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HomeMy WebLinkAboutMFP21002874.pdfDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP21002874 IVR Number: 21002874 Permit Information Permit Name: Puget Sound Energy - Electric Address/Location:06/21/2021Application Date:7938400100Parcel Number: 17420 116TH AVE SE Permit Type:07/29/2021Issue Date:Franchise Permit Work Class:07/29/2022Expiration Date:Minor Utility Job Number: 593235014Franchise Type:Electric Description: Puget Sound Energy Electric CREW TO REMOVE BO CUTOUT AND REPLACE WITH NEW. RESTORATION PER CITY OF RENTON STANDARDS. Contacts Name Address PhoneTypeBilling Corrie Rydberg Puget Sound Energy 6905 S 228TH St KENT, WA 98032 C: (253) 905-5031Applicant Vicki Henson Potelco Inc 8001 212th St S Kent, WA 98032 B: (253) 863-0484Contractor Business License Number: 5109Electrical Contractor: POTELI*344O4 Construction Contractor: POTELI*227PL NAISA LLC 33124 170TH PL SE AUBURN , WA 98092 Owner Corrie Rydberg Puget Sound Energy 6905 S 228TH St KENT, WA 98032 C: (253) 905-5031Specialized Billing X 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 Trench Restoration and Street Overlay Requirements. Ÿ Call 425.430.7203 or go to: https://permitting.rentonwa.gov one working day in advance to schedule an inspections and for ANY work in the Right of Way. Ÿ Call 8 1 1 to locate underground utilities at least two full business days prior to any excavation.Ÿ 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. Ÿ (Date)(Signature) Page 1 of 1THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES DEPARTMENT OF PUBLIC WORKS Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document. Page 1 of 2 | Published: 1ϭ/Ϯϱ/2019 Transportation Division | 1055 South Grady Way, 5th Floor | Renton, WA 98057 | 425-430-7380 Website: rentonwa.gov TRAFFIC CONTROL PLAN (TCP) APPLICATION Published: 1ϭ/Ϯϱ/2019 TRAFFIC CONTROL PLAN (TCP) MUST BE SUBMITTED TO PUBLIC WORKS TRANSPORTATION DIVISION FOR REVIEW/APPROVAL NO LATER THAN 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 TCP and obtain City of Renton's approval of that plan when construction, repair, or maintenance work is to be conducted within the city's right-of-way. TO THE APPLICANT: Submit the TCP application form and required submittal documents to TCP@rentonwa.gov with the subject line “TCP Application – [Project Name]” or the above address. The following items, electronic copies preferred, are all required for submittal of the TCP Application: 1.܆ A copy of the Traffic Control Plan (TCP) Application form. 2.܆ A copy of the required TCP layout, preferred 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. ܆ All signs and detour routes shall conform to the MUTCD, WSDOT TCPs, and the Washington State Traffic Control Flagger Certification handbook, by the Evergreen Safety Council. ܆ Types of plans required: ܆ Work hour plan – show all mobility impacts during construction hours. ܆ 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. ܆ Changing construction phases – show construction sequence and each construction phase change even if the traffic control is not modified, if applicable. ܆ Pedestrian access/detour plan, if applicable. Project Name: ______________________________________________ Permit #: _____________________ Project Address: ____________________________________________________________________________ Work Date: From _____________ To _____________ Work Time: Start ______________ End ______________ Description of Work, Work Schedule, Equipment Used: _____________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Construction Company: ________________________________________ Phone/Cell: (_____) _____-________ Applicant Name: _________________________________ Email: ______________________________________ Business Address: _________________________________ City/State: __________________ Zip: __________ Approved By: _______________________________________________ Date: ________________________ Transportation Operations Engineering 4 4 4 4 4 4 4 4 4 4 4 593235014 17420 116TH AVE SE Monday Friday 8:00am 3:00pm PLEASE SEE ATTACHED POTELCO, INC 425 892 0416 NIGEL COSME NIGEL.COSME@PSE.COM 6905 S. 228TH ST KENT, WA 98032 MFP21002874 Scott Warlick CED 7/29/2021 Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document. Page 2 of 2 | Published: 1ϭ/Ϯϱ/2019 APPLICANT AGREES TO ALL THE FOLLOWING: x TCP must be approved prior to commencing the work, and all permit conditions shall be met. x Existing pedestrian access shall be maintained. The work on pedestrian facilities shall be limited to one corner at a time, with the least possible inconvenience or delay to pedestrians. x 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. x The start of Work Time begins when any street or travel lane is fully/partially closed or impacts the follow of traffic. This includes set up within the traveled way or immediately adjacent to the roadway. x Emergency services (253-852-2121) shall be notified twenty-four (24) hours before any street or lane closures. x 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. x TCP for all street and/or lane closures shall be implemented and performed in compliance with the Manual on Uniform Traffic Control Devices (MUTCD) and/or State of Washington Department of Transportation (WSDOT) and all traffic regulations of the City of Renton and Revised Code of Washington (RCW). x 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 RCW 47.36.200 Signs or Flaggers at thoroughfare work sites and RCW 9A.36.050 Reckless Endangerment, and other applicable State and City codes. x 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 Applicant’s agents and employees. x 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. x In the event any claim or suit is brought against the City within the scope of this Agreement, Applicant will pay for legal counsel chosen by the City to defend against same. x Flagger and sign placement are subject to revision by the City Inspector on site, if needed to address traffic or pedestrian safety or travel. x Total road closure lasting more than twenty-four (24) hours is subject to the approval by the City Council. x Approved Temporary TCP must be at the work site during work hours. x 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. x 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: x Contractor must complete form to show limits of Temporary No Parking Zone identifying barricade locations for vacate parking or curb lane usage. x 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. x The cover sheet of this TCP form must be attached to each Temporary No Parking Sign on the project site. x 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; 425-430-7423). _______________________________ _______________________________ _______________________ Applicant’s Signature Print Name Date CORRIE RYDBERG 17420 116th Ave SE Renton WA 98058 USA P01 316569-166565 SE 175TH ST 116TH AVE SESE PETROVITSKY RD 1111 1111 BIKE LANEENDS W9-1BBIKESMERGE WITHTRAFFIC W4-1BSTOP FLAGGER STOP FLAGGER W20-7AROAD WORKAHEAD W20-1W20-4ONE LANEROADAHEAD200'200'200'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4350'350'ROADWORKAHEADW20-1 BEPREPAREDTOSTOPW3-4 350'350'W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD350'350'350'W20-7A RESIDENT(S) WILL BE INFORMED OF TEMPORARY DRIVEWAY CLOSURE EMERGENCY VEHICLES WILL BE ALLOWED TO PASS WORK ZONE. DETOUR M4-9bR9-11SIDEWALK CLOSED AHEAD DETOURM4-9bR9-11SIDEWALKCLOSEDAHEADPLACE PDETOUR SIGNS AT CROSSWALK/ 1450' NORTH WORK AREA.S/WCLOSEDR9-9S/W CLOSED R9-928" TRAFFIC CONE LEGEND TRAFFIC FLOW SIGN LOCATION FLAGGER STOP POLE WORK VEHICLE/ FLASHING LIGHTS RIGHT OF WAY SIGN SPACING MPH 60/65 45/55 35/40 30 25 "X" 1000' 500' 350' 200' 100' CHANNELIZATION DEVICE SPACING MPH 55/70 35/45 25/30 TAPER 40 30 20 TANGENT 80 60 40 TEMPORARY TRAFFIC CONTROL PLAN N 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. Channelizing devices are 28" traffic cones. Use traffic drums (barrels) with steady burning Type C lights on all State State Routes and Hwys. 4. Sign size can be a minimum of 36" x 36" and shall not obstruct pedestrian access. 5. Crew is required to leave a minimum of 11' for traveling lane width. 6. Alert affected residents and businesses. 7. Work to take place between 9 a.m. and 4 p.m unless otherwise specified. All work for arterials and major roadways will be from 9 a.m. to 3 p.m. Project Address: Page PSE PUGETSOUNDENERGY Designer: Job # REV 05/21/2021 593235014 0 17420 116th Ave SE, Renton, WA 98058 Safaa Al Neema (425) 398-6077 safaa.alneema@pse.com 1 OF 1 Puget Sound Energy Traffic Control Supervisor: Safaa Al Neema Card No. 012611 Card Exp. 10/31/2024 Safaa.alneema@pse.com (425)398-6077 MFP21002874 100T UNK ROW=60' EOP=33' 17408 17420 17428 17440 11500 116TH AVE SE (PAVED)SE 175TH ST (PAVED ) 100T UNK SITE PLAN SCALE: 1:50 UTILITIES CONTACT PHONE# COUNTY 1/4 SEC U-MAP NO (POWER) OP MAP Emer Sect Gas Wk Ctr POWER WK CTR PLAT MAP JOINT FACILITIES ARRANGEMENTS DRAWN BY CHECKED BY APPROVED BY FOREMAN #1 FOREMAN #2 MAPPING INCIDENT MAOP Gas Order Elect Order SCALE PAGE ENGR - POWER ENGR - GAS FUNCTION PROJECT MGR PERMITREAL ESTATE/EASEMENT 2 1 REV# 3 DATE DESCRIPTIONBY CONTACT PHONE NO DATE OH CKT MAP CIRCUIT NOUG CKT MAP N. COSME 253-569-6158 5/11/2021 C. TOBIN 253-548-4516 5/11/2021 N/A N/A N/A N. COSME 253-569-6158 5/11/2021 N/A CITY OF RENTON 613559 ROL-13 CREW2 17420 116TH REPLACE B/O CUTOUT 17420 116TH AVE SE, RENTON, WA 98058 N/A N/A N/A 593235014 AS NOTED 1 OF 1 KING N/A N/A QCSOKE SW 28-23-05 N/A N/A 2305E111 2305E136 2305E111 ROL-13 N/A N/A N/A N/A N/A N/A N/A N/A N/A Potelco, Inc.DESIGNED BY 593235014EXISTING UNDERGROUND MAP: # . SCALE: 1:100 2305E116 OVERHEAD CIRCUIT MAP: # . SCALE: 1:100 2305E136 GENERAL OVERHEAD NOTES: -POLES, CONDUCTORS, DEVICES TO BE INSTALLED PER PSE STANDARDS & SPECIFICATIONS. -POLES ARE TO BE INSTALLED OR RELOCATED AS STAKED. -ALL NEW POLES SET SHALL BE THE CLASS INDICATED ON THE SKETCH OR BETTER. -INSTALL GROUND PLATE ASSEMBLY ON ALL NEW POLES. -INSTALL GRID NUMBERS ON ALL NEW AND EXISTING POLES AS SHOWN ON SKETCH. -TREAT ALL FIELD-DRILLED POLES WITH COPPER NAPHTHENATE WOOD PRESERVATIVE. SITE SPECIFIC NOTES P01: 316569-166565 -REMOVE B/O 100T CUTOUT -INST 3Ø LI C/O TERM F:100T STD 6043.1000 (TSU3L1F) -INST SW# FOREMAN (CHECK BOX WHEN COMPLETED) #1 Print Name ___________________________________ Date ______________ PSE Equipment LOCKED/SECURED & Work Area left in CLEAN/SAFE Condition. Grid, Cable, and Switch numbers INSTALLED & VERIFIED. Indicate correct FUSE SIZE on As-built & VERIFY proper PHASE. Material VERIFIED and CHANGES noted on Paperwork. Company ID#'s RECORDED in correct location on As-built. Deviations noted on the As-built and their reason. I certify that the work performed meets PSE's standards and procedures #1 Foreman's Signature _______________________________________________ and that all quality requirements are met. Field Changes RED-LINED on As-built. Total PRIMARY Cable noted on As-built. Correct QC Checklist(s) reviewed. #1 #2 #2 Print Name ___________________________________ Date ______________ #2 Foreman's Signature _______________________________________________ THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES CALL (800) 424-5555 2 BUSINESS DAYS BEFORE YOU DIG No No No Yes Yes Yes "Flagging Required" "Outages Required" "Locates Required" POTELCO DESIGN AND Signature _________________________________________ Print Name _________________________________________ This design complies with PSE Any/all variations have been Design/Engineering Standards. QUALITY ASSURANCE pre-approved/documented by the appropriate PSE Representative. Date _________________ JOB SITE MAKE NO CHANGES TO THIS JOB WITHOUT PRIOR APPROVAL Notify Customers and Service Area 48 HRS Prior To Planned Outages ORDER#NOTIF#PROJECT PHASE MAINTENENCE O & M SUPERIOR FAILED SILICONE REMOVAL EXPENSE 11764474 593235014 N/A N/A VICINITY MAP For contacts below dial 1-888-CALL PSE (225-5773) Contact Information 1216_140TH_AVE_CT_E_SUMNER_WA_98390 253-569-6158 NIGEL_COSME SCOPE OF WORK The general scope of this project is to make repair on b/o 100T cutout at pole 316569-166565. Project type : Planned Project location : Number of Cables : 0 Cable Footage Estimated : 0' Cable Numbers Injected : 0 Cable Numbers Repaired : 0 Cable Numbers Abandoned : 0 Cable Numbers Replaced : 0 There will be an advance notice provided by the contractor 24-hour advance notice of no parking in work areas. Access will be maintained to all residences and their driveways. When work is occurring directly in front of driveways, the contractor will work with the residence to manage access. Traffic Revisions Flagging crews will maintain one lane; flaggers will assist vehicles alternating through the roadway during work hours. For more information on the project 24-hour project information (888) 471-7339, (360) 825-5236 CREW TO PROVIDE ALL PROPERTY OWNER'S THAT ARE IMPACTED BY PROJECT PRIOR NOTICE AND MAKE AN EFFORT TO WORK WITH PROPERTY OWNER'S TO MAINTAIN THEIR ACCESS TO THEIR PROPERTY, AS WELL AS, REDUCE THE IMPACT OF OUR WORK ON THEIR USE OF THEIR PROPERTY. 17420 116TH AVE SE, RENTON, WA 98058 MFP21002874 RESTORATION PER CITY OF RENTON STANDARDS