HomeMy WebLinkAboutMFP22003983.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP22003983
IVR Number: 22003983
Permit Information
Permit Name: Century Link Permits
Address/Location:07/28/2022Application Date:7224500335Parcel Number: 530 BURNETT AVE N
Permit Type:04/27/2023Issue Date:Franchise
Permit Work Class:04/26/2024Expiration Date:Minor Utility
Job Number: N.551941.E.01/N.729364.E.01Franchise Type:Telephone
Description: Century Link transfer services from old pole to new pole already installed.
Contacts
Name Address PhoneTypeBilling
Austin Sweeney
Century Link
23315 66th Ave S
Kent, WA 98032
C: (253) 766-7549Applicant
Jazmine Ford
Osmose
Contact
Jesse Patjens
CenturyLink / Lumen
23315 66th Ave S
Kent, WA 98032
Contact
Austin Sweeney
Century Link
23315 66th Ave S
Kent, WA 98032
C: (253) 766-7549Contact
Kim Parker
QWest Corporation
931 14th St, Suite 1000A
Denver, CO 80202
B: (303) 992-0752Contact
Michael Smith
North Sky Communications
21320 84th Ave S
Kent, WA 98032
C: (206) 305-5881Contractor
Business License Number: 36846Construction Contractor: NORTHSC857Q4
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
Owner
QWest/Century Link - Billing 23315 66th Ave S
Kent, WA 98032
Specialized
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 425.235.7736) (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 COMMUNITY
AND ECONOMIC DEVELOPMENT
Page 1 of 1 | Published: 1/2/2019
Planning Division | 1055 South Grady Way, 6th Floor | Renton, WA 98057 | 425-430-7200
Email: franchisepermits@rentonwa.gov Website: rentonwa.gov
FRANCHISE PERMIT APPLICATION
Published: 1/2/2019
TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the Site
Specific Traffic Control Application to franchisepermits@rentonwa.gov. Permit cost is $630.00. Inspection fee
for trenching more than 60 lineal feet or installation of 6 or more poles will be billed at $60.00 per hour.
Franchise Agency:
Franchise Job Number: Phone:
Contact Name: Email:
Job Site Address: Project Name:
Description of Work:
Please check all that apply:
☐New Construction ☐Repair/Relocate ☐Underground ☐Overhead ☐Sidewalk ☐Street
☐Open Trench ☐ Bore # of feet:
Contractor Name: Phone:
State Contractors License #: City of Renton Business License #:
“I certify that I am the owner or applicant’s authorized agent and do hereby agree to abide to the terms and conditions set forth
under this permit and shall comply with the City of Renton’s Trench Restoration and Street Overlay Requirements. ”
Signature Date
INSPECTIONS SHALL BE REQUESTED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE
INSPECTION LINE AT 425-430-7203 OR BY GOING TO MYBUILDINGPERMIT.COM
Jobs are required to be called in for job start, re-inspection and project final. Re-inspection fees are billed at
$125/hour. All Pre-Construction meetings shall be scheduled at a maximum of 14 days prior to the job start date.
Plan Review/Development Engineering Date Approved as submitted
Pre-Construction Meeting required
Site Construction Inspector Date Approved with comments or redlines
Camera inspection of utilities required
Development Engineering Manager Date
Lumen-CenturyLink
Michael Cicilian Michael.Cicilian@lumen.com
360-946-2890
Transfer CenturyLink services from old utility pole to new foreign pole already in place;
North Sky Communications, LLC 360-946-2890
NORTHSC857Q4 601-973-572
N.551941.E.01/N.729364.E.01
530 Burnett Ave N Nat'l Foreign Pole Transfer
6/29/22
Scott Warlick 8/11/2022
MFP22003983
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
Lumen- CenturyLink Pole Transfer
8 a.m. 5 p.m.
Transfer CenturyLink services from old utility pole to existing foreign pole.
North Sky Communications, LLC
Robbie Thoman 360-951-6797
11818 SE Mill Plain Blvd.,Ste 410 Vancouver 98684
530 Burnett Ave N (N.551941.E.01/N.729364.E.01)
7/18/22 8/8/22
MFP22003983
Scott Warlick CED 8/11/2022
Monday - Friday 8:00AM - 3:00PM
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)
Jazmine Ford
6/29/22
POLE TRANSFER OF CENTURYLINK FACILITIES FROM OLD POLES TO NEW FOREIGN POLES
State: Washington Wire Center: RNTNWA01 Job #: N.551941.E.01/N.729364.E.01
Address: 530 Burnett Ave N Asset Tag: A2813945
Section: 8 Town: 23N Range: 5E Lat/Lon: 47.491495, -122.2066288333 X=OLD POLE T=NEW FOREIGN POLE TX MFP22003983
Transfer 1 cable attachment, 4 aerial drops; Expose
existing facilities; Remove 1 u-guard, 1 cross-arm, 1
pole marking, pole steps; Install 1 cable tag, 1 pole
marking, 1 riser pipe, splice copper connector in
buried environment, copper cable placement in
buried environment, concrete assembly unit.
MFP22003983
MFP22003983
MFP22003983
TRAFFIC FLOW
PERM LANE MARKINGS
TAPERS / TANGENTS
PROTECTIVE VEHICLE
W/BEACON
TRUCK-MOUNTED
ATTENTUATOR
PORTABLE TRAFFIC
SIGNAL
SLOW
VMS12
LEGEND
FLAGGER
OFFICER
SURVEYORS
WORK SPACE
UTILITY WORK
CONSTRUCTION
DEVICES
SIGNS
BARRICADES
ARROW BOARD
ARROW MODE
ARROW BOARD
CAUTION MODE
PCMS
/ VMS
TEMPORARY TRAFFIC CONTROL PLAN
Not Drawn to Scale
This sketch not to be relied upon for exact location of utilities.
CALL (800) 424-5555 TWO BUSINESS DAYS BEFORE YOU DIG
PERMIT
DRAWING NOT
TO SCALE
Drawn by: D Sandall - WA TCS Certificate # 8957
6/13/2019
1 of 1
City of Renton
WORK HOURS
LANE WIDTH
POSTED SPEED
BUFFER
SIGN SPACING
DEVICES TAPERS
DEVICES TANGENT
SHOULDER TAPER
X
9am to 5pm
12ft
+/-200ft
50ft
30mph
200ft
40ft
20ft
OSMOSE
Simone Mann
770.631.6969
N.551941.E.01
530 Burnett Ave N
Renton
smann@osmose.com
PROJECT
PROJECT
LOCATION
Yes No
Traffic Control Supervisor(TCS) X
Flaggers/Spotters X
Uniformed Officer X
Notes:
1. All signs and spacing must conform to the City of Renton, WSDOT and the MUTCD.
2.All signs are 48”x48” B/O unless otherwise specified.
3.Channeling devices are 28” cones with retro reflective banding.
4. Notify City , County or WSDOT authorities 48 to 72 hours in advance of work if required.
“K&D Services, Inc., as the preparer of this traffic control plan makes no representation as to its general adequacy or being
approved for implementation. Approval must come from the Traffic Engineer or other public official having statutory enforcement
authority in the jurisdiction. Utilization and implementation of this plan shall be as a result of that approval. Ref: MUTCD 2009 6A-
01(10).”
530 Burnett Ave N
Osmose
Farhan Shahbuddin
770.631.6983
N.350051.E.01
N.349524.E.01
2104 & 2012 NE 87thAve
Vancouver, WA
fshahbubbin@osmose.com
OSMOSE
Asia Johnson
770.631.6942
N.3611310
5109 Shilshole Ave NW
Seattle
asiajohnson@osmose.com
Work at pole A2813945
MFP22003983