HomeMy WebLinkAboutMFP18002648DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP18002648
IVR Number: 18002648
Permit Informaon
Permit Name:Puget Sound Energy Gas Permits
Address/Locaon :05/18/2018Application Date:1463400060Parcel Number:13833 156TH AVE SE
Permit Type:05/31/2018Issue Date:Franchise
Permit Work Class:05/31/2019Expiration Date:Minor Utility
Job Number:108604175Franchise Type:Natural Gas
Description:Crew to cut and cap existing gas service. Asphalt cut anticipated. Restoration per City of Renton standards.
Contacts
Name Address PhoneTypeBilling
ANISH KUMAR
PUGET SOUND ENERGY - GAS -
6905 S 228th St
Kent, WA 98032
B: (253) 208-2183Applicant
Stuart Bennett
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.036742Construction Contractor: INFRASL871C2
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
Owner
ANISH KUMAR
PUGET SOUND ENERGY - GAS -
6905 S 228th St
Kent, WA 98032
B: (253) 208-2183Specialized
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
Puget Sound Energy
108604175
Anish Kumar
253-208-2183
anish.kumar@pse.com
13833 156th Ave SE 98059 108604175
Occupying S bound lane of 156th Ave SE for crew to cut & cap existing gas
service located 18' W of centerline of 156th Ave SE. 1 4'x4' asphalt cut anticipated. Restoration
per City of Renton standards.
PSE/Infrasource 253-208-2183
INFRASL871C2 BL.036742
5/16/2018
MFP18002648
Scott Warlick 5/18/2018
Holly Powers 5/30/2018
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:
Reset FormPrint Form
108604175
PSE/Infrasource
Lee Brown 425-417-8620
6905 S 228th St, Kent 98032
lee.brown@pse.com
13833 156th Ave SE
TBD
5/30/2018
Anish Kumar 5/16/2018
MFP18002648
Scott Warlick
5/31/2018Monday - Friday
8:00AM - 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).
1111
1111
1111FROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARK
NO PARK SIGNAGE WILL BE
PLACED ON ALL STREETS TO
SURROUND WORK ZONE
SE 139TH PL/SE 5TH PL
SE 4TH PL1111
156TH AVESE156TH AVESE#13833
STOP
FLAGGER
STOP
FLAGGER
BEPREPAREDTOSTOPW3-4X'X'X'ROADWORKAHEADW20-1W20-7AONE LANE
ROAD
AHEAD W20-4X'X'X'ROAD
WORK
AHEAD W20-1W20-7AONE LANEROADAHEADW20-4X'X'X'ROADWORKAHEADW20-1W20-7ABEPREPAREDTOSTOPW3-4X'X'X'ROADWORKAHEADW20-1W20-7ARESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
X'X'PLACE W20-1 SIGNS ON ALL
ADJACENT STREETS WITHIN
FEET OF WORK AREA
ROAD
WORK
AHEAD W20-1ROADWORKAHEADW20-11000
ROAD A(PROPOSED)
AREA UNDER CONSTRUCTION
STOP
FLAGGER
PATH OF INSTALLATION
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
N
PSE PUGET
SOUND
ENERGY
JOB#108604175
13833 156th Ave SE, Renton WA
May 9, 2018
gregory,harwood@pse.com425-424-6425
SHEET 1 OF 1
TRENCH
28" TRAFFIC CONE
LEGEND
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
STOP
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
SIGN SPACING
MPH
60/65
45/55
35/40
30
25
"X"
1000'
500'
350'
200'
100'
Puget Sound Energy
Traffic Control Supervisor:
Ryan Honeysett
Card No. 010760
Card Exp. 06/30/2021
ryan.honeysett@pse.com
(425)457-5381
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.
Use traffic drums (barrels) with steady burning
Type C lights on all State State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" 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
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m.
8. Cut & Cap will be approx. 11' NCL of SE 139th
Pl & from 18' WCL of 156th Ave SE.
PRINT ON 11 X 17
SHEETS ONLY MFP18002648
SE 5TH PL
N
Vicinity Map
Owner / Developer Contact Info
officeATTN:
SSHI LLC DBA D.R. HORTON
12910 TOTEM LAKE BLVD NE
KIRKLAND, WA 98034
PATRICK DANNER 425.821.3400
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)
DESIGNED BY
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC OP MAP
Emer Sect GAS WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
CP APPROVAL
MAPPING
SCALE PAGE
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY CONTACT PHONE NO DATE
ELEC Order Number
SAP Sup Order Nbr
Lee Brown 425-417-8620 05/04/18
Joanna Yang 206-503-0706 05/04/18
Joanna Yang 206-503-0706 05/04/18
N/A RENTON
Meadow Vue
GAS SVC CUT & CAP
13833 156TH AVE SE, RENTON WA 98059
Puget Sound Energy
108604175
N/A
1" = 50'1 OF 1
KING 30 QCSOKE
14SW-T23-R05E 208.086 209.088
PSE PROJECT MANAGER
LEE BROWN
425-417-8620
Contractor: CONSTRUCTION COST CODES:
Cell Phone:
Project Manager Contact Information:
"Locates Required"
"Flagging Required"
Yes No
Yes No
E-Mail:
Manager:Lee Brown
425.417.8620
lee.brown@pse.com
Inspected Steel and PE pipe per GOS 2450.1400 and 2450.1500
Reviewed 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 CHECKLIST
Foreman's Name (printed) ___________________________________
Foreman's Signature________________________________________
Company: Potelco Inc Date ______________
(CHECK BOX TO CONFIRM COMPLETION)
STOP TIME
START TIME
GAS MAIN PRESSURE & TESTING
TESTED BY
SOAP AIR NITROGEN WATER
SOAP AIR NITROGEN WATER
STOP TIME
START TIME TESTED BY
TEST RESULTS P F
TESTED BY PSE PRESSURE CONTROL, SEE FORM 1928
P F
TYPE TEST
/ /
DATE OFF
PRESSURE
DATE ON
DATE OFF
TYPE TEST
PRESSURE
SYS MAOPDESIGN PRESS
DATE ON
2023 03/10
TEST RESULTS
/ /
/ /
/ /
STOP TIME
START TIME TESTED BY
SOAP AIR NITROGEN WATER
P F
TYPE TEST
/ /
DATE OFF
PRESSURE
DATE ON
TEST RESULTS
/ /
STOP TIME
START TIME TESTED BY
SOAP AIR NITROGEN WATER
P F
TYPE TEST
/ /
DATE OFF
PRESSURE
DATE ON
TEST RESULTS
/ /
STOP TIME
START TIME TESTED BY
SOAP AIR NITROGEN WATER
P F
TYPE TEST
/ /
DATE OFF
PRESSURE
DATE ON
TEST RESULTS
/ /
STOP TIME
START TIME TESTED BY
SOAP AIR NITROGEN WATER
P F
TYPE TEST
/ /
DATE OFF
PRESSURE
DATE ON
TEST RESULTS
/ /
GASSED UP PIPELINE
PIPE
SEGMENT
FOREMAN'S DATENAME
60 N/A
SITE PLAN
SCALE: 1" = 50'
N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
GAS
PROJECT PHASE Notification #Order #
Retirement
Relocate
SAP Superior
Service Stubs
Service/Meter
HP Svc/MSA
Dis. Reg. / FT
Ind. MSA
Ind. Service
Service/Meter
Service/Meter
xx
SITE
505838105 108604175
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
GAS
PROJECT PHASE Notification #Order #
Retirement
Relocate
SAP Superior
Service Stubs
Service/Meter
HP Svc/MSA
Dis. Reg. / FT
Ind. MSA
Ind. Service
Service/Meter
Service/Meter
GAS MAIN INSTALLATION/RETIREMENT
Type/Work ManufacturerPipe Size Type Est Length Act Lgth
DEACTIVATE 5/8"PE IP 22 FT
....
....
....
....
....
DEACTIVATE IN PLACE
22' OF 5/8" IP PE SVC
( )'DEACTIVATED
CUT & CAP 5/8" IP PE SVC
11'NCL, 18'WCL
( )'NCL, ( )'WCL 108604175GENERAL NOTES - GAS (JOINT TRENCH):
Excavator to contact Utilities Underground Location Center (One-Call) 48 hours prior to construction, to two
working days prior to construction. 1-800-424-5555
Notify appropriate permitting agency prior to job start (see permit requirements).
Erosion and sediment control shall be per PSE Standard Practice 0150.3200 Techniques for Temporary Erosion
and Sediment Control and any additional local jurisdiction requirements.
Any change in route, pipe size/type, tie-in method or additional main footage must be approved by the
appropriate Engineer/Project Manager.
Complete "Exposed Pipe Condition Report" on all exposed existing Steel PSE Facilities.
Check box on report for wire box (Test Lead) installation.
Pipeline Markers and Warning Signs shall be installed and recorded by the Contractor per PSE Gas Operating
Standard 2525.2500.
To prevent accidental overpressure of adjoining systems, no two mains shall be connected, except as shown on
this design, unless approved by the appropriate Engineer/Project Manager.
System MAOP denoted by System MAOP = 60 PSIG
Install Main Valves out of traffic where possible.
Gauge (use Manometer for LP Systems) and monitor use of all stoppers and squeezes to insure adequate feed.
Install one pound Anode for every 1000' of locating wire. Install Anode and Test Lead Wires per PSE Gas
Operating Standards 2525.1200 and 2525.2300.
If STW pipe involved, coordinate installation with CP Tech. N/A Cell # N/A .
Purge Points and Pressure Taps shall be installed per PSE Gas Operating Standards 2525.3400 and PSE Gas
Field Procedures Manual 0812 and 0813.
Mains and services shall be tested and purged per PSE Gas Operating Standards 2525.3300 and 2525.3400.
Unless otherwise noted:
All pipes installed in plat to be 2" MPE-7.
All crossings to be Yellow 4" PVC.
All Services to be 1-1/8" PE.
/ denotes service stub location.
(________') denotes footage between fittings.
Customer to dig and backfill on private property or easement only. Trenches must conform to PSE Gas
Operating Standards 2525.1500, 2525.1600 and 2525.1700.
Note all recordable footages, locations and material changes on the as-built in red.
Upon completion of the project send the print copy, along with the completed work order, listing crew & actual
materials used to the appropriate design group.
On site pre-con required before start of job.
At symbol: install natural gas main piping and fixtures. Size as indicated on tables and
work sketch (gas main is to parallel power system unless otherwise shown on work sketch).
Inclement weather conditions may cause delays in construction times and dates.
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21.MFP18002648