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HomeMy WebLinkAboutMFP18005848DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Franchise Permit: MFP18005848 IVR Number: 18005848 Permit Informaon Permit Name:Puget Sound Energy Gas Permits Address/Locaon :10/18/2018Application Date:0088000072Parcel Number:11424 SE 162ND ST Permit Type:11/07/2018Issue Date:Franchise Permit Work Class:11/07/2019Expiration Date:Minor Utility Job Number:107056033Franchise Type:Natural Gas Description:Install 304' of new 2" PE gas main and new 1 1/8" PE services to 11424 & 11428. Pothole all existing utilities. Restoration per City of Renton standards. APPROVED WITH COMMENTS OR REDLINES 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: 36742Construction 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 107056033 Anish Kumar 253-208-2183 anish.kumar@pse.com 11424 SE 162nd St 98055 107056033 One at a time occupying E & W bound lanes of SE 162nd St for crew to install approx 304' of new 2" PE gas main and new 1 1/8" PE services to 11424 & 11428. 3 3'x5' asphalt cuts anticipated. Restoration per City of Renton standards. PSE/Infrasource 253-208-2183 INFRASL871C2 BL.036742 10/12/2018 MFP18005848 Scott Warlick 10/22/2018 POTHOLE ALL EXISTING UTILITIES Justin Johnson 11-6-2018 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 107056033 PSE/Infrasource Kevin Haibeck 253-395-6935 6905 S 228th St, Kent 98032 kevin.haibeck@pse.com 11424 SE 162nd St TBD 12/3/2018 Anish Kumar 10/12/2018 MFP18005848 Scott Warlick 10/22/2018Monday - 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). #11424#11428PVT RDSE 162ND ST114TH AVE SE10101010101010101010 1010 1010 RESIDENT(S) WILL BE INFORMEDOF POSSIBLE TEMPORARYDRIVEWAY CLOSURESTOPFLAGGER STOPFLAGG ER 18101810W20-7AX'X'W20-4ONE LANEROADAHEADROADWORKAHEADW20-1ROADWORKAHEADW20-1FROM TO TOW AWAY AREA PHONE 888-9999 INFRASOURCE LLC 000 0000000 NO PARKING BE PREPARED TO STOP W3-4ROAD WORK AHEAD W20-1W20-7A100'100'100'116TH AVE SE receiving pitNPSEPUGETSOUNDENERGYJOB#10705603311424 & 11428, SE 162nd St, Renton, WA28th September, 2018prachi.joshi@pse.com425-424-7806SHEET 1 of 2Puget 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 theMUTCD and City of Renton standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.Use traffic drums (barrels) with steady burningType C lights on all State State Routes and Hwys.4. Sign size can be a minimum of 36" x 36" 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.munless otherwise specified. All work for arterialsand major roadways will be from 9 a.m. to 3 p.m.8. Work area will be 14' SCL to 20' NCL 162nd St & 114'Ave SE., 2' SCL to 20' NCL 162nd St & 114' Ave SE.BORE PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYROWROWCHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040MINIMUM TAPER LENGTH = L (feet)LANEWIDTHSPOSTED SPEED LIMITS20253035404510111255 +60/6545/5535/403025SIGN SPACING"X"800500'350'200'100'MFP18005848POTHOLE ALL EXISTING UTILITIES #11424#11428PVT RDSE 162ND ST114TH AVE SE10101010101010101010 1010 1010 RESIDENT(S) WILL BE INFORMEDOF POSSIBLE TEMPORARYDRIVEWAY CLOSURESTOPFLAGGER STOPFLAGGE R 18101810W20-7AX'X'W20-4ONE LANEROADAHEADROADWORKAHEADW20-1ROADWORKAHEADW20-1FROM TO TOW AWAY AREA PHONE 888-9999 INFRASOURCE LLC 000 0000000 NO PARKING BE PREPARED TO STOP W3-4ROAD WORK AHEAD W20-1W20-7A100'100'100'116TH AVE SE NPSEPUGETSOUNDENERGYJOB#10705603311424 & 11428, SE 162nd St, Renton, WA28th September, 2018prachi.joshi@pse.com425-424-7806SHEET 2 of 2Puget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 008997Card Exp. 08/13/2019gregory.harwood@pse.com(425)424-6425BORE PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYROWROWCHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040MINIMUM TAPER LENGTH = L (feet)LANEWIDTHSPOSTED SPEED LIMITS20253035404510111255 +60/6545/5535/403025SIGN SPACING"X"800500'350'200'100'Notes:1. All signs and spacing to conform to theMUTCD and City of Renton standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.Use traffic drums (barrels) with steady burningType C lights on all State State Routes and Hwys.4. Sign size can be a minimum of 36" x 36" 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.munless otherwise specified. All work for arterialsand major roadways will be from 9 a.m. to 3 p.m.8. Work area will be 12' NCL 162nd St & 114' Ave SE.MFP18005848POTHOLE ALL EXISTING UTILITIES 1993 5/8" MPE 294'E 11420 11427114TH AVE SESE 162ND ST8324332" PE-A IP 14'W 9020122" PE IP 14'W 19915/8" MPE 316'E 14'W TAPPING TEE 2" UNKNOWN 15'W TAPPING TEE 2" UNKNOWN 79'S REDUCING TEE 2" MPE 87'S REDUCING TEE 2" MPE 13'S TRANSITION 2" UNKNOWN 15'S TRANSITION 2" UNKNOWN 84'S COUPLING 2" MPE IP GAS FLOWIP GAS FLOW70E158 2" STEEL IP 14'S N Vicinity Map N/A Owner / Developer Contact Info officeATTN: JAY KHAIRA PO BOX 88942 SEATTLE,WA 98138 JAY KHAIRA 253-261-3348 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) 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: __________________________ Date ______________ (CHECK BOX TO CONFIRM COMPLETION) 4680 06/11 504863748 107056033 505884684 106339171 505863749 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/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. D.LARSEN 206-716-2673 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) 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 107056033DESIGNED 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 Drawing Number SAP Sup Order Nbr PC APPROVAL K.HAIBECK 206-604-5448 N/A N/A N/A N/A E.ESTIRI 253-260-7928 C.FUNG 425-625-6055 . K.HAIBECK 206-604-5448 . D.LARSEN 206-716-2673 . ... REQUIRED RENTON KHAIRA 2" IP MDPE MAIN EXTENSION(2 METERS) 11424&11428 SE 162ND ST, RENTON 98055 107056033 N/A 1"=50'1/1 KING 32 CSPSKGPM NE-29-23-05 212.080 212.083 N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Cell Phone: "Locates Required" "Flagging Required" Yes No Yes No E-Mail: Manager: Project Manager Contact Information: KEVIN HAIBECK 206-604-5448 KEVIN. HAIBECK@PSE.COM 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 02/18 TEST RESULTS / / / / / / Verify Testing Requirements, Chart vs Gauge GOS 2525.3300 sec. 5, Table 5-1 and sec. 5.5 GASSED UP PIPELINE PIPE SEGMENT FOREMAN'S DATENAME SCAT 2"MPE-7 44' PLAT 2"MPE-7 260' 60 60 TIE IN STOPPER 2"X150 B/O & ELBOW 2"X90° WELD 14'S C/L & 310'E C/L ____'S C/L & ____'E C/L TRANSITION FITTING 2" MPE 13'S C/L &310'E C/L ____'S C/L & ____'E C/L CP WIRE #10 TEST LEAD & CP TEST LEAD BOX COMPLETE ___'S C/L & ___'E C/L END OF CONDUIT ____'N C/L PROPOSED EASEMENT PROPOSED PIPE 2" MPE IP MAIN (in CUSTOMER PROVIDED CONDUIT) 330'E C/L, ____'E C/L END OF MAIN CAP 2" MPE 290'N C/L &310'E C/L ____'N C/L & ____'E C/L CP TEST LEAD BOX COMPLETE (BRING WIRE UP IN BOX) ____'N C/L & ____'E C/L END OF CONDUIT ____'N C/L (___')(___')T/L Wires on main. D.LARSEN 9/26/2018 PLOT PLAN SCALE: 1" = 50'-0" ALL PROPOSED SERVICE LINES ARE 1-1/8" 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) 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 COORDINATE INSTALLATION WITH CORROSION CONTROL MFP18005848 Est. Start Date: & & & Route #'s:Bollards:2.5" #4" #ADA Ramps #: Del Press:6" W.C.Traffic Signal:No Bus Stop:No 20 No Parks #: Meter Loc:08 - OR New Residential Main & Svc Trolley Lines:No Mtr Hoods #: Meter:A425 A425 Speed Limit: EFV:1-1/8" - 2600 - 9996743 Police #:TCP:Yes Diameter:1-1/8" PE Flaggers #:Arterial:No of CL 114TH AVE SE Concrete/Asphalt Service Information Street Information of CL 114TH AVE SE Asphalt 14'South of CL SE 162ND ST 310'East Job Type 3' X 3' of CL 114TH AVE SE Asphalt 2'South of CL SE 162ND ST 310'East 12'North of CL SE 162ND ST 310'East 3' X 5' 3' X 3' Plat (Conduit) PLAT Map:212.083 N Work Location Surface Type Job Description / Scope of Work New Construction: Yes Construction Method From 2" STW main 70E158… Install 304’ of 2” PE main (44’ Scat; 260’ Plat); Install 20’ of 1-1/8” PE plat SVC (5' stub w/2600 EFV; 15' EXT) and set A425 MSA w/Reg. 7400191 (Addr. 11424)… Install 110’ of 1-1/8” PE plat SVC (5' stub w/2600 EFV; 105' EXT) and set A425 MSA w/Reg. 7400191 (Addr. 11428)... CP: Install T/L Wires on main Size of Cut Est. Duration:3 Days Jurisdiction:RENTON City / Zip: ROW Permit:Yes Customer:JAY KHAIRA Puget Sound Energy Gas Pre-Inspect Form Job #:107056033 Date:12/8/17 Address: 12/1/18 PM / Inspector:KEVIN HAIBECK 206-604-5448 11424 & 11428 SE 162ND ST RENTON , 98055 253-261-3348 EXIST. GAS MAIN: 2" STW IP 14'S 70E158 SE 162ND ST 114TH AVE SE 11428 11424 WORK AREA A A PL PL PL W SS PL Pcl. 008800-0070 Ingress/Egress & Utility Easement Pcl. 008800-0073 CL MFP18005848 POTHOLE ALL EXISTING UTILITIES