HomeMy WebLinkAboutMFP18000140DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP18000140
IVR Number: 18000140
Permit Informa!on
Permit Name:Century Link Permits
Address/Loca!on:01/05/2018Applica!on Date:1023059188Parcel Number:5604 NE 10TH ST
Permit Type :01/18/2018Issue Date:Franchise
Permit Work Class:01/18/2019Expira!on Date :Minor U%lity
Job Number:N.317547.E.01Franchise Type :Telephone
Descrip!on:Transfer Century link services from old pole to new foreign pole already in place . 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
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.317547.E.01
Jason Tesdal
206-345-3488
5604 NE 10th St & 1019 Nile Ave NE 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
01/05/18
Restoration Per City of Renton Standards
Scott Warlick 1/10/2018
MFP18000140
Holly Powers 1/18/2018
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
5604 NE 10th St & 1019 Nile Ave NE
01/19/2018
Reset FormPrint Form
MFP18000140
Scott Warlick
1/18/2018
8:30am - 3:30pm
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).
STOPSTOPdw dw dw dw dw
dw
dw
dw dw dw
dw
dw
dwdw
dw
dw
dw
dw
dw
dw
UTILITY
WORK
AHEAD
UTILITY
WORK
AHEAD
UTILITY
WORK
AHEAD
ONE LANE
ROAD
AHEAD
100'100'
100'100'
UTILITY
WORK
AHEAD
ONE LANE
ROAD
AHEAD
NE 10th St
NE 10th St Nile Ave NE Nile Ave NE 148th Ave SeSPEED
LIMIT25
SPEED
LIMIT35
5604
1019
CUSTOMER:
CONTACT:
LOCATION:
DATE:W/O #
Designed By:
Robert Pratt
Off: 503-723-7287 Ext 1013
Cell # 503-539-0548
WATCP@KNDSERVICES.NET
WSTCS#010077
ORTCS#05152
OSMOSE
Darren Cooper
770-632-6903
K&D Services, 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 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
NOT TO SCALE
NOT TO SCALE
N
S
EW
NOTIFY EMS, FIRE
AND POLICE
72 HOURS IN ADVANCE
Legend
Cone
ONE LANE
ROAD
AHEAD CW20-4 one lane road ahead
Flagger
Flagger Ahead
UTILITY
WORKAHEAD W21-7 utility work ahead
Work Area
INVENTORY:
4-UTILITY WORK AHEAD
2-ONE LANE ROAD AHEAD
2-FLAGGER AHEAD
2-FLAGGERS
20-CONES
5604 NE 10th St & 1019 Nile Ave NE
Renton WA
12/06/17 N.317547.E.01
MFP18000140
POLE TRANSFER OF CENTURYLINK FACILITIES FROM OLD POLES TO NEW FOREIGN POLES
STATE: Washington WIRECENTER: NBNDWAXA JOB#: N.317547.E.01
ADDRESS(ES): 5604 NE 10th St & 1019 Nile Ave NE Asset Tag: A3767317 Pole Owner#: 318494-167619
TOWN: 23N RANGE: 5E SECTION: 10 Lat/Lon: 47.499318, -122.144586 X=OLD POLE T=NEW FOREIGN POLE
XT-A3767317
XT-A3767316
MFP18000140
Asset Tag: A3767317
Pole Number #: 318494-167619
Scope of Work: 1 Main cable
attachment, 1 Pole mount BSW
terminal, 1 Aerial service wire.
Install 1 cable tag. Place riser
guard on new pole. Excavate
and expose existing buried
facilities.
MFP18000140
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Asset Tag: A3767316
Pole Number #: 318520-167634
Scope of Work: 10 Aerial
service wires, 1 pole mount
BSW housing (AERIAL) unit.
Remove 4 Aerial service wires.
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