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Home My WebLink AboutMFP21003613DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP21003613 IVR Number: 21003613 Permit Informaon Permit Name:Puget Sound Energy Gas Permits Address/Locaon :07/28/2021Application Date:0088000392Parcel Number:16474 111TH AVE SE Permit Type:08/05/2021Issue Date:Franchise Permit Work Class:08/05/2022Expiration Date:Minor Utility Job Number:108630362Franchise Type:Natural Gas Description:PSE Gas CREW TO RETIRE EXISTING GAS SERVICE AT MAIN. Restoration per City standards. Contacts Name Address PhoneTypeBilling Corrie Rydberg Puget Sound Energy 6905 S 228TH St KENT, WA 98032 C: (253) 905-5031ApplicantX Stacy Tucker City of Renton 1055 S Grady Way, Fl 6 Renton, WA 98057 B: (425) -43-0-72x82Contact 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 CITY OF RENTON ROW 1055 S Grady Way Renton, WA 98057-3232 Owner 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: https://permitting.rentonwa.gov 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 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 108630632 16474 111TH AVE SE PLEASE SEE ATTACHED POTELCO, INC 425 892 0416 GAYLE PLAISANCE GAYLE.PLAISANCE@PSE.COM 6905 S. 228TH ST KENT, WA 98032 Monday Friday 8:00 am 3:00 pm MFP21003613 Nathan Janders 8/5/2021 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 16474 111th Ave SE Renton WA 98055 USA 10 10 88SE 166TH PL111TH AVE SEW20-7A50'W20-7AROAD WORK AHEAD W20-1W20-4ONE LANE ROADAHEAD 100'100'100'W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'100'100'STOP FLAGGER STOP FLAGGER ROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD50'50' WORK PIT LEGEND 28" TRAFFIC CONE SIGN LOCATION TRAFFIC FLOW 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. 8. Work area for 111TH AVE SE will be at 71' North of centerline of SE 166TH PL, and 14' West of centerline of 111TH AVE SE. Project Address: Page PSE PUGETSOUNDENERGY Designer: Job # REV 07/16/2021 108630362 0 16474 111TH AVE SE, RENTON, WA MATLOCK HIGHBARGER 808-375-4152 MATLOCK.HIGHBARGER@PSE.COM 1 OF 1 Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 012238 Card Exp. 09/30/2023 gregory.harwood@pse.com (425)424-6425 Job #: Date: Address: Jurisdiction: City / Zip: Right of Way Permit? Customer:PSE Est. Start Date: PM / Insp: Est. Duration: P/L P/L & & & Fuel Line Length: Mtr Loc:Fuel Line Diameter: Construction Method Gravel PLAT MAP: 212.083 Ken Elvsaas 16922 113 Ave SE Renton, 98055 206 498 0053 888-225-5773 20 108630362 7/15/21 Renton 1 Day Retire existing 5/8" PE complete service at main @ 71' N c/l SE 166 Place & 14' W c/l 111 Ave SE 111 Ave SE 3x571' N of C/L SE 166 Place W of CL14' PRE-INSPECTION REPORT WORK DESCRIPTION: CUST PHONE NUMBER Work Location PHONE NUMBER Size of Cut Surface Type SPEED LIMIT MPH Service Information Diameter Meter EFV N FLAGGERS # OFFICERS # TROLLY LINES TRAFFIC SIGNAL BUS STOP # ARTERIAL METER HOODS # NO PARKS # Commercial Residential Multi-Family New Constr. Stub Extension Cut & Cap Altered Commercial Altered Residential Replacement Service Main Maintenance Service Maintenance Valve Maintenance Leak Repair CP Work Pothole Extension Compete Serv 5/8" 11/8" 11/4" 2" 250 425 630 1000 1800 2600 10,000 Bollards 2.5" # Bollards 4" # FUEL LINE PERMIT NEEDED Template Bar YES NO Pressure 6" WC 2# >_ 5# Trenchless Open Trench New Construct Existing G r a v e l P a r k i n g S t r i p G r a v e l P a r k i n g S t r i p 2" STW Main @ 14' W c/l111 Ave SESE 166 Place 16474OF 1000 SF Work Area RESTORATION PER CITY OF RENTON STANDARDS 1660916611210112141121811226112221113116625164591661816606164751647116463111301645216466111161645716611111151648616474164671648347311204SE 166TH PL111TH AVE SEIdle Riser2" MPE 48'R2" MPE 76'N2" MPE IP 15'W 107027535-2007 JT2" STW IP 14'W 69E4291" STW IP 4'S 69E4295/195/8" MPEI19955/8" MPE19955/8" PE19865/8" MPE19951/2" STW-U19675/8" PE19911/2" STW-U19701/2" STW-U19695/8" MPE20035/8" PE19905/8" MPEI2007-E5/8" MPEI2007-E5/8" MPEI2007-E5/8" MPEI2007-E5/8" MPEI2007-E5/205/8" MPEI2007-E1 1/8" PE19885/8" MPEI2007-E5/8" MPEI200734'S101'S604'N154'N692'N881'N114'W100'N76'N56'N66'N90'N211'S466'N71'NEUF779'N45'S155'N122'W,4'N#C No electric grid information availableS212080, Q212083The information on the attached maps is subject to change without notice. Puget Sound Energy makes no warranty, expressed or implied, concerningthe suitability of this information for any purpose. Recipient agrees to not disclose this confidential information to any other person or entity,unless authorized in writing by Puget Sound Energy. This map is not to be used for determining the actual location of any PSE facilities (call 811).“07-13-2021Scale 1:900Lat\Long=47.454, -122.1919