HomeMy WebLinkAboutMFP17005164DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP17005164
IVR Number: 17005164
Permit Informa!on
Permit Name:Puget Sound Energy - Electric
Address/Loca!on:11/01/2017Applica!on Date:1463400060Parcel Number:13833 156TH AVE SE
Permit Type :11/03/2017Issue Date:Franchise
Permit Work Class:11/03/2018Expira!on Date :Minor U&lity
Job Number:101106030Franchise Type :Electric
Descrip!on:Replace 2 poles and install 1 new pole. Replaced poles to move behind new curb into planter strip . Poles to be
installed by vac truck . Restora&on per City of Renton standards .
Contacts
Name Address PhoneTypeBilling
ANISH KUMAR
PUGET SOUND ENERGY - ELECTRIC - BILLING
6905 S 228th St
Kent, WA 98032
B: (253) 208-2183Applicant
Vicki Henson
Potelco Inc
8001 212th St S
Kent, WA 98032
B: (253) 863-0484Contractor
Business License Number: BL.005109Electrical Contractor : POTELI*344O4
Construc!on Contractor : POTELI*227PL
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
Owner
ANISH KUMAR
PUGET SOUND ENERGY - ELECTRIC - BILLING
6905 S 228th St
Kent, WA 98032
B: (253) 208-2183Specialized
Billing
X
General Condi!ons & 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 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
MFP17005164
Scott Warlick 11/1/2017
Justin Johnson 11-1-2017
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
MFP17005164
Justin Johnson
11-1-2017
8:00 am to 3:00 pm
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).
1111
1111
1111P2A
P02
remove
new
P01
remove
FROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARK
NO PARK SIGNAGE WILL BE
PLACED ON ALL STREETS TO
SURROUND WORK ZONE
SE 139TH PL/SE 5TH PL
SE 4TH PL1111
156TH AVE SE156TH AVE SE#13833 STOP
FLAGGER
STOP
FLAGGER
BEPREPAREDTOSTOPW3-4100'100'100'ROADWORKAHEADW20-1W20-7AONE LANE
ROAD
AHEAD W20-4350'350'350'ROAD
WORK
AHEAD W20-1W20-7AONE LANEROADAHEADW20-4350'350'350'ROADWORKAHEADW20-1W20-7ABEPREPAREDTOSTOPW3-4100'100'100'ROADWORKAHEADW20-1W20-7ARESIDENT(S) WILL BE INFORMED
OF POSSIBLE TEMPORARY
DRIVEWAY CLOSURE X'X'PLACE W20-1 SIGNS ON ALL
ADJACENT STREETS WITHIN
FEET OF WORK AREA
ROAD
WORK
AHEAD W20-1ROADWORKAHEADW20-11000
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
Job#101106030
13833 156th Ave SE, Renton WA
October 9, 2017
Sheet 1 of 3 ryan.honeysett@pse.com
(425)457-5381
N
PSE PUGET
SOUND
ENERGY
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.
28" TRAFFIC CONE
LEGEND
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
STOP
POLE
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
Puget Sound Energy
Traffic Control Supervisor:
Ryan Honeysett
Card No. 010760
Card Exp. 06/30/2021
ryan.honeysett@pse.com
(425)457-5381
MFP17005164
1111
1111
1111P3A
P03
remove
new
FROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARK
NO PARK SIGNAGE WILL BE
PLACED ON ALL STREETS TO
SURROUND WORK ZONE
SE 139TH PL/SE 5TH PL
SE 4TH PL1111
156TH AVE SE156TH AVE SE#13833
STOP
FLAGGER
BEPREPAREDTOSTOPW3-4100'100'100'ROADWORKAHEADW20-1W20-7AONE LANE
ROAD
AHEAD W20-4350'350'350'ROAD
WORK
AHEAD W20-1W20-7AONE LANEROADAHEADW20-4350'350'350'ROADWORKAHEADW20-1W20-7A100'ROADWORKAHEADW20-1STOP
FLAGGER
STOP
FLAGGER
R9-3CROSSWALKCLOSEDR9-3CROSSWALK
CLOSED X'X'PLACE W20-1 SIGNS ON ALL
ADJACENT STREETS WITHIN
FEET OF WORK AREA
ROAD
WORK
AHEAD W20-1ROADWORKAHEADW20-11000
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
Job#101106030
13833 156th Ave SE, Renton WA
October 9, 2017
Sheet 2 of 3 ryan.honeysett@pse.com
(425)457-5381
N
PSE PUGET
SOUND
ENERGY
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.
28" TRAFFIC CONE
LEGEND
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
STOP
POLE
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
Puget Sound Energy
Traffic Control Supervisor:
Ryan Honeysett
Card No. 010760
Card Exp. 06/30/2021
ryan.honeysett@pse.com
(425)457-5381
MFP17005164
1111
1111
1111P04
new
FROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARK
NO PARK SIGNAGE WILL BE
PLACED ON ALL STREETS TO
SURROUND WORK ZONE
SE 139TH PL/SE 5TH PL
SE 4TH PL1111
156TH AVE SE156TH AVE SE#13833
STOP
FLAGGER BEPREPAREDTOSTOPW3-4100'100'100'ROADWORKAHEADW20-1W20-7AONE LANE
ROAD
AHEAD W20-4350'350'350'ROAD
WORK
AHEAD W20-1W20-7AONE LANEROADAHEADW20-4350'350'350'ROADWORKAHEADW20-1W20-7ASTOP
FLAGGER
STOP
FLAGGER
R9-3CROSSWALKCLOSEDR9-3CROSSWALK
CLOSED X'X'PLACE W20-1 SIGNS ON ALL
ADJACENT STREETS WITHIN
FEET OF WORK AREA
ROAD
WORK
AHEAD W20-1ROADWORKAHEADW20-11000
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
Job#101106030
13833 156th Ave SE, Renton WA
October 9, 2017
Sheet 3 of 3 ryan.honeysett@pse.com
(425)457-5381
N
PSE PUGET
SOUND
ENERGY
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.
28" TRAFFIC CONE
LEGEND
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
STOP
POLE
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
Puget Sound Energy
Traffic Control Supervisor:
Ryan Honeysett
Card No. 010760
Card Exp. 06/30/2021
ryan.honeysett@pse.com
(425)457-5381
MFP17005164
1011
76 8
9
SE 138TH PL.
SE 139TH PL.156TH AVE. SEW'13908'
13922
'6505'
'13833'
DEMO
OH SRVC. TO BE
REMOVED BY OTHERS
TRANSFER
REMOVE +/-80'
INSTALL +/-95'
SLACK-SPAN
36'43'
30'30'
(A.K.A. SE 139TH PL.)
DESIGNED BY
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC
U-MAP NO (POWER)
OP MAP
Emer Sect Gas Wk Ctr POWER WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
FOREMAN #1
FOREMAN #2
MAPPING
INCIDENT
Elect Order
SCALE PAGE
ENGR - POWER
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY
CONTACT PHONE NO DATE
OH CKT MAP CIRCUIT NOUG CKT MAP
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)
SITE PLAN
SCALE:1"=50'
CIRCUIT FT. ADDED: 15'
CIRCUIT FT. REMOVED: 0'
L. J. Brown (425) 417-8620 10/2/17
L. J. Brown (425) 417-8620 10/2/17
J. Singleton (253) 395-6967 10/2/17
N/A City of Renton
MeadowVue
Pole Relocate / Pole Removal
13833 156th Ave. SE - Renton, WA 98059
PSE PLATS DEPT.
N/A
101106030
1" = 50'1 of 1
KING N/A N/A QCSPLAT
SW14 - T23 - R05E N/A N/A
2305E055/ 056 2306E076 2305E055/ 056 MAP-13
Comcast
Jim Brooke
(253) 261-2895
Century-Link
Dena Overaa
(206) 733-5262
MCI PSE Project Manager
Lee J. Brown
(425) 417-8620
POWER GENERAL NOTES - RELOCATION PROJECT
11.
7.
6.
5.
4.
3.
2.
1.All materials to be installed in accordance with Puget Sound Energy's (PSE) standards. Any deviation from
this work sketch must be AUTHORIZED by PSE's Project Manager and NOTED on the Foremans' Copy.
All switching arrangements and/or outage arrangements are to be made with the Project Manager at least
three (3) working days in advance.
Contact the Utilities Underground Location Center (1-800-424-5555) at least 48 hours prior to commencing
work to get the underground facilities located.
STAKING: The customer will provide all staking (transformer, handhole, trench, grade, lot, pole, sidewalk,
etc.). See sketch and details for locations. Equipment locations must be approved by the Project Manager.
SITE PREPARATION: The work area will be at or near finished grade, clear of trench spoils or construction
materials which would restrict construction and/or equipment access, before work can begin.
Roads shall be paved or have a compacted , crushed rock base in place.
CLEARANCES: Transformers require a minimum of 6 feet from fire fighting equipment, 10 feet from
combustible walls, overhangs, doors, and windows, and a minimum of 5 feet from the back of curb (or guard
posts will be required per PSE standards). All conduits and vaults are to be at least 5 feet away from water,
storm and sewer lines when paralleling them in the right of way, and at least 1 foot when crossing them.
All work is to be done in accordance with local municipal and county permit requirements as applicable.
Customer/Developer is responsible to provide, install and maintain all secondary service cables, conduits
and crossings from the individual unit's meter base to the designated connection point.
Inclement weather conditions may cause delays in construction times and dates.
EXCAVATION: The customer is to provide all trenching, backfill, vault excavations, compaction and
restoration per this sketch and per PSE standards. A minimum protective cover of 36" is required over
PSE's primary voltage equipment and 24" is required of PSE's secondary voltage equipment. The customer
will provide any and all shoring or they will side slope the trench to 1:1.
8.
9.
10.
ARE TO BE INSTALLED, CROSS SECTION DETAILS OF THE TYPICAL EROSION
STRUCTURES, & SPECIAL REQUIREMENTS FOR WORK IN SENSITIVE AREAS.)
EROSION & SEDIMENT CONTROL REQUIREMENTS
NOTES DETAILING WHERE EROSION OR SEDIMENT CONTROL STRUCTURES
(LOCAL JURISDICTIONS MAY HAVE ADDITIONAL REQUIREMENTS INCLUDING
0150.3200 TECHNIQUES FOR TEMPORARY EROSION & SEDIMENT CONTROL
EROSION & SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE
& ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
Construction Notes:
P01 - (317714-167897) PSE Dist. Secondary Pole
Remove Exist. PSE Equipment and Top to Communications
P02 - (317716-167906) New PSE Dist. Feeder Pole (Ang:<1°)
Install 45ft. CL-2 Pole w/grounds as staked (PD452) - 6010.1000
Install 11ft. 8P Single Feeder Wing-Arm (TASW313) - 6033.4012
Replace Exist. 10kVA OH Transformer w/ New 15kVA (TRFLXF) - 6025.1000
-Fuse at 6T & Tap BØ
Transfer Exist. Feeder & Neutral Conductors
Transfer Exist. St.Light Secondary Conductor from P03
Transfer Exist. OH Service to address '13908'
P2A - (317715-167904) Exist. PSE Dist. Feeder Pole
Remove Exist. PSE Equipment and Top to Communications
P03 - (317703-167906) New PSE Dist. Feeder Pole (Ang:1.16°)
Install 45ft. CL-2 Pole w/grounds as staked (PD452) - 6010.1000
Install 11ft. 8P Single Feeder Wing-Arm (TASW313) - 6033.4012
Install 1Ø Arm-Mounted Tap as Slack-Span, Bolted DE (FR13RDE) - 6031.5060
-Fuse at 40T (3412500) & Tap CØ
-Install SW#:X-79318
Transfer Exist. Feeder & Neutral Conductors
Transfer Exist. St.Light Secondary Conductor from P02
Transfer Exist. St.Light
P3A - (317706-167904) Exist. PSE Dist. Feeder Pole
Remove Exist. PSE Equipment and Top to Communications
P04 - (317705-167915) New PSE Dist. Double-DE Pole
Install 45ft. CL-3 Pole w/grounds as staked (PD453) - 6010.1000
Install 1Ø Dead-End East under Full Tension, Auto-DE (DE2115) - 6031.1040
Install 1Ø Dead-End West as Slack-Span, Bolted DE (SSDD112) - 6031.5010
Install 10" Single-Helix Anchor West, Lead=8ft. (ANDH1) - 6012.1000
Install 3/8" Primary & Neutral Down-Guys (GYD3SA / GYD3SAN) - 6013.0100
Transfer Exist. #2ACSR Primary & Neutral Conductors
RETIREMENT POLE TABLE TEMP TRANSFERS REMARKS
SITE
#
POLE DATA POLE
TEL FIBER FIBER ST. LIGHT
GRID #HEIGHT CL.YR.TOPPED RMVD
P01 317714-167897 40'2 1969 Comcast-Auburn / Century-Link
P2A 317715-167904 40'1 1960 Comcast-Auburn / Century-Link / MCI
P3A 317706-167904 40'1 1966 Comcast-Auburn / Century-Link / MCI
Installed at site: P02
Grid Number: 317716-167906
kVA Rating: 25kVA
Foreman to redline the following
information
TRANSFORMER INSTALLATION
Company ID#:
Primary phase connected to: BØ
Tested Secondary Voltage 120 240
Installed at site: P2A
Grid Number: 317715-167904
kVA Rating: 10kVA
Foreman to redline the following
information
TRANSFORMER REMOVAL
Company ID#:
Primary phase connected to: BØ
Tested Secondary Voltage 120 240
PLACE PEA GRAVEL
BAGS (MID 9995892)
FOR SEDIMENT TRAP
PLACE STRAW MULCH ON
DISTURBED AREA
AUGERED HOLE
POLE
TYPICAL AUGERED WORK SITE - 0150.3200
TECHNIQUES FOR EROSION AND SEDIMENT CONTROL
DITCH OR SENSITIVE AREA
POLE TABLE (NEW)
Site
#
Pole Data
Grid #Height Class Year Remarks / Location Ref.
P02 317716-167906 45'CL-2 2017 Install in New Planter
P03 317703-167906 45'CL-2 2017 Install in New Planter
P04 317705-167915 45'CL-3 2017 Install in Existing Drainage Ditch
N
Vicinity Map
PSE
No
No
No
Yes
Yes
Yes
No
YesDeveloper
"Flagging Required"
"Outages Required"
"Locates Required"
X
X
X
X
FOREMAN (CHECK BOX WHEN COMPLETED)
PSE Equipment LOCKED/SECURED & Work Area left in CLEAN/SAFE Condition.
Grid, Cable, and Switch numbers INSTALLED & VERIFIED.
Field Changes RED-LINED on As-built.
Indicate correct FUSE SIZE on As-built & VERIFY proper PHASE.
Foreman's Signature _______________________________________________
Print Name ___________________________________ Date ______________
Material VERIFIED and CHANGES noted on Paperwork.
Total PRIMARY Cable noted on As-built.
Company ID#'s RECORDED in correct location on As-built.
Deviations noted on the As-built and their reason.
I certify that the work performed meets PSE's standards and procedures
and that all quality requirements are met.
504727675 101106030
593188719
PROJECT PHASE
PWR
NOTIF#ORDER#
Superior
Retirement
OH Wire Expense
Misc.
E-Mail:
Cell Phone:
Project Manager Contact Information:
Manager:101106030Lee J. Brown
(425) 417-8620
lee.brown@pse.com
Owner / Developer Contact Info
officeATTN:
SSHI, LLC (dba D.R. Horton)
12910 Totem Lake Blvd. NE Suite:220
Kirkland, WA 98034
Patrick Danner (425) 821-3400 ext.5118
e-mailpdanner@drhorton.com
108101434
UG Wire Expense
583057890OH Tfmr. Expense
FOREMAN #3
Job
Site
Job
Site
Job
Site
OVERHEAD CIRCUIT MAP - 2306E076
SCALE:1"= 6 MILES
UNDERGROUND CIRCUIT MAP - 2305E055 / 056
SCALE:1"= 100'
MFP17005164