HomeMy WebLinkAboutP_Utility_Plan_Pre-Inspect_109105582_V1_170713Job IF:
Date:
109105582
7/5/17
Jurisdiction: King Co.
Right of Way Permit? YES ❑ NO
Est, Start Date: 10/17/17 or sooner
Est. Duration:
1/2 day
1
PRE -INSPECTION REPORT 4 PUGET SOUND ENERGY
Address: 12903 SE 160th St (PH at SE 159th PI/131st PI SE)
City / Zip: Renton, WA 98058
Customer: PSE -Pipe Repl Progr
PM / Insp: L. Griffith
PHONE NUMBER
Construction Method
WORK DESCRIPTION:
Two potholes
at 10'5. of CIL of SE 159th Pl and 10' W of
CIL
of 131st
Pl SE to
identify pipe
Open Trench E]
Trenchless ❑
manufacturer
of both the 4" & 2" PEIPgas mains
PLAT MAP:
_
I�
S1WI'
I
EXISTING GAS MAIN, _10_
S CIL
1
2" PEaA IP
1
I
SE
159th PL
I
1
I
13061
I
I
I
w
1
I
�
I
I
Work Location
Size of Cut
Surface Type
S of CL
SE 159th PL
& 10,
W of CL
131st
PL SE
31X2"
Asphalt
'NSofCL
&
'EWofCL
'NSofCL
&
'EWofCL
❑
FLAGGERS #
25 MPH ❑
TROLLY LINES
❑ BUS STOP #
❑ METER HOODS #
❑
OFFICERS #
SPEED LIMIT ❑
TRAFFIC SIGNAL
❑ ARTERIAL
Q NO PARKS #
❑
commercial
❑
Altered Commercial ❑
Leak Repair
Service Information
❑ Template Bar
❑
Residential
❑
Altered Residential ❑
CP Work
Diameter
Meter
EFV
❑ Bollards 2.5" #
❑
Multi -Family
❑
Replacement Service ❑✓
Pothole
❑
5/8"
E]250
E]
1800
1800 ❑
4" #
F']
New Constr.
❑
Main Maintenance E]
Extension
[:]11/8"
❑ 425
❑
2600
❑
Stub
❑
Service Maintenance
❑
11/4"
❑ 630
❑
10,000 ❑ FUEL LINE PERMIT NEEDED
❑
Extension
❑
valve Maintenance
❑
2"
❑ 1000
Fuel Line Length:
❑
Compete Sery
❑
Cut & Cap
Mtr LOC:
Fuel Line Diameter:
Job #:
Date:
109105582
7/5/17
Jurisdiction: King Co.
Right of Way Permit? 2 YES ❑ NO
Est, Start Date: 10/17/17 or sooner
Est. Duration:
1/2 day
PRE -INSPECTION REPORT
Q PUGET SOUND ENERGY
Address: 12903 SE 160th St (PH at 5E 159th ,)t/130th PI SE)
City / Zip: Renton, WA 98058
Customer: PS&Pide Reol Proarom
PM / Insp: L. Griffith
PHONE NUMBER
Construction Method
WORK DESCRIPTION:
Two potholes at 10'51 of CIL of SE
159th
St and 10'
W of CIL of 130th P1 SE
to identify pipe
Open Trench E]
Trenchless ❑
manufacturer
of both the 4" d 11/4" PEIPgas mains
PLAT MAP:
I
N
15823
I
a
I
t
I
'~
O
EXISTING GAS MAIN, _10_' W CIL
1 114" PE•A IP
I
EXISTINGGAS MAIN,
S CIL
-10_1
4" PE -A IP
— —
— — — — — — —
— — —
— — — — — — — — — —
AN
SE
159th St
Work Location
Size of Cut
Surface Type
_ S of CL
SE 159th St
& 10, W of CL 130th PL SE
3'X2"
ASphalt
'N S of
CL
& 'E
W of CL
'N S of
CL
& 'E
W of CL
❑
FLAGGERS #
25 MPH
❑
TROLLY LINES
❑ BUS STOP #
❑ METER HOODS #
❑
OFFICERS #
SPEED LIMIT
❑
TRAFFIC SIGNAL ❑ ARTERIAL
Q NO PARKS #
❑
Commercial
❑
Altered Commercial
❑
Leak Repair
Service Information
❑ Template Bar
❑
Residential
❑
Altered Residential
❑
CP Work
Diameter Meter
EFV
❑ Bollards 2.5" #
❑
Multi -Family
❑
Replacement Service
Pothole
❑ 5/8" E]250
El
1800 E] Bollards 4" #
❑
New Constr.
E]
Main Maintenance
❑
Extension
❑ 11/8" ❑ 425
❑
2600
❑
Stub
❑
Service Maintenance
❑ 11/4" ❑ 630
❑
10,000 ❑ FUEL LINE PERMIT NEEDED
❑
Extension
❑
valve Maintenance
❑ 2" ❑ 1000
Fuel Line Length:
❑
Compete Sery
❑
Cut & Cap
Mtr Loc:
Fuel Line Diameter:
JOD IF:
Date:
109105582
7/5/17
Jurisdiction: King Co.
Right of Way Permit? ❑✓ YES ❑ No
Est. Start Date: 10/17/17 or sooner
Est. Duration:
1/2 day
II '
PRE -INSPECTION REPORT
® PUGET SOUND ENERGY
Address: 12903 5E 160th 5t (PH at 5E 159th 5t/5E 160th 5t)
City / Zip: Renton, WA 98058
Customer: PSE -Pipe Repl Program
PM / Insp: L. Griffith 4 P 6 N 6 I
PHONE NUMBER
Construction Method
WORK DESCRIPTION:
Two potholes at 10"S. of CIL of SE 159th St and 18'5 of
CIL
of SE
160th St to
identify pipe
Open Trench
E]
Trenchless
❑
manufacturer
of both the 4" d 2" PE IPgas mains
PLAT MAP:
Ma/
j,
159t_ S_it
SE h
I
EXISTING GAS MAIN, _10_. S CI �
4" PE -A IP
�3
I
12918
I
1
I
I
I
WI
I
"'I
EXISTING GAS MAIN, _98'S CIL
2" PE- IP
Work Location
Size of Cut
Surface Type
-10L.
S of CL
SE 159th St & 1g' S of CL
SE 160th St
3'X2"
Asphalt
IN S of
CL
& 'E W of
CL
INSofCIL
& 'EWofCL
❑
FLAGGERS #
25 MPH ❑ TROLLY LINES
❑ BUS STOP #
❑ METER HOODS #
❑
OFFICERS #
SPEED LIMIT ❑ TRAFFIC SIGNAL
❑ ARTERIAL
Q NO PARKS #
❑
Commercial
❑
Altered Commercial ❑ Leak Repair
Service Information
❑ Template Bar
❑
Residential
❑
Altered Residential ❑ CP Work
Diameter
Meter
EFV ❑ Bollards 2.5" #
❑
Multi -Family
❑
Replacement Service ❑✓ Pothole
❑
5/8"
❑ 250
E]1800 E] Bollards 4" #
❑
New Constr.
F]
Main Maintenance ❑ Extension
❑
11/8"
E]425
❑ 2600
❑
Stub
❑
Service Maintenance
❑
11/4"
❑ 630
❑ 10,000 ❑ FUEL LINE PERMIT NEEDED
❑
Extension
❑
valve Maintenance
❑
2"
❑ 1000
Fuel Line Length:
❑
Compete Sery
❑
Cut & Cap
Mtr Loc:
Fuel Line Diameter:
Job IF:
Date:
109105582
7/5/17
Jurisdiction: King Co.
NNNNNNN
Right of Way Permit? ❑� YES ❑ NO
Est. Start Date: 10/17/17 or sooner
MW
Est. Duration:
1/2 day
PRE -INSPECTION REPORT Q PUGET SOUND ENERGY
Address: 12903 SE 160th 5t (PH at SE 157th PI/129th PI SE)
City / Zip: Renton, WA 98058
Customer: PSE -Pipe F
PM / Insp: L. Griffith
PHONE NUMBER
WORK DESCRIPTION:
Construction Method
Two potholes at 10'5. of CIL of SE 157th St and 10' W of CIL of 129th P/ SE to identify pipe
Open Trench E]
manufacturer of both the 4"d 11/4" PEIPgas mains
Trenchless ❑
PLAT
MAP:
j 5E 157th PI
EXISTING GAS MAIN, .10.'S, CIL
111411 PE -A IP I
J Vel
l
� I
15706
I w
o,
Ln
i s
l I
®
EXISTING
GAS MAIN, _10' W C1
4" PE= IP
N
—
I�
1
Work Location
Size of Cut
Surface Type
NNNNN
10' S of CL SE 157th St &,_10L W of CL 129th PI SE
31X2"
Asphalt
'N S of CL & 'E W of CL
'N S of CL & 'E W of CL
❑ FLAGGERS # 25 MPH ❑ TROLLY LINES ❑ BUS STOP # ❑ METER HOODS #
❑ OFFICERS # SPEED LIMIT ❑ TRAFFIC SIGNAL ❑ ARTERIAL ❑✓ NO PARKS #
❑ commercial ❑ Altered Commercial ❑ Leak Repair Service Information ❑ Template Bar
❑ Residential ❑ Altered Residential ❑ CP Work Diameter Meter EFV ❑ Bollards 2.5" #
1800 ❑
❑ Multi -Family ❑ Replacement Service ❑✓ Pothole ❑ 5/8" E]250 El1800
4" #
E] New Constr. F1 Main Maintenance ❑ Extension ❑ 11/8" ❑ 425 [j2600
❑ _Stub ❑ Service Maintenance ❑ 11/4" ❑ 630 ❑ 10,000 ❑ FUEL LINE PERMIT NEEDED
❑ Extension ❑ valve Maintenance ❑ 2" ❑ 1000 Fuel Line Length:
❑ Compete Sery ❑ Cut & Cap Mtr Loc: Fuel Line Diameter:
Job #:
Date:
109105582
7/5/17
Jurisdiction: King Co.
Right of Way Permit? D YES ❑ NO
Est. Start Date: 10/17/17 or sooner
Est. Duration: 1/2 day
PRE -INSPECTION REPORT 10 PUGET SOUND ENERGY
Address: 12903 SE 160th St (PH at 129th PI SE/129th Ct SE)
City / Zip: Renton, WA 98058
Customer: P5&Pipe F
PM / Insp: L. Griffith
PHONE NUMBER
Construction Method
WORK DESCRIPTION:
Two potholes at 10'S. of CIL of 129th P1 SEand 10'W of
CIL of 129th
Ct SE to
identify pipe
Open Trench
Trenchless ❑
manufacturer
of both the 4" d 11/4" PEIPgas mains
PLAT MAP:
5
129th PI
SE
- -
-
- - - -
EXISTING GAS MAIN, 10_'S
- - -
CIL
- - -
- -
- -
- - - - -
4" P&A IP
'
1
1 '
15625
1 I N
1
V
s
N
1
I �
�
1
1
'
EXISTING GAS AIN,
_10' W CIL
1 1/4" PE- IP
Work
Location
Size
of Cut
Surface Type
_ S of CL
129th PI SE
&.AOL W of CL 129th
Ct SE
3'X2"
Asphalt
'NSofCL
& 'EWofCL
'N S of
CL
& 'E W
of CL
❑
FLAGGERS #
25 MPH
❑ TROLLY LINES
❑ BUS STOP #
❑ METER HOODS #
❑
OFFICERS #
SPEED LIMIT
❑ TRAFFIC SIGNAL
❑ ARTERIAL
Q NO PARKS #
❑
Commercial
❑
Altered Commercial
❑ Leak Repair
Service Information
❑ Template Bar
❑
Residential
❑
Altered Residential
❑ CP Work
Diameter
Meter
EFV
❑ Bollards 2.5" #
❑
Multi -Family
❑
Replacement Service
❑j Pothole
❑ 5/8"
❑ 250
1800
E] 1800
❑ 4" #
❑
New Constr.
❑
Main Maintenance
❑ Extension
[:]11/8"
[:]425
[:]2600
❑
Stub
❑
service Maintenance
❑ 11/4"
❑ 630
❑ 10,000
❑ FUEL LINE PERMIT NEEDED
❑
Extension
❑
valve Maintenance
❑ 2"
❑ 1000
Fuel Line Length:
❑
Compete Sery
❑
Cut & Cap
Mtr Loc:
Fuel Line Diameter: