HomeMy WebLinkAboutMFP17003875DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP17003875
IVR Number: 17003875
Permit InformaƟon
Permit Name:Century Link Permits
Address/LocaƟon:08/17/2017ApplicaƟon Date:3340403320Parcel Number:1600 LIND AVE SW
Permit Type:08/25/2017Issue Date:Franchise
Permit Work Class:08/25/2018ExpiraƟon Date:Minor UƟlity
Job Number:N.274705Franchise Type:Telephone
DescripƟon:ACCESS MANHOLE 364 TO SPLICE AND PLACE NEW FIBER. No surface disturbance.
Contacts
Name Address PhoneTypeBilling
CORBEN ETTELDORF
CENTURY LINK
C: (253) 209‐0849Applicant
C/O QWEST CORP 1801 CALIFORNIA ST #4600
Denver, CO 80202
Contact
Kim Parker
QWest CorporaƟon
931 14th St, SUITE 1000A
Denver, CO 80202
B: (303) 992‐0752Contact
Heather Binkly
Dycom Industries dba North Sky CommunicaƟons LLC
11770 Us Hwy 1, SUITE 101
Palm Beach Gardens, FL 33408
B: (360) 254‐6920
O: (360) 450‐3287
Contractor
Business License Number: BL.036846ConstrucƟon Contractor: NORTHSC857Q4
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057‐3232
Owner
QWest/Century Link ‐ Billing 23315 66th Ave S
Kent, WA 98032
Specialized
Billing
X
General CondiƟons & 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 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.274705
Corben Etteldorf
253-209-0849
Corben.Etteldorf@CenturyLink.com
1600 Lind Ave SW N.274705
CTL to access MH-364 to splice and place new fiber. No surface disturbance.
North Sky Communications 360-254-6920
NORTHSC857Q4 BL.028638
8/4/2017
4
MFP17003875
Holly Powers
Justin Johnson 8-25-2017
8-25-2017
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:
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:
OFFICE COPY T-
CONTRACTOR
DEV. SERVICE, INSPECTION K. KITTRICK/
DEV. SERVICE, PLAN REVIEW A. HENNINGER/J. ILLIAN
POLICE CLARK WILCOX
FIRE DAVID PARGARS/STA. #13
N.274705
North Sky Communications 360-254-6920
Corben Etteldorf 253-209-0849
23315 66th Ave S Kent, WA 98032
Cornen.Etteldorf@Centurylink.com 253-372-5176
1600 Lind Ave SW
9:00AM to 3:00 PM
Monday through Friday 8-25-2017
Reset FormPrint Form
MFP17003875
Justin Johnson
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).
SKETCH
I
-- NORTH --
I
Comments:
MERGING TAPER LENGTH
TAPER ("L") LANE WIDTH
L MPH 10' 11' 12'
SHIFTING 20 70 75 80
TAPER 25 105 115 165
1/2 L 30 150 165 180
35 205 225 245
SHOULDER 40 270 295 320
TAPER 45 450 495 540
1/3 L
Comments:
CHANNELIZATION SPACING
MPH TAPER TANGENT
35 / 45 30' 60'
25 / 30 20' 40'
ONE LANE TWO WAY
TAPER 50' TO 100' max
Comments:
SIGN SPACING
MPH "X"
45+ 500'
35 350'
30 200'
25 100'
150' Seattle
200' Sea Tac
TRAFFIC CONTROL PLAN
JOB # N.274705.C.02
PERMIT #
SW 19TH ST @ LIND AVE SW
MH 364 ACCESS
SIDEWALK
SIDEWALK
SIDEWALKSIDEWALKSIDEWALKSIDEWALKSIDEWALK SIDEWALK
SIDEWALK
SIDEWALK
SIDEWALKDWYGRASS PLANT STRIPGRASS PLANT STRIPGRASS PLANT STRIPGRASS PLANT STRIPGRASS PLANT STRIPGRASS PLANTER STRIPGRASS PLANT STRIP
GRASS PLANT STRIP
ROAD
WORK
AHEAD
W20-1ROADWORKAHEADW20-1RIGHT LANE
CLOSED
AHEAD
W20-5
10'
SPEED
LIMIT35 MH 364
EAST VALLEY HWYROADWORKAHEADW20-1LIND AVE SWLIND AVE SWSW 19TH STSW 19TH ST
W4-2
350'
Comments:
THIS IS TO ACCESS THE MH 364 LOCATED BEHIND THE SIDEWALK.
THIS WILL BE A RIGHT LANE CLOSURE.
TRAFFIC WILL SHIFT INTO THE LEFT LANE.
SIDEWALK REMAINS ACCESSIBLE.
SPOTTER WILL ASSIST PEDESTRIANS AT WORK AREA.ROADWORKAHEADW20-1Designed For: CENTURYLINK
Project # N.274705.C.02
Kathy Hubbard
Traffic Control Supervisor
TCS # 008909
Approved 7/31/2017
Phone 253-737-5198
tcpnd@comcast.net
_______________________
UNLAWFUL FOR ANYONE OTHER THAN THE CITY OF RENTON TO
ALTER THIS CERTIFIED TRAFFIC CONTROL PLAN
IN ANY FORM WITHOUT EXPRESS WRITTEN CONSENT FROM:
KATHY HUBBARD, TCS# 008909, tcpnd@comcast.net
N
Date:07/31/2017 Author:Kathy Hubbard, Traffic Control Supervisor Project:N.274705.C.02
CERT:TCS # 008909 Designed for CenturyLink:By Kathy Hubbard (DO NOT ALTER)
Comments:
General Requirements
1. All signs and spacing to conform to the MUTCD and CITY OF RENTON
requirements.
2. Channelizing devices are 28" traffic cones with retro reflective material.
3. All signs are 48" x 48" B/O unless otherwise specified.
4. Alert affected local residents and businesses.
5. Crew is required to leave a minimum of 11' for lane width.
6. Work hours will be ____am to ____pm.
TO SW 16TH ST
Legend
CONES
Work Area
Arrowboard (Single)
WORK TRUCK
www.invarion.com
CONFIDENTIAL - Disclose and
Distribute Soley to CTL Employees
Having a Need to Know
SHEET NUMBER:
SHEET 01 OF 04
Name:
Phone Number:
Name:
Phone Number:
Name:
Phone Number:
Engineering Contact
Contact Engineer
Construction Coordinator
Revision Number:
WC CLLI:
Remote Switch Key:
Project Description:
Project #:
Community Name:
Exchange Key:
WIZARDS OF THE COAST INC.
N.274705
RENTON
RNTNWA01
MICHAEL S GILLIAM
(206) 733-8646
JOSE ORTIZ
(360) 929-5338
BILLY JIRA
(206) 473-7390
TOWNSHIP:
RANGE:
SECTION:
23N
05E
19
Revision Remarks:
---------
---------
NARRATIVE / SPECIAL REMARKS
HELD ORDER INFORMATION
ASSOCIATES PROJECTS MISC. INFORMATION
Site Survey For: 1600 LIND AVE SW, RENTON, WA 98057, USA
WORK LOCATION
T.23N R.05E
19
CONFIDENTIAL - Disclose and
Distribute Soley to CTL Employees
Having a Need to Know
SHEET NUMBER:
SHEET 02 OF 04
Name:
Phone Number:
Name:
Phone Number:
Name:
Phone Number:
Engineering Contact
Contact Engineer
Construction Coordinator
Revision Number:
WC CLLI:
Remote Switch Key:
Project Description:
Project #:
Community Name:
Exchange Key:
WIZARDS OF THE COAST INC.
N.274705
RENTON
RNTNWA01
MICHAEL S GILLIAM
(206) 733-8646
JOSE ORTIZ
(360) 929-5338
BILLY JIRA
(206) 473-7390
TOWNSHIP:
RANGE:
SECTION:
23N
05E
19
Revision Remarks:
---------
---------
MARGIN LABELS
CONFIDENTIAL - Disclose and
Distribute Soley to CTL Employees
Having a Need to Know
SHEET NUMBER:
SHEET 03 OF 04
Name:
Phone Number:
Name:
Phone Number:
Name:
Phone Number:
Engineering Contact
Contact Engineer
Construction Coordinator
Revision Number:
WC CLLI:
Remote Switch Key:
Project Description:
Project #:
Community Name:
Exchange Key:
WIZARDS OF THE COAST INC.
N.274705
RENTON
RNTNWA01
MICHAEL S GILLIAM
(206) 733-8646
JOSE ORTIZ
(360) 929-5338
BILLY JIRA
(206) 473-7390
TOWNSHIP:
RANGE:
SECTION:
23N
05E
19
Revision Remarks:
---------
---------
MARGIN LABELS
BUILDING INFORMATION
POF: MH 364 VIEW
CONFIDENTIAL - Disclose and
Distribute Soley to CTL Employees
Having a Need to Know
SHEET NUMBER:
SHEET 04 OF 04
Name:
Phone Number:
Name:
Phone Number:
Name:
Phone Number:
Engineering Contact
Contact Engineer
Construction Coordinator
Revision Number:
WC CLLI:
Remote Switch Key:
Project Description:
Project #:
Community Name:
Exchange Key:
WIZARDS OF THE COAST INC.
N.274705
RENTON
RNTNWA01
MICHAEL S GILLIAM
(206) 733-8646
JOSE ORTIZ
(360) 929-5338
BILLY JIRA
(206) 473-7390
TOWNSHIP:
RANGE:
SECTION:
23N
05E
19
Revision Remarks:
---------
---------
MARGIN LABELS
BUILDING INFORMATION
BUILDING VIEW