HomeMy WebLinkAboutMFP23005230.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP23005230
IVR Number: 23005230
Permit Information
Permit Name: Puget Sound Energy - Electric
Address/Location:10/13/2023Application Date:6806100010Parcel Number:
Permit Type:10/26/2023Issue Date:Franchise
Permit Work Class:10/25/2024Expiration Date:Minor Utility
Job Number: 593252785Franchise Type:Electric
Description: Puget Sound Energy Electric CREW TO RE SAG NEUTRAL FROM GRID 317301 167499 to 317295 167518. NO
HS CUTS
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
593252785
15311 145TH AVE SE
RICHARD MILLER 253-355-6930
MFP23005230
Monday - Friday 8:00AM - 3:00PM
Scott Warlick CED 10/26/2023
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
15311 145th Ave SE Renton WA 98058 USA11111111 99MAPLE VALLEY HWY (SR-169)SE 153RD PL145TH
A
V
E
S
E
1111131111
1111131111
1112P01P02TAARRW-BRD
RBL100±S/WCLOSE
DR9-9W20-1ROADWORKAHEADRIGHT LANECLOSEDAHEADW20-5RW4-2R500'500'500'W20-1ROAD
WORK
AHEAD500'W20-1ROADWORKAHEAD12VICINITY MAPSRMP 22.55
18RESIDENT(S) WILL BE INFORMED OFTEMPORARY DRIVEWAY CLOSURENSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040Project Address:PagePSEPUGETSOUNDENERGYDesigner:Job #REVIna Ustemchuk425-398-6063ina.ustemchuk@pse.com1 OF 215311 145th Ave SE, Renton, WA0 11952902 10/03/2023Notes:1. Notify WSDOT at least 5 days prior to scheduled date.2. At time of work, call wsdot radio (per region as instructed inpermit) at the time the lane is closed (or intersection flagged);and again when the lane/intersection is opened. leave acontact name and cell phone number with radio.3. All advanced warning signs and spacing to conform to theMUTCD and WSDOT standards.4. Channelizing devices shall be traffic drums (barrels)with steady burning Type C lights on all State Routesand Hwys.5. All signs are 48" x 48", Black legend on Orange background.Use class B signs unless otherwise specified.6. Flaggers shall be in radio contact with each other atall times; flagger stations shall be illuminated duringhours of darkness with minimum 150w lights7. All lane closures shall not infringe upon adjacentlanes.8. Alert affected residents and businesses if existing onWSDOT roadways. All sidewalks, driveways, exits andegresses shall be completely clear unless otherwiseindicated.9. Work areas will be noted as per distances betweenState Route milepost markers.10. See sheet 2 for WSDOT Notes and Tables.LEGEND28" TRAFFIC CONESIGN LOCATIONTRAFFIC FLOWWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYWORK AREACHEVRONARROW BOARDFLAGGERUNIFORMEDPOLICE OFFICERPOLICESTOPPOLEMINIMUM TAPER LENGTH=L (FT.)LANEWIDTH101112207075802510511512530150165180352052252454027029532045475495540POSTED SPEED (MPH)505005506005555060566060-66072065--78070--840TEMPORARY TRAFFIC CONTROL PLANPuget Sound EnergyTraffic Control Supervisor:Ina UstemchukCard No. 012928Card Exp. 07/31/2025Ina.Ustemchuk@pse.com(425)424-6063MFP23005230Additional approval from WSDOT may berequired for work in the ROW
TEMPORARY TRAFFIC CONTROL PLAN
WSDOT NOTES & TABLES
””
–
Project Address:
Page
PSE PUGETSOUNDENERGY
Designer:
Job #
REV
Ina Ustemchuk
425-398-6063
ina.ustemchuk@pse.com
2 OF 215311 145th Ave SE, Renton, WA
0
11952902
10/03/2023
Puget Sound Energy
Traffic Control Supervisor:
Ina Ustemchuk
Card No. 012928Card Exp. 07/31/2025Ina.Ustemchuk@pse.com(425)424-6063
MFP23005230
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T906586806100750
680610TRCT
15311
6806100010 145TH AVE SETHIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
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
R. MILLER 253-355-6930 10/5/23
R. GALLAHER 253-395-6829 10/5/23
---
R. MILLER 253-355-6930 10/5/23
N/A CITY OF RENTON
MAP-13 15311 145TH AVE SE RENTON
RESAG NEUTRAL SPAN
15311 145TH AVE SE RENTON, WA 98058
--
- 593252785
AS SHOWN 1/1
KING N/A N/A QCSOKE
SE-22-05-23 N/A N/A
2305E088 2305E088 2305E088 MAP-13
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
No
No
No
Yes
Yes
Yes
"Flagging Required"
"Outages Required"
"Locates Required"
Potelco, Inc.DESIGNED BY
SITE SPECIFIC NOTES
P01 - P02
- CREW TO RESAG LOW NEUTRAL SPAN BETWEEN
(P01-317301-167499) & (P02-317295-167518)
P01-(317301-167499)
- INSTALL NEW SWITCH#T90658
SITE PLAN
SCALE: 1:50 SAP W.O.:593252785FOREMAN (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 proceduresand that all quality requirements are met.
MFP23005230