HomeMy WebLinkAboutMFP23004988.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Major Franchise Permit: MFP23004988
IVR Number: 23004988
Permit Information
Permit Name: Puget Sound Energy Gas Permits
Address/Location:10/01/2023Application Date:7223000010Parcel Number: 790 GARDEN AVE N
Permit Type:10/16/2023Issue Date:Franchise
Permit Work Class:10/15/2024Expiration Date:Major Utility
Job Number: 109146255Franchise Type:Natural Gas
Description: PSE Gas. INT. OF GARDEN AVE N & n 8TH ST. TIE IN TO 4" MPE PUP. INSTALL 233' OF 4" MPE MAIN, INSTALL 1
1/4" MPE SVC IN ROW, APPROX 47' IN ROW. CUT AND CAP EXISTING SERVICE. 5: ASPHALT CUTS AND 1
CONCRETE CUT
Contacts
Name Address PhoneTypeBilling
Corrie Rydberg
Puget Sound Energy
3702 71st Ave W
University Place, WA 98466
C: (253) 905-5031ApplicantX
INFRASOURCE SVCS B: (206) 949-5846Contractor
Business License Number: 36742Construction Contractor: INFRASL871C2
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
109146255
790 GARDEN AVE N
JEFF MCCOY 425-429-5821
MFP23004988
Monday - Friday 8:00AM - 3:00PM
Scott Warlick CED 10/16/2023
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
790 Garden Ave N Renton WA 98057 USA121112111212111211121211121112 BUSSTOP121112111212111112
10 10 10 10POLICEUPO
CONETOPPER
STOP
ARRW-BRD
W20-1ROAD
WORKAHEAD
LEFT LANECLOSED
AHEAD W20-5LW4-2L100'100'100'100'GARDEN AVE N N 8TH STCONETOPPERGARDEN AVE N
ARRW-BRDW20-1ROADWORKAHEADRIGHT LANECLOSEDAHEADW20-5RW4-2R100'100'100'100'PARK AVE N PARK AVE NN 8TH STN 8TH STBUSSTOPW20-1ROADWORKAHEAD BEPREPAREDTOSTOPW3-4200'200'200'W20-7AW20-1ROADWORKAHEADBEPREPAREDTOSTOPW3-4200'200'200'W20-7A
W20-7ALEFTKEEPR4-8BN 8TH STS/WCLOSEDR9-9CROSS HERES/W CLOSEDAHEADR9-11111212ONLY1010 1010
10101010
2525FENCEW20-7AW20-1
ROADWORKAHEAD100'KEEPR4-7BRIGHTKEEPR4-7BRIGHTCROSS HERE
S/W CLOSEDAHEAD
R9-11CROSS HERES/W CLOSEDAHEADR9-11 PLACE SIGN AT NW CORNER OFGARDEN AVE N & N 6TH STNSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040Project Address:PagePSEPUGETSOUNDENERGYDesigner:Job #REVJason Bisenius425-424-7316jason.bisenius@pse.com1 OF 3790 GARDEN AVE N, RENTON, WA 980570 11715074 09/18/2023Notes: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 during approved work hoursas per jurisdictional requirements. (Generallybetween 9 a.m. and 4 p.m. on non-arterials andfrom 9 a.m. to 3 p.m. on arterials. If night timework is approved, Night time work to take place between_____________and ______________.)LEGEND28" TRAFFIC CONESIGN LOCATIONTRAFFIC FLOWWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYWORK AREACHEVRONARROW BOARDFLAGGERUNIFORMEDPOLICE OFFICERPOLICESTOPWORK PITMINIMUM TAPER LENGTH=L (FT.)LANEWIDTH101112207075802510511512530150165180352052252454027029532045475495540POSTED SPEED (MPH)505005506005555060566060-66072065--78070--840RESTORATION TRAFFIC CONTROL PLANPuget Sound EnergyTraffic Control Supervisor:Stephen R GadkeCard No. 012922Card Exp. 7/31/2025Stephen.Gadke@pse.com(425)424-6431MFP23004988
790 Garden Ave N
Renton
WA 98057
USA10101010STOPGARDEN AVE NN 8TH ST 10101010STOP
W20-1ROAD
WORK
AHEAD W20-4ONE LANEROADAHEAD100'100'100'W20-7AKEEPR4-7BRIGHTKEEP
R4-7B
RIGHT100'W20-7AW20-1ROADWORKAHEAD BEPREPAREDTOSTOPW3-4
100'100'W20-1ROADWORKAHEADBEPREPAREDTOSTOPW3-4100'100'GARDEN AVE NN
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
2 OF 3790 GARDEN AVE N, RENTON, WA 98057
0
11715074
09/18/2023
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 during approved work hours
as per jurisdictional requirements. (Generally
between 9 a.m. and 4 p.m. on non-arterials and
from 9 a.m. to 3 p.m. on arterials. If night time
work is approved, Night time work to take place between
_____________and ______________.)
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
RESTORATION TRAFFIC CONTROL PLAN
Puget Sound Energy
Traffic Control Supervisor:
Stephen R Gadke
Card No. 012922Card Exp. 7/31/2025Stephen.Gadke@pse.com(425)424-6431
MFP23004988
790 Garden Ave N
Renton
WA 98057
USA10101010STOPGARDEN AVE NN 8TH ST N 8TH ST10101010
STOP
W20-1ROAD
WORK
AHEAD W20-4ONE LANE
ROADAHEAD100'100'100'W20-7A100'W20-7AW20-1ROADWORKAHEAD BEPREPAREDTOSTOPW3-4
100'100'W20-1ROADWORKAHEADBEPREPAREDTOSTOPW3-4100'100'
CROSS HERE
S/W CLOSED
R9-11AADA COMPLIANT
CURB RAMPCROSS HERES/W CLOSEDAHEADR9-11Project Address:
Page
PSE PUGETSOUNDENERGY
Designer:
Job #
REV
Jason Bisenius
425-424-7316
jason.bisenius@pse.com
3 OF 3790 GARDEN AVE N, RENTON, WA 98057
0
11715074
09/18/2023
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 during approved work hours
as per jurisdictional requirements. (Generally
between 9 a.m. and 4 p.m. on non-arterials and
from 9 a.m. to 3 p.m. on arterials. If night time
work is approved, Night time work to take place between
_____________and ______________.)
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
RESTORATION TRAFFIC CONTROL PLAN
Puget Sound Energy
Traffic Control Supervisor:
Stephen R Gadke
Card No. 012922Card Exp. 7/31/2025Stephen.Gadke@pse.com(425)424-6431
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
MFP23004988
Owner / Developer Contact Info
officeATTN:
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL 811 2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)
109146256
108639784
108639783
GAS
PROJECT PHASE Notification #Order #
Retire Main
Retire SVCs
SAP Superior
Service/Meter
Service/Meter
HP Svc/MSA
Dis. Reg. / FT
Ind. MSA
Ind. Service
Service/Meter
Service/Meter
LEGEND
FIELD NOTES:
FIELD DESIGNER:
CELL:
EMAIL:
CONSTRUCTION QUESTIONS:
PROJECT CONTACT INFORMATION:
CONST MANAGER:
CELL:
EMAIL:
PROJ MANAGER:
CELL:
EMAIL:
FOR MAIN DESIGNS REALIGNMENTS - FIELD DESIGNER
SHALL BE CONTACTED:
BILLING QUESTIONS:
425-429-5821
JEFF MCCOY
jeff.mccoy@pse.com
206-255-4824
STEVE MELLINGER
steve.mellinger@pse.com
425-429-5821
JEFF MCCOY
jeff.mccoy@pse.com
Cell Phone:
"Locates Required"
"Flagging Required"
Yes No
Yes No
E-Mail:
Manager:
Project Manager Contact Information:
JEFF MCCOY
425-429-5821
jeff.mccoy@pse.com 109146255HOLE HOG/BORE TABLE
CALLOUT LOCATION DEPTH LENGTH
BP1 START
BP2 END
BP3 START
BP4 END
BP5 START
BP6 END
BP7 START
BP8 END
BP9 START
BP10 END
BP11 START
BP12 END
BP13 START
BP14 END
BP15 START
BP16 END
BP17 START
BP18 END
BP19 START
BP20 END
BP21 START
BP22 END
BP23 START
BP24 END
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
GASSED UP PIPELINE
PIPE
SEGMENT
FOREMAN'SDATENAME
INSTALL 4"MPE 233'
60 PSIG 45 PSIG
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)
4680 06/11 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
Drawing Number
SAP Sup Order Nbr
PC APPROVAL
J.MCCOY 425-429-5821
J.MCCOY 425-429-5821
H.NGUYEN 303-788-9142
R.BECK 425-424-6483
M.JANSSON 425-466-9047
B.JOHNSON 206-571-8519 9-8-23
N/A RENTON
4" MPE MAIN EXTENSION
790 GARDEN AVE N
RENTON, WA 98057
PUGET SOUND ENERGY
109146255
109146255
1"=20'1/3
KING 498 SYSSKGMP
SW 8-23-05 E 204.080 207.082
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
10914625511715074
STANDARD GAS CONSTRUCTION NOTES:
1.FIELD LOCATE ALL UNDERGROUND UTILITIES. EXCAVATOR TO CALL "ONE-CALL" TWO WORKING DAYS PRIOR TO
CONSTRUCTION, IN WESTERN WASHINGTON CALL: 1-800-424-5555. OR CALL NATIONWIDE: 811
2.NOTIFY APPROPRIATE PERMITTING AGENCY PRIOR TO JOB START (SEE PERMIT REQUIREMENTS).
3.ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES.
4.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.
5.NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYS
PRIOR TO BEGINNING CONSTRUCTION. USE iSi TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HAND DELIVER
FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT THE
OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED PER GAS
OPERATING STANDARD 2550.1600. ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE.
6.ANY CHANGE IN ROUTE, PIPE SIZE/TYPE, TIE-IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY THE
APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
7.COMPLETE "PIPE CONDITION REPORT" ON ALL METALLIC PSE FACILITIES. CHECK BOX ON REPORT FOR WIRE BOX (TEST
LEAD) INSTALLATION.
8.PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS
OPERATING STANDARD 2525.2500.
9.INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY
THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525.2600 FOR ALL HP VALVES IF THE LOCATION IS NOT READILY
ACCESSIBLE, AND FOR ALL VALVES WHERE PERSISTENT SNOWFALL MAY OBSCURE THE VALVE BOX.
10.TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS
SHOWN ON THIS DESIGN UNLESS APPROVED BY APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
11.SYSTEM MAOP DENOTED BY: SYSTEM MAOP = 45 PSIG
12.GAUGE AND MONITOR USE OF ALL STOPPERS TO ENSURE ADEQUATE FEED.
13.RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL OR BETTER CONDITION.
14.PURGE POINTS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525.3400.
15.MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300 AND 2525.3400.
16.IF METALLIC PIPE IS INVOLVED, COORDINATE INSTALLATION WITH CP TECH.
___B.JOHNSON__________________________, PHONE___206-571-8519___________.
17.NOTE ALL ACTUAL FOOTAGE, LOCATION AND MATERIAL CHANGES ON THE AS-BUILT IN RED. ( ') DENOTES FOOTAGE
BETWEEN FITTINGS.
18.EXCESS FLOW VALVE TO BE INSTALLED ON ALL NEW RESIDENTIAL SERVICES PER GOS 2500.2200. (RECORD ALL
INFORMATION ON D-4 CARD)
STANDARD IP & LP GAS
REPLACEMENT CONSTRUCTION NOTES
1.NOTIFY GAS CUSTOMERS, OR DISTRIBUTE FLYER #1443 A MINIMUM OF TWO WORKING DAYS PRIOR TO A PLANNED
OUTAGE.
2.INSTALL ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE. INSTALL ANODE AND TEST LEAD WIRES PER PSE GAS
OPERATING STANDARD 2525.2300.
3.MAINTAIN CATHODIC PROTECTION FOR STEEL MAINS BY THE USE OF CONTINUITY BONDS OR OTHER MEANS DETERMINED
BY THE PSE CORROSION ENGINEER PER PSE GAS OPERATING STANDARD 2600.1300.
4.INSTALL ANODES AND TEST LEAD WIRES AS REQUIRED PER PSE GAS FIELD PROCEDURES 4515.1000 AND 4515.1020 AND
PSE GAS OPERATING STANDARD 2600.1200. TEST LEAD WIRES ARE REQUIRED ON ALL TRANSITION FITTINGS.
5.INSTALL CURB VALVE AT PROPERTY LINE OR 5/8" PE WHIP AT MAIN (AS REQUIRED) ON NEW AND EXISTING SERVICES PER
PSE GAS OPERATING STANDARD 2550.1600.
6.REFER TO PSE GAS OPERATING STANDARD 2525.1700 FOR MAIN AND SERVICE COVER REQUIREMENTS.
7.MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300 AND 2525.3400
AND PSE GAS FIELD PROCEDURE 4700.1500.
8.PROJECT MANAGER TO MAKE AN ACTIVE SERVICE RUN IMMEDIATELY PRIOR TO STARTING CONSTRUCTION.
9.INSTALL REPLACEMENT MAINS PER PSE GAS OPERATING STANDARD 2525.2100.
10.PLUG ENDS OF DEACTIVATED OR INSERTED MAINS AND SERVICES IN ACCORDANCE WITH PSE GAS OPERATING
STANDARDS 2525.2100 AND 2525.3600.
11.REMOVE OR RENDER INOPERABLE DEACTIVATED VALVES ON CASING WHERE MPE PIPE IS INSERTED.
12.INSIDE METER SETS SHALL BE MOVED OUTSIDE WHENEVER POSSIBLE OR SET REGULATORS AND VENTS OUTSIDE PER
PSE GAS OPERATING STANDARDS 2575.2300 AND 2550.1700.
13.REPLACE EXISTING ACTIVE SERVICES PER PSE GAS OPERATING STANDARDS 2525.2100 AND 2575.2300.
14.REPLACE ALL "NO RECORD" SERVICES AND 1-1/8" PE SERVICES INSTALLED PRIOR TO 1985.
15.ACTIVE SERVICES TO BE REPLACED DENOTED BY:
16.MAINS AND SERVICES SHALL BE CONSTRUCTED IN ACCORDANCE WITH 2525.1200.
17. PIPE SQUEEZING SHALL BE DONE IN ACCORDANCE WITH GOS 2525.1200 AND GAS FIELD PROCEDURES 4700.1300 AND
4700.1310.
18.WHEN INSTALLING, DEACTIVATING, REPAIRING, OR OTHERWISE MODIFYING A PIPELINE THAT IS LOCATED WITHIN 200
FEET OF ANY ACTIVE REGULATING STATION, PRESSURE RELIEF AND LIMITING DEVICE, OR SINGLE SERVICE FARM TAP
WHERE GAS SYSTEM ENGINEERING REVIEW AND APPROVAL IS REQUIRED PER GAS OPERATING STANDARDS. SEE
REVIEW DOCUMENTS, PROVIDED BY ENGINEERING.
19.FIELD TO VERIFY THAT ALL PROPER SERVICE ACTIONS (FOLLOWING THE KEY TO SERVICE ACTION LEGEND) HAVE BEEN
ACCOUNTED FOR PER THE "SERVICE CHECKLIST". IF A RISER IS FOUND IN THE FIELD AND WASN'T ACCOUNTED FOR,
FIELD PERSONNEL SHALL CONFIRM WHETHER THE RISER IS AN ABANDONED OR IDLE RISER:
19.1 IF IT IS AN ABANDONED RISER, CONTACT THE POINT DESK TO REQUEST GFR TO REMOVE IT.
19.2 IF IT IS AN IDLE RISER, REPORT THE RISER TO THE PROJECT MANAGER SO THAT THE PROJECT MANAGER MAY
CONFIRM WITH THE CUSTOMER WHETHER THEY WOULD LIKE TO KEEP THE SERVICE AND RISER. THE PROJECT
MANAGER MAY INSTRUCT TO TEST AND TIE THE SERVICE IF THE CUSTOMER WANTS GAS OR DOESN'T PROVIDE
PSE A RESPONSE IN A TIMELY MANNER.
###
1.ALL DUPONT AND STW PIPES SHALL BE RETIRED PER SCOPE OF WORK.
2.NOTIFY PROJECT MANAGER IF ADDITIONAL DUPONT AND/OR STW MATERIALS ARE FOUND DURING
CONSTRUCTION, INCLUDING AT OR BEYOND THE CONNECTION POINTS.
###
T&T
###
KEY TO SERVICE ACTION
T&T
C&C
RWM
###
###
###
###
METHOD OF CONSTRUCTION
2023.09.08
16:07:51-07'00'
2023.09.08
16:07:52-07'00'
2023.09.08
12:59:47-06'00'
2023.09.08
16:13:59-07'00'
2023.09.08
14:24:01-07'00'
Restoration Plan Information
PROJECT MGR:
ENGR-GAS:
APPROVED BY:
CONST MGR:
Directional Drill Trench
Hole Hog Insertion
Requested Return Date:
Jeff McCoy
Jeff McCoy
Mark Jansson
Steve Mellinger
9/25/2023
Notes to Drafter
Multiple 4
F
109146256
108639783
11957167
GAS
PROJECT PHASE Notification #Order #
Retire SVCs
SAP Superior
Service/Meter
Service/Meter
HP Svc/MSA
Dis. Reg. / FT
Ind. MSA
Ind. Service
Service/Meter
Service/Meter
10914625511715074
MFP23004988
GAS OPERATION MAP
SCALE: NONE
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)
4680 06/11 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
Drawing Number
SAP Sup Order Nbr
PC APPROVAL
J.MCCOY 425-429-5821
J.MCCOY 425-429-5821
H.NGUYEN 303-788-9142
R.BECK 425-424-6483
M.JANSSON 425-466-9047
B.JOHNSON 206-571-8519 9-8-23
N/A RENTON
4" MPE MAIN EXTENSION
790 GARDEN AVE N
RENTON, WA 98057
PUGET SOUND ENERGY
109146255
109146255
1"=20'2/3
KING 498 SYSSKGMP
SW 8-23-05 E 204.080 207.082
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
WORK SITE
2023.09.08
16:07:54-07'00'
2023.09.08
16:07:56-07'00'
2023.09.08
12:59:48-06'00'
2023.09.08
16:14:02-07'00'
2023.09.08
14:24:21-07'00'
MFP23004988
CB TYPE 1
RIM=30.55
6" CONC E IE=28.3
SD
TS
W W W W W W W W W W
WWWWWWWWWWW W
xx
xxxxxxxxx
x xG G
GGGGGGGGGGGG G G G G
GGGG G
G G G G G G
GGGGGGGGGGG G G G G G
P
P
P
P P
P
P P P
P P
P
PPPPPPPPPPPPPP
P
P P
PPPP
P
P P P P
P
P
PP
P
PPPPPPPPP
P
FOFO
FO
18" CENTER OF CHANNEL IE=25.3
(SW & E)
CW
N 8TH ST
GARDEN AVE N25MPHPP
P
P P P P
P
W
ICV
GV
TTT
T
T
T
T
T
T
PA
ECC
CWTS
CG
6"D
10"CFR8"CFR
CONC PAD
CONC PAD
PA
CW
GRASS
CW
WCONC PAD
TS
GLULAM GUY POLE
STAIRS
WV
WV
WV
WV
CG
TSPAW
AW
TJR
CONC
PAD
CW
P
10"D 6' CLF
W/B
A
RB
8' GATEASPH
DW8' CLF
W
/BARBAW16"CFR
12"CFR
12"CFR
12"CFR
16"D
6"D
12"D
6"D
CCTST
18" DI W IE=23.3
24" DI SE IE=23.3
8" DI E (PER CITY AS BUILT)
SDMH
RIM=30.38
12" PVC SW IE=26.7
18" CMP S IE=23.6
24" DI NW IE=23.8
CB TYPE 1
RIM=29.58
12" PVC NE IE= 27.5
R/W30'R/W30'R/W30'R/W30'
33.3'
52.6'
ASPH
0886600030
0886610070
7223000010
P
PA
CONC WALL
CONC WALL
PPSP
WV
SD SD SD
D
D
D
SS SS SS
SS
SS SS SS SS SS
CWCGCGCONCPAPAASPH
PARKING
LOT PAPA
AWPAPA
PA
PA
PACWCGCG GRASS
6" STW HP
12" STW HP
12" STW HP6" STW HPS
S
P
P
P PP
P
PP
WWWWWWWWWWWxxxxxxxxxxxxxxxxG G
GGGGGGGGGGGGGGGGGGGGGGGPPPPPPPPPPPPPPPPPPPPPPPPGV
ICV
8' CLF W/BARBAW10"D
8
'
GATE
ASPH
DW
8' CLF W/BARBx8' CLF W/BARB
8' CLF W/BARB12"D
8"D
8"D
8"D
8"D
10"D
16"CFR
12"CFR
12"CFR
12"CFR
14"D
12"CFR
12"CFR
12"CFR
CG
CB TYPE 1
RIM=28.59
8" PVC E IE=26.8
CB TYPE 1
RIM=29.06
8" PVC W IE=26.2
8" PVC SE IE=26.3
SDMH
RIM=29.83
24" DI W IE=23.4
12" DI E IE=23.4 SDMH
RIM=29.69
18" CMP N IE=24.7
18" CMP S IE=23.0
8" DI NW IE=23.0
12" PVC W IE=22.8R/W30'R/W30'ASPHP
P
P
P
SD SD
SDSDSDSD
SD
SD
CC CCD
D CWCGCGASPH
DW
NO POWER LOCATES
IN THIS AREA
ASPH
PARKING
LOT
AWPACONCAWCWPAPAASPH
PARKING
LOT
PAPA12" STW HP6" STW HP////////////////////////////////////////////////////////////////////////////////////////////////////////////////790
PLAN VIEW
SCALE: 1" = 20'
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)
4680 06/11 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
Drawing Number
SAP Sup Order Nbr
PC APPROVAL
J.MCCOY 425-429-5821
J.MCCOY 425-429-5821
H.NGUYEN 303-788-9142
R.BECK 425-424-6483
M.JANSSON 425-466-9047
B.JOHNSON 206-571-8519 9-8-23
N/A RENTON
4" MPE MAIN EXTENSION
790 GARDEN AVE N
RENTON, WA 98057
PUGET SOUND ENERGY
109146255
109146255
1"=20'3/3
KING 498 SYSSKGMP
SW 8-23-05 E 204.080 207.082
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
MATCHLINE A-A
THIS SHEET
MATCHLINE A-A
THIS SHEET
PARK AVE NGARDEN AVE NN 6TH ST
N 8TH ST
GARDEN AVE N1
Scale: N.T.S.
TIE IN DETAIL1GARDEN AVE NLegend
Description Quantity Unit
2023.09.08
16:07:46-07'00'
2023.09.08
16:07:48-07'00'
2023.09.08
12:59:48-06'00'
2023.09.08
16:14:04-07'00'
2023.09.08
14:25:22-07'00'
grind and overlay
curb and gutter
1.
2.
3.
4.
5.T6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.17.18.19.
20.
21.
22.
23.
ADA RAMP
24.
2,404
RESTORATION PER CITY OF RENTON STANDARDS
MFP23004988
BOM for WO: 109146255
ITEM QTY DESCRIPTION PART NO.
1 CP TEST BOX PLUS TEST LEAD, SLEEVE, AND WELD METAL MOLD 5000307
1 CAP 4" MDPE 5200689
1 COUPLING 4" ELECTROFUSION FITTING 5800510
2 ELBOW 4" X 45 MDPE 6000654
1 CP COPPER ADAPTER SLEEVE 7600540
1 WELD METAL CATHODIC MOLD 8500080
10 CP WIRE #10 COPPER 8500930
233'WIRE #14 COPPER TRACER 8500940
233'PIPE, 4" X SDR 11.5, MDPE, FUSION, COIL 9995441
MFP23004988
AL-425
N 8TH ST
790GARDEN AVE NMETER ELEVATION
FITTER'S CHECKLIST
GAS MAIN PRESSURE AND TESTING
PLOT PLAN
REVISIONS
DRAWING SHEET INDEX
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
JOINT FACILITIES ARRANGEMENTS
MODIFIED FARM TAP UPGRADE
790 GARDEN AVENUE, RENTON, WA
108639783
4D02-416
1/1
08/28/2023 CP DESIGN APPROVAL:
APPROVED JOB AS DESIGNED.
INSTALL TEST LEADS AND A WIRE BOX AT THE MAIN CLOSE TO
PROPOSED CUT & CAP LOCATION.
PER UFD NOTE UNDER NOTIFICATION # 11957167, RETIRE
TS-003155. WILL NOT NEED A NEW ONE.
BILL JOHNSON
CELL (206) 571-8519
WELDER
PROJECT CONTACT LIST FOR JOB#108639783
09/21/2023
MFP23004988
POTHOLE ALL EXISTING UTILITIES
RESTORATION PER CITY OF RENTON STANDARDS
This permit is for Major construction work in the ROW and will be billed at an additional
$158/HR for inspections. After hours and weekend work will be billed at $175/HR
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
JOINT FACILITIES ARRANGEMENTS
MODIFIED FARM TAP UPGRADE
790 GARDEN AVENUE, RENTON, WA
108639783
4D02-416
1A/1
BILL OF MATERIALS
NOTES
·
·
PRESSURE CONTROL NOTES
FITTER'S CHECKLIST
GAS MAIN PRESSURE AND TESTING
BILL OF MATERIALS
REVISIONS
1
1SERVICE RETIREMENT DETAIL
NOTES FOR JOB: 108639783
09/21/2023
MFP23004988