HomeMy WebLinkAboutMFP18001562DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP18001562
IVR Number: 18001562
Permit Informaon
Permit Name:Century Link Permits
Address/Locaon :03/28/2018Application Date:0806000075Parcel Number:11517 SE 165TH ST
Permit Type:05/03/2018Issue Date:Franchise
Permit Work Class:05/03/2019Expiration Date:Minor Utility
Job Number:N.216881.E.03Franchise Type:Telephone
Description:Transfer CenturyLink services from old pole to new pole already in place
Contacts
Name Address PhoneTypeBilling
C/O QWEST CORP 1801 CALIFORNIA ST #4600
Denver, CO 80202
Applicant
Kim Parker
QWest Corporation
931 14th St, Suite 1000A
Denver, CO 80202
B: (303) 992-0752Contact
Heather Binkly
Dycom Industries dba North Sky
11770 Us Hwy 1, SUITE 101
Palm Beach Gardens, FL 33408
B: (360) 254-6920
O: (360) 450-3287
Contractor
Business License Number: BL.036846Construction Contractor: NORTHSC857Q4
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
Owner
QWest/Century Link - Billing 7850 S TRAFTON St
TACOMA, WA 98409
Specialized
Billing
X
General Condions & 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 425.375.3397) 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.
(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.216881.E.03
Alex Harb
206-345-4476
Alex.Harb@CenturyLink.com
16512 116th Ave SE CenturyLink national pole transfer program
Transfer CenturyLink from old pole to new pole already in place; remove old pole.
North Sky Communications / Angee Ellis 360-254-6920 xt 3641
NORTHSC857Q4 601-973-572
Simone Mann Digitally signed by Simone Mann
DN: cn=Simone Mann, o=Osmose Utilities Services, email=smann@osmose.com, c=US
Date: 2018.04.24 12:14:45 -04'00'04/24/18
MFP18001562
Scott Warlick 4/25/2018
11517 SE 165th St
Holly Powers 5/3/2018
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:
Simone Mann 4/24/18
N.216881.E.03
North Sky Communications
Angee Ellis 360-254-6920 ext. 3641
22517 88th Ave South, Kent WA 253-653-2474
aellis@centurylink.com
16512 116th Ave SE
8am to 3pm
Monday through Friday
Reset FormPrint Form
Simone Mann Digitally signed by Simone Mann
DN: cn=Simone Mann, o=Osmose Utilities Services,
email=smann@osmose.com, c=US
Date: 2018.04.24 12:14:55 -04'00'
MFP18001562
Scott Warlick
4/25/2018
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).
POLE TRANSFER OF CENTURYLINK FACILITIES FROM OLD POLES TO NEW FOREIGN POLES
STATE: Washington WIRECENTER: RNTNWA01 JOB#: N.216881.E.03
ADDRESS(ES): 16512 116th Ave SE Asset Tag: A0569095 Pole Owner#: 316893-166568
TOWN: 23N RANGE: 5E SECTION: 29 Lat/Lon: 47.4553, -122.186 X=OLD POLE T=NEW FOREIGN POLE
XT
MFP18001562
Transfer 2 risers from the old foreign pole to the new
foreign pole, splices risers, and removes 1 foreign
pole.
MFP18001562
MFP18001562
MFP18001562
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MFP18001562
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PROJECT
PROJECT
LOCATION
TRAFFIC FLOW
PERM LANE MARKINGS
TAPERS / TANGENTS
PROTECTIVE VEHICLE
W/BEACON
TRUCK-MOUNTED
ATTENTUATOR
PORTABLE TRAFFIC
SIGNAL
SLOW
VMS12
LEGEND
FLAGGER
OFFICER
SURVEYORS
WORK SPACE
UTILITY WORK
CONSTRUCTION
DEVICES
SIGNS
BARRICADES
ARROW BOARD
ARROW MODE
ARROW BOARD
CAUTION MODE
PCMS
/ VMS
TEMPORARY TRAFFIC CONTROL PLAN
Not Drawn to Scale
This sketch not to be relied upon for exact location of utilities.
CALL (800) 424-5555 TWO BUSINESS DAYS BEFORE YOU DIG
PERMIT
DRAWING NOT
TO SCALE
Drawn by: D Sandall - WA TCS Certificate # 8957, OR TCS Certificate # 5107
3/27/2018
1 of 1
City of Renton
WORK HOURS
LANE WIDTH
POSTED SPEED
FLAGGING
BUFFER
SIGN SPACING
DEVICES TAPERS
DEVICES TANGENT
TAPER
X
9am to 5pm
Transfer and remove old pole.
11ft
16512 116th Ave SE
Yes No
Traffic Control Supervisor(TCS) X
Flaggers/Spotters X
Uniformed Officer X
+/-200ft
50-100ft
Kelley O’Brien
Kelley.O’Brien@pse.com
101085491
Rolling Slow Down
Brigitte Burleson
101100950
brigitte.burleson@pse.com
Fabian Gomez
Fabian.Gomez@pse.com
105080854
Devandra Kumar-Quanta
devandra.kumar@pse.com
105081143
30mphGeb Bebenini
Geb.Gebenini@pse.com
105082300 200ft
Kayla King
Kayla.King@pse.com
101100584
Jessica ReibmanJessica.Reibman@pse.com105080425
Leslie Regier
Leslie.Regier@pse.com
501829841
Vasiliy Trofimenko
Vasiliy.Trofimenko@pse.com
101096009
Boris Sidorov-PSE
Boris.Sidorov@pse.com
105080869
40ft
Daryll Traylor
Daryll.Traylor@pse.com
571012230
Carl McDonald
carl.mcdonald@pse.com
105071721
Lisa RawlsLisa.Rawls@pse.com101097355Kassandra ScheveKassandra.Sheve@pse.com#15238 Marc Cabanagmarc.cabanag@pse.comMirror Lake Highland107054431CIPNC FRONTIERTom Dancey Jr425.261.6342Thomas.dacey@ftr.comPROJECT #5223996-29
770.631.6969!
N.216881.E.03
16512 116th Ave SE
Renton, WA
Osmose
Simone Mann!
smann@osmose.com
20ft
OsmoseUrsula Walker770.631.6971N.210137.E.014105 WA 16Port Orchard WAuwalker@osmose.com
MFP18001562