HomeMy WebLinkAboutMFP21003969.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP21003969
IVR Number: 21003969
Permit Information
Permit Name: Puget Sound Energy - Electric
Address/Location:08/17/2021Application Date:9202500160Parcel Number: 2813 NE 23RD PL
Permit Type:09/13/2021Issue Date:Franchise
Permit Work Class:09/13/2022Expiration Date:Minor Utility
Job Number: 109138052Franchise Type:Natural Gas
Description: Puget Sound Energy Electric CREW TO CUT AND CAP EXISTING GAS SERVICE AT MAIN. REPLACE GAS
SERVICE AT MAIN. RESTORATION PER CITY OF RENTON STANDARDS.
Contacts
Name Address PhoneTypeBilling
Corrie Rydberg
Puget Sound Energy
6905 S 228TH St
KENT, WA 98032
C: (253) 905-5031ApplicantX
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
MURRAY MITCHELL D 2813 NE 23RD PL
RENTON , WA 98056
Owner
Corrie Rydberg
Puget Sound Energy
6905 S 228TH St
KENT, WA 98032
C: (253) 905-5031Specialized
Billing
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.
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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.
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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
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109138052
2813 NE 23RD PL
Monday Friday 8:00am 3:00pm
PLEASE SEE ATTACHED
POTELCO, INC 425 892 0416
Sara Hyacinthe Sara.Hyacinthe@pse.com
6905 S. 228TH ST KENT, WA 98032
MFP21003969
Scott Warlick CED 9/13/2021
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
281316 16
16161616NE 23RD PLHARRINGTON PL NE
RESIDENT(S) WILL BE INFORMEDOF POSSIBLE TEMPORARYDRIVEWAY CLOSUREFROMTOTOW AWAY AREAPHONE 888
-9999
INFRASOURCE
LLC
000
0000000NO PARKINGNO-PAR
KSHOULDERWORKW21-5ROADWORKAHEADW20-1100'100'ROADWORKAHEADW20-1
100'TEMPORARY TRAFFIC CONTROL PLANWORK PITLEGEND28" TRAFFIC CONESIGN LOCATIONTRAFFIC FLOWWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040Notes:1. All signs and spacing to conform to theMUTCD and City of Renton standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.Use traffic drums (barrels) with steady burningType C lights on all State State Routes and Hwys.4. Sign size can be a minimum of 36" x 36" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 11' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place between 9 a.m. and 4 p.munless otherwise specified. All work for arterialsand major roadways will be from 9 a.m. to 3 p.m.8. Work area will be 248' ECL of Harrington PL NE &42' SE Radius of NE 23rd PL.NProject Address:PagePSEPUGETSOUNDENERGYDesigner:Job #REV08/06/2021 1091380520 2813 NE 23RD PL, RENTON, WA, 98056.Jason Bisenius425-424-7316jason.bisenius@pse.com1 OF 4Puget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 012238Card Exp. 09/30/2023gregory.harwood@pse.com(425)424-6425MFP21003969
Est. Start Date:
&
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MDPE - 2" IPS - (DIA) 1"CTS
9999549
Job #:109138052
Date:6/28/21 Address:2813 NE 23RD PL
Puget Sound Energy Gas Pre-Inspect Form
RUSH PM / Inspector:Sara Hyacinthe 206-637-3169
Est. Duration:1 Day (8 Hours)
Jurisdiction:RENTON City / Zip:RENTON, 98056
ROW Permit:Yes Customer:MARK MITCHELL 425-235-6372
Work Location Size of Cut Surface Type
Job Description / ROW Scope of Work
New Construction:
No
Construction Method
Scat ROW / Plat Property
PLAT Map:204.084
N
Project Scope: ENCROACHING IN 2817, RELOCATE 1-1/8" PE SVC TO 2813: C/C EXIST 1-1/8" PE SVC AT MN; AT APPROX 2' E OF C/C
LOCATION, INST COMPLT 1-1/8" PE SVC (APPROX 2' SCAT STUB, 2600 EFV / APPROX 30' PLAT EXT, FIRST 1/3-1/2 OF RUN IN LOT) ~NOTE:
LEAVE AS IS EXIST A630 MTR AND EXIST PORTION OF EXT THAT IS NOT ENCROACHING IN LOT 2817, REPLACE ONLY PE SVC FROM MN TO
WHERE EXIST EXT CAN BE CAUGHT WITHIN LOT 2813, LEAVING EXISTING MTR AND THAT SIDE OF SVC AS IS
Service Information Street Information Job Type
Altered Residential Svc
EFV:1-1/8" - 2600 - 9999144 Police #:TCP:Yes
Diameter:1-1/8" PE Flaggers #:Arterial:No
Tie-In Fitting
Trolley Lines:No Mtr Hoods #:
Meter:A630 Speed Limit:
Route #'s:Bollards:2.5" #4" #ADA Ramps #:
Del Press:6" W.C.Traffic Signal:No Bus Stop:No
20 No Parks #:
Meter Loc:03 - OL
of CL of CL
East of CL HARRINGTON PL NE 42'SE RAD NE 23RD PL 4X6
KNT FLT - Kent
of CL of CL
CONCRETE
of CL RAD
248'
CL 2" MPE IP 43'R109090559-201685FT DIAMETER
1ST PART OF THE SVC TO 2813 IS ENCROACHING IN 2817'S LOT SO RELOCATE REQUESTED BY 2817
2813 WILL PROVIDE OPEN TRENCH BECAUSE LOT OF HIS OWN FACILITIES UNDERGROUND IN SVC PATHWAY
WATER & SEWER OUTSIDE OF SVC PATH -SEE CITY OF RENTON MAP
MFP21003969
RESTORATION PER CITY OF RENTON STANDARDS
320732253213253020232029261624282422244627092705261126152701271627102704262026142648272527162633210926082618261526142621262626202632263826022600260526022608260326072622262520112017202020182012202328072825282628202817281328142809280828052802272823032722271327162746241231223219320132313402252925412535251925132507252725053212250625142522252125153402608270026162624270827242732274027392733272927252717270927012645261326212629263726162625270127092633270127092617261727172801220926102200270227172216609203227022167210321102130290029082912290427142708203027152024212521362905203727202033212420222813281925232300262726332434244024502638263226282609NE 24TH ST2ND STRRINGTON PL NENE 21ST STNE 23RD PLHARRINGTON PL NENE 23RD STFERNDALE PL NE
OOD AVE NE
NE 24TH CTNE 25TM O N R O E
JEFFERSON AVE NE
31'S165'N30'E162'N140'N,30'E14'N2" MPE IP 22'N 109090559-20162" MPE IP 22'W 109090559-20162" MPE IP 22'N 109090559-20162" MPE IP 43'R 109090559-20162" MPE IP 22'N 109090559-20161 1/4" MP E IP 27'W 950460 3 JT
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107005 614-1999 JT
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1 1/8" MPE2012-E1 1/8" MPE2016-E1 1/8" MPE2016-E1 1/8" MPE2016-E1 1/8" MPE2016-E1 1/8" MPE2014-E1 1/8" MPE2016-E1 1/8" MPE2016-E1 1/8" MPE2016-E1 1/8" MPE2016-E1 1/8" MPE2013-E3/4" STW-U19631 1/8" MPE2016-E5/8"916'E5/8"165'W1 1/8" MPE2016-E5/8" MPEI2007-E5/8"652'E1 1/8" MPE2016-E1 1/8" MPE2017-E1 1/8" MPE2018-E1 1/8" MPE2019-E1 1/8" MPE2018-E5/8" MP19955/8" MPEI19965/8" MPE19975/8" MPE19965/8" MPEI19965/8" MPE19965/8" MPEI19955/8" MPE19975/8" MPE19955/8" MPE19965/8" MPE19975/8" MPEI19961 1/8" MPE2016-E1 1/8" MPE2016-E1 1/8" MPE2016-E1 1/8" MPE2017-E5/8" MPEI19965/8" MPE20021/2" STW-U19681/2"5/8" MPE2007-E5/8" MPEI2007-E5/8" MPEI2007-E5/8" PE19825/8" MPEI2007-E5/8"374'E5/8"444'E5/8"376'E5/8" MPE20015/8" MPE2001-E5/8"5/8" MPE20011 1/8" MPE2017-E1 1/8" MPE2016-E5/8"180'E5/8" MPE2011-E5/8"142'E5/8"18 0'E5/8"164'E5/8"164'E 5/8"164'E5/8" MPEI2010-E1 1/8" MPEI2011-E5/8" MPEI2010-E5/8" MPEI2009-E5/8" MPE20031/2" STW-U19691/2" STW-U19691/2"1/2" STW-U19675/8"104'E5/8"38'E5/8"88'E5/8"964'E5/8"20'W5/8"972'E5/8" PE19945/8" PE19941 1/8" MPEI2009-E1 1/8" MPEI2010-E5/8" PE19855/8" PE19855/8" PE19945/8" MPEI19955/8" MPEI19965/8" MPE19965/8" MPE19955/8" MPEI20055/8" MPE19955/8" MPEI19975/8" MPEI19965/8" MPEI19955/8" MPEI20005/8" MPEI20015/8" MPEI20015/8" MPEI20005/8" MPEI20005/8"598'E1/2" STW-U19661/2" STW-U19671/2" STW-U19685/8"596'E5/8" MPE19961/2" STW-U19671/2" STW-U19671/2" STW-U19675/8" MPEI20045/8" PE19905/8"688'E5/8"736'E5/8"756'E5/8"816'E1/2" STW-U19731/2" STW-U19681/2" STW-U19675/8" MPE1998-E5/8"881'E3/4" STW-U19633/4" STW-U19635/8" MPE20005/8" MPEI20005/8" MPEI20005/8" MPEI20005/8" MPEI20015/8" MPEI20005/8" MPEI20003/4" STW-U19653/4" STW-U19653/4" STW-U19663/4" STW-U19665/8"504'E5/8"444'E1/2" STW-U19741/2" STW-U19725/8" MPEI2007-E5/8" MPEI2007-E5/8" MPEI2007-E5/8" MPE20005/8" MPE20005/8"446'E1/2" STW-U19695/8"528'E1/2" STW-U19665/8" PE1991-E1/2" STW-U19675/8" MPEI20005/8" MPE20005/8" MPEI20003/4" STW-U19655/8" MPEI20005/8" MPEI20001/2" STW-U19695/8" PE19905/8" PE19925/8" MPEI20045/8" MPEI20045/8" PE19795/8" MPEI2007-E5/8" MPEI2007-E3/4"0130'NTFTFTF8'STF612'ETF30'N57'S129'E
35'W91'R206'E13'E46'S50'W1123'E157'E24'S47'S154'W191'W753'E343'W605'E471'E35'E111'E246'E170'E74'E380'E53'S139'E121'S67'W716'E528'E197'W127'S948'S378'S349'S324'S267'S300'S254'N309'N568'S624'S635'S86'W868'S888'S862'E1008'E1007'E1051'E1080'E1079'E1120'E1153'E1154'E1183'E1187'E1204'Eunset50'W23'E75'E50'W268'N42'E343'E472'E15'W84'E79'E313'S147'S930'E929'E863'E781'E686'E595'E601'E752'E188'E182'E202'N145'N200'N25'W292'N346'N190'N288'E286'E177'W234'E 134'W634'E457'E384'E386'E530'E50'S136'E165'S22'S348'E12'W565'E16'W242'E153'N558'E682'E159'E45E93'E30'W503'E430'E214'EOF PAVAT EDGEMAIN ROPESJT BEGINSNRA157'E,14'S106327947A1-20 lbs106360611214'E,6'N-SPL106329576A1123'E,10'SAA
A ATL157'ETLTLTL329'ETLTL130'NTL18'ETLTLTLTTTTT90E34'N11'S1'N22'NH92'E32'N31'NHH22'WH34'W329'E249'E1208'E336N 270'S312'N
200'N290'E153'N686'E180'W173'E182'ENR19'W,328'S20'W481'E15'WT93'ET151'NSP129'NS607'EBS610'E D2305E040, R2305E014, A2305E014S204080, Q204084The 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).“08-05-2021Scale 1:2278Lat\Long=47.5124, -122.1801MFP21003969