HomeMy WebLinkAboutMFP17002562DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP17002562
IVR Number: 17002562
Permit Inrman
Permit Name:Puget Sound Energy - Electric
Address/Lcan :05/30/2017Aican Date :5182100011Parce Number :316 UNION AVE NE
Permit Tye :05/31/2017Issue Date:Franchise
Permit Wrk Cass :05/31/2018Eiran Date :Minor Ulity
Jb Number :#186576285Franchise Tye :Electric
Insectr:Pat Miller 206-794-6162
Descrin:Emergency Work on 5/2/17. Crew replaced 3 distriu on poles #318052 167128, 318022 167127 & 318052 167132,
service pole 3180060 167128 and overhead equipment as necessary, due to truck hing communicaon lines . No
Permit Final unl riser on Pole #3 (west) is fixed for Pedestrian Access Route.
Cntacts
Name Address PhneTyeBiing
Carli Bunkelman
PSE/POTELCO - Billing
6905 S 228th St
Kent, WA 98032
B: (253) 437-6708Applicant
VICKI HENSON
POTELCO INC
8001 212th St S
Kent, WA 98032
B: (253) 863-0484Contractor
Business License Number: BL.005109Eectrica Cntractr : POTELI*344O4
Cnstrucn Cntractr : POTELI*227PL
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
Owner
Carli Bunkelman
PSE/POTELCO - Billing
6905 S 228th St
Kent, WA 98032
B: (253) 437-6708Specialized
Billing
X
enera Cndins & 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 2THIS 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
186576285
Carli Bunkelman
253-437-6708
Carli.Bunkelman@pse.com
316 Union Ave NE
Follow up permit request for ER work completed 5/02/17. Crew replaced 3 distribution poles;
318052-167128, 318022-167127 & 318052-167132 ,svc pole 3180060-167128 & overhead equipment as necessary due to truck
hitting communications lines. Per code 4-6-090 Utility Lines- Underground Installation, this scope of work meets the guidelines to be considered an Exemption under section D.
Potelco Inc.253-437-6708
BL005109 Poteli*227PL
5/22/2017Carli Bunkelman
MFP17002562
Holly Powers 5/30/2017
Justin Johnson 5/31/17
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
Potelco Inc.
Carli Bunkelman 425-429-0227
6905 S. 228th St, Kent, WA 98032
Carli.Bunkelman@pse.com
316 Union Ave NE
9:00 am to 3:00 pm
Monday through Friday 5-31-2017
Carli Bunkelman 5/22/2017
Carli Bunkelman
MFP17002562
Justin Johnson
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).
11111111101121 11
NE 4TH ST
C-Curb
NE 4TH STUNION AV NE1111 1111
11111717NE 3RD PL
NE 3RD CT
9999NE 3RD LN
1010NE 2ND CT
1717NE 2ND PLUNION AV NE2222
2211
1212 1010
1212 1010UNION AV NEP01
P02
BUS
STOP
BUS
STOP
BUSSTOPBUSSTOPBUSSTOPARRW-BRD
RIGHT
KEEP
R4-7B
LEFTKEEPR4-8BRIGHT
KEEP
R4-7B
RIGHT
KEEP
R4-7Bmaintain (2) 12' lanesRIGHTSHOULDERCLOSEDW21-5aR100'100'ROADWORKAHEADW20-1100'ROADWORKAHEADW20-1100'
100'ROADWORKAHEADW20-1
W1-4LROAD
WORK
AHEAD W20-1100'ROADWORKAHEADW20-1
100'W20-7ASTOP
FLAGGER
STOP
FLAGGER
W20-7AROADWORKAHEADW20-1100'
100'ROADWORKAHEADW20-1R9-9SIDEWALKCLOSEDR9-9SIDEWALK
CLOSEDAHEAD USE OTHER SIDESIDEWALK CLOSEDW1-4LAHEAD
USE OTHER SIDE
SIDEWALK CLOSED
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
Job#186576285
316 Union Ave NE, Renton, Wa
May 22, 2017
Sheet 1 of 2 gregory.harwood@pse.com
(425) 424-6425
N
PSE PUGET
SOUND
ENERGY
28" TRAFFIC CONE
TRAFFIC FLOW
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
STOP
FLAGGER
LEGEND
POLE
ARROW BOARD
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 9' W of C/L of 3rd Av W
& 220' S of C/L of NW 125th St.
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
11111111101121 11
NE 4TH ST
C-Curb
NE 4TH STUNION AV NE1111 1111
11111717NE 3RD PL
NE 3RD CT
9999NE 3RD LN
1010NE 2ND CT
1717NE 2ND PLUNION AV NE2222
2211
1212 1010
1212 1010 UNION AV NEBUS
STOP
BUS
STOP
BUSSTOPBUSSTOPBUSSTOPARRW-BRDRIGHT
KEEP
R4-7B
RIGHT
KEEP
R4-7Bmaintain (2) 12' lanesRIGHTSHOULDERCLOSEDW21-5aR100'100'ROADWORKAHEADW20-1W1-4L100'ROADWORKAHEADW20-1100'
100'ROADWORKAHEADW20-1
W1-4LROAD
WORK
AHEAD W20-1100'ROADWORKAHEADW20-1 W20-7ASTOP
FLAGGER
W20-7AP03100'100'100'ROADWORKAHEADW20-1100'
100'ROADWORKAHEADW20-1AHEAD
USE OTHER SIDE
SIDEWALK CLOSEDAHEADUSE OTHER SIDESIDEWALK CLOSEDR9-9SIDEWALKCLOSEDR9-9SIDEWALK
CLOSED
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
Job#186576285
316 Union Ave NE, Renton, Wa
May 22, 2017
Sheet 2 of 2 gregory.harwood@pse.com
(425) 424-6425
N
PSE PUGET
SOUND
ENERGY
28" TRAFFIC CONE
TRAFFIC FLOW
WORK VEHICLE
SIGN LOCATION
WARNING FLAG
STOP
FLAGGER
LEGEND
POLE
ARROW BOARD
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 9' W of C/L of 3rd Av W
& 220' S of C/L of NW 125th St.
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
Restoration per City of Renton Standards