HomeMy WebLinkAboutMFP19001171.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP19001171
IVR Number: 19001171
Permit Informaon
Permit Name:Puget Sound Energy Gas Permits
Address/Locaon :03/08/2019Application Date:1433200130Parcel Number:16406 125TH AVE SE
Permit Type:03/14/2019Issue Date:Franchise
Permit Work Class:03/13/2020Expiration Date:Minor Utility
Job Number:186579820Franchise Type:Natural Gas
Description:Replace single/shared gas servicve in ROW with 2 separate services. Pothole all existing utilities. Restoration per city
of Renton standards.
APPROVED WITH COMMENTS OR REDLINES.
Contacts
Name Address PhoneTypeBilling
Marita Bond
Puget Sound Energy Billing
6905 S 228 St
Kent, WA 98032
B: (253) 395-6346Applicant
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
Marita Bond
Puget Sound Energy Billing
6905 S 228 St
Kent, WA 98032
B: (253) 395-6346Specialized
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:
տ New Construction տ Repair/Relocate տ Underground տ Overhead տ Sidewalk տ Street
տ Open Trench տ 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
186579820
Marita Bond
(253) 395-6346
marita.bond@pse.com
16406 & 16412 125TH AVE SE
REPLACE SINGLE/SHARED GAS SERVICE IN ROW WITH 2 SEPARATE SERVICES.
3:3'X5' HARD SURFACE CUTS anticipated.
PLEASE SEE ATTACHED.
50' +/-
PSE/Infrasource (253) 395-6346
INFRASL871C2 BL.036742
3-8-19Marita G. Bond Digitally signed by Marita G. Bond DN: cn=Marita G. Bond, o=Municipal Relations, ou=Street Use Permitting, email=marita.bond@pse.com, c=US Date: 2019.03.08 16:04:12 -08'00'
MFP19001171
POTHOLE ALL EXISTING UTILITIES
RESTORATION PER CITY OF RENTON STANDARDS
Scott Warlick 3/11/2019
Holly Powers 3/14/2019
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
186579820
PSE/Infrasource
GAYLE PLAISANCE (253) 617-6013
6905 S 228th St, Kent 98032
GAYLE.PLAISANCE@PSE.COM
16406 & 16412 125TH AVE SE
TBD
TBD
Marita Bond 3-8-19
Marita G. Bond Digitally signed by Marita G. Bond
DN: cn=Marita G. Bond, o=Municipal Relations, ou=Street Use Permitting, email=marita.bond@pse.com, c=US Date: 2019.03.08 16:03:50 -08'00'
MFP19001171
Scott Warlick
3/11/2019Monday - 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).
PRE-INSPECTION REPORT
Job#: 186579820 ♦ PUGET SOUND ENERGY
Date: 12/28/18 Address: 16406 & 16412 125 Ave SE
Jurisdiction: Kent
Right of Way Permit? □ YES 0 NO
Est. Start Date:
Est. Duration: 1-2 Days
WORK DESCRIPTION:
City/ Zip: Renton, 98058
Customer: PSE
PM/ lnsp: Ken Elvsaas
PHONE NUMBER
Replace existing 1/2" STW complete service to 16406 & Replace existing 1/2" STW twin service
to 16412
Construction Method
Trench less 0 Open Trench D New Construct D Existin
PLAT MAP: 212.084 I I I
I I
f I I I I
I t-'/L
I
0 0 z 0 I
I
I I I l I I
I I I I I I I I I SE [66 St I I I I I Work Location
I I f
241 N of C/L SE 166 St & 10' WofC/L 125 A'i.e SE
300' N of C/L
N of C/L
0 Fl.AGGERS# 2 □OFFICERS#□ Commercial □ 0 Residential □ □ Mlllti-Family 0 □ New Constr. □ □ Stub □ □ Extension □ 0 Compete Serv 0
SE 166 St &--19.:.-. W ofC/L 125 A'i.e SE SE 166 St & 15' E of C/L 125 A'i.e SE
20 MPH □TROLL Y LINES □BUS STOP#
SPEED LIMIT □TRAFFIC SIGNAL □ARTERIAL
Altered Commercial □Leak Repair Service Information
Altered Residential □CP Work
Replacement Service □Pothole
Main Maintenance □Extension
Servic:e Maintenanc.e
Valve Maintenance
Cllt&Cap Mtr Loe: OR
Diameter □5/8" 0 11/8" □11/4" □2"
Meter EFV 0 250 □1800 □425 0 2600 □630 □ 10,000□1000
I I
t-'/L j
Size of Cut Surface T�[!e
3x5 As[!halt
3x5 As[!halt
3x5 As[!halt □METER HOODS#
0 NO PARKS# □Template Bar --Pressure □Bollards 2.5" # __0 6"WC □ □ 2# Bollards 4" # --
0_>5# □FUEL LINE PERMIT NEEDED
Fuel Line Length: 6"-12'
Fuel Line Diameter: _______r__
MFP19001171
POTHOLE ALL EXISTING UTILITIES
#16406
#16412
18181616 181814141818125TH AVE SESE 164TH ST 164TH
P
L
S
E
ROAD
WORK
AHEAD W20-1100'ROADWORKAHEADW20-1 SHOULDERWORKW21-5100'X'ROADWORKAHEADW20-1100'USE MAXIMUM
AVAILABLE SPACE
FOR SIGNS
SE 166TH ST
SE 1
6
5
T
H
S
T
FROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKING
FROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGCHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
N
PSE PUGETSOUNDENERGY
JOB#186579820
16406-12 125th Ave SE, Renton, WA 98058
3/6/2019
stacie.fortiner@pse.com
425-424-6514
SHEET 1 of 2
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
TEMPORARY TRAFFIC CONTROL PLAN
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 10' WCL of 125th Ave SE & 300'
and 241' NCL of SE 166th St.
WORK PIT
LEGEND
28" TRAFFIC CONE
SIGN LOCATION
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
MFP19001171
#16406
#16412
18181616 181814141818SE 166TH ST
SE
1
6
5
T
H
S
T 125TH AVE SESE 164TH ST 164TH
P
L
S
E
USE MAXIMUM
AVAILABLE SPACE
FOR SIGNS
RESIDENT(S) WILL BE
INFORMED OF
POSSIBLE TEMPORARY
DRIVEWAY CLOSURE
ROAD
WORK
AHEAD W20-1SHOULDER
WORK W21-5X'X'ROADWORKAHEADW20-1100'FROM TO
TOW AWAY AREA
PHONE 888-9999
INFRASOURCE LLC 000 0000000
NO PARKINGFROMTOTOW AWAY AREAPHONE 888-9999INFRASOURCE LLC 000 0000000NO PARKINGCREW SHALL POTHOLE
FOR WATER MAIN DEPTH
PRIOR TO PROJECT START
CHANNELIZATION
DEVICE SPACING
MPH
55/70
35/45
25/30
TAPER
40
30
20
TANGENT
80
60
40
N
PSE PUGETSOUNDENERGY
JOB#186579820
16406-12 125th Ave SE, Renton, WA 98058
3/6/2019
stacie.fortiner@pse.com
425-424-6514
SHEET 2 of 2
Puget Sound Energy
Traffic Control Supervisor:
Gregory Harwood
Card No. 008997
Card Exp. 08/13/2019
gregory.harwood@pse.com
(425)424-6425
TEMPORARY TRAFFIC CONTROL PLAN
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 15' ECL of 125th Ave SE & 300'
and 241' NCL of SE 166th St.
WORK PIT
LEGEND
28" TRAFFIC CONE
SIGN LOCATION
TRAFFIC FLOW
WORK VEHICLE/
FLASHING LIGHTS
RIGHT OF WAY
MFP19001171