HomeMy WebLinkAboutMFP18000041DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP18000041
IVR Number: 18000041
Permit Informa!on
Permit Name:Century Link Permits
Address/Loca!on:12/28/2017Applica!on Date:7231501620Parcel Number:809 S 4TH ST
Permit Type :02/21/2018Issue Date:Franchise
Permit Work Class:02/21/2019Expira!on Date :Minor U$lity
Job Number:N.207384Franchise Type :Telephone
Descrip!on:Splice and place fiber in exis$ng conduit to customer. Restora$on per City of Renton standards.
Contacts
Name Address PhoneTypeBilling
C/O QWEST CORP 1801 CALIFORNIA ST #4600
Denver, CO 80202
Applicant
Kim Parker
QWest Corpora$on
931 14th St, Suite 1000A
Denver, CO 80202
B: (303) 992-0752Contact
Heather Binkly
Dycom Industries dba North Sky Communica$ons LLC
11770 Us Hwy 1, SUITE 101
Palm Beach Gardens, FL 33408
B: (360) 254-6920
O: (360) 450-3287
Contractor
Business License Number: BL.036846Construc!on Contractor : NORTHSC857Q4
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
Owner
ACn : Dana Smith
QWest /Century Link - Billing
5018 85th Ave E, Bldg F9
Puyallup, WA 98371
Specialized
Billing
X
General Condi!ons & 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.
This permit and plans must be posted at the job site at all times.
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.
Call (425) 430-7203 or go to: www.MyBuildingPermit.com one working day in advance to schedule an inspections and for ANY
work in the Right of Way.
Call 8 1 1 to locate underground utilities at least two full business days prior to any excavation.
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 206.510.0575)(Puget Sound Energy at 425.457.5816) 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.
(Date)(Signature)
Page 1 of 1THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES
DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Page 1 | Published: 3/30/2017
Planning Division | 1055 South Grady Way, 6th Floor | Renton, WA 98057 | 425-430-7200
Email: franchisepermits@rentonwa.gov Website: rentonwa.gov
REVISION - FRANCHISE PERMIT APPLICATION
Published: 3/30/2017
TO THE APPLICANT: Only Current Issued Permits Qualify for a Revision. For any work related to an expired or
finaled permit, a new Franchise Permit Application shall be required. Submit an electronic copy of the plans
with the Revision Franchise Permit Application to franchisepermits@rentonwa.gov.
Permit #
Franchise Agency:
Franchise Job Number: Phone:
Contact Name: Email:
Job Site Address: Project Name:
Approved Description of Work:
Proposed Description of Work:
Reason for change of work:
“I certify that I am the owner or applicant’s authorized agent and do hereby agree to abide to the terms and conditions set forth under this permit and shall comply with the City of Renton’s Trench Restoration and Street Overlay Requirements. ”
Signature Date
INSPECTIONS SHALL BE REQUESTED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE
INSPECTION LINE AT 425-430-7203 OR BY GOING TO MYBUILDINGPERMIT.COM
Jobs are required to be called in for job start, re-inspection and project final. Re-inspection fees are billed at $75/hour.
All Pre-Construction meetings shall be scheduled at a maximum of 14 days prior to the job start date.
Plan Review/Development Engineering Date Approved as submitted
Pre-Construction Meeting required
Site Construction Inspector Date Approved with comments or redlines
Camera inspection of utilities required
Development Engineering Manager Date
MFP18000041
Qwest Corp d/b/a CenturyLink QC
N.207384
Corben Etteldorf
(253) 209-0849
corben.etteldorf@centurylink.com
S 4th St & Williams Ave S Renton, WA 98178
Access MH-204 to splice and place fiber in existing conduit to customer.
No surface disturbance.
Access MH-204 to splice and place fiber in existing conduit to customer.
No surface disturbance.
Permit#
Corben Etteldorf 2/6/18
Justin Johnson 2-21-2018
Scott Warlick 2/21/2018
DEPARTMENT OF COMMUNITY AND ECONOMIC DVELOPMENT
DEVELOPMENT SERVICES DIVISION
MASTER USE/FRANCHISE UTILITY PERMIT APPLICATION
Phone: (425) 430-7266 Fax: (425) 430-7231 franchise@rentonwa.gov
TO THE APPLICANT: Submit 3 copies of plans with application. Permit cost is $360.50. Inspection fee for
trenching more than 60 lineal feet or installation of 6 or more poles will be billed at $60.00 per hour.
For City Use Only
CITY PERMIT NO: MFP___________________ WORK ORDER NO.: _____87029__________
Date of Application: Franchise Agency:
Mailing Address for Permit: Zip:
Contact Name: Phone:
Job Number: e-mail:
Job Site Address: Project Name:
Description of Work:
Please check all that apply:
New Construction Repair/Relocate Underground Overhead Sidewalk Street
Open trench Bore # of feet: __________ Gas Electric Other: ______________________
Estimated Job completion date:
Contractor name: Phone:
City of Renton Business License Number: State Contractors License Number:
“I certify that I am the applicant’s owner or authorized agent and do hereby agree to abide to the terms and conditions set forth
under this permit and shall comply with the City of Renton’s Trench Restoration and Street Overlay Requirements. ”
Signature Date
CITY INSPECTOR SHALL BE NOTIFIED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK
BY CALLING THE INSPECTION LINE AT 425-430-7203
Jobs are required to be called in for job start, re-inspection and project final.
Approved as Submitted
Plan Review/Development Services Date On-Site Pre-Con Required
Approved with Comments or Redlines
Traffic Control Plan Attached
Utility Inspector Date Camera Inspection of Utilities Required
Issue Date:
Public Works Permit Supervisor Date Permit expires 6 months from issue date
2/13
10/5/2017 Qwest Corp d/b/a CenturyLink QC
23315 66th Ave S Kent, WA 98032
Corben Etteldorf (253) 209-0849
N.207384 corben.etteldorf@centurylink.com
S. 4TH STREET & WILLIAMS AVE S. RENTON, WA 98178
Access MH-204 to splice and place fiber in existing conduit to customer.
No surface disturbance.
11/5/17
North Sky Communications (360) 254-6920
BL.028638 NORTHSC857Q4
10/5/2017
MFP18000041
Restoration Per City of Renton Standards
CITY OF RENTON
TRAFFIC CONTROL PLAN
PROJECT NAME: PERMIT#
CONSTRUCTION COMPANY: PHONE#:
CONTACT NAME: PHONE#:
ADDRESS: CELL#:
E-MAIL ADDRESS: FAX#:
PROJECT LOCATION: N/E/S/W OF:
WORK TIME: APPROVED BY:
WORK DATE: APPROVAL DATE:
OFFICE COPY T-
CONTRACTOR DEV. SERVICE, INSPECTION P. MILLER
DEV. SERVICE, PLAN REVIEW B. BANNWARTH
POLICE CHARLES KARLEWICZ
FIRE FIRE MARSHALL FS #13
Permit Holder agrees to all the following:
• 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.
• 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
through 47.36.220, 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.
• By my signature herein, I acknowledge all the above requirements.
PRINT NAME: DATE:
SIGNATURE:
N.207384
North Sky Communications 360-254-6920
Corben Etteldorf 253-209-0849
23315 66th Ave S Kent, WA 98032
Corben.Etteldorf@Centurylink.com
S. 4TH STREET & WILLIAMS AVE S. RENTON, WA 98178
8:00 am to 3:00 pm
Monday through Friday 2-21-2018
Reset FormPrint Form
MFP18000041
Justin Johnson
SKETCH
I
-- NORTH --
I
NOTES:
• Work Zone Traffic Control shall be in accordance with the Manual on Uniform Traffic Control Devices (MUTCD)
and shown by sketch or reference to WSDOT.
• The plan must be submitted to the City’s PW/Transportation Division for review and/or approval at least three
working days prior to work.
• Approved Temporary Traffic Control Plan must be at the work site during work hours.
• Contractor or entity must call Renton School District (425-204-4455) or any public/private agency to be affected
by a temporary lane or road closure.
• Complete assistance and accommodation shall be provided to all kinds of pedestrian traffic when sidewalk or
walkway is impeded.
• Total road closure lasting more than 24 hours is subject to the approval by the City Council.
• 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.
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
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).
X X
ONE WAY
ONE WAY ONE WAYONE WAYTWO WAY
ONE WAY
HOUSER WAY S
WILLIAMS AVE SS 4TH ST
S 3RD ST
TRAFFIC CONTROL PLAN
JOB # N.207384.C.02
PERMIT #
Designed for: CENTURYLINK
Project # N,207384.C.02
Darlene Durr
Traffic Control Supervisor
TCS # 008900
Approved 2/06/18
Phone 253-737-5198
darlene.durr@hotmail.com
_______________________
Date:2/6/18 Author:Darlene Durr, Traffic Control Supervisor Project:N.207384.C.02
CERT:TCS # 008900 CENTURYLINK:Certified Traffic Control Plan (DO NOT ALTER)LOC:5357
Comments:
General Requirements
1. All signs and spacing to conform to the MUTCD and City of RENTON
requirements.
2. Channelizing devices are 28" traffic cones with retro reflective material.
3. All signs are 48' X 48' B/O unless otherwise specified.
4. Alert affected local residents and businesses.
5. Crew is required to leave a minimum 11' for lane width.
6. Work hours will be ____am to ____pm.
Comments:
MERGING TAPER LENGTH
TAPER ("L") LANE WIDTH
L MPH 10' 11' 12'
-----------------------------------
SHIFTING 20 70 75 80
TAPER 25 105 115 165
1/2 L 30 150 165 180
35 205 225 245
SHOULDER 40 270 295 320
TAPER 45 450 495 540
1/3 L
UNLAWFUL FOR ANYONE OTHER THAN THE CITY OF RENTON TO
ALTER THIS CERTIFIED TRAFFIC CONTROL PLAN
IN ANY FORM WITHOUT EXPRESS WRITTEN CONSENT FROM:
DARLENE DURR, TCS #008900, darlene.durr@hotmail.com
Comments:
CHANNELIZATION SPACING
MPH TAPER TANGENT
35 / 45 30' 60'
25 / 30 20' 40'
ONE LANE TWO WAY
TAPER 50' TO 100' MAX
Comments:
SIGN SPACING
MPH "X"
45+ 500'
35 350'
30 200'
25 100'
150' Seattle
200' Sea Tac
Legend
WORK TRUCK
WORK AREA
CONES
Arrowboard (Chevron)
FLAGGER
MH 204
(2 LIDS)ROADWORKAHEADW20-1ROADWORKAHEADW20-1ROADWORKAHEADW20-1ROADWORKAHEADW20-1ROADWORKAHEADW20-1ROADWORKAHEADW20-1ROADWORKAHEADW20-1RIGHT LANECLOSEDAHEADW20-5RIGHT LANECLOSEDAHEADW20-5W4-2W4-2WORK AREA
11' X 450'
100'
100'
100'
100'
100'
100'
100'
100'
WILLIAMS AVE S @ S 4TH ST
MH 204 (2 LIDS) ACCESS
Comments:
THIS IS TO ACCESS MH 204 (2 LIDS) LOCATED IN THE
RIGHT SOUTHBOUND LANE OF ONE WAY WILLIAMS
AVE S AT S 4TH ST.
THIS IS A RIGHT LANE CLOSURE OF WILLIAMS AVE S
AND SHOULDER WORK OF S 4TH ST.
SPOTTER WILL ASSIST PEDESTRIANS AT CROSSWALK
AT WORK AREA.
PARKING RESTRICTED AT WORK AREA.
NO
FROM
TO
TOW AWAY AREA
PHONE 684-5444YOUR COMPANY NAME 555-5555
PARKING
R7-T39
NO
FROM
TO
TOW AWAY AREAPHONE 684-5444YOUR COMPANY NAME 555-5555
PARKING
R7-T39
SPEED
LIMIT25
N
W20-7aBE PREPAREDTO STOPW20-7bW20-7a100'100'
100'BE PREPAREDTO STOPW20-7bW20-7a100'W20-7a100'
www.invarion.com
MFP18000041
NOTICE-NOT FOR DISCLOSURE OUTSIDE OF CENTURYLINK AND AFFILIATES EXCEPT UNDER WRITTEN AGREEMENTJOB:SH OF BEFORE YOU DIG811CALL TWO WORKING DAYSRNGE:SECT:TOWN:GEO CODE:WC CLLI:VICINITY MAPTOTAL EXISTING CONDUIT USED:TOTAL NEW BORE:TOTAL NEW DIRT TRENCHESTIMATED TOTALSTOTAL NEW AERIAL:SIDEWALK (PCC) R&R:ASPHALT (AC) R&R:S.F.S.F.L.F.L.F.L.F.L.F.TOTAL NEW ASPHALT TRENCH:L.F.TOTAL NEW S/W TRENCH:L.F.00000000”N5%12'1(914-21(/#0*1.'2.#%'%1706(+$'4+0':+56+0)%10&7+69+6*+00'4&7%6/6.6&'0)+0''4.#44;6740'42*10'01
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NOTICE-NOT FOR DISCLOSURE OUTSIDE OF CENTURYLINK AND AFFILIATES EXCEPT UNDER WRITTEN AGREEMENTJOB:SH OF RNGE:SECT:TOWN:GEO CODE:WC CLLI: BEFORE YOU DIG811CALL TWO WORKING DAYSTTTTEEEE CATV CATV CATV CATV CATV CATV GGGG TS TS TS TS WWWW S S S S SD SD SD SD IRRIG IRRIG IRRIG IRRIG C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L C/L EOP EOP EOP EOP TTTUSAMEEPWRETVTVVTSVWSSDVETTTXXX'XXX'XXX'XXX'X C/L C/L C/L C/L C/L E/6.6&'0)+0''4.#44;6740'42*10'01
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NOTICE-NOT FOR DISCLOSURE OUTSIDE OF CENTURYLINK AND AFFILIATES EXCEPT UNDER WRITTEN AGREEMENTRNGE:SECT:TOWN:JOB:SH OF GEO CODE:WC CLLI: BEFORE YOU DIG811CALL TWO WORKING DAYS/6.6&'0)+0''4.#44;6740'42*10'01
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EOP
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