HomeMy WebLinkAboutSC21003072.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
: SC21003072
IVR Number: 21003072
Permit Information
Permit Name: ExteNet Systems - small cell node 00221
Address/Location:06/30/2021Application Date:1253790010Parcel Number: 2900 LIND AVE SW
Permit Type:07/27/2021Issue Date:SC - Small Cell
Permit Work Class:12/16/2030Expiration Date:Construction
Description: Node 00221: ExteNet proposes to
install small cell facility on City of Renton light pole.
Contacts
Name Address PhoneTypeBilling
CARLY NATIONS
GLOTEL INC
B: (425) 326-6050Contact
PIETROMONACO/MODERN LLC PO BOX 776
MERCER ISLAND , WA 98040
Owner
General Conditions & 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.
Ÿ
This permit and plans must be posted at the job site at all times.Ÿ
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 codes and ordinances.
Ÿ
(Date)(Signature)
Page 1 of 2THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES
This permit is for Major construction work in the ROW and will be billed at an additional
$60/HR for inspections. After hours and weekend work will be billed at $125/HR
Pre-Construction meeting required
A contractor with an approved State and City business license will be required prior to the
start of any work in the ROW.
This permit is for Major construction work in the ROW and will be billed at an additional
$100/HR for inspections. After hours and weekend work will be billed at $125/HR
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
DEPARTMENT OF PUBLIC WORKS
Page 1 of 3 | Published: 3/18/2021
Transportation Division | 1055 South Grady Way, 5th Floor | Renton, WA 98057 | 425-430-7380
Website: rentonwa.gov
TRAFFIC CONTROL PLAN APPLICATION
Published: 3/18/2021
TRAFFIC CONTROL PLAN (TCP) MUST BE SUBMITTED TO PUBLIC WORKS TRANSPORTATION DIVISION
FOR REVIEW/APPROVAL AT LEAST FIVE (5) WORKING DAYS BEFORE THE DATE OF WORK.
The City of Renton requires any contractor, firm, corporation, or other public/private agency to prepare a traffic control
plan (TCP) and obtain city's approval of that plan when construction, repair, or maintenance work is to be conducted
within the city's right-of-way.
1. Fill out the Traffic Control Plan (TCP) Application form and prepare required submittal documents.
2. The following items are all required for submittal of the TCP Application:
☐ Electronic Copy of the TCP Application
☐ Electronic Copy of the TCP Layout, on 11” X 17” paper size format, which shall:
▪ Include map(s) showing the location of the project and work area.
▪ Be legible lettering and clear, contrasting, symbols of viewing or printing.
▪ Must indicate street names, and north arrow and scale.
▪ Types of plans required:
o Work hour plan – show all mobility impacts during construction hours.
o Non-work plan - show all mobility impacts after work hours when limited or no work is
happening in the right-of-way (ROW), if applicable.
o Changing construction phases – show construction sequence and each construction phase
change even if the traffic control is not modified, if applicable.
o Pedestrian access/detour plan, if applicable.
- Shall conform to the Washington State Traffic Control Flagger Certification handbook, by the
Evergreen Safety Council.
3. Submit Application via email to TCP@rentonwa.gov with the subject line “TCP Application – [Project Name].”
Project Name: Permit #:
Site Address:
Work Date: From _____________ To _____________ Work Time: Start ______________ End ______________
Construction Company:
Contact Name: Phone/Cell: _________________________
Business Address: City/State: Zip:
Description of Work:
Approval By: _________________________________________________ Date:____________________
Transportation Engineering
ExteNet Renton Small Cell Node 00221
Renton Light Pole 3893D - adjacent to 2900 Lind Ave SW (47.453396°, -122.223194°)
ExteNet Systems, Inc proposes to construct a small cell facility by installing a City of
Renton steel light pole with antennas and equipment.
Leah Ward (206) 459-4420
PO Box 12580 Mill Creek, WA 98082
ExteNet Systems, Inc
SC21003072
Monday - Friday 8:00AM - 3:00PM
Scott Warlick CED 7/27/2021
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
Page 2 of 3 | Published: 3/18/2021
PERMIT HOLDER AGREES TO ALL THE FOLLOWING:
• Must have approved Traffic Control Plan (TCP) prior to commencing the work.
• Maintain existing pedestrian access. The work on pedestrian facilities, shall be limited to one corner at a time,
with the least possible inconvenience or delay to pedestrians.
• WORK TIME begins when any street or travel lane is fully or partially closed. This includes set up within the
traveled way.
• 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 Signs or Flaggers at
thoroughfare work sites and R.C.W. 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.
• All permit conditions shall be met.
NOTES:
• Total road closure lasting more than twenty-four (24) hours is subject to the approval by the City Council.
• Work Zone Traffic Control shall be in accordance with the Manual on Uniform Traffic Control Devices (MUTCD)
and shown by a traffic control plan layout or reference to WSDOT.
• 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, including public
transit, 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 to safely redirect pedestrians around a work zone.
• Signage shall be used to warn motorcyclists/bicyclists of the potential hazards on any uneven surfaced or slippery
road conditions during work and non-work hours.
• 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
seventy-two (72) hours in advance of effective date and time.
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
Page 3 of 3 | Published: 3/18/2021
• 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).
I certify that the information on this application and within the submittal documents are accurate to the best of my
knowledge and I acknowledge all the requirements on this application.
Applicant’s Signature Date
Applicant’s Name (Print)
6/30/21
Leah Ward
TRAFFIC CONTROL PLAN
TCP−1
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1TRAFFIC CONTROL PLAN
LEGEND
INTERSECTION RIGHT LANE CLOSURE
provide a spotter to
assist pedestrians
TRAFFIC CONTROL PLAN
TCP−2
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1TRAFFIC CONTROL PLAN
LEGEND
INTERSECTION−RIGHT LANE CLOSURE
TRAFFIC CONTROL PLAN
TCP−3
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1TRAFFIC CONTROL PLAN
SINGLE LANE CLOSURE FOR MULTI−LANE ROADWAYS
LEGEND
TRAFFIC CONTROL PLAN
TCP−4
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1TRAFFIC CONTROL PLAN
SINGLE LANE CLOSURE FOR MULTI−LANE ROADWAYS
LEGEND
TRAFFIC CONTROL PLAN
TCP−5
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1TRAFFIC CONTROL PLAN
SINGLE LANE CLOSURE FOR MULTI−LANE ROADWAYS
LEGEND
TRAFFIC CONTROL PLAN
TCP−6
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1TRAFFIC CONTROL PLAN
SINGLE LANE CLOSURE FOR MULTI−LANE ROADWAYS
LEGEND
TRAFFIC CONTROL PLAN
TCP−7
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1TRAFFIC CONTROL PLAN
LEGEND
INTERSECTION−RIGHT LANE CLOSURE
provide sidewalk
closed signs and
direct pedestrians to
cross SW 27th St and
use the crosswalk on
the north side of the
intersection.
TRAFFIC CONTROL PLAN
TCP−8
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1TRAFFIC CONTROL PLAN
LEGEND
INTERSECTION−RIGHT LANE CLOSURE
provide sidewalk
closed signs and
direct pedestrians to
cross SW 27th St and
use the crosswalk on
the north side of the
intersection.
TRAFFIC CONTROL PLAN
TCP−9
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1TRAFFIC CONTROL PLAN
LEGEND
INTERSECTION−RIGHT LANE CLOSURE
TITLE SHEET
T−1
DRAWING INDEX
SITE INFORMATION PROJECT CONTACTS
DRIVING DIRECTIONS
VICINITY MAP
APPROVAL/SIGN OFF
SITE PHOTO
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
NW−WA−STTRNT02−VZW
NODE 00221
CITY OF RENTON LIGHT POLE: 3893D
SITE COORDINATES
LATITUDE: 47° 27’ 12.23" N (47.453396°)
LONGITUDE: 122° 13’ 24.50" W (−122.223194°)
SITE ADDRESS
ADJACENT TO ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
SITE
100% CONSTRUCTION
DRAWINGS
SC21003072
GENERAL NOTES
G−1CALL AT LEAST TWO WORKING
DAYS BEFORE YOU DIG
DIG ALERT
LIMITS OF LIABILITY:ABBREVIATIONS:
CONTRACT DOCUMENTS:
ADMINISTRATIVE REQUIREMENTS:
SITE SAFETY:
WORK REQUIREMENTS:
UTILITY REQUIREMENTS:
SPECIAL CONSIDERATIONS FOR WEATHERPROOFING:
CAST−IN PLACE CONCRETE:
“”
CONCRETE OR MASONRY ANCHORAGE:
REINFORCING STEEL:
CONCRETE SLABS ON GRADE:
EXISTING STRUCTURES:
LEGEND:
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
SITE PLAN
A−1
1SITE PLAN
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
VICINITY MAP
SITE
ENLARGED SITE PLAN,
EQUIPMENT & ANTENNA LEVELS
A−2
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1ENLARGED SITE PLAN2PROPOSED EQUIPMENT LEVEL
PROPOSED ANTENNA LEVEL 3
RAD CENTER OF 5G ANTENNAS @ 40’−3" A.G.L.
delete note,
pedestrian scale
fixture shall be
installed
there is an existing
utility easement
depicted on the plat.
a temporary easement
is needed if work
extends beyond the
easement.
EXISTING & PROPOSED
WEST ELEVATION
A−3
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
2PROPOSED WEST ELEVATION EXISTING WEST ELEVATION 1
note that COR std.
plan 117.1a allows
for a fiber conduit to
be stubbed out of the
foundation.
EXISTING & PROPOSED
NORTH ELEVATION
A−4
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
12EXISTING NORTH ELEVATIONPROPOSED NORTH ELEVATION
VALMONT POLE DESIGN
A−5
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
tx
117.1b
VALMONT POLE DESIGN
A−5.1
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
VALMONT POLE
FOUNDATION DESIGN
A−5.2calculations have
been included with
the submittal package
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
117.1 A & 117.1B DETAIL
A−5.3
Transmitting Antenna(s)
Radio frequency fields above this point MAY
EXCEED the FCC occupational exposure limit.
Obey all posted signs and site guidelines.
Call Verizon Wireless at 1-800-264-6620 PRIOR to
working beyond this point.
STATE:SWITCH:
SITE ID:
SECTOR/NODE:
DETAILS
A−6
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
3COMBINED PANEL ANTENNA/RRU SPECIFICATIONS
PROPOSED ANTENNA CONFIGURATION AND CABLE SCHEDULE
1ANTENNA SCHEDULE
5RF CAUTION SIGNAGE
2NODE ID SIGNAGE
75G TOP SHROUD 6DISCONNECT
4FIBER TRAY
NOTE(S):
1. CLEAR NOTICE STICKER W/ WHITE LETTERING
2. LOCATED AT BASE OF LIGHT POLE
3. PROVIDED BY VERIZON WIRELESS
NOTE(S):
1. CLEAR STICKER W/ WHITE LETTERING
2. LOCATED AT BASE OF LIGHT POLE
3. MADE OF WEATHER AND CORROSIVE RESISTANT MATERIAL
DETAILS
A−7
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1TYPICAL TRANSVERSE PATCH 2TYPICAL LONGITUDINAL PATCH FOR FLEXIBLE PAVEMENT 3TYP LONGITUDINAL PATCH & OVERLAY FOR FLEXIBLE PAVEMENT
DETAILS
A−7.1
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1TYPICAL CURB AND GUTTER REPLACEMENT
4JUNCTION BOX IN CONCRETE PAD2TYPICAL PATCH FOR RIGID PAVEMENT
3UTILITY IN CONCRETE SIDEWALK 5SIGN MOUNTING ON SINGLE METAL POST
RF WIRING DIAGRAM
A−8
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
2NOT USED15G WIRING DIAGRAM
POWER SITE PLAN
E−1
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1POWER SITE PLAN
GROUNDING DIAGRAM & ONE−LINE DIAGRAM
E−2
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1TYPICAL GROUNDING DIAGRAM
LEGEND
2ONE−LINE DIAGRAM
200a
GROUNDING DETAILS
E−3
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
3GROUND BAR1GROUNDING NOTES 2CABLE GROUND KIT CONNECTIONS
6HAND HOLE
4POWER & FIBER TRENCHING
5CONDUIT ELEVATION
POWER SERVICE CABINET
E−4
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
3893D
ADJACENT ADDRESS:
2900 LIND AVE SW
RENTON, WA 98055
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00221
>Integrity Delivered™
1POWER SERVICE CABINET (FOR REFERENCE ONLY)
DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Page 1 | Published: 1/27/2021
Planning Division | 1055 South Grady Way, 6th Floor | Renton, WA 98057 | 425-430-7200
Email: franchisepermits@rentonwa.gov Website: rentonwa.gov
Transportation Information Request
Published: 1/27/2021
Franchise Job
Number: Phone:
Contact Name: Total Amperage Requested:
Site Address: City Pole ID:
Notes:
Provide Screenshot of Pole, Service Cabinet Location, and conduit path from COR Maps:
8019107949
Rachel Fenton 60 Amps
NW-WA-WINONASC-00221
2900 LIND AVE SW 3893D
T RANSPORTATION I NFORMATION R EQUEST
Page 2 of 2 | Published: 1/27/2021
For City Use only:
Conduit Size: Do Conductors in the Conduit
move when pulled?
Conduit Fill %:
Type of Existing
Wires within Conduit
Service Cabinet Total
Amperage:
Existing foundation 5G
ready?
Does location have
5G ready conduit?
If Yes, is there innerduct
tubing already installed?
Photo of Service Cabinet Photo of Conduit
Additional Photos Additional Photos
Conduit Available for Lease: Yes ______ No ______
Service Cabinet Needs to be upgraded: Yes ______ No ______
Inspected By:______________________________ Date:____________
SC310 - UNMETERED
N/A
NO
NO
X
X
UNABLE TO
LOCATE JUNCTION
BOXES
2"
15.4%NO
STREETLIGHT, PHOTOCELL
JG, JW, GR 5/18/21
DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Conditions for Permit SC21003072
Engineering
1 A contractor with an approved State and City business license will be required prior to the start of any work in the
ROW.
Not Satisfied
Page 1 of 1