HomeMy WebLinkAboutMFP24000060.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Minor Franchise Permit: MFP24000060
IVR Number: 24000060
Permit Information
Permit Name: Puget Sound Energy Gas Permits
Address/Location:01/03/2024Application Date:3342102710Parcel Number: 1012 N 34TH ST
Permit Type:02/07/2024Issue Date:Franchise
Permit Work Class:02/06/2025Expiration Date:Minor Utility
Job Number: 106396068Franchise Type:Natural Gas
Description: PSE Gas CREW TO INSTALL NEW GAS SERVICE AT MAIN, APPROX 40' IN ROW. 2:3'X5' ASPHALT CUTS
ANTICIPATED. 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
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
106396068
1012 N 34TH ST
RUBY OTIS 253-243-4463
MFP24000060
Monday - Friday 8:00AM - 3:00PM
Scott Warlick CED 2/7/2024
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
1012 N 34th St Renton WA 98056 USA11 11N 34TH STSTOP
W20-1ROAD
WORK
AHEAD W20-4ONE LANE
ROADAHEAD100'≥100'≥100'≥W20-7AW20-1ROADWORKAHEADW20-4ONE LANEROADAHEAD100'≥100'≥100'≥W20-7AFROMTOTOW AWAY AREAPHONE 684-5444NAME OF FIRM XXX-XXX-XXXXNO PARKINGFROM TO
TOW AWAY AREA
PHONE 684-5444
NAME OF FIRM XXX-XXX-XXXX
NO PARKING
RESIDENT(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 #REVKaitlynn Davis209-456-0264Kaitlynn.Davis@pse.com1 OF 21012 N 34th St, Renton, WA0 51458672711/30/2023Notes: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 ______________.)8. Work area will be 470' ECL of Burnett Ave N @12' SCL and 8' NCL of N 34th StMINIMUM TAPER LENGTH=L (FT.)LANEWIDTH101112207075802510511512530150165180352052252454027029532045475495540POSTED SPEED (MPH)505005506005555060566060-66072065--78070--840TEMPORARY TRAFFIC CONTROL PLANPuget Sound EnergyTraffic Control Supervisor:John CrofootCard No. 012613Card Exp. 10/31/24John.Crofoot@pse.com(425)424-6658WORK PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYMFP24000060
1012 N 34th St Renton WA 98056 USA11 11N 34TH STSTOP
W20-1ROAD
WORK
AHEAD W20-4ONE LANE
ROADAHEAD100'≥100'≥100'≥W20-7AW20-1ROADWORKAHEADW20-4ONE LANEROADAHEAD100'≥100'≥100'≥W20-7AFROMTOTOW AWAY AREAPHONE 684-5444NAME OF FIRM XXX-XXX-XXXXNO PARKINGFROM TO
TOW AWAY AREA
PHONE 684-5444
NAME OF FIRM XXX-XXX-XXXX
NO PARKING
RESIDENT(S) WILL BE INFORMED OFTEMPORARY DRIVEWAY CLOSUREProject Address:PagePSEPUGETSOUNDENERGYDesigner:Job #REVKaitlynn Davis209-456-0264Kaitlynn.Davis@pse.com2 OF 21012 N 34th St, Renton, WA0 51458672711/30/2023Notes: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 ______________.)8. Work area will be 470' ECL of Burnett Ave N @12' SCL and 8' NCL of N 34th StMINIMUM TAPER LENGTH=L (FT.)LANEWIDTH101112207075802510511512530150165180352052252454027029532045475495540POSTED SPEED (MPH)505005506005555060566060-66072065--78070--840TEMPORARY TRAFFIC CONTROL PLANPuget Sound EnergyTraffic Control Supervisor:John CrofootCard No. 012613Card Exp. 10/31/24John.Crofoot@pse.com(425)424-6658NSIGN SPACINGMPH60/6545/5535/403025"X"1000'500'350'200'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040WORK PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYMFP24000060
Service Address:
City Zip:Site Contact:Phone:Site Contact Email:
Est. Start Date:
Customer Email:
&
&
&
&
Jurisdiction:
Project Scope: install 80' new construction residential svc. 40' scat stub and 40' plat ext. Set A425 meter out
left.
Est. Duration:
No
Job Description
New Construction:
Construction Method
Building Foundation Type
Septic System
1 Day (8 Hours)
No
Crawl Space
Hole Hog
Phone:253-243-4463ruby otis 1/3/24
A425 HDPE - 2" IPS - (DIA) 1"CTS
PLAT Map:
N
EFV:1-1/8" - 2600 - 9996743 Police #:0 TCP:No Tie-In Fitting
Meter:Speed Limit:25 No Parks #:8
Job Type
Diameter:Flaggers #:0 Arterial:
9999564Del Press:6" W.C.Traffic Signal:Bus Stop:No KNT FLT - KentBollards:2.5" #4" #ADA Ramps #:0 Route #'s:
Meter Loc:Trolley Lines:No Mtr Hoods #:003 - OL
No New Residential Svc
Service Information Street Information
1-1/8" PE
of CL
Surface Type
A
A
Size of Cut
n. 34th st 3 X 5 X 3
Date:
106396068Job #:
renton
1012 N 34TH ST
kevin singh 206-751-3200renton
Work Location
470'e of CL burnett ave n 12's of CL
YesROW Permit:
3 X 5 X 3
of CL
of CL of CL
470'e of CL
#####
burnett ave n 8'north of CL n. 34th st
PM / Inspector:
98056
Phone:
N
50'N. 34TH ST
Burnettave n203.082
2" pe ip 12's 890197
H20
sewer unknown
MFP24000060
POTHOLE ALL EXISTING UTILITIES
RESTORATION PER CITY OF RENTON STANDARDS
1022
102910191015
1023
101110091007
1003
911
907
1016
10081006
1000
918912910908904
900 906 910 916
922
3404
928
1006
913
1012
919
907
1001 1011 1021
1018
N 34TH ST2" PE IP 12'S 890197
2" PE IP 12'S 890197
2" PE IP 12'S 890197295'E327'E468'E166'E316'E454'E212'E435'E584'E373'E451'E196'E156'E443'E38
5'
E
314'E276'E252'E248'E80'E90'E100'E580'E585'E524'E468'E648'E1 1/8" MPE2017-E 1 1/8" MPE2017-E
5/8" PEI1993
5/8"584'E1 1/8" MPEI2016-E
5/8" MPE1999
5/8" MPE1999
5/8" PE1989
5/8" MPEI2006
5/8" PE1989
5/8" PE1992
5/8" MPEI2002
5/8" PE1992
5/8" MPE2002
5/8" PE1992
1 1/8" MPE2006-E
5/8" MPE2001
1 1/8" MPEI2011-E
5/8"316'E5/8" PE1989
5/8" PE19895/8" MPE2003
5/8" PE1989 5/8" MPE2002
5/8" MPE1996
5/8" PE1989
5/8" MPE2004
5/8" MPE2001
1 1/8" MPE2011-E
588'E2" PE IP 12'S 890197
No electric grid information availableS200080, Q203082
The information on the attached maps is subject to change without notice. Puget Sound Energy makes no warranty, expressed or implied, concerningthe suitability of this information for any purpose. Recipient agrees to not disclose this confidential information to any other person or entity,unless authorized in writing by Puget Sound Energy. This map is not to be used for determining the actual location of any PSE facilities (call 811).“
11-22-2023
Scale 1:675
Lat\Long=47.5221, -122.2056
MFP24000060