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Home My WebLink AboutMFP15007913Department of Community and7yof, C Economic Development Franchise Permit: M FP15007913 IVR Number: 15007913 Permit Name: PSE - Potelco Address/Location: 3410 NE 12TH ST Parcel Number: 0423059186 Application Date: 11/04/2015 Permit Type: Franchise Issue Date: 11/04/2015 Permit Work Class: Minor Utility Expiration Date: 11/03/2016 Franchise Type: Electric Job Number: 105079276-P Est. Completion: 05/12/2016 Description: Install 3" conduit with secondary cable to new handhole on private property to service customer. Billing Type Name Address Phone X Contact Carli Bunkelman 6905 S 228th St B: (253) 437-6708 __PSE/POTELCO - Billing Kent, WA 98032 Owner City of Renton 1055 S Grady Way B: (425) 430-6500 Renton, WA 98057 • 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 11 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. (Signature) (Date) THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES Page 1 of 2 t.i-cit �j f DEPARTMENT OF COMMUNITY AND ECONOMIC DVELOPMENT DEVELOPMENT SERVICES DIVISION MASTER USE/FRANCHISE UTILITY PERMIT APPLICATION Phone: (425) 430-7266 Fax: (425) 430-7231 franchise@rentonwa.gov TO THE APPLICANT: Submit 3 copies of plans with application. 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. MaiWain 5A ft separao(in lion, :-'w Ir t,�1 ins. For City Use Only CITY PERMIT NO: MFP / 57-e)9 /3 WORK ORDER NO.: 87029 Date of Application: 10/26/15 Franchise Agency: PSE Mailing Address for Permit: 6905 S 228th St, Kent, WA Contact Name: Carli Bunkelman Job Number: 105079276 -PSE Job Site Address: 3410 N E 12th ST Description of Work: Phone: 253-4376708 Zip: 98032 e-mail: Carli.Bunkelman@pse.com Project Name: City of Renton Install 3" conduit w/ secondary cable to new handhole on pvt property to serve "3410" *Please see attached. Please check all that apply: 0 New Construction ❑ Repair/Relocate Underground ❑ Overhead ❑ Sidewalk 8 Street 0 Open trench ❑ Bore 0 # of feet: } ' ❑ Gas ® Electric ❑ Other: Estimated Job completion date: 5/12/16 Contractor name: Potelco Inc. City of Renton Business License Number: BL005109 Phone: 253-437-6708 State Contractors License Number: Poteli*227PL "I certify that I am the applicant's owner or 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. " Date CITY INSPECTOR SHALL BE NOTIFIED 24 HOURS PRIOR TO COMMENCEMENT OF ALL WORK BY CALLING THE INSPECTION LINE AT 425-430-7203 Jobs are required to be called in for job start, re -inspection and project final. Plan ReVi6w/Development Services Date Utility Inspector Date Public Works Permit Supervisor Date 2/13 ❑ Approved as Submitted ❑ On -Site Pre -Con Required ❑ Approved with Comments or Redlines Q Traffic Control Plan Attached �i ft�4T ElCamera Inspection t kequired Issue Date: NOV 0 4 M Permit expires 6 months from issue date ?EVELOPiVEK city,' CITY OF RENTON., TRAFFIC CONTROL PLAN PROJECT NAME: City of Renton CONSTRUCTION COMPANY: PSE/Potelco Inc CONTACT NAME: Carli Bunkelman ADDRESS: 6905 S 228th St, Kent, WA 98032 E-MAIL ADDRESS: Carli.Bunkelman@pse.com PROJECT LOCATION : 3410 NE 12th St WORK TIME: TBD WORK DATE: TBD Permit Holder agrees to all the following: PERMIT# PHONE#: PHONE#: CELL#: FAX#: N/E/S/W OF: APPROVED BY: 253-437-6708 E of Monroe Ave NE APPROVAL DATE: 1(- " -2--o C _5 • 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. % OFFICE COPY TPRINT NAME: DATE: CONTRACTOR DEV. SERVICE, INSPECTION K. KITTRICK/ SIGNATURE: �IiL-�� -, DEV. SERVICE, PLAN REVIEW A. HENNINGER/1. ILLIAN POLICE CLARK WILCOX FIRE DAVID PARGARS/STA. #13 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). SKETCH I -- NORTH --