HomeMy WebLinkAboutMFP18000085DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP18000085
IVR Number: 18000085
Permit Informa!on
Permit Name:Century Link Permits
Address/Loca!on:01/05/2018Applica!on Date:2787720860Parcel Number:4419 NE 24TH ST
Permit Type :01/05/2018Issue Date:Franchise
Permit Work Class:01/05/2019Expira!on Date :Minor U%lity
Job Number:17237962Franchise Type :Telephone
Descrip!on:Place 75' BSW in ROW from pedestal to customer to provide telephone service . Restora%on per City of Renton
Standards.
Contacts
Name Address PhoneTypeBilling
C/O QWEST CORP 1801 CALIFORNIA ST #4600
Denver, CO 80202
Applicant
QWest/Century Link - Billing 23315 66th Ave S
Kent, WA 98032
Contact
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
Dana Smith
Qwest Corp dba Centurylink
5018 85th Ave E, Bldg F9
Puyallup, WA 98371
B: (253) 597-5136Specialized
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
FRANCHISE PERMIT APPLICATION
Published: 3/30/2017
TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the
Traffic Control Application to franchisepermits@rentonwa.gov. 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.
Franchise Agency:
Franchise Job Number: Phone:
Contact Name: Email:
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:
Contractor Name: Phone:
State Contractors License #: City of Renton Business License #:
“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
Qwest Corp. dba Centurylink QC
17237962
Dana Smith
(253) 597-5136
dana.smith2@centurylink.com
4419 NE 24th St
Place approx. 75' BSW in ROW from pedestal to customer to provide telephone
service.
20
Northsky Communications (253) 883-1779
NORTHSC857Q4 BL.036846
12/28/17
4
PLEASE SUBMIT INVOICE TO:
Qwest Corp dba Centurylink
Attn: Dana Smith
5018 85th Ave E Bldg F9
Puyallup, WA 98371
Scott Warlick 1/5/2018
MFP18000085
Restoration Per City of Renton Standards
Justin Johnson 1-5-2018
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:
17237962
Qwest Corp dba Centurylink QC (253) 597-5136
Dana Smith
5018 85th Ave E Bldg F9, Puyallup WA 98371
dana.smith2@centurylink.com
4419 NE 24th St Anacortes Ave NE
8am-3pm
Monday through Friday 1-5-2018
Reset FormPrint Form
MFP18000085
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).
A
Urban
Low
Speed
Urban
High
Speed
Rural 500'
Expressway/
Freeway
ROAD
TYPE B C
500'500'
100'100' 100'
350' 350'
350'
1000'1500'2640'
PERMIT:ADDRESS:
WORK HOURS: ______________________
REQUESTED DATES:__________________
Shoulder Work
M
Type 3 Barricade
Heavy Work Vehicle
Trailer Mounted
Flashing Arrow Board
Sign
No Parking
Sign
Flagger
Channelizing
Devices
Truck Mounted
Attenuator
Portable Changeable
Message Sign (PCMS)
Traffic Flow
Uniformed Traffic
Officer
Advance Warning
Signs
LEGEND
P
R8-3
NOTES:
** ALL DEVICES TO
CONFORM TO
CURRENT MUTCD**
N
S
EW
Across America, Altus Traffic
is the trusted name for:
•Traffic management
•Flagging
•Traffic control, and
•Traffic management plans.
MHT#1Location: 4419 NE 24th St
Renton, WA 98059
For: CenturyLink
Name: Dana Smith 253-597-5136
Date: January 2, 2018
Drawn By: Matt Hitchcock
ATTSA Cert#: 59042
Job#: 172379652
REVIEWED:
NOT DRAWN TO SCALE
(720) 343-2335
Speed (MPH)LANE WIDTH 10FT LANE WIDTH 11FT LANE WIDTH 12FT
25 or less 105'115'125'
180'
245'
320'
540'
600'
660'
720'
780'
840'
900'
960'
165'
225'
295'
495'
550'
605'
660'
725'
770'
825'
880'
150'
205'
270'
450'
500'
550'
600'
650'
700'
750'
800'
30
35
40
45
50
55
60
65
70
75
80
Taper Length In Feet
LONG. BUFFER
90'
120'
155'
195'
240'
295'
350'
410'
475'
540'
SIGN SPACINGCHANNELIZATION DEVICE SPACING
MPH TAPER TANGENT
40
30
25
40
30
25
80
60
50
35 35 70
45 40 90
50 40 100
55 40 110
60 40 120
65 40 130
Summary of Devices
3 - No Parking
1 - 48" Road Work Ahead
1 - 48" Shoulder Work
20 - Cones
1 - Flagger
**NO PARKING SIGNS
TO BE SET 24 HOURS
PRIOR TO WORK**
4419 NE 24th StD/WD/WD/WPed45'
Shoulder
TaperPR8-3100'ROADWORKAHEADW20-1SHOULDERWORKW21-5PR8-3PR8-3100'
Flagger to Assist Peds
NE 24th St
Anacortes Ave NE4419 NE 24th St, Renton, WA 98059
www.altustraffic.com
MFP18000085
NQwest Job #
Section:
Township: N
Range: E
This request for permit is for the placement of underground telephone service wire to our
customer at the following address:
This work will require:
Trenching in the ROW (total footage)
Push or bore 2 inch PVC or BIP under roadway (total footage)
Push or bore 2 inch PVC or BIP under driveway (total footage)
Push or bore 2 inch PVC or BIP under multiple driveways (total footage)
*All crossings and ROW work at 36 inches.
*All pits and trenching require select fill.
17237962
3
23
5
4419 NE 24th St
55'
N/A
20'
N/A
MFP18000085