HomeMy WebLinkAboutMFP18006096DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP18006096
IVR Number: 18006096
Permit Informaon
Permit Name:Puget Sound Energy Gas Permits
Address/Locaon :10/29/2018Application Date:3345700185Parcel Number:3792 LINCOLN AVE NE
Permit Type:11/07/2018Issue Date:Franchise
Permit Work Class:11/07/2019Expiration Date:Minor Utility
Job Number:106346163Franchise Type:Natural Gas
Description:Install new long side 1 1/8" PE gas service to '3792'. Pothole all existing utilities. Restoration per City of Renton
standards.
APPTOVED 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
106346163
Anish Kumar
253-208-2183
anish.kumar@pse.com
3792 Lincoln Ave NE 98056 106346163
One at time occupying S & N bound lanes of Lincoln Ave NE for crew to install
new long side 1 1/8" PE gas service to '3792'. 2 3'x5' pavement cuts anticipated. Restoration
per City of Renton standards.
47'
PSE/Infrasource 253-208-2183
INFRASL871C2 BL.036742
10/12/2018
MFP18006096
POTHOLE ALL EXISTING UTILITIES
Scott Warlick 11/1/2018
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
106346163
PSE/Infrasource
Tina Herman 253-341-0945
6905 S 228th St, Kent 98032
christina.herman@pse.com
3792 Lincoln Ave NE
TBD
ASAP
Anish Kumar 10/12/2018
MFP18006096
11/2/2018
Justin Johnson8:00 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).
1313
1515
1212 LINCOLN AVE NENE 38TH ST
DEAD ENDSTOP
FLAGGER
STOP
FLAGGER
1010ONE LANEROADAHEADW20-4ROADWORKAHEADW20-1W20-7A100'100'100'ONE LANE
ROAD
AHEAD W20-4ROAD
WORK
AHEAD W20-1W20-7A100'100'100'BEPREPAREDTOSTOPW3-4ROADWORKAHEADW20-
1
W20-
7
A
X'
X'
X'
FROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARK
PLACE SIGNS ON
ALL SIDES OF
WORK AREA
SIDEWALKCLOSEDR9-9SIDEWALK
CLOSEDR9-9FLAGGERS WILL ASSIST
PEDESTRIANS TO CROSS
A WORKING ZONE
3792
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
Puget Sound Energy
Traffic Control Supervisor:
Ina Ustemchuk
Card No. 010768
Card Exp.06/30/2021
ina.ustemchuk@pse.com
(425)398-6063N PSE PUGET
SOUND
ENERGY
JOB#106346163
3792 Lincoln Ave NE, Renton, WA
September 24, 2018
ina.ustemchuk@pse.com
425-398-6063
SHEET 1 of 2
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. Work area will be 106' NCL of NE 38th St & 17'
WCL of Lincoln Ave NE.
BORE PIT
28" TRAFFIC CONE
LEGEND
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
STOP
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
ROW ROW
MFP18006096
1313
1515
1212 LINCOLN AVE NENE 38TH ST
DEAD ENDSTOP
FLAGGER
STOP
FLAGGER
1010ONE LANEROADAHEADW20-4ROADWORKAHEADW20-1W20-7A100'100'100'ONE LANE
ROAD
AHEAD W20-4ROAD
WORK
AHEAD W20-1W20-7A100'100'100'BEPREPAREDTOSTOPW3-4ROADWORKAHEADW20-
1
W20-
7
A
X'
X'
X'
FROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARK
PLACE SIGNS ON
ALL SIDES OF
WORK AREA
3792
RESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
Puget Sound Energy
Traffic Control Supervisor:
Ina Ustemchuk
Card No. 010768
Card Exp.06/30/2021
ina.ustemchuk@pse.com
(425)398-6063N PSE PUGET
SOUND
ENERGY
JOB#106346163
3792 Lincoln Ave NE, Renton, WA
September 24, 2018
ina.ustemchuk@pse.com
425-398-6063
SHEET 2 of 2
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. Work area will be 106' NCL of NE 38th St & 28' ECL
of Lincoln Ave NE.
BORE PIT
28" TRAFFIC CONE
LEGEND
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
STOP
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
ROW ROW
MFP18006096
Est. Start Date:
&
&
&
Job #:106346163
Date:9/21/18 Address:3792 LINCOLN AVE NE
Puget Sound Energy Gas Pre-Inspect Form
PM / Inspector:TINA HERMAN 253-341-0945
Est. Duration:1 Day (8 Hours)
Jurisdiction:City / Zip:RENTON, 98056
ROW Permit:Customer:JEREMY PRZASNYSKI 206-295-5972
PLAT Map:202.083
N
Work Location Size of Cut Surface Type
Job Description / Scope of Work
INSTALL 75' OF 1 1/8" PE SCAT SERVICE (47' STUB AND 28' EXT) SET AN A425 METER AND A
7400191 REGULATOR.
New Construction:
Construction Method
All Scat / Trenchless
of PL LINCOLN AVE NE 3X5 SIDEWALK
106'N of CL NE 38TH ST 28'E
106'N of CL NE 38TH ST 17' W
of CL
Service Information Street Information Job Type
of CL LINCOLN AVE NE 2X2 GRAVEL
of CL
New Residential Svc
EFV:1-1/8" - 2600 - 9996743 Police #:TCP:
Diameter:1-1/8" PE Flaggers #:Arterial:
Trolley Lines:Mtr Hoods #:
Meter:A425 Speed Limit:
Tie-In Fitting
Route #'s:Bollards:2.5" #2 4" #ADA Ramps #:
Del Press:6" W.C.Traffic Signal:Bus Stop:
No Parks #:
Meter Loc:03 - OL
NE 38TH ST LINCOLN AVE NE 3792 STORM DRAIN 1-1/8" PE A425
BOLLARDS SIDEWALK 2" MPE IP 17' W 107016777-2003 MFP18006096
POTHOLE ALL EXISTING UTILITIES