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107051075_MFP16006422
jEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Renton Franchise Permit: MF 1600642 IVR Number: 16006422 Permit Name: PSE -Gas Address/Location: 16204 114TH AVE SE Parcel Number: 0088000280 Application Date: 12/02/2016 Permit Type: Franchise Issue Date: 12/02/2016 Permit Work Class: Minor Utility Expiration Date: 12/02/2017 _Franchise T e: Natur_aLGas Job—Number: 107051075�st.-Com letion:�2 31-2016 Description: Tie into existing gas main and extend new main. Hart surface cuts anticipated. NOTE: On site pre con required. Please call 72 hours prior to schedule. PROJECT NAME: Limelite Short Plat Billing Type X Contact Name Johannson PSE/Infrasource -Billing Contractor INFRASL871C2 / BL.033545 INFRASOURCE SVCS Construction Contractor: INFRASL871C2 Owner Kari Roller Citv of Renton Address 1660 Park Ln Burlington, WA 98233 Phone B: (425) 466-4771 B: (206) 949-5846 1055 S Grady Way B: (425) 430-6851 Renton. WA 98057-3232 C: (425) 430-6931 • 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. • 1 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. DI�G� (Signature) Aurelie (Date) THIS PERMIT AND PLANS MUST BE POSTED AT THE JOB SITE AT ALL TIMES Page 1 of 2 �"�:sr.• ����<��Z� �' CITY OF MENTON L4�P�R ► MEf�i OF COI�MUf�►I I Y f�RiD ECC�t�L�f�llC LSE/EL,RJPf�IE�� 1 REGF9\/i �f; DE4fEtQPft�EfttT SERlffCES 431�E�i(3i� MASTER 115E%FRAiVC}LSE U T fLfTY PEP.M! i I�PPllGAT10N �C� � � Z��F� Ptsone: (�ZSj 43�-7255 Far.: (�ZSj 43U-7231 franchrse(�rentonwa.�ov nFVCs_Grivif�.i�1'i� SF_-RVlGf�S ►0 THE r^,PpLICAt�tT: Submir 3 copies of pians with app[Icati�n_ Permit cost is $36050. Inspection tee for trenching more than 60 i�neal f eet ar installation of 5 or mare poles t��#fi ��e �ai[led at SQD.C�O per hour. i CtT 1' PERhril! Nom: ��i�/� 0"� ��22 within 2 weeks of co 1NORK ORDER t�D.: 87029 Dale of Appfication: � D �� `� I � FFran�chi�sle Agency: ,1- t�taifing Address flora Pe , � it: I � �� �_�r_t` lam" �y Con ace name: �Vt r� � � G_ _U: � � �� �.�%� — - - Phone ii lob Number: I �� D �I D1� e-;rraii:� Job Site Address: L ly\ r'LU- Descrfptian of t�fork: � `� � n L �,� �{U.JDhG1hn� Lip; � v � .� r��e. G6VY► _ Pro}ect Dame:_ 1�\rc-��� �e S1�o�-� �\ �I (� VVI � � n �' -�X tLy►d( �e W i�� ► n � G.�-�vx � V I, �� ►')'111 � �h a ► f �I � fi �� �� �� v� � � Please check afl that New Construction ❑ Repair/Relocate ❑ Open trench ❑Bore ❑ ## of feet: ❑ Underground ❑Overhead �❑ Sidewali; ❑ 5tree� LJ has ❑Electric ❑Other: Estimated Job camp{et�ijo�n date: � Z( .' ✓ I I �� f �-'" /f.,.� � �( Contractor name: �"✓� � ����--�` � Phone: ) l � �'`'i"�� I City of Renton Bssiness License Numbe;t✓L� �� /�'S'tate Contractors License Number.����L 0� � �� "I ceriRfy that 1 am the appficanf's owner ar au,harized agent and da hereby agree to abide io the terms and conditions set forth cruder this permit an6 shat campiy w'th tfie City a; Renton's Trench Resioratien and Street over,ay Requlireme/n�ts " 5gnature Date `� L� � �'`�� `+' ITY /htSPFCTUR S �E NOTIFIED ,24 U,RS RIOR TD COMNrFNCFMENT Oi ALL WORK BY C.�,LLII�G T Hx lArSPECTlON LINEAT 4Z7 -43G-723 Jobs are requ;r�d to be cafled in for job start, re -inspection and praject�rnal. P l a n'fi eui e vh+/` D eve i o� m ent-S ervi ces I (z Z zap Date is-�-�� Date )y�ibi;c lhtor�s P?rrnt Surervisor Date u ❑ Approved as Submitted I& -on -Site rre=Con Reg�rired ❑ Approved with comments or Redlines I`raffie Control Ptan Attached CITYOF� �Nl-C, ❑ Camera Inspection of UtiUties Realri�e��f ft-=?� ��C � %Q �� Issue Date; _ PerrnSt expires=£� mnn;.hs rrom fscue ca'ip IENT Cs'> Z' of icEfdTa}� b � °`'L 1 TRA=F}C CCsrlTROL P! �At PRo��cr nlA�tE: I D ��ID-7 ��E calvsTRuCT}Ota. CO}�J►PIA�I�/Y: / I COh7TACT t�l;zNtE:� � �" v I I �i V � '� A!�BRESS: I � � n po! VIL � h � � �l� not �� E-IJiAIL ADDRESS; �� PROIECt LElCATIaN: I W �/ �. �1 o►�n �� D � I I� �''' /�� � V+taRK TiI�iE: � I ��Y�-U �� � PERM i /� �� PHat�!En: CELLy FAX: "3 �D"©PMAPPRCVED SY: Permit. Ho}der agrees to al} the following: • Corrtp}y t�+ith a}( traffic regu}aiions csi the Giiy of Renton and the Stzte of V��ashingtor;. • Prepare a traffic control plan and obtain Cry approval of that plan. That Akan sha,l be implemen-ted nor all sheet and. lana closures, and the plan s}�all be performed in compliance w}th the tvlanual on Uniform Traffic Control Devices. + Notify emergEr rcy services (253-852-2:L21) twenty-four (24) hours before any street or }ane closures. • Any lane or street closures not in conformance w}th the approved traffic control plan and/or v�rithout notification of emergency services may result in receiving z citation for violation of R.C.W. 4'7.3b.200 thro�rgh 41.36.220, 9A.35.050 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, includ}ng all casts of defense and attorney's fees incurred in defending against same, arising from and related to implementation of the approved Ira is control plans including claims arising from towing of priti�ate vehicles and the acts of the Permit Holder's agents and employees. • The City of Renton sha}I be entitled, in its reasonable discret}on, to settle claims prior to suit or judgment, and in such ev2nt sha}I indemnify and hold harmless the City for any such c}aims paid, including the City's reasonable attorney's fzes and litigation costs incurred resulting from such claim. • In the event an�f claim or suit }s brought zgainst Gity within the scope of this Agreement, Permit }colder will pzy for lege! counsel chosen by the City to defend against same. ■ E}agger and sign placement are subject to revision by the Cit)+ inspector on site, if npeUed to address iraf;ic or pedestrian safety or travel. • 6y my signature herein, I a,:knawledge a!I the above requirements. PP,II�T }�1alVtE�V1 rel I G SbGNATL!RE: �h�1nn��E: �012�11� OFFJCF COFY I ?- COh'iPJiC70k { OE1'_ SERVICE, It:SP:LION i i` YSTR[CK! DE1'. SERV7CF, PI�aR }tEV1E1V k,}FEitttlNGegll. t!ttkN >'ouc: j anR:; �vi>rox flRF DkVIDPARtkP,S'ST;�:±E ht0,��.: • �rorkZonz TraiiicGanTrol si�sall be in aa�rdance w•'et:h she I�r€anctai on Uniform T�7�ic Cuntrat 3evsces {��C(3) and s: own by sketch ar reEerznce to ;NSD�T. E i he plan must be subrrr`rited to The i�ty's Plh`jTransporta�on �i'�isian Ter reviaw andJur approval ai least T}}ree working Gays prier to vrork_ • Hpproved Temporary?ray ftc Control P}an crust be ai the work sate during work hours. Cantra�or or entity must ;zIl.Renton School Distr)ct (425-204-�55} or any public/priva:z agency to be a� Fected by a Temporary }ane or road ctesure. t Compleie assi-tancf and a�4ommodatbn s; aI( be provided to all k'rncs a` pedestrian traTsc vd,4en sidewalk or walkway is impeded. • Tata1 toad closure last}ng more Than 24 hours is subject to the approval by il:f City Council. = fny vehic}z epuipment, l;arrscade, or potable tow -away sigr, used with6n the work area. must disp)ay a company logo ar any legally acceptable sigr showing the company name, address, and telephone number zt a cansp}cuocs place on the vehicle or equipment. to the case o; Temporary No Parking Zones, alt thf f ol}owing apply ic•� addition to previo�es: = Contracior must comp'tete form To show lin�iis of Tzmporary tJo Farling Zon= identi;ying barricade ideations far vacate parking ar curb lane usage. . • Cdni'ra�:Or Tr=ust post notice o. dates and time o; Ternporry #�o Park}ng Zane with at feast tv,�d s}gns per block 72 hours in advance of ei,"ective date and lime. = i hf cover sheet of this TrarEic Cantroi Fla r, Joan must be attached to each Temporary fVo Parl:irg Sign on the project s'ste. • Temporary traffic control devices must be removed irnrrfediatefy when work is done or no constructiar acsrvities are ga}ng on. t; deemed abandoned, City creu,�s will remove and sure them at the Cty's maintenance shop (3555 }�E Z"d StreeT), SKETCH — t�DRTH — i PSE Traffic Control Supervisor: Eduard Volianskyi NOV3HV CMANNELIZATION QEVICE SPACING NNOM 100' o �fn '. OMI m 1 40 1 80 135145 0 avLv o adoa r 3trY13N0 9-9 7A O m 1VOftK o b X' 0 / Y \ Card Exp. 11/30/2019 - o ; Eduard.Volianskyi@pse.com r 10110 (425) 4246428 n 11 I ISIQEWALL � CLOSED Notes: 1. All signs and spacing to conform fo 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, ti. Alert affected residents and businesses. 7. Work to take place between 9 a.m. and 4 p.m. 8, Work area will be 14'W of C1L of 114th Ave SE & 70'S of CIL of SE 162nd St. CMANNELIZATION QEVICE SPACING 100' � 100' TANGENT �fn m 1 40 1 80 135145 LMco Ao � �R 1 20 1 40 / 9-9 7A O m 1VOftK o X' ISIQEWALL � CLOSED Notes: 1. All signs and spacing to conform fo 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, ti. Alert affected residents and businesses. 7. Work to take place between 9 a.m. and 4 p.m. 8, Work area will be 14'W of C1L of 114th Ave SE & 70'S of CIL of SE 162nd St. CMANNELIZATION QEVICE SPACING MPH TAPER TANGENT �fn m 1 40 1 80 135145 LMco 1 60 � �R 1 20 1 40 / 9-9 7A ISIQEWALL � CLOSED Notes: 1. All signs and spacing to conform fo 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, ti. Alert affected residents and businesses. 7. Work to take place between 9 a.m. and 4 p.m. 8, Work area will be 14'W of C1L of 114th Ave SE & 70'S of CIL of SE 162nd St. 0 P�1&Li �UVD ER GY Job#107051075 16204 114th Ave SE Renton, WA October 18th, 2016 Sheet 14f g mitchell.peterson@pse.com 425-398-6071 droznn _ 100' M 100' N 100' j -f► C) SE 162nd St -' FLAGGERS WILL ASSIST PEDESTRIANS TO CROSS D A WORKING ZONE #16204 CMANNELIZATION QEVICE SPACING MPH TAPER TANGENT 55/70 1 40 1 80 135145 1 30 1 60 j 25/30 1 20 1 40 0 P�1&Li �UVD ER GY Job#107051075 16204 114th Ave SE Renton, WA October 18th, 2016 Sheet 14f g mitchell.peterson@pse.com 425-398-6071 droznn _ 100' M 100' N 100' j -f► C) SE 162nd St -' FLAGGERS WILL ASSIST PEDESTRIANS TO CROSS D A WORKING ZONE #16204 t.EGEND ® 29'TRAFFICCONt ® BORE PIT cJ' TRAFFIC FLOW FLAGGER WORKVEHICLE SIGN LOCATION WARNING FLAG 0 p Cd E LANE ROAD N AHEAD ROAD ;` 1VOftK o t.EGEND ® 29'TRAFFICCONt ® BORE PIT cJ' TRAFFIC FLOW FLAGGER WORKVEHICLE SIGN LOCATION WARNING FLAG