HomeMy WebLinkAboutMFP19000870.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP19000870
IVR Number: 19000870
Permit Informaon
Permit Name:Puget Sound Energy Gas Permits
Address/Locaon :02/20/2019Application Date:3342101470Parcel Number:1006 N 30TH ST
Permit Type:03/07/2019Issue Date:Franchise
Permit Work Class:03/06/2020Expiration Date:Minor Utility
Job Number:106351823Franchise Type:Natural Gas
Description:Tie into existing 2" PE IP main and install 100' SCAT 1 1/8" service. Pothole all existing utilities. Restoration per City of
Renton standards.
Contacts
Name Address PhoneTypeBilling
ANISH KUMAR
PUGET SOUND ENERGY - GAS -
6905 S 228th St
Kent, WA 98032
B: (253) 208-2183Applicant
Stuart Bennett
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: 36742Construction Contractor: INFRASL871C2
CITY OF RENTON ROW 1055 S Grady Way
Renton, WA 98057-3232
Owner
ANISH KUMAR
PUGET SOUND ENERGY - GAS -
6905 S 228th St
Kent, WA 98032
B: (253) 208-2183Specialized
Billing
X
General Condions & 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 425.375.3397) 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
Puget Sound Energy - Gas
106351823
Marita Bond
(253) 395-6346
marita.bond@pse.com
1006 NE 30TH ST
NEW SERVICE
TIE INTO EXISTING 2" PE IP MAIN(902599) AND INSTALL 100FT SCAT 1 1/8" SERVICE(50FT SCAT STUB/50FT SCAT EXTN)
1:3'X5' SOFT SURFACE CUT ANTICIPATED
50'
PSE/Infrasource (253) 395-6346
INFRASL871C2 BL.036742
2-20-19
MFP19000870
POTHOLE ALL EXISTING UTILITIES
RESTORATION PER CITY OF RENTON STANDARDS
Scott Warlick 2/21/2019
Holly Powers 3/7/2019
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
106351823
PSE/Infrasource
RANDY DEBOLT (206) 276-2081
6905 S 228th St, Kent 98032
RANDY.DEBOLT@pse.com
1006 NE 30TH ST
TBD
TBD
Marita Bond 2-20-19
MFP19000870
Scott Warlick
2/21/2019Monday - Friday
8:00AM - 3:30PM
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).
Est. Start Date:
&
&
&
&
&
Job #:106351823
Date:2/1/19 Address:1006 N 30TH ST
Puget Sound Energy Gas Pre-Inspect Form
4/12/19 PM / Inspector:RANDALL DEBOLT 206-276-2081
Est. Duration:1 Day (8 Hours)
Jurisdiction:RENTON City / Zip:RENTON, 98056
ROW Permit:Yes Customer:SHAWN GEORGE 919-806-6033
PLAT Map:203.082
N
Work Location Size of Cut Surface Type
Job Description / Scope of Work
TIE INTO EXISTING 2" PE IP MAIN(902599) AND INSTALL 100FT SCAT 1 1/8" SERVICE(50FT SCAT
STUB/50FT SCAT EXTN) WITH 2600 EFV AND A630 METER(08) WITH 7400191 REG.
New Construction:
No
Construction Method
All Scat / Trenchless
of CL N 30TH ST 3X5 ASPHALT
of CL
414'East of CL BURNETT AVE N 14'South
of CL
Service Information Street Information Job Type
of CL
of CL
of CL of CL
New Residential Svc
EFV:1-1/8" - 2600 - 9996743 Police #:TCP:Yes
Diameter:1-1/8" PE Flaggers #:Arterial:Yes
Trolley Lines:Mtr Hoods #:
Meter:A630 Speed Limit:
Tie-In Fitting
Route #'s:Bollards:2.5" #4" #ADA Ramps #:
Del Press:6" W.C.Traffic Signal:Bus Stop:
No Parks #:
Meter Loc:08 - OR
of CL of CL
1006
N 30TH ST
SIDEWALK
DIRT / GRAVEL
2" PE IP 14'S
902599
PL
CL
DIRT / GRAVEL
WORK AREA
1500 SQ FEET ROW 60FTBURNETT AVE NPL
MFP19000870
POTHOLE ALL EXISTING UTILITIES
1006 N 30th St Renton WA 98056 USABURNETT AVE N
N 30TH ST111111111313W20-7AROADWORK
AHEAD W20-1W20-4ONE LANEROADAHEAD100'100'100'STOP
FLAGGERSTOPFLAGGERW20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'100'100'CHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NPSEPUGETSOUNDENERGYJOB#1063518231006 N 30TH ST, RENTON, WA2/6/2019ryan.perkins@pse.com425-424-6621SHEET 1 of 2Puget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 008997Card Exp. 08/13/2019gregory.harwood@pse.com(425)424-6425TEMPORARY TRAFFIC CONTROL PLANNotes:1. All signs and spacing to conform to theMUTCD and City of Renton standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.Use traffic drums (barrels) with steady burningType C lights on all State State Routes and Hwys.4. Sign size can be a minimum of 36" x 36" 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.munless otherwise specified. All work for arterialsand major roadways will be from 9 a.m. to 3 p.m.8. Work area will be 414' ECL of Burnett Ave N & 14'SCL of N 30th St.WORK PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYROWROWMFP19000870
1006 N 30th St Renton WA 98056 USABURNETT AVE N
N 30TH ST111111111313RESIDENT(S) WILL BE INFORMEDOF POSSIBLE TEMPORARYDRIVEWAY CLOSURESTOP
FLAGGER
W20-7AROAD
WORK
AHEAD W20-1W20-4ONE LANEROADAHEAD100'100'100'W20-7AROADWORKAHEADW20-1W20-4ONE LANEROADAHEAD100'100'100'STOP
FLAGGERCHANNELIZATIONDEVICE SPACINGMPH55/7035/4525/30TAPER403020TANGENT806040NPSEPUGETSOUNDENERGYJOB#1063518231006 N 30TH ST, RENTON, WA2/6/2019ryan.perkins@pse.com425-424-6621SHEET 2 of 2Puget Sound EnergyTraffic Control Supervisor:Gregory HarwoodCard No. 008997Card Exp. 08/13/2019gregory.harwood@pse.com(425)424-6425TEMPORARY TRAFFIC CONTROL PLANNotes:1. All signs and spacing to conform to theMUTCD and City of Renton standards.2. All sidewalks, driveways, exits and egressesshall be completely clear unless otherwise indicated.3. Channelizing devices are 28" traffic cones.Use traffic drums (barrels) with steady burningType C lights on all State State Routes and Hwys.4. Sign size can be a minimum of 36" x 36" 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.munless otherwise specified. All work for arterialsand major roadways will be from 9 a.m. to 3 p.m.8. Work area will be 414' ECL of Burnett Ave N & 14'SCL of N 30th St.WORK PIT28" TRAFFIC CONELEGENDTRAFFIC FLOWSIGN LOCATIONFLAGGERSTOPWORK VEHICLE/FLASHING LIGHTSRIGHT OF WAYROWROWMFP19000870