HomeMy WebLinkAboutMFP18000137DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP18000137
IVR Number: 18000137
Permit Informa!on
Permit Name:Century Link Permits
Address/Loca!on:01/05/2018Applica!on Date:3664500315Parcel Number:6509 NE 4TH ST
Permit Type :01/29/2018Issue Date:Franchise
Permit Work Class:01/29/2019Expira!on Date :Minor U&lity
Job Number:N.303289.E.01Franchise Type :Telephone
Descrip!on:PRE CONSTRUCTION MEETING REQUIRED.
APPROVED WITH COMMENTS OR REDLINES.
Transfer century link services from old pole to foreign pole already in place. Restora&on per City of Renton
standards. Site address 15612 SE 128th ST. 6509 NE 4th ST is across the street .
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
QWest/Century Link - Billing 23315 66th Ave S
Kent, WA 98032
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
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
CenturyLink
N.303289.E.01
Jason Tesdal
206-345-3488
15612 SE 128th St National Transfer Program
Transfer CenturyLink services from old pole to new foreign pole already in place.
North Sky Communications/Angee Ellis 360-254-6920 ext. 3641
NORTHSC857Q4
01/05/2018
4
4
Restoration Per City of Renton Standards
6509 NE 4th ST
MFP18000137
Scott Warlick 1/10/2018
Justin Johnson 1-24-2018
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:
Darren Cooper Jr.01/05/18
N.297250.E.01
North Sky Communications
Angee Ellis 360-254-6920 ext. 3641
22517 88th Ave South, Kent WA 253-653-2474
15612 SE 128th St
9:00 am to 3:00 pm
Monday through Friday 1-24-2018
Reset FormPrint Form
MFP18000137
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).
SE 128th St
158th Ave SE156th Ave SEScope of Work:
Remove: 2 aerial drops,
1 pole mount terminal.
DW
SPEED
LIMIT35
DWDW
DW DW
DW
158th Ave SEDW
N.303289.E.01
15612
A3789761
350'
Spacing
SE 128th St
SPEED
LIMIT35
SIDEWALK
CLOSED
350'
Spacing 350'
Spacing
350'
Spacing
ROAD
WORK
AHEAD
ROAD
WORK
AHEAD
RIGHT LANE
CLOSED
AHEAD245.0 ft
ROAD
WORK
AHEAD
ROAD
WORK
AHEAD
Legend
Cone
ROAD
WORK
AHEAD CW20-1 road work ahead
DW Driveway
RIGHT LANE
CLOSED
AHEAD OW-122 Right lane closed ahead
SIDEWALK
CLOSED R9-9
SIDEWALK
CLOSED Sidewalk Closed
Sign Stand
W4-2
Work Area
OR 05377
WA 010434
DRAWN BY:
ORTCP@kndservices.net
PHONE: 503-723-7287
FAX: 503-723-8750
W/O #DATE:
LOCATION:
CONTACT:
CUSTOMER:
ALAN WARD
Darren Cooper
478-390-0955
OSMOSE
N.303289.E.01
15612 SE 128th St
12/21/17
Renton WA
N
S
EW
NOT TO SCALE
PLEASE SCHEDULE WITH DISPATCH
@ 503-723-7287 72 HOURS IN ADVANCE
AND PROVIDE A COPY OF THE APPROVED
TRAFFIC CONTROL PLAN
K&D as the preparer of this
traffic control plan makes no
representation as to its general
adequacy or being approved
for implementation.
Approval must result from the
Traffic Engineer or other public
official having statutory
enforcement authority in the
jurisdiction. Utilization and
implementation of this plan
shall be as a result of
that approval.
Ref. MUTCD 2009 6A-01(10).
Notes:
1. Maintain ped. access to
and through crosswalks
2. Maintain Min. 10' lanes
3. Maintain local access
4. Notify Transit Authority
at least 48 hrs. in advance
of bus stop closure
5. Traffic control plan and all
devices shall comply with
MUTCD, PROWAG & WSDOT
6. DEVICE SPACING
Flag Taper 20'
Signs per WSDOT
Tapers per WSDOT
7. 28" Cones
36" Barrels
48" Signs
24" Paddle
8. Adjust to field conditions
Inventory
4 Road Work
2 Sidewalk Closed
1 Right Lane Closed Ahead
1 Transition Left
30 Cones
www.invarion.com
MFP18000137 Driveway should be able to
remain open
notify residents of
temp driveway
closures
Arrow-board required
POLE TRANSFER OF CENTURYLINK FACILITIES FROM OLD POLES TO NEW FOREIGN POLES
STATE: Washington WIRECENTER: RNTNWA01 JOB#: N.303289.E.01
ADDRESS(ES): 15612 SE 128TH ST Asset Tag: A3789761 Pole Owner#: 318111-168230
TOWN: 23N RANGE: 5E SECTION: 11 Lat/Lon: 47.48846054, -122.1325455 X=OLD POLE T=NEW FOREIGN POLE
XT
MFP18000137
Scope of Work:
Remove: 2 aerial drops,
1 pole mount terminal.
MFP18000137
MFP18000137
MFP18000137
MFP18000137
MFP18000137
MFP18000137
MFP18000137
May 3, 2017
From: Shannon Davis
100 NW Kearney Ave
Bend, OR 97701
To Whom it May Concern:
Osmose Utility Services, Inc. is under contract with CenturyLink to perform audit, engineering, and
maintenance work of various types throughout Washington through December 31, 2017. As the
Contract Administration Manager for Washington, I am vested with the authority to authorize Osmose
Utility Services, Inc. to obtain permits on CenturyLink’s behalf for work being completed within the
Right of Way as directed by CenturyLink, for CenturyLink.
Regards,
Shannon Davis
Regional Contract Administration Manager - OR & WA
Office: 541-388-5296 Cell: 503-309-5428
Shannon.Davis@CenturyLink.com