Type:11/05/2019Issue Date:Franchise Permit Work Class:11/04/2020Expiration Date:Minor Utility Job Number:107058497Franchise Type:Natural Gas Description:Extend gas main in open trench. At X02 dig workpit and trench 48' for gas main install. to cross 160th Ave SE to SE 141st Pl. At X01 dig workpit and trench 48' for gas service install. Pothole all existing utilities. Restoration per City of Renton standards. APPROVED WITH COMMENTS OR REDLINES. Contacts Name Address PhoneTypeBilling Marita Bond Puget Sound Energy Billing 6905 S 228 St Kent, WA 98032 B: (253) 395-6346Applicant Stuart Bennett 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: 36742Construction Contractor: INFRASL871C2 HARBOUR HOMES LLC 400 N 34TH, STE 300 SEATTLE , WA 98103 Owner Marita Bond Puget Sound Energy Billing 6905 S 228 St Kent, WA 98032 B: (253) 395-6346Specialized Billing X General Condions & 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 425.375.3397) 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 of 1 | Published: 1/2/2019 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: 1/2/2019 TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the Site Specific Traffic Control Application to franchisepermits@rentonwa.gov. Permit cost is $630.00. 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: տ New Construction տ Repair/Relocate տ Underground տ Overhead տ Sidewalk տ Street տ Open Trench տ 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 $125/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 - Gas 107058497 CORRIE RYDBERG (253) 234-6410 CORRIE.RYDBERG@PSE.COM 14120 160TH AVE SE EXTEND GAS MAIN IN OPEN TRENCH. AT X02 1:3X3 WORK PIT & 48' TRENCH FOR GAS MAIN INSTALL TO CROSS 160TH AVE SE TO SE 141ST PL. AT X01 1:3X3 WORK PIT & 48' TRENCH FOR GAS SVC INSTALL ✔✔✔✔ ✔90'X3'X4' Infrasource (253) 234-6410 INFRASL871C2 BL036742 Corrie Rydberg Digitally signed by Corrie Rydberg Date: 2019.10.21 12:06:49 -07'00'10/21/19 MFP19005754 Scott Warlick 10/24/2019 RESTORATION PER CITY OF RENTON STANDARDS Nathan Janders 11/5/2019 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 107058497 Infrasource RANDY BLACKIE (253) 395-6850 6905 S 228th St, Kent, WA 98032 RANDY.BLACKIE@PSE.COM 14120 160TH AVE SE TBD TBD CORRIE RYDBERG 10/21/19 Corrie Rydberg Digitally signed by Corrie Rydberg Date: 2019.10.21 12:07:08 -07'00' MFP19005754 8:00AM - 3:00PM Monday - Friday Scott Warlick 10/24/2019 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). SE 141ST PL 160TH AVE SE162ND AVE SE13 11 2 12 1 TRACT C 3 4 5 6 7 8910 TRACT B TRACT A2" STW IP 12'W69E0695/8" PE 1993 99'N 14131 2" STW IP 12'W69E069ELEC ONLY14204 14120 'A''B' 53' R55'FLOW60' SE 142ND PL SE 8TH ST N Vicinity Map 47.4765, -122.1258 Owner / Developer Contact Info officeATTN: HARBOUR HOMES LLC 400 N 34TH ST. STE 300 SEATTLE, WA 98103 JAMIE WALTIER 206.315.8130 THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES CALL (800) 424-5555 2 BUSINESS DAYS BEFORE YOU DIG For contacts below dial 1-888-CALL PSE (225-5773) GENERAL NOTES - GAS (JOINT TRENCH): 1" = 50'105092294107058497Excavator to contact Utilities Underground Location Center (One-Call) 48 hours prior to construction, to two working days prior to construction. 1-800-424-5555 Notify appropriate permitting agency prior to job start (see permit requirements). Erosion and sediment control shall be per PSE Standard Practice 0150.3200 Techniques for Temporary Erosion and Sediment Control and any additional local jurisdiction requirements. Any change in route, pipe size/type, tie-in method or additional main footage must be approved by the appropriate Engineer/Project Manager. Complete "Exposed Pipe Condition Report" on all exposed existing Steel PSE Facilities. Check box on report for wire box (Test Lead) installation. Pipeline Markers and Warning Signs shall be installed and recorded by the Contractor per PSE Gas Operating Standard 2525.2500. To prevent accidental overpressure of adjoining systems, no two mains shall be connected, except as shown on this design, unless approved by the appropriate Engineer/Project Manager. System MAOP denoted by System MAOP = 60 PSIG Install Main Valves out of traffic where possible. Gauge (use Manometer for LP Systems) and monitor use of all stoppers and squeezes to insure adequate feed. Install one pound Anode for every 1000' of locating wire. Install Anode and Test Lead Wires per PSE Gas Operating Standards 2525.1200 and 2525.2300. If STW pipe involved, coordinate installation with CP Tech. ____________ Cell # ___________ . Purge Points and Pressure Taps shall be installed per PSE Gas Operating Standards 2525.3400 and PSE Gas Field Procedures Manual 0812 and 0813. Mains and services shall be tested and purged per PSE Gas Operating Standards 2525.3300 and 2525.3400. Unless otherwise noted: All pipes installed in plat to be 2" MPE-7. All crossings to be Yellow 4" PVC. All Services to be 1-1/8" PE. / denotes service stub location. (________') denotes footage between fittings. Customer to dig and backfill on private property or easement only. Trenches must conform to PSE Gas Operating Standards 2525.1500, 2525.1600 and 2525.1700. Note all recordable footages, locations and material changes on the as-built in red. Upon completion of the project send the print copy, along with the completed work order, listing crew & actual materials used to the appropriate design group. On site pre-con required before start of job. At symbol: install natural gas main piping and fixtures. Size as indicated on tables and work sketch (gas main is to parallel power system unless otherwise shown on work sketch). Inclement weather conditions may cause delays in construction times and dates. 19. 20. 18. 16. 17. 15. 14. 13. 6. 9. 11. 12. 10. 8. 7. 3. 5. 4. 2. 1. DESIGNED BY 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 ELEC Order Number SAP Sup Order Nbr PC APPROVAL R. BLACKIE 253.395.6850 7.15.19 R. MILLER 253-234-6558 8.16.19 R. MILLER 253-234-6558 8.16.19 REDT # (RW-114509 )CITY OF RENTON CEDARS AT HIGHLANDS 2" MPE-7 GAS MAIN, 1 SCAT STUB - 13 S/F LOTS 14120 160TH AVE SE, RENTON, WA 98059 PUGET SOUND ENERGY 107058497 105092294 1" = 50'1 OF 1 KING 30 CIKNC 14SE-T23N-R05E 208.086 209.089 COMCAST BILL WALKER CBL TEL TBD CENTURYLINK KENNETH LUU 206-3460144 RIGHT OF WAY PEI-FANG YANG 425-456-2774 . . . B. JOHNSON 206.571.8519 . ... 21. 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: __________________ Date ______________ (CHECK BOX TO CONFIRM COMPLETION) 507925447 107058497 N/A 106356148 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 Stubs Service/Meter HP Svc/MSA Dis. Reg. / FT Ind. MSA Ind. Service Service/Meter Service/Meter 4680 06/11 STOP 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 02/18 TEST RESULTS / / / / / / Verify Testing Requirements, Chart vs Gauge GOS 2525.3300 sec. 5, Table 5-1 and sec. 5.5 INSTALL 2"MPE-7 42 FT JOINT 2"MPE-7 487 FT .... .... .... .... Cell Phone: Project Manager Contact Information: "Locates Required" "Flagging Required" Yes No Yes No E-Mail: Manager:RANDY BLACKIE 253.395.6850 randy.blackie@pse.com 60 IP 088-60 B. JOHNSON 206.571.8519 SITE PLAN xx INSTALL 2" = 42 FT JOINT 2" = 487 FT ... ... ... JOINT TRENCH DETAIL NOTES: 1. If the final backfill contains rocks greater than 8 inches in diameter, install 12 inches compacted sand shading across the full width of the trench. * If the final backfill contains rocks 8 inches in diameter or smaller, install 6 inches compacted sand shading across the full width of the trench. * 2. Rocks greater than 10 inches diameter are not permitted in the final backfill. 3. Sand bedding is required under PSE gas pipe. Bedding is not required for the full width of the trench; it shall extend from the side of the trench nearest to where the gas main/service is installed to a minimum of 6 inches on the opposite side of the gas line. 4. Utilities shall not be stacked over the gas line in the trench. 5. If wet utilities will be included in the trench, please contact PSE or local power company directly for clearance requirements. 6. Reduced clearance of 4 inches between power and communication, must have approval of the communications companies. * Alternatives to full-width trench shading require PSE approval. Primary & Secondary-Mainline Gas & Communications (NTS) Primary Dirt Pile Final Grade 24" Min 36" Min Cover Over Power 48" Max Depth Final Backfill Gas 4" Sand Bedding Property Line intercept (depth varies). SidewalkCurb Location of roof drain 48" Typical Width may vary per Number of Utilities and Conduits 6" or 12" Min Sand Shading Over Gas after Compaction 12" Min R/W or Excavated 12" Typical Power Secondary Power TV & TEL 12" Min 12" Min Separation 4,5 1,2 1 3 6 6" or 12" Min Sand Shading Over Power after Compaction1 TYPICAL GAS MAINLINE TRENCH DETAIL NOT TO SCALE jwaltier@harbourhomes.com SITE overlapping existing coating 3". Tape wrap weld joint Wrapped Steel Gas MainSteelPEPE Main Transition Fitting Test Lead Wires Tracer Wire CP Test Box TYPICAL TEST LEAD CONNECTION FOR PE MAIN NOT TO SCALE CONNECTED TO WRAPPED STEEL MAIN CP NOTES: INSTALL PER PSE STANDARDS (4510.1020 - FIG. 4) IF LOW PSP READ. INSTALL 9LB ANODE AND BRING WIRE UP IN BOX WITH TEST LEAD OFF MAIN. NOTIFY CORROSION TECH. @ 206.571.8519 B. JOHNSON 2" CAP EOM/WIREBOX 517' ECL @ 57'R ______'ECL @ _____'R2" POLYVALVE/OPEN 29' SCL & 35' ECL ______'S C/L & _____'ECL 2" T.L. & T.F. 118' NCL & 11' WCL ______' NCL & _____' WCL JOINT 2" MPE-7 482' @ 29' SCL (______)' @ _____' SCL INSTALL 2" MPE-7 41' @ 118' NCL (______)' @ _____' NCL INSTALL 2" MPE-7 1' @ 118' NCL (______)' @ _____' NCL 2" SVC TEE TIE-IN 118' NCL & 12'WCL ______'NCL & _____'WCL INSTALL 1 1/8" SCAT STUB 258'NCL & 12'WCL ______'NCL& _____'WCL 42" 45°42" 1' 45°Property LineRoad Side Top View of Mainline Trench for Single Stubout Location 3'Property LineRoad Side Top View of Mainline Trench for Pedestal or Double Stubout Location 42"45° 3' 45° STUBOUT EXCAVATION DIMENSIONS NOT TO SCALE BEGIN JOINT MAIN 29' SCL & 30' ECL _______'SCL & _____' ECL JOINT 2" MPE-7 5' @ 29' SCL (______)' @ _____' SCL CROSSING CONDUIT TABLE X-ING # LOCATION GAS POWER XING LENGTH TYPE OF CROSSING (Feeder, Primary, Secondary, etc.)FROM TO SIZE (IN)TYPE QTY LOCATION SIZE (IN)TYPE QTY X01 A B ....2 SCH80 1 60 PRIMARY 2 40 1 N 3 SCH80 1 60 GAS SVC, SECONDARY X02 LOT 1 LOT 12 ELECT ONLY E 2 SCH80 1 70 PRIMARY X03 LOT 3 LOT 10 2 40 1 E 3 SCH80 1 60 GAS SVC, SECONDARY X04 LOT 4 LOT 9 2 40 1 E 3 SCH80 1 60 GAS SVC, SECONDARY X05 LOT 5 LOT 8 2 40 1 W 3 SCH80 1 60 GAS SVC, SECONDARY 2" PVC PLUG /CAPS = 8 2" YELLOW SCH 40 PVC = 180 FT 2" SCH80 GREY PVC = 130 FT 2" PVC PLUG /CAPS = 4 3" SCH80 GREY PVC = 180 FT 3" PVC PLUG /CAPS = 8 Excavated Dirt Pile 24" Min NOTE: Install 12" shading if the backfill contains rocks greater than 6" dia. 36" MIN Cover Gas Main Line SIDE ACCESS VEHICLE Final Grade 4" Sand Bedding12" Min. ofAcceptableBackfill(See DefinitionAbove)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. MFP19005754 field coordinate final locations of stubs. drawings show service is very close to water meter and sewer stubs. RESTORATION PER CITY OF RENTON STANDARDS THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES CALL (800) 424-5555 2 BUSINESS DAYS BEFORE YOU DIG For contacts below dial 1-888-CALL PSE (225-5773) DESIGNED BY 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 ELEC Order Number SAP Sup Order Nbr PC APPROVAL R. BLACKIE 253.395.6850 7.15.19 R. MILLER 253-234-6558 8.16.19 R. MILLER 253-234-6558 8.16.19 REDT # (RW-114509 )CITY OF RENTON CEDARS AT HIGHLANDS 2" MPE-7 GAS MAIN, 1 SCAT STUB - 13 S/F LOTS 14120 160TH AVE SE, RENTON, WA 98059 PUGET SOUND ENERGY 107058497 105092294 AS SHOWN 2 OF 2 KING 30 CIKNC 14SE-T23N-R05E 208.086 209.089 COMCAST BILL WALKER CBL TEL TBD CENTURYLINK KENNETH LUU 206-3460144 RIGHT OF WAY PEI-FANG YANG 425-456-2774 . . . B. JOHNSON 206.571.8519 . ... ... ... ... GAS SERVICE PIPE TABLE DESCRIPTION OF ACTIVITIES LOCATION PIPE DESIGN AS-BUILT FROM TO LOT SIZE (IN)TYPE LENGTH (FT)LOCATION LENGTH (FT) EFV SIZE LOCATION REMARKS SS SINGLE 2" MAIN 1 1 1/8 MPE-7 10 ( ')ECL 2600 SS SINGLE 2" MAIN 2 1 1/8 MPE-7 10 ( ')ECL 2600 SS SINGLE 2" MAIN 3 1 1/8 MPE-7 10 ( ')ECL 2600 SS SINGLE 2" MAIN 4 1 1/8 MPE-7 10 ( ')ECL 2600 SS SINGLE 2" MAIN 5 1 1/8 MPE-7 10 ( ')ECL 2600 SS SINGLE 2" MAIN 6 1 1/8 MPE-7 10 ( ')ECL 2600 SS SINGLE 2" MAIN 7 1 1/8 MPE-7 10 ( ')ECL 2600 LS SINGLE 2" MAIN 8 1 1/8 MPE-7 10 ( ')ECL 2600 LS SINGLE 2" MAIN 9 1 1/8 MPE-7 10 ( ')ECL 2600 LS TWIN 2" MAIN 10 & 11 1 1/8 MPE-7 70 ( ')ECL 2600 LS TWIN 2" MAIN 12 & 13 1 1/8 MPE-7 70 ( ')NCL 2600 SCAT STUB SS SINGLES =7 230 FT 1 1/8" PE PIPE LS SINGLES =2 LS TWIN =2 EX PLAT MAP 209.089 SCALE: 1" = 100' 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: __________________ Date ______________ (CHECK BOX TO CONFIRM COMPLETION) STOP TIME START TIME GAS MAIN PRESSURE & TESTING TESTED BY 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 TEST / / DATE OFF PRESSURE DATE ON DATE OFF TYPE TEST PRESSURE SYS MAOPDESIGN PRESS DATE ON 2023 03/10 TEST RESULTS / / / / / / STOP TIME START TIME TESTED BY SOAP AIR NITROGEN WATER P F TYPE TEST / / DATE OFF PRESSURE DATE ON TEST RESULTS / / STOP TIME START TIME TESTED BY SOAP AIR NITROGEN WATER P F TYPE TEST / / DATE OFF PRESSURE DATE ON TEST RESULTS / / STOP TIME START TIME TESTED BY SOAP AIR NITROGEN WATER P F TYPE TEST / / DATE OFF PRESSURE DATE ON TEST RESULTS / / STOP TIME START TIME TESTED BY SOAP AIR NITROGEN WATER P F TYPE TEST / / DATE OFF PRESSURE DATE ON TEST RESULTS / / GASSED UP PIPELINE PIPE SEGMENT FOREMAN'S DATENAME 60 Verify Testing Requirements, Chart vs Gauge GOS 2525.3300 sec. 5, Table 5-1 and sec. 5.5 SITE NOT TO SCALE CROSS SECTION - 160TH AVE SE LOOKING NORTHEDGE OF ROWG 60' ROW ±24' PAVEMENT WIDTH LANE VARIES (9.5' MIN.)13' LANE 6" MIN TYP 8' PLANTER 5' WALK EDGE OF ROWNOT TO SCALE CROSS SECTION - SE 141ST PL LOOKING EAST W E EDGE OF ROW53' ROW 26' PAVEMENT WIDTH 13' LANE 6" MIN TYP 8' PLANTER 5' WALK EDGE OF ROWN S EX 2" STW IP 12'W 69E069 6" MIN TYP 8' PLANTER5' WALK 13' LANE G PROP. 2" MPE IP - 29'SCL MFP19005754 SE 140th St SE 160th AveSE 142nd StSTOPSTOP SE 160th AveSE 8th St SE 8th St SE 7th St SE 141st Pl SE 141st Pl work zone 12'x48' 576 sq ft work zone 12'x48' 576 sq ft SURFACE CUT 3'X3' INSTALL 1 1/4" SCAT STUB SURFACE CUT 3'X3' INSTALL 2" MPE-7 2" BO TIE-IN 2" T.L & T.F INSTALL 2" MPE-7 K&D Services, as the preparer of this traffic control plan makes no representation as to its' general adequacy or being approved for implementation. Approval must result from the Traffic Engineer or other Public Official having statutory enforcement authority in the jurisdiction. Utilization and implementation of this plan shall be a result of that approval. Ref. MUTCD 2009 6A-01 (10) Notes: 1. Maintain ped. access to and through crosswalks 2. Maintain Min. 10' lanes 3. Maintain local access 4. Notify Transit Authority at least 48 hrs. in advance of bus stop closure 5. Traffic control plan and all devices shall comply with MUTCD, PROWAG & WSDOT 6. DEVICE SPACING Flag Taper 20' Signs per WSDOT Tapers per WSDOT 7. 28" Cones 36" Barrels 48" Signs 24" Paddle 8. Adjust to field conditions PLEASE SCHEDULEWITH DISPATCH @ 800-343-4049 OPT.1 AND PROVIDE A COPY OF THE APPROVED TRAFFIC CONTROL PLAN Legend Cone Flagger Flagger AheadROADWORKAHEADW20-1 road work aheadONE LANEROADAHEAD W20-4 one lane road ahead Work Area Work Truck INVENTORY: 6-ROAD/UTILITY WORK AHEAD 6-ONE LANE ROAD AHEAD 5-FLAGGER AHEAD 4-FLAGGERS 30-CONES NOT TO SCALE N S EW NOTIFY EMS, FIRE AND POLICE 72 HOURS IN ADVANCE CUSTOMER: CONTACT: LOCATION: DATE:W/O # Designed By: Garrett Hooper Off:800-343-4049 Ext 5860 Cell # 425-551-8297 WATCP@KNDSERVICES.NET WSTCS#010855 PUGET SOUND ENERGY MITCH PETERSON 425-398-6071 14120 160TH AVE SE RENTON, WA 9-16-19 107058497 ROAD WORKAHEAD ROADWORKAHEAD ROADWORKAHEAD ROAD WORKAHEAD ONE LANEROADAHEAD ONE LANEROADAHEAD ONE LANEROAD AHEAD ONE LANEROADAHEAD 100' +/- Spacing 100' +/- Spacing 100' +/- Spacing 100' +/- Spacing 100' +/- Spacing 100' +/- Spacing 100' +/- Spacing 100' +/- Spacing ROAD WORK AHEAD ROAD WORK AHEAD ONE LANE ROADAHEAD ONE LANEROADAHEAD 100' +/- Spacing 100' +/- Spacing 100' +/- Spacing SPEEDLIMIT 25 14204 www.invarion.com MFP19005754