HomeMy WebLinkAboutMFP17004071DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP17004071
IVR Number: 17004071
Permit InformaƟon
Permit Name:Puget Sound Energy Gas Permits
Address/LocaƟon:08/30/2017ApplicaƟon Date:0423059322Parcel Number:2825 NE 21ST ST
Permit Type:09/08/2017Issue Date:Franchise
Permit Work Class:09/08/2018ExpiraƟon Date:Minor UƟlity
Job Number:#106327947Franchise Type:Natural Gas
DescripƟon:INSTALL NEW SHORT SIDE 1 1/8" PE GAS SERVICE. ONE CUT ANTICIPATED. RestoraƟon per City of Renton Standards.
Pothole ExisƟng Sewer line
Contacts
Name Address PhoneTypeBilling
ANISH KUMAR
PUGET SOUND ENERGY ‐ GAS ‐ BILLING
6905 S 228th St
Kent, WA 98032
B: (253) 208‐2183Applicant
Stuart BenneƩ
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.036742ConstrucƟon 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 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 AN
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
Puget Sound Energy
106327947
Anish Kumar
253-208-2183
anish.kumar@pse.com
2825 NE 21st St
Occupying E bound lane of NE 21st St to install new short side 1 1/8" PE gas
service to 2825 NE 21st St. 1 3'x5' asphalt cut anticipated.
10'
PSE/Infrasource 253-208-2183
INFRASL871C2 BL.036742
8/11/2017
MFP17004071
Holly Powers
Restoration per City of Renton StandardsPothole existing sewer line.
Justin Johnson
9-8-2017
9-8-2017
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
106327947
PSE/Infrasource
Kevin Haibeck 253-395-6935
6905 S 228th St, Kent 98032
kevin.haibeck@pse.com
2825 NE 21st St S of NE 21st St
TBD
10/2/2017
Anish Kumar 8/11/2017
MFP17004071
9-8-2017
8:00 AM to 3:00 PM Justin Johnson
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).
NE 21ST PLHARRINGTON PL NE
HARRINGTON PL NE NE 21ST PL1212121212121616ONE LANEROADAHEADW20-4100'100'100'ROADWORKAHEADW20-1
W20-7A100'ROADWORKAHEADW20-1BEPREPAREDTOSTOPW3-4100'100'100'ROADWORKAHEADW20-1W20-7AX'X'PLACE W20-1 SIGNS ON ALLADJACENT STREETS WITHIN FEET OF WORK AREAROADWORKAHEADW20-1 ROADWORKAHEADW20-1300STOPFLAGG
ER
STOPFLAGG
ER
X'W20-7AUSE MAXIMUMAVAILABLESPACE FOR SIGN#2825FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PARK
FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGNO-PARKFROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
NO-PARKCHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040Job#1063279472825NE 21ST ST, RENTON, WAAugust 4, 2017Sheet 1 of 1 yuriy.bashtovoy@pse.com(425)398-6193NPSEPUGETSOUNDENERGYNotes:1. All signs and spacing to conform to the MUTCDand City of RENTON standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.4. Sign size can be a minimum of 48" x 48" andshall not obstruct pedestrian access.5. Crew is required to leave a minimum of 11' fortraveling lane width.6. Alert affected residents and businesses.7. Work to take place between 9 a.m. and 4 p.m.8. Work area will be 10' SCL of NE 21st St (roadway) &151' ECL of Harrington Pl NEBORE PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWWORK VEHICLESIGN LOCATIONWARNING FLAGFLAGGERSTOPMFP17004071
Job #:
Date:Address:
Jurisdiction:City / Zip:
Right of Way Permit?Customer:
Est. Start Date:PM / Insp:
Est. Duration:
Existing
New Const
&
&
&
Fuel Line Length:
Mtr Loc:Fuel Line Diameter:
PLAT MAP:204 084
'N S of CL
OR/08
'E W of CL
'E W of CL
ASPHALT
106327947
7/26/17
Renton
1 day
Kevin Haibeck
2825 NE 21ST ST
Renton / 98056
Building
206-604-5448
206-850-0681RICHARD BROWN
'N S of CL
Harrington Pl NE 3'X5'10' 'S of CL
Install 43’ of 1-1/8” PE complete service (6' scat stub; 37' scat extension) and set A250
meter … 2600 EFV… Install 2 T/L wires and 20# anode. Bring up wires in T/L box.
NE 21st St (roadway) 'E of CL151'
PRE-INSPECTION REPORT
WORK DESCRIPTION:
CUST PHONE NUMBER
Work Location
PHONE NUMBER
Size of Cut Surface Type
SPEED LIMIT
MPH
Service Information
Diameter Meter EFV
N
FLAGGERS #
OFFICERS #
TROLLY LINES
TRAFFIC SIGNAL
BUS STOP #
ARTERIAL
METER HOODS #
NO PARKS #
Commercial
Residential
Multi-Family
New Constr.
Stub
Extension
Cut & Cap
Altered Commercial
Altered Residential
Replacement Service
Main Maintenance
Service Maintenance
Valve Maintenance
Leak Repair
CP Work
Pothole
Extension
Compete Serv
5/8"
11/8"
11/4"
2"
250
425
630
1000
1800
2600
10,000
Bollards 2.5" #
Bollards 4" #
FUEL LINE PERMIT NEEDED
Template Bar
YES NO HARRINGTON PL NE NE 21ST ST
2825 NE 21ST ST
WORK
AREA
CL CL
MFP17004071