HomeMy WebLinkAboutMFP17001951DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP17001951
IVR Number: 17001951
Permit Inrman
Permit Name:Century Link Permits
Address/Lcan :05/01/2017Aican Date :3342103280Parce Number :2814 PARK AVE N
Permit Tye :05/10/2017Issue Date:Franchise
Permit Wrk Cass :05/10/2018Eiran Date :Minr ity
Jb Number :N.233109Franchise Tye :Teephne
Descrin:Repace eisn PE an termina ith a nn ski ra te 264TA.
Cntacts
Name Address PhneTyeBiing
QWest/Century Link - Biin 23315 66th Ave S
Kent, WA 98032
Appicant
QWest/Century Link - Biin 23315 66th Ave S
Kent, WA 98032
CntactX
Kim Parker
QWest Crpran
931 14th St, SITE 1000A
enver, CO 80202
B: (303) 992-0752CntractrX
Business License Number: BL.000953Cnstrucn Cntractr : QWESTC*000QG
CITY OF RENTON ROW 1055 S Gray Way
Rentn, WA 98057-3232
Oner
enera Cndins & Signature
Permissin is herey iven r the rk escrie n this permit accrin t the cnins heren an accrin t the apprve
pans an specicans pertainin theret, suject t cmpiance ith the Orinance the City Ren tn.
This permit an pans must e pste at the j sit e at a mes .
I herey cery that n rk is t e ne ecept a s escrie ave an in apprve pans, an that rk is t cnrm t Rentn
Trench Restran an Street Overay Reuirements .
Ca (425) 430-7203 r t: .MyBuiinPermit.cm ne rkin ay in avance t scheue an inspe cns an r ANY rk in
the Riht Way.
Ca 8 1 1 t cate unerrun uies at east t u us iness ays prir t any ecavan .
In accrance ith RCW 19.122.033(4) the permit h er is reuire t cntact (Wiiams Nrthest Pipe ine at 425.868.1010) (Oympic
Pipeine at 206.510.0575)(Puet Sun Enery at 425 .457.5816) t reuest a cnsutan ith the transm issin pipeine cmpany prir
t perrmin any cnstrucn r ecavan acvies . This reuirement t cnsut ith the transmissi n pipeine cmpany is in
ain t the reuirement t Ca ere Yu i a s reuire in RCW 19.122.
(ate )(Sinature )
Pae 1 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
Qwest Corp d/b/a Centurylink
N.233109
Michael Fuget
253-854-4074
Michael.Fuget@Centurylink.com
2814 Park Ave N, Renton WA 98057
Replacing existing PED and terminal with a non-skid rated HH264TA, Pat Miller
is familiar with this project and has OK'd the use of WSDOT TCP for a single lane closure
with 2 flaggers.
North Sky Communications 360-254-6920
NORTHSC857Q4 BL.028638
4/25/2017
MFP17001951
Justin Johnson 05/01/2017
All projects are required to
be site specific
Thank you for using the correct
Franchise Application form.
We appreciate it. :)
Holly Powers 5/4/2017
Monday - Friday
8:00 am to 3:00 pm Justin Johnson 05/01/2017
Ensure future permits are site specific and follow our requirements
outlined in the franchise permit process