HomeMy WebLinkAboutMFP23003275.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP23003275
IVR Number: 23003275
Permit Information
Permit Name: Puget Sound Energy - Electric
Address/Location:06/20/2023Application Date:7399200380Parcel Number: 1918 ROLLING HILLS AVE SE
Permit Type:07/05/2023Issue Date:Franchise
Permit Work Class:07/04/2024Expiration Date:Minor Utility
Job Number: 594155252Franchise Type:Electric
Description: Puget Sound Energy Electric REPLACE SECONDARY AND CONDUIT AT V01 (317169 166392). CREW WILL
BORE AND TRENCH APPROX 110' IN ROW
1 BP 2X8X3 HARD SURFACE; BP 2 2X14X3 HARD SURFACE; TRENCH 1X5X3 SOFT SURFACE
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
PLEASE SEE ATTACHED
POTELCO, INC
6905 S 228TH ST KENT, WA 98032
594155252
1918 ROLLING HILLS AVE SE
CHRISTIAN DOYLE 253-308-5903
Monday - Friday 8:00AM - 3:00PM
MFP23003275
Scott Warlick CED 7/5/2023
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
1918
1912
1906
ROLLING HILLS
A
V
E
S
E
LINCOLN
C
IRCLE
SE
SE 18
T
H
P
L
SE 19
T
H
C
T
1616
161616
16
1616M
M01 V01HH01
STOP
STOP
W20-1ROADWORKAHEAD W20-4ONE LANEROADAHEAD100'100'100'W20-7AW20-1ROADWORKAHEAD BEPREPAREDTOSTOPW3-4
100'
100'
100'W20-7AW20-1ROADWORKAHEADW20-4ONE LANEROADAHEAD100'100'100'W20-7AW20-7A
RESIDENT(S) WILL BE INFORMED OF
TEMPORARY DRIVEWAY CLOSUREFROMTOTOW AWAY AREAPHONE 684-5444NAME OF FIRM XXX-XXX-XXXXNO PARKINGPLAC
E
SI
G
N
S
B
O
T
H
SIDES
O
F
W
O
R
K
A
R
E
A
CROSS HERES/W
CLOSED
R9-11A CROSS HERES/W CLOSEDAHEADR9-11ADA COMPLIANT
CURB RAMP
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
Jason Bisenius
425-424-7316
jason.bisenius@pse.com
1 OF 11918 ROLLING HILLS AVE SE, RENTON, WA 98055
0
11937983
06/09/2023
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.
MINIMUM TAPER LENGTH=L (FT.)
LANE
WIDTH
10
11
12
20
70
75
80
25
105
115
125
30
150
165
180
35
205
225
245
40
270
295
320
45
475
495
540
POSTED SPEED (MPH)
50
500
550
600
55
550
605
660
60
-
660
720
65
-
-
780
70
-
-
840
LEGEND
28" TRAFFIC CONE
SIGN LOCATION
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
WORK AREA
CHEVRONARROW BOARD
FLAGGER
UNIFORMED
POLICE OFFICERPOLICE
STOP
WORK PIT
TRENCH
TEMPORARY TRAFFIC CONTROL PLAN
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 012238Card Exp. 09/30/2023gregory.harwood@pse.com(425)424-6425
MFP23003275
P# 7399200400
1906
P# 7399200390
1912
1918
ROL
LI
N
G
HI
L
L
S
AVE
S
E
P# 7399200680
1913
P# 7399200670
1907
P# 7399200660
1903
P# 7399200410
1900
D/W S/W D/W
D/W
GRASS
S/W BP-
2 BP-1B
P
-
3
OPEN TRENCH ~ 5'
OPEN TRENCH ~ 5'
BORE ~ 75'
BORE ~ 55'
OPEN TRENCH ~ 5'
P# 7399200380
ROL
LI
N
G
HI
L
L
S
A
V
E
S
E
1-3" - L______'
4/0 UG TPX
1-3" - L______'
350 UG TPX
SITE PLAN
SCALE: 1:50
EXISTING OH MAP
SCALE: 1:880 594155252Potelco, Inc.DESIGNED BY
FOREMAN (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.
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.
No
No
No
Yes
Yes
Yes
"Flagging Required"
"Outages Required"
"Locates Required"
MAKE NO CHANGES TO THIS JOB WITHOUT PRIOR APPROVAL
Notify Customers and Service Area
48 HRS Prior To Planned Outages
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
POTELCO DESIGN AND
Signature _________________________________________
Print Name _________________________________________
This design complies with PSE
Any/all variations have been
Design/Engineering Standards.
QUALITY ASSURANCE
pre-approved/documented by the
appropriate PSE Representative.
Date _________________
JOB SITE
Additional Work Order Code Numbers:
101161825, 108147297, 101161826, 108147298, 101161827, 108147299
SECONDARY CABLE & CONDUIT TABLE
LOCATION CABLE Assumed
Lot Corner
CONDUIT VOLTAGE
DROP
VOLTAGE
FLICKER ASBUILT INFORMATION
SIZE LENGTH
Design
(ft)
SIZE LENGTH
Design
(ft)
BENDS
Foreman - Complete
FROM TO (1/0,4/0,350)to Meter(ft)(in)90°45°22°11°(Percent)(Percent)
Actual Amount Installed
(Conduit & Cable)
V01 HH01 350 10 70 3 5 2.3 1.8
HH01 M01 4/0 150 70 3 140 2.6 2.8
SITE SPECIFIC NOTES
V01 (623011-153619) TO HH01
-CREW TO TRENCH FROM EXISTING TUT XFMR TO HH01 LOCATED ON 1906
-INSTALL NEW 1-3" SCH80 CONDUIT APPROX. 5' (ACTUAL = ______')
-REPLACE EXISTING UG SECONDARY W/ 350MCM UG TPX APPROX. 10' (ACTUAL = ______')
HH01 TO M01
-CREW TO BORE FROM HH01 TO METER LOCATED ON 1918
-INSTALL NEW 1-3" SCH80 CONDUIT APPROX. 140' (ACTUAL = ______')
-REPLACE EXISTING UG SERVICE W/ 4/0 UG TPX APPROX. 150' (ACTUAL = ______')
CREW NOTE
-POTELCO FOREMAN TO NOTIFY SYSOPS AND CLOSE O#900246 WHEN JOB IS COMPLETE
CABLE & CONDUIT DIAGRAM
NOT TO SCALE
VOLUME OF DISTURBANCE TABLE
TYPE DESCRIPTION PROPERTY
CLASSIFCATION
SIZE (FT)REM CU YD
(APPX)
GRAVEL FILL
CU YD (APPX)
COMMON SURFACE
TYPES
REMARKS
BP-1 BORE PIT ROW 2 X 8 X 3 1.8 1.8 CONCRETE
BP-2 BORE PIT ROW 2 X 14 X 3 3.1 3.1 CONCRETE
BP-3 BORE PIT PVT PROP 2 X 8 X 3 1.8 1.8 GRAVEL
OPEN TRENCH TRENCH ROW 1 X 10 X 3 1.1 1.1 GRASS
OPEN TRENCH TRENCH PVT PROP 1 X 5 X 3 0.6 0.6 GRAVEL
TOTAL PVT PROP CU YDS (APPX)2.3 2.3
TOTAL ROW CU YDS (APPX)6.0 6.0
TOTAL CU YDS (APPX)8.3 8.3
VAULT & EQUIPMENT TABLE
SITE GRID
NUMBER VAULT SIZE & COVER TYPE & SIZE
EQUIPMENT IN VAULT
PRIMARY
BUSHINGS TRANSFORMER
ID NUMBERS
(COMPANY ID)
REMARKS
LB DC
V01 317169
166392
EXISTING
VAULT
25kVA TUT XFMR
120/240v
EXISTING
--
TOTALS :--
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC
U-MAP NO (POWER)
OP MAP
Emer Sect Gas Wk Ctr POWER WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
FOREMAN #1
FOREMAN #2
MAPPING
INCIDENT MAOP
Gas Order Elect Order
SCALE PAGE
ENGR - POWER
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY
CONTACT PHONE NO DATE
OH CKT MAP CIRCUIT NOUG CKT MAP
C. DOYLE 253-308-5903 6/9/23
L. NEELY 253-569-2523 6/9/23
C. DOYLE 253-308-5903 6/9/23
RW-130785 RENTON
ROL16 CREW2 1918 ROLLING
HALF OUT
1918 ROLLING HILLS AVE SE, RENTON, WA 98055
O#900246 N/A
N/A 594155252
AS SHOWN 1/1
KING N/A N/A QCSOKE
SE 20-05-23 N/A N/A
2305E080 2305E088 2305E080 ROL-16
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
N/A N/A N/A
L. NEELY 253-569-2523 6/9/23
MFP23003275
POTHOLE ALL EXISTING UTILITIES
RESTORATION PER CITY OF RENTON STANDARDS