HomeMy WebLinkAboutMFP17005564DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP17005564
IVR Number: 17005564
Permit Informa!on
Permit Name:Puget Sound Energy Gas Permits
Address/Loca!on:11/21/2017Applica!on Date:2923059102Parcel Number:2640 BENSON RD S
Permit Type :11/28/2017Issue Date:Franchise
Permit Work Class:11/28/2018Expira!on Date :Minor U(lity
Job Number:109105566Franchise Type :Natural Gas
Descrip!on:Replace old 4" PE gas main in Benson Rd S. Replace 1 1/4" service to 2640 Benson Rd S. Potholing as required over
exis(ng u(li(es . Restora(on per City of Renton standards .
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
MFP17005564
Scott Warlick 11/22/2017
Justin Johnson 11-27-2017
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:
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
MFP17005564
Justin Johnson
11-27-2017
9:00 am to 3:00 pm
Monday through Friday
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).
BENSON RD SS 26TH ST101312 13111114
POLICE
UPO
15
24ARRW-BRDW4-2LROADWORKAHEADW20-1RIGHT LANECLOSEDAHEADW20-5RX'X'X'W20-7ABEPREP
A
R
E
D
TO
STOP W3-4ROAD
WORK
AHEA
D W20-1W20-7AX'X'X'M6-2
CENTER LANECLOSEDAHEADW9-3ROADWORKAHEADW20-1
X'X'X'
W4-2R
W20-7A
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
N
PSE PUGET
SOUND
ENERGY
JOB#109105566
2640 Benson Rd S Renton, WA
October 31st, 2017
mitchell.peterson@pse.com425-398-6071
Sheet 1 of 3
LEGEND
TRENCH
28" TRAFFIC CONE
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
UNIFORMED
POLICE OFFICERPOLICE
STOP
CHEVRON
ARROW BOARD
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
SIGN SPACING
MPH
60/65
45/55
35/40
30
25
"X"
1000'
500'
350'
200'
100'
Notes:
1. All signs and spacing to conform to the
MUTCD and City of Renton standards.
2. All sidewalks, driveways, exits and egresses
shall be completely clear unless otherwise
indicated.
3. Channelizing devices are 28" traffic cones.
Use traffic drums (barrels) with steady burning
Type C lights on all State State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" and
shall not obstruct pedestrian access.
5. Crew is required to leave a minimum of 11' for
traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m.
8. Work area will be 17' WCL of Benson Rd S &
& 48' NCL of S 26th St.
Puget Sound Energy
Traffic Control Supervisor:
Mitch Peterson
Card No. 010804
Card Exp. 08/30/2021
mitchell.peterson@pse.com
(425)398-6071
MFP17005564
BENSON RD SS 26TH ST
10131213111114M6-2
CENTER LANECLOSEDAHEADW9-3ROADWORKAHEADW20-1
X'X'X'
W4-2R
POLICE
UPO
15
24BEPREPAREDTOSTOPW3-4ROADWORKAHEADW20-1W20-7AX'X'X'W20-7A
BEPREP
A
R
E
D
TO
STOP W3-4ROAD
WOR
K
AHEA
D W20-1W20-7AX'X'X'R9-3CROSS
W
A
L
K
CLOSE
D
DETOU
RM4-9bR9-3CROSSWALKCLOSEDOFFICER WILL ASSIST
PEDESTRIANS TO CROSS
A WORKING ZONE
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
N
PSE PUGET
SOUND
ENERGY
JOB#109105566
2640 Benson Rd S Renton, WA
October 31st, 2017
mitchell.peterson@pse.com425-398-6071
Sheet 2 of 3
LEGEND
TRENCH
28" TRAFFIC CONE
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
UNIFORMED
POLICE OFFICERPOLICE
STOP
CHEVRON
ARROW BOARD
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
SIGN SPACING
MPH
60/65
45/55
35/40
30
25
"X"
1000'
500'
350'
200'
100'
Puget Sound Energy
Traffic Control Supervisor:
Mitch Peterson
Card No. 010804
Card Exp. 08/30/2021
mitchell.peterson@pse.com
(425)398-6071
Notes:
1. All signs and spacing to conform to the
MUTCD and City of Renton standards.
2. All sidewalks, driveways, exits and egresses
shall be completely clear unless otherwise
indicated.
3. Channelizing devices are 28" traffic cones.
Use traffic drums (barrels) with steady burning
Type C lights on all State State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" and
shall not obstruct pedestrian access.
5. Crew is required to leave a minimum of 11' for
traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m.
8. Work area will be 17' WCL of Benson Rd S &
& 2' NCL of S 26th St.
MFP17005564
BENSON RD SS 26TH ST
10131213111114
15
24POLICE
UPO
W4-2LROADWORKAHEAD
W20-1 RIGHT LANECLOSEDAHEADW20-5R
X'X'X'
BE
PREPARED
TO
STOP W3-4ROAD
WORK
AHEAD W20-1W20-7AX'X'X'W20-7A
allow 11' minimumROADWORKAHEADW20-1W20-7AX'X'X'SHOULDERWORKW21-5M6-2 R9-3CROSS
W
A
L
K
CLOSE
D
DETOU
RM4-9bR9-3CROSSWALKCLOSEDOFFICER WILL ASSIST
PEDESTRIANS TO CROSS
A WORKING ZONE
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
N
PSE PUGET
SOUND
ENERGY
JOB#109105566
2640 Benson Rd S Renton, WA
October 31st, 2017
mitchell.peterson@pse.com425-398-6071
Sheet 3 of 3
LEGEND
TRENCH
28" TRAFFIC CONE
TRAFFIC FLOW
SIGN LOCATION
FLAGGER
UNIFORMED
POLICE OFFICERPOLICE
STOP
CHEVRON
ARROW BOARD
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
SIGN SPACING
MPH
60/65
45/55
35/40
30
25
"X"
1000'
500'
350'
200'
100'
Puget Sound Energy
Traffic Control Supervisor:
Mitch Peterson
Card No. 010804
Card Exp. 08/30/2021
mitchell.peterson@pse.com
(425)398-6071
Notes:
1. All signs and spacing to conform to the
MUTCD and City of Renton standards.
2. All sidewalks, driveways, exits and egresses
shall be completely clear unless otherwise
indicated.
3. Channelizing devices are 28" traffic cones.
Use traffic drums (barrels) with steady burning
Type C lights on all State State Routes and Hwys.
4. Sign size can be a minimum of 36" x 36" and
shall not obstruct pedestrian access.
5. Crew is required to leave a minimum of 11' for
traveling lane width.
6. Alert affected residents and businesses.
7. Work to take place between 9 a.m. and 4 p.m
unless otherwise specified. All work for arterials
and major roadways will be from 9 a.m. to 3 p.m.
8. Work area will be 17' WCL of Benson Rd S &
& 156' SCL of S 26th St.
MFP17005564
N
Vicinity Map
Owner / Developer Contact Info
officeATTN:
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL 811 AT LEAST 2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)
Inspected Steel and PE pipe per GOS 2450.1400 and 2450.1500
Reviewed and complied with all construction notes.
Recorded all required information on the as-built per GOS 2500.1700.
Completed post installation inspection per GOS 2525.1200 and 2525.2700.
Left the work area in a clean and safe condition.
FITTER'S CHECKLIST
Foreman's Name (printed) ___________________________________
Foreman's Signature________________________________________
Company: InfraSource Construction Date ______________
(CHECK BOX TO CONFIRM COMPLETION)
4680 06/11
GAS
PROJECT PHASE Notification #Order #
Retirement
Relocate
SAP Superior
Service/Meter
Service/Meter
HP Svc/MSA
Dis. Reg. / FT
Ind. MSA
Ind. Service
Service/Meter
Service/Meter
SYSTEM MAOP DENOTED BY: SYSTEM MAOP = ___ PSIG
BOX (TEST LEAD) INSTALLATION.
THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525.2600 FOR ALL HP VALVES IF THE LOCATION IS
TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS
SHOWN ON THIS DESIGN UNLESS APPROVED BY APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL OR BETTER CONDITION.
MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300 AND 2525.3400.
PURGE POINTS AND PRESSURE TAPS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525.3300, AND 2525.1200.
ANY CHANGE IN ROUTE, PIPE SIZE/TYPE, TIE-IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY
COMPLETE "PIPE CONDITION REPORT" ON ALL METALLIC PSE FACILITIES. CHECK BOX ON REPORT FOR WIRE
INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY
THE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED
PER GAS OPERATING STANDARD 2550.1600. ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE.
DELIVER FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT
PRIOR TO BEGINNING CONSTRUCTION. USE iSi TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HAND
NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYS
EROSION AND SEDIMENT CONTROL AND ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPORARY
ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES.
TO CONSTRUCTION, IN WESTERN WASHINGTON CALL: 1-800-424-5555. OR CALL NATIONWIDE: 811
FIELD LOCATE ALL UNDERGROUND UTILITIES. EXCAVATOR TO CALL "ONE-CALL" TWO WORKING DAYS PRIOR TO
STANDARD GAS CONSTRUCTION NOTES:
14.
13.
15.
10.
11.
THE APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
9.
6.
7.
5.
4.
3.
1.
60
16. IF METALLIC PIPE IS INVOLVED, COORDINATE INSTALLATION WITH CP TECH.
------------------
NOTIFY APPROPRIATE PERMITTING AGENCY PRIOR TO JOB START (SEE PERMIT REQUIREMENTS).2.
8.PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS
OPERATING STANDARD 2525.2500.
NOT READILY ACCESSIBLE, AND FOR ALL VALVES WHERE PERSISTENT SNOWFALL MAY OBSCURE THE VALVE BOX.
GAUGE AND MONITOR USE OF ALL STOPPERS TO ENSURE ADEQUATE FEED.12.
___________________________, PHONE______________.
NOTE ALL ACTUAL FOOTAGE, LOCATION AND MATERIAL CHANGES ON THE AS-BUILT IN RED. ( ') DENOTES17.
FOOTAGE BETWEEN FITTINGS.
18.EXCESS FLOW VALVE TO BE INSTALLED ON ALL NEW RESIDENTIAL SERVICES PER GOS 2500.2200. (RECORD ALL
INFORMATION ON D-4 CARD)
PLUG ENDS OF DEACTIVATED OR INSERTED MAINS AND SERVICES IN ACCORDANCE WITH PSE GAS OPERATING
INSIDE METER SETS SHALL BE MOVED OUTSIDE WHENEVER POSSIBLE OR SET REGULATORS AND VENTS OUTSIDE PER
PROJECT MANAGER TO MAKE EGOR RUN IMMEDIATELY PRIOR TO STARTING CONSTRUCTION.
MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300, 2525.3400
REFER TO PSE GAS OPERATING STANDARD 2525.1700 FOR MAIN AND SERVICE COVER REQUIREMENTS.
INSTALL CURB VALVE AT PROPERTY LINE OR 5/8" PE WHIP AT MAIN (AS REQUIRED) ON NEW AND EXISTING SERVICES
INSTALL ANODES AND TEST LEAD WIRES AS REQUIRED PER PSE GAS FIELD PROCEDURES 4515.1000 AND 4515.1020 AND
PSE GAS OPERATING STANDARD 2600.1200. TEST LEAD WIRES ARE REQUIRED ON ALL TRANSITION FITTINGS.
MAINTAIN CATHODIC PROTECTION FOR STEEL MAINS BY THE USE OF CONTINUITY BONDS OR OTHER MEANS DETERMINED
BY THE PSE CORROSION ENGINEER PER PSE GAS OPERATING STANDARD 2600.1300.
INSTALL ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE. INSTALL ANODE AND TEST LEAD WIRES PER PSE
NOTIFY GAS CUSTOMERS, OR DISTRIBUTE FLYER #1443 A MINIMUM OF TWO WORKING DAYS PRIOR TO A PLANNED
REPLACE ALL "NO RECORD" SERVICES AND 1-1/8" PE SERVICES INSTALLED PRIOR TO 1985.
REPLACE EXISTING ACTIVE SERVICES PER PSE GAS OPERATING STANDARDS 2525.2100 AND 2575.2300.
REMOVE OR RENDER INOPERABLE DEACTIVATED VALVES ON CASING WHERE MPE PIPE IS INSERTED.
INSTALL REPLACEMENT MAINS PER PSE GAS OPERATING STANDARDS 2525.2100 FOR INSERTIONS AND 2525.3600 FOR
STANDARDS 2525.2100 AND 2525.3600.
PSE GAS OPERATING STANDARDS 2575.2300 AND 2550.1700.
11.
12.
14.
13.
AND 2525.1200, AND PSE GAS FIELD PROCEDURE 4700.1500.
PER PSE GAS OPERATING STANDARD 2550.1600.
ABANDONMENT OR DEACTIVATION.
10.
9.
5.
6.
7.
8.
GAS OPERATING STANDARD 2525.2300.
4.
1.
2.
3.
OUTAGE.
STANDARD IP & LP GAS
REPLACEMENT CONSTRUCTION NOTES
15.ACTIVE SERVICES TO BE REPLACED DENOTED BY:
HOLE HOG TABLE
CALLOUT LOCATION DEPTH LENGTH
BP1 START
BP2 END
BP3 START
BP4 END
BP5 START
BP6 END
BP7 START
BP8 END
BP9 START
BP10 END
BP11 START
BP12 END
BP13 START
BP14 END
BP15 START
BP16 END
BP17 START
BP18 END
BP19 START
BP20 END
STOP TIME
START TIME
GAS MAIN PRESSURE & TESTING
TESTED BY
GAS MAIN INSTALLATION/RETIREMENT
SOAP AIR NITROGEN WATER
SOAP AIR NITROGEN WATER
STOP TIME
START TIME TESTED BY
TEST RESULTS P F
TESTED BY PSE PRESSURE CONTROL, SEE FORM 1928
P F
Type/Work ManufacturerPipe Size Type Est Length Act Lgth
TYPE TEST
/ /
DATE OFF
PRESSURE
DATE ON
DATE OFF
TYPE TEST
PRESSURE
SYS MAOPDESIGN PRESS
DATE ON
2023 03/10
TEST RESULTS
/ /
/ /
/ /
INSTALL 4"MPE 247'
INSTALL 2"MPE 2'
RETIRE 4"PE 186'
RETIRE 4"MPE 42'
RETIRE 2"PE 6'
60 60 PSIG
DESIGNED BY
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC OP MAP
Emer Sect GAS WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
CP APPROVAL
MAPPING
SCALE PAGE
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY CONTACT PHONE NO DATE
Drawing Number
SAP Sup Order Nbr
PC APPROVAL
S.SEITZ 425-449-7553 .
.
T.LY 425-424-6414 11/2/17
D. DAO 425-424-6426 11/7/17
M. JANSSON 425-466-9047 11/7/17
N/A ..
N/A RENTON
DUPONT PIPE REPLACEMENT
2640 BENSON RD S
RENTON, WA 98055
PSE
109105566
1"=50'1/2
KING 32 SYSSKGPM
NW-29-23-05 212.080 212.082
#####
FIELD NOTES:
2. NOTIFY PROJECT MANAGER IF ADDITIONAL DUPONT AND/OR STW MATERIALS ARE FOUND DURING CONSTRUCTION,
1. ALL DUPONT AND STW PIPES SHALL BE RETIRED PER SCOPE OF WORK.
INCLUDING AT OR BEYOND THE CONNECTION POINTS.
FIELD DESIGNER:
CELL:
EMAIL:
CONSTRUCTION QUESTIONS:
PROJECT CONTACT INFORMATION:
CONST MANAGER:
CELL:
EMAIL:
PROJ MANAGER:
CELL:
EMAIL:
FOR MAIN DESIGNS REALIGNMENTS - FIELD DESIGNER
SHALL BE CONTACTED:
BILLING QUESTIONS:
425-466-9047
MARK JANSSON
mark.jansson@pse.com
206-255-4824
STEVE MELLINGER
steve.mellinger@pse.com
206-643-1908
SHARON SEITZ
sharon.seitz@pse.com
SAP BATCH YEAR & FOOTAGE
ACTUAL
LENGTH OF
RETIREMENT
MATERIAL
RETIRED
ORIGINAL
JOB
ORIGINAL
YEAR
PROPOSED
LENGTH OF
RETIREMENT
SIZE OF
RETIRED
MAIN
109105566Cell Phone:
"Locates Required"
"Flagging Required"
Yes No
Yes No
E-Mail:
Manager:
Project Manager Contact Information:
SHARON SEITZ
206-643-1908
sharon.seitz@pse.com
11310701 109105566
109105567
SVC 108598767
MAIN 108598766
WORK
SITE
MFP17005564
S. 26th ST
BENSON RD SIP GAS FLOW
IP GAS FLOWIP GAS FLOWIP GAS FLOW26402611SCHOOLTHIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL 811 AT LEAST 2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)
DESIGNED BY
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC OP MAP
Emer Sect GAS WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
CP APPROVAL
MAPPING
SCALE PAGE
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY CONTACT PHONE NO DATE
Drawing Number
SAP Sup Order Nbr
PC APPROVAL
S.SEITZ 425-449-7553 .
.
T.LY 425-424-6414 11/2/17
D. DAO 425-424-6426 11/7/17
M. JANSSON 425-466-9047 11/7/17
N/A ..
N/A RENTON
DUPONT PIPE REPLACEMENT
2640 BENSON RD S
RENTON, WA 98055
PSE
109105566
1"=50'2/2
KING 32 SYSSKGPM
NW-29-23-05 212.080 212.082
BYPASS INSTRUCTIONS:
NOTIFY PSE PLANNING 2 WEEKS
BEFORE START OF CONSTRUCTION
DATE.
JOAN BATES
GAS SYSTEM PLANNING
425-462-3858
REQUEST FOR BYPASS SIZING:
PLEASE INCLUDE THE JOB NUMBER,
ADDRESS, PLAT & OP NUMBERS.
CALL JOAN BATES
BEFORE CONSTRUCTION TO
CONFIRM.
Cell Phone:
"Locates Required"
"Flagging Required"
Yes No
Yes No
E-Mail:
Manager:
Project Manager Contact Information:
SHARON SEITZ
206-643-1908
sharon.seitz@pse.com
Inspected Steel and PE pipe per GOS 2450.1400 and 2450.1500
Reviewed and complied with all construction notes.
Recorded all required information on the as-built per GOS 2500.1700.
Completed post installation inspection per GOS 2525.1200 and 2525.2700.
Left the work area in a clean and safe condition.
FITTER'S CHECKLIST
Foreman's Name (printed) ___________________________________
Foreman's Signature________________________________________
Company: InfraSource Construction Date ______________
(CHECK BOX TO CONFIRM COMPLETION)
4680 06/11
PLOT PLAN
SCALE: 1" = 50'-0"
-
1
-
2
Scale: NONE
TIE-IN DETAIL1
Scale: NONE
TIE-IN DETAIL2
LEGEND ###
T&T
###
T&T
KEY TO SERVICE ACTION
MFP17005564