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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