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Home My WebLink AboutMFP23001853.pdfDEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Minor Franchise Permit: MFP23001853 IVR Number: 23001853 Permit Information Permit Name: Puget Sound Energy - Electric Address/Location:04/10/2023Application Date:0087000226Parcel Number: 16605 BENSON RD S Permit Type:05/08/2023Issue Date:Franchise Permit Work Class:05/07/2024Expiration Date:Minor Utility Job Number: 105098046Franchise Type:Electric Description: Install wooden pole for streetlight per COR's request. Restoration per City of Renton standards. Contacts Name Address PhoneTypeBilling Corrie Rydberg Puget Sound Energy 3702 71st Ave W University Place, WA 98466 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 Puget Sound Energy Inc 10885 NE 4th Street, PSE08-N08 Bellevue, WA 98009 B: (888) 225-5773Emergency Contact HORSMAN RYAN E+NAIR VIDYA (16605 BENSON RD S RENTON, WA 98055 Owner Corrie Rydberg Puget Sound Energy 3702 71st Ave W University Place, WA 98466 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 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 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 PLEASE SEE ATTACHED POTELCO, INC 6905 S 228TH ST KENT, WA 98032 105098046 16605 BENSON RD S NATALIA MEDINA NATALIA.MEDINA@PSE.COM Monday - Friday 9:00am 2:30pm Scott Warlick CED 5/8/2023 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 S 28TH PLSE 29TH ST108TH AVE SE106TH AVE SE SL112 12 11111212 W20-1RO A D WO R K AH E A D W20-4ONE L A N E ROA D AHE A D350'350'350'W20-7A10 10 W20-1ROAD WORK AHEAD BE PREPARED TO STOP W3-4100'100'100'W20-7AW20-1ROADWORKAHEADW20-4ONE LANEROADAHEAD350'350'350'W20-7AW20-1ROADWORKAHEAD STOP STOP STOP 1 0 10STOP THE CREW SHALL CEASEWORK FOR A FLAGGER/SPOTTERTO ESCORT PEDESTRIANSAROUND THE WORK AREASPOTTERFROM TO TOW AWAY AREA PHONE 684-5444 NAME OF FIRM XXX-XXX-XXXX NO PARKINGPLACE SIGNS ALONG WORK AREAW20-1ROADWORKAHEADNSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040Project Address:PagePSEPUGETSOUNDENERGYDesigner:Job #REVKali-Jamal Collins424-425-6425Kali-jamal.collins@pse.com1 OF 216605 Benson Rd S, Renton, WA0 51149281805/01/2023Notes: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 10' 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.TEMPORARY TRAFFIC CONTROL PLANPuget Sound EnergyTraffic Control Supervisor:Jamal I. CollinsCard No. 013375Card Exp. 10/2026Kali-Jamal.Collins@pse.com(425)424-642528" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPPOLEWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAY S 28TH PLSE 29TH ST108TH AVE SE106TH AVE SE P0112 12 11111212 W20-1RO A D WO R K AH E A D W20-4ONE L A N E ROA D AHE A D350'350'350'W20-7A10 10 W20-1ROAD WORK AHEAD BE PREPARED TO STOP W3-4100'100'100'W20-7AW20-1ROADWORKAHEADW20-4ONE LANEROADAHEAD350'350'350'W20-7AW20-1ROADWORKAHEAD STOP STOP STOP 1 0 10 FROM TO TOW AWAY AREA PHONE 684-5444 NAME OF FIRM XXX-XXX-XXXX NO PARKINGPLACE SIGNS ALONG WORK AREAW20-1ROADWORKAHEADProject Address:PagePSEPUGETSOUNDENERGYDesigner:Job #REVKali-Jamal Collins424-425-6425Kali-jamal.collins@pse.com2 OF 216605 Benson Rd S, Renton, WA0 51149281805/01/2023Notes: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 10' 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.TEMPORARY TRAFFIC CONTROL PLANPuget Sound EnergyTraffic Control Supervisor:Jamal I. CollinsCard No. 013375Card Exp. 10/2026Kali-Jamal.Collins@pse.com(425)424-6425NSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT80604028" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPPOLEWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAY DESIGNED BY: PUGET SOUND ENERGYUTILITIESCONTACTPHONE#COUNTY1/4 SECU-MAP NO (POWER)OP MAPEmer SectGas Wk CtrPOWER WK CTRPLAT MAPJOINT FACILITIES ARRANGEMENTSDRAWN BYCHECKED BYAPPROVED BYFOREMAN #1FOREMAN #2MAPPINGINCIDENTMAOPGas OrderElect OrderSCALEPAGEENGR - POWERENGR - GASFUNCTIONACCOUNT MGRPERMITREAL ESTATE/EASEMENT21REV#3NEW BUSINESSDESCRIPTIONBYCONTACTPHONE NODATEOH CKT MAPCIRCUIT NOUG CKT MAPMatt Maynard(425) 628-7701Natalia Medina(425) 985-1630Natalia Medina(425) 985-16302.27.23N/AN/ACITY OF RENTON-BENSON RD Sapprox 16605 Benson Rd S1050980461"=50'1 of 1KING35152305E1142305E136ROL-16N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ACORRECTIVE /10 DAY WAIVEDTHIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIESCALL (800) 424-55552 BUSINESS DAYS BEFORE YOU DIGFor contacts below dial 1-888-CALL PSE (225-5773)Cell PhoneCABLE TVPHONEProject Manager Contact Information:GASPROJECT PHASESSL NodeTemporaryJob OrderDistributionHP MainHP Svc/MSRemovalSt LightSuperiorPWRNOTIF#ORDER#N47.454008, -122.198235Owner / Developer Contact InfoMike Hammons(425) 765-1395INTOLIGHT STREET LIGHT NOTES1"=50'SCALE105098046IN ALL SHOEBOX AND COBRAHEAD INSTALLATIONS, THE LUMINAIREMUST BE LEVELED.SITE PLAN511492818City of RentonBlake Costa (425) 757-9994Street Light Installation105098046"Locates Required""Outages Required""Flagging Required"Yes NoYes NoYes NoXXXRenton, WA 98055STREET LIGHT TABLESITE#POLENEW LUMINAIREWO #BILLINGSCH.TOTALCONNLOADSSL NODEGRID #TAG #TYPEMTG HT.ARMWATTSSTYLESL1316869166261NEW 30' WD25'4'39WLED CHFLTYPE 210509804653120/2402.27.23Construction NotesAt SL1:- Install 30' CL3 Wood Pole at staked location- Install 39W LED CHFL on 4' arm- Install #4 DPX as per design and table- Mounting height at 25'- Install Tag and SSL Node- Flagging requiredVicinity Map141008055FOREMAN (CHECK BOX WHEN COMPLETED)PSE Equipment LOCKED/SECURED & Work Area left in CLEAN/SAFE Condition.Grid, Cable, and Switch numbers INSTALLED & VERIFIED.Field Changes RED-LINED on As-built.Indicate correct FUSE SIZE on As-built & VERIFY proper PHASE.Foreman's Signature _______________________________________________Print Name ___________________________________ Date ______________Material VERIFIED and CHANGES noted on Paperwork.Total PRIMARY Cable noted on As-built.Company ID#'s RECORDED in correct location on As-built.Correct QC Checklist(s) reviewed.Deviations noted on the As-built and their reason.I certify that the work performed meets PSE's standards and procedures and that all quality requirements are met.OH CIRCUITRY TABLELOCATIONSize(Wire)DesignLength (ft)ActualLength (ft)FromToP01SL1#4 DPX95TOTAL95RESTORATION PER CITY OF RENTON STANDARDS