HomeMy WebLinkAboutMFP22004368.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP22004368
IVR Number: 22004368
Permit Information
Permit Name: Puget Sound Energy Gas Permits
Address/Location:08/16/2022Application Date:6198400125Parcel Number: 19016 116TH AVE SE
Permit Type:09/07/2022Issue Date:Franchise
Permit Work Class:09/07/2023Expiration Date:Minor Utility
Job Number: 107059526Franchise Type:Natural Gas
Description: PSE Gas Install 2" HVTT tie in on existing main 107025166 88'E of 117TH PL SE & 16'S of SE 191ST ST. Install 2"
MPE 7 main via open trench approx. 40'.
Install 2" B.O. tie in on existing main 7428 10'W of 116TH AVE SE & 1397'S of SE 189TH PL. Install 2" MPE 7 main via
open trench approx. 40'
2:40' ASPHALT CUTS ANTICIPATED
Contacts
Name Address PhoneTypeBilling
Corrie Rydberg
Puget Sound Energy
3702 71st Ave W
University Place, WA 98466
C: (253) 905-5031ApplicantX
Stuart Bennett
Infrasource Services LLC
1622 Eastport Plaza Dr
Collinsville, IL 62234
B: (303) 419-8755
H: (425) 677-5197
C: (713) 985-6489
Contractor
Business License Number: 36742Construction Contractor: INFRASL871C2
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
Owner
Corrie Rydberg
Puget Sound Energy
3702 71st Ave W
University Place, WA 98466
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.
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
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: 10/27/2021
Transportation Division | 1055 South Grady Way, 5th Floor | Renton, WA 98057 | 425-430-7380
Website: rentonwa.gov
TRAFFIC CONTROL PLAN APPLICATION
Published: 10/27/2021
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
INFRASOURCE, INC
6905 S 228TH ST KENT, WA 98032
PLEASE SEE ATTACHED
107059526
19016 116TH AVE SE
RANDY BLACKIE 425-457-2614
MFP22004368
Monday - Friday 8:00AM - 3:00PM
Scott Warlick CED 9/7/2022
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
Page 2 of 3 | Published: 10/27/2021
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.
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 a minimum of five business days (excluding weekends
and holidays) prior to starting any work.
Contractor or entity must notify King County Metro in writing at construction.coord@kingcounty.gov a minimum
of five business days (excluding weekends and holidays) prior to starting any work impacting bus stops, a
temporary lane or road closure. Work requiring removing a bus shelter or sign requires notification in writing a
minimum of 30 business days (excluding weekends and holidays). Please call King County Metro at 206-477-1140
with any questions.
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.
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.
Note: The Applicant is responsible for compliance with all codes and regulations, whether or not described in this document.
Page 3 of 3 | Published: 10/27/2021
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.
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)
CORRIE RYDBERG
19016 116th Ave SE
Renton
WA 98058
USA
11111111
111111111111 SE 192ND ST
116TH AVE SE1111SE 190TH LN 116TH AVE SE1111
SE 189TH LN
101012.512.5171111
1111
STOP
FLAGGER
STOP
FLAGGER
W20-7AROAD
WORK
AHEAD W20-1W20-4ONE LANEROADAHEAD200'200'200'W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD200'200'200'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4100'100'ROADWORKAHEADW20-1 BEPREPAREDTOSTOPW3-4
100'100'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4350'350'ROADWORKAHEADW20-1 BEPREPAREDTOSTOPW3-4
350'350'
W20-7AROADWORKAHEADW20-1 BEPREPAREDTOSTOPW3-4
100'100'100'
SE 192ND ST
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
TRENCH
28" TRAFFIC CONE
LEGEND
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
STOP
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
PSE PUGETSOUNDENERGY
JOB#107059526
19016 116th Ave SE, Renton, WA 98059
3/2/2021
safaa.alneema@pse.com
(425) 398-6077
SHEET 1 of 4
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 will be 397' SCL of SE 189th Ln & 10'
WCL of 116th Ave SE.
N
Puget Sound Energy
Traffic Control Supervisor:
Safaa Al Neema
Card No. 012611
Card Exp. 10/31/2024
Safaa.alneema@pse.com
(425)398-6077
MFP22004368
19016 116th Ave SE
Renton
WA 98058
USA
11111111
111111111111 SE 192ND ST
116TH AVE SE1111SE 190TH LN 116TH AVE SE1111
SE 189TH LN
101012.512.5171111
1111
STOP
FLAGGER
STOP
FLAGGER
W20-7AROAD
WORK
AHEAD W20-1W20-4ONE LANEROADAHEAD200'200'200'W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD200'200'200'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4100'100'ROADWORKAHEADW20-1 BEPREPAREDTOSTOPW3-4
100'100'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4350'350'ROADWORKAHEADW20-1 BEPREPAREDTOSTOPW3-4
350'350'
W20-7AROADWORKAHEADW20-1 BEPREPAREDTOSTOPW3-4
100'100'100'
SE 192ND ST
RESIDENT(S) WILL BE INFORMED OF
TEMPORARY DRIVEWAY CLOSURE
EMERGENCY VEHICLES WILL BE
ALLOWED TO PASS WORK ZONE.
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
TRENCH
28" TRAFFIC CONE
LEGEND
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
STOP
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
PSE PUGETSOUNDENERGY
JOB#107059526
19016 116th Ave SE, Renton, WA 98059
3/2/2021
safaa.alneema@pse.com
(425) 398-6077
SHEET 2 of 4
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 will be 397' SCL of SE 189th Ln & 30'
ECL of 116th Ave SE.
N
Puget Sound Energy
Traffic Control Supervisor:
Safaa Al Neema
Card No. 012611
Card Exp. 10/31/2024
Safaa.alneema@pse.com
(425)398-6077
MFP22004368
13131515SE 191ST ST116TH AVE SE
STOPFLAGGERSTOPFLAGGER
W20-7AROAD
WORK
AHEAD W20-1W20-4ONE LANEROADAHEAD100'100'100'W20-7AROADWORKAHEADW20-1 BEPREPAREDTOSTOPW3-4100'100'100'PLACE SIGNSBOTH SIDES OFWORK AREAFROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PARK
FROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARK RESIDENT(S) WILL BE INFORMED OFTEMPORARY DRIVEWAY CLOSUREEMERGENCY VEHICLES WILL BEALLOWED TO PASS WORK ZONE.TEMPORARY TRAFFIC CONTROL PLANTRENCH28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NPuget Sound EnergyTraffic Control Supervisor:Safaa Al NeemaCard No. 012611Card Exp. 10/31/2024Safaa.alneema@pse.com(425)398-6077PSEPUGETSOUNDENERGYJOB#10705952619016 116th Ave SE, Renton, WA 980593/2/2021safaa.alneema@pse.com(425) 398-6077SHEET 3 of 4Notes: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 16' NCL of SE 191st St & 110'ECL of 117th Pl SE.MFP22004368
13131515SE 191ST ST116TH AVE SE
STOP
FLAGGERSTOPFLAGGER
W20-7AROAD
WORK
AHEAD W20-1W20-4ONE LANEROADAHEAD100'100'100'W20-7AROADWORKAHEADW20-1 BEPREPAREDTOSTOPW3-4100'100'100'PLACE SIGNSBOTH SIDES OFWORK AREAFROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PARKFROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARK RESIDENT(S) WILL BE INFORMED OFTEMPORARY DRIVEWAY CLOSUREEMERGENCY VEHICLES WILL BEALLOWED TO PASS WORK ZONE.FLAGGERS WILL ASSISTPEDESTRIAN AROUNDWORK ZONETRENCH28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NPuget Sound EnergyTraffic Control Supervisor:Safaa Al NeemaCard No. 012611Card Exp. 10/31/2024Safaa.alneema@pse.com(425)398-6077Notes: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 16' SCL of SE 191st St & 110'ECL of 117th Pl SE.TEMPORARY TRAFFIC CONTROL PLANPSEPUGETSOUNDENERGYJOB#10705952619016 116th Ave SE, Renton, WA 980593/2/2021safaa.alneema@pse.com(425) 398-6077SHEET 4 of 4MFP22004368
116TH AVE SESE 189TH PLACE
(PUBLIC)
SE 191ST ST
(PUBLIC)
SE 189TH PLACE
(PUBLIC)(PUBLIC)116TH AVENUE SE(PUBLIC)ROAD A ROAD A
TRACT B
LOT 1
LOT 2 LOT 3 LOT 4 LOT 5 LOT 6
LOT 7
2" MPE IP 16'S
107025166 - 2006 JT
2" MPE IP 16'S TO 12'S
107025166 -- 2006 JT
153'W
139'S
325'N
2" MPE IP 21'W107026163 - 2007 JT5/8" MPEI2010-E36'E11719
5/8" MPE
1996 562'N
2" STW IP 10'W7428-19652" STW IP 10'W7428-6530'E17'S2" MPE IP 16'W107025166 - 2006 JTF.H.UTILITY
CONFLICT
117TH PL SE(PUBLIC)11725 11731
19015
19009
1911319101
19107
11645
60'26'47'33'FLOWFLOW
FLOWFLOWFLOW
FLOW'A'
'B'
SEE CONST.
DETAIL
TRACT A
19030
19021
441'N
5.5' ROW DEDICATION9'WOwner / Developer Contact Info
officeATTN:
19016 116th LLC
39805 212TH AVE SE
ENUMCLAW, WA 98022
SCOTT L JEPSON 253.592.4299
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" = 50'105094139 107059526
Excavator 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-___.
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 425.457.2614 .
K.COSTLEY 425.272.7075 11.23.20
E. PASAYE . 11.18.20
REDT # ( RW-117396 )CITY OF RENTON
WANG SHORT PLAT
2" MPE-___ GAS MAIN EXTENSION - 7 S/F LOTS
19016 116TH AVE SE, RENTON, WA 98058
PUGET SOUND ENERGY
107059526
105094139
1" = 50' 1 OF 2
KING 132A CIKNC
33SW-T23N-R05E 212.080 215.084
COMCAST
TODD ZIMNY
.
LUMEN TECHNOLOGIES
KENNETH LUU
206.346.0144
RIGHT OF WAY
AMBER YANG
425.456.2774
.
.
.
...
...
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)
509074578 107059526
N/A 106365570
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-_ 97 FT
JOINT 2" MPE-_ 563 FT
.. ..
.. ..
.. ..
.. ..
Cell Phone:
Project Manager Contact Information:
"Locates Required"
"Flagging Required"
Yes No
Yes No
E-Mail:
Manager:RANDY BLACKIE
425.457.2614
randy.blackie@pse.com
60 IP 132-60
N/A N/A
SITE PLAN
xx
INSTALL 2" = 97 FT
JOINT 2" = 563 FT
...
...
...
Scott@AnaiyahHomes.com
IP 132-60
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
/ /
/ /
/ /
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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
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DATE OFF
PRESSURE
DATE ON
TEST RESULTS
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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
N
Vicinity Map
47.4316, -122.1863
SITE
2" HVTT TIE-IN
16'S C/L & 110'E C/L
______'S C/L & _____'E C/LPROP. 2"PROP. 2"
T01
CONSTRUCTION DETAIL
N.T.S.
BEGIN JOINT MAIN
14'N C/L & 110'E C/L
______'N C/L & _____'E C/L
2" POLYVALVE/OPEN
W/ BOX & SUPPORT
19'N C/L & 110'E C/L
______'N C/L & _____'E C/L
2" 90° ELBOW
28'N C/L & 110'E C/L
______'N C/L & _____'E C/L
JOINT 2" MPE-___
5' @ 110'E C/L
(______)' @ _____'E C/L
JOINT 2" MPE-___
9' @ 110'E C/L
(______)' @ _____'E C/L
INSTALL 2" MPE-___
30' @ 110'E C/L
(______)' @ _____'E C/L
JOINT 2" MPE-___
549' @ 28'N C/L TO 18'N C/L
(______)' @ _____'N C/L TO _____'N C/L
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
CONDUIT
OFFSET (As
Built)
X01 'A' 'B' 4 40 1 E
2 80 1 ( )' ECL 55 GAS MAIN, PRIMARY
3 80 1 ( )' ECL 55 SECONDARY
4" PVC PLUG /CAPS = 2 4" YELLOW SCH 40 PVC = 55 FT 2" SCH 80 GREY PVC = 55 FT 2" PVC PLUG /CAPS = 2
3" SCH 80 GREY PVC = 55 FT 3" PVC PLUG /CAPS = 2
2" B.O. TIE-IN
W/ 90 DEG WELD
397'S C/L & 10'W C/L
______'S C/L & _____'W C/L
2" T.L. & T.F.
397'S C/L & 11'W C/L
______'S C/L & _____'W C/L
BEGIN JOINT MAIN &
2" POLYVALVE/OPEN
W/ BOX & SUPPORT
18'N C/L & 57'E C/L
______'N C/L & _____'E C/L
INSTALL 2" MPE-___
66' @ 397'S C/L
(______)' @ _____'S C/L
INSTALL 2" MPE-___
1' @ 397'S C/L
(______)' @ _____'S C/L
street lights will be installed
at the back of sidewalk. the
concrete pads are 3' wide. the
gas must be a minimum of 4-feet
behind the sidewalk
POTHOLE ALL EXISTING UTILITIES
RESTORATION PER CITY OF RENTON STANDARDS
MFP22004368
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 425.457.2614 .
K.COSTLEY 425.272.7075 11.23.20
E. PASAYE . 11.18.20
REDT # ( RW-117396 )CITY OF RENTON
WANG SHORT PLAT
2" MPE-___ GAS MAIN EXTENSION - 7 S/F LOTS
19016 116TH AVE SE, RENTON, WA 98058
PUGET SOUND ENERGY
107059526
105094139
N/A 2 OF 2
KING 132A CIKNC
33SW-T23N-R05E 212.080 215.084
COMCAST
TODD ZIMNY
.
LUMEN TECHNOLOGIES
KENNETH LUU
206.346.0144
RIGHT OF WAY
AMBER YANG
425.456.2774
.
.
.
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EX PLAT MAP 215.084
NOT TO SCALE
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)
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
42"
45°42"
1'
45°Property LineRoad Side
Top View of Mainline Trench for
Single Stubout Location
4'Property LineRoad Side
Top View of Mainline Trench for Pedestal
or Double Stubout Location
42"45°
4'
45°
STUBOUT EXCAVATION DIMENSIONS
NOT TO SCALE
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-__10 ( ')ECL 2600
SS SINGLE 2" MAIN 2 1 1/8 MPE-__10 ( ')ECL 2600
SS SINGLE 2" MAIN 3 1 1/8 MPE-__10 ( ')ECL 2600
SS SINGLE 2" MAIN 4 1 1/8 MPE-__10 ( ')ECL 2600
SS SINGLE 2" MAIN 5 1 1/8 MPE-__10 ( ')WCL 2600
SS SINGLE 2" MAIN 6 1 1/8 MPE-__10 ( ')WCL 2600
SS SINGLE 2" MAIN 7 1 1/8 MPE-__10 ( ')ECL 2600
SS SINGLES = 7 70 FT 1 1/8" PE PIPE
SITE
NOT TO SCALE
CROSS SECTION - SE 191ST ST
LOOKING WEST
N
47' ROW
PROP. 2" MPE IP - 28'NCL
S
GGEX 2" MPE IP - 16'S
107025166-2006 JT
NOT TO SCALE
CROSS SECTION - ROAD A
LOOKING WEST
N
26' ROW
PROP. 2" MPE IP - 18'NCL
S
G
MFP22004368