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Home My WebLink AboutMFP17005367DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Franchise Permit: MFP17005367 IVR Number: 17005367 Permit Informa!on Permit Name:Puget Sound Energy Gas Permits Address/Loca!on:11/10/2017Applica!on Date:7227800205Parcel Number:1506 KIRKLAND AVE NE Permit Type :12/06/2017Issue Date:Franchise Permit Work Class:12/06/2018Expira!on Date :Minor U)lity Job Number:108600262Franchise Type :Natural Gas Descrip!on:Cut and cap exis)ng 1/2" STW gas service at main . Concrete cut an)cipated Restora)on per City of Renton standards. Pothole all exis)ng u)li)es. APPROVED WITH COMMENTS OR REDLINES. PRE CONSTRUCTION MEETING REQUIRED. Contacts Name Address PhoneTypeBilling ANISH KUMAR PUGET SOUND ENERGY - GAS - BILLING 6905 S 228th St Kent, WA 98032 B: (253) 208-2183Applicant Stuart Benne? Infrasource Services LLC 14103 Stewart Rd Sumner, WA 98490 B: (303) 419-8755 H: (425) 677-5197 C: (713) 985-6489 Contractor Business License Number: BL.036742Construc!on Contractor : INFRASL871C2 CITY OF RENTON ROW 1055 S Grady Way Renton, WA 98057-3232 Owner ANISH KUMAR PUGET SOUND ENERGY - GAS - BILLING 6905 S 228th St Kent, WA 98032 B: (253) 208-2183Specialized Billing X General Condi!ons & 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 1THIS 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 MFP17005367 Scott Warlick 11/13/2017 Justin Johnson 11-27-2017 Pothole all existing utilities. 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: OFFICE COPY T- CONTRACTOR DEV. SERVICE, INSPECTION P. MILLER DEV. SERVICE, PLAN REVIEW B. BANNWARTH POLICE CHARLES KARLEWICZ FIRE FIRE MARSHALL FS #13 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: Reset FormPrint Form MFP17005367 9:00 am to 3:00 pm Monday through Friday Justin Johnson 11-27-2017 SKETCH I -- NORTH -- I 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). MFP17005367 Pedestrian control person required may need additional traffic control plan for Occupying northbound lane Est. Start Date: & & & Route #'s:Bollards:2.5" #4" #ADA Ramps #: Del Press:6" W.C.Traffic Signal:No Bus Stop:No 20 No Parks #: Meter Loc:02 - OFL Cut & Cap Trolley Lines:No Mtr Hoods #: Meter:Speed Limit: EFV:0 Police #:TCP:Yes Diameter:0 Flaggers #:Arterial:No of CL Service Information Street Information of CL of CL Job Type of CL NE 15TH ST CONCRETE of CL 21'WEST of CL KIRKLAND AVE NE 113'SOUTH 3X5 PLAT Map:208.084 N Work Location Surface Type Job Description / Scope of Work New Construction: No Construction Method CUT AND CAP EXISTING 1/2" STW-U (1967) STUB AT MAIN 67E013 CP: add T/L WIRES ON MAIN. Size of Cut Est. Duration:1 Day Jurisdiction:RENTON City / Zip: ROW Permit:Yes Customer:BARB TANGEMAN Puget Sound Energy Gas Pre-Inspect Form Job #:108600262 Date:10/10/17 Address: 11/6/17 PM / Inspector:SHANNON MOORE 206-681-7086 1506 KIRKLAND AVE NE RENTON, 98056 CONC S/WALK W S CONC S/WALK 1506 P/L C/L EX. GAS MN: 2" STW IP 22'W 67E013 NE 15TH ST 1504 KIRKLAND AVE NE W S MFP17005367 pothole existing utilites