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HomeMy WebLinkAboutMFP18000610DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Franchise Permit: MFP18000610 IVR Number: 18000610 Permit Informa!on Permit Name:Puget Sound Energy Gas Permits Address/Loca!on:02/01/2018Applica!on Date:2216000060Parcel Number:4520 NE 23RD ST Permit Type :02/21/2018Issue Date:Franchise Permit Work Class:02/21/2019Expira!on Date :Major U’lity Job Number:109108380Franchise Type :Natural Gas Descrip!on:PRE CONSTRUCTION MEETING REQUIRED APPROVED WITH COMMENTS OR REDLINES APPLICANT MAY NEED TO ADJUST THE LOCATION OF THE GAS MAIN . CURRENT PROPOSAL APPEARS TO BE ON TOP OF SEWER MAIN. THIS PERMIT IS FOR MAJOR WORK IN THE ROW AND WILL BE BILLED AT AN ADDITIONAL $60/HR FOR INSPECTIONS Replace 2" PE gas main in NE 23rd ST. Install new main in southern gravel shoulder. mul’ple asphalt cuts an’cipated . Pothole all exis’ng u’li’es . Restora’on per City of Renton standards . Contacts Name Address PhoneTypeBilling ANISH KUMAR PUGET SOUND ENERGY - GAS - BILLING 6905 S 228th St Kent, WA 98032 B: (253) 208-2183Applicant Stuart BenneC Infrasource Services LLC 14103 Stewart Rd Sumner, WA 98490 B: (303) 419-8755 H: (425) 677-5197 C: (713) 985-6489 Contractor Business License Number: BL.036742Construc!on Contractor : INFRASL871C2 CITY OF RENTON ROW 1055 S Grady Way Renton, WA 98057-3232 Owner ANISH KUMAR PUGET SOUND ENERGY - GAS - BILLING 6905 S 228th St Kent, WA 98032 B: (253) 208-2183Specialized 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 Puget Sound Energy 109108380 Anish Kumar 253-208-2183 anish.kumar@pse.com 4520 NE 23rd St 98034 109108380 Dupont Replace 2" PE gas main in NE 23rd St from 6' W C/L Anacortes Ave NE to 128' W C/L 138th Ave SE. Install new main in Southern, gravel shoulder. 2 5'x5' cuts at E/W tie-ins. 13 3'x5' cuts to take place at services. Utility crossings to be windowed with 2'x2' potholes. Restoration per City of Renton standards. PSE/Infrasource 253-208-2183 INFRASL871C2 BL.036742 2/1/2018 Scott Warlick 2/2/2018 MFP18000610 Justin Johnson 2-19-2018 Applicant may need to adjust the location of the gas main. current proposal appears to be on top of Sewer main. 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: Reset FormPrint Form 109108380 Dupont Pipe Replacement PSE/Infrasource Kelsey Anderson 480-516-3761 6905 S 228th St, Kent 98032 kelsey.anderson@pse.com 4520 NE 23rd St TBD 4/30/2018 Anish Kumar 2/1/2018 MFP18000610 Justin Johnson 2-19-2018 8:00 am to 3:00 pm Monday through Friday 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). NE 24TH ST NE 23RD ST NE 2 2 N D C T B R E M E R T O N A V E N EANACORTES AVE NEGlencoe Park NE 23RD CT 1717 1111STOP FLAGGER STOP FLAGGER STOP FLAGGER ON E L A N E RO A D AH E A D W20-4100'100'100'RO A D W O R K AH E A D W20-1W20-7ABEPREPAREDTO STOP W3-4X ' X ' X 'ROAD WORKAHEAD W20-1W20-7AUSE MAXIMUM AVAILABLE SPACE FOR SIGNS X'X'PLACE W20-1 SIGNS ON ALL ADJACENT STREETS WITHIN FEET OF WORK AREA ROAD WORK AHEAD W20-1ROADWORKAHEADW20-1300 ONE LANEROADAHEADW20-4100'100'100'ROADWORKAHEADW20-1W20-7AONE LANEROADAHEADW20-4100'100'100'ROADWORKAHEADW20-1W20-7ABEPREPAREDTOSTOPW3-4100'100'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4 100'100'ROADWORKAHEADW20-1 X' W20-7A maintain lane widthFROM TO TOW AWAY AREA PHONE 888-9999 INFRASOURCE LLC 000 0000000 NO PARKING NO-PARK PLACE SIGNS ON BOTH SIDES OF WORK AREAFROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PARKCHANNELIZATION DEVICE SPACING MPH 55/70 35/45 25/30 TAPER 40 30 20 TANGENT 80 60 40 Job#109108380 4520 NE 23rd St , Renton, WA January 26, 2018 Sheet 1 of 6 yuriy.bashtovoy@pse.com (425)398-6193 N PSE PUGET SOUND ENERGY Notes: 1. All signs and spacing to conform to the MUTCD and City of RENTON standards. 2. All sidewalks, driveways, exits and egresses shall be completely clear unless otherwise indicated. 3. Channelizing devices are 28" traffic cones. 4. Sign size can be a minimum of 48" x 48" and shall not obstruct pedestrian access. 5. Crew is required to leave a minimum of 11' for traveling lane width. 6. Alert affected residents and businesses. 7. Work to take place between 9 a.m. and 4 p.m. 8. Work area will be 6' W to 0' of C/L of Anacortes Ave NE & 15' S of C/L of NE 23rd St. TRENCH 28" TRAFFIC CONE LEGEND TRAFFIC FLOW SIGN LOCATION FLAGGER STOP WORK VEHICLE/ FLASHING LIGHTS RIGHT OF WAY Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com (425)424-6425 MFP18000610 NE 24TH ST NE 23RD ST NE 2 2 N D C T B R E M E R T O N A V E N EANACORTES AVE NEGlencoe Park NE 23RD CT 8_X_10-PLATE STEEL PLATES ON DRIVEWAY STOP FLAGGER STOP FLAGGER STOP FLAGGER ONE LANEROADAHEADW20-4100'100'100'ROADWORKAHEADW20-1W20-7AX ' X ' X 'ROAD WORKAHEAD W20-1W20-7ABEPREPAREDTO STOP W3-4ON E L A N E R O A D AH E A D W20-4100'100'100'R O A D W O R K AH E A D W20-1W20-7AX'X'PLACE W20-1 SIGNS ON ALL ADJACENT STREETS WITHIN FEET OF WORK AREA ROAD WORK AHEAD W20-1ROADWORKAHEADW20-1300 FROM TO TOW AWAY AREA PHONE 888-9999 INFRASOURCE LLC 000 0000000 NO PARKING NO-PARK PLACE SIGNS ON BOTH SIDES OF WORK AREA FROM TO TOW AWAY AREA PHONE 888-9999 INFRASOURCE LLC 000 0000000 NO PARKING NO-PARK PLACE SIGNS ON BOTH SIDES OF WORK AREAONE LANEROADAHEADW20-4100'100'100'ROADWORKAHEADW20-1W20-7AX' W20-7A 11111717 CHANNELIZATION DEVICE SPACING MPH 55/70 35/45 25/30 TAPER 40 30 20 TANGENT 80 60 40 Job#109108380 4520 NE 23rd St , Renton, WA January 26, 2018 Sheet 2 of 6 yuriy.bashtovoy@pse.com (425)398-6193 N PSE PUGET SOUND ENERGY Notes: 1. All signs and spacing to conform to the MUTCD and City of RENTON standards. 2. All sidewalks, driveways, exits and egresses shall be completely clear unless otherwise indicated. 3. Channelizing devices are 28" traffic cones. 4. Sign size can be a minimum of 48" x 48" and shall not obstruct pedestrian access. 5. Crew is required to leave a minimum of 11' for traveling lane width. 6. Alert affected residents and businesses. 7. Work to take place between 9 a.m. and 4 p.m. 8. Work area will be 0' to ___' E of C/L of Anacortes Ave NE & 15' S of C/L of NE 23rd St. TRENCH 28" TRAFFIC CONE LEGEND TRAFFIC FLOW SIGN LOCATION FLAGGER STOP WORK VEHICLE/ FLASHING LIGHTS RIGHT OF WAY Puget Sound Energy Traffic Control Supervisor: Gregory Harwood Card No. 008997 Card Exp. 08/13/2019 gregory.harwood@pse.com (425)424-6425 MFP18000610 NE 24TH STNE 23RD STNE 22ND CTBREMERTON AVE NEANACORTES AVE NENE 23RD CT8_X_10- P LA TE STEEL PLATESON DRIVEWAYS8_X_1 0 -P L AT E 8_X_10- P LA TE STOPFLAGGE RX'W20-7ABEPREPAREDTOSTOPW3-4100'100'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4 100' 100'ROADWORKAHEADW20- 1 X'X'PLACE W20-1 SIGNS ON ALLADJACENT STREETS WITHIN FEET OF WORK AREAROADWORKAHEADW20-1 ROADWORKAHEADW20-1300FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PA RK PLACE SIGNS ONBOTH SIDES OFWORK AREAONE LANE ROAD AHEAD W20-4100'100'100'ROAD WORK AHEAD W20-1W20-7ADUVALL AVE NE11111717CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NPSEPUGETSOUNDENERGYJob#109108380 4520 NE 23rd St , Renton, WAJanuary 26, 2018Sheet 3 of 6 yuriy.bashtovoy@pse.com(425)398-6193Notes:1. All signs and spacing to conform to the MUTCDand City of RENTON standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.4. Sign size can be a minimum of 48" x 48" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 11' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place between 9 a.m. and 4 p.m.8. Work area will be __' E to ___' E of C/L ofAnacortes Ave NE & 15' S of C/L of NE 23rd St.TRENCH28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYPuget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 008997Card Exp. 08/13/2019gregory.harwood@pse.com(425)424-6425MFP18000610 12 11 12 11 12BUS STOP NE 24TH STNE 23RD STNE 22ND CTBREMERTON AVE NEANACORTES AVE NE DUVALL AVE NE 138TH AVE NE NE 23RD STNE 23RD STNE 23RD CT8_X_10- P LA TE STEEL PLATESON DRIVEWAYS8_X_10- P LA TE 8_X_1 0 -P L AT E STOPFLAGG ER 100'ROADWORKAHEADW20-1100'ROADWORKAHEADW20-1X'X'PLACE W20-1 SIGNS ON ALLADJACENT STREETS WITHIN FEET OF WORK AREAROADWORKAHEADW20-1 ROADWORKAHEADW20-1300FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PA RK PLACE SIGNS ONBOTH SIDES OFWORK AREAONE LANE ROAD AHEAD W20-4100'100'100'ROAD WORK AHEAD W20-1W20-7ASTOPFLAGG ERONE LANEROADAHEADW20-4100'100'W20-7ANE 24TH ST111188 1717CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NPSEPUGETSOUNDENERGYJob#109108380 4520 NE 23rd St , Renton, WAJanuary 26, 2018Sheet 4 of 6 yuriy.bashtovoy@pse.com(425)398-6193TRENCH28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYPuget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 008997Card Exp. 08/13/2019gregory.harwood@pse.com(425)424-6425Notes:1. All signs and spacing to conform to the MUTCDand City of RENTON standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.4. Sign size can be a minimum of 48" x 48" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 11' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place between 9 a.m. and 4 p.m.8. Work area will be __' E to ___' E of C/L ofAnacortes Ave NE & 15' S of C/L of NE 23rd St.MFP18000610 12 11 12 11 12BUS STOP NE 23RD STDUVALL AVE NE 138TH AVE NE NE 23RD STNE 23RD STSTEEL PLATESON DRIVEWAYS8_X_10- P LA TE 8_X_1 0 -P L AT E STOPFLAGGERROADWORKAHEADW20-1X'X'PLACE W20-1 SIGNS ON ALLADJACENT STREETS WITHIN FEET OF WORK AREAROADWORKAHEADW20-1 ROADWORKAHEADW20-1300FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PA RK PLACE SIGNS ONBOTH SIDES OFWORK AREAW20-7ASTOPFLAGG ERONE LANEROADAHEADW20-4100'100'W20-7A100'100'BEPREPAREDTOSTOPW3-4ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4ROADWORKAHEADW20-1 350'350' 350'350' ANACORTES AVE NE NE 24TH STNE 24TH ST111188CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NPSEPUGETSOUNDENERGYJob#109108380 4520 NE 23rd St , Renton, WAJanuary 26, 2018Sheet 5 of 6 yuriy.bashtovoy@pse.com(425)398-6193TRENCH28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYPuget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 008997Card Exp. 08/13/2019gregory.harwood@pse.com(425)424-6425Notes:1. All signs and spacing to conform to the MUTCDand City of RENTON standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.4. Sign size can be a minimum of 48" x 48" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 11' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place between 9 a.m. and 4 p.m.8. Work area will be __' E to ___' E of C/L ofAnacortes Ave NE & 15' S of C/L of NE 23rd St.MFP18000610 12 11 12 11 12BUS STOP NE 23RD STDUVALL AVE NE 138TH AVE NE NE 23RD STNE 23RD STSTEEL PLATESON DRIVEWAYS8_X_1 0 -P L AT E STOPFLAGG ERROADWORKAHEADW20-1X'X'PLACE W20-1 SIGNS ON ALLADJACENT STREETS WITHIN FEET OF WORK AREAROADWORKAHEADW20-1 ROADWORKAHEADW20-1300FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PAR K PLACE SIGNS ONBOTH SIDES OFWORK AREAW20-7ASTOPFLAGG ERONE LANEROADAHEADW20-4100'W20-7A100'100'BEPREPAREDTOSTOPW3-4ROADWORKAHEADW20-1350'BEPREPAREDTOSTOPW3-4ROADWORKAHEADW20-1 STOPFLAGG ER 100'350' 350'350' ANACORTES AVE NE NE 24TH STNE 24TH ST111188CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NPSEPUGETSOUNDENERGYJob#109108380 4520 NE 23rd St , Renton, WAJanuary 26, 2018Sheet 6 of 6 yuriy.bashtovoy@pse.com(425)398-6193TRENCH28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYPuget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 008997Card Exp. 08/13/2019gregory.harwood@pse.com(425)424-6425Notes:1. All signs and spacing to conform to the MUTCDand City of RENTON standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.4. Sign size can be a minimum of 48" x 48" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 11' for travelinglane width.6. Alert affected residents and businesses.7. Work to take place between 9 a.m. and 4 p.m.8. Work area will be __' W to 123' W of C/L of 138th Ave SE& 15' S of C/L of NE 23rd St.MFP18000610 ANACORTES AVE NENE 23RD STNE 23RD ST138TH AVE SE NVicinity MapN/AOwner / Developer Contact InfoofficeATTN:N/AN/AN/AN/AN/ATHIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIESCALL 811 AT LEAST 2 BUSINESS DAYS BEFORE YOU DIGFor contacts below dial 1-888-CALL PSE (225-5773)Inspected Steel and PE pipe per GOS 2450.1400 and 2450.1500Reviewed and complied with all construction notes.Recorded all required information on the as-built per GOS 2500.1700.Completed post installation inspection per GOS 2525.1200 and 2525.2700.Left the work area in a clean and safe condition.FITTER'S CHECKLISTForeman's Name (printed) ___________________________________ Foreman's Signature________________________________________Company: InfraSource Construction Date ______________(CHECK BOX TO CONFIRM COMPLETION)4680 06/1111342999109108380109108381108600996108600995GASPROJECT PHASENotification #Order #Main RetireSvc RetireSAP SuperiorService/MeterService/MeterHP Svc/MSADis. Reg. / FTInd. MSAInd. ServiceService/MeterService/MeterSYSTEM MAOP DENOTED BY: SYSTEM MAOP = ___ PSIG BOX (TEST LEAD) INSTALLATION.THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525.2600 FOR ALL HP VALVES IF THE LOCATION ISTO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT ASSHOWN ON THIS DESIGN UNLESS APPROVED BY APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL OR BETTER CONDITION.MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300 AND 2525.3400.PURGE POINTS AND PRESSURE TAPS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525.3300, AND 2525.1200.ANY CHANGE IN ROUTE, PIPE SIZE/TYPE, TIE-IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BYCOMPLETE "PIPE CONDITION REPORT" ON ALL METALLIC PSE FACILITIES. CHECK BOX ON REPORT FOR WIREINSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BYTHE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACEDPER GAS OPERATING STANDARD 2550.1600. ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE.DELIVER FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT PRIOR TO BEGINNING CONSTRUCTION. USE iSi TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HANDNOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYSEROSION AND SEDIMENT CONTROL AND ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPORARYALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES.TO CONSTRUCTION, IN WESTERN WASHINGTON CALL: 1-800-424-5555. OR CALL NATIONWIDE: 811 FIELD LOCATE ALL UNDERGROUND UTILITIES. EXCAVATOR TO CALL "ONE-CALL" TWO WORKING DAYS PRIOR TOSTANDARD GAS CONSTRUCTION NOTES:14.13.15.10.11.THE APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.9.6.7.5.4.3.1.6016. IF METALLIC PIPE IS INVOLVED, COORDINATE INSTALLATION WITH CP TECH.N/AN/ANOTIFY APPROPRIATE PERMITTING AGENCY PRIOR TO JOB START (SEE PERMIT REQUIREMENTS).2.8.PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GASOPERATING STANDARD 2525.2500.NOT READILY ACCESSIBLE, AND FOR ALL VALVES WHERE PERSISTENT SNOWFALL MAY OBSCURE THE VALVE BOX.GAUGE AND MONITOR USE OF ALL STOPPERS TO ENSURE ADEQUATE FEED.12. ___________________________, PHONE______________. NOTE ALL ACTUAL FOOTAGE, LOCATION AND MATERIAL CHANGES ON THE AS-BUILT IN RED. ( ') DENOTES17.FOOTAGE BETWEEN FITTINGS.18.EXCESS FLOW VALVE TO BE INSTALLED ON ALL NEW RESIDENTIAL SERVICES PER GOS 2500.2200. (RECORD ALLINFORMATION ON D-4 CARD)PLUG ENDS OF DEACTIVATED OR INSERTED MAINS AND SERVICES IN ACCORDANCE WITH PSE GAS OPERATINGINSIDE METER SETS SHALL BE MOVED OUTSIDE WHENEVER POSSIBLE OR SET REGULATORS AND VENTS OUTSIDE PER PROJECT MANAGER TO MAKE EGOR RUN IMMEDIATELY PRIOR TO STARTING CONSTRUCTION.MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300, 2525.3400 REFER TO PSE GAS OPERATING STANDARD 2525.1700 FOR MAIN AND SERVICE COVER REQUIREMENTS.INSTALL CURB VALVE AT PROPERTY LINE OR 5/8" PE WHIP AT MAIN (AS REQUIRED) ON NEW AND EXISTING SERVICESINSTALL ANODES AND TEST LEAD WIRES AS REQUIRED PER PSE GAS FIELD PROCEDURES 4515.1000 AND 4515.1020 ANDPSE GAS OPERATING STANDARD 2600.1200. TEST LEAD WIRES ARE REQUIRED ON ALL TRANSITION FITTINGS.MAINTAIN CATHODIC PROTECTION FOR STEEL MAINS BY THE USE OF CONTINUITY BONDS OR OTHER MEANS DETERMINEDBY THE PSE CORROSION ENGINEER PER PSE GAS OPERATING STANDARD 2600.1300.INSTALL ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE. INSTALL ANODE AND TEST LEAD WIRES PER PSENOTIFY GAS CUSTOMERS, OR DISTRIBUTE FLYER #1443 A MINIMUM OF TWO WORKING DAYS PRIOR TO A PLANNED REPLACE ALL "NO RECORD" SERVICES AND 1-1/8" PE SERVICES INSTALLED PRIOR TO 1985.REPLACE EXISTING ACTIVE SERVICES PER PSE GAS OPERATING STANDARDS 2525.2100 AND 2575.2300.REMOVE OR RENDER INOPERABLE DEACTIVATED VALVES ON CASING WHERE MPE PIPE IS INSERTED.INSTALL REPLACEMENT MAINS PER PSE GAS OPERATING STANDARDS 2525.2100 FOR INSERTIONS AND 2525.3600 FORSTANDARDS 2525.2100 AND 2525.3600.PSE GAS OPERATING STANDARDS 2575.2300 AND 2550.1700.11.12.14.13.AND 2525.1200, AND PSE GAS FIELD PROCEDURE 4700.1500.PER PSE GAS OPERATING STANDARD 2550.1600.ABANDONMENT OR DEACTIVATION.10.9.5.6.7.8.GAS OPERATING STANDARD 2525.2300.4.1.2.3.OUTAGE.STANDARD IP & LP GASREPLACEMENT CONSTRUCTION NOTES15.ACTIVE SERVICES TO BE REPLACED DENOTED BY:#####HOLE HOG TABLECALLOUTLOCATIONDEPTHLENGTHBP1STARTBP2ENDBP3STARTBP4ENDBP5STARTBP6ENDBP7STARTBP8ENDBP9STARTBP10ENDBP11STARTBP12ENDBP13STARTBP14ENDBP15STARTBP16ENDBP17STARTBP18ENDBP19STARTBP20ENDSHEET 3109108380DESIGNED BYUTILITIESCONTACTPHONE#COUNTY1/4 SECOP MAPEmer SectGAS WK CTRPLAT MAPJOINT FACILITIES ARRANGEMENTSDRAWN BYCHECKED BYAPPROVED BYCP APPROVALMAPPINGSCALEPAGEENGR - GASFUNCTIONPROJECT MGRPERMITREAL ESTATE/EASEMENT21REV#3DATEDESCRIPTIONBYCONTACTPHONE NODATEDrawing NumberSAP Sup Order NbrPC APPROVALK.ANDERSON480-516-3761N/AN/AM.PETERSON425-398-60711/5/18J.MALM425-424-64211/10/18K.ANDERSON480-516-3761.N/A....N/ARENTONDUPONT PIPE REPLACEMENT4520 NE 23RD STRENTON, WA 98059PSE1091083801"=30'1 OF 3KING30SYSSKGPMNW-3-23-05204.086204.086N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ACell Phone:"Locates Required""Flagging Required"Yes NoYes NoE-Mail:Manager:Project Manager Contact Information:KELSEY ANDERSON480-516-3761kelsey.anderson@pse.comSTOP TIMESTART TIMEGAS MAIN PRESSURE & TESTINGTESTED BYGAS MAIN INSTALLATION/RETIREMENTSOAPAIRNITROGENWATERSOAPAIRNITROGENWATERSTOP TIMESTART TIMETESTED BYTEST RESULTSPFTESTED BY PSE PRESSURE CONTROL, SEE FORM 1928PFType/WorkManufacturerPipe SizeTypeEst LengthAct LgthTYPE TEST / /DATE OFFPRESSUREDATE ONDATE OFFTYPE TESTPRESSURESYS MAOPDESIGN PRESSDATE ON2023 03/10TEST RESULTS / / / / / /INSTALL2"MPE698'RETIRE2"PE-A699'RETIRE2"MPE12'6060 PSIGSAP BATCH YEAR & FOOTAGEACTUALLENGTH OFRETIREMENTMATERIALRETIREDORIGINALJOBORIGINALYEARPROPOSEDLENGTH OFRETIREMENTSIZE OFRETIREDMAINWORK SITESHEET 2FIELD NOTES:NOTIFY PROJECT MANAGER IF ADDITIONAL DUPONT AND/OR STW MATERIALS ARE FOUND DURING CONSTRUCTION,ALL DUPONT AND STW PIPES SHALL BE RETIRED PER SCOPE OF WORK.INCLUDING AT OR BEYOND THE CONNECTION POINTS.1.2.###T&T###T&TKEY TO SERVICE ACTIONLEGEND FIELD DESIGNER: CELL: EMAIL: CONSTRUCTION QUESTIONS:PROJECT CONTACT INFORMATION:CONST MANAGER: CELL: EMAIL: PROJ MANAGER: CELL: EMAIL: FOR MAIN DESIGNS REALIGNMENTS - FIELD DESIGNERSHALL BE CONTACTED:BILLING QUESTIONS:480-516-3761KELSEY ANDERSONkelsey.anderson@pse.com206-255-4824STEVE MELLINGERsteve.mellinger@pse.com480-516-3761KELSEY ANDERSONkelsey.anderson@pse.comMFP18000610 ////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////NE 23RD ST (SE 101ST PL)ANACORTES AVE NE ////////////////////////////////////////////////////////THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIESCALL 811 AT LEAST 2 BUSINESS DAYS BEFORE YOU DIGFor contacts below dial 1-888-CALL PSE (225-5773)Inspected Steel and PE pipe per GOS 2450.1400 and 2450.1500Reviewed and complied with all construction notes.Recorded all required information on the as-built per GOS 2500.1700.Completed post installation inspection per GOS 2525.1200 and 2525.2700.Left the work area in a clean and safe condition.FITTER'S CHECKLISTForeman's Name (printed) ___________________________________ Foreman's Signature________________________________________Company: InfraSource Construction Date ______________(CHECK BOX TO CONFIRM COMPLETION)4680 06/11PLOT PLANSCALE: 1" = 30'-0" DESIGNED BYUTILITIESCONTACTPHONE#COUNTY1/4 SECOP MAPEmer SectGAS WK CTRPLAT MAPJOINT FACILITIES ARRANGEMENTSDRAWN BYCHECKED BYAPPROVED BYCP APPROVALMAPPINGSCALEPAGEENGR - GASFUNCTIONPROJECT MGRPERMITREAL ESTATE/EASEMENT21REV#3DATEDESCRIPTIONBYCONTACTPHONE NODATEDrawing NumberSAP Sup Order NbrPC APPROVALK.ANDERSON480-516-3761N/AN/AM.PETERSON425-398-60711/5/18J.MALM425-424-64211/10/18K.ANDERSON480-516-3761.N/A....N/ARENTONDUPONT PIPE REPLACEMENT4520 NE 23RD STRENTON, WA 98059PSE1091083801"=30'2 OF 3KING30SYSSKGPMNW-3-23-05204.086204.086N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ACell Phone:"Locates Required""Flagging Required"Yes NoYes NoE-Mail:Manager:Project Manager Contact Information:KELSEY ANDERSON480-516-3761kelsey.anderson@pse.com###T&T###T&TKEY TO SERVICE ACTIONLEGEND 45034509451545214508T&T450245144520NOT TO SCALETIE-IN DETAIL1MATCHLINE A-AIP GAS FLOWIP GAS FLOW SEE SHEET 3 1IP GAS FLOW MFP18000610 /////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////////NE 23RD ST (SE 101ST PL)138TH AVE SE //////////////////////////////////////////THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIESCALL 811 AT LEAST 2 BUSINESS DAYS BEFORE YOU DIGFor contacts below dial 1-888-CALL PSE (225-5773)Inspected Steel and PE pipe per GOS 2450.1400 and 2450.1500Reviewed and complied with all construction notes.Recorded all required information on the as-built per GOS 2500.1700.Completed post installation inspection per GOS 2525.1200 and 2525.2700.Left the work area in a clean and safe condition.FITTER'S CHECKLISTForeman's Name (printed) ___________________________________ Foreman's Signature________________________________________Company: InfraSource Construction Date ______________(CHECK BOX TO CONFIRM COMPLETION)4680 06/11PLOT PLANSCALE: 1" = 30'-0" DESIGNED BYUTILITIESCONTACTPHONE#COUNTY1/4 SECOP MAPEmer SectGAS WK CTRPLAT MAPJOINT FACILITIES ARRANGEMENTSDRAWN BYCHECKED BYAPPROVED BYCP APPROVALMAPPINGSCALEPAGEENGR - GASFUNCTIONPROJECT MGRPERMITREAL ESTATE/EASEMENT21REV#3DATEDESCRIPTIONBYCONTACTPHONE NODATEDrawing NumberSAP Sup Order NbrPC APPROVALK.ANDERSON480-516-3761N/AN/AM.PETERSON425-398-60711/5/18J.MALM425-424-64211/10/18K.ANDERSON480-516-3761.N/A....N/ARENTONDUPONT PIPE REPLACEMENT4520 NE 23RD STRENTON, WA 98059PSE1091083801"=30'3 OF 3KING30SYSSKGPMNW-3-23-05204.086204.086N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ACell Phone:"Locates Required""Flagging Required"Yes NoYes NoE-Mail:Manager:Project Manager Contact Information:KELSEY ANDERSON480-516-3761kelsey.anderson@pse.com###T&T###T&TKEY TO SERVICE ACTIONLEGEND 4612T&T4606460046014607461346194625NOT TO SCALETIE-IN DETAIL2MATCHLINE A-AIP GAS FLOWIP GAS FLOWSEE SHEET 2 2IP GAS FLOW IP GAS FLOW MFP18000610 BOM for WO: 109108380 ITEM QTY DESCRIPTION PART NO. 7 698 WIRE #14 COPPER TRACER 8500940 6 698 PIPE 2" COIL MED DENSITY 7000261 5 1 TEE 2" X 2" MDPE HV 9996711 4 2 TAPPING TEE 2" X 5/8" HDPE (GAUGE TEE)9999550 3 2 CAP 5/8 MECHANICAL PE 5200551 2 1 COUPLING 2" ELECTROFUSION FITTING 5800470 1 1 CAP 2" MDPE 5200649 MFP18000610