HomeMy WebLinkAboutMFP18003894DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP18003894
IVR Number: 18003894
Permit Informaon
Permit Name:Puget Sound Energy Gas Permits
Address/Locaon :07/13/2018Application Date:0087000293Parcel Number:17033 108TH AVE SE
Permit Type:07/26/2018Issue Date:Franchise
Permit Work Class:07/26/2019Expiration Date:Minor Utility
Job Number:107056157Franchise Type:Natural Gas
Description:Install new 2" PE gas main into plat. Restoration per City of Renton standards. Pothole Existing Utilities
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
107056157
Anish Kumar
253-208-2183
anish.kumar@pse.com
17033 108th Ave SE 98055 107056157
Occupying S bound lane of 108th Way SE for crew to install new 2" PE gas
main into plat. 1 3'x5' gravel cut anticipated. Restoration per City of Renton standards.
10'
PSE/Infrasource 253-208-2183
INFRASL871C2 BL.036742
7/11/2018
Scott Warlick 7/18/2018
MFP18003894
Justin Johnson 7-26-2018
Pothole existing utilities within the proposed alignment.
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
107056157
PSE/Infrasource
Alfred Jackson 253-395-6956
6905 S 228th St, Kent 98032
alfred.jackson@pse.com
17033 108th Ave SE
TBD
9/21/2018
Anish Kumar 7/11/2018
MFP18003894
Justin Johnson
7-26-2018
9:00 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).
ROWROWROW#17033
1414161612 14
1212
108TH WAY SESE 172ND ST UTILITYWORKAHEADW21-7SHOULDERWORKW21-5350'350'UTILIT
Y
WORK
AHEA
D W21-7350'UTILITYWORKAHEADW21-7 UTILITYWORKAHEADW21-7PLACE W20-1 SIGNS ON ALL
ADJACENT STREETS WITHIN
FEET OF WORK AREA
X'ROADWORKAHEADW20-1
X'ROADWORKAHEADW20-1700
FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PARKFROMTOTOW 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
N PSE PUGET
SOUND
ENERGY
JOB#107056157
17033 108th Ave SE, Renton, WA
July 2nd, 2018
patrick.byrne@pse.com
425-424-6618
Sheet 1 of 1
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
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.
LEGEND
TRENCH
SIGN LOCATION
TRAFFIC FLOW
28" TRAFFIC CONE
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
ROW ROW
MFP18003894
108TH AVE SESE 172ND ST
IP GAS FLOW IP GAS FLOW17029N
Vicinity Map
Owner / Developer Contact Info
officeATTN:
RENTON SPECIAL CARE COMMUNITY LLC
2731 77TH AVE SE, STE 2-3
MERCER ISLAND, WA 98040
MIKE 206.457.6737
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: InfraSource Construction Date ______________
(CHECK BOX TO CONFIRM COMPLETION)
4680 06/11
504606150 107056157
505913347 106339516
505913348 N/A
505913349 N/A
505913390 N/A
505913391 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/Meter
Service/Meter
HP Svc/MSA
Dis. Reg. / FT
Ind. MSA
Ind. Service
Service/Meter
Service/Meter
SYSTEM 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 IS
TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS
SHOWN 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 BY
COMPLETE "PIPE CONDITION REPORT" ON ALL METALLIC PSE FACILITIES. CHECK BOX ON REPORT FOR WIRE
INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY
THE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED
PER 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 HAND
NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYS
EROSION AND SEDIMENT CONTROL AND ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPORARY
ALL 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 TO
STANDARD GAS CONSTRUCTION NOTES:
14.
13.
15.
10.
11.
THE APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
9.
6.
7.
5.
4.
3.
1.
60
16. IF METALLIC PIPE IS INVOLVED, COORDINATE INSTALLATION WITH CP TECH.
NOTIFY 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 GAS
OPERATING 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 ALL
INFORMATION ON D-4 CARD)
PLOT PLAN
SCALE: 1" = 50'-0"
STOP TIME
START TIME
GAS MAIN PRESSURE & TESTING
TESTED BY
GAS MAIN INSTALLATION/RETIREMENT
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/Work ManufacturerPipe Size Type Est Length Act Lgth
TYPE TEST
/ /
DATE OFF
PRESSURE
DATE ON
DATE OFF
TYPE TEST
PRESSURE
SYS MAOPDESIGN PRESS
DATE ON
2023 03/10
TEST RESULTS
/ /
/ /
/ /
SCAT 2"MPE-7 9'
PLAT 2"MPE-7 176'
60 IP 132-60
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL 811 AT LEAST 2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)
Excavated Dirt Pile
24" Min
24"
Min
Cover
Gas Main Line in PVC Conduit
SIDE
ACCESS
VEHICLE
Final Grade
12"-18"
Min
Backfill for Conduit - The final backfill may be soil-based select material or native soil,
but free of construction debris and shall not contain rocks larger than 10"-in. diameter to
prevent impedence of gas system maintenance.
Final Backfill
(See Definition Above)
TYPICAL GAS MAIN IN CONDUIT TRENCH DETAIL
Not to Scale RESIDENTIAL
HOLE HOG TABLE
CALLOUT LOCATION DEPTH LENGTH
BP1 START
BP2 END
BP3 START
BP4 END
BP5 START
BP6 END
BP7 START
BP8 END
BP9 START
BP10 END
BP11 START
BP12 END
BP13 START
BP14 END
BP15 START
BP16 END
BP17 START
BP18 END
BP19 START
BP20 END
TIE IN
TEE HV 2"X2" MPE
113'N C/L & 21'W C/L
____'N C/L & ____'W C/L
PROPOSED PIPE 2" MPE IP MAIN
(in CUSTOMER PROVIDED CONDUIT)
125'N C/L, ____'N C/L
END OF CONDUIT
____'W C/L
WORK AREA
ALL PROPOSED SERVICE LINES ARE 1-1/4" MPE IP
INSERTED IN CUSTOMER PROVIDED CONDUIT.
EXCEPT AS STATED IN SECTION 3.2, AN EFV
SHALL BE INSTALLED ON ALL NEW OR REPLACED
SERVICES SERVED FROM AN IP MAIN
(GOS 2550.2200.3.1)107056157DESIGNED BY PUGET SOUND ENERGY
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
Drawing Number
SAP Sup Order Nbr
C. FUNG 425.625.6055
A. JACKSON
425.505.3858A. JACKSON
425.505.3858
"Locates Required"
"Flagging Required"
Yes No
Yes No
Cell Phone:
Project Manager Contact Information:
E-Mail:
Name:
425.505.3858
alfred.jackson@pse.com
ALFRED JACKSON
E. ESTIRI 253.437.6716
-----------------
END OF MAIN
CAP 2" MPE
125'N C/L & 206'W C/L
____'N C/L & ____'W C/L
CP TEST LEAD BOX COMPLETE
(BRING WIRE UP IN BOX)
____'N C/L & ____'W C/L
(____')
REQUIRED RENTON
RENTON SPECIAL CARE COMMUNITY LLC
2" MPE IP MAIN EXTENSION (4 METERS)
17033 108TH AVE SE, RENTON 98055
107056157
N/A
1"=50'1/1
KING 32 CSPSKGPM
SW 29-23-05 E 212.080 213.082
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
END OF CONDUIT
____'W C/L
PROPOSED EASEMENT
MFP18003894