HomeMy WebLinkAboutMFP19002803.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Franchise Permit: MFP19002803
IVR Number: 19002803
Permit Informaon
Permit Name:Puget Sound Energy - Electric
Address/Locaon :05/28/2019Application Date:1423901060Parcel Number:12311 SE 166TH ST
Permit Type:06/18/2019Issue Date:Franchise
Permit Work Class:06/17/2020Expiration Date:Minor Utility
Job Number:101120104Franchise Type:Electric
Description:Replacing old handholes at HH1 and HH2 with new 13X24 FG SEC handholes. Restoration per City of Renton
standards.
Contacts
Name Address PhoneTypeBilling
Marita Bond
Puget Sound Energy Billing
6905 S 228 St
Kent, WA 98032
B: (253) 395-6346Applicant
Vicki Henson
Potelco Inc
8001 212th St S
Kent, WA 98032
B: (253) 863-0484Contractor
Business License Number: 5109Electrical Contractor: POTELI*344O4
Construction Contractor: POTELI*227PL
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 of 1 | Published: 1/2/2019
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: 1/2/2019
TO THE APPLICANT: Submit an electronic copy of the plans with the Franchise Permit Application and the Site
Specific Traffic Control Application to franchisepermits@rentonwa.gov. Permit cost is $630.00. 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
$125/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 - Electric
101120104
CORRIE RYDBERG
(253) 234-6410
CORRIE.RYDBERG@PSE.COM
12311 SE 166TH ST
REPLACING OLD HANDHOLES AT HH1 (12220 SE 166TH ST) AND
HH2 (12311 SE 166TH ST) WITH NEW 13X24 FG SEC HANDHOLES
4 4 4
Potelco, Inc.(253) 234-6410
POTELI#227PL BL005109
5/28/19
MFP19002803
Scott Warlick 5/28/2019
RESTORATION PER CITY OF RENTON STANDARDS
Holly Powers 6/18/2019
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
101120104
Potelco, Inc
Luke Neely (253) 569-2523
6905 S 228th St, Kent, WA 98032
luke.neely@pse.com
12311 SE 166TH ST
TBD
TBD
CORRIE RYDBERG 5/28/19
MFP19002803
Scott Warlick
5/28/2019Monday - Friday
8:00AM - 3:00PM
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).
SE 166TH ST SE 166TH ST
124TH AVE SE123TH AVE SE124TH AVE SELO
LO
LO
LO
12220
12300
12311 12319
SE 166TH ST
SE 166TH ST
124TH AVE SE123TH AVE SE124TH AVE SELO
LO
LO
LO
12220
12300
12311 12319
JOBSITE
5-13-19 PER LUKE NEELY CELL 253-569-2523:
NOTE: RENTON PERMIT & 2 FLAGGERS REQ'D
CORE HOURS, LOCATES, OUTAGE ON 4 RESIDENTIAL CUSTOMERS
PROBLEM: REPLACE TWO OLD SECONDARY HANDHOLES & 3-POS FARGOS
AT HH1:
VERIFY IF THE "LT" HANDHOLE IN THE DRIVEWAY OF 12220 HAS PSE FARGOS INSIDE SERVING
12220 AND 12300 & REPLACE THE FARGOS IF OLD WITH THREE NEW 3-POS FARGOS.
IF THE "LT" HANDHOLE IN THE DRIVEWAY DOES NOT HAVE PSE FARGOS INSIDE THEN LOCATE,
EXCAVATE, AND MAKE VISIBLE THE OLD HANDHOLE BURIED UNDER THE GRASS SOD
BETWEEN 12220 & 12300.
REPLACE THE OLD HANDHOLE UNDER THE GRASS SOD WITH A NEW 13X24 FG SEC HH PER
STD 6050.2000 FIG 3 AND DETAILS F & G.
INSTALL THREE NEW 3-POS FARGOS
RESTORE GRASS SOD
AT HH2:
THE OLD CONCRETE HH WITH A METAL LID IS VISIBLE IN THE GRASS AND HAS A WHITE X ON
THE METAL LID.
REPLACE THE OLD CONCRETE HANDHOLE WITH A NEW 13X24 FG SEC HH PER STD 6050.2000
FIG 3 AND DETAILS F & G.
INSTALL THREE NEW 3-POS FARGOS
RESTORE GRASS SOD
GENERAL SPECIFICATIONS
Scope of Work
GAS
PHONE
CABLE TV
N/A N/A
N/A N/A
N/A 108113607
N/A N/A
N/A N/A
N/A N/A
N/A N/A
N/A N/A
PROJECT PHASE
PWR
NOTIF#ORDER#
Superior
Perm. Service
Relocation
Removal
Temporary
Job Order
Distribution
HP Main
HP Svc/MSA
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF EXISTING FACILITIES
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
For contacts below dial 1-888-CALL PSE (225-5773)101120104N
Vicinity Map
NOT TO SCALE
FOREMAN (CHECK BOX WHEN COMPLETED)
PSE Equipment LOCKED/SECURED & Work Area left in CLEAN/SAFE Condition.
Grid, Cable, and Switch numbers INSTALLED & VERIFIED.
Field Changes RED-LINED on As-built.
Indicate correct FUSE SIZE on As-built & VERIFY proper PHASE.
Foreman's Signature _______________________________________________
Print Name ___________________________________ Date ______________
Material VERIFIED and CHANGES noted on Paperwork.
Total PRIMARY Cable noted on As-built.
Company ID#'s RECORDED in correct location on As-built.
Correct QC Checklist(s) reviewed.
Deviations noted on the As-built and their reason.
I certify that the work performed meets PSE's standards and procedures
and that all quality requirements are met.
DESIGNED BY
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC
U-MAP NO (POWER)
OP MAP
Emer Sect Gas Wk Ctr POWER WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
FOREMAN #1
FOREMAN #2
MAPPING
INCIDENT MAOP
Gas Order Elect Order
SCALE PAGE
ENGR - POWER
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY
CONTACT PHONE NO DATE
OH CKT MAP CIRCUIT NOUG CKT MAP
L. NEELY 253-569-2523 5/13/19
L. NEELY 253-569-2523 5/13/19
A. CABRERA 425-623-5379 5/13/19
N/A RENTON
ROL-17 / 12311 SE 166TH ST
REPLACE TWO OLD SEC HH'S
12311 SE 166TH ST, RENTON, 98058
ASPLUNDH CONSTRUCTION CORP.
101120104
AS NOTED 1/2
KING CSPSKERE
NW 28-23N-05E
2305E110 2305E136 ROL-172305E110
11506675 101120104
Owner / Developer Contact Info
officeATTN:
E-Mail:
Cell Phone:
Project Manager Contact Information:
Manager:LUKE NEELY
253-569-2523
LUKE.NEELY@PSE.COM
THOMAS GUIDE
656-F6
UNDERGROUND CIRCUIT MAP
SCALE: 1" = 50' MAP#: 2305E110
SITE MAP - UNIVERSAL MAP
SCALE: 1" = 50' (2305E110)
ARE TO BE INSTALLED, CROSS SECTION DETAILS OF THE TYPICAL EROSION
STRUCTURES, & SPECIAL REQUIREMENTS FOR WORK IN SENSITIVE AREAS.)
EROSION & SEDIMENT CONTROL REQUIREMENTS
NOTES DETAILING WHERE EROSION OR SEDIMENT CONTROL STRUCTURES
(LOCAL JURISDICTIONS MAY HAVE ADDITIONAL REQUIREMENTS INCLUDING
0150.3200 TECHNIQUES FOR TEMPORARY EROSION & SEDIMENT CONTROL
EROSION & SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE
& ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
OVERHEAD CIRCUIT MAP
SCALE: 6" = 1 MILE MAP#: 2305E136
PSE
No
No
No
Yes
Yes
Yes
"Flagging Required"
"Outages Required"
"Locates Required"
HH1 & HH2: 13X24 FIBERGLASS SEC HANDHOLE
SCALE: NOT TO SCALE PER STD 6050.2000 FIG 3
MFP19002803
101120104DESIGNED BY
UTILITIES
CONTACT
PHONE#
COUNTY
1/4 SEC
U-MAP NO (POWER)
OP MAP
Emer Sect Gas Wk Ctr POWER WK CTR
PLAT MAP
JOINT FACILITIES ARRANGEMENTS
DRAWN BY
CHECKED BY
APPROVED BY
FOREMAN #1
FOREMAN #2
MAPPING
INCIDENT MAOP
Gas Order Elect Order
SCALE PAGE
ENGR - POWER
ENGR - GAS
FUNCTION
PROJECT MGR
PERMITREAL ESTATE/EASEMENT
2
1
REV#
3
DATE DESCRIPTIONBY
CONTACT PHONE NO DATE
OH CKT MAP CIRCUIT NOUG CKT MAP
L. NEELY 253-569-2523 5/13/19
L. NEELY 253-569-2523 5/13/19
A. CABRERA 425-623-5379 5/13/19
N/A RENTON
ROL-17 / 12311 SE 166TH ST
REPLACE TWO OLD SEC HH'S
12311 SE 166TH ST, RENTON, 98058
ASPLUNDH CONSTRUCTION CORP.
101120104
AS NOTED 2/2
KING CSPSKERE
NW 28-23N-05E
2305E110 2305E136 ROL-172305E110
HH2 @ 12311 SE 166TH ST
SCALE: NOT TO SCALE
HH1 @ 12300 SE 166TH ST
SCALE: NOT TO SCALE
MFP19002803
124TH
AVE SE
SE 166TH STSE 166TH ST
123RD AVE SE122ND AVE SE124TH AVE SE12300
12311
HH1
HH2
REPLACE OLD HANDHOLE W/13X24 FG HANDHOLE
REPLACE OLD HANDHOLE W/13X24 FG HANDHOLE
RESIDENTS WILL BE NOTIFIED OF TEMPORARY
DRIVEWAY CLOSURE AND/OR ACCESS
RESIDENTS WILL BE NOTIFIED OF TEMPORARY
DRIVEWAY CLOSURE AND/OR ACCESS
FLAGGERS ADJUST CONTROLS AS NEEDED
SE 166TH ST
UTILITYWORKAHEAD
W21-7
UTILITYWORKAHEAD
W21-7
BE PREPAREDTO STOP
W20-7b
BE PREPAREDTO STOP
W20-7b
W20-7A
W20-7A
W20-7A
BE PREPAREDTO STOP
W20-7b
UTILITYWORKAHEAD
W21-7
UTILITYWORKAHEAD
W21-7
BE PREPAREDTO STOP
W20-7b
W20-7A
200'
200'
200'
200'
100'
100'
200'
200'
K&D Services, as the preparer of this traffic
control plan makes no representation as to its'
general adequacy or being approved for implementation.
Approval must result from the Traffic Engineer or
other Public Official having statutory enforcement authority
in the jurisdiction. Utilization and implementation of this
plan shall be a result of that approval.
Ref. MUTCD 2009 6A-01 (10)
Notes:1. Maintain ped. access to
and through crosswalks
2. Maintain Min. 10' lanes3. Maintain local access
4. Notify Transit Authorityat least 48 hrs. in advance
of bus stop closure5. Traffic control plan and all
devices shall comply with
MUTCD, PROWAG & WSDOT6. DEVICE SPACING
Flag Taper 20' Signs per WSDOT
Tapers per WSDOT7. 28" Cones
36" Barrels
48" Signs24" Paddle
8. Adjust to field conditions
PLEASE SCHEDULEWITH DISPATCH@ 800-343-4049 OPT.1AND PROVIDE ACOPY OF THE APPROVED
TRAFFIC CONTROL PLAN
Legend
CONE
Flagger
W20-7A Flagger AheadBE PREPAREDTO STOP W20-7b be prepared to stopUTILITYWORKAHEADW21-7 utility work ahead
Work Truck
INVENTORY:
4-BE PREPARED TO STOP
4-UTILITY WORK AHEAD
4-FLAGGER AHEAD
30-CONES
2-FLAGGERS
NOT TO SCALE
N
S
EW
NOTIFY EMS, FIRE
AND POLICE
72 HOURS IN ADVANCE
NOTIFY EMS,FIRE AND POLICE72 HOURS IN ADVANCE
CUSTOMER:
CONTACT:
LOCATION:
DATE:W/O #
Designed By:
Garrett Hooper
Off:800-343-4049 Ext 5860Cell # 425-551-8297WATCP@KNDSERVICES.NET
WSTCS#010855
PUGET SOUND ENERGY
MITCH PETERSON
425-398-6071
12311 SE 166TH ST
RENTON, WA
5-22-19 101120104
www.invarion.com
MFP19002803