HomeMy WebLinkAboutMFP18005145DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP18005145
IVR Number: 18005145
Permit Informaon
Permit Name:Century Link Permits
Address/Locaon :09/13/2018Application Date:7231502170Parcel Number:232 BURNETT AVE S
Permit Type:09/18/2018Issue Date:Franchise
Permit Work Class:09/18/2019Expiration Date:Minor Utility
Job Number:N.415272Franchise Type:Telephone
Description:Century Link to access MH2 and HH39 1 to splice and place fiber.
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: 36846Construction 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
Amy Silbaugh
Qwest Corp d/b/a CenturyLink
N.415272
Amy Silbaugh
253-372-5311
amy.silbaugh@centurylink.com
230 Burnett Ave S
CenturyLink to access MH2 and HH39-1 to splice and place fiber. No disturbance
of surface.
North Sky Communications 260-254-6920
NORTHSC857Q4 BL.028638
09/12/18
MFP18005145
Scott Warlick 9/13/2018
232 Burnett Ave S
Holly Powers 9/18/2018
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:
N.415272
North Sky Communications 206-962-5116
Amy Silbaugh 253-372-5311
23315 66th Ave S Kent, WA 98032
amy.silbaugh@centurylink.com 253-372-5176
230 Burnett Ave S
Reset FormPrint Form
Amy Silbaugh
Amy Silbaugh 09/12/18
MFP18005145
Scott Warlick
9/13/2018Monday - Friday
8:30am - 3:00pm
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).
11111110900S 2ND ST
WILLIAMS AVE SWELLS AVE SMAIN AVE SBRONSON WAY SMAIN AVE SONE WAY
ONE WAYONE WAYONE WAYONE WAYONE WAYONE WAYONE WAY ONE WAY
TRAFFIC CONTROL PLAN
JOB # N.415272.C.46
PERMIT #
Designed for: CENTURYLINK
Project # N.415272.C.46
Darlene Durr
Traffic Control Supervisor
TCS # 008900 EXP. 4/30/19
Approved 9/10/18
Phone 253-737-5198
darlene.durr@hotmail.com
_______________________
Date:9/10/18 Author:Darlene Durr, Traffic Control Supervisor Project:N.415272.C.46
CERT:TCS # 008900 EXP 4/30/19 CENTURYLINK:Certified Traffic Control Plan (DO NOT ALTER)
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.
Legend
WORK TRUCK
WORK AREA
CONES
SPOTTER
Arrowboard (Chevron)
Plan Scale
1 : 1536 (1'' = 128')NOT TO SCALE
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
ONE LANE TWO WAY TAPER 50' MIN/100' MAX CITY USE ONLYPRINTER SETTINGS: PAGE SIZE 8.5" X 11"/ ADVANCED: FIT TO 11" X 17" FOR CITY USECLOSED
CROSSWALK
R9-3XC
CLOSED
CROSSWALK
R9-3XC
WORK AREA
10' X 100'
MH
2 ROADWORKAHEADW20-1ROADWORKAHEADW20-1LEFT LANECLOSEDAHEADW20-5LEFT LANECLOSEDAHEADW20-5W4-2W4-2ROAD
WORK
AHEAD
W20-1
ROAD
WORK
AHEAD
W20-1ROADWORKAHEADW20-1ROADWORKAHEADW20-1SPEEDLIMIT25
N
105'
MERGING
TAPER
200'
200'
200'200'
200'200'
200'200'
200'200'
S 2ND ST @ WILLIAMS AVE S
MH 2-2 ACCESS
WB LEFT LANE CLOSURE
EAST CROSSWALK CLOSURE
VICINITY MAP
S 2ND ST @ WILLIAMS AVE S
Comments:
THIS IS TO ACCESS MH 2 LOCATED IN THE SOUTH SIDEWALK OF S 2ND ST
EAST OF WILLIAMS AVE S.
THIS IS A LEFT LANE CLOSURE OF S 2ND ST EAST OF WILLIAMS AVE S.
EAST CROSSWALK OF S 2ND ST CLOSED.
SPOTTER WILL ASSIST PEDESTRIANS AT WORK AREA.
www.invarion.com
MFP18005145
11111110900S 2ND ST
WILLIAMS AVE SWELLS AVE SONE WAYONE WAYONE WAYONE WAYONE WAY
ONE WAY
BURNETT AVE SONE WAYONE WAY11111110S 3RD STBURNETT PL
S
ONE WAY
ONE WAY
ONE WAY
TRAFFIC CONTROL PLAN
JOB # N.415272.C.46
PERMIT #
Designed for: CENTURYLINK
Project # N.415272.C.46
Darlene Durr
Traffic Control Supervisor
TCS # 008900 EXP. 4/30/19
Approved 9/10/18
Phone 253-737-5198
darlene.durr@hotmail.com
_______________________
Date:9/10/18 Author:Darlene Durr, Traffic Control Supervisor Project:N.415272.C.46
CERT:TCS # 008900 EXP 4/30/19 CENTURYLINK:Certified Traffic Control Plan (DO NOT ALTER)
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.
Legend
WORK TRUCK
WORK AREA
CONES
SPOTTER
Plan Scale
1 : 1536 (1'' = 128')NOT TO SCALE
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
ONE LANE TWO WAY TAPER 50' MIN/100' MAX CITY USE ONLYPRINTER SETTINGS: PAGE SIZE 8.5" X 11"/ ADVANCED: FIT TO 11" X 17" FOR CITY USENO
FROM
TO
TOW AWAY AREA
PHONE 684-5444YOUR COMPANY NAME 555-5555
PARKING
R7-T39
ROAD
WORK
AHEAD
W20-1 ROADWORKAHEADW20-1ROADWORKAHEADW20-1HH 39-1
WORK AREA
10' X 80'
200'
200'
100'
Comments:
THIS IS TO ACCESS HH 39-1 LOCATED IN THE ALLEYWAY OF WILLIAMS AVE S
AND BURNETT AVE S AT S 2ND ST.
THIS IS ALLEY WORK.
SPOTTER WILL ASSIST AT WORK AREA.
PARKING RESTRICTED AT WORK AREA.
ALLEYWAY OF WILLIAMS AVE S/ BURNETT AVE S @ S 2ND ST
HH 39-1 ACCESS
ALLEY WORK
SPEEDLIMIT25
N
VICINITY MAP
ALLEY WILLIAMS AVE S / BURNETT AVE S @ S 2ND ST
www.invarion.com
MFP18005145
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:TOTAL 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.3500000000”NVICINITY MAP5%12'1(914-+0/#0*1.'52.+%'#0'9%6(+$'461':+56+0)(+$'45.4'Ä2.#%'(+$'4+0':+56+0)%10&7+661*#0&*1.'Ä.112(+$'46*47*#0&*1.'61/212.'#8'#%1+.+0*#0&*1.'2.#%''37+2/'0610$#%-$1#4&52.+%'(+$'4%7561/'40#/'4'06106'%*0+%#.%1..')'.%10MARK RIGGLEMAN2*10'01
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Ä'/#+.OOEGNTQ["OQWPVCKPNVFEQODRAFTED BY: MOUNTAIN LTD/SL 08/30/1823N5E18N.415272W26226RNTNWA01232 BURNETT AVE S.RENTON, WA 9805723(+$'4'0)+0''4#.':41)'452*10'01
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NOTICE-NOT FOR DISCLOSURE OUTSIDE OF CENTURYLINK AND AFFILIATES EXCEPT UNDER WRITTEN AGREEMENTRNGE:SECT:TOWN:JOB:SH OF GEO CODE:WC CLLI: BEFORE YOU DIG811CALL TWO WORKING DAYS016'(1470&'4)4170&#%6+8+6;6'56#0&8'06+.#6'/#0*1.'76+.+6;8#7.624+1461'064;2.#%'9#40+0)&'8+%'5#0&914-#4'#2416'%6+10#54'37+4'�&75'';'#0&*'#&5#('6;2416'%6+102'4('&'4#.56#6'#0&.1%#.4')7.#6+105/6.6&'0)+0''4/#46+0/E'.41;2*10'01
Ä'/#+.OOEGNTQ["OQWPVCKPNVFEQODRAFTED BY: MOUNTAIN LTD/SL 08/30/1823N5E18N.415272W26226RNTNWA01232 BURNETT AVE S.RENTON, WA 9805733(+$'4'0)+0''4#.':41)'452*10'01
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