HomeMy WebLinkAboutMFP23002491.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP23002491
IVR Number: 23002491
Permit Information
Permit Name: Puget Sound Energy Gas Permits
Address/Location:05/11/2023Application Date:2146000010Parcel Number: 1010 THOMAS AVE SW
Permit Type:05/18/2023Issue Date:Franchise
Permit Work Class:05/17/2024Expiration Date:Minor Utility
Job Number: 109149260Franchise Type:Natural Gas
Description: PSE Gas CREW TO REPLACE EXISTING GAS SERVICE AT MAIN. POTHOLE ALL EXISTING UTILITIES.
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) 905-5031ApplicantX
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
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 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
INFRASOURCE, INC
6905 S 228TH ST KENT, WA 98032
PLEASE SEE ATTACHED
109149260
1010 THOMAS AVE SW
Gayle Plaisance 425 417 0150
MFP23002491
Monday - Friday 8:00AM - 3:00PM
Scott Warlick CED 5/18/2023
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
1010 Thomas Ave SW
Renton
WA 98057
USA
20 20 THOMAS AVE SWSW 7TH ST
PLACE SIGNSBOTH SIDES OFWORK AREAFROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARKFROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PARKW20-7AW20-4ONE LANEROADAHEADX'X'X'ROADWORKAHEADW20-1W20-7A1-LN-RD-AHDONE LANEROAD
AHEADX'X'X'ROAD
WORK
AHEAD W20-1STOP
FLAGGERSTOPFLAGGER
RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
USE MAXIMUM AVAILABLE
SPACE FOR SIGNS
USE MAXIMUM AVAILABLE
SPACE FOR SIGNS
TEMPORARY TRAFFIC CONTROL PLAN
N
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
Project Address:
Page
PSE PUGETSOUNDENERGY
Designer:
Job #
REV
Matlock Highbarger
(808) 375-4152
Matlock.Highbarger@PSE.com
1 OF 21010 Thomas Ave SW, Renton, WA
0
11922723
04/17/2023
Puget Sound Energy
Traffic Control Supervisor:Gregory Harwood
Card No. 012238
Card Exp. 09/30/2023
gregory.harwood@pse.com
(425)424-6425
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 10' 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 966' South of centerline of SW
7TH ST, and 21' West of centerline of THOMAS AVE
SW.
WORK PIT
LEGEND
28" TRAFFIC CONE
SIGN LOCATION
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
MFP23002491
1010 Thomas Ave SW
Renton
WA 98057
USA
20 20 THOMAS AVE SWSW 7TH ST
PLACE SIGNSBOTH SIDES OFWORK AREAFROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARKFROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PARKW20-7AW20-4ONE LANEROADAHEADX'X'X'ROADWORKAHEADW20-1W20-7A1-LN-RD-AHDONE LANEROADAHEADX'X'ROAD
WORK
AHEAD W20-1STOP
FLAGGERSTOPFLAGGER
RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
USE MAXIMUM AVAILABLE
SPACE FOR SIGNS
USE MAXIMUM AVAILABLE
SPACE FOR SIGNS
CREW SHALL POTHOLE
FOR WATER MAIN DEPTH
PRIOR TO PROJECT START
Project Address:
Page
PSE PUGETSOUNDENERGY
Designer:
Job #
REV
Matlock Highbarger
(808) 375-4152
Matlock.Highbarger@PSE.com
2 OF 21010 Thomas Ave SW, Renton, WA
0
11922723
04/17/2023
Puget Sound Energy
Traffic Control Supervisor:Gregory Harwood
Card No. 012238
Card Exp. 09/30/2023
gregory.harwood@pse.com
(425)424-6425
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 10' 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 966' South of centerline of SW
7TH ST, and 10' East of centerline of THOMAS AVE SW.
WORK PIT
LEGEND
28" TRAFFIC CONE
SIGN LOCATION
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
TEMPORARY TRAFFIC CONTROL PLAN
N
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
MFP23002491
Service Address:
City Zip:
Customer:Phone:
Customer Email:
Est. Start Date:
Site Contact Email:
&
&
&
No
Job Description
New Construction:
Construction Method
Building Foundation Type
Septic System
1-2 Days
No
Slab
Trench
Renton
YESROW Permit:
Jurisdiction:
Replace existing 1" STW Commercial Complete Service with a new 2" PE Complete
Service and install a new Custom 3 meter manifold & (4) 4" Bollards / Contact
Jamie Randall @ 206-308-4831 before starting the job
Est. Duration:
2" Weld Tee
PLAT Map:
N
EFV:2" 10,000 Police #:0 TCP:YES Tie-In Fitting
Meter:Speed Limit:20 No Parks #:YES
Job Type
Diameter:Flaggers #:2 Arterial:
Del Press:6" W.C.Traffic Signal:N/A Bus Stop:No
Bollards:2.5" #4" #4 ADA Ramps #:N/A Route #'s:N/A
Meter Loc:Trolley Lines:No Mtr Hoods #:0OF
No Altered Commercial Service
Service Information Street Information
2" PE
Work Location
966'South
Surface Type
GRS
A
Size of Cut
GRS
of CL SW 7 St 21'West of CL Thomas Ave SW 3 X 5 X 3
PM / Inspector:
Gayle Plaisance
98057
Phone:425-417-0150
Puget Sound Energy Gas Pre-Inspect Form
3/24/23Date:
109149260Job #:
Renton
1010 Thomas Ave SW
PSE 888-225-5773
N/A
Phone:206-498-0053Ken Elvsaas
3 X 5 X 3
966'South of CL SW 7 St 35'East of CL
966'South of CL SW 7 St 10'East of CL Thomas Ave SW
210.079
Thomas Ave SW 3 X 5 X 3Water Main @ 10' E c/l2" STW MAIN @ 21' W c/l 68E-285P/L P/L
C/L
ROW 60' FT
Thomas Ave SW1" STW Svc 1010SW 7 St
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PPower @ 35' E c/l21" Surface water
main
POTHOLE ALL EXISTING UTILITIES
RESTORATION PER CITY OF RENTON STANDARDS
8" gravity
wastewater main
MFP23002491