HomeMy WebLinkAboutMFP17002300DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP17002300
IVR Number: 17002300
Permit Inrman
Permit Name:Century Link Permits
Address/Lcan :05/18/2017Aican Date :1623059083Parce Number :345 UNION AVE NE
Permit Tye :05/18/2017Issue Date:Franchise
Permit Wrk Cass :05/18/2018Eiran Date :Minr Uity
Jb Number :N.070598Franchise Tye :Teephne
Descrin:Emergency repair due t faen pe. eaach and re sag ne PE Pe at Unin Ae NE.
Cntacts
Name Address PhneTyeBiing
Michae Fuget
Century Link
B: (425) 274-5092Appicant
QWest/Century Link - Biing 23315 66th Ae
Kent, WA 98032
CntactX
Kim Parker
QWest Crpran
931 14th t, UITE 1000A
Dener, CO 80202
B: (303) 992-0752CntactX
Je ieh
Dycm Industries da Nrth ky Cmmunicans LLC
11770 Us Hy 1, UITE 101
Pam Beach Gardens, FL 33408
B: (425) 481-0979
H: (561) 627-7171
C: (425) 754-8134
Cntractr
Business License Number: BL.036846Eectrica Cntractr : NOTHC 958NE
Cnstrucn Cntractr : NOTHC 857Q4
CITY OF ENTON OW 1055 Grady Way
entn, WA 98057-3232
Oner
enera Cndins & Signature
Permissin is herey gien fr the rk descried n this permit accrding t the cndins heren and accrding t the appred
pans and specicans pertaining theret, suject t cmpiance ith the Ordinance f the City f en tn.
This permit and pans must e psted at the j sit e at a mes .
I herey cerfy that n rk is t e dne ecept a s descried ae and in appred pans, and that rk is t cnfrm t entn
Trench estran and treet Oeray euirements .
Ca (425) 430-7203 r g t: .MyBuidingPermit.cm ne rking day in adance t schedue an inspe cns and fr ANY rk in
the ight f Way.
Ca 8 1 1 t cate undergrund uies at east t fu us iness days prir t any ecaan .
In accrdance ith CW 19.122.033(4) the permit h der is reuired t cntact (Wiiams Nrthest Pipe ine at 425.868.1010) (Oympic
Pipeine at 206.510.0575)(Puget und Energy at 425 .457.5816) t reuest a cnsutan ith the transm issin pipeine cmpany prir
t perfrming any cnstrucn r ecaan acies . This reuirement t cnsut ith the transmissi n pipeine cmpany is in
addin t the reuirement t Ca efre Yu Dig a s reuired in CW 19.122.
(Date)(ignature)
Page 1 f 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.070598
Michael Fuget
253-854-4074
Michael.Fuget@Centurylink.com
2814 Park Ave N, Renton WA 98057
CMS# 17091452. NorthSky to reattach and re-sag to new PSE poles at Union
Ave NE. Pat Miller from the city of Renton has requested an after the fact permit and is not
requiring a TCP.
North Sky Communications 360-254-6920
NORTHSC857Q4 BL.028638
5/3/17
MFP17002300
345 Union Ave NE
Justin Johnson
Holly Powers 5/18/2017
5-18-17
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